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Article: Procedures in Fecal Microbiota Transplantation for Treating Irritable Bowel Syndrome: Systematic Review and Meta-Analysis.

Rodrigues, Tânia / Rodrigues Fialho, Sofia / Araújo, João Ricardo / Rocha, Rita / Moreira-Rosário, André

2023 Volume 12, Issue 5

Abstract: Background: Irritable bowel syndrome (IBS) is a prevalent gastrointestinal disease with no effective treatment. Altered microbiota composition seems implicated in disease etiology and therefore fecal microbial transplantation (FMT) has emerged as a ... ...

Abstract	Background: Irritable bowel syndrome (IBS) is a prevalent gastrointestinal disease with no effective treatment. Altered microbiota composition seems implicated in disease etiology and therefore fecal microbial transplantation (FMT) has emerged as a possible treatment therapy. To clarify the clinical parameters impacting FMT efficacy, we conducted a systematic review with subgroup analysis. Methods: A literature search was performed identifying randomized controlled trials (RCTs) comparing FMT with placebo in IBS adult patients (8-week follow-up) with a reported improvement in global IBS symptoms. Results: Seven RCTs (489 participants) met the eligibility requirements. Although FMT seems not to be effective in global improvement of IBS symptoms, subgroup analysis shows that FMT through gastroscopy or nasojejunal tube are effective IBS treatments (RR 3.03; 95% CI 1.94-4.73; I Conclusion: Our meta-analysis revealed a set of critical steps that could affect the efficacy of FMT as clinical procedure to treat IBS, nevertheless more RCTs are needed.
Language	English
Publishing date	2023-02-21
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm12051725
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Procedures in Fecal Microbiota Transplantation for Treating Irritable Bowel Syndrome

Tânia Rodrigues / Sofia Rodrigues Fialho / João Ricardo Araújo / Rita Rocha / André Moreira-Rosário

Journal of Clinical Medicine, Vol 12, Iss 1725, p

Systematic Review and Meta-Analysis

2023 Volume 1725

Abstract	Background: Irritable bowel syndrome (IBS) is a prevalent gastrointestinal disease with no effective treatment. Altered microbiota composition seems implicated in disease etiology and therefore fecal microbial transplantation (FMT) has emerged as a possible treatment therapy. To clarify the clinical parameters impacting FMT efficacy, we conducted a systematic review with subgroup analysis. Methods: A literature search was performed identifying randomized controlled trials (RCTs) comparing FMT with placebo in IBS adult patients (8-week follow-up) with a reported improvement in global IBS symptoms. Results: Seven RCTs (489 participants) met the eligibility requirements. Although FMT seems not to be effective in global improvement of IBS symptoms, subgroup analysis shows that FMT through gastroscopy or nasojejunal tube are effective IBS treatments (RR 3.03; 95% CI 1.94–4.73; I 2 = 10%, p < 0.00001). When considering non-oral ingestion routes, IBS patients with constipation symptoms are more likely to benefit from FMT administration ( p = 0.003 for the difference between IBS subtypes regarding constipation). Fresh fecal transplant and bowel preparation seem also to have impact on FMT efficacy ( p = 0.03 and p = 0.01, respectively). Conclusion: Our meta-analysis revealed a set of critical steps that could affect the efficacy of FMT as clinical procedure to treat IBS, nevertheless more RCTs are needed.
Keywords	irritable bowel syndrome ; fecal microbiota transplantation ; microbiome therapy ; meta-analysis ; randomized controlled trials ; Medicine ; R
Subject code	610
Language	English
Publishing date	2023-02-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Impact on Diet Quality and Burden of Care in Sapropterin Dihydrochloride Use in Children with Phenylketonuria: A 6 Month Follow-Up Report.

Gama, Maria Inês / Daly, Anne / Ashmore, Catherine / Evans, Sharon / Moreira-Rosário, André / Rocha, Júlio César / MacDonald, Anita

Nutrients

2023 Volume 15, Issue 16

Abstract: Introduction: In phenylketonuria (PKU) changes in dietary patterns and behaviors in sapropterin-responsive populations have not been widely reported. We aimed to assess changes in food quality, mental health and burden of care in a paediatric PKU ... ...

