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Healthy MothersMumBabyGutNCT06977113

Maternal High Fibre Fermented Diet Effect on Breastfed Infant Gut Microbiome

A study testing High Fibre Fermented Food Diet in people with Healthy Mothers and Healthy Infants, run by University of Glasgow at 1 site in United Kingdom.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Breastfeeding is recommended for babies from birth to six months old because breast milk provides all the nutrients babies need for growth and development. Breast milk contains sugars called oligosaccharides, which support the development of a healthy gut in babies. Read more about this study

Who is it for?
Ages 2 months to 45 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Mothers, Healthy Infants
What is being tested?
High Fibre Fermented Food Diet
Could I receive a placebo?
No, everyone receives an active treatment
How many people
56 participants
Where
1 siteUnited Kingdom
Study dates
11 Mar 2025to May 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

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 2 months to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Healthy breastfeeding women aged 18 years old and older.
  • Healthy singleton full-term infants (girls and boys) aged between 2 and 5 months old and who are exclusively breastfed.
  • Not using lifelong medications and antibiotics in the past 12 weeks prior to the study.
  • Not using prebiotic or probiotic supplements in the past 4 weeks prior to the study.
  • No serious problems preventing participants from breastfeeding their babies.
  • No food allergies or intolerances.
  • No chronic conditions like diabetes, cancer, heart disease, bowel disorders, eating disorders, or any illness requiring regular medical care or lifelong medication.
  • No history of complications during pregnancy (e.g., preeclampsia and gestational diabetes).

Who cannot join

  • Expecting two or more children (i.e., multiple births; twins, triplets).
  • Not exclusively breastfeeding their infants (i.e., introduced formula or solids) or having medical conditions known to contraindicate breastfeeding (e.g., classic galactosemia, human immunodeficiency virus (HIV-virus) infection, untreated tuberculosis (TB)).
  • Preterm birth.
  • Clinically diagnosed with chronic medical conditions (e.g., type 1 and type 2 diabetes mellitus, cancer, cardiovascular diseases, and mental illnesses).
  • Medical conditions affecting gastric digestion or absorption (e.g., inflammatory bowel diseases (IBD), and irritable bowel syndrome (IBS)).
  • Conditions interfering with intervention intake (e.g., celiac disease, gluten hypersensitivity or lactose intolerance).
Show all 10Show fewer
  • History of gestational complications.
  • Use of antibiotics in the past 12 weeks prior to the study.
  • Use of prebiotic or probiotic supplements in the past 4 weeks prior to the study.
  • Following exclusionary or restrictive diets (e.g., gluten-free, or weight loss).

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United Kingdom1 site, 1 recruiting
  • Human Nutrition, School of Medicine, University of Glasgow

    Glasgow, Scotland, G31 2ER

    Nour Rizq, MSc, +44 141 956 0465, n.rizq.1@research.gla.ac.uk

    Ada Garcia, PhD, +44 141 956 0465, ada.Garcia@glasgow.ac.uk

    Recruiting

Other trials in United Kingdom

About this study

Official title: The Effect of Maternal High Fibre and Fermented Food Rich Diet on Breastfed Infant Gut Microbiome: A Randomised Controlled Trial

Breastfeeding is recommended for babies from birth to six months old because breast milk provides all the nutrients babies need for growth and development. Breast milk contains sugars called oligosaccharides, which support the development of a healthy gut in babies. The foods that breastfeeding mothers eat might influence the sugars in their breast milk and the natural, friendly bacteria inside their babies' gut-called the gut microbiota-which are important for overall health. Fibre-rich foods like fruits, vegetables, whole grains, beans, and nuts, as well as fermented foods like yogurt and milk kefir, support a healthy gut.

The main aim of this study is to find out whether eating foods rich in fibre and fermented foods by breastfeeding mothers can affect the bacteria residing in the gut of their breastfed babies. The study will also explore how this diet affects the mother's gut microbiota, breast milk composition, and gastrointestinal (GI) symptoms for both mothers and babies.

Read more

The main question of the study is: Does a 2-week diet high in fibre and fermented foods consumed by breastfeeding mothers affect the gut microbiota of their breastfed babies aged 2 to 5 months, compared to mothers following their habitual diet?

Participants will:

  • Be randomly assigned to one of two groups: (1) one group will follow a specific diet high in fibre and fermented foods (25 g of fibre/day + 3 servings of fermented foods/day) in addition to their habitual diet, or (2) the second group will continue with their habitual diet (no specific foods will be provided) (16 g of fibre/day).
  • Attend a single study visit at the study location.
  • Provide body measurements (weight and height) of mothers and babies at the. study visit, and provide weight only during each home visit.
  • Complete gut health questionnaires for both mothers and babies twice during the study.
  • Complete two sets of 3-day, 24-hour dietary recalls during the study.
  • Provide stool samples (3 from babies and 2 from mothers) and 2 breast milk samples.

Researchers will then compare the stool samples from both mothers and babies to see whether the specific diet makes any difference to the gut microbiota.

Read the detailed description

Study duration:

The study will span a total of three weeks, comprising a one-week run-in period followed by a two-week intervention period.

