BIFIDOBACTERIA FOR REDUCING FOOD, ENERGY AND/OR FAT INTAKE
This invention relates to new uses of a bacterium of the genus Regulation of energy balance is critical for the survival of an organism. When nutrients are freely available they are stored to account for low energy intake during times of scarcity. In a normal state the brain, together with energy storage tissues, regulates energy balance by reducing energy intake when energy stores are congested. If the energy storage machinery is disturbed, the brain is no longer able to maintain energy balance. This could lead to inability to maintain adequate energy intake, often manifested as wilting in elderly populations, or to excess storage of energy in adipose tissue and even obesity. Body mass index (BMI) is a simple index of weight-for-height that is commonly used to classify body weight status in adults. It is defined as a person's weight in kilograms divided by the square of his height in meters (kg/m2). The World Health Organisation (WHO) definition is: a BMI below 18.5 is underweight; a BMI between 18.5 and 24.99 is normal weight; a BMI greater than or equal to 25 is overweight; a BMI greater than or equal to 30 is obesity. Overweight and obesity are defined as abnormal or excessive fat accumulation. Underweight is defined as a body weight that is too low to maintain normal bodily functions. Both underweight and overweight may lead to disturbances in metabolic functions, such as hormonal signalling. Once considered a high-income country problem, overweight and obesity are now on the rise in low- and middle-income countries, particularly in urban settings. In developing countries with emerging economies (classified by the World Bank as lower- and middle-income countries) the rate of increase of childhood overweight and obesity has been more than 30% higher than that of developed countries. Overweight and obesity are linked to more deaths worldwide than underweight. Most of the world's population live in countries where overweight and obesity kill more people than underweight (this includes all high-income and most middle-income countries). The fundamental cause of obesity and overweight is an energy imbalance between calories consumed and calories expended. The most common consequences of overweight and obesity are diseases such as: cardiovascular diseases (mainly heart disease and stroke), which were the leading cause of death in 2012; diabetes; musculoskeletal disorders (especially osteoarthritis—a highly disabling degenerative disease of the joints); some cancers (endometrial, breast, and colon). The risk for these diseases increases with an increase in BMI. Childhood obesity is associated with a higher chance of obesity, premature death and disability in adulthood. But in addition to increased future risks, obese children experience breathing difficulties, increased risk of fractures, hypertension, early markers of cardiovascular disease, insulin resistance and psychological effects. Overweight and obesity, as well as their related diseases, are largely preventable, and the food industry can play a significant role in the fight against obesity. It is well known that dysfunctional energy regulation may lead to a variety of metabolic disorders, including obesity. The connections between gut microbiota, energy homeostasis, and the pathogenesis of metabolic disorders are now well-established (Daisuke et al., The recent publication “ In one aspect, the invention concerns a bacterium of the genus In particular, the invention concerns a bacterium of the genus In particular, the invention concerns a bacterium of the In another aspect, the invention concerns a bacterium of the genus In particular, the invention concerns a bacterium of the genus In particular, the invention concerns a bacterium of the genus In a further aspect, the invention provides use of a bacterium of the genus In particular, the invention provides use of a bacterium of the genus In particular, the invention provides use of a bacterium of the In a further aspect, the present invention provides a non-therapeutic use of a bacterium of the genus In particular, the present invention provides a non-therapeutic use of a bacterium of the genus In particular, the non-therapeutic use of the bacterium of the genus In a yet further aspect, the invention comprises a method for reducing food, energy and/or fat intake comprising administering to a mammal a bacterium of the genus In particular, the invention comprises a method for reducing food, energy and/or fat intake comprising administering to a mammal a bacterium of the genus In particular, the invention comprises a method for reducing food, energy and/or fat intake comprising administering to a mammal a In a yet further aspect, the invention comprises a non-therapeutic method for reducing food, energy and/or fat intake comprising administering to a mammal a bacterium of the genus In particular, the invention comprises a non-therapeutic method for reducing food, energy and/or fat intake comprising administering to a mammal a bacterium of the genus In particular, the invention comprises a non-therapeutic method for reducing food, energy and/or fat intake comprising administering to a mammal a In a still further aspect, the invention comprises use of a bacterium of the genus In a particular aspect, the invention comprises the use of a bacterium of the genus In a particular aspect, the invention comprises the use of a It has surprisingly been found by the present inventors that treatment with a bacterium of the genus Without wishing to be bound by theory, it is believed that the Bacteria The bacterium used in the present invention is selected from a bacterium of the genus In one embodiment, the present invention relates to a bacterium of the genus In another embodiment, the present invention relates to use of a bacterium of the genus In a further embodiment, the present invention relates to a method for reducing food, energy and/or fat intake comprising administering to a mammal a bacterium of the genus In yet a further embodiment, the present invention relates to use of a bacterium of the genus The bacterium may be used in any form capable of exerting the effects described herein. For example, the bacteria may be viable, dormant, inactivated or dead bacteria. Preferably, the bacteria are viable bacteria. The bacteria may comprise whole bacteria or may comprise bacterial components. Examples of such components include bacterial cell wall components such as peptidoglycan, bacterial nucleic acids such as DNA and RNA, bacterial membrane components, and bacterial structural components such as proteins, carbohydrates, lipids and combinations of these such as lipoproteins, glycolipids and glycoproteins. The bacteria may also or alternatively comprise bacterial metabolites. In the present specification the term “bacterial metabolites” includes all molecules produced