Effect of Short-chain Fatty Acids on Aerobic Endurance

United States Army Research Institute of Environmental Medicine

Status

Completed

Conditions

Metabolism

Aerobic Endurance

Treatments

Dietary Supplement: High-amylose maize starch+acetate/butyrate

Other: Low-amylose maize starch

Study type

Interventional

Funder types

Other U.S. Federal agency

Identifiers

NCT06054607

M-11031 (Other Identifier)

23-13H

Details and patient eligibility

About

Randomized, double-blind, placebo-controlled crossover study designed to determine the effects of increasing colonic short-chain fatty acid (SCFA) content on aerobic endurance in healthy adults, and to identify underpinning mechanisms. In random order, healthy physically active adults will consume provided diets low in fiber and supplemented with SCFA-enriched high amylose maize starch (a poorly digested resistant starch considered a fermentable fiber) or low amylose maize starch (a rapidly digestible starch) for 1-week separated by a ≥2-week washout. At the end of each intervention period, participants will complete an endurance exercise bout followed by a time trial. Biological samples will be collected to assess muscle and whole body metabolism, gut microbiota, inflammation, and gastrointestinal function.

Enrollment

21 patients

Sex

All

Ages

17 to 39 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Men and women aged 18 - 39 years (active-duty personnel who are 17 yr of age will also be allowed to participate).
In good health.
Routinely participate in moderate or higher intensity aerobic and/or resistance exercise at least 4 days per week for ≥20 min/d.
Meet Army weight for height and body composition standards as defined in Army Regulation 600-9.
Self-reports a usual bowel movement frequency of every other day or more often.
Willing to refrain from the use of caffeine, alcohol, and nicotine while consuming study diets.
Willing to refrain from all dietary supplements beginning 2 weeks prior to study start and throughout study participation.
Willing to refrain from consumption of any foods containing live microorganisms (e.g., yogurt, kefir, kombucha) or added prebiotics (e.g. Fiber One products) beginning 2 weeks prior to study start and throughout study participation.
Willing to participate in all study procedures.
Females must have normal menstrual cycles between 26-32 days in duration; 5 menstrual cycles within the past 6 months; or be using an oral/hormonal contraceptive which contains low-dose estrogen/progesterone to maintain continuous levels throughout the 28-day cycle (i.e., no placebos).

Exclusion criteria

Females who are pregnant, expecting to become pregnant during the study, or breastfeeding.
Any of the following medical conditions:

Cardiac disease (including arrhythmia or fast or skipped heart beats) Hypertension Musculoskeletal injuries that compromise exercise capability Metabolic or cardiovascular abnormalities (e.g., kidney disease, diabetes, etc.) Disease of the GI tract including, but not limited to diverticulitis, inflammatory bowel disease, irritable bowel syndrome, peptic ulcer disease, Crohn's disease, and ulcerative colitis Allergy to skin adhesive or Lidocaine (or other local anesthetic being used in place of Lidocaine) Suspected or known strictures, fistulas, or physiological/mechanical GI obstruction History of gastric bezoar Swallowing disorders; severe dysphagia to food or pills Implanted or portable electro-mechanical medical devices (e.g., pacemaker)

Colonoscopy within 3 months of study participation.
Any use of antibiotics or antimycotics, except topical antibiotics/antimycotics, within 3 months of study participation.
Regular (i.e., weekly or more frequent) use of over-the-counter medications (including antacids, laxatives, stool softeners, and anti-diarrheals) unless approved by study PI.
Use of medication (i.e., diabetes medications, statins, corticosteroids, etc.) that affects macronutrient utilization and/or the ability to participate in strenuous exercise.
Anemia (HCT <38 for men and <34 for women) or Sickle Cell Anemia/Trait.
Not willing or able to follow all study procedures and diet/exercise restrictions.
Allergies, intolerances, unwillingness or inability to eat provided foods and beverages.
Following vegetarian/vegan diet or other highly restrictive diet (e.g., ketogenic diet, very high protein diet, Paleo diet, etc.).
Any previous blood donation within the previous 8 weeks that when combined with the volume of blood collected for the study within any 8-week period would exceed 550mL.