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AgingNCT02445560

The Effects of a High Protein Diet on Microbiota, Gastrointestinal Function and Wellness in Older Women

A study testing Probiotic capsule and Fiber Sachet in people with Aging, run by University of Florida at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of the proposed study is to determine the effects of consuming a high protein diet on fecal microbial communities, gastrointestinal function and symptoms, and general wellness in older adults. Read more about this study

Who is it for?
Ages 65 years and older, women only
Conditions the study is for
Aging
What is being tested?
Probiotic capsule and Fiber Sachet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
29 participants
Where
2 sitesUnited States
Study dates
Jun 2015to Oct 2015
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 years and older
  • Women only
  • No healthy volunteers
  • Older adult

Who may be able to join

  • To participate in the study you must
  • be a woman 65 years of age or older
  • be willing to complete daily and weekly questionnaires
  • be willing to wear a SenseWear Pro Armband (BodyMedia, Inc.) to monitor energy expenditure and establish dietary energy needs
  • be willing to provide blood samples, stool samples, and urine samples throughout the course of the study
  • be willing to discontinue prebiotics, probiotics and/or any fiber supplements for the duration of the study
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  • be willing to consume the provided diet for the designated 8 weeks of the study
  • are willing to report and maintain their usual alcohol intake throughout the study
  • are able to take foods, study fiber, probiotic, and placebo without the aid of another person
  • able to attend all scheduled study appointments for the duration of the study
  • have a usual protein intake consistent with United States' population as assessed by dietary analysis
  • have a usual fiber intake consistent with United States' population as assessed by dietary analysis
  • be willing to provide a social security number to receive study payment.

Who cannot join

  • To participate in the study you must NOT
  • have a physician-diagnosed gastrointestinal disease or condition (such as ulcerative colitis, Crohn's disease, gastroparesis, peptic ulcer disease, cancer, celiac disease, short bowel disease, ileostomy)
  • have had or are currently being treated for any known illnesses or conditions that may impact perceived health such as HIV/AIDS, immune modulating diseases (autoimmune, hepatitis, cancer, etc.), diabetes or chronic kidney disease
  • be a vegetarian
  • have any known food allergies or dietary restrictions
  • be currently taking medication for constipation or diarrhea
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  • have taken antibiotics within the past 2 months
  • be a current smoker
  • be planning on loosing/gaining weight during the next 6 months
  • typically consume no more than one alcoholic beverage per day
  • have a BMI greater than 30

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • UF Food Science and Human Nutrition Department

    Gainesville, Florida, 32611

  • UF/IFAS Extension Office Marion County

    Ocala, Florida, 34470

Other trials in United States

About this study

Official title: The Effects of a High Protein Diet on Microbiota, Gastrointestinal Function, Wellness and the Potential Mitigating Effects of a Multi-strain Probiotic, Prebiotic, and Synbiotic: a Randomized, Double-blinded Crossover Study in Older Women.

The purpose of the proposed study is to determine the effects of consuming a high protein diet on fecal microbial communities, gastrointestinal function and symptoms, and general wellness in older adults.

Read the detailed description

Older women will be randomized to a 18-week crossover study design. During each treatment period participants will be provided with a weight maintenance diet providing approximately 2 g/kg/day of protein.

Following a two-week baseline and in random order will have the following diets assigned:

The participants will be provided with a weight maintenance, high protein diet for two weeks, then for two-weeks will resume their normal diet;

The participants will come back into clinic and for the next two weeks to receive a high protein diet with a multi-strain probiotic for two weeks, then for two-weeks will resume their normal diet;

The participants will come back into clinic and for the next two weeks will receive a high protein diet with a prebiotic, then for two-weeks will resume their normal diet;

The participants will come back into clinic and for the next two weeks will receive a high protein diet with the synbiotic combination. then for two-weeks will resume their normal diet

Participants and researchers will be blinded for each treatment period (participants will receive a probiotic or placebo capsule, and a prebiotic or placebo sachet).

The following will be performed during the clinic visits: Questionnaires will assess quality of life (QoL), wellness, gastrointestinal symptoms, bowel movement frequency, and compliance. Hand-grip strength will be measured. Blood and urine samples will be collected at baseline and at weeks 2, 6,10 and 14. Stool samples will be collected at baseline and at weeks 2, 4, 6, 8,10, 12, 14 and 16.

Conditions
Aging
Being tested
Probiotic capsule and Fiber Sachet, Probiotic capsule and Placebo sachet, Placebo capsule and Fiber Sachet, Placebo capsule and Placebo sachet
Keywords
probiotics, prebiotics, high protein diet, microbiota

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Probiotic capsule and Fiber SachetDietary supplement

    A probiotic capsule and fiber sachet will be consumed daily for 2-weeks. The probiotic capsule contains a mixture of Bifidobacterium bifidum, Bifidobacterium breve, Bifidobacterium longum, Lactobacillus acidophilus and Lactobacillus plantarum. The fiber sachet consists of 5 g of chicory root fiber.