Abstract	Introduction: In phenylketonuria (PKU) changes in dietary patterns and behaviors in sapropterin-responsive populations have not been widely reported. We aimed to assess changes in food quality, mental health and burden of care in a paediatric PKU sapropterin-responsive cohort. Methods: In an observational, longitudinal study, patient questionnaires on food frequency, neophobia, anxiety and depression, impact on family and burden of care were applied at baseline, 3 and 6-months post successful sapropterin-responsiveness testing (defined as a 30% reduction in blood phenylalanine levels). Results: 17 children (10.8 ± 4.2 years) completed 6-months follow-up. Patients body mass index (BMI) z-scores remained unchanged after sapropterin initiation. Blood phenylalanine was stable. Natural protein increased ( Conclusion: There were significant positive changes in food patterns, behaviors and burden of care in children with PKU and their families after 6-months on sapropterin treatment.
MeSH term(s)	Animals ; Cattle ; Female ; Bread ; Diet ; Follow-Up Studies ; Longitudinal Studies ; Phenylketonurias/drug therapy
Chemical Substances	sapropterin (EGX657432I)
Language	English
Publishing date	2023-08-17
Publishing country	Switzerland
Document type	Journal Article ; Observational Study
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu15163603
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Article ; Online: Body Composition Evaluation and Clinical Markers of Cardiometabolic Risk in Patients with Phenylketonuria.

Luengo-Pérez, Luis M / Fernández-Bueso, Mercedes / Ambrojo, Ana / Guijarro, Marta / Ferreira, Ana Cristina / Pereira-da-Silva, Luís / Moreira-Rosário, André / Faria, Ana / Calhau, Conceição / Daly, Anne / MacDonald, Anita / Rocha, Júlio César

Nutrients

2023 Volume 15, Issue 24

Abstract: Cardiovascular diseases are the main cause of mortality worldwide. Patients with phenylketonuria (PKU) may be at increased cardiovascular risk. This review provides an overview of clinical and metabolic cardiovascular risk factors, explores the ... ...

Abstract	Cardiovascular diseases are the main cause of mortality worldwide. Patients with phenylketonuria (PKU) may be at increased cardiovascular risk. This review provides an overview of clinical and metabolic cardiovascular risk factors, explores the connections between body composition (including fat mass and ectopic fat) and cardiovascular risk, and examines various methods for evaluating body composition. It particularly focuses on nutritional ultrasound, given its emerging availability and practical utility in clinical settings. Possible causes of increased cardiometabolic risk in PKU are also explored, including an increased intake of carbohydrates, chronic exposure to amino acids, and characteristics of microbiota. It is important to evaluate cardiovascular risk factors and body composition in patients with PKU. We suggest systematic monitoring of body composition to develop nutritional management and hydration strategies to optimize performance within the limits of nutritional therapy.
MeSH term(s)	Humans ; Anthropometry ; Body Composition ; Cardiovascular Diseases/etiology ; Biomarkers ; Phenylketonurias/complications ; Body Mass Index
Chemical Substances	Biomarkers
Language	English
Publishing date	2023-12-18
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu15245133
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Article ; Online: Does intake of bread supplemented with wheat germ have a preventive role on cardiovascular disease risk markers in healthy volunteers? A randomised, controlled, crossover trial.

Moreira-Rosário, André / Pinheiro, Helder / Marques, Cláudia / Teixeira, José António / Calhau, Conceição / Azevedo, Luís Filipe

BMJ open

2019 Volume 9, Issue 1, Page(s) e023662

Abstract: Objective: Intake of whole grains is associated with a reduced risk of cardiovascular disease (CVD). This evidence is also strong for bran alone, but findings about germ are conflicting. Our aim was to elucidate the role of germ in primary prevention of ...