Recruitment:

Healthy, exclusively breastfeeding women aged over 18 years and their healthy infants aged between 2 to 5 months will be recruited from the general population residing in the Glasgow \& Clyde area of Scotland. The study will be advertised using posters distributed through various channels, including word of mouth, breastfeeding support groups, schemes, venues, and organisations, as well as social media platforms. Researchers will screen potential participants for eligibility and only recruit healthy participants (i.e., healthy mothers and infants). Eligible participants will be invited to attend a one-hour study visit at the researchers' metabolic facilities for further screening.

Study visit:

Researchers will recheck participants' eligibility, reiterate the study purpose and requirements, and address any questions or concerns participants may have. If participants choose to proceed, they will be asked to sign a consent form but will be made aware that they can withdraw at any time. Each participant will be assigned a unique study identification number for anonymisation purposes, and the data retention policy will be explained up to the point of withdrawal.

Sociodemographic information will be collected using a questionnaire, and anthropometric measurements will be assessed for both mothers and infants. Maternal body weight (in kg) in light clothing and barefoot will be measured using an electronic scale (TANITA), and maternal height (in cm) using a stadiometer. Maternal BMI (in kg/m²) will be calculated. The infant's weight will be measured without a nappy (diaper). Infant body weight (in kg) and length (in cm) will be obtained using a baby scale and infantometer (SECA), with the assistance of the mother or caregiver.

The specific procedures for the study protocol will be explained to participants. Researchers will provide the necessary kits and instructions for sample collection (stool and breast milk). Three home visits will be scheduled, during which researchers will:

  • Collect stool and breast milk samples
  • Provide new collection kits
  • Collect gastrointestinal (GI) paper questionnaires
  • Measure the mother's and baby's weights

Post study visit:

After the study visit, participants will begin a 7-day run-in (baseline) period, during which they will:

  • Follow their normal habitual diet
  • Provide initial stool and breast milk samples
  • Complete dietary assessments and GI questionnaires

The tools used include:

  • A 3-day multiple-pass 24-hour dietary recall
  • The Gastrointestinal Symptom Rating Scale (GSRS) for mothers
  • The Infant Gastrointestinal Symptom Questionnaire (IGSQ) for infants

After the run-in period and collection of baseline data, participants will be randomly assigned to one of two groups:

  1. Intervention group: High-fibre, fermented food-rich diet (25 g of fibre/day + 3 servings of fermented foods/day) in addition to their habitual diet
  2. Control group: Habitual diet (approximately 16 g of fibre/day)

The high-fibre fermented foods will be commercially available from local grocery shops and delivered to participants' homes. Only mothers will consume the study foods; no interventions will be administered to the infants.

Researchers will follow up with participants via mobile phone to monitor deliveries, send reminders for home visits, assist with dietary recalls, and manage sample and questionnaire collection.

Data collection:

  1. Questionnaires During the study visit, participants will complete a study visit questionnaire (covering background, dietary and pregnancy and birth information) After the study visit, participants will complete 3-day multiple-pass 24-hour dietary recalls at two time points - at baseline (study week 1) and at the last week of study intervention (study week 3) Participants will complete GSRS and IGSQ at two time points - at baseline (study week 1) and after the last week of study intervention (study week 3)
  2. Biological samples Participants will collect biological samples, including mother's stool and breast milk, at two time points - before and after study intervention (at study week 1 and after study week 3) Infant's stool will be collected from nappies at three time points - before and after study intervention (at study week 1 and after study week 3) and halfway through the study (between study week 2 and week 3) Participants will be provided with special kits and written instructions for sample collection at home. Once samples are ready, participants will be instructed to contact the research team promptly for collection and handling.
  3. Body measurements

During the study visit, mother's weight, height and body composition, and baby's weight and length will be measured. The study researcher will take the baby's measurements with the assistance of the mother or caregiver and without the nappies.

After the study visit, the study researcher will obtain the mother's and the baby's body weight at each sampling visit (or home visit), at baseline (study week 1), halfway through the study (between study week 2 and week 3), and after the last week of study intervention (study week 3).

Dietary compliance:

Fibre contents in maternal stool samples will be measured to monitor for their dietary compliance to the study intervention.

Sample size:

The sample size was calculated based on the primary outcome, which is infant faecal acetate, the predominant short chain fatty acid (SCFA) and the one expected to be affected by an increase in bifidobacteria. Based on previous randomised controlled trials, recruiting 52 mother-infant pairs would provide a power of 80% (p=0.05) to detect a significant mean change in faecal acetate of 60 μmol/g in the infant's stool (SD: 75 μmol/g). Accounting for an approximate 10% dropout rate, recruiting 56 mother-infant pairs (28 per study group) would ensure adequate power for this study.

Reimbursement:

After the completion of the study, participants will receive a gift voucher as a gesture of appreciation for their time and effort in the study. Also, participants will be reimbursed for public transport expenses to the lab.