    During the treatment period, in addition to consuming the probiotic capsule and fiber sachet participants will consume a controlled diet consisting of foods that provide an average of approximately 2 g/kg/day of protein.

  • Probiotic capsule and Placebo sachetDietary supplement

    A probiotic capsule and placebo sachet will be consumed daily for 2-weeks. The probiotic capsule contains a mixture of Bifidobacterium bifidum, Bifidobacterium breve, Bifidobacterium longum, Lactobacillus acidophilus and Lactobacillus plantarum. The placebo sachet consists of 5 g of maltodextrin.

    During the treatment period, in addition to consuming the probiotic capsule and placebo sachet participants will consume a controlled diet consisting of foods that provide an average of approximately 2 g/kg/day of protein.

  • Placebo capsule and Fiber SachetDietary supplement

    A placebo capsule and fiber sachet will be consumed daily for 2-weeks. The placebo capsule will contain potato starch, magnesium stearate and ascorbic acid. The fiber sachet consists of 5 g of chicory root fiber.

    During the treatment period, in addition to consuming the placebo capsule and fiber sachet participants will consume a controlled diet consisting of foods that provide an average of approximately 2 g/kg/day of protein.

  • Placebo capsule and Placebo sachetDietary supplement

    A placebo capsule and placebo sachet will be consumed daily for 2-weeks. The placebo capsule will contain potato starch, magnesium stearate and ascorbic acid. The fiber sachet consists of 5 g of maltodextrin.

    During the treatment period, in addition to consuming the placebo capsule and placebo sachet participants will consume a controlled diet consisting of foods that provide an average of approximately 2 g/kg/day of protein.

Study groups in NCT02445560
Study groupRoleWhat they receive
Probiotic capsule and Fiber sachetExperimentalParticipants will be randomly assigned to receive all of the following in random order: a probiotic capsule and fiber sachet daily for 2-weeks, a probiotic capsule and placebo sachet for 2-weeks, a fiber sachet and placebo capsule for 2-weeks, and placebo capsule and placebo sachet for 2-weeks. Each treatment period is separated by a 2-week washout. During each treatment period, in addition to consuming a probiotic capsule or placebo and/or a fiber sachet or placebo sachet participants will be on a controlled higher protein diet.
Receives: Dietary Supplement: Probiotic capsule and Placebo sachet; Dietary Supplement: Placebo capsule and Fiber Sachet; Dietary Supplement: Placebo capsule and Placebo sachet
Probiotic capsule and Placebo sachetExperimentalParticipants will be randomly assigned to receive all of the following in random order: a probiotic capsule and fiber sachet daily for 2-weeks, a probiotic capsule and placebo sachet for 2-weeks, a fiber sachet and placebo capsule for 2-weeks, and placebo capsule and placebo sachet for 2-weeks. Each treatment period is separated by a 2-week washout. During each treatment period, in addition to consuming a probiotic capsule or placebo and/or a fiber sachet or placebo sachet participants will be on a controlled higher protein diet.
Receives: Dietary Supplement: Probiotic capsule and Fiber Sachet; Dietary Supplement: Placebo capsule and Fiber Sachet; Dietary Supplement: Placebo capsule and Placebo sachet
Placebo capsule and Fiber sachetExperimentalParticipants will be randomly assigned to receive all of the following in random order: a probiotic capsule and fiber sachet daily for 2-weeks, a probiotic capsule and placebo sachet for 2-weeks, a fiber sachet and placebo capsule for 2-weeks, and placebo capsule and placebo sachet for 2-weeks. Each treatment period is separated by a 2-week washout. During each treatment period, in addition to consuming a probiotic capsule or placebo and/or a fiber sachet or placebo sachet participants will be on a controlled higher protein diet.
Receives: Dietary Supplement: Probiotic capsule and Fiber Sachet; Dietary Supplement: Probiotic capsule and Placebo sachet; Dietary Supplement: Placebo capsule and Placebo sachet
Placebo capsule and Placebo sachetPlacebo comparatorParticipants will be randomly assigned to receive all of the following in random order: a probiotic capsule and fiber sachet daily for 2-weeks, a probiotic capsule and placebo sachet for 2-weeks, a fiber sachet and placebo capsule for 2-weeks, and placebo capsule and placebo sachet for 2-weeks. Each treatment period is separated by a 2-week washout. During each treatment period, in addition to consuming a probiotic capsule or placebo and/or a fiber sachet or placebo sachet participants will be on a controlled higher protein diet.
Receives: Dietary Supplement: Probiotic capsule and Fiber Sachet; Dietary Supplement: Probiotic capsule and Placebo sachet; Dietary Supplement: Placebo capsule and Fiber Sachet

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Microbiota Studies (recovery)

    Change in the concentrations of the probiotic strains in the stools will be measured with strain specific deoxyribonucleic acid (DNA) (or antibodies) in fecal samples (e.g. quantitative polymerase chain reaction (qPCR), flow cytometry).

