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Xylitol and erythritol have become increasingly popular as sugar substitutes in the food industry. Both substances are freely available. While glucose ingestion stimulates satiation hormone secretion in the gut and slows down gastric emptying, artificial sweeteners such as aspartame, sucralose and acesulfame-K have no such effect. However, acute intake of 50g xylitol or 75g erythritol in 300mL tap water leads to a marked increase in the satiation hormones and induces a significant retardation in gastric emptying. The concentrations used to Show this effect were rather high (50g xylitol and 75g erythritol) and led to bloating and diarrhea in 60-70% of all subjects two hours after administration. The aim of the present study is to find an effective concentration of xylitol and erythritol still stimulating satiation hormone release without any gastrointestinal adverse events.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Xylitol 7g in 300mL tap water | Active Comparator | 12 volunteers receive 7g xylitol in 300mL tap water via a nasogastric tube |
|
| Xylitol 17g in 300mL tap water | Active Comparator | 12 volunteers receive 17g xylitol in 300mL tap water via a nasogastric tube |
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| Xylitol 35g in 300mL tap water | Active Comparator | 12 volunteers receive 35g xylitol in 300mL tap water via a nasogastric tube |
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| Erythritol 10g in 300mL tap water | Active Comparator | 12 volunteers receive 10g erythritol in 300mL tap water via a nasogastric tube |
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| Erythritol 25g in 300mL tap water | Active Comparator | 12 volunteers receive 25g erythritol in 300mL tap water via a nasogastric tube |
|
| Erythritol 50g in 300mL tap water |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Xylitol 7g | Dietary Supplement | Xylitol 7g in 300mL tap water |
|
| Measure | Description | Time Frame |
|---|---|---|
| Acute effect on cholecystokinin ( CCK) release | effect on CCK release measured by a commercially available ELISA kit (enzyme-linked immunosorbent assay) | changes from baseline to three hours after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Acute effects on gastric emptying | Acute effects on gastric emptying measured by 13C-sodium-acetate breath test | changes from baseline to three hours after treatment |
| Acute effects on subjective feelings of hunger and satiety |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christoph Beglinger, Prof | University Hospital, Basel, Switzerland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Basel | Basel | 4031 | Switzerland |
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Parallel assignment
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| Active Comparator |
12 volunteers receive 50g erythritol in 300mL tap water via a nasogastric tube |
|
| Erythritol 10g | Dietary Supplement | Erythritol 10g in 300mL tap water |
|
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| Xylitol 17g | Dietary Supplement | Xylitol 17g in 300mL tap water |
|
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| Xylitol 35g | Dietary Supplement | Xylitol 35g in 300mL tap water |
|
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| Erythritol 25g | Dietary Supplement | Erythritol 25g in 300mL tap water |
|
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| Erythritol 50g | Dietary Supplement | Erythritol 50g in 300mL tap water |
|
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Acute effects on subjective feelings of hunger and satiety measured by visual analogue scales
| changes from baseline to three hours after treatment |
| ID | Term |
|---|---|
| D014993 | Xylitol |
| D004896 | Erythritol |
| ID | Term |
|---|---|
| D013402 | Sugar Alcohols |
| D000438 | Alcohols |
| D009930 | Organic Chemicals |
| D002241 | Carbohydrates |
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