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Effects of Traditional Asian Diet on dietary fibre requirement, gut microbiome composition, and faecal and urine metabolomes in healthy Asian women: a pilot study

in Beneficial Microbes
Autor:innen:
N.-F. Sahran School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia
School of Health Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia

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C.W. Chong School of Pharmacy, Jeffrey Cheah School of Medicine and Health Sciences Monash University Malaysia, Subang Jaya, Malaysia
MUM Microbiome Research Centre, Monash University Malaysia, Subang Jaya, Malaysia

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https://orcid.org/0000-0002-6881-8883
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I.H. Ismail Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia

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F. Taib School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia

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https://orcid.org/0000-0001-7088-4620
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P.S. Hoo School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia

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https://orcid.org/0000-0001-6946-1444
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U.D. Palanisamy School of Pharmacy, Jeffrey Cheah School of Medicine and Health Sciences Monash University Malaysia, Subang Jaya, Malaysia

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https://orcid.org/0000-0002-8615-8241
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U. Sundralingam School of Pharmacy, Jeffrey Cheah School of Medicine and Health Sciences Monash University Malaysia, Subang Jaya, Malaysia

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https://orcid.org/0000-0002-1610-2189
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C.S.J. Teh Department of Medical Microbiology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia

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Z.X. Kong Department of Medical Microbiology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia

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Q. Ayub School of Science, Monash University Malaysia, Subang Jaya, Malaysia

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https://orcid.org/0000-0003-3291-0917
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F. Yoke Ling School of Science, Monash University Malaysia, Subang Jaya, Malaysia

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S.N.H. Hazlan School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia

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https://orcid.org/0000-0002-3876-6533
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M. Azlan School of Health Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia

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S. Abdul Razak School of Health Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia

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T.A.D.A.-A. Tengku Din School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia

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https://orcid.org/0000-0003-3265-1679
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N. Abdullah Faculty of Data Science and Computing, Universiti Malaysia Kelantan, Kota Bharu, Malaysia

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N. Tagiling School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia

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V. Tee School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia

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M. Ehab Ayad School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia

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F.M. Zheng Centre of Public Health and Wellbeing, School of Health and Social Wellbeing, College of Health, Science and Society, University of the West of England, Bristol, United Kingdom

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E. El-Omar Microbiome Research Centre, St George & Sutherland Clinical Campuses, School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia

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Y.Y. Lee School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia

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https://orcid.org/0000-0002-6486-7717
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Abstract

The Traditional Asian Diet (TAD) is characterised by high dietary fibre and functional foods. This study investigated TAD’s effects on meeting fibre requirements, gut microbiome, and faecal and urine metabolomes. A four-week randomised controlled trial was conducted among healthy Asian women allocated into the TAD group (n = 11) following a newly developed TAD program and the control group (n = 11). Assessments included dietary intake, gut health (symptoms, faecal form, frequency), serum fatty acids binding protein-2 (FABP-2) levels, faecal microbiome via 16s rRNA sequencing, and faecal and urine metabolites which were analysed using gas chromatography-mass spectrometry (GC-MS) and nuclear magnetic resonance (NMR), respectively. The TAD group showed significant increases in dietary fibre ( P < 0.001), reduced fat ( P < 0.05), and improved faecal form ( P = 0.009) compared to the control group. The TAD group was enriched with Parabacteroides merdae, while Bacteroides uniformis was more abundant in the control group. Individuals with baseline Prevotella copri showed its enrichment following TAD and higher butyrate levels, unlike the control group. The TAD led to lower urine levels of creatinine, dimethylamine, and phenethylamine compared to the control diet. In conclusion, the TAD program has proven beneficial effects in achieving dietary fibre, enriching the beneficial microbiota and metabolites, reducing harmful metabolites, and improving faecal form compared to a control diet.

Clinical trial registration: NCT04885959, clinicaltrials.gov

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