There are sex differences in large bowel cancer rates and a variety of other gastrointestinal disorders possibly because of differences in gut biology. To Few studies have examined gender differences in colonic function under tightly controlled dietary conditions. We report here the results of a randomised trial designed to compare transit time, faecal weight, faecal pH, faecal bile acid excretion, and fibre digestibility in healthy men and women. The hypothesis tested was that premenopausal women would have slower transit times, smaller faecal mass, higher total bile acid excretion, and more alkaline pH than a group of similarly aged men consuming the same defined diets.
Methods
SUBJECTSSubjects were recruited from the University of Minnesota community. Healthy, non-smokers who had not used antibiotics within 6 months of the start of the study were screened for their ability to complete a rigorous schedule of defined diet ingestion and extensive biological sample collection. All subjects were healthy, had not been taking medication, and had no history of diabetes, heart disease, gastrointestinal malabsorption, or renal disease. The design of the study was approved by the Committee on Use of Human Subjects in Research at the University of Minnesota, and informed written consent was obtained from all subjects before the start of the study.Forty six subjects were initially randomised into the study, but because of commitment required, nine people dropped out during the first week on the defined diet and three more dropped out after two diet periods. Thirty four subjects (16 women, 18 men) finished all aspects of the study. All the women were premenopausal and none were using oral contraceptives. The mean (SD) age, height, weight, and body mass index for the men and women were 25 9 (7 5) years, 1-79 (007) metres, 74 5 (9-1) kg, .(2 6) kg/M2 and 26-7 (5-3) years, 169 (006) metres 63-4 (7 9) kg, 22d1 (1)(2)(3)(4)(5)(6)(7)(8)(9) kg/m2, respectively.
STUDY DESIGN AND SAMPLE ANALYSISBefore the start of the randomised fibre trial, baseline data were collected for 9 days while subjects ate their normal diet (self selected 531 on 12 May 2018 by guest. Protected by copyright.