or modified by the (probiotic) bacteria as a result of bacterial metabolism during growth, survival, persistence, transit or existence of bacteria during the manufacture of the probiotic product and storage and during gastrointestinal transit in a mammal. Examples include all organic acids, inorganic acids, bases, proteins and peptides, enzymes and co-enzymes, amino acids and nucleic acids, carbohydrates, lipids, glycoproteins, lipoproteins, glycolipids, vitamins, all bioactive compounds, metabolites containing an inorganic component, and all small molecules, for example nitrous molecules or molecules containing a Preferably the bacteria comprise whole bacteria, more preferably whole viable bacteria. Preferably, the In the present invention, the Suitable bacteria are selected from the species Preferably, the In a particularly preferred embodiment, the bacteria used in the present invention are This strain of In one embodiment, the bacterium used in the present invention is a probiotic bacterium. In this specification the term ‘probiotic bacterium’ is defined as covering any non-pathogenic bacterium which, when administered live in adequate amounts, confer a health benefit on the host. These probiotic strains generally have the ability to survive the passage through the upper part of the digestive tract. They are non-pathogenic, non-toxic and exercise their beneficial effect on health on the one hand via ecological interactions with the resident flora in the digestive tract, and on the other hand via their ability to influence the immune system in a positive manner via the “GALT” (gut-associated lymphoid tissue). Depending on the definition of probiotics, these bacteria, when given in a sufficient number, have the ability to progress live through the intestine, however they do not cross the intestinal barrier and their primary effects are therefore induced in the lumen and/or the wall of the gastrointestinal tract. They then form part of the resident flora during the administration period. This colonization (or transient colonization) allows the probiotic bacteria to exercise a beneficial effect, such as the repression of potentially pathogenic micro-organisms present in the flora and interactions with the immune system of the intestine. In preferred embodiments, the bacterium used in the present invention is a probiotic Dosage The Suitably, the In accordance with the present invention an effective amount of at least one strain of a microorganism may be at least 106CFU of microorganism/dose, preferably from about 106to about 1012CFU of microorganism/dose, preferably about 108to about 1012CFU of microorganism/dose. In one embodiment, preferably the CFU stands for “colony-forming units”. By ‘support’ is meant the food product, dietary supplement or the pharmaceutically acceptable formulation. In one embodiment, the present invention relates to a bacterium of the genus Effects/Subjects/Medical Indications The The Although birds and poultry, including chickens, are technically not mammals, the present invention may also be suitable for birds and any type of poultry, such as chickens. The The In this specification the term “reducing food intake and/or fat intake” refers to any administration of the In particular, the Diet As noted above, subject mammals, birds or poultry treated with bacteria according to the present invention may ingest a high-fat diet while mitigating the metabolic consequences of their condition(s). In this specification the term ‘high-fat diet’ means a diet generally containing at least 20%, preferably at least 25%, such as at least 30%, for example at least 35%, such as at least 40%, for example at least 45%, such as at least 50%, for example at least 55%, such as at least 60%, for example at least 65%, such as at least 70%, for example at least 75%, such as at least 80%, for example at least 85%, such as at least 90% of calories from fat. In some embodiments, mammals, birds or poultry treated with bacteria according to the present invention may ingest a low-carbohydrate diet during the course of the treatment. In this specification the term ‘low-carbohydrate diet’ means a diet generally containing no greater than 50%, such as no greater than 45%, for example no greater than 40%, such as no greater than 35%, for example no greater than 30%, such as no greater than 25%, for example no greater than 20%, such as no greater than 15%, for example no greater than 10%, such as no greater than 5%, for example no greater than 2%, such as no greater than 1%, for example no greater than 0.5%, such as no greater than 0.2% of calories from carbohydrate. Compositions While is it possible to administer Any product which can benefit from the composition may be used in the present invention. These include but are not limited to foods, particularly fruit conserves and dairy foods and dairy food-derived products, and pharmaceutical products. The Food In one embodiment, the The food may be in the form of a solution or as a solid, depending on the use and/or the mode of application and/or the mode of administration. When used as, or in the preparation of, a food, such as functional food, the composition of the present invention may be used in conjunction with one or more of: a nutritionally acceptable 2 By way of example, the composition of the present invention can be used as an ingredient to soft drinks, a fruit juice or a beverage comprising whey protein, health teas, cocoa drinks, milk drinks and lactic acid bacteria drinks, yoghurt and drinking yoghurt, cheese, ice cream, water ices and desserts, confectionery, biscuits cakes and cake mixes, snack foods, balanced foods and drinks, fruit fillings, care glaze, chocolate bakery filling, cheese cake flavoured filling, fruit flavoured cake filling, cake and doughnut icing, instant bakery filling creams, fillings for cookies, ready-to-use bakery filling, reduced calorie filling, adult nutritional beverage, acidified soy/juice beverage, aseptic/retorted chocolate drink, bar mixes, beverage powders, calcium fortified soy/plain and chocolate milk, calcium fortified coffee beverage. The composition can further be used as an ingredient in food products such as American cheese sauce, anti-caking agent for grated & shredded cheese, chip dip, cream cheese, dry blended whip topping fat free sour cream, freeze/thaw dairy whipping cream, freeze/thaw stable whipped topping, low fat and light natural cheddar cheese, low fat Swiss style yoghurt, aerated frozen desserts, hard pack ice cream, label friendly, improved economics & indulgence of hard pack ice cream, low fat ice cream: soft serve, barbecue sauce, cheese dip sauce, cottage cheese dressing, dry mix Alfredo sauce, mix cheese sauce, dry mix tomato sauce and others. The term “dairy product” as used herein is meant to include a medium comprising milk of animal and/or vegetable origin. As milk of animal origin there can be