The goal of this clinical trial is to assess the efficacy of a synbiotic blend on exercise performance and other exercise parameters in trained adult cyclists. It is hypothesized that those taking the synbiotic blend will have improved endurance exercise performance. The primary objective is to assess the impact of a synbiotic on 20km distance trial performance in 36 cyclists. Secondary objectives include assessing the impact of the synbiotic on exercise metabolism, body composition, gastrointestinal and immune health.
The goal of this randomized double-blinded clinical trial is to evaluate the potential beneficial effects of a synbiotic formulation on exercise performance in trained adult cyclists. The main questions it aims to answer are related to the Synbiotic effects on: * Cycling performance * Exercise metabolism * Gastrointestinal health * Immune system * Body composition * Fecal Short Chain Fatty Acids (SCFAs) * Fecal microbiome composition Participants will be recruited and, if consenting and eligible, will undergo the initial pre-testing phase for baseline assessment (4 on-site visits). Then, they will be randomized to receive the synbiotic or placebo and instructed to consume one sachet daily for 42 consecutive days. After 4-5 weeks of intervention (Day 33), post-testing phase will start, and participants will be asked to return to the site to perform post testing assessments (over 4 on-site visits). Study visits will occur as follows, V1 (Day -9), V2 (Day -6), V3 (Day -3), V4 (Day 0), V5 (Day 33), V6 (Day 36), V7 (Day 39), and V8 (Day 42). Researchers will compare the assessed outcomes to baseline in each group and evaluate the difference between groups following the synbiotic consumption to highlight any statistically and clinically relevant observations.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
QUADRUPLE
Enrollment
22
University of Calgary
Calgary, Alberta, Canada
Change in endurance exercise performance measured during a 20km cycling distance trial
Assessed as time (minutes) to complete 20km cycling distance
Time frame: 42 Days
Change in maximal oxygen consumption (V̇O2max) measured during a Step-Ramp-Step Test
Assessed as mL·kg-1·min-1 measured through expired air collection
Time frame: 36 Days
Change in peak power output (PPO) measured during a Step-Ramp-Step Test
Assessed as highest power output in Watts
Time frame: 36 Days
Change in power output corresponding to the gas exchange threshold (GET) and respiratory compensation point (RCP)
Assessed as power output in Watts at GET and RCP
Time frame: 36 Days
Change in time to exhaustion measured during a cycling session at 85% of the peak power output
Assessed as time (minutes) to reach volitional exhaustion.
Time frame: 39 Days
Change in fat and carbohydrate oxidation measured during exercise sessions
Assessed with the nonprotein respiratory quotient equation using expired air variables (VO2 and VCO2)
Time frame: 36, 39 and 42 Days
Change in blood lactate concentration measured via pinprick capillary blood test
Assessed as mmol/L in capillary blood
Time frame: 36, 39 and 42 Days
Change in body composition measured by dual energy X-ray absorptiometry (DXA)
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Assessed as percent fat and muscle mass (%) with a DXA scan
Time frame: 33 Days
Change in intestinal permeability markers measured in serum
Assessed in serum as pg/ml (Zonulin, Irisin, and Claudin2)
Time frame: 33 Days
Change in cytokines
Assessed in serum as fg/ml (IFN-γ, IL-10, IL-12p70, IL-17, IL-1β, IL-2, IL-4, IL-6, TNF-α)
Time frame: 33 Days
Change in gastrointestinal symptoms measured by self-report
Assessed via subjective ratings on a Patient-Reported Outcomes Measurement Information System® (PROMIS®)-GI scale
Time frame: 33 Days
Change in fecal SCFA concentration measured by gas chromatography
Assessed as µmol/L of fecal SCFAs (acetate, butyrate, propionate, and total SCFAs)
Time frame: 33 Days
Synbiotic strains quantification measured by qPCR in fecal matter
Assessed as 16S rRNA gene copies determined with qPCR
Time frame: 33 Days from Day 0
Change in fecal microbiota composition
Assessed as relative abundance of the 16S rRNA amplicon obtained via sequencing
Time frame: 33 Days
Incidence of adverse events
Assessed as the number of adverse events and serious adverse events reported
Time frame: 42 Days