Being tested
High Fibre Fermented Food Diet, Control Habitual Diet
Keywords
maternal diet, breast milk, infant gut microbiome, dietary fibre, fermented food, human milk oligosccharide, short chain fatty acids, gut microbiota, Exclusive breastfeeding
Medical subject headings
Breast Feeding

What participants receive

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

  • High Fibre Fermented Food DietOther

    Participants will be provided with and asked to consume specific foods high in various types of fibre to promote a variety of substrates for gut bacteria including inulin, galactooligosaccharides (GOS), and β-glucan. Participants will also be asked to consume 2 fermented items, yogurt and kefir. Study foods will be commercially available including a high-fibre bar made from chicory-derived inulin (1 bar of 35 g/d), oat-containing cakes (4 oatcakes of 35 g/d) or oat porridge (1 sachet of 38.5 g/d), shredded wheat cereal biscuits (2 biscuits of 45 g/d), hummus (½ pot of 100 g/d), and/or baked beans (½ can of 100 g/d) or lentil soup (1 can of 400 g/d), and low fat yogurt (1/3 pot of 150 g/d) and kefir (½ bottle of 250 ml/d). The total amount of fibre study foods will provide is approximately 25 g/day which will be consumed in addition to the habitual diet. The total amount of fibre will be expected to reach the 30 g/day recommendation and will range between 25 - 40 g/day.

  • Control Habitual DietOther

    Participants will follow their habitual diet and will not consume any of the study foods (i.e., high-fibre fermented foods). The population average fibre intake for women in Scotland is 16 g/day (The Scottish Health Survey 2021).

Study groups in NCT06977113
Study groupRoleWhat they receive
High Fibre Fermented Food DietExperimentalParticipants in this arm will be assigned to consume specific foods that are high in fibre and fermented products (25 g fibre/day) in addition to their usual diet for two weeks. These foods include oatcakes or oat porridge, shredded wheat cereal biscuits, a high-fibre bar, yogurt and kefir, as well as two of the following: hummus, lentil soup, or baked beans. These foods will only be consumed by the mothers and they will be instructed to eat specific portion sizes of each food item per day. Researchers will provide participants with a dietary checklist to help them record their daily intake of the study foods for the 2-week study period. Participants will be asked to avoid consuming probiotic and prebiotic supplements during the 2-week study intervention.
Receives: Other: High Fibre Fermented Food Diet
Control Habitual DietOtherParticipants assigned to the control group will maintain their habitual diet, and they will not be given any of the study foods. Participants will be asked to avoid consuming probiotic and prebiotic supplements throughout the 2-week study period. The population average fibre intake for women in Scotland is 16 g/day (The Scottish Health Survey 2021).
Receives: Other: Control Habitual Diet

What is being measured

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

  1. Gut Microbiota and Short Chain Fatty Acids of Breastfed Infants after 2-week Dietary Intervention

    The primary objective is to evaluate whether the maternal 2-week diet rich in fibre and fermented foods alters the composition of microbiota and short chain fatty acid (SCFA) level in the gut of breastfed infants. Microbiota composition will be assessed, following stool DNA extraction, through 16S rRNA amplicon sequencing and quantitative polymerase chain reaction (qPCR). SCFA will be quantified using gas chromatography (GC) and potentially other microbial derived metabolites will be measured using other analytical techniques.

    Measured: From enrolment to the end of intervention at 3 weeks

Secondary outcomes (1)
  1. Maternal Gut Microbiota and Microbial Metabolites and Breast Milk Composition

    Microbiota composition will be assessed, following stool DNA extraction, through 16S rRNA amplicon sequencing and quantitative polymerase chain reaction (qPCR). Microbial activity will be assessed by quantifying short chain fatty acids (SCFA) using gas chromatography (GC) and other microbial-derived metabolites will be measured using other analytical techniques. Breast milk samples will be analysed for human milk oligosaccharides (HMOs) profiles using high performance liquid chromatography with fluorescence detection (HPLC-FLD) or high performance liquid chromatography with ultraviolet detection (HPLC-UV). Measurement of excreted fibre in stools will also be measured using the Association of Official Analytical Chemists method.

    Measured: From enrolment to the end of intervention at 3 weeks

Timeline

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

  1. First posted18 May 2025
  2. Study start11 Mar 2025
  3. Primary completionDec 2026 (estimated)
  4. Study completionMay 2028 (estimated)

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
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
56 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06977113
Sponsor's protocol ID
200240089
Acronym
MumBabyGut
Status last verified
Jun 2025
First submitted
8 May 2025
Last updated
24 Jun 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: This study will be published in scientific peer-reviewed journal when is completed.

Questions about this trial

What is this clinical trial studying?

A study testing High Fibre Fermented Food Diet in people with Healthy Mothers and Healthy Infants, run by University of Glasgow at 1 site in United Kingdom.

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 8 inclusion and 10 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: looking for participants now, as of the sponsor's last update on 24 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. 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. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Nour Rizq, MSc (+44 141 956 0465, n.rizq.1@research.gla.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Gut Microbiota and Short Chain Fatty Acids of Breastfed Infants after 2-week Dietary Intervention (time frame: From enrolment to the end of intervention at 3 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 24 Jun 2025.

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