The Effect of a Soya-Based Dietary Fibre Beverage on Adiposity and Systemic Inflammatory Markers Among Overweight Adults: A Cluster-Randomized Controlled Trial
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Design and Setting
2.2. Sample Size
2.3. Study Population and Sampling
2.4. Recruitment
2.5. Interventions
2.6. Measurement Tools
2.6.1. Anthropometric Measurements
2.6.2. Body Composition
2.6.3. Dietary Records and Appetite
2.6.4. Biochemical Analysis
2.7. Statistical Analysis
3. Results
3.1. Participant Characteristics
3.2. Effects on Clinical and Anthropometric
3.3. Effects on Body Composition Parameters
3.4. Effects on Metabolic and Inflammatory Biomarkers
3.5. Change in Diet
3.6. Effects of SBB on Subjective Appetite Sensations
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
| ALT | Alanine aminotransferase |
| AST | Aspartate aminotransferase |
| BMI | Body Mass Index |
| BF% | Body fat percentage |
| BP | Blood pressure |
| CG | Control Group |
| CRP | C-reactive protein |
| c/HDL | Cholesterol to HDL cholesterol |
| eGFR | estimated Glomerular Filtration Rate |
| ELISA | Enzyme-linked immunosorbent assay |
| FFM | Fat-free mass |
| GGT | Gamma-glutamyl transferase |
| HbA1c | hemoglobin A1c |
| HC | Hip circumference |
| HDL | High-density lipoprotein |
| IG | Intervention Group |
| IL-6 | Interleukin-6 |
| LDL | Low-density lipoprotein |
| NRS | Numerical rating scale |
| SBB | Soy-based dietary fibre |
| SD | Standard deviation |
| VAS | Visual analogue scale |
| WC | Waist circumference |
| WHR | Waist–Hip ratio |
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| Control Group (n = 21) | Intervention Group (n = 21) | p-Value | |
|---|---|---|---|
| Age (years), mean (±SD) | 35.71 ± 5.96 | 38.43 ± 8.05 | 0.222 |
| Anthropometric parameters, mean (±SD) | |||
| Height (cm) | 157.48 ± 8.72 | 159.95 ± 5.93 | 0.226 |
| Weight (kg) | 66.69 ± 7.90 | 70.29 ± 7.52 | 0.138 |
| BMI (kg/m2) | 26.89 ± 2.15 | 27.41 ± 1.77 | 0.407 |
| WC (cm) | 82.20 ± 8.10 | 83.59 ± 8.06 | 0.580 |
| HC (cm) | 101.19 ± 5.36 | 100.60 ± 4.80 | 0.441 |
| WHR | 0.81 ± 0.07 | 0.83 ± 0.08 | 0.384 |
| Blood pressure, mean (±SD) | |||
| Systolic BP (mmHg) | 123.71 ± 13.53 | 121.90 ± 13.21 | 0.687 |
| Diastolic BP (mmHg) | 81.90 ± 9.81 | 81.43 ± 9.59 | 0.874 |
| Body composition, mean (±SD) | |||
| BF% | 35.37 ± 6.26 | 35.40 ± 5.83 | 0.930 |
| Fasting Plasma Glucose (mmol/L) | 5.16 ± 0.47 | 5.03 ± 0.37 | 0.330 |
| HbA1c (%) | 5.68 ± 0.33 | 5.64 ± 0.27 | 0.453 |
| Urea (mmol/L) | 4.03 ± 1.19 | 4.38 ± 0.98 | 0.241 |
| Creatinine (µmol/L) | 70.90 ± 14.73 | 69.14 ± 11.98 | 0.850 |
