Table 1

Inclusion and exclusion criteria for participation and fecal donors in the randomised controlled trial of fecal microbiota transplantation in severe obesity

InclusionExclusion
Study participants
Must be at least 18 years of age and under 69 yearsSymptomatic cardiovascular disease, lung disease, cirrhosis or significant renal failure
Sign consent formPatients who are pregnant or breast feeding
BMI ≥ 40 kg/m2 or BMI ≥ 35 kg/m2 combined with comorbidity related to obesityPatients who have a confirmed malignancy or cancer
Patients who are immunocompromised
Previous gastric or small intestinal surgery that alters gut anatomy such as fundoplication, gastric resection, gastric bypass or small bowel resection
Established drug or alcohol abuse or particularly unstable psychosocial circumstances
History of cholecystectomy
New drugs the last 3 months or during the follow-up period that can impact on metabolism or body weight
Antibiotic treatment the last 3 months
Serious food allergies
Fecal donors
Age 16–40Use of peroral antibiotics the past 6 months
Sign consent formTattoo or piercing the past 6 months
HealthyClose relatives with serious autoimmune disease, psychiatric disorder or obesity
BMI 18–25Former imprisonment
History of
Chronic diarrhoea
Constipation
Inflammatory bowel disease
Irritable bowel syndrome
Colorectal polyps
Immunosuppression
Obesity
Metabolic syndrome
CFS/ME
Psychiatric disorders
Other serious autoimmune diseases
Cancer
High-risk sexual behaviour
Bowel movements that do not correspond to a Bristol Stool Scale type 3 or 4
Journeys abroad the last 6 months to countries high in antibiotic resistance
Use of food supplements, prebiotics, probiotics or symbiotics
Positive cultures for extended spectrum beta-lactamase (ESBL), VRE and MRSA, Salmonella spp, Shigella spp, Campylobacter spp,Yersinia spp and toxin-producing Clostridioides difficile.
Fecal tests for viruses (norovirus, rotavirus, sapovirus and adenovirus) and occult blood and a GA-map dysbiosis test: with dysbiosis grade 3 or more*17.
Blood samples for glycated haemoglobin, serology for HIV, Treponema pallidum and hepatitis A, B, C and E
  • *The bacteria measured with the GA-map dysbiosis test do not represent entire phyla, but only specific parts of the phyla. This is a clear limitation of the test, which the study personnel is aware of.

  • BMI, body mass index; CFS, chronic fatigue syndrome; ESBL, extended spectrum beta-lactamase; ME, myalgic encephalomyelitis; MRSA, methicillin-resistant Staphylococcus aureus; VRE, vancomycin-resistant enterococci.