About this trial
The goal of this clinical trial is to evaluate the effect of dietary fibers in the treatment of functional constipation in women. It will also assess the potential side effects associated with fiber consumption. The main questions it aims to answer are:
* In women with constipation who do not consume adequate dietary fiber, does supplementation help improve bowel function? * Among the fibers studied, is there any hierarchy of effect in the treatment of constipation (i.e., is one more effective than the other)?
The researchers will compare the effects of the two dietary fibers against each other and against a control to evaluate their impact.
Participants will:
* Consume 20 g of fiber daily for 6 days, divided into two doses of 10 g each. * Attend a nuclear medicine visit at the end of each 6-day fiber period to perform scintigraphy. * Keep a daily record of bowel habits and dietary intake.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Female participants aged 18-59 years.
Willingness to sign the Informed Consent Form .
No restrictions on the consumption of egg or gluten.
No history or diagnosis of gastrointestinal diseases other than functional constipation.
Disqualifiers
Diagnosis of diabetes, severe hyperthyroidism, or hypothyroidism.
Use of opioid medications.
Delayed gastric emptying at 4 hours during the placebo period (participants meeting this criterion will be excluded from final analysis).
Trial design
Crossover
Treatments tested in this trial
Psyllium powder
Dietary supplementPsyllium powder: soluble fiber gel forming, provided at 20 g per day (two doses of 10 g each)
Fructooligosaccharide
Dietary supplementFructooligosaccharide: prebiotic, provided at 20 g per day (two doses of 10 g each)
Treatment groups
Trial outcomes
Primary outcomes
Colonic transit time
Colonic transit time will be measured using scintigraphy 24 hours after ingestion of the radiolabeled test meal.
Secondary outcomes
Gastric emptying
Gastric emptying will be evaluated using scintigraphy, with images obtained immediately after ingestion of the radiolabeled test meal and then hourly for 6 hours.
Bowel function
Through questionnaires, the number of bowel movements and gastrointestinal symptoms experienced during the intervention period will be assessed
Quality of life assessment
Using a validated questionnaire, the impact of constipation on the quality of life of women with constipation will be assessed.
Fecal microbiota
Fecal samples will be collected before and after the intervention to assess the gut microbiota and short-chain fatty acids.
Sponsors and contacts
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Federal University of Minas Gerais
Lead sponsor
Max Nutri
Collaborator