| eGFR (mL/min) | 102.6 ± 25.08 | 110.19 ± 15.79 | 0.521 |
| Total cholesterol (mmol/L) | 4.98 ± 1.24 | 5.56 ± 1.24 | 0.137 |
| LDL cholesterol (mmol/L) | 3.10 ± 0.95 | 3.62 ± 1.19 | 0.125 |
| HDL cholesterol (mmol/L) | 1.46 ± 0.61 | 1.44 ± 0.25 | 0.489 |
| Triglycerides (mmol/L) | 1.38 ± 0.81 | 1.14 ± 0.69 | 0.207 |
| c/HDL | 4.00 ± 1.00 | 4.00 ± 1.23 | 0.989 |
| Non-HDL (mmol/L) | 3.79 ± 0.96 | 4.12 ± 1.31 | 0.353 |
| Total protein (g/L) | 74.67 ± 3.21 | 75.71 ± 4.29 | 0.376 |
| Albumin (g/L) | 46.38 ± 2.87 | 47.52 ± 2.62 | 0.185 |
| Total bilirubin (µmol/L) | 10.02 ± 5.98 | 10.10 ± 4.97 | 0.970 |
| Alkaline phosphatase (U/L) | 66.85 ± 18.83 | 68.14 ± 16.83 | 0.817 |
| AST (U/L) | 25.95 ± 15.69 | 26.33 ± 9.07 | 0.207 |
| ALT (U/L) | 23.48 ± 20.73 | 27.71 ± 19.97 | 0.137 |
| C-reactive protein (mg/L) | 7.13 ± 14.07 | 6.93 ± 15.05 | 0.742 |
| IL-6 (pg/mL) | 36.95 ± 34.15 | 36.81 ± 37.32 | 0.806 |
| Measures | Mean (±SD) | p-Value | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Week 0 | Week 4 | Week 8 | Week 12 | Change (Week 12–Week 0) | Group a | Time a | Group × Time a | ||||||
| CG (n = 18) | IG (n = 15) | CG (n = 18) | IG (n = 15) | CG (n = 18) | IG (n = 15) | CG (n = 18) | IG (n = 15) | CG (n = 18) | IG (n = 15) | ||||
| Weight (kg) | 67.02 ± 8.24 | 69.70 ± 8.68 | 66.93 ± 8.40 | 69.85 ± 8.89 | 67.36 ± 8.59 | 69.13 ± 8.75 | 67.51 ± 8.36 | 68.58 ± 9.04 | 0.49 ± 0.80 | −1.12 ± 1.66 *b | 0.486 | 0.372 | <0.001 * |
| BMI (kg/m2) | 26.67 ± 2.16 | 27.23 ± 1.86 | 26.67 ± 2.24 | 27.29 ± 1.91 | 26.77 ± 2.39 | 27.03 ± 1.82 | 26.84 ± 2.18 | 26.80 ± 1.93 | 0.18 ± 0.37 | −0.43 ± 0.65 *b | 0.625 | 0.507 | 0.021 * |
| WC (cm) | 81.96 ± 8.56 | 84.43 ± 9.15 | 84.64 ± 9.34 | 82.51 ± 9.50 | 81.44 ± 7.75 | 81.13 ± 8.03 | 80.17 ± 8.87 | 80.13 ± 8.94 | −1.79 ± 2.43 | −4.29 ± 3.46 *b | 1.000 | 0.024 * | 0.046 * |
| HC (cm) | 100.61 ± 5.32 | 99.70 ± 5.42 | 99.86 ± 6.19 | 98.60 ± 6.48 | 98.42 ± 4.13 | 97.13 ± 5.30 | 98.67 ± 4.30 | 96.73 ± 6.20 | −1.94 ± 2.85 | −2.97 ± 4.70 | 0.456 | <0.001 * | 0.818 |
| WHR | 0.81 ± 0.07 | 0.85 ± 0.08 | 0.85 ± 0.07 | 0.84 ± 0.07 | 0.83 ± 0.08 | 0.83 ± 0.06 | 0.81 ± 0.08 | 0.83 ± 0.06 | −0.002 ± 0.03 | −0.02 ± 0.05 | 0.645 | 0.046 * | 0.042 * |
| Blood Pressure | |||||||||||||
| Systolic BP (mmHg) | 124.11 ± 13.69 | 122.13 ± 14.59 | 120.22 ± 14.19 | 121.87 ± 8.03 | 122.89 ± 13.23 | 122.73 ± 9.44 | 120.83 ± 12.19 | 118.40 ± 9.04 | −3.28 ± 10.33 | −3.73 ± 9.82 | 0.827 | 0.172 | 0.796 |
| Diastolic BP (mmHg) | 83.33 ± 9.20 | 81.20 ± 10.83 | 78.11 ± 8.05 | 82.27 ± 6.69 | 78.72 ± 9.25 | 80.60 ± 7.38 | 78.11 ± 8.30 | 81.00 ± 6.58 | −2.33 ± 7.15 | −0.20 ± 8.26 | 0.419 | 0.459 | 0.217 |
