Evidence map›Paper›PMID 39207833›Full record

ArticleJMIR research protocols2024

Effects of Defatted Rice Bran-Fortified Bread on the Gut Microbiota Composition of Healthy Adults With Low Dietary Fiber Intake: Protocol for a Crossover Randomized Controlled Trial.

Hwei Min Ng, Jasjot Maggo, Catherine Louisa Wall, Simone Brigit Bayer, Warren C McNabb, Jane Adair Mullaney, Meika Foster, Diana L Cabrera, Karl Fraser, Janine Cooney and 5 more

Abstract readClinical Trial Protocol
In one paragraph

Article in JMIR research protocols, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Hwei Min Ng *Department of Medicine, University of Otago, Christchurch, Christchurch, New Zealand.ORCID 0000-0001-6830-5829
Jasjot Maggo *Department of Medicine, University of Otago, Christchurch, Christchurch, New Zealand.ORCID 0000-0001-8768-8511
Catherine Louisa WallDepartment of Medicine, University of Otago, Christchurch, Christchurch, New Zealand.ORCID 0000-0002-1160-3865
Simone Brigit BayerDepartment of Medicine, University of Otago, Christchurch, Christchurch, New Zealand.ORCID 0000-0002-5880-2095
Warren C McNabbHigh-Value Nutrition National Science Challenge, Auckland, New Zealand.ORCID 0000-0003-2514-6551
Jane Adair MullaneyHigh-Value Nutrition National Science Challenge, Auckland, New Zealand.ORCID 0000-0002-4910-7605
Meika FosterHigh-Value Nutrition National Science Challenge, Auckland, New Zealand.ORCID 0000-0002-3828-0840
Diana L CabreraHigh-Value Nutrition National Science Challenge, Auckland, New Zealand.ORCID 0000-0002-0005-2922
Karl FraserHigh-Value Nutrition National Science Challenge, Auckland, New Zealand.ORCID 0000-0002-1136-4024
Janine CooneyHigh-Value Nutrition National Science Challenge, Auckland, New Zealand.ORCID 0000-0002-2547-0100
Tania TrowerHigh-Value Nutrition National Science Challenge, Auckland, New Zealand.ORCID 0000-0002-2836-1188
Catrin S GüntherHigh-Value Nutrition National Science Challenge, Auckland, New Zealand.ORCID 0000-0002-9712-0169
Chris FramptonBiostatistics and Computational Biology Unit, University of Otago, Christchurch, Christchurch, New Zealand.ORCID 0000-0003-3109-4348
Richard Blair GearryDepartment of Medicine, University of Otago, Christchurch, Christchurch, New Zealand.ORCID 0000-0002-2298-5141
Nicole Clemence RoyHigh-Value Nutrition National Science Challenge, Auckland, New Zealand.ORCID 0000-0002-6744-9705

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInadequate dietary fiber (DF) intake is associated with several human diseases. Bread is commonly consumed, and its DF content can be increased by incorporating defatted rice bran (DRB).

objectiveThis first human study on DRB-fortified bread primarily aims to assess the effect of DRB-fortified bread on the relative abundance of a composite of key microbial genera and species in fecal samples. Secondary outcomes include clinical (cardiovascular risk profile), patient-reported (daily bread consumption and bowel movement, gut comfort, general well-being, and total DF intake), biological (fecal microbiota gene abundances, and fecal and plasma metabolites), and physiome (whole-gut and regional transit time and gas fermentation profiles) outcomes in healthy adults with low DF intake.

methodsThis is a 2-armed, placebo-controlled, double-blinded, crossover randomized controlled trial. The study duration is 14 weeks: 2 weeks of lead-in, 4 weeks of intervention per phase, 2 weeks of washout, and 2 weeks of follow-up. Overall, 60 healthy adults with low DF intake (<18 g [female individuals] or <22 g [male individuals] per day) were recruited in Christchurch, New Zealand, between June and December 2022. Randomly assigned participants consumed 3 (female individuals) or 4 (male individuals) slices of DRB-fortified bread per day and then placebo bread, and vice versa. The DRB-fortified bread provided 8 g (female individuals) or 10.6 g (male individuals) of total DF, whereas the placebo (a matched commercial white toast bread) provided 2.7 g (female individuals) or 3.6 g (male individuals) of total DF. Before and after each intervention phase, participants provided fecal and blood samples to assess biological responses; completed a 3-day food diary to assess usual intakes and web-based questionnaires to assess gut comfort, general and mental well-being, daily bread intake, and bowel movement via an app; underwent anthropometry and blood pressure measurements; and drank blue food dye to assess whole-gut transit time. Additionally, 25% (15/60) of the participants ingested Atmo gas-sensing capsules to assess colonic gas fermentation profile and whole-gut and regional transit time. Mean differences from baseline will be compared between the DRB and placebo groups, as well as within groups (after the intervention vs baseline). For metabolome analyses, comparisons will be made within and between groups using postintervention values.

resultsPreliminary analysis included 56 participants (n=33, 59% female; n=23, 41% male). Due to the large dataset, data analysis was planned to be fully completed by the last quarter of 2024, with full results expected to be published in peer-reviewed journals by the end of 2024.

conclusionsThis first human study offers insights into the prospect of consuming DRB-fortified bread to effectively modulate health-promoting gut microbes, their metabolism, and DF intake in healthy adults with low DF intake.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12622000884707; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=383814. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/59227.

Indexed as

BreadDietary FiberFood, FortifiedGastrointestinal MicrobiomeOryzaAdultCross-Over StudiesDouble-Blind MethodFecesFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicDietary Fiberbreaddefatted rice brandietary fibergut microbiotagut physiomehealthy adultsmetabolitesmobile phonerandomized controlled trial

Identifiers

PMID39207833
PMCPMC11393501

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.