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dc.contributor.authorHanssen, Hege Marie
dc.contributor.authorFjellstad, Maria Serafia
dc.contributor.authorSkjevling, Linn
dc.contributor.authorJohnsen, Peter Holger
dc.contributor.authorGoll, Rasmus
dc.contributor.authorAlmå, Kristin Helen
dc.contributor.authorKulseng, Bård Eirik
dc.contributor.authorValle, Per Christian
dc.date.accessioned2024-01-15T11:32:11Z
dc.date.available2024-01-15T11:32:11Z
dc.date.issued2023-12-27
dc.description.abstractIntroduction - Obesity is one of the main threats to public health in western countries and increases the risk of several diseases, overall morbidity and mortality. Sustained weight loss will reduce risk factors and improve several obesity comorbidities. Options are conservative treatment such as lifestyle changes, bariatric surgery or medications. Conservative treatment has a low success rate, and bariatric surgery is typically not reversible, with the risk of complications and recurrences. Treatment of obesity with medications has in recent years shown great promise, but the side effects are many, and the long-term effect is unknown. There is also a need for an option for patients where surgery has contraindications and conservative follow-up does not succeed.<p> <p>The research on obesity and gut microbiota has yielded promising results regarding weight reduction and metabolic health, but more research is needed to better understand the relationship between gut microbiota and severe obesity. This study could show proof of concept that gut microbiota from a lean donor could, in addition to lifestyle intervention, contribute to weight reduction in people suffering from severe obesity.<p> <p>Method and analysis - This study aims to investigate if a fecal microbiota transplantation (FMT) from a lean donor leads to weight reduction in participants suffering from severe obesity. The study is a single-centre, double-blinded, placebo-controlled, parallel-group study with 60 participants. Participants will be randomised 1:1 for FMT from a lean donor or placebo. FMT or placebo will be delivered once by enema.<p> <p>We will include participants from the outpatient clinic for severe obesity, at the Medical Department, University Hospital of North Norway, Harstad, by invitation only. The study has a follow-up period of 12 months, with study visits of 3, 6 and 12 months post FMT. The primary endpoint is a weight reduction of ≥10%, 12 months after intervention.<p> <p>The results of the study will be published in open access journals. At the end of the study, the participants will receive information on which treatment group they belong to.<p> <p>Ethics and dissemination - The Regional Ethical Committee in North Norway (REK) approved the study protocol (2017/1655/REK Nord). We plan to present the results from the study at (inter)national conferences and publish in open-access general peer-reviewed journals. The enema method for FMT administration used in this study was developed by our study team.en_US
dc.identifier.citationHanssen, Fjellstad, Skjevling, Johnsen, Goll, Almå, Kulseng, Valle. Randomised, placebo-controlled, double-blinded trial of fecal microbiota transplantation in severe obesity: a study protocol. BMJ Open. 2023
dc.identifier.cristinIDFRIDAID 2220055
dc.identifier.doi10.1136/bmjopen-2023-073242
dc.identifier.issn2044-6055
dc.identifier.urihttps://hdl.handle.net/10037/32488
dc.language.isoengen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.journalBMJ Open
dc.relation.projectIDHelse Nord RHF: HNF1411-18
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0en_US
dc.rightsAttribution-NonCommercial 4.0 International (CC BY-NC 4.0)en_US
dc.subjectVDP::Medisinske fag: 700::Klinisk medisinske fag: 750::Gasteroenterologi: 773en_US
dc.subjectVDP::Midical sciences: 700::Clinical medical sciences: 750::Gastroenterology: 773en_US
dc.subjectMikrobiologi / Microbiologyen_US
dc.subjectOvervekt / Overweighten_US
dc.titleRandomised, placebo-controlled, double-blinded trial of fecal microbiota transplantation in severe obesity: a study protocolen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)
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