Evidence map›Paper›PMID 40481968›Full record

Trial reportEuropean journal of nutrition2025

Characterizing gut microbial dysbiosis and exploring the effect of prebiotic fiber supplementation in patients with COPD.

Lieke E J van Iersel, Rosanne J H C G Beijers, Sami O Simons, Lisanne T Schuurman, Sudarshan A Shetty, Guus Roeselers, Ardy van Helvoort, Annemie M W J Schols, Harry R Gosker

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03807310 (The Effect of Targeted Nutrient Supplementation on Physical Activity and Healthy Related Quality of Life in COPD), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

NCT03807310 narecruitingnot on this map

The Effect of Targeted Nutrient Supplementation on Physical Activity and Healthy Related Quality of Life in COPD

TypeinterventionalSponsorMaastricht University Medical CenterRan2020 to 2026Enrolled166ConditionsPulmonary Disease, Chronic ObstructiveArmsTargeted nutrient supplementation (Long-drink), Placebo supplement, Counselling
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
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  4. Article
  5. The gut as a central hub for multi-organ crosstalk in aging.Cellular and molecular life sciences : CMLS · 2026
    Review
  6. Article
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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

9 authors.

Lieke E J van IerselDepartment of Respiratory Medicine, NUTRIM Institute of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre +, P.O. Box 5800, Maastricht, 6202 AZ, The Netherlands. l.vaniersel@maastrichtuniversity.nl.ORCID http://orcid.org/0000-0002-5546-5847
Rosanne J H C G BeijersDepartment of Respiratory Medicine, NUTRIM Institute of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre +, P.O. Box 5800, Maastricht, 6202 AZ, The Netherlands.
Sami O SimonsDepartment of Respiratory Medicine, NUTRIM Institute of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre +, P.O. Box 5800, Maastricht, 6202 AZ, The Netherlands.
Lisanne T SchuurmanDepartment of Respiratory Medicine, NUTRIM Institute of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre +, P.O. Box 5800, Maastricht, 6202 AZ, The Netherlands.
Sudarshan A ShettyDanone Research & Innovation, Utrecht, The Netherlands.
Guus RoeselersDanone Research & Innovation, Utrecht, The Netherlands.
Ardy van HelvoortDepartment of Respiratory Medicine, NUTRIM Institute of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre +, P.O. Box 5800, Maastricht, 6202 AZ, The Netherlands.
Annemie M W J ScholsDepartment of Respiratory Medicine, NUTRIM Institute of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre +, P.O. Box 5800, Maastricht, 6202 AZ, The Netherlands.
Harry R GoskerDepartment of Respiratory Medicine, NUTRIM Institute of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre +, P.O. Box 5800, Maastricht, 6202 AZ, The Netherlands.

Funding

Longfonds 10.2.16.119
6 · The paper itself

Abstract

purposeChronic Obstructive Pulmonary Disease (COPD) is associated with poor dietary quality that may lead to gut microbiota imbalances. A healthy gut microbiome contributes to metabolic health and immune function through production of metabolites like short-chain fatty acids. Prebiotic fibers positively influence microbiota by promoting the production of beneficial metabolites. This study aimed to assess altered gut microbiota composition in patients with COPD and to explore the effects of targeted multi-nutrient supplementation including prebiotic fibers on these outcomes.

methodsAn exploratory analysis was performed within the double-blinded placebo-controlled NUTRECOVER-trial to gain preliminary insights into the effects of the nutritional intervention. The cross-sectional baseline comparison included 32 patients with COPD and 32 age-matched healthy references. Subsequently, patients were randomly assigned to a multi-nutrient supplement including prebiotic fibers, vitamin D, tryptophan, and N-3 long-chain poly unsaturated fatty acids (n = 16) or placebo (n = 16) for three months. Stool samples, blood samples and food diaries were obtained before and after the intervention.

resultsHigher relative abundance of Bacteroidota (0.50 ± 0.13 vs. 0.41 ± 0.14, p = 0.010), and lower Firmicutes (0.40 ± 0.14 vs. 0.49 ± 0.12, p = 0.007) were found in patients compared with healthy controls. Patients also showed lower alpha diversity (5.80 ± 0.32 vs. 5.99 ± 0.30, p = 0.017) and higher inter-individual variability (0.51 ± 0.16 vs. 0.48 ± 0.10, p < 0.001). No effects of the nutritional intervention on gut microbiome and systemic inflammation were shown at 3 months.

conclusionPatients with COPD exhibit differences in gut microbiota composition compared with healthy controls. Three months of multi-nutrient supplementation is insufficient to show changes in microbiome composition. The ongoing NUTRECOVER-trial will show the potential of long-term prebiotic fiber supplementation in this susceptible patient population. TRIAL REGISTRATION NUMBER: clinicaltrials.gov: NCT03807310.

Indexed as

Dietary FiberDietary SupplementsDysbiosisGastrointestinal MicrobiomePrebioticsPulmonary Disease, Chronic ObstructiveAgedCross-Sectional StudiesDouble-Blind MethodFecesFemaleHumansMaleMiddle AgedTryptophanVitamin DDietary FiberPrebioticsTryptophanVitamin DCOPDGut microbiotaInflammationNutritional supplementationPrebiotic fibers

Identifiers

PMID40481968
PMCPMC12145321

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Registered trials

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.