mentioned cow's, sheep's, goat's or buffalo's milk. As milk of vegetable origin there can be mentioned any fermentable substance of vegetable origin which can be used according to the invention, in particular originating from soybeans, rice or cereals. Still more preferably the food product employed according to the invention is a fermented milk or humanized milk. For certain aspects, preferably the present invention may be used in connection with yoghurt production, such as fermented yoghurt drink, yoghurt, drinking yoghurt, cheese, fermented cream, milk based desserts and others. Suitably, the composition can be further used as an ingredient in one or more of cheese applications, meat applications, or applications comprising protective cultures. The present invention also provides a method of preparing a food or a food ingredient, the method comprising admixing the composition according to the present invention with another food ingredient. Advantageously, the present invention relates to products that have been contacted with the composition of the present invention, and optionally with other components/ingredients, wherein the composition is used in an amount to be capable of improving the nutrition and/or health benefits of the product. As used herein the term “contacted” refers to the indirect or direct application of the composition of the present invention to the product. Examples of the application methods which may be used, include, but are not limited to, treating the product in a material comprising the composition, direct application by mixing the composition with the product, spraying the composition onto the product surface or dipping the product into a preparation of the composition. Where the product of the invention is a foodstuff, the composition of the present invention is preferably admixed with the product. Alternatively, the composition may be included in the emulsion or raw ingredients of a foodstuff. In a further alternative, the composition may be applied as a seasoning, glaze, colorant mixture, and the like. For some applications, it is important that the composition is made available on or to the surface of a product to be affected/treated. This allows the composition to impart one or more of the following favourable characteristics: nutrition and/or health benefits. The compositions of the present invention may be applied to intersperse, coat and/or impregnate a product with a controlled amount of a microorganism. Preferably, the composition is used to ferment milk or sucrose fortified milk or lactic media with sucrose and/or maltose where the resulting media containing all components of the composition—i.e. said microorganism according to the present invention—can be added as an ingredient to yoghurt milk in suitable concentrations—such as for example in concentrations in the final product which offer a daily dose of 106-1010CFU. The microorganism according to the present invention may be used before or after fermentation of the yoghurt. For some aspects the microorganisms according to the present invention are used as, or in the preparation of, animal feeds, such as livestock feeds, in particular poultry (such as chicken) feed, or pet food. Advantageously, where the product is a food product, the Food Ingredient The composition of the present invention may be used as a food ingredient and/or feed ingredient. As used herein the term “food ingredient” or “feed ingredient” includes a formulation which is or can be added to functional foods or foodstuffs as a nutritional supplement. The food ingredient may be in the form of a solution or as a solid, depending on the use and/or the mode of application and/or the mode of administration. Food Supplements The composition of the present invention may be—or may be added to—dietary supplements, also referred to herein as food supplements. Here, the term “dietary supplement” is a product intended for ingestion that contains a “dietary ingredient” intended to add further nutritional value to (supplement) the diet. A “dietary ingredient” may be one, or any combination, of the following substances: a vitamin, a mineral, an herb or other botanical, an amino acid, a dietary substance for use by people to supplement the diet by increasing the total dietary intake, a concentrate, metabolite, constituent, or extract. Dietary supplements may be found in many forms such as tablets, capsules, soft gels, gel caps, liquids, or powders. Some dietary supplements can help ensure that you get an adequate dietary intake of essential nutrients; others may help you reduce your risk of disease. Functional Foods The composition of the present invention may be—or may be added to—functional foods. As used herein, the term “functional food” means food which is capable of providing not only a nutritional effect, but is also capable of delivering a further beneficial effect to consumer. Accordingly, functional foods are ordinary foods that have components or ingredients (such as those described herein) incorporated into them that impart to the food a specific functional—e.g. medical or physiological benefit—other than a purely nutritional effect. Although there is no legal definition of a functional food, most of the parties with an interest in this area agree that they are foods marketed as having specific health effects beyond basic nutritional effects. Some functional foods are nutraceuticals. Here, the term “nutraceutical” means a food which is capable of providing not only a nutritional effect and/or a taste satisfaction, but is also capable of delivering a therapeutic (or other beneficial) effect to the consumer. Nutraceuticals cross the traditional dividing lines between foods and medicine. Medical Food In one embodiment, the bacterium of the present invention is in the form of a medical food. Preferably, the By “medical food” it is meant a food which is formulated to be consumed or administered with or without the supervision of a physician and which is intended for a specific dietary management or condition for which distinctive nutritional requirements, based on recognized scientific principles, are established by medical evaluation. Pharmaceutical The composition of the present invention may be used as—or in the preparation of—a pharmaceutical formulation. Here, the term “pharmaceutical” is used in a broad sense—and covers pharmaceuticals for humans as well as pharmaceuticals for animals (i.e. veterinary applications). In a preferred aspect, the pharmaceutical is for human use and/or for animal husbandry. The pharmaceutical can be for therapeutic purposes—which may be curative or palliative or preventative in nature. The pharmaceutical may even be for diagnostic purposes. A pharmaceutically acceptable formulation or support may be for example a formulation or support in the form of compressed tablets, tablets, capsules, ointments, suppositories or drinkable