Obesity
Conditions
Brief summary
The excess production of colonic short-chain-fatty-acids (SCFA) has been implicated in the promotion of obesity, but colonic fermentation of dietary-fiber to SCFA may also play a role in preventing diabetes. The investigators aimed to compare the effects of two fermentable fibers (inulin and resistant-starch) on postprandial SCFA, glucose, insulin, free-fatty acids (FFA) and gut hormone responses and to compare the responses in healthy overweight and obese (OWO) vs lean (LN) participants. Methods: Using a randomized, single blind, crossover design, 13 OWO and 12 LN overnight fasted participants were studied on 3 separate occasions. On each day they consumed a 300 mL drink containing 75g glucose (Control) or 75g glucose plus 24g inulin (IN), or 28.2g resistant-starch (RS). A standard lunch was served 4 h after the test drink.
Interventions
75g glucose
75g glucose plus 24g inulin
75g glucose plus 28.2g resistant starch
Sponsors
Study design
Eligibility
Inclusion criteria
* non-pregnant * body mass index \>=20 and \<=35
Exclusion criteria
* history of diabetes mellitus * history of cardiovascular disease * history of bowel disease * history of kidney disease * history of liver disease * use of antibiotics within 3 months of enrolment * unusual dietary habits * fasting glucose \>6.9mmol/L * hematocrit below normal range for age and sex
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incremental area under the serum acetate response curve | For 6 hours after consuming the test meal |
Secondary
| Measure | Time frame |
|---|---|
| Incremental area under the breath methane response curve | For 6 hours after consuming the test meal |
| Incremental area under the serum insulin response curve | For 4 hours after consuming the test meal |
| Incremental area under the serum c-peptide response curve | For 4 hours after consuming the test meal |
| Total area under the serum free-fatty acid response curve | For 4 hours after consuming the test meal |
| Incremental area under the serum propionate response curve | For 6 hours after consuming the test meal |
| Incremental area under the serum butyrate response curve | For 6 hours after consuming the test meal |
| Incremental area under the breath hydrogen response curve | For 6 hours after consuming the test meal |
| Incremental area under the serum glucose response curve | For 4 hours after consuming the test meal |
Other
| Measure | Time frame |
|---|---|
| Incremental area under the serum ghrelin response curve | For 4 hours after consuming the test meal |
| Incremental area under the serum peptide-YY response curve | For 4 hours after consuming the test meal |
| Incremental area under the serum glucagon-like peptide-1 response curve | For 4 hours after consuming the test meal |