| Measures | Mean (±SD) | p-Value | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Week 0 | Week 4 | Week 8 | Week 12 | Change (Week 12–Week 0) | Group a | Time a | Group × Time a | ||||||
| CG (n = 18) | IG (n = 15) | CG (n = 18) | IG (n = 15) | CG (n = 18) | IG (n = 15) | CG (n = 18) | IG (n = 15) | CG (n = 18) | IG (n = 15) | ||||
| BF% | 34.58 ± 6.40 | 34.00 ± 6.26 | 35.07 ± 7.29 | 33.75 ± 6.45 | 35.11 ± 6.68 | 33.65 ± 6.04 | 34.93 ± 6.31 | 33.27 ± 6.32 | 0.35 ± 0.67 | −0.73 ± 0.89 *b | 0.580 | 0.296 | 0.004 * |
| Fat mass (kg) | 23.23 ± 4.55 | 23.60 ± 4.85 | 23.53 ± 5.01 | 23.46 ± 4.84 | 23.73 ± 5.03 | 23.15 ± 4.59 | 23.61 ± 4.59 | 22.70 ± 4.77 | 0.38 ± 0.72 | −0.9 ± 1.10 *b | 0.856 | 0.503 | 0.305 |
| Fat-free mass (kg) | 44.01 ± 8.58 | 46.10 ± 8.08 | 43.36 ± 9.19 | 46.41 ± 8.49 | 43.96 ± 8.49 | 45.98 ± 8.08 | 43.31 ± 8.04 | 46.69 ± 8.11 | 0.59 ± 11.18 | −0.7 ± 12.26 | 0.266 | 0.834 | 0.047 * |
| Visceral fat rating | 8.06 ± 2.41 | 9.40 ± 3.04 | 8.06 ± 2.41 | 9.47 ± 3.16 | 8.11 ± 2.45 | 9.13 ± 3.13 | 8.06 ± 2.41 | 9.00 ± 3.21 | 0.00 ± 0.34 | −0.40 ± 0.63 | 0.230 | 0.011 * | 0.005 * |
| Muscle mass (kg) | 41.59 ± 8.23 | 43.51 ± 7.78 | 39.58 ± 10.90 | 43.80 ± 8.17 | 39.66 ± 10.38 | 43.39 ± 7.77 | 41.62 ± 8.11 | 43.32 ± 8.02 | 0.02 ± 0.44 | −0.19 ± 0.75 | 0.338 | 0.427 | 0.270 |
| Measures | Mean ± SD | p-Value | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Week 0 | Week 12 | Change (Week 12–Week 0) | Group a | Time a | Group × Time a | ||||
| CG (n = 18) | IG (n = 15) | CG (n = 18) | IG (n = 15) | CG (n = 18) | IG (n = 15) | ||||
| Fasting blood glucose (mmol/L) | 5.15 ± 0.41 | 5.05 ± 0.39 | 4.86 ± 0.35 | 4.75 ± 0.58 | −0.29 ± 0.27 | −0.30 ± 0.35 | 0.278 | <0.001 * | 0.640 |
| HbA1c (%) | 5.63 ± 0.32 | 5.64 ± 0.31 | 5.60 ± 0.30 | 5.57 ± 0.50 | −0.03 ± 0.13 | −0.07 ± 0.36 | 0.741 | 0.373 | 0.592 |
| Total cholesterol (mmol/L) | 4.97 ± 1.03 | 5.73 ± 1.33 | 5.10 ± 0.67 | 5.50 ± 1.17 | 0.13 ± 1.07 | −0.23 ± 0.93 | 0.313 | 0.847 | 0.260 |
| LDL cholesterol (mmol/L) | 3.12 ± 0.80 | 3.79 ± 1.27 | 3.22 ± 0.66 | 3.58 ± 1.08 | 0.09 ± 0.76 | −0.21 ± 0.97 | 0.297 | 0.863 | 0.243 |
| HDL cholesterol (mmol/L) | 1.51 ± 0.67 | 1.42 ± 0.28 | 1.33 ± 0.24 | 1.35 ± 0.24 | −0.18 ± 0.49 | −0.07 ± 0.14 | 0.826 | 0.082 | 0.507 |
| Triglycerides (mmol/L) | 1.27 ± 0.67 | 1.19 ± 0.81 | 1.19 ± 0.65 | 1.27 ± 0.65 | −0.08 ± 0.71 | 0.08 ± 0.51 | 0.836 | 0.915 | 0.545 |
| c/HDL-C | 3.96 ± 0.74 | 4.19 ± 1.34 | 3.90 ± 0.71 | 4.26 ± 1.31 | −0.06 ± 0.76 | 0.07 ± 0.73 | 0.725 | 0.949 | 0.564 |
| Non-HDL cholesterol (mmol/L) | 3.79 ± 0.54 | 4.31 ± 1.40 | 3.78 ± 0.64 | 4.16 ± 1.25 | −0.01 ± 0.50 | −0.15 ± 0.96 | 0.505 | 0.650 | 0.507 |