Abstract	Objective: Intake of whole grains is associated with a reduced risk of cardiovascular disease (CVD). This evidence is also strong for bran alone, but findings about germ are conflicting. Our aim was to elucidate the role of germ in primary prevention of cardiovascular events, and therefore, a staple food was selected for 6 g of germ supplementation. This corresponds to sixfold increase in the global mean consumption of germ, while preserving the sensory proprieties of refined bread which is crucial for consumer's acceptance. Design: Randomised, double-blinded, crossover, controlled clinical trial with 15-week follow-up comprising a 2-week run-in, two intervention periods of 4 weeks each and a 5-week washout period. Setting: A single centre in the north of Portugal. Participants: 55 eligible healthy adults (mean age of 34 years and body mass index between 19 and 38 kg/m Interventions: The study consisted of two intervention periods including daily intake of refined wheat bread enriched with 6 g of wheat germ and control (non-enriched bread). Outcomes: Changes in fasting cholesterol and triglycerides, fasting and postprandial glucose, insulin sensitivity and C reactive protein. Results: We observed no significant effect of daily intake of wheat germ on cholesterol and triglycerides levels, on postprandial glucose response and on insulin sensitivity. Incremental area under curve glucose and homeostasis model assessment for insulin resistance did not change, suggesting that 6 g of wheat germ have no effect on glucose metabolism. No effect was also observed in the subgroup of participants who complied with the protocol (n=47). Conclusions: The absence of alterations on lipid and glucose profiles suggests that germ up to 6 g/day may have no preventive effect on CVD risk. However, it is important to investigate other food vehicles that can accommodate higher doses of wheat germ in future studies. Trial registration number: NCT02405507.
MeSH term(s)	Adult ; Biomarkers/blood ; Blood Glucose/metabolism ; Bread ; Cardiovascular Diseases/prevention & control ; Cholesterol/blood ; Cross-Over Studies ; Double-Blind Method ; Female ; Humans ; Male ; Recommended Dietary Allowances ; Triglycerides/blood ; Triticum ; Whole Grains
Chemical Substances	Biomarkers ; Blood Glucose ; Triglycerides ; Cholesterol (97C5T2UQ7J)
Language	English
Publishing date	2019-01-17
Publishing country	England
Document type	Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
ZDB-ID	2747269-3
ISSN	2044-6055 ; 2044-6055 ; 2053-3624
ISSN (online)	2044-6055
ISSN	2044-6055 ; 2053-3624
DOI	10.1136/bmjopen-2018-023662
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The Effect of Regular Consumption of Reformulated Breads on Glycemic Control: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.

Schadow, Alena M / Revheim, Ingrid / Spielau, Ulrike / Dierkes, Jutta / Schwingshackl, Lukas / Frank, Jan / Hodgson, Jonathan M / Moreira-Rosário, André / Seal, Chris J / Buyken, Anette E / Rosendahl-Riise, Hanne

Advances in nutrition (Bethesda, Md.)

2022 Volume 14, Issue 1, Page(s) 30–43

Abstract: Bread is a major source of grain-derived carbohydrates worldwide. High intakes of refined grains, low in dietary fiber and high in glycemic index, are linked with increased risk for type 2 diabetes mellitus (T2DM) and other chronic diseases. Hence, ... ...