solutions. Other suitable forms are provided below. When used as—or in the preparation of—a pharmaceutical, the composition of the present invention may be used in conjunction with one or more of: a pharmaceutically acceptable carrier, a pharmaceutically acceptable diluent, a pharmaceutically acceptable excipient, a pharmaceutically acceptable adjuvant, a pharmaceutically active ingredient. The pharmaceutical may be in the form of a solution or as a solid—depending on the use and/or the mode of application and/or the mode of administration. The The pharmaceutical ingredient may be in the form of a solution or as a solid—depending on the use and/or the mode of application and/or the mode of administration. The The Suitable examples of forms include one or more of: tablets, pills, capsules, ovules, solutions or suspensions, which may contain flavouring or colouring agents, for immediate-, delayed-, modified-, sustained-, pulsed- or controlled-release applications. By way of example, if the composition of the present invention is used in a tablet form—such for use as a functional ingredient—the tablets may also contain one or more of: excipients such as microcrystalline cellulose, lactose, sodium citrate, calcium carbonate, dibasic calcium phosphate and glycine; disintegrants such as starch (preferably corn, potato or tapioca starch), sodium starch glycollate, croscarmellose sodium and certain complex silicates; granulation binders such as polyvinylpyrrolidone, hydroxypropylmethylcellulose (HPMC), hydroxypropylcellulose (HPC), sucrose, gelatin and acacia; lubricating agents such as magnesium stearate, stearic acid, glyceryl behenate and talc may be included. Examples of nutritionally acceptable carriers for use in preparing the forms include, for example, water, salt solutions, alcohol, silicone, waxes, petroleum jelly, vegetable oils, polyethylene glycols, propylene glycol, liposomes, sugars, gelatin, lactose, amylose, magnesium stearate, talc, surfactants, silicic acid, viscous paraffin, perfume oil, fatty acid monoglycerides and diglycerides, petroethrai fatty acid esters, hydroxymethylceilulose, polyvinylpyrrolidone, and the like. Preferred excipients for the forms include lactose, starch, a cellulose, milk sugar or high molecular weight polyethylene glycols. For aqueous suspensions and/or elixirs, the composition of the present invention may be combined with various sweetening or flavouring agents, colouring matter or dyes, with emulsifying and/or suspending agents and with diluents such as water, propylene glycol and glycerin, and combinations thereof. The forms may also include gelatin capsules; fibre capsules, fibre tablets etc.; or even fibre beverages. Further examples of form include creams. For some aspects the microorganism used in the present invention may be used in pharmaceutical and/or cosmetic creams such as sun creams and/or after-sun creams for example. In one aspect, the composition according to the present invention may be administered in an aerosol, for example by way of a nasal spray, for instance for administration to the respiratory tract. Medicament In one embodiment, the bacterium of the present invention is in the form of a medicament. The term “medicament” as used herein encompasses medicaments for both human and animal usage in human and veterinary medicine. In addition, the term “medicament” as used herein means any substance which provides a therapeutic and/or beneficial effect. The term “medicament” as used herein is not necessarily limited to substances which need Marketing Approval, but may include substances which can be used in cosmetics, nutraceuticals, food (including feeds and beverages for example), probiotic cultures, and natural remedies. In addition, the term “medicament” as used herein encompasses a product designed for incorporation in animal feed, for example livestock feed and/or pet food. Prebiotics In one embodiment, the bacterium of the present invention may contain one or more fibres and/or prebiotics. Prebiotics are a category of functional food, defined as non-digestible food ingredients that beneficially affect the host by selectively stimulating the growth and/or activity of one or a limited number of bacteria (particularly, although not exclusively, probiotics, In one embodiment, a prebiotic is a selectively fermented ingredient that allows specific changes, both in the composition and/or activity in the gastrointestinal microflora that confers benefits upon host well-being and health. Suitably, the prebiotic may be used according to the present invention in an amount of 0.01 to 100 g/day, preferably 0.1 to 50 g/day, more preferably 0.5 to 20 g/day. In one embodiment, the prebiotic may be used according to the present invention in an amount of 1 to 10 g/day, preferably 2 to 9 g/day, more preferably 3 to 8 g/day. In another embodiment, the prebiotic may be used according to the present invention in an amount of 5 to 50 g/day, preferably 10 to 25 g/day. Examples of dietary sources of prebiotics include soybeans, inulin sources (such as Jerusalem artichoke, jicama, and chicory root), raw oats, unrefined wheat, unrefined barley and yacon. Examples of suitable prebiotics include alginate, xanthan, pectin, locust bean gum (LBG), inulin, guar gum, galacto-oligosaccharide (GOS), fructo-oligosaccharide (FOS), polydextrose (i.e. Litesse®), lactitol, lactosucrose, soybean oligosaccharides, isomaltulose (Palatinose™), isomalto-oligosaccharides, gluco-oligosaccharides, xylooligosaccharides, manno-oligosaccharides, beta-glucans, cellobiose, raffinose, gentiobiose, melibiose, xylobiose, cyciodextrins, isomaltose, trehalose, stachyose, panose, pullulan, verbascose, galactomannans, and all forms of resistant starches. A particularly preferred example of a prebiotic is polydextrose. In some embodiments, a combination of In one embodiment, the In a particularly preferred embodiment, the Suitably, the fibre and/or prebiotic used in the combination is polydextrose. In another embodiment, the fibre and/or prebiotic used in the combination is Litesse®. In a further aspect, the invention comprises a food product comprising a In a yet further aspect, the invention comprises a food product comprising the In a yet further aspect, the invention comprises a food product comprising the In a yet further aspect, the invention comprises a food product comprising the In a further aspect, the invention comprises a dietary supplement comprising a In a yet further aspect, the invention comprises a dietary supplement comprising the In a yet further aspect, the invention comprises a dietary supplement comprising the In a yet further aspect, the invention comprises a dietary supplement comprising the In a further aspect, the invention comprises a pharmaceutically acceptable formulation comprising a In a yet further aspect, the invention comprises a pharmaceutically acceptable formulation comprising the In