gLUCAn: Effects of Beta-glucan From Barley and Oats on Glucose and Lipid Metabolism, and Satiety

Sponsor
University of Jena (Other)
Overall Status
Completed
CT.gov ID
NCT03648112
Collaborator
(none)
32
1
5
14.9
2.1

Study Details

Study Description

Brief Summary

The interventional study will evaluate the effects of a regularly consumption of barley and oat flakes in crude and roasted form on the glucose and lipid metabolism as well as the postprandial saturation. Moreover, the study will evaluate the effect of a regularly consumption of barley and oat flakes on the glucose and lipid metabolism over a period of three weeks.

All participants will run through each intervention (cross-over design). Inbetween these intervention periods there will be wash-out phases. In total there will be four interventions: crude oat flakes, roasted oat flakes, crude barley flakes and roasted barley flakes. The comparison will be made against white toastbread. The study participants will visit the study centrum before and after each intervention over an entire period of 27 weeks.

Condition or Disease Intervention/Treatment Phase
  • Dietary Supplement: Intervention 1
  • Dietary Supplement: Intervention 2
  • Dietary Supplement: Intervention 3
  • Dietary Supplement: Intervention 4
  • Dietary Supplement: Control
N/A

Detailed Description

The interventional study will evaluate the effects of a regularly consumption of barley and oat flakes in crude and roasted form on the glucose and lipid metabolism as well as the postprandial saturation. Moreover, the study will evaluate the effect of a regularly consumption of barley and oat flakes on the glucose and lipid metabolism over a period of three weeks.

By applying the cross-over design, all participants will run through each intervention. In total there will be four interventions: crude oat flakes, roasted oat flakes, crude barley flakes and roasted barley flakes. Each intervention period will last three weeks and will be separated by wash-out phases which also will last three weeks. The comparison will be made against white toastbread, which will be the fifth intervention. The entire duration of the study will be 27 weeks (5x 3 weeks intervention + 4x 3 weeks wash-out phases inbetween).

The participants will visit the study centrum before and after each intervention for examinations and for taking blood samples. During the examination the participants will receive a test-meal to evaluate postprandial blood glucose and insulin levels. Moreover, the kinetic of hormones that influence the satiety will be evaluated. In addition to the examination of blood samples, the microbiota of feces will be examined.

During the intervention periods the participants will receive recipes for breakfast for 21 days. In these recipes 80 gram oat or barley flakes or four slices of white toastbread will be included.

The study will provide data about the association between different processed cereals and measurable markers reflecting glucose and lipid metabolism as well as their influence on hormones of satiety and microbiota.

Study Design

Study Type:
Interventional
Actual Enrollment :
32 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Intervention Model Description:
crossover designcrossover design
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Intervention Study - Physiological Short-term and Long-term Effects of Regularly Consumption of Beta-glucan From Barley and Oats on the Glucose and Lipid Metabolism and Satiety
Actual Study Start Date :
May 2, 2018
Actual Primary Completion Date :
May 31, 2018
Actual Study Completion Date :
Jul 31, 2019

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Intervention 1

Intervention 1: Crude oat flakes (dietary supplement) 80 g of crude oat flakes contain 4 g ß-glucan. According to the current Health Claim, 4 g ß glucan are necessary to achieve a reduction of the postprandial glycemic answer and a reduction of the cholesterol concentration in hypercholesterolinaemic patients. The study participants receive recipes for breakfast for 21 days. The recipes imply 80 g of crude oat flakes.

Dietary Supplement: Intervention 1
The study participants receive recipes for breakfast for 21 days. The recipes imply 80 g of crude oat flakes per day.
Other Names:
  • Crude oat flakes
  • Active Comparator: Intervention 2

    Roasted oat flakes (dietary supplement) 80 g of roasted oat flakes contain 4 g ß-glucan. According to the current Health Claim, 4 g ß-glucan are necessary to achieve a reduction of the postprandial glycemic answer and a reduction of the cholesterol concentration in hypercholesterolinaemic patients. These oat flakes were roasted at 150°C for 20 minutes. The study participants receive recipes for breakfast for 21 days. The recipes imply 80 g of roasted oat flakes.

    Dietary Supplement: Intervention 2
    The study participants receive recipes for breakfast for 21 days. The recipes imply 80 g of roasted oat flakes per day.
    Other Names:
  • Roasted oat flakes
  • Active Comparator: Intervention 3

    Crude barley flakes (dietary supplement) 80 g of crude oat flakes contain 4 g ß-glucan. According to the current Health Claim, 4 g ß-glucan are necessary to achieve a reduction of the postprandial glycemic answer and a reduction of the cholesterol concentration in hypercholesterolinaemic patients. The study participants receive recipes for breakfast for 21 days. The recipes imply 80 g of crude barley flakes

    Dietary Supplement: Intervention 3
    The study participants receive recipes for breakfast for 21 days. The recipes imply 80 g of crude barley flakes per day.
    Other Names:
  • Crude barley flakes
  • Active Comparator: Intervention 4

    Roasted barley flakes (dietary supplement) 80 g of roasted oat flakes contain 4 g ß-glucan. According to the current Health Claim, 4 g ß-glucan are necessary to achieve a reduction of the postprandial glycemic answer and a reduction of the cholesterol concentration in hypercholesterolinaemic patients. The study participants receive recipes for breakfast for 21 days. The recipes imply 80 g of roasted barley flakes.

