Salmon Intake and Gut Health in Adults

Sponsor
University of Colorado, Denver (Other)
Overall Status
Recruiting
CT.gov ID
NCT04792216
Collaborator
(none)
30
1
2
19
1.6

Study Details

Study Description

Brief Summary

The overall objective of this project is to determine the interplay of salmon as a whole food and its bioactive compound astaxanthin on gut microbiome, fecal metabolome, and inflammation in obese prediabetic individuals. Our central hypothesis is that dietary bioactive astaxanthin in the form of whole food salmon will effectively reduce inflammation in obese prediabetic individuals, and favorably change the gut microbiota composition and diversity. The investigators anticipate that these changes will result in improved metabolic outcomes in obesity and type 2 diabetes.

The two primary aims include:

Aim 1: Assess the anti-inflammatory effect of the salmon dietary intervention and the underlying mechanisms on the change in plasma levels of inflammatory cytokines important for the host immune response.

Aim 2: Identify whether the relationship between salmon consumption and decreased inflammation is mediated by the gut microbiome.

Condition or Disease Intervention/Treatment Phase
  • Other: Wild Salmon
  • Other: Farmed Salmon
N/A

Detailed Description

The goal of this project is to determine whether increased intake of salmon as a whole food and its bioactive compound astaxanthin has a causal impact on preventing inflammation by promoting human gut microbiome homeostasis. Findings from this study will provide new insights into maintenance of gut microbiome and will inform effective dietary recommendations and interventions, thereby reducing inflammation-associated diseases in humans.

Aim: Evaluate the anti-inflammatory properties of astaxanthin-enriched salmon via re-balancing of human gut microbiome in obese prediabetic human subjects.

The investigators will use a randomized, double-blind, crossover feeding study with 15 obese prediabetic males and 15 obese prediabetic females (n=30) . Participants will consume two servings (3 oz per serving) of wild salmon (intervention 1) and farmed salmon (intervention 2) daily in random orders. Each intervention is 4 weeks long and the washout duration between the two interventions is 5 weeks. Primary outcomes will be determined by measuring the inflammatory response and gut microbiota composition.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
30 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
Double (Participant, Care Provider)
Primary Purpose:
Basic Science
Official Title:
Salmon Intake and Gut Health in Adults
Actual Study Start Date :
Aug 1, 2021
Anticipated Primary Completion Date :
Mar 1, 2023
Anticipated Study Completion Date :
Mar 1, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: Wild Salmon

Wild salmon fillets in a raw form

Other: Wild Salmon
Wild salmon fillets

Experimental: Farmed Salmon

Farmed salmon fillets in a raw form

Other: Farmed Salmon
Farm salmon fillets

Outcome Measures

Primary Outcome Measures

  1. Blood biomarkers/inflammatory cytokines [Over 32 weeks]

    Blood from patients will be processed via centrifugation to archive plasma. A panel of 48 factors from Bio-Rad (Bio-Plex Pro™ Human Cytokine Screening Panel, 48-Plex #12007283) will be measured in plasma by Bio-Rad Bio-Plex analyzer. Five primary biomarkers (IL-1β, IL-6, IL-10, TNF-α, and MCP-1) will be confirmed by traditional ELISA

  2. Gut Microbiome [Over 32 weeks]

    Gut microbiota structure by 16S sequencing

  3. Fecal metabolomics [Over 32 weeks]

    Small molecules will be extracted using MTBE-based liquid:liquid extraction which results in lipid and aqueous fractions. Compounds will be "extracted" using commercial software (Mass Hunter, Agilent), quantitated using peak volumes and processed using Mass Profiler Professional (MPP, Agilent) to determine normalized compound intensities

Secondary Outcome Measures

  1. Urine Analysis [Over 32 weeks]

    Urine samples will be collected for future metabolomics analysis. This analysis will generate a metabolomics profile in biospecimens, which will help us identify potential signatures related to salmon intake

Eligibility Criteria

Criteria

Ages Eligible for Study:
30 Years to 50 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Males and non-pregnant, non-lactating pre-menopausal females

  • BMI 30-40 kg/m2

  • Fasting blood glucose (without blood glucose-lowering drug) between 100-125 mg/dL

  • Plasma total cholesterol ≤ 250 mg/dL, plasma triglyceride level ≤ 250 mg/Dl

  • Age 30-50 years

  • Weight stable over the last 3 months (< 2% body weight change)

  • Sedentary and stable physical activity regimen 3 months prior (≤3 h/wk of moderate or high intensity exercise, resistance or aerobic training)

  • Medication use stable for 6 months prior, and not include anti-inflammatory drugs (e.g. ibuprofen, aspirin)

  • Not taking a carotenoid-containing or metabolism-altering supplement for the last 1 month, or have autoimmune diseases, and other malabsorptive disorders (including Crohn's, ileus or ulcerative colitis), liver or kidney insufficiency, allergies to tomatoes

  • No current special diets or nutrient supplements, pre- or probiotics (~3 months)

  • No tobacco smoking

  • Limited consumption of alcoholic beverages ≤ 1/d

  • No frequent habitual consumption of salmon or other astaxanthin-rich foods.

Exclusion Criteria:
  • Pregnant, lactating, or menopausal females

  • BMI < 30 or >40 kg/m2

  • Fasting blood glucose <100 or >125 mg/dL; or taking blood glucose lowering medication

  • Plasma total cholesterol >250 mg/dL, plasma triglyceride level >250 mg/Dl

  • Age <30 or >50 years

  • 2% body weight change over the last 3 months

  • 3 h/wk of moderate or high intensity exercise, resistance or aerobic training for the 3 months prior

  • Changing medications in the past 6 months

  • Taking anti-inflammatory drugs (e.g. ibuprofen, aspirin), carotenoid-containing or metabolism-altering supplements (for the last 1 month), or have autoimmune diseases, and other malabsorptive disorders (including Crohn's, ileus or ulcerative colitis), liver or kidney insufficiency, or allergies to tomatoes

  • Currently on a special diet or taking nutrient supplements, pre- or probiotics (~3 months)

  • Tobacco smoking

  • 1/d consumption of alcoholic beverages

  • Frequent habitual consumption of salmon or other astaxanthin-rich foods.

Contacts and Locations

Locations

Site City State Country Postal Code
1 University of Colorado Anschutz Medical Campus Aurora Colorado United States 80045

Sponsors and Collaborators

  • University of Colorado, Denver

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
University of Colorado, Denver
ClinicalTrials.gov Identifier:
NCT04792216
Other Study ID Numbers:
  • 20-1033
First Posted:
Mar 10, 2021
Last Update Posted:
Aug 11, 2022
Last Verified:
Aug 1, 2022
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Aug 11, 2022