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Distribution of Nutrient Derived Amino Acids

Primary Purpose

Muscle Mass, Protein Intake, Diet Modification

Status
Completed
Phase
Not Applicable
Locations
Denmark
Study Type
Interventional
Intervention
Distribution pattern of dietary proteins (minced meat)
Sponsored by
Bispebjerg Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Muscle Mass focused on measuring Dietary protein, Sarcopenia, Protein turnover, Muscle protein

Eligibility Criteria

65 Years - 80 Years (Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Men and women
  • Between 65-80 years of age

Exclusion Criteria:

  • BMI above 30
  • Smokers
  • Vegetarians
  • Diabetes or other metabolic diseases
  • Medical treatment which affects protein turnover
  • Gastro-intestinal diseases, reduced kidney or liver function, or chronic inflammation diseases
  • Elevated blood-pressure or signs of atherosclerosis
  • More than 5 hours of regular exercise each week

Sites / Locations

  • Institute of Sports Medicine Copenhagen

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

MINCED-SKEWED

MINCED-EVEN

Arm Description

Minced meat administered with a skewed protein distribution pattern

Minced meat administered with an even protein distribution pattern

Outcomes

Primary Outcome Measures

Muscle protein synthesis
Myofibrillar FSR measured by deuterated water technique, by which deuterium labeled alanine incorporation into myofibrillar muscle protein synthesis can be measured.
Net protein balance
Whole body net protein balance measured during 10 hours acute study. Measured by the application of stable amino acid labeled phenylalanine and tyrosine tracers, by which the protein synthesis, phenylalanine oxidation and protein breakdown can be calculated.

Secondary Outcome Measures

D5-phenylalanine incorporation
D5-phenylalanine incorporation into myofibrillar proteins. Dietary meat proteins are intrinsically labeled with D5-phenylalanine
Muscle protein synthesis
Myofibrillar protein synthesis (%/hour) measured during 10 hours of the acute study. Calculated from the difference in D8-phenylalanine incorporation from the muscle biopsies taken at 2 hours and 12 hours into the stable amino acid tracer infusion.
Protein synthesis
Whole body protein synthesis (%/hour) measured during acute study, by the use of stabel amino acid tracer technique.
Protein breakdown
Whole body protein breakdown (%/hour) measured during acute study, by the use of stabel amino acid tracer technique.
Phenylalanine oxidation
Phenylalanine oxidation measured during acute study
D5-phenylalanine appearance
Plasma D5-phenylalanine enrichment after intake of D5-phenylalanine intrinsically labelled meat proteins
Signaling pathways in skeletal muscle
Intracellular signaling pathways related to protein turnover. Measured by Western blotting technique from the muscle tissue biopsies taken at 2 hours and 12 hours into the acute study.
Plasma insulin
Plasma insulin concentration during acute study

Full Information

First Posted
January 18, 2019
Last Updated
November 18, 2022
Sponsor
Bispebjerg Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT03870425
Brief Title
Distribution of Nutrient Derived Amino Acids
Official Title
Distribution of Nutrient Derived Amino Acids and Anabolic Effect in Healthy Elderly Individuals
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Completed
Study Start Date
April 9, 2019 (Actual)
Primary Completion Date
June 30, 2020 (Actual)
Study Completion Date
February 28, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Bispebjerg Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The project examines over several days how the distribution pattern of dietary protein stimulate and affect the protein turnover of important proteins in the aging perspective, such as skeletal muscle proteins.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Muscle Mass, Protein Intake, Diet Modification, Protein Synthesis, Protein Breakdown, Sarcopenia
Keywords
Dietary protein, Sarcopenia, Protein turnover, Muscle protein

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Randomized controlled
Masking
Care ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
MINCED-SKEWED
Arm Type
Placebo Comparator
Arm Description
Minced meat administered with a skewed protein distribution pattern
Arm Title
MINCED-EVEN
Arm Type
Experimental
Arm Description
Minced meat administered with an even protein distribution pattern
Intervention Type
Other
Intervention Name(s)
Distribution pattern of dietary proteins (minced meat)
Intervention Description
Study effect of an even or skewed distribution pattern of dietary protein
Primary Outcome Measure Information:
Title
Muscle protein synthesis
Description
Myofibrillar FSR measured by deuterated water technique, by which deuterium labeled alanine incorporation into myofibrillar muscle protein synthesis can be measured.
Time Frame
3 days
Title
Net protein balance
Description
Whole body net protein balance measured during 10 hours acute study. Measured by the application of stable amino acid labeled phenylalanine and tyrosine tracers, by which the protein synthesis, phenylalanine oxidation and protein breakdown can be calculated.
Time Frame
10 hours
Secondary Outcome Measure Information:
Title
D5-phenylalanine incorporation
Description
D5-phenylalanine incorporation into myofibrillar proteins. Dietary meat proteins are intrinsically labeled with D5-phenylalanine
Time Frame
3 days
Title
Muscle protein synthesis
Description
Myofibrillar protein synthesis (%/hour) measured during 10 hours of the acute study. Calculated from the difference in D8-phenylalanine incorporation from the muscle biopsies taken at 2 hours and 12 hours into the stable amino acid tracer infusion.
Time Frame
10 hours
Title
Protein synthesis
Description
Whole body protein synthesis (%/hour) measured during acute study, by the use of stabel amino acid tracer technique.
Time Frame
10 hours
Title
Protein breakdown
Description
Whole body protein breakdown (%/hour) measured during acute study, by the use of stabel amino acid tracer technique.
Time Frame
10 hours
Title
Phenylalanine oxidation
Description
Phenylalanine oxidation measured during acute study
Time Frame
10 hours
Title
D5-phenylalanine appearance
Description
Plasma D5-phenylalanine enrichment after intake of D5-phenylalanine intrinsically labelled meat proteins
Time Frame
12 hours
Title
Signaling pathways in skeletal muscle
Description
Intracellular signaling pathways related to protein turnover. Measured by Western blotting technique from the muscle tissue biopsies taken at 2 hours and 12 hours into the acute study.
Time Frame
10 hours
Title
Plasma insulin
Description
Plasma insulin concentration during acute study
Time Frame
12 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
65 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Men and women Between 65-80 years of age Exclusion Criteria: BMI above 30 Smokers Vegetarians Diabetes or other metabolic diseases Medical treatment which affects protein turnover Gastro-intestinal diseases, reduced kidney or liver function, or chronic inflammation diseases Elevated blood-pressure or signs of atherosclerosis More than 5 hours of regular exercise each week
Facility Information:
Facility Name
Institute of Sports Medicine Copenhagen
City
Copenhagen
ZIP/Postal Code
DK-2400
Country
Denmark

12. IPD Sharing Statement

Plan to Share IPD
No

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Distribution of Nutrient Derived Amino Acids

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