Effects of the bread containing resistant starch from wheat (Triticum aestivum) on the improvement in bowel movements: a randomized, double-blind, placebo-controlled, crossover study

Biosci Biotechnol Biochem. 2025 Jun 23;89(7):1015-1023. doi: 10.1093/bbb/zbaf044.

Abstract

This study aimed to evaluate the gut-regulating effects of wheat-derived resistant starch. A randomized, double-blind, placebo-controlled crossover study was conducted with 46 healthy Japanese adults. They were divided into 2 groups, consuming 3.26 g/day of wheat-derived resistant starch and a control food for 4 weeks each, separated by a 4-week washout period. There were no significant differences observed in the primary endpoint of defecation frequency. However, subgroup analysis showed significant improvements in bowel movements for participants who felt a strong sensation of incomplete evacuation. No gut-regulating effects were noted in other subgroups and secondary endpoints. The intake of 3.26 g/day of resistant starch was safe with no overall efficacy observed. Increased stool frequency was observed in participants with less frequent bowel movements and a strong feeling of incomplete evacuation, but no effects were confirmed in other subgroup analyses. No significant changes were observed at secondary endpoints (UMIN ID: UMIN000052543).

Keywords: bowel movement; feeling of incomplete evacuation; high-amylose wheat; randomized control trial; resistant starch.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Bread*
  • Cross-Over Studies
  • Defecation* / drug effects
  • Double-Blind Method
  • Female
  • Humans
  • Male
  • Middle Aged
  • Starch* / administration & dosage
  • Starch* / pharmacology
  • Triticum* / chemistry
  • Young Adult

Substances

  • Starch

Grants and funding