Meta-analysis of Soluble Fiber Consumption on Body Weight, Glycemia, and Insulinemia in Overweight and Obese Adults.



Status:Completed
Conditions:Obesity Weight Loss, Obesity Weight Loss, Obesity Weight Loss
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:18 - Any
Updated:7/12/2018
Start Date:January 2016
End Date:October 2017

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Effects of Soluble Fiber Consumption on Body Weight, Glycemia, and Insulinemia in Adults With Overweight and Obesity: a Systematic Review and Meta-analysis of Randomized Controlled Trials.

Dietary fiber intake is protective against overweight and obesity; however, a significant
fiber gap exists between consumption and recommended intake values. Soluble fiber
beneficially impacts metabolism, and supplementation may be a feasible approach to improve
body composition and glycemia in overweight and obese individuals. The investigators will
evaluate results of randomized controlled trials (RCTs) of soluble fiber supplementation
among overweight and obese adults for outcomes related to weight management (e.g. body mass
index [BMI], body weight, body fat percentage, waist circumference) and glucose and insulin
homeostasis (e.g. fasting glucose, homeostasis model assessment of insulin resistance
[HOMA-IR], fasting insulin) through systematic review and meta-analysis.


Inclusion Criteria:

Peer-reviewed randomized controlled trials (RCTs) will be included in the systematic review
and meta-analysis if they involve participants who are:

1. Overweight or obese (BMI ≥ 25.0 kg/m2 for U.S. populations and ≥ 23.0 kg/m2 for Asian
populations and/or waist circumference ≥ 40 inches (94 cm) in men or ≥ 35 inches (80
cm) in women and/or waist-to-hip ratio ≥ 0.90 in men or ≥ 0.85 in women).

2. Weight stable and not actively trying to lose weight at screening.

3. Without physician-diagnosed chronic conditions at screening (e.g., dyslipidemia,
hypertension, type 2 diabetes, and cardiovascular disease).

4. Included studies will be soluble fiber supplementation interventions that are
controlled feeding studies or conducted among free-living subjects that provide data
for outcomes of interest.

Exclusion Criteria:

Studies will be excluded from the systematic review and meta-analysis if they meet any of
the following criteria:

1. Studies conducted in animals.

2. Mechanistic research.

3. Human trials involving pregnant women, breastfeeding women, or children.

4. Conference proceedings.

5. Articles not published in English.

6. Studies less than 1 week in duration.

7. Studies that pool outcome measure data for healthy weight and overweight and obese
individuals.

8. Studies involving whole food treatments or high fiber profile diets.

9. Weight loss interventions involving other tactics, such as counseling or energy
restriction.
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