This study aims to evaluate the modifications in body composition and insulin resistance state in patients with grade II and III obesity included in an interventional lifestyle changes program and treated with probiotics (1 x 1011 CFU) or placebo for 16 weeks and its associations with intestinal microbiota behaviour
A randomized placebo-controlled clinical trial will take place in which both arms will be included in an interventional lifestyle changes program at the Clinic for Integral Treatment of patients with Diabetes and Obesity. The study group will be treated with probiotics (1 x 1011 CFU) for 16 weeks and will be compared to a control group who will receive placebo. Changes in body composition (weight, BMI, fat percentage, fat mass, lean body mass) and insulin resistance indexes (HOMA, insulin sensitivity index and Quicki) will be evaluated in patients with obesity receiving probiotics (1 x 1011 CFU) for 16 weeks, and compared to a placebo group. Changes in metabolic profile (glucose tolerance test, glycosylated haemoglobin, lipid profile, leptin and transaminases) in patients with obesity receiving probiotics (1 x 1011 CFU) for 16 weeks, and compared to a placebo group. Changes in microRNAs profile (miR-133 and miR-27 in patients with obesity receiving probiotics (1 x 1011 CFU) for 16 weeks, and compared to a placebo group. The threshold for basic tastes will be evaluated (salted, bitter, acid, sweet) and will be evaluated in those patients receiving probiotics (1 x 1011 CFU) for 16 weeks, and compared to the group receiving only placebo. Changes in intestinal microbiota behaviour will be evaluated in participants with obesity receiving probiotics (1 x 1011 CFU) for 16 weeks, and compared to the group receiving placebo.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
DOUBLE
Enrollment
80
Probiotics will be administered at night and will consist of 4 capsules
Placebo
Hospital General de México "Dr. Eduardo Liceaga"
Mexico City, Mexico
RECRUITINGChanges in fat mass in patients with obesity
Evaluate changes in fat mass kilograms after probiotics treatment in patients with obesity, by bioelectrical impedance analysis
Time frame: 16 weeks
Changes in fat percentage in patients with obesity
Evaluate changes in fat percentage after probiotics treatment in patients with obesity, by bioelectrical impedance analysis
Time frame: 16 weeks
Changes in body mass index in patients with obesity
Evaluate changes in body mass index after probiotics treatment in patients with obesity. Calculated with the weight in kilograms divided by the square of the height in meters
Time frame: 16 weeks
Changes in weight in patients with obesity
Evaluate changes in weight kilograms after probiotics treatment in patients with obesity
Time frame: 16 weeks
Changes in lean body mass in patients with obesity
Evaluate changes in lean body mass kilograms after probiotics treatment in patients with obesity, by bioelectrical impedance analysis
Time frame: 16 weeks
Changes in Insulin resistance indexes
Modification in HOMA index after probiotics treatment in patients with obesity
Time frame: 16 weeks
Changes in Insulin sensitivity indexes
Modification in insulin sensitivity index after probiotics treatment in patients with obesity
Time frame: 16 weeks
Changes in Quicki insulin sensitivity index
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Modification in Quicki index after probiotics treatment in patients with obesity
Time frame: 16 weeks
Changes in glucose tolerance test
Evaluate changes in glucose tolerance test after treatment with probiotics in patients with obesity. By using plasma concentrations of insulin and glucose obtained during 120 min of a standard (75 g glucose).
Time frame: 16 weeks
Changes in glycated haemoglobin
Evaluate changes in percentage glycated haemoglobin after treatment with probiotics in patients with obesity. Obtain by capillary electrophoresis system
Time frame: 16 weeks
Changes in triglycerides
Evaluate changes in triglycerides (mg/dL) after treatment with probiotics in patients with obesity
Time frame: 16 weeks
Changes in total cholesterol
Evaluate changes in total cholesterol (mg/dL) after treatment with probiotics in patients with obesity
Time frame: 16 weeks
Changes in HDL cholesterol
Evaluate changes in HDL cholesterol (mg/dL) after treatment with probiotics in patients with obesity
Time frame: 16 weeks
Changes in LDL cholesterol
Evaluate changes in LDL cholesterol (mg/dL) after treatment with probiotics in patients with obesity
Time frame: 16 weeks
Changes in uric acid
Evaluate changes in uric acid (mg/dL) after treatment with probiotics in patients with obesity
Time frame: 16 weeks
Changes in aspartate aminotransferase
Evaluate changes in aspartate aminotransferase (U/L) after treatment with probiotics in patients with obesity
Time frame: 16 weeks
Changes in alanine aminotransferase
Evaluate changes in alanine aminotransferase (U/L) after treatment with probiotics in patients with obesity
Time frame: 16 weeks
Changes in leptin
Evaluate changes in leptin (ng/mL) after treatment with probiotics in patients with obesity
Time frame: 16 weeks