The Role of the Microbiome in the Response to Dietary Fibers Intake During Intermittent Fasting

NCT04633369 — Not applicable, Active not recruiting, 115 participants, Weizmann Institute of Science

ClinicalTrials Daily  ·  Areas  ·  Conditions  ·  Drugs  ·  Sponsors  ·  

The Role of the Microbiome and Host Physiology in Personalized Human Response to Dietary Fibers Intake During Intermittent Fasting

RegistryNCT04633369
StatusActive not recruiting
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: single, basic science
Enrollment115 (Actual)
SponsorWeizmann Institute of Science (Other); collaborators: Hadassah Medical Organization
ConditionsDietary Fibers, Intermediate Fasting
Interventionsdietary fibers, Intermediate fasting (Dietary supplement, other)
Datesstart 2021-04-21, primary completion 2026-12-01 (estimated), completion 2027-03-01 (estimated), first posted 2020-11-18, last updated 2026-10-08
Locations1 site in Israel

Related Papers Related Patents Related Grants Related Experts
All trials for Dietary Fibers All trials for Intermediate Fasting All trials of dietary fibers All trials of Intermediate fasting

-Summary

Dietary fibers are generally not degraded by the endogenous digestive enzymes, but rather by the complex ensemble of microorganisms that reside in the human gut \[1\]. This ensemble, collectively known as the human gut microbiome, plays a key role in breaking down, fermenting, and ultimately converting such dietary fibers into a variety of beneficial metabolites, including most notably, short chain fatty acids (SCFA). These end products of fibers' fermentation affect host metabolism, immunity, and physiology, and have been implicated in multiple diseases including obesity, metabolic syndrome, diabetes, and cardiovascular diseases.

Intermediate fasting, and in particular circadian intermediate fasting (i.e. 16 hours of fasting followed by 8 hours of allowed eating), has been shown to have positive associations with multiple health conditions as obesity, diabetes mellitus, cardiovascular disease, cancers, and neurologic disorders In this study, we will try to answer open questions utilizing the long fasting period during the day to investigate the isolated effect of dietary fiber consumption, uncovering the degradation effect, but not the bulking effect, on the microbiome and the host physiology, and in particular its glucose response.

Expand all sections  ·  Collapse all

+Detailed description

During the 22 days of the study, participants will wear a continuous glucose monitor, fill a daily food diary, and collect stool and oral samples which will be used for microbiota profiling. Participants will be asked to carry out an intermittent fasting regime, which will include: 16 straight hours of fasting followed by 8 hours which the participants will be allowed to eat. Drinking water is allowed throughout the fasting hours.

The groups will consume 4 grams of Glucomannan, 12 grams of Arabinogalactan, 20 grams of Fructo-oligosaccharideor or no fiber at all, with or without fasting according to the group they were assigned to.

+Arms and interventions

ArmTypeInterventionsDescription
Fructo-oligosaccharideExperimentalDietary Supplement: dietary fibersFructo-oligosaccharide 20g
ArabinogalactanExperimentalDietary Supplement: dietary fibersArabinogalactan 12g
GlucomannanExperimentalDietary Supplement: dietary fibersGlucomannan 4g
Fructo-oligosaccharide with intermittent fastingExperimentalDietary Supplement: dietary fibers; Other: Intermediate fastingFructo-oligosaccharide 20g + intermittent fasting regime, which will include: 16 straight hours of fasting followed by 8 hours which the participants will be allowed to eat.
Arabinogalactan with intermittent fastingExperimentalDietary Supplement: dietary fibers; Other: Intermediate fastingArabinogalactan 12g + intermittent fasting regime, which will include: 16 straight hours of fasting followed by 8 hours which the participants will be allowed to eat.
Glucomannan with intermittent fastingExperimentalDietary Supplement: dietary fibers; Other: Intermediate fastingGlucomannan 4g + intermittent fasting regime, which will include: 16 straight hours of fasting followed by 8 hours which the participants will be allowed to eat.
Fasting without dietary fiber consumptionExperimentalOther: Intermediate fastingintermittent fasting regime, which will include: 16 straight hours of fasting followed by 8 hours which the participants will be allowed to eat.
Without fasting and without dietary fiber consumptionNo interventionNo intervention
  • dietary fibers (Dietary supplement): during days 13-22 the participants will consume the dietary fiber according to their randomization and continue fasting. Participants will be asked to collect stool and oral samples 4 times during this period.
  • Intermediate fasting (Other): Intermediate fasting regime, which will include: 16 straight hours of fasting followed by 8 hours which the participants will be allowed to eat.

+Outcome measures

Primary outcomes

  • microbiome [1 year]: stool and oral samples
  • glycemic response of different dietary fibers [1 year]: Continuous glucose monitoring (CGM)

+Eligibility

Sex: All, ages: 18 Years to 70 Years, accepts healthy volunteers

Inclusion Criteria:

Male and Female BMI<28 Age - 18-70

Exclusion Criteria:

Consumption of antibiotics 3 months prior to the first day of the experiment. Consumption of probiotic or dietary fibers supplements 1 month prior to the first day of the experiment.

Practiced in intermediate fasting 1 month prior to the first day of the experiment.

Diagnosis with type 1 or type 2 diabetes. Pregnancy, breastfeeding, or fertility treatments in the last 6 months. Chronic disease (e.g. AIDS, Cushing syndrome, CKD, acromegaly, hyperthyroidism hepatitis, fibromyalgia, etc.).

Cancer and recent anticancer treatment. Psychiatric disorders. Coagulation disorders. IBD (inflammatory bowel diseases). IBS (Irritable bowel syndrome). Alcohol abuse, more than 2 drinks per day for males, and more than one drink for females.

Substance abuse. BMI>28. Daily dietary fiber intake higher than 25 grams per day. History of abdominal surgeries (including Bariatric surgery). Mentally incompetent or lack of judgment

+Locations (1)

FacilityCityCountryStatus
Weizmann institute of scienceRehovotIsrael

+Investigators