    Dietary Supplement: Intervention 4
    The study participants receive recipes for breakfast for 21 days. The recipes imply 80 g of roasted barley flakes per day.
    Other Names:
  • Roasted barley flakes
  • Placebo Comparator: control

    White toastbread (control) (dietary supplement) White toastbread was chosen because of its low fibre content. To achieve the same energy value (kcal) as 80 g cereal flakes the participants have to consume four slices of white toastbread. The study participants receive recipes for breakfast for 21 days. The recipes imply four slices of white toastbread.

    Dietary Supplement: Control
    White toastbread (control) (dietary supplement) White toastbread was chosen because of its low fibre content. To achieve the same energy value (kcal) as 80 g cereal flakes the participants have to consume four slices of white toastbread. The study participants receive recipes for breakfast for 21 days. The recipes imply four slices of white toastbread.
    Other Names:
  • White toast bread
  • Outcome Measures

    Primary Outcome Measures

    1. LDL cholesterol [[Time Frame: change from baseline to 3 weeks intervention] [Safety Issue: No] [mmol/L]]

      LDL cholesterol [mmol/L]

    Secondary Outcome Measures

    1. total cholesterol [[Time Frame: change from baseline to 3 weeks intervention] [Safety Issue: No] total cholesterol, LDL cholesterol, HDL cholesterol, triacylglycerides (TAG) [mmol/L]]

      total cholesterol [mmol/L]

    2. HDL cholesterol [[Time Frame: change from baseline to 3 weeks intervention] [Safety Issue: No] total cholesterol, LDL cholesterol, HDL cholesterol, triacylglycerides (TAG) [mmol/L]]

      HDL cholesterol [mmol/L]

    3. triacylglycerides [[Time Frame: change from baseline to 3 weeks intervention] [Safety Issue: No] total cholesterol, LDL cholesterol, HDL cholesterol, triacylglycerides (TAG) [mmol/L]]

      triacylglycerides [mmol/L]

    4. HOMA-index [[Time Frame: change from baseline to 3 weeks intervention] [Safety Issue: No]]

      HOMA-index

    5. fasting blood glucose [[Time Frame: change from baseline to 3 weeks intervention] [Safety Issue: No]]

      fasting blood glucose [mg/dl]

    6. kinetic of glycemic answer [[Time Frame: change from baseline to 3 weeks intervention] [Safety Issue: No]]

      blood glucose (mg/dl; timepoints: 0, 30, 60, 120 and 180 min) after a test meal)

    7. kinetic of satiety hormones [[Time Frame: change from baseline to 3 weeks intervention] [Safety Issue: No]]

      Ghrelin, GLP1, peptide YY (timepoints: 0, 30, 60, 120 and 180 min) after a test meal)

    8. short chain fatty acids in fecal water [[Time Frame: change from baseline to 3 weeks intervention] [Safety Issue: No]]

      short chain fatty acids (SCFA; %) , pH value, composition of microbiome

    9. composition of microbiome [[Time Frame: change from baseline to 3 weeks intervention] [Safety Issue: No]]

      composition of microbiome [%]

    10. blood pressure [[Time Frame: change from baseline to 3 weeks intervention] [Safety Issue: No]]

      systolic and diastolic blood pressure [mmHg]

    11. height [[Time Frame: change from baseline to 3 weeks intervention] [Safety Issue: No]]

      Height [m]

    12. weight [[Time Frame: change from baseline to 3 weeks intervention] [Safety Issue: No]]

      Weight [kg]

    13. body-mass index [[Time Frame: change from baseline to 3 weeks intervention] [Safety Issue: No]]

      body-mass index [kg/m2]

    14. bioelectrical impedance analysis [[Time Frame: change from baseline to 3 weeks intervention] [Safety Issue: No]]

      bioelectrical impedance analysis (%)

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    25 Years to 65 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • LDL-cholesterol ≥ 120 mg/dl (≥ 3 mmol/l)

    • Typical western diet

    Exclusion Criteria:
    • intake of lipid-lowering medications

    • gastrointestinal diseases

    • diabetes mellitus type I and II

    • familial hypercholesterolemia

    • intake of additional dietary supplements (especially ß-glucan capsules, high-fibre compounds)

    • pregnancy, lactation

    • appreciable food allergies/intolerances

    • patient´s request or if patient compliance with the study protocol is doubtful

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Friedrich-Schiller-University Jena Thuringia Germany 07743

    Sponsors and Collaborators

    • University of Jena

    Investigators

    • Principal Investigator: Christine Dawczynski, PhD, University of Jena
    • Principal Investigator: Stefan Lorkowski, PhD, University of Jena

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Christine Dawczynski,PhD, Leader of the Junior Research Group Nutritional Concepts, University of Jena
    ClinicalTrials.gov Identifier:
    NCT03648112
    Other Study ID Numbers:
    • H7_18
    First Posted:
    Aug 27, 2018
    Last Update Posted:
    Sep 25, 2019
    Last Verified:
    Feb 1, 2018
    Individual Participant Data (IPD) Sharing Statement:
    Undecided
    Plan to Share IPD:
    Undecided
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Christine Dawczynski,PhD, Leader of the Junior Research Group Nutritional Concepts, University of Jena

    Study Results

    No Results Posted as of Sep 25, 2019