Abstract	Bread is a major source of grain-derived carbohydrates worldwide. High intakes of refined grains, low in dietary fiber and high in glycemic index, are linked with increased risk for type 2 diabetes mellitus (T2DM) and other chronic diseases. Hence, improvements in the composition of bread could influence population health. This systematic review evaluated the effect of regular consumption of reformulated breads on glycemic control among healthy adults, adults at cardiometabolic risk or with manifest T2DM. A literature search was performed using MEDLINE, Embase, Web of Science and the Cochrane Central Register of Controlled Trials. Eligible studies employed a bread intervention (≥2 wk) in adults (healthy, at cardiometabolic risk or manifest T2DM) and reported glycemic outcomes (fasting blood glucose, fasting insulin, HOMA-IR, HbA1c, and postprandial glucose responses). Data were pooled using generic inverse variance with random-effects model and presented as mean difference (MD) or standardized MD between treatments with 95% CIs. Twenty-two studies met the inclusion criteria (n = 1037 participants). Compared with "regular" or comparator bread, consumption of reformulated intervention breads yielded lower fasting blood glucose concentrations (MD: -0.21 mmol/L; 95% CI: -0.38, -0.03; I
MeSH term(s)	Adult ; Humans ; Diabetes Mellitus, Type 2 ; Bread ; Blood Glucose/analysis ; Glycated Hemoglobin ; Randomized Controlled Trials as Topic ; Insulin ; Dietary Fiber ; Cardiovascular Diseases
Chemical Substances	Blood Glucose ; Glycated Hemoglobin ; Insulin ; Dietary Fiber
Language	English
Publishing date	2022-12-17
Publishing country	United States
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Review ; Research Support, Non-U.S. Gov't
ZDB-ID	2583634-1
ISSN	2156-5376 ; 2156-5376
ISSN (online)	2156-5376
ISSN	2156-5376
DOI	10.1016/j.advnut.2022.10.008
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Can wheat germ have a beneficial effect on human health? A study protocol for a randomised crossover controlled trial to evaluate its health effects.

Moreira-Rosário, André / Pinheiro, Helder / Calhau, Conceição / Azevedo, Luís Filipe

BMJ open

2016 Volume 6, Issue 11, Page(s) e013098

Abstract: Introduction: Cardiovascular diseases (CVD) are the leading cause of mortality worldwide and diet is an important contributor to CVD risk. Thus, several food derivatives are being investigated for their beneficial impact on reducing cardiometabolic risk ...

Abstract	Introduction: Cardiovascular diseases (CVD) are the leading cause of mortality worldwide and diet is an important contributor to CVD risk. Thus, several food derivatives are being investigated for their beneficial impact on reducing cardiometabolic risk factors, either in risk groups or in healthy population as a preventive measure. Wheat germ is a food by-product with high nutritional value, especially as a concentrated source of dietary fibre and essential fatty acids, but its incorporation into the diet has been rare up to now. Previous studies do not clarify the hypothesised potential causal relationship between the consumption of wheat germ and benefits for human health. Methods and analysis: We are conducting a randomised, double-blinded, crossover, placebo-controlled clinical trial designed to assess the physiological effects of daily consumption of wheat germ-enriched bread (containing 6 g of wheat germ) compared with non-enriched bread, over a 4-week period with a 15-week follow-up, in a healthy human population. A total of 55 participants (healthy volunteers, aged 18-60) have been recruited from the Porto metropolitan area in northern Portugal. Our aim is to evaluate the health effects of wheat germ on blood cholesterol and triglycerides, postprandial glycaemic response, gastrointestinal function and discomfort, and changes in intestinal microbiota and insulin resistance as secondary outcomes. The study follows the best practices for evaluating health claims in food according to the European Food Safety Authority (EFSA) scientific opinion, namely random allocation, double blinding, reporting methods to measure and maximise compliance, and validated outcomes with beneficial physiological effects as recommended by EFSA. Ethics and dissemination: The study has been approved by the Health Ethics Committee of São João Hospital Centre (156-15) and the Ethics Committee of Faculty of Medicine of the University of Porto (PCEDCSS-FMUP07/2015). Results will be disseminated through peer-reviewed publications and presentations at international scientific meetings. Trial registration number: NCT02405507; pre-results.
MeSH term(s)	Adolescent ; Adult ; Blood Glucose/metabolism ; Bread ; Cholesterol/blood ; Cross-Over Studies ; Double-Blind Method ; Female ; Food, Fortified ; Gastrointestinal Microbiome ; Healthy Diet ; Healthy Volunteers ; Humans ; Insulin Resistance ; Male ; Middle Aged ; Portugal ; Research Design ; Risk Factors ; Self Report ; Triglycerides/blood ; Triticum ; Young Adult
Chemical Substances	Blood Glucose ; Triglycerides ; Cholesterol (97C5T2UQ7J)
Language	English
Publishing date	2016-11-10
Publishing country	England
Document type	Clinical Trial, Phase II ; Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
ZDB-ID	2747269-3
ISSN	2044-6055 ; 2044-6055 ; 2053-3624
ISSN (online)	2044-6055
ISSN	2044-6055 ; 2053-3624
DOI	10.1136/bmjopen-2016-013098
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Article: Daily intake of wheat germ-enriched bread may promote a healthy gut bacterial microbiota: a randomised controlled trial

