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The main objective of this project is to evaluate the effect of prebiotic supplementation on weight loss and other physiological and metabolic parameters related to excess weight in overweight/obese adult men and women, as well as to determine the changes in the gut microbiota associated with these changes. Specific objectives are focus on evaluate the effect of the intervention on the following parameters:
Target sample size is 156 subjects.
Participants will be allocated in two groups for 8 weeks:
Participants will visit nutritional intervention unit at week 1 and week 8. At week 4 they will receive a phone control call.
Volunteers who wish to participate in the study will be interviewed by phone to verify that they meet the main inclusion criteria. Volunteers who meet the main inclusion criteria will be invited to an information and screening visit to resolve any doubts. Volunteers who agree to participate in the study will sign the informed consent and will be randomly allocated to one of the two arms of the study and will be provided with any required material.
During the intervention, volunteers will attend 2 Clinical investigation visits. The first one will be carried out on the first day of the study and the last one will take place at the end of the 8 weeks. In both visits anthropometric and body composition measurements, blood pressure, stool and blood, urine and stool samples, as well as data about dietary, physical activity, sleep and gastrointestinal symptoms will be taken.
Inclusion criteria
Exclusion criteria
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prebiotic group | Experimental | Natural yogurt with prebiotic formula |
|
| Placebo group | Placebo Comparator | Natural yogurt with placebo formula |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Prebiotic + hypocaloric diet | Dietary Supplement | Study participants will add prebiotic formula in a natural yogurt every day to be consumed within a hypocaloric diet. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Fecal microbiota | Fecal microbiota of participants will be analyzed by bacterial 16S or Shotgun gene sequencing technology. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Measure | Description | Time Frame |
|---|---|---|
| Body weight | Weight of participants will be measured by bioimpedance and reported in kg | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Height | Height of participants will be measured by stadiometer and reported in m. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Idoia Ibero, PhD | Center for Nutrition Research | Study Chair |
| María Hernández | Center for Nutrition Research | Study Chair |
| Blanca Martínez | Center for Nutrition Research | Study Chair |
| Verónica Ciaurriz | Center for Nutrition Research | Study Chair |
| Carlos González, PhD | Center for Nutrition Research | Study Chair |
| Salomé Pérez | Center for Nutrition Research | Study Chair |
| Marta Cuervo, PhD | Center for Nutrition Research | Study Chair |
| Ana Lorente | Center for Nutrition Research | Study Chair |
| María Goñi | Center for Nutrition Research | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center for Nutrition Research | Pamplona | Navarre | 31008 | Spain |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D015431 | Weight Loss |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D056692 | Prebiotics |
| ID | Term |
|---|---|
| D004043 | Dietary Fiber |
| D004040 | Dietary Carbohydrates |
| D002241 | Carbohydrates |
| D011135 | Polysaccharides, Bacterial |
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Parallel groups, blind, 8-week randomized nutritional intervention
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| Placebo + hypocaloric diet | Dietary Supplement | Study participants will add placebo formula in a natural yogurt every day to be consumed within a hypocaloric diet. |
|
| Clinical Investigation Day 1 |
| Body mass index | Body mass index will be calculated as follows: weight (kilograms)/ height (cm)2 | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Body fat percentage | Body fat of participants will be analyzed by bioimpedance and reported in percentage and kilograms. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Body muscle mass | Body muscle mass of participants will be analyzed by bioimpedance and reported in kilograms. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Body lean mass | Body leen mass of participants will be analyzed by bioimpedance and reported in kilograms. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Body water mass | Body water mass of participants will be analyzed by bioimpedance and reported in kilograms. | Clinical Investigation Day 1 and Clinical Investigation Day 2.] |
| Body bone mass | Body bone mass of participants will be analyzed by bioimpedance and reported in kilograms. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Gastrointestinal symptoms | Gastrointestinal symptoms will be registrated through Gastrointestinal Symptoms Rating Scale questionnaire, which is a questionnaire of 15 items. The questionnaire has a seven-point graded likert-type scale, where 1 represents absence of troublesome symptoms and 7 represents very troublesome symptoms. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Dietary intake | Dietary intake (energy, macronutrients and micronutrients) will be analysed by food frequency questionnaire. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Physical activity | Physical activity will be evaluated by the reduced version of the International Physical Activity Questionnaire, which estimates the total physical activity in MET-min/week, time spent sitting and classifies subjects based on their physical activity | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Adherence to capsule consumption | Adherence will be assessed using the capsule consumption record form. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Waist circumference | Waist circumference of participants in fasting condition will be analyzed by measuring tape and reported in centimeters. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Hip circumference | Hip circumference of participants in fasting condition will be analyzed by measuring tape and reported in centimeters. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Neck circumference | Neck circumference of participants in fasting condition will be analyzed by measuring tape and reported in centimeters. | linical Investigation Day 1 and Clinical Investigation Day 2 |
