Nutritional study to determine the efficacy of dry blood spots, urine and faeces metabolite profiles for dietary assessment

ISRCTN ISRCTN47135203
DOI https://doi.org/10.1186/ISRCTN47135203
Secondary identifying numbers M10_2022_435MR1
Submission date
16/10/2024
Registration date
22/10/2024
Last edited
05/08/2025
Recruitment status
No longer recruiting
Overall study status
Ongoing
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Nutritional research is trying to find better ways to understand what people eat. Current methods, like food frequency questionnaires, aren’t very accurate. Researchers need new, easy, and affordable tools to get reliable results. Validating the use of dried blood spots (DBS) as a minimally invasive tool to monitor dietary fat intake, and analyzing metabolites in urine and faeces, we can better understand the relationship between diet and metabolism. This approach, combined with simple dietary questionnaires, will help improve our understanding of how diet influences health.

Who can participate?
Healthy volunteers (male and female), aged 18-65 years old.

What does the study involve?
Participants will provide general information such as age, sex, date of birth, weight, height, disease parameters, lifestyle, physical activity, and dietary habits through a brief online questionnaire, which takes 5-10 minutes to complete. Before collecting biological samples, participants will provide detailed food intake information and complete a short online digestive health questionnaire, which takes about 3 minutes.
Biological samples (capillary blood and urine) will be collected on 6 different days over 3 weeks. Faecal samples will be collected at home on days 1, 7, and 21.
The nutritional intervention involves no fish intake in the first week, followed by 2 weeks consuming 2 servings of canned mackerel and 1 serving of any other lean fish per week, while maintaining their usual diet. Daily food intake will be registered.

What are the possible benefits and risks of participating?
There are no risks of participating. The possible benefits are to enhance more accurate knowledge about dietary intake.

Where is the study run from?
AZTI (Spain)

When is the study starting and how long is it expected to run for?
April 2023 to December 2026

Who is funding the study?
European Union under Horizon Europe project
Basque Government (IKERTALENT Scholarship Program 2021) (Spain)

Who is the main contact?
1. Dr. Sara Arranz, sarranz@azti.es
2. Laura García Urtiaga, lgarcia@azti.es

Contact information

Dr Sara Arranz
Public, Principal Investigator

Fundación AZTI
Parque Tecnológico de Bizkaia
Astondo Bidea, edificio 609
Derio
48160
Spain

ORCiD logoORCID ID 0000-0003-2397-5145
Phone +34 671750399
Email sarranz@azti.es
Miss Laura Garcia
Scientific

Fundación AZTI
Parque Tecnológico de Bizkaia
Astondo Bidea, edificio 609
Derio
48160
Spain

ORCiD logoORCID ID 0009-0009-5110-6538
Phone +34 667141250
Email lgarcia@azti.es

Study information

Study designSingle-center nutritional intervention study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Workplace
Study typeOther
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titlePilot study on the impact of nutritional and lifestyle habits on the profile of fatty acids in dried blood Spots (DBS) and metabolites in urine and faeces
Study objectivesIncorporating the measurement of fatty acids in dried blood spots (DBS) and analyzing metabolites in urine and feces as minimally invasive tools will yield more precise information on an individual’s nutritional status

Ethics approval(s)

Approved 23/10/2023, CEISH-UPV/EHU (Bizkaia Campus, Sarriera Auzoa, Leioa, 48940, Spain; +34 946012430; astrid.beascoa@ahu.eus), ref: M10_2022_435MR2_GARCÍA URTIAGA

Health condition(s) or problem(s) studiedEfficacy of dry blood spots, urine and faeces metabolite profiles for dietary assessment
InterventionThe participants of this study were recruited from AZTI staff in Derio (Bizkaia) from October to November 2023. In total, 24 healthy volunteers aged 18-65 years were involved in the study, with 18 completing the nutritional intervention study.

Participants will provide general information about lifestyle, physical activity, dietary habits and digestive health through a brief online questionnaire, which takes 5-10 minutes to complete.

Participants are required to maintain their usual diet for two weeks, recording daily food intakes. This was followed by a 3 weeks nutritional intervention period: one-week washout period restricting fish and shellfish. For the next two weeks, participants consumed two portions of canned mackerel and one portion of lean fish weekly, with no other dietary restrictions. Daily dietary habits were recorded during 3 weeks.

Capillary Blood and urine samples were collected at six time points in night fasting condition: baseline (T0), after one week of fish restriction (T1), one day after T1 (having consumed a portion of mackerel the night before of the sample collection time) (T2), after the first week of intervention (T3), one day after T3 T1 (as for T2, having consumed a portion of mackerel the night before of the sample collection time) (T4), and after the second week of intervention (T5). Fish and shellfish intake was restricted 24 hours before all collection points except T2 and T4.

Faeces samples were collected only at three time points (T0, T1 and T5).
Intervention typeOther
Primary outcome measure1. General information about lifestyle, physical activity, dietary habits, and digestive health is measured using a brief online questionnaire at baseline
2. Daily food intake is measured using daily food records during the two-week usual diet period and the three-week nutritional intervention period
3. Capillary blood samples measured at baseline (T0), after one week of fish restriction (T1), one day after T1 (T2), after the first week of intervention (T3), one day after T3 (T4), and after the second week of intervention (T5)
4. Urine samples measured at baseline (T0), after one week of fish restriction (T1), one day after T1 (T2), after the first week of intervention (T3), one day after T3 (T4), and after the second week of intervention (T5)
5. Faeces samples measured at baseline (T0), after one week of fish restriction (T1), and after the second week of intervention (T5)
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date05/04/2023
Completion date31/12/2026

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
Upper age limit65 Years
SexBoth
Target number of participants20
Total final enrolment24
Key inclusion criteriaHealthy male and female aged 18-65 years old.


Key exclusion criteria1. Diagnosed disease.
2. Taking medication.
3. Consuming or having consumed omega-3 supplements in the last 6 months.
4. Cancer in the last 6 months.
5. Pregnant or breastfeeding women.
6. Have undergone a nutritional intervention diet in the last 6 months.
Date of first enrolment30/10/2023
Date of final enrolment30/11/2023

Locations

Countries of recruitment

  • Spain

Study participating centre

AZTI Foundation
Food and Health
Parque Tecnológico de Bizkaia
Astondo Bidea E609
Derio
48160
Spain

Sponsor information

Fundación AZTI
Research organisation

Parque Tecnológico de Bizkaia
Astondo Bidea, edificio 609
Derio
48160
Spain

Phone +34 946574000
Email info@azti.es
Website https://www.azti.es/

Funders

Funder type

Government

European Union Horizon Programme

No information available

Basque Government (IKERTALENT Scholarship Program 2021)

No information available

Results and Publications

Intention to publish date31/12/2027
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planPlanned publication in high-impact peer reviewed journals. Work in progress will also be presented at CoDiet EU project group meetings and at relevant conferences.
IPD sharing planThe datasets generated during and/or analysed during the current study are not expected to be made publicly available. All data will be published as group summaries and anonymised.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 04/08/2025 05/08/2025 Yes No

Editorial Notes

05/08/2025: Publication reference added.
18/12/2024: The intention to publish date was changed from 31/12/2024 to 31/12/2027.
16/10/2024: Trial's existence confirmed by CEISH-UPV/EHU.