Moreira-Rosário, André / Marques, Cláudia / Pinheiro, Helder / Norberto, Sónia / Sintra, Diana / Teixeira, José António / Calhau, Conceição / Azevedo, Luís Filipe

European journal of nutrition. 2020 Aug., v. 59, no. 5

2020

Abstract: PURPOSE: Wheat bran fibre has a beneficial effect on gastrointestinal function, but evidence for wheat germ is scarce. Accordingly, we evaluated the effects of daily intake of wheat germ on gastrointestinal discomfort and gut microbiota by adding wheat ... ...

Abstract	PURPOSE: Wheat bran fibre has a beneficial effect on gastrointestinal function, but evidence for wheat germ is scarce. Accordingly, we evaluated the effects of daily intake of wheat germ on gastrointestinal discomfort and gut microbiota by adding wheat germ to refined (white) wheat bread, the most consumed bread type. We hypothesised that an improvement in the composition of refined bread could beneficially affect intestinal health without compromising consumers’ acceptance. METHODS: Fifty-five healthy adults were recruited for a randomised, double-blind, crossover, controlled trial comprising two 4-week intervention periods separated by a 5-week washout stage. During the first 4-week period, one group consumed wheat bread enriched with 6 g of wheat germ and the control group consumed non-enriched wheat bread. RESULTS: Wheat germ-enriched bread was well-appreciated and the number of participants that demonstrated minimal gastrointestinal improvements after wheat-germ intake was higher than in the control arm. Importantly, intake of wheat germ-enriched bread decreased the perceived gastrointestinal discomfort-related quality of life (subscale worries and concerns) over refined white bread. The improvements in the gastrointestinal function were accompanied by favourable changes in gut microbiota, increasing the number of Bacteroides spp. and Bifidobacterium spp. CONCLUSIONS: Adding wheat germ to industrially made white bread without altering sensory properties may promote a healthy gut bacterial microbiota and the gastrointestinal health.
Keywords	Bacteroides ; Bifidobacterium ; adults ; consumer acceptance ; intestinal microorganisms ; intestines ; quality of life ; randomized clinical trials ; sensory properties ; wheat ; wheat bran ; wheat germ ; white bread
Language	English
Dates of publication	2020-08
Size	p. 1951-1961.
Publishing place	Springer Berlin Heidelberg
Document type	Article
ZDB-ID	1466536-0
ISSN	1436-6215 ; 1436-6207
ISSN (online)	1436-6215
ISSN	1436-6207
DOI	10.1007/s00394-019-02045-x
Database	NAL-Catalogue (AGRICOLA)

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Article: Essential Trace Elements Status in Portuguese Pregnant Women and Their Association with Maternal and Neonatal Outcomes: A Prospective Study from the IoMum Cohort.

Bracchi, Isabella / Guimarães, Juliana / Rodrigues, Catarina / Azevedo, Rui / Coelho, Cláudia Matta / Pinheiro, Cátia / Morais, Juliana / Barreiros-Mota, Inês / Fernandes, Virgínia Cruz / Delerue-Matos, Cristina / Pinto, Edgar / Moreira-Rosário, André / de Azevedo, Luís Filipe Ribeiro / Dias, Cláudia Camila / Lima, Jorge / Sapinho, Inês / Ramalho, Carla / Calhau, Conceição / Leite, João Costa /

Almeida, Agostinho / Pestana, Diogo / Keating, Elisa

Biology

2023 Volume 12, Issue 10

Abstract: Cobalt (Co), copper (Cu), manganese (Mn), molybdenum (Mo), and zinc (Zn) are essential trace elements (ETEs) and important cofactors for intermediary metabolism or redox balance. These ETEs are crucial during pregnancy, their role on specific pregnancy ... ...