| Systolic blood pressure | Systolic blood pressure of participants in fasting condition will be analyzed by electronic tensiometer and reported in mmHg | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Diastolic blood pressure | Diastolic blood pressure of participants in fasting condition will be analyzed by electronic tensiometer and reported in mmHg | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Heart rate | Heart rate of participants in fasting condition will be analyzed by electronic tensiometer and reported in pulses/min. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Glucose concentration | Blood glucose levels of participants in fasting condition will be analyzed by biochemical autoanalyzer and reported in mg/dL. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Insulin concentration | Blood insulin concentration will be analyzed after an overnight fast by ELISA kit. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Blood glycated hemoglobin | Fasting blood glycated hemoglobin will be reported in percentage. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| HOMA index | HOMA index will be calculated as follows: HOMA-IR = [fasting glucose (mmol/L) x fasting insulin (μU/ml)] / 22.5. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Total cholesterol | Blood total cholesterol levels of participants in fasting condition will be analyzed by biochemical autoanalyzer and reported in mg/dL | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| HDL cholesterol | Blood HDL cholesterol levels of participants in fasting condition will be analyzed by biochemical autoanalyzer and reported in mg/dL | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| LDL cholesterol | LDL cholesterol levels of participants in fasting condition will be analyzed by Friedewald formula and reported in mg/dL. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Triglyceride concentration | Triglyceride levels of participants in fasting condition will be analyzed by biochemical autoanalyzer and reported in mg/dL. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Hemogram concentration | Hemogram levels of participants in fasting condition will be analyzed by biochemical autoanalyzer. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Leptine | Blood leptine concentration will be analyzed after an overnight fast by ELISA kit. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Adiponectin | Blood adiponectin concentration will be analyzed after an overnight fast by ELISA kit. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| MCP1 | Blood MCP1 concentration will be analyzed after an overnight fast by ELISA kit. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Tumor necrosis factor alpha (TNF-alpha) | Blood TNF-alpha concentration will be analyzed after an overnight fast by ELISA kit. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| C Reactive protein (CRP) | Blood CRP concentration will be analyzed after an overnight fast by ELISA kit. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Interleukin 10 (IL10) | Blood IL10 concentration will be analyzed after an overnight fast by ELISA kit. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Albumin concentration | Albumin levels of participants in fasting condition will be analyzed in urine by biochemical autoanalyzer. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Creatinine concentration | Creatinine levels of participants in fasting condition will be analyzed in urine by biochemical autoanalyzer and reported in μmol/L. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Life quality | Life quality of participants will be evaluated by SF-36 questionnaire. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| chronotype | Morningness-Eveningness Questionnaire (MEQ) | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Level of hunger | Hunger of participants will be analyzed by Hunger-Satiety Visual Analogue Scale (VAS). The minimum value of the scale is 0 mm and the maximum value is 100 mm. A reduction in hunger scale means better outcome. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Level of fullness | Fullness of participants will be analyzed by Hunger-Satiety Visual Analogue Scale. The minimum value of the scale is 0 mm and the maximum value 100 mm. An incrementation in fullness scale means better outcome | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Level of satisfaction | Satisfaction sensation of participants will be analyzed by Hunger-Satiety Visual Analogue Scale. The minimum value of the scale is 0 mm and the maximum value 100 mm. An incrementation in satisfaction scale means better outcome. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Want to eat something else | Want to eat something else sensation of participants will be analyzed by Hunger-Satiety Visual Analogue Scale. The minimum value of the scale is 0 mm and the maximum value 100 mm. A reduction in want to eat something else scale means better outcome. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Thirst | Thirst sensation of participants will be analyzed by Hunger-Satiety Visual Analogue Scale. The minimum value of the scale is 0 mm and the maximum value 100 mm. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Blood untargeted metabolomics | Untargeted metabolomics will be analyzed in plasma and serum. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Urine untargeted metabolomics | Untargeted metabolomics will be analyzed in urine. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Lipidomic | Lipidomic will be analyzed in plasma and serum. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Depression | Depression will be evaluated by Beck questionnaire. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Anxiety | Anxiety will be evaluated by Stai questionnaire. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001836 | Body Weight Changes |
| D011134 |
| Polysaccharides |
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019587 | Dietary Supplements |
| D019602 | Food and Beverages |