| Urea (mmol/L) | 3.98 ± 1.00 | 4.51 ± 1.02 | 3.87 ± 1.07 | 4.41 ± 1.45 | −0.11 ± 1.09 | −0.10 ± 0.75 | 0.235 | 0.805 | 0.844 |
| Creatinine (µmol/L) | 70.06 ± 13.57 | 71.20 ± 13.61 | 69.72 ± 15.76 | 68.80 ± 11.47 | −0.34 ± 6.61 | −2.40 ± 7.46 | 0.715 | 0.792 | 0.658 |
| eGFR (mL/min) | 107.72 ± 10.59 | 108.33 ± 15.85 | 107.22 ± 13.98 | 109.53 ± 13.99 | −0.50 ± 8.48 | 1.2 ± 8.54 | 0.365 | 0.290 | 0.401 |
| Total protein (g/L) | 75.00 ± 3.29 | 75.40 ± 3.50 | 75.61 ± 2.91 | 75.00 ± 4.38 | 0.61 ± 3.73 | −0.40 ± 4.66 | 0.559 | 0.428 | 0.921 |
| Albumin (g/L) | 47.00 ± 2.50 | 47.40 ± 2.92 | 47.22 ± 2.01 | 48.27 ± 2.91 | 0.22 ± 2.13 | 0.87 ± 2.77 | 0.894 | 0.032 * | 0.078 |
| Total bilirubin (µmol/L) | 10.36 ± 6.39 | 10.53 ± 5.48 | 10.57 ± 6.86 | 12.00 ± 4.97 | 0.19 ± 5.64 | 1.47 ± 3.25 | 0.278 | 0.357 | 0.620 |
| Alkaline phosphatase (U/L) | 68.17 ± 19.78 | 69.53 ± 18.45 | 69.33 ± 12.86 | 72.07 ± 20.22 | 1.17 ± 15.92 | 2.53 ± 6.80 | 0.634 | 0.804 | 0.939 |
| AST (U/L) | 25.89 ± 16.50 | 29.40 ± 8.93 | 24.00 ± 10.15 | 26.47 ± 9.98 | −1.89 ± 18.02 | −2.93 ± 5.00 | 0.108 | 0.347 | 0.093 |
| ALT (U/L) | 23.17 ± 21.47 | 33.60 ± 20.74 | 28.44 ± 32.96 | 35.60 ± 24.47 | 5.28 ± 13.37 | 2.00 ± 10.55 | 0.359 | 0.987 | 0.218 |
| GGT (IU/L) | 27.06 ± 18.68 | 42.27 ± 33.12 | 26.94 ± 20.05 | 43.07 ± 35.69 | −0.11 ± 4.51 | 0.80 ± 22.43 | 0.050 * | 0.022 * | 0.026 * |
| C-reactive protein (mg/L) | 7.56 ± 14.78 | 7.74 ± 16.39 | 4.54 ± 5.27 | 3.30 ± 2.58 | −3.02 ± 13.64 | −4.44 ± 14.81 | 0.601 | 0.647 | 0.707 |
| IL-6 (pg/mL) | 38.58 ± 35.03 | 37.61 ± 38.59 | 40.47 ± 33.58 | 37.11 ± 30.28 | 1.89 ± 42.76 | −0.50 ± 46.37 | 0.664 | 0.090 | 0.936 |
| Measures | Week 0 | Week 4 | Week 8 | Week 12 | ||||
|---|---|---|---|---|---|---|---|---|
| CG (n = 18) | IG (n = 15) | CG (n = 18) | IG (n = 15) | CG (n = 18) | IG (n = 15) | CG (n = 18) | IG (n = 15) | |
| Energy (kcal/day) | 1351.05 ± 379.72 | 1546.18 ± 557.64 | 1489.32 ± 763.81 | 1548.28 ± 356.99 | 1519.44 ± 564.30 | 1504.57 ± 532.42 | 1711.35 ± 591.86 | 1775.59 ± 546.62 |
| Carbohydrates (g/day) | 146.17 ± 40.76 | 181.03 ± 71.61 | 182.75 ± 92.28 | 241.55 ± 61.29 * | 184.17 ± 89.78 | 247.77 ± 73.21 * | 201.61 ± 76.61 | 276.07 ± 69.30 * |
| Protein (g/day) | 62.56 ± 18.13 | 65.18 ± 22.42 | 57.32 ± 22.98 | 81.31 ± 21.98 * | 66.54 ± 25.25 | 94.31 ± 42.14 * | 65.42 ± 23.87 | 98.00 ± 39.85 * |
| Fat (g/day) | 55.13 ± 20.15 | 58.87 ± 21.84 | 57.65 ± 35.67 | 64.09 ± 13.30 * | 56.08 ± 22.19 | 65.00 ± 21.25 | 67.12 ± 24.24 | 74.04 ± 21.14 |
| Dietary fibre (g/day) | 3.04 ± 1.53 | 3.09 ± 2.60 | 5.21 ± 4.68 | 48.14 ± 9.64 * | 4.98 ± 4.90 | 50.15 ± 6.65 * | 5.94 ± 4.34 | 50.42 ± 5.17 * |
