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| Name | Class |
|---|---|
| Universitätsklinikum Leipzig | OTHER |
| DFG - Deutsche Forschungs Gemeinschaft (German Research Foundation) | UNKNOWN |
| Helmholtz-Zentrum für Umweltforschung - UFZ | UNKNOWN |
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The investigators aim to test the hypothesis that a microbiome-changing dietary intervention improves food decision-making and to determine the underlying microbiotal and metabolic mechanisms. To this end, 90 overweight/obese adults will be enrolled in a randomized controlled trial to test the effects of a pre-biotic dietary intervention (supplementary intake of soluble fibre) or a behavioural lifestyle intervention (weekly educational program) vs. control condititon (supplementary intake of isocaloric starch) over a period of 26 weeks. Before and after the intervention/control period, participants will undergo task-based functional and structural MRI and cognitive testing. The gut microbiota will be assessed using 16S rDNA next-generation sequencing (V3/V4 region) in stool samples. Diet, anthropometry and lifestyle will be monitored with questionnaires and metabolomics will be assayed in peripheral blood and stool (e.g. SCFA). Using a modulation of gut-brain communication through a prebiotic diet and lifestyle intervention, respectively, the investigators will be able to discover microbiota communities that play a key role for eating behaviour. Related mechanistic insights could help to develop novel preventive and therapeutic options to combat unhealthy weight gain in our obesogenic society.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| prebiotic dietary supplement | Active Comparator | high-dose daily inulin |
|
| behavioural lifestyle intervention | Experimental | new educational program to change eating behaviour, provided through weekly sessions. |
|
| placebo dietary supplement | Placebo Comparator | equicaloric daily maltodextrin |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Inulin | Dietary Supplement | 28g/day delivered in 2 sachets throughout the day with main meals |
|
| Measure | Description | Time Frame |
|---|---|---|
| blood-oxygenation-level-dependent (BOLD) activity during food wanting | BOLD-acitvity will be measured using event-related echo-planar T2*-weighted magnetic resonance imaging (MRI) during food wanting task according to previously described procedures (details of preprocessing at: https://osf.io/ynkxw). Onsets of food and art stimuli presentation will be modelled as separate regressors convolving delta functions with a canonical hemodynamic response function. Wanting rating scores (on an 8-point likert scale) per stimulus will be added as covariates. In a parallel model, kcal of food stimuli will be added multiplied with wanting scores to model high caloric food wanting interaction. At the group level, we will assess the contrasts food > art and wanting modulation. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| microbial alpha and beta diversity | Changes in alpha and beta diversity assessed using 16S rRNA sequencing of stool samples | 6 months |
| fMRI BOLD activity memory performance | BOLD-acitvity will be measured using event-related echo-planar T2*-weighted magnetic resonance imaging (MRI) during food wanting and food memory recognition tasks according to previously described procedures (details of preprocessing at: https://osf.io/ynkxw). Onsets of food and art stimuli presentation in encoding and recognition will be modelled as separate regressors convolving delta functions with a canonical hemodynamic response function. Correctly remembered and correctly rejected, as well as misses and false alarms will be modeled separately. In parallel models, similar and new items als well as wanting rating scores (on an 8-point likert scale) per stimulus and kcal of food stimuli multiplied with wanting scores will be added as covariates. At the group level, we will assess the contrasts correct > false and wanting modulation. |
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Inclusion Criteria:
Exclusion Criteria:
all genders, self-report
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Meghedi Vartanian, MSc | Contact | +49(0)341/9940-951 | mi-food@cbs.mpg.de |
| Name | Affiliation | Role |
|---|---|---|
| Veronica Witte, PhD | Cognitive Neurology, University Medical Center Leipzig | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences | Recruiting | Leipzig | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39806493 | Derived | Vartanian M, Endres KJ, Lee YT, Friedrich S, Meemken MT, Schamarek I, Rohde-Zimmermann K, Schurfeld R, Eisenberg L, Hilbert A, Beyer F, Stumvoll M, Sacher J, Villringer A, Christensen JF, Witte AV. Investigating the impact of microbiome-changing interventions on food decision-making: MIFOOD study protocol. BMC Nutr. 2025 Jan 13;11(1):8. doi: 10.1186/s40795-024-00971-6. |
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We plan to share all data openly but anonymized on secured German servers of the institute after registration with ID.
after end of study for 5 years or longer
Registration on a website, providing copy of ID
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| ID | Term |
|---|---|
| D050177 | Overweight |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
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| ID | Term |
|---|---|
| D007444 | Inulin |
| ID | Term |
|---|---|
| D013213 | Starch |
| D005936 | Glucans |
| D001704 | Biopolymers |
| D011108 | Polymers |
| D046911 |
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People will be randomly assigned to the three arms and blinded towards receipt of dietary fibre supplement or placebo supplement. However, behavioural lifestyle intervention arm cannot be blinded to participants.
| Lifestyle intervention | Behavioral | weekly educational sessions to improve individual's eating behaviour |
|
| Placebo | Dietary Supplement | equicaloric maltodextrin delivered in 2 sachets throughout the day with main meals |
|
| 6 months |
| satiety | self-reported hunger feeling on a 8-point score from minimum 0 (not at all) to maximum 8 (very much). | 6 months |
| ghrelin | ghrelin pg/ml in blood | 6 months |
| leptin | leptin ng/ml in blood | 6 months |
| GLP-1 | Glucagon-like peptide-1 (GLP-1) pg/ml in blood | 6 months |
| PYY | peptide YY pg/ml in blood | 6 months |
| insulin | insulin in blood uU/ml | 6 months |
| HbA1c | hemoglycated globulin A1c in blood % | 6 months |
| inflammatory markers | high sensitive C-reactive protein mg/l (and optionally tumor necrosis factor alpha and interleukin 6 in blood, pg/ml) | 6 months |
| microbial metabolic markers in blood | short-chain fatty acids (SCFA), bile acids | 6 months |
| body mass index | weight kg/height in m squared | 6 months |
| waist hip ratio | waist (cm) to hip (cm) circumeference ratio | 6 months |
| body fat | body fat % according to bioelectrical impedance analysis | 6 months |
| food craving | assessed with the food craving questionnaire (Meule et al., 2012, German version). | 6 months |
| executive attention performance | measured using the attention network task (ANT) | 6 months |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| Macromolecular Substances |
| D004040 | Dietary Carbohydrates |
| D002241 | Carbohydrates |
| D005630 | Fructans |
| D011134 | Polysaccharides |