Abstract	Cobalt (Co), copper (Cu), manganese (Mn), molybdenum (Mo), and zinc (Zn) are essential trace elements (ETEs) and important cofactors for intermediary metabolism or redox balance. These ETEs are crucial during pregnancy, their role on specific pregnancy outcomes is largely unknown. This prospective study (#NCT04010708) aimed to assess urinary levels of these ETEs in pregnancy and to evaluate their association with pregnancy outcomes. First trimester pregnant women of Porto and Lisbon provided a random spot urine sample, and sociodemographic and lifestyle data. Clinical data were obtained from clinical records. Urinary ETEs were quantified by inductively coupled plasma mass spectrometry (ICP-MS). A total of 635 mother:child pairs were included. Having urinary Zn levels above the 50th percentile (P50) was an independent risk factor for pre-eclampsia (PE) (aOR [95% CI]: 5.350 [1.044-27.423],
Language	English
Publishing date	2023-10-21
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2661517-4
ISSN	2079-7737
ISSN	2079-7737
DOI	10.3390/biology12101351
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Article ; Online: Is the Phenylalanine-Restricted Diet a Risk Factor for Overweight or Obesity in Patients with Phenylketonuria (PKU)? A Systematic Review and Meta-Analysis.

Rodrigues, Catarina / Pinto, Alex / Faria, Ana / Teixeira, Diana / van Wegberg, Annemiek M J / Ahring, Kirsten / Feillet, François / Calhau, Conceição / MacDonald, Anita / Moreira-Rosário, André / Rocha, Júlio César

Nutrients

2021 Volume 13, Issue 10

Abstract: Although there is a general assumption that a phenylalanine (Phe)-restricted diet promotes overweight in patients with phenylketonuria (PKU), it is unclear if this presumption is supported by scientific evidence. This systematic review aimed to determine ...

Abstract	Although there is a general assumption that a phenylalanine (Phe)-restricted diet promotes overweight in patients with phenylketonuria (PKU), it is unclear if this presumption is supported by scientific evidence. This systematic review aimed to determine if patients with PKU are at a higher risk of overweight compared to healthy individuals. A literature search was carried out on PubMed, Cochrane Library, and Embase databases. Risk of bias of individual studies was assessed using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies, and the quality of the evidence for each outcome was assessed using the NutriGrade scoring system. From 829 articles identified, 15 were included in the systematic review and 12 in the meta-analysis. Body mass index (BMI) was similar between patients with PKU and healthy controls, providing no evidence to support the idea that a Phe-restricted diet is a risk factor for the development of overweight. However, a subgroup of patients with classical PKU had a significantly higher BMI than healthy controls. Given the increasing prevalence of overweight in the general population, patients with PKU require lifelong follow-up, receiving personalised nutritional counselling, with methodical nutritional status monitoring from a multidisciplinary team in inherited metabolic disorders.
MeSH term(s)	Age Factors ; Biomarkers ; Diet/adverse effects ; Diet Therapy/adverse effects ; Disease Susceptibility ; Eating ; Humans ; Nutrition Assessment ; Obesity/diagnosis ; Obesity/epidemiology ; Obesity/etiology ; Overweight/diagnosis ; Overweight/epidemiology ; Overweight/etiology ; Phenylalanine/administration & dosage ; Phenylalanine/adverse effects ; Phenylketonurias/complications ; Phenylketonurias/diet therapy ; Publication Bias ; Risk Factors
Chemical Substances	Biomarkers ; Phenylalanine (47E5O17Y3R)
Language	English
Publishing date	2021-09-28
Publishing country	Switzerland
Document type	Journal Article ; Meta-Analysis ; Systematic Review
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu13103443
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