| ΔVAS (Mean ± SEM) | p-Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Week 0 | Week 4 | Week 12 | Group | Time | Group × Time | ||||
| CG (n = 18) | IG (n = 15) | CG (n = 18) | IG (n = 15) | CG (n = 18) | IG (n = 15) | ||||
| Fullness | 30.00 ± 4.13 | 31.71 ± 4.03 | 32.22 ± 3.51 | 31.33 ± 3.85 | 32.04 ± 3.51 | 36.67 ± 3.85 | 0.561 | 0.637 | 0.756 |
| Hunger | −25.90 ± 4.71 | −21.71 ± 4.59 | −33.15 ± 4.00 | −27.56 ± 4.38 | −31.48 ± 4.00 | −32.67 ± 4.38 | 0.421 | 0.153 | 0.699 |
| Desire to eat meal | −20.513 ± 4.57 | −20.98 ± 4.57 | −23.52 ± 3.98 | −25.56 ± 4.34 | −25.37 ± 3.98 | −33.79 ± 4.36 | 0.305 | 0.130 | 0.620 |
| Desire to eat snack | −5.39 ± 3.82 | −11.46 ± 3.72 | −2.22 ± 3.24 | −15.78 ± 3.56 | −9.26 ± 3.24 | −21.33 ± 3.56 | <0.001 * | 0.092 | 0.554 |
| Thirst | −3.33 ± 4.33 | −13.17 ± 4.23 | −7.69 ± 3.75 | −10.67 ± 4.03 | −7.69 ± 3.75 | −17.78 ± 4.03 | 0.019 * | 0.518 | 0.578 |
| Prospective food consumption | −14.62 ± 4.42 | −21.46 ± 4.31 | −18.46 ± 3.83 | −25.33 ± 4.11 | −16.67 ± 3.76 | −30.44 ± 4.11 | 0.007 * | 0.405 | 0.610 |
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Hamzah, N.; Mohamed, H.J.J.; Vanoh, D.; Mohamed, W.M.I.W.; Ismail, D.; Ali, M.K.M.; Zainuddin, N.A.; Amran, S.A.; Wan Ishak, W.R. The Effect of a Soya-Based Dietary Fibre Beverage on Adiposity and Systemic Inflammatory Markers Among Overweight Adults: A Cluster-Randomized Controlled Trial. Nutrients 2026, 18, 1965. https://doi.org/10.3390/nu18121965
Hamzah N, Mohamed HJJ, Vanoh D, Mohamed WMIW, Ismail D, Ali MKM, Zainuddin NA, Amran SA, Wan Ishak WR. The Effect of a Soya-Based Dietary Fibre Beverage on Adiposity and Systemic Inflammatory Markers Among Overweight Adults: A Cluster-Randomized Controlled Trial. Nutrients. 2026; 18(12):1965. https://doi.org/10.3390/nu18121965
Chicago/Turabian StyleHamzah, Nurraihana, Hamid Jan Jan Mohamed, Divya Vanoh, Wan Mohd Izani Wan Mohamed, Dzulkiflee Ismail, Majid Khan Majahar Ali, Nur Amanina Zainuddin, Siti Azhani Amran, and Wan Rosli Wan Ishak. 2026. "The Effect of a Soya-Based Dietary Fibre Beverage on Adiposity and Systemic Inflammatory Markers Among Overweight Adults: A Cluster-Randomized Controlled Trial" Nutrients 18, no. 12: 1965. https://doi.org/10.3390/nu18121965
APA StyleHamzah, N., Mohamed, H. J. J., Vanoh, D., Mohamed, W. M. I. W., Ismail, D., Ali, M. K. M., Zainuddin, N. A., Amran, S. A., & Wan Ishak, W. R. (2026). The Effect of a Soya-Based Dietary Fibre Beverage on Adiposity and Systemic Inflammatory Markers Among Overweight Adults: A Cluster-Randomized Controlled Trial. Nutrients, 18(12), 1965. https://doi.org/10.3390/nu18121965