a yet further aspect, the invention comprises a pharmaceutically acceptable formulation comprising the In a yet further aspect, the invention comprises a pharmaceutically acceptable formulation comprising the Specific numbered embodiments of the invention: A bacterium of the genus The bacterium according to embodiment 1, wherein the bacterium of the genus The bacterium according to any one of embodiments 1 to 2, wherein the bacterium of the genus The bacterium according to any one of the embodiments 1 to 3, wherein the bacterium of the genus The bacterium according to any one of the embodiments 1 to 4, wherein the bacterium of the genus The bacterium according to any one embodiment 1 to 5, wherein the bacterium is used in combination with one or more fibres and/or prebiotics. The bacterium according to embodiment 6, wherein the fibres and/or the prebiotic is polydextrose. The bacterium according to any one of the preceding embodiments, wherein the bacterium is in the form of a food product, a dietary supplement or a pharmaceutically acceptable formulation. The bacterium according to embodiment 8, wherein the pharmaceutically acceptable formulation is a medicament. The bacterium according to embodiment 8, wherein the food product is a medical food product. A bacterium of the genus The bacterium according to embodiment 11, wherein the bacterium of the genus The bacterium according to any one of embodiments 11 to 12, wherein the bacterium of the genus The bacterium according to any one of the embodiments 11 to 13, wherein the bacterium of the genus The bacterium according to any one of the embodiments 11 to 14, wherein the bacterium of the genus The bacterium according to any one embodiment 11 to 15, wherein the bacterium is used in combination with one or more fibres and/or prebiotics. The bacterium according to embodiment 16, wherein the fibres and/or the prebiotic is polydextrose. The bacterium according to any one of the preceding embodiments 11-17, wherein the bacterium is in the form of a food product, a dietary supplement or a pharmaceutically acceptable formulation. The bacterium according to embodiment 18, wherein the pharmaceutically acceptable formulation is a medicament. The bacterium according to embodiment 18, wherein the food product is a medical food product. Use of a bacterium of the genus The use according to embodiment 21, wherein the bacterium of the genus The use according to any one of embodiments 21 to 22, wherein the bacterium of the genus The use according to any one of the embodiments 21 to 23, wherein the bacterium of the genus The use according to any one of the embodiments 21 to 24, wherein the bacterium of the genus Embodiment 26. The use according to any one embodiments 21 to 25, wherein the bacterium is used in combination with one or more fibres and/or prebiotics. The use according to embodiment 26, wherein the fibres and/or prebiotic is polydextrose. The use according to any one of the embodiments 21 to 27, wherein the bacterium is in the form of a food product, a dietary supplement or a pharmaceutically acceptable formulation. The use according to embodiment 28, wherein the pharmaceutically acceptable formulation is a medicament. The use according to embodiment 28, wherein the food product is a medical food product. A non-therapeutic use of a bacterium of the genus The non-therapeutic use according to embodiment 31, wherein the bacterium of the genus The non-therapeutic use according to any one of embodiments 31 to 32, wherein the bacterium of the genus The non-therapeutic use according to any one of the embodiments 31 to 33, wherein the bacterium of the genus The non-therapeutic use according to any one of the embodiments 31 to 34, wherein the bacterium of the genus The non-therapeutic use according to any one embodiments 31 to 35, wherein the bacterium is used in combination with one or more fibres and/or prebiotics. The non-therapeutic use according to embodiment 36, wherein the fibres and/or prebiotic is polydextrose. The non-therapeutic use according to any one of the embodiments 31 to 37, wherein the bacterium is in the form of a food product, a dietary supplement or a pharmaceutically acceptable formulation. The non-therapeutic use according to embodiment 38, wherein the pharmaceutically acceptable formulation is a medicament. The non-therapeutic use according to embodiment 38, wherein the food product is a medical food product. A method for reducing food, energy and/or fat intake comprising administering to a mammal a bacterium of the genus The method according to embodiment 41, wherein the bacterium of the genus The method according to any one of embodiment 41 to 42, wherein the bacterium of the genus The method according to any one of the embodiment 41 to 43, wherein the bacterium of the genus The method according to any one of the embodiment 41 to 44, wherein the bacterium of the genus The method according to any one embodiment 41 to 45, wherein the bacterium is used in combination with one or more fibres and/or prebiotics. The method according to embodiment 46, wherein the fibres and/or prebiotic is polydextrose. The method according to any one of the embodiment 41 to 47, wherein the bacterium is in the form of a food product, a dietary supplement or a pharmaceutically acceptable formulation. The method according to embodiment 48, wherein the pharmaceutically acceptable formulation is a medicament. The method according to embodiment 48, wherein the food product is a medical food product. A non-therapeutic method for reducing food, energy and/or fat intake comprising administering to a mammal a bacterium of the genus The non-therapeutic method according to embodiment 51, wherein the bacterium of the genus The non-therapeutic method according to any one of embodiment 51 to 52, wherein the bacterium of the genus The non-therapeutic method according to any one of the embodiment 51 to 53, wherein the bacterium of the genus The non-therapeutic method according to any one of the embodiment 51 to 54, wherein the bacterium of the genus The non-therapeutic method according to any one embodiment 51 to 55, wherein the bacterium is used in combination with one or more fibres and/or prebiotics. The non-therapeutic method according to embodiment 56, wherein the fibres and/or prebiotic is polydextrose. The non-therapeutic method according to any one of the embodiment 51 to 57, wherein the bacterium is in the form of a food product, a dietary supplement or a pharmaceutically acceptable formulation. The non-therapeutic method according to embodiment 58, wherein the pharmaceutically acceptable formulation is a medicament. The non-therapeutic method according to embodiment 58, wherein the food product is a medical food product. Use of a bacterium of the genus The use according to embodiment 61, wherein the bacterium of the genus The use according to any one of embodiment 61 to 62, wherein