About this trial
The effects of different foods to normal bowel function in adult population will be investigated. A randomised controlled intervention trial will be conducted on about 120 (30 per group) adult (18-70 years) subjects with functional constipation and irritable bowel syndrome with constipation according to the IV. Rome criteria. At least one week before inclusion in the study, patients will stop taking laxatives and other anti-constipation medications. Subjects will be randomly selected to consume one of the test foods (fresh apples, dried apples, sauerkraut) or the active control (psyllium) in the equivalent amount of 3 g of fiber per day for 4 weeks. Subjects will be asked not to change their lifestyle habits, such as diet and physical activity level, and not to take oral laxatives during the period of participation in the study.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Signed informed consent of the participant to participate in the study
Age between 18 and 70 years
Functional constipation or irritable bowel syndrome
Expressed willingness to eat the investigated food daily (sauerkraut, apples, dried apples or psyllium; period of four weeks)
Disqualifiers
Known allergy to the investigated foods (fresh apples, dried apples, sauerkraut or psyllium)
Pregnancy or breastfeeding
Previous gastrointestinal surgery with the exception of cholecystectomy and appendectomy
Other gastrointestinal diseases (chronic inflammatory bowel disease, celiac disease, gastroparesis, etc.)
Trial design
Parallel
Treatments tested in this trial
Psyllium
Other interventionParticipants will once daily consume predefined amount of psyllium, corresponding to 3 g of dietary fibre, for 28 days.
Sauerkraut
Other interventionParticipants will once daily consume predefined amount of sauerkraut, corresponding to 3 g of dietary fibre, for 28 days.
Fresh apples
Other interventionParticipants will once daily consume predefined amount of fresh apples, corresponding to 3 g of dietary fibre, for 28 days.
Dried apples
Other interventionParticipants will once daily consume predefined amount of dried apples, corresponding to 3 g of dietary fibre, for 28 days.
Treatment groups
Trial outcomes
Primary outcomes
Change in frequency of complete spontaneous bowel movements (CSBM) / week
Daily measurement of number of complete spontaneous bowel movements
Other outcomes
Change in constipation symptom score (CSC)
Measurement with constipation symptom score (0-48 points, higher SCS score mean more severe symptoms)
Change in stool consistency using Bristol stool form (BSF) scale
Measurement with Bristol stool form (BSF) scale (Type 1: Separate hard lumps, like nuts (difficult to pass), Type 2: Sausage-shaped, but lumpy, Type 3: Like a sausage but with cracks on its surface, Type 4: Like a sausage or snake, smooth and soft (average stool), Type 5: Soft blobs with clear cut edges, Type 6: Fluffy pieces with ragged edges, a mushy stool (diarrhea), Type 7: Watery, no solid pieces, entirely liquid (diarrhea))
Change in blood lipids
Laboratory measuremnt of S-Cholesterol, S-HDL-Cholesterol, S-LDL-Cholesterol and S-Triglycerides
Sponsors and contacts
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Institute of Nutrition, Slovenia (Nutris)
Lead sponsor
University Medical Centre Ljubljana
Collaborator
University of Ljubljana
Collaborator
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