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The principal objective of this project is to evaluate the effect of a postbiotic supplement (inactivated microorganism) on body composition and other physiological and metabolic parameters related to excess body weight in overweight or obese adult men and women, as well as to determine changes in the gut microbiota associated with these outcomes.
Specific objectives are focus on evaluate the effect of the intervention on the following parameters:
Target sample size is 114 subjects, including a 10% of drop out.
Participants will be allocated in two groups for 12 weeks:
Participants will visit the nutritional intervention unit at weeks 1 and 12. A follow-up phone call will be conducted at week 6.
Volunteers who wish to participate in the study will complete an online questionnaire to verify eligibility based on the main inclusion criteria. Volunteers who meet these criteria will be invited to an information and screening visit to address any questions. Those who agree to participate will sign the informed consent form, be randomly assigned to one of the two study arms, and receive the necessary study materials.
During the intervention, volunteers will attend two clinical investigation visits. The Clinical Investigation Day 1 will be conducted on the first day of the study, and the Clinical Investigation Day 2 visit will occur at the end of the 12-week intervention. At both visits, anthropometric and body composition measurements, blood pressure, and samples of blood, urine, and stool will be collected. Additionally, data on diet, physical activity, sleep, and gastrointestinal symptoms will be recorded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Postbiotic group | Experimental | Gummy containing postbiotic formula. |
|
| Placebo group | Placebo Comparator | Gummy containing placebo formula. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Postbiotic + nutritional recommendations | Dietary Supplement | Study participants will consume daily one gummy containing a postbiotic formulation, along with adherence to healthy nutritional recommendations for 12 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Body fat mass 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 |
| 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 | Role | Phone | Extension | |
|---|---|---|---|---|
| Paula Aranaz, PhD | Contact | +34948425600 | 806390 | paranaz@unav.es |
| Fermín Milagro, PhD | Contact | +34948425600 | 806553 | fmilagro@unav.es |
| Name | Affiliation | Role |
|---|---|---|
| Paula Aranaz, PhD | Center for Nutrition Research | Principal Investigator |
| Fermín Milagro, PhD | Center for Nutrition Research | Study Chair |
| Idoia Ibero, PhD |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center for Nutrition Research | Recruiting | Pamplona | Navarre | Spain |
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Parallel groups, 12-week randomized nutritional intervention
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| Placebo + nutritional recommendations | Dietary Supplement | Study participants will consume daily one gummy containing a placebo formulation, along with adherence to healthy nutritional recommendations for 12 weeks. |
|
| 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 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 and percentage. | 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 |
| 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. | Clinical 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 |
| Aspartate aminotransferase | Aspartate aminotransferase 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 |
| Alanine aminotransferase | Alanine aminotransferase 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 |
| Gamma-glutamyl transferase | Gamma-glutamyl transferase 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 |
| 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 |
| Monocyte Chemoattractant Protein-1 (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 |
| 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 |
| 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 |
| 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 |
| Dietary intake | Dietary intake (energy, macronutrients and micronutrients) will be analysed by food frequency questionnaire. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Chronotype | Morningness-Eveningness Questionnaire (MEQ) | 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 |
| Lipidomic | Lipidomic 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 |
| Blood untargeted metabolomics | Untargeted metabolomics will be analyzed in plasma and serum. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| 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 |
| Adherence to supplement consumption | Adherence will be assessed using the supplement consumption record form. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Blood lipopolysaccharide (LPS) levels | Blood LPS concentration will be analyzed by ELISA kit. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Blood zonulin levels | Zonulin concentration will be analyzed by ELISA kit. | Clinical Investigation Day 1 and Clinical Investigation Day 2 |
| Center for Nutrition Research |
| Study Chair |
| Blanca Martínez | Center for Nutrition Research | Study Chair |
| María Goñi | Center for Nutrition Research | Study Chair |
| Salomé Pérez | Center for Nutrition Research | Study Chair |
| Verónica Ciaurriz | Center for Nutrition Research | Study Chair |
| Ana Lorente | Center for Nutrition Research | Study Chair |
| ID | Term |
|---|---|
| D015431 | Weight Loss |
| D050177 | Overweight |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D001836 | Body Weight Changes |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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