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The goal of this clinical trial is to learn about the effects of avocado consumption on gastrointestinal health in adults with overweight and obesity. The main questions is aims to answer are:
How does avocado consumption affect the gut microbiome? How does avocado consumption affect thinking? Are there connections between the microbiome and cognition? Participants will be asked to eat provided meals with and without avocados for three 4-week periods. At the end of each 4-week period, participants will be asked to provide stool samples and complete computer games that assess thinking and memory.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Avocado | Experimental | The experimental treatment will contain an avocado. Avocados will be consumed daily for 4 weeks. |
|
| Fiber + Oil | Active Comparator | The active comparator will have a snack that mimics the fiber and fatty acid composition found in avocados and will be consumed daily for 4 weeks. |
|
| Standard American Diet | Sham Comparator | The sham comparator contains foods and beverages of a standard American diet and will be consumed daily for 4 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Avocado | Other | The intervention treatment will contain avocado |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Fecal microbial species | Feacalibacterium spp., bacteria capable of producing SCFA and secondary bile acid synthesis measured using metagenomic sequencing | 4 weeks |
| Fecal microbial genes | Microbial genes involved in short-chain fatty acids and secondary bile acid synthesis measured using metagenomic sequencing | 4 weeks |
| Concentration of fecal bile acids | Fecal bile acid concentrations using HPLC in avocado and active comparator vs. control, | 4 weeks |
| Concentration of fecal SCFA | Fecal SCFA concentrations using GC-MS in avocado and active comparator vs. control, | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Cognitive function | Neuropshycological function as measured by a clinical cognitive task battery. | 4 weeks |
| Subjective gastrointestinal tolerance via questionnaire | Ratings of gastrointestinal symptoms (ease of stool passage, frequency of stools, abdominal pain, bloating, burping, flatulence, nausea, reflux, rumblings assessed using questionnaires |
| Measure | Description | Time Frame |
|---|---|---|
| Fecal microbiome | Relative abundance of microbial genes, genera, and community structure measured using metagenomic sequencing of extracted fecal DNA to compare abundances between avocado, active comparator, and control. | 4 weeks |
| Inflammation |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hannah D Holscher, PhD, RD | Contact | 217-300-2512 | hholsche@illinois.edu | |
| Maggie Oleksiak, MS | Contact | maggieo4@illinois.edu |
| Name | Affiliation | Role |
|---|---|---|
| Hannah Holscher, PhD, RD | University of Illinois Urbana Champaign | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Illinois, Urbana Champaign | Recruiting | Urbana | Illinois | 61801 | United States |
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| ID | Term |
|---|---|
| D050177 | Overweight |
| D009765 | Obesity |
| D007249 | Inflammation |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
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| ID | Term |
|---|---|
| D009821 | Oils |
| D004043 | Dietary Fiber |
| ID | Term |
|---|---|
| D008055 | Lipids |
| D004040 | Dietary Carbohydrates |
| D002241 | Carbohydrates |
| D005502 | Food |
| D000066888 |
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| Oil + Fiber |
| Other |
The active comparator will contain a snack with oils and fibers that mimic an avocado |
|
| Average American Diet | Other | The sham comparator will contain foods/beverages that mimic a standard American Diet |
|
| 4 week |
| Digestive health using stool records/Bristol Stool Scale | Ratings of stool consistency using Bristol Stool Scale | 4 week |
LPS-binding protein, a marker of inflammation will be measured using ELISA. (Blood samples)
| 4 weeks |
| Intestinal permeability | Intestinal permeability will be measured using a orally ingested sugar substitutes. 24-hour urinary appearance of the sugars will be quantified using GC-MS. | up to 4 weeks |
| Fecal metabolites | Proteolytic metabolites will be measures in fecal samples using GC-MS | 4 weeks |
| Fecal pH | Fecal pH will be measured using a pH meter | 4 weeks |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010335 | Pathologic Processes |
| Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |