Impact of Okara and Bio-okara Food Product on Gut and Glycaemic Health in Middle-aged and Older Adults in Singapore

NCT ID: NCT03978104

Last Updated: 2022-03-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-01

Study Completion Date

2022-09-30

Brief Summary

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This research project aims to provide the scientific findings about the beneficial effects of okara (soybean pulp) consumption on gut and glycaemic health in middle-aged and older individuals in Singapore. In addition, it aims to examine the health promoting impact of bio-transformed okara in this population. We hypothesise that consuming a habitual diet with an okara (untreated or bio-transformed) incorporated food product will improve the gut microbiome composition and will increase the production of short chain fatty acids when compared to a same diet with no okara. Okara-based food product can also improve the glycaemic response in individuals compared to a product without okara in meal tolerance test (acute).

Detailed Description

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For this double-blind, randomized, crossover experiment, the participants will complete a 16-week study period. Following a 1-wk pre-intervention baseline period, each participant will be randomly assigned to consume their habitual diet that either contains or do not contain okara food product (untreated and bio-transformed okara) for 3 weeks. The food product will be equivalent to a consumption of 20 g of okara (dried) per day. Following a 3-week dietary 'washout' period, the participants will be assigned to consume the other diets for another 3 weeks. This process will be repeated until each participant have completed all three interventions. Fecal and fasting-state blood samples will be obtained at study weeks 1, 4, 7, 10, 13, and 16, which correspond to before and end of the three 3-week intervention periods.

Additionally, during Weeks 1, 7 and 13, fasted participants will also be required to undergo a meal tolerance test. A cannula will first be inserted into the participant's forearm for blood sampling by a trained phlebotomist. One of three meals prepared by designated study personnel will then be randomly assigned during each visit, namely, control biscuit, untreated okara biscuit and bio-transformed okara biscuit. During each test, the participants will eat the prepared meal within 10 minutes and have blood samples drawn by intravenous cannulation at time = 0, 15, 30, 45, 60, 90, 120, 180 and 240 min, with time 0 being the time the participants first start eating the biscuits. The blood samples will analyzed for the postprandial blood glucose, insulin responses and lipid levels.

Conditions

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Microbiota Gastrointestinal Microbiome Blood Glucose Aging

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Investigators Outcome Assessors
Primary investigator of the study will be blinded in this intervention trial through blinding of the intervention allocation to subjects.

Study Groups

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Okara biscuits

Subjects will consume their habitual diet with daily okara biscuit consumption accounting to 20 grams/ day of dry okara powder for 21 days.

Group Type EXPERIMENTAL

Okara biscuits

Intervention Type DIETARY_SUPPLEMENT

Consumption of okara-enriched biscuits together with habitual diet.

Bio-okara biscuits

Subjects will consume their habitual diet with daily bio-okara biscuit consumption accounting to 20 grams/ day of dry bio-okara powder for 21 days.

Group Type EXPERIMENTAL

Bio-okara biscuits

Intervention Type DIETARY_SUPPLEMENT

Consumption of bio-okara-enriched biscuits together with habitual diet. Bio-okara is a form of fermented okara.

Control biscuits

Subjects will consume their habitual diet with daily control biscuit consumption for 21 days.

Group Type EXPERIMENTAL

Control biscuits

Intervention Type DIETARY_SUPPLEMENT

Consumption of control biscuits together with habitual diet.

Interventions

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Okara biscuits

Consumption of okara-enriched biscuits together with habitual diet.

Intervention Type DIETARY_SUPPLEMENT

Bio-okara biscuits

Consumption of bio-okara-enriched biscuits together with habitual diet. Bio-okara is a form of fermented okara.

Intervention Type DIETARY_SUPPLEMENT

Control biscuits

Consumption of control biscuits together with habitual diet.

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Fermented okara biscuits

Eligibility Criteria

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Inclusion Criteria

1. Ability to give an informed consent
2. Age 50 to 75 years
3. Willing to follow the study procedures

Exclusion Criteria

1. Significant change in weight (≥ 3 kg body weight) during the past 3 months
2. Allergy to soy-based products
3. Acute illness at the study baseline
4. Exercising vigorously over the past 3 months
5. Following any restricted diet (e.g. vegetarian)
6. Smoking
7. Have a daily intake of more than 2 alcoholic drinks per day
8. Prescribed and taking antihypertensive/cholesterol-lowering/ type-2 diabetic medication which started less than 5 years prior to the intervention participation
9. Taking dietary supplements which may impact the outcome of interests (e.g. vitamin supplements, probiotic supplement etc.)
10. Pregnant, lactating, or planning pregnancy in the next 6 months
11. Insufficient venous access to allow the blood collection
12. Very high intake of fibre/ vegetables on a daily basis
Minimum Eligible Age

50 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ministry of Education, Singapore

OTHER_GOV

Sponsor Role collaborator

National University of Singapore

OTHER

Sponsor Role lead

Responsible Party

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Jung Eun Kim

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jung Eun Kim

Role: PRINCIPAL_INVESTIGATOR

National University of Singapore

Locations

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Department of Food Science and Technology; National University of Singapore

Singapore, , Singapore

Site Status

Countries

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Singapore

References

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Vong, W.C., X.Y. Hua, and S.-Q. Liu, Solid-state fermentation with Rhizopus oligosporus and Yarrowia lipolytica improved nutritional and flavour properties of okara. Lwt, 2018. 90: p. 316-322.

Reference Type BACKGROUND

Yogo, T., et al., Influence of Dried Okara-Tempeh on the Composition and Metabolites of Fecal Microbiota in Dogs. International Journal of Applied Research in Veterinary Medicine, 2011. 9(2): p. 176-183.

Reference Type BACKGROUND

Jimenez-Escrig A, Tenorio MD, Espinosa-Martos I, Ruperez P. Health-promoting effects of a dietary fiber concentrate from the soybean byproduct okara in rats. J Agric Food Chem. 2008 Aug 27;56(16):7495-501. doi: 10.1021/jf800792y. Epub 2008 Jul 18.

Reference Type BACKGROUND
PMID: 18636739 (View on PubMed)

Lu, F., Y. Liu, and B. Li, Okara dietary fiber and hypoglycemic effect of okara foods. Bioactive Carbohydrates and Dietary Fibre, 2013. 2(2): p. 126-132.

Reference Type BACKGROUND

Lee DPS, Gan AX, Sutanto CN, Toh KQX, Khoo CM, Kim JE. Postprandial glycemic and circulating SCFA concentrations following okara- and biovalorized okara-containing biscuit consumption in middle-aged and older adults: a crossover randomized controlled trial. Food Funct. 2022 Sep 22;13(18):9687-9699. doi: 10.1039/d2fo00526c.

Reference Type DERIVED
PMID: 36040444 (View on PubMed)

Other Identifiers

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S4

Identifier Type: -

Identifier Source: org_study_id

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