    Measured: Change from Baseline at Week 2,4,6,8,10,12,14,16

  2. Microbiota Studies (overall composition)

    Effects of the probiotic interventions on overall microbiota composition (e.g. 454 16S rRNA (ribosomal ribonucleic acid) sequencing) will also be measured.

    Measured: Change from Baseline at Week 2,4,6,8,10,12,14,16

Secondary outcomes (15)
  1. Digestive Health (Gastrointestinal Symptom Rating Scale )

    Measured by gastrointestinal symptoms (gas, bloating, diarrhea, etc.) assessed using the weekly Gastrointestinal Symptom Rating Scale (GSRS).

    Measured: Change from Baseline at Week 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18

  2. Digestive Health (Bristol Stool Scale)

    Measured by gastrointestinal symptoms (gas, bloating, diarrhea, etc.) assessed using a daily questionnaire. The daily questionnaire will include questions regarding symptoms and the Bristol Stool Scale (stool form and transit).

    Measured: Change from Baseline at Week 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18

  3. Blood Analysis (metabolic)

    Measured by comprehensive Metabolic Panel

    Measured: Change from Baseline at Weeks 2,6,10,14

  4. Blood Analysis (lipids)

    Measured by Lipid Panel

    Measured: Change from Baseline at Weeks 2,6,10,14

  5. Blood Analysis (inflammation)

    Measured by Inflammatory markers

    Measured: Change from Baseline at Weeks 2,6,10,14

  6. Blood Analysis (blood count)

    Measured by Complete Blood Count (CBC)

    Measured: Change from Baseline at Weeks 2,6,10,14

  7. Blood Analysis (signalling)

    Measured by (mammalian target of rapamycin) mTOR

    Measured: Change from Baseline at Weeks 2,6,10,14

  8. Blood Analysis (regulation)

    Measured by insulin-like growth factor 1 (IGF-1)

    Measured: Change from Baseline at Weeks 2,6,10,14

  9. Blood Analysis (proteolysis)

    Measured by total p-cresol

    Measured: Change from Baseline at Weeks 2,6,10,14

  10. General Wellness

    Individual reporting of antibiotic usage, visits to a physician, etc.

    Measured: Day 1 through 126

  11. Proteolytic Activity

    Measured by urinary p-cresol, indoxyl sulfate and urine urea nitrogen (UUN)

    Measured: Change from Baseline at Weeks 2,6,10,14

  12. Measures of Quality of Life (QoL)

    QoL questionnaire (domains such as physical functioning, general health, bodily pain, vitality, social functioning), questionnaire to assess frailty, and hand grip strength

    Measured: Change from Baseline at Weeks 2,6,10,14

  13. Measures of Well-being (frailty)

    Questionnaire to assess frailty

    Measured: Change from Baseline at Weeks 2,6,10,14

  14. Measures of Well-being (hand grip)

    Hand grip strength will be measured

    Measured: Change from Baseline at Weeks 2,6,10,14

  15. Acceptability of the Diet

    Acceptability will be measured using the daily questionnaire and participant compliance recordings/logs of any unconsumed foods during treatment periods

    Measured: Day 1 through 126

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 May 2015 (estimated)
  2. Study startJun 2015
  3. Primary completionOct 2015
  4. Study completionOct 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Crossover
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
29 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02445560
Sponsor's protocol ID
IRB201400955
Status last verified
Mar 2018
First submitted
6 Apr 2015
Last updated
29 Mar 2018
Results posted
No
Data monitoring committee
No
Individual data sharing
Undecided

Publications

  • Ford AL, Nagulesapillai V, Piano A, Auger J, Girard SA, Christman M, Tompkins TA, Dahl WJ. Microbiota Stability and Gastrointestinal Tolerance in Response to a High-Protein Diet with and without a Prebiotic, Probiotic, and Synbiotic: A Randomized, Double-Blind, Placebo-Controlled Trial in Older Women. J Acad Nutr Diet. 2020 Apr;120(4):500-516.e10. doi: 10.1016/j.jand.2019.12.009.

    PubMed 32199523

Questions about this trial

What is this clinical trial studying?

A study testing Probiotic capsule and Fiber Sachet in people with Aging, run by University of Florida at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 13 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Mar 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Microbiota Studies (recovery) (time frame: Change from Baseline at Week 2,4,6,8,10,12,14,16). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02445560, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Mar 2018.

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