the bacterium of the genus The use according to any one of the embodiment 61 to 63, wherein the bacterium of the genus The use according to any one of the embodiment 61 to 64, wherein the bacterium of the genus The use according to any one embodiment 61 to 65, wherein the bacterium is used in combination with one or more fibres and/or prebiotics. The use according to embodiment 66, wherein the fibres and/or prebiotic is polydextrose. The use according to embodiment 61, wherein the pharmaceutically acceptable formulation is a medicament. The use according to embodiment 61, wherein the food product is a medical food product. Materials and Methods Clinical Study Design and Screening Criteria The intervention was a double-blind, randomized, placebo-controlled, multi-centre parallel study, conducted according to Good Clinical Practice and the Declaration of Helsinki. A cohort of 225 adults were selected from 263 overweight and obese adults at four research centres in southern Finland and randomized according to a 1:1:1:1 allocation to one of four groups: 1) Placebo (microcrystalline cellulose), 12 g/day;
The products for the study were provided in a sachet that the participant mixed with a 250 ml fruit smoothie once per day at the time of their liking for six months. All randomized participants were 18-65 years old with a Body Mass Index (BMI, calculated as body weight divided by height squared) between 28.0-34.9 and a waist-hip ratio of ≥0.88 for males and ≥0.83 for females. The most important exclusion criteria included diagnosed metabolic diseases or the use of related medications; use of laxatives, fibre supplements or probiotics in the previous 6 weeks; history of bariatric surgery; use of anti-obesity drugs in the previous 3 months, recent (past 2 months) or on-going use of antimicrobials; on-going or recent participation in a weight-loss program; weight change of 3 kg during previous 3 months; and pregnancy. Recruitment and Study Populations Before unblinding the study, 209 participants were selected from the 225 participants and were placed into an Intention-to-Treat (ITT) population. The ITT population contained all 209 participants who were assessed for any parameter after the baseline visit. Of the 209 participants in the Intention-to-Treat (ITT) group, 134 participants completed the intervention period with at least 80% study product compliance, and did not use systemic antimicrobials or high-dose vitamin supplements during the intervention (Per protocol population (PP)). Therefore, the PP population better represents the efficacy of the product used in the study ( Dietary Intake Assessment The participants filled in a 5-day food diary prior to the baseline, 2-month and end-of-intervention (6-month) clinic visits. Qualified nutritionists analyzed the food diary data with AivoDiet software (Aivo Finland Oy, Finland) using a national database of food ingredients and their compositions (Fineli, National Institute of Health and Welfare, Finland). Because not all study participants recorded the fruit smoothie vehicle in the food diary, data were recorded without the fruit smoothie. The energy content (130 kcal/day) of the fruit smoothie was later added to the energy intake data of all groups and all visits after baseline. The participant data for baseline body weight, height and age were used to calculate basal metabolic rate (BMR), as shown below: Basal metabolic rate is the amount of energy expended while at rest in a neutrally temperate environment, in the post-absorptive state. Food diaries with energy intake below 80% of the basal metabolic rate for women and 85% for men were regarded as underreported and consequently excluded from the analyses ( Statistical Analysis The mean change from baseline in all three active groups (groups taking B420, B420 and polydextrose together and polydextrose alone) was compared to placebo as an overall effect (one-way analysis of covariance, using baseline values as covariate). The three active groups were then compared to placebo separately using Dunnett's test, which corrects for multiple comparisons. All analyses were conducted with SAS analysis software, version 9.3. In the ITT population, missing observations were handled with the Last Observation Carried Forward method. In statistics, Dunnett's test is a multiple comparison procedure developed by Canadian statistician Charles Dunnett to compare each of a number of treatments with a single control. Multiple comparisons to a control are also referred to as many-to-one comparisons. The Last Observation Carried Forward method means that for missing values the latest measured value from a previous time point was used in the analysis. A P-value below 0.05 was considered statistically significant, meaning that the hypothesis of the compared observations being different is true with a 95% probability. A P-value above 0.05 does not prove that there was no difference, but rather there is not enough statistical power to draw conclusions with confidence. Results There was a statistically significant overall effect of the study products on energy intake in the PP population (P=0.0054, active groups vs. placebo) (Table 2), but not in the ITT population (P=0.23, active groups vs. placebo) (Table 1). However, differences in the ITT population showed a very similar pattern as in the PP population. In the PP population, energy intake was statistically significantly reduced by B420 alone (−318.9 kcal/day, P=0.037, B420 vs. placebo) and the combination of B420 with polydextrose (−227 kcal/day, P=0.041), compared with placebo (−23.1 kcal/day) during the 6-month intervention. Polydextrose seemed to decrease energy intake (−200.6 kcal/day), but was not statistically significantly different from placebo (P=0.16, polydextrose vs. placebo) (Table 2). Absolute fat intake was also statistically significantly different in the active groups compared to the placebo group in the PP population (P=0.008, active groups vs. placebo) (Table 4), but not in the ITT population (P=0.21, active groups vs. placebo), although changes in the ITT population did reflect those seen in the PP population (Table 3). This difference in fat intake was statistically significant in the group taking B420 alone (−21.6 g/day, P=0.03) with a similar trend in the combination of B420 with polydextrose (−10.1 g/day, P=0.11) and polydextrose alone (−11.6 g/day, P=0.17) groups compared to placebo (−2.2 g/day) (Table 4). There was a borderline non-significant trend towards a decreased dietary proportion of fat in the active groups in the PP population (P=0.058, active groups vs. placebo) (Table 6). A “trend” means a P-value between 0.05−0.10 or sometimes, sometimes up to 0.15. There was no statistically significant overall difference in the ITT population (P=0.47, active groups vs. placebo) (Table 5), results in the ITT population seemed to reflect the changes seen in the PP