Participants will be randomly allocated to either Yakult ingestion or a control group. For the first 20 days, subjects will consume their normal diet (keeping a detailed food diary throughout). On days 21-28 they will switch to a high-fat/high-calorie diet. The investigators hypothesise that consuming a high-fat, high-energy diet for 7 days will alter the composition of the gut microbiota and induce metabolic endotoxaemia / systemic inflammation as well as decreasing whole body insulin sensitivity (as we have shown previously). In contrast, the investigators hypothesise that consuming Yakult for 21 days before and 7 days throughout the high-fat diet will maintain a favourable gut microbiota and prevent metabolic endotoxaemia / systemic inflammation and thus maintain insulin action / insulin sensitivity.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
56
A fermented milk drink containing the probiotic Lactobacillus casei Shirota
Loughborough University
Loughborough, Leicestershire, United Kingdom
Whole body insulin sensitivity index
Assessed by oral glucose tolerance test.
Time frame: The change between pre- and post-high fat diet (assessed on days 21 and 28)
Body Mass Index
Calculated from height and weight.
Time frame: Day 0, Day 21 and Day 28
Fasting plasma glucose concentration
Measured in fasting plasma sample.
Time frame: Day 0, Day 21 and Day 28
Fasting serum insulin concentration
Measured in fasting serum sample.
Time frame: Day 0, Day 21 and Day 28
Fasting plasma triglyceride concentration
Measured in fasting plasma sample.
Time frame: Day 0, Day 21 and Day 28
Metabolic endotoxaemia
Plasma markers of endotoxaemia
Time frame: Day 0, Day 21 and Day 28
Markers of systemic inflammation
Selected plasma cytokines and chemokines
Time frame: Day 0, Day 21 and Day 28
Incretin response to glucose ingestion
GLP-1
Time frame: Day 0, Day 21 and Day 28
Microbiome analysis
Faecal DNA analysis of the gut microbiota
Time frame: Day 0, Day 21 and Day 28
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