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| Name | Class |
|---|---|
| CINTESIS - Center for Health Technology and Services Research | UNKNOWN |
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Gastrointestinal discomfort is a common condition associated with aging, low levels of physical activity, and reduced intake of fibre, water, and magnesium. Several studies have reported a positive association between the consumption of hyper-mineral water containing high levels of bicarbonate, calcium, or magnesium and improvements in gastrointestinal transit. There is evidence that magnesium and sulphate, individually, exert a laxative effect; however, the impact of other minerals remains limited.
Different mechanisms have been described to explain how the gut microbiota influences gastrointestinal transit. It is important to understand the characteristics of the gut microbiota and to determine whether the intake of hyper-mineral water, a natural source of minerals, can positively modulate it.
The aim of this randomized, placebo-controlled trial is to evaluate the effects of carbonated mineral water consumption on gastrointestinal transit and gut microbiota composition.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Carbonated Natural Mineral Water | Experimental | Participants consume 1000 mL per day of natural carbonated mineral water throughout the 4-week study period. |
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| Low Mineral Water | Placebo Comparator | Participants consume 1000 mL per day of low-mineral water throughout the 4-week study period. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Natural Carbonated Mineral Water | Other | Participants consume 1000 mL per day of natural carbonated mineral water for 4 weeks, divided into four portions: before breakfast, 30 minutes before lunch, during the afternoon, and 30 minutes before dinner. Any additional water intake, if desired, is provided by the study investigators and consists exclusively of low-mineral water in both study arms. Participants record their total weekly water consumption using an electronic form. |
| Measure | Description | Time Frame |
|---|---|---|
| Difference between the intervention and control group in the change in gastrointestinal transit from baseline to the end of follow-up (4 weeks). | Change in gastrointestinal transit measured by the percentage of responder subjects defined as a composite score of the two following Rome IV criteria: number of stools ≥ 4 or an increase of 2 stools/week and stools consistency with less than 25% of lumpy to hard stools. | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Difference between the intervention and control group in the change in stool consistency from baseline to the end of follow-up (4 weeks). | Change in stool consistency measured using Bristol scale. | 4 weeks |
| Difference between the intervention and control group in the change in constipation symptoms from baseline to the end of follow-up (4 weeks). |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events | Registration of any adverse events. | 4 weeks |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Conceição Calhau, PhD | NOVA Medical School | Faculdade de Ciências Médicas da Universidade NOVA de Lisboa | Principal Investigator |
| André Rosário, PhD | NOVA Medical School | Faculdade de Ciências Médicas da Universidade NOVA de Lisboa | Study Director |
| Inês Mota | NOVA Medical School | Faculdade de Ciências Médicas da Universidade NOVA de Lisboa | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| NOVA Medical School | Faculdade de Ciências Médicas da Universidade NOVA | Lisbon | 1169-056 | Portugal |
Individual participant data (IPD) from this study will not be publicly shared because the ethics committee has limited their use to the approved research project. However, anonymised partial data sets or summary data may be made available upon reasonable request.
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| Low Mineral Water | Other | Participants consume 1000 mL per day of low-mineral water for 4 weeks, divided into four portions: before breakfast, 30 minutes before lunch, during the afternoon, and 30 minutes before dinner. Any additional water intake, if desired, is provided by the study investigators and consists exclusively of low-mineral water in both study arms. Participants record their total weekly water consumption using an electronic form. |
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Change in constipation symptoms measured using a validated PAC-SYM questionnaire. PAC-SYM is a 12-item, self-administered questionnaire used to measure severity of symptoms over the past 2 weeks in patients with constipation. Cultural adaptation and linguistic validation of the PAC-SYM for Portugal was performed by Mapi Research. |
| 4 weeks |
| Difference between the intervention and control group in the change in constipation Quality of Life from baseline to the end of follow-up (4 weeks). | Change in constipation Quality of Life measured using a validated PAC-QOL questionnaire. PAC-QOL questionnaire is a 28-item self-administered questionnaire that is being used to measure health-related quality of life (over the past 2 weeks) in patients with chronic constipation. Cultural adaptation and linguistic validation of the PAC-QOL for Portugal was performed by Mapi Research Trust. | 4 weeks |
| Difference between the intervention and control group in the change in Perceived Stress Scale from baseline to the end of follow-up (4 weeks). | Change in constipation Perceived Stress Scale measured using a validated Perceived Stress Scale questionnaire. A validated Perceived Stress Scale (PSS) self-administered questionnaire with 13-item will be used to measure perceived stress of respondents during the last month (Portuguese version keeps 13 of the 14 original items). The PSS questionnaire has been demonstrated to have internal consistency, reproducibility, validity, and sensitivity. Cultural adaptation and linguistic validation of the PSS for Portugal was implemented by Pais-Ribeiro & Marques (2009). | 4 weeks |
| Difference between the intervention and control group in the change in gut microbiota from baseline to the end of follow-up (4 weeks). | Bacterial DNA will be extracted from fecal samples. 16SRNA gene will be sequenced by next-generation sequencing (NGS). All the identified bacterial phyla, genus and species will be expressed in percentage. | 4 weeks |
| Difference between the intervention and control group in the change in short-chain fatty acid profiling from baseline to the end of follow-up (4 weeks). | Change in short-chain fatty acid profiling evaluated by the faeces concentration of short-chain fatty acids before and after intervention. | 4 weeks |
| Difference between the intervention and control group in the change in urinary excretion of minerals from baseline to the end of follow-up (4 weeks). | Change in urinary excretion of minerals evaluated by the K+, Na+, Mg2+ and Ca2+ excretion before and after intervention. | 4 weeks |
| Difference between the intervention and control group in the change in urinary pH from baseline to the end of follow-up (4 weeks). | Change in urinary pH evaluated by the urine pH before and after intervention. | 4 weeks |