population. The decreased proportion of fat in the diet was mostly evident in the PP population in the group taking B420 only (−4.0%, P=0.11) compared to placebo (−0.6%) (Table 6). The other groups showed a smaller and statistically non-significant difference compared to placebo (polydextrose: −2.0%, P=0.39; B420 and polydextrose: −1.7%, P=0.52) Decreasing dietary fat intake is linked to a healthier lifestyle and may help reduce the risk of metabolic disorders. The fact that differences were much greater in the PP population than in the ITT population indicates that the positive effect was due to the product used in the study. This is because the PP population included only those who were compliant with the protocol and used at least 80% of the study product, whereas the ITT population includes also those who were poorly complying and did not use the study product at all or in adequate amounts. All publications mentioned in the above specification are herein incorporated by reference. Various modifications and variations of the described methods and system of the present invention will be apparent to those skilled in the art without departing from the scope and spirit of the present invention. Although the present invention has been described in connection with specific preferred embodiments, it should be understood that the invention as claimed should not be unduly limited to such specific embodiments. Indeed, various modifications of the described modes for carrying out the invention which are obvious to those skilled in biochemistry and biotechnology or related fields are intended to be within the scope of the following claims. This invention relates to the use of a bacterium of the genus Bifidobacterium, particularly, but not exclusively, a bacterium of the Bifidobacterium animalis ssp. lactis strain 420 (B420) for use in reducing food, energy and/or fat intake. 1-11. (canceled) 12. A method for reducing food, energy and/or fat intake comprising administering to a mammal a bacterium of the genus 13. The method according to 14. The method according to 15. The method according to 16. The method according to 17. A method according to 18. The method according to 19. The method according to 20. The method according to 21. The method according to 22. The method according to 23. The method according to 24. The method according to 25. The method according to 26. The method according to 27. The method according to 28. The method according to 29. The method according to FIELD OF THE INVENTION
BACKGROUND OF THE INVENTION
SUMMARY OF THE INVENTION
Advantages
DETAILED DISCLOSURE OF THE INVENTION
Embodiment 1
Embodiment 2
Embodiment 3
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Embodiment 68
Embodiment 69
Examples
2) Polydextrose, 12 g/day;
3) Probiotic B420 (
4) B420 and polydextrose, 1010CFU/day+12 g/day.
Women: BMR=655,0955+(9,5634*Body weight (kg))+(1,8496*Body height (cm))−(4,6756*Age in years) kcal/day
Men: BMR=66,4730+(13,7516*Body weight (kg))+(5,0033*Body height (cm))−(6.755*Age in years) kcal/dayEnergy (kcal) Product Visit n Mean SD Min Q1 Median Q3 Max B420 Baseline 45 2169.4 442.2 1415.6 1958.9 2084.0 2389.0 2980.5 month 2 41 2253.2 479.3 1270.1 2042.2 2179.1 2478.7 3750.8 month 6 36 2039.5 550.9 1297.0 1601.2 2005.3 2324.7 3737.8 B420 and Baseline 50 2077.8 625.8 1142.1 1692.0 1982.4 2141.4 4033.5 polydextrose month 2 47 1980.0 438.2 1261.6 1633.8 1959.6 2322.7 2771.0 month 6 41 1898.9 474.0 1159.2 1613.4 1873.4 2083.5 3599.1 Polydextrose Baseline 50 2211.4 593.4 1280.9 1753.2 2149.7 2515.3 4545.2 month 2 50 2197.3 598.4 1345.9 1799.1 2097.9 2470.2 4606.1 month 6 49 2050.3 518.8 1259.7 1730.3 2027.7 2299.1 3537.6 Placebo Baseline 53 2144.9 571.9 1293.7 1767.0 2010.6 2418.0 4005.5 month 2 51 2241.8 526.6 1356.7 1954.5 2115.6 2461.4 3948.6 month 6 49 2115.6 448.4 1384.3 1822.9 2065.4 2353.9 3542.8 Change from baseline (kcal) Product Visit n Mean SD Min Q1 Median Q3 Max B420 Baseline 0 . . . . . . . month 2 40 62.0 467.2 −615.0 −254.2 −29.3 290.6 1681.2 month 6 35 −190.0 473.3 −952.0 −543.9 −255.3 34.1 1051.1 B420 and Baseline 0 . . . . . . . polydextrose month 2 46 −113.7 523.7 −1736 −457.3 −4.4 208.1 810.5 month 6 39 −123.9 634.6 −2160 −289.0 −51.0 220.6 1122.2 Polydextrose Baseline 0 . . . . . . . month 2 48 2.9 461.3 −704.9 −438.8 28.3 292.1 1435.8 month 6 48 −160.5 466.4 −1142 −515.5 −191.7 138.6 1093.5 Placebo Baseline 0 . . . . . . . month 2 48 87.8 576.2 −1988 −171.6 129.1 449.1 1162.0 month 6 46 −4.4 539.2 −1961 −189.5 13.2 180.9 1813.0 No statistically significant differences. Only changes from baseline to month 6 were statistically compared. n: number of observations; Mean: the average energy intake or change in energy intake calculated based on the number of participants in the corresponding group and corresponding visit displayed in columns “Product” and “Visit”. SD: Standard deviation; Min: Minimum value; Q1: First quartile; Q3: Third quartile; Max: Maximum value. Change from Energy (kcal) baseline (kcal) Product Visit n Mean SD Min Q1 Median Q3 Max n B420 Baseline 24 2203.7 380.6 1451.6 1997.1 2168.7 2453.9 2980.5 0 month 2 22 2133.7 383.7 1270.1 1812.0 2121.5 2478.7 2699.5 22 month 6 22 1904.7 371.4 1297.0 1587.7 1930.0 2210.1 2528.7 22 B420 and Baseline 35 2092.3 643.2 1142.1 1661.9 1995.8 2141.4 4033.5 0 polydextrose month 2 34 1986.7 435.5 1261.6 1643.6 1932.6 2297.0 2771.0 33 month 6 31 1866.3 489.7 1243.6 1489.0 1870.8 2000.4 3599.1 29 Polydextrose Baseline 33 2214.8 653.5 1280.9 1726.6 2234.3 2526.1 4545.2 0 month 2 35 2165.9 637.4 1367.2 1747.0 2092.8 2289.4 4606.1 33 month 6 34 2004.0 521.2 1259.7 1667.2 2018.1 2260.6 3537.6 33 Placebo Baseline 33 2237.7 512.1 1397.5 1868.5 2159.1 2492.7 3838.8 0 month 2 34 2274.8 569.2 1455.8 1946.9 2246.3 2613.6 3948.6 31 month 6 36 2182.1 463.6 1384.3 1881.4 2096.5 2540.5 3542.8 33 Change from baseline (kcal) Product Visit Mean SD Min Q1 Median Q3 Max B420 Baseline . . . . . . . month 2 −115.3 253.6 −443.6 −326.5 −203.7 42.4 486.5 month 6 −318.9* 303.1 −787.0 −543.9 −319.5 −147.2 519.0 B420 and Baseline . . . . . . . polydextrose month 2 −110.1 534.8 −1736 −395.3 −17.3 208.1 628.4 month 6 −227.0* 640.5 −2160 −324.1 −98.8 62.4 1122.2 Polydextrose Baseline . . . . . . . month 2 −15.1 425.3 −704.9 −455.4 26.1 249.2 1059.7 month 6 −200.6 508.8 −1142 −682.3 −191.0 105.9 1093.5 Placebo Baseline . . . . . . . month 2 56.8 508.0 −1534 −182.1 60.1 364.4 1162.0 month 6 −23.1 599.9 −1961 −189.5 2.5 148.3 1813.0 *= significant difference from Placebo (Dunnett's test, corrected for multiple comparisons). Only changes from baseline to month 6 were statistically compared. n: number of observations; Mean: the average energy intake or change in energy intake calculated based on the number of participants in the corresponding group and corresponding visit displayed in columns “Product” and “Visit”. SD: Standard deviation; Min: Minimum value; Q1: First quartile; Q3: Third