Unhealthy diets are closely linked to non-communicable diseases and constitute higher risk of morbidity and mortality than unsafe sex, alcohol, tobacco and drugs use combined. According to the World Health Organization (WHO), a healthy diet follows a plant-based pattern with low quantities of red meat and a low simple sugar intake. It would also reduce anthropological ecologic impact. We hypothesize that a plant-based diet will beneficially modify the gut microbiota and metabolome, influencing also Trimethylamine N-oxide (TMAO), a metabolite associated to CVD. This study has a randomized single blind crossover design that compares a plant-based diet towards a control western diet. It is applied to volunteers aged 18-70 years, N=20. Each dietary intervention (plant-based and western) would last for 16 consecutive days separated by a minimum of 7 weeks washout period (intervention 1-washout-intervention 2). Samples of blood urine and faeces will be collected at day 1 and 14 of each intervention. On day 14 will be performed L-carnitine challenge with 1200mg of L-carnitine to test the levels of TMAO), in for the next 2 consecutive days (24h and 48h post treatment).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
20
16 days with all foods provided
16 days with all foods provided
Human Intervention Studies Unit, Ulster University
Coleraine, Londonderry, United Kingdom
Gut microbiota changes
Significant changes in the number of bifidobacteria
Time frame: Change over 14 days
Quantification of Trimethylamine N-oxide
Changes in response to L-Carnitine challenge
Time frame: Day 16
Bioactivity of faecal water
Measured by using faecal water as basis for growth media (ex vivo measure)
Time frame: Change over 14 days
Effects on inflammatory markers of both diets
Cytokine analysis via ELISA test (MagPix)
Time frame: Change over 14 days
Ex vivo effects of faecal water on gut pathobionts
Co-culturing the aqueous phase of faeces with C. difficile to assess changes in its biology
Time frame: Day 14
Quantification of phytochemicals
Measured by LC-MS
Time frame: Change over 14 days
Quantification of Short Chain Fatty Acids (SCFA)
Measured by nuclear magnetic resonance (NMR)
Time frame: Change over 14 days
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