Whilst a cause-and-effect relationship between consumption of oat ß-glucans and reduction in PPGR has been demonstrated, little is understood about its: * Application to liquid matrices: There are few studies which looked into the effect of a dose of ß-glucan applicable to beverages. Previous studies have explored oat ß-glucan doses between 2g to 13g per serving of test product (Note: the oat ß-glucan dose for the proposed trial is \<2g). * Impact following processing: Collectively, oat processing, ß-glucan structure and its physiological impact on PPGR are closely linked. Some studies have investigated the effect of oat processing or dosage on PPGR, but to our knowledge, no study has systematically characterised the effect of processing on oat structure, and clinically measured its subsequent impact on PPGR.
The proposed study is a randomised, double blind, controlled, crossover trial to investigate the postprandial effects on glycemic response and related biomarkers/biological surrogates in five test product beverages: This study will investigate the post-prandial effects of five test products, including two controls: 1. Beverage powder with 12% oat bran processed with method A (Test Product: TP-1) 2. Beverage powder with 12% oat bran processed with method B (Test Product: TP-2) 3. Beverage powder with 12% oat bran processed with method C (Test Product: TP-3) 4. Beverage powder with 12% minimally-processed oat bran (Positive Control) (Test Product: TP-PC) 5. Beverage powder without oat bran (Negative Control) (Test Product: TP-NC)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
20
50g of beverage powder to be reconstituted with 330ml of water. Subjects will orally consume one of the five test products in a random order over the five test visits.
50g of beverage powder to be reconstituted with 330ml of water. Subjects will orally consume one of the five test products in a random order over the five test visits.
50g of beverage powder to be reconstituted with 330ml of water. Subjects will orally consume one of the five test products in a random order over the five test visits.
50g of beverage powder to be reconstituted with 330ml of water. Subjects will orally consume one of the five test products in a random order over the five test visits.
50g of beverage powder to be reconstituted with 330ml of water. Subjects will orally consume one of the five test products in a random order over the five test visits.
National University Hospital
Singapore, Singapore
Postprandial glycemic response - Area under the plasma concentration versus time curve (AUC)
Postprandial glycemic response reflected by 3-hour area under the plasma concentration versus time curve (AUC) assessed over all cross-sectional blood glucose values (i.e. T0/T15/T30/T45/T60/T90/T120/T180).
Time frame: through study completion, an average of 7 months
Postprandial glycemic response - Peak Plasma Concentration (Cmax)
Postprandial glycemic response by the peak plasma concentration (Cmax) assessed over a 3-hour period by all cross-sectional blood glucose values (i.e. T0/T15/T30/T45/T60/T90/T120/T180).
Time frame: through study completion, an average of 7 months
Postprandial glycemic response - Time to Peak Plasma Concentration (Tmax)
Postprandial glycemic response reflected by time to achieve the peak plasma concentration (Tmax) assessed over a 3-hour period by all cross-sectional blood glucose values (i.e. T0/T15/T30/T45/T60/T90/T120/T180).
Time frame: through study completion, an average of 7 months
Postprandial insulin response (PPIR)
PPIR over a 3-hour period
Time frame: through study completion, an average of 7 months
Postprandial blood gastric inhibitory polypeptide (GIP)
Postprandial blood GIP over a 3-hour period
Time frame: through study completion, an average of 7 months
Postprandial blood glucagon-like peptide 1 (GLP-1)
Postprandial blood GLP-1 over a 3-hour period
Time frame: through study completion, an average of 7 months
Gastric emptying rate
Gastric emptying rate measured through postprandial blood paracetamol concentration over a 4-hour period
Time frame: through study completion, an average of 7 months
Satiety
Satiety assessed via a Visual Analogue Scale questionnaire from 0-10 over a 4-hour period, with 0 being least satiated and 10 being most satiated
Time frame: through study completion, an average of 7 months
Gastrointestinal comfort
Gastrointestinal comfort assessed via a Visual Analogue Scale questionnaire from 0-10 over a 4-hour period, with 0 being lowest discomfort and 10 being greatest discomfort
Time frame: through study completion, an average of 7 months
Ingredient fermentability by colonic bacteria
Fermentability by colonic bacteria will be assessed via breath hydrogen and methane (ppm) levels over a 4-hour period
Time frame: through study completion, an average of 7 months
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