quartile; Max: Maximum value. Fat intake (g) in the Intention-to-Treat population Fat (g) Change from baseline (g) Product Visit n Mean SD Min Q1 Median Q3 Max n Mean SD Min Q1 Median Q3 Max B420 Baseline 45 92.8 24.1 43.4 80.7 88.7 105.8 151.1 0 . . . . . . . month 2 41 91.6 27.0 45.2 72.9 88.4 108.3 169.9 40 −2.6 24.9 −48.2 −18.0 −5.6 15.8 59.6 month 6 36 79.1 25.5 43.3 57.6 69.0 98.6 126.2 35 −16.8 23.5 −62.2 −32.1 −18.0 −7.1 38.9 B420 and Baseline 50 86.4 31.7 33.8 66.6 78.5 98.2 178.7 0 . . . . . . . polydextrose month 2 47 79.2 24.9 42.5 59.6 78.9 104.3 127.7 46 −7.9 28.5 −90.1 −20.6 1.1 11.7 41.2 month 6 41 76.9 30.1 32.9 55.8 74.4 90.6 158.6 39 −4.0 29.7 −80.4 −17.9 −5.7 6.1 58.0 Polydextrose Baseline 50 91.8 27.8 46.1 73.4 90.7 104.0 195.8 0 . . . . . . . month 2 50 92.4 29.4 47.9 72.6 90.5 99.4 215.3 48 1.4 27.6 −43.6 −18.0 −3.0 23.7 94.1 month 6 49 81.5 25.7 42.3 62.2 79.5 91.0 168.3 48 −10.0 25.1 −53.1 −28.4 −7.1 4.9 62.8 Placebo Baseline 53 90.0 32.7 40.4 68.6 86.9 103.4 194.6 0 . . . . . . . month 2 51 87.8 28.6 43.7 69.0 82.2 94.7 176.4 48 −2.6 32.9 −110.1 −17.4 1.7 16.4 58.4 month 6 49 86.5 29.3 41.4 70.3 81.2 98.5 210.2 46 −1.9 37.2 −114.8 −19.8 −5.2 13.8 152.6 No statistically significant differences. Only changes from baseline to month 6 were statistically compared. n: number of observations; Mean: the average energy intake or change in energy intake calculated based on the number of participants in the corresponding group and corresponding visit displayed in columns “Product” and “Visit”. SD: Standard deviation; Min: Minimum value; Q1: First quartile; Q3: Third quartile; Max: Maximum value. Fat intake (g) in the Per Protocol population Fat (g) Change from baseline (g) Product Visit n Mean SD Min Q1 Median Q3 Max n Mean SD Min Q1 Median Q3 Max B420 Baseline 24 93.5 21.6 45.1 81.9 91.0 105.7 146.1 0 . . . . . . . month 2 22 86.9 26.3 45.2 64.8 84.0 105.8 136.6 22 −9.7 18.4 −45.1 −20.2 −12.1 −0.9 37.5 month 6 22 73.6 21.7 43.3 57.0 67.5 88.8 116.5 22 −21.6* 18.8 −62.2 −33.7 −21.1 −9.5 14.9 B420 and Baseline 35 87.3 31.9 33.8 66.3 81.0 110.4 162.7 0 . . . . . . . polydextrose month 2 34 78.6 25.6 42.5 59.6 72.5 99.1 127.7 33 −8.6 28.7 −90.1 −19.7 0.9 10.2 27.5 month 6 31 74.1 30.9 32.9 52.3 69.1 80.6 158.6 29 −10.1 28.5 −80.4 −20.6 −7.4 3.3 58.0 Polydextrose Baseline 33 92.2 29.0 46.1 73.4 91.9 103.3 195.8 0 . . . . . . . month 2 35 92.9 30.8 47.9 71.7 89.3 99.8 215.3 33 2.2 23.3 −42.6 −14.3 −2.7 23.3 48.3 month 6 34 80.0 27.3 42.3 57.8 75.9 90.1 168.3 33 −11.6 24.4 −51.8 −28.0 −12.2 3.2 62.8 Placebo Baseline 33 96.1 32.0 44.7 76.4 94.0 110.5 194.6 0 . . . . . . . month 2 34 89.9 32.3 44.5 68.8 82.5 94.7 176.4 31 −4.9 31.9 −108.0 −22.6 −6.2 13.8 58.4 month 6 36 91.8 31.3 41.4 73.9 83.9 107.6 210.2 33 −2.2 42.8 −114.8 −24.9 −2.6 16.8 152.6 *= significant difference from Placebo (Dunnett's test, corrected for multiple comparisons) Only changes from baseline to month 6 were statistically compared. n: number of observations; Mean: the average energy intake or change in energy intake calculated based on the number of participants in the corresponding group and corresponding visit displayed in columns “Product” and “Visit”. SD: Standard deviation; Min: Minimum value; Q1: First quartile; Q3: Third quartile; Max: Maximum value. Fat intake (% of kcal) Product Visit n Mean SD Min Q1 Median Q3 Max B420 Baseline 45 38.3% 5.0% 26.0% 35.0% 38.4% 41.5% 47.2% month 2 41 36.3% 5.9% 22.9% 32.3% 36.1% 40.8% 50.0% month 6 36 34.8% 6.1% 24.5% 30.3% 34.1% 37.9% 48.7% B420 and Baseline 50 37.1% 6.2% 25.5% 32.5% 36.9% 41.1% 55.3% polydextrose month 2 47 35.7% 6.2% 19.4% 31.2% 35.3% 40.5% 50.1% month 6 41 35.6% 6.7% 19.9% 31.3% 35.8% 38.4% 53.9% Polydextrose Baseline 50 37.3% 5.0% 25.3% 34.4% 37.5% 40.5% 47.7% month 2 50 37.7% 4.7% 29.4% 34.0% 38.1% 41.2% 49.1% month 6 49 35.5% 4.0% 27.3% 32.7% 36.1% 37.3% 43.8% Placebo Baseline 53 37.2% 6.3% 23.3% 33.9% 36.8% 41.7% 56.7% month 2 51 35.0% 5.9% 26.9% 31.6% 34.2% 37.2% 54.9% month 6 49 36.3% 6.6% 26.1% 31.4% 35.2% 40.0% 57.1% Change from baseline (% of kcal) Product Visit n Mean SD Min Q1 Median Q3 Max B420 Baseline 0 . . . . . . . month 2 40 −2.2% 6.2% −14.3% −6.3% −2.2% 1.4% 11.0% month 6 35 −3.8% 6.2% −15.5% −7.9% −4.1% 0.2% 14.1% B420 and Baseline 0 . . . . . . . polydextrose month 2 46 −1.4% 7.0% −21.5% −5.2% −1.2% 2.4% 13.9% month 6 39 −0.3% 5.7% −7.9% −5.5% −0.9% 2.1% 16.3% Polydextrose Baseline 0 . . . . . . . month 2 48 0.4% 6.4% −12.9% −5.1% −0.6% 5.4% 13.2% month 6 48 −1.7% 6.2% −14.7% −5.6% −2.0% 1.5% 17.4% Placebo Baseline 0 . . . . . . . month 2 48 −2.2% 5.5% −14.1% −6.0% −2.8% 1.5% 10.7% month 6 46 −0.8% 7.5% −16.5% −4.7% −1.5% 2.4% 23.4% No statistically significant differences. Only changes from baseline to month 6 were statistically compared. n: number of observations; Mean: the average energy intake or change in energy intake calculated based on the number of participants in the corresponding group and corresponding visit displayed in columns “Product” and “Visit”. SD: Standard deviation; Min: Minimum value; Q1: First quartile; Q3: Third quartile; Max: Maximum value. Fat intake (% of kcal) Product Visit n Mean SD Min Q1 Median Q3 Max B420 Baseline 24 38.0% 4.8% 27.9% 34.8% 37.6% 41.4% 47.2% month 2 22 36.3% 6.6% 22.9% 31.7% 36.9% 41.5% 50.0% month 6 22 34.5% 6.0% 24.5% 30.1% 33.9% 38.4% 46.2% B420 and Baseline 35 37.2% 6.4% 25.6% 32.5% 37.3% 40.7% 55.3% polydextrose month 2 34 35.2% 6.5% 19.4% 30.9% 33.8% 39.5% 50.1% month 6 31 34.7% 6.3% 19.9% 30.4% 34.7% 37.1% 53.9% Polydextrose Baseline 33 37.5% 4.7% 26.6% 34.5% 37.4% 40.9% 45.5% month 2 35 38.5% 4.7% 30.8% 34.7% 38.6% 41.6% 49.1% month 6 34 35.4% 4.0% 27.3% 32.7% 36.1% 37.3% 43.8% Placebo Baseline 33 38.2% 7.0% 23.3% 34.6% 38.4% 42.0% 56.7% month 2 34 35.2% 6.8% 26.9% 30.8% 33.9% 39.1% 54.9% month 6 36 37.3% 6.6% 26.9% 32.3% 36.3% 40.3% 57.1% Change from baseline (% of kcal) Product Visit n Mean SD Min Q1 Median Q3 Max B420 Baseline 0 . . . . . . . month 2 22 −2.4% 5.6% −14.0% −6.3% −2.1% −0.1% 10.2% month 6 22 −4.0% 5.9% −15.5% −8.1% −3.2% 1.4% 3.9% B420 and Baseline 0 . . . . . . . polydextrose month 2 33 −1.7% 6.5% −17.6% −6.2% −2.1% 1.1% 13.9% month 6 29 −1.2% 5.4% −7.9% −5.5% −2.0% 1.4% 16.3% Polydextrose Baseline 0 . . . . . . . month 2 33 0.9% 6.1% −12.9% −5.1% 0.6% 5.1% 12.3% month 6 33 −2.0% 5.6% −11.3% −5.7% −3.2% 1.4% 13.0% Placebo Baseline 0 . . . . . . . month 2 31 −2.7% 6.2% −14.1% −7.6% −2.9% 0.6% 10.7% month 6 33 −0.6% 8.3% −16.5% −4.7% −1.0% 3.4% 23.4% No statistically significant differences. Only changes from baseline to month 6 were statistically compared. n: number of observations; Mean: the average energy intake or change in energy intake calculated based on the number of participants in the corresponding group and corresponding visit displayed in columns “Product” and “Visit”. SD: Standard deviation; Min: Minimum value; Q1: First quartile; Q3: Third quartile; Max: Maximum value.
