Randomized controlled trial2021Industry fundedOpen access

Funded in part by Top Sector Agri and Food, Cereal Partners Worldwide, Dutch Bakery Center, GoodMills Innovation GmbH

Minor Changes in the Composition and Function of the Gut Microbiota During a 12-Week Whole Grain Wheat or Refined Wheat Intervention Correlate with Liver Fat in Overweight and Obese Adults

van Trijp MPH, Schutte S, Esser D, Wopereis S, Hoevenaars FPM, Hooiveld GJEJ, Afman LA

The Journal of nutrition · 28 citations

Review labels

Industry funded

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Industry funded
Industry group
Top Sector Agri and Food
Government
European Commission
Company
Cereal Partners Worldwide
University or hospital
TNO roadmap Nutrition & Health
Industry group
Dutch Bakery Center
Government
Topsector Agri & Food
Company
GoodMills Innovation GmbH
Grants
European Commission (613979); Top Sector Agri and Food (TKI-AF 12083)

Based on 7 listed funder(s).

Publication

Published
2020-10-06 · J Nutr · vol. 151 · issue 3 · pp. 491–502
Publisher
Elsevier BV
Cited
38 citations · more than 87% of similar papers · 1.9× the field average
References
71 works
Access
Open access (hybrid journal) · CC-BY-NC
Research areas
Gut microbiota and health · Food composition and properties · Wheat and Barley Genetics and Pathology
Keywords
Overweight, Nonalcoholic fatty liver disease, Gut flora, Alanine transaminase, Butyrate, Aspartate transaminase, Obesity, Internal medicine, Transaminase, Medicine, Prebiotic, Feces, Roseburia, Biology, Fatty liver, Endocrinology, Food science, Animal science, Lactobacillus, Biochemistry, Fermentation, Enzyme, Microbiology, Disease
MeSH
liver, feces, humans, fatty liver, double-blind method, dietary fiber, flour, aged, middle aged, female, male, overweight, metabolic networks and pathways, biomarkers, gastrointestinal microbiome, whole grains

7 authors

From NL

  • Mara P. H. van TrijpWageningen University & Research
  • Sophie SchutteWageningen University & Research
  • Diederik EsserWageningen University & Research
  • Suzan WopereisNetherlands Organisation for Applied Scientific Research
  • Femke P. M. HoevenaarsNetherlands Organisation for Applied Scientific Research
  • Guido J. E. J. HooiveldWageningen University & Research

Abstract

Background

Whole grain wheat (WGW) products are advocated as a healthy choice when compared with refined wheat (RW). One proposed mechanism for these health benefits is via the microbiota, because WGW contains multiple fibers. WGW consumption has been proposed to ameliorate nonalcoholic fatty liver disease, in which microbiota might play a role.

Objectives

We investigated the effect of WGW compared with RW intervention on the fecal microbiota composition and functionality, and correlated intervention-induced changes in bacteria with changes in liver health parameters in adults with overweight or obesity.

Methods

We used data of a 12-wk double-blind, randomized, controlled, parallel trial to examine the effects of a WGW (98 g/d) or RW (98 g/d) intervention on the secondary outcomes fecal microbiota composition, predicted microbiota functionality, and stool consistency in 37 women and men (aged 45-70 y, BMI 25-35 kg/m2). The changes in microbiota composition, measured using 16S ribosomal RNA gene sequencing, after a 12-wk intervention were analyzed with nonparametric tests, and correlated with changes in liver fat and circulating concentrations of liver enzymes including alanine transaminase, aspartate transaminase, γ-glutamyltransferase, and serum amyloid A.

Results

The WGW intervention increased the mean (± SD) relative abundances of Ruminococcaceae_UCG-014 (baseline: 2.2 ± 4.6%, differential change over time (Δ) 0.51 ± 4.2%), Ruminiclostridium_9 (baseline: 0.065 ± 0.11%, Δ 0.054 ± 0.14%), and Ruminococcaceae_NK4A214_group (baseline: 0.37 ± 0.56%, Δ 0.17 ± 0.83%), and also the predicted pathway acetyl-CoA fermentation to butyrate II (baseline: 0.23 ± 0.062%, Δ 0.035 ± 0.059%), compared with the RW intervention (P values <0.05). A change in Ruminococcaceae_NK4A214_group was positively correlated with the change in liver fat, in both the WGW (ρ = 0.54; P = 0.026) and RW (ρ = 0.67; P = 0.024) groups.

Conclusions

In middle-aged overweight and obese adults, a 12-wk WGW intervention increased the relative abundance of a number of bacterial taxa from the family Ruminococcaceae and increased predicted fermentation pathways when compared with an RW intervention. Potential protective health effects of replacement of RW by WGW on metabolic organs, such as the liver, via modulation of the microbiota, deserve further investigation.This trial was registered at clinicaltrials.gov as NCT02385149.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC).

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