Effect of Caloric Restriction and Protein Intake on Metabolism and Anabolic Sensitivity
Can Increased Dietary Protein Prevent the Suppression of Metabolism and Maintain Anabolic Sensitivity of Bone and Skeletal Muscle During Caloric Restriction?
1 other identifier
interventional
20
1 country
1
Brief Summary
The purpose of this study is to determine if an increased protein intake can attenuate the suppression of metabolic and anabolic hormones during caloric restriction
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Sep 2016
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2016
CompletedFirst Submitted
Initial submission to the registry
October 10, 2016
CompletedFirst Posted
Study publicly available on registry
October 26, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2019
CompletedResults Posted
Study results publicly available
December 19, 2019
CompletedDecember 19, 2019
December 1, 2019
2.4 years
October 10, 2016
October 9, 2019
December 1, 2019
Conditions
Outcome Measures
Primary Outcomes (4)
Change in Resting Metabolic Rate
Baseline and day 6
Change in Circulating IGF-1
Baseline and day 6
Change in Marker of Bone Formation (P1NP)
Baseline and day 6
Change in Marker of Bone Resorption (CTx)
Baseline and day 6
Secondary Outcomes (4)
Change in Body Weight
Baseline and day 6
Change in Body Fat Percentage
Baseline and day 6
Change in Aerobic Fitness (VO2peak)
Baseline and day 6
Change in Perceived Hunger
Baseline and day 6
Study Arms (3)
Caloric Restriction and High Protein
EXPERIMENTALParticipants will be calorie restricted to 30 kcal/kg FFM/day and consume 1.7 g protein/kg BW/day.
Caloric Restriction and Normal Protein
ACTIVE COMPARATORParticipants will be calorie restricted to 30 kcal/kg FFM/day and consume 0.8 g protein/kg BW/day.
Energy Balance
PLACEBO COMPARATORParticipants will be in energy balance and consume 1.7 g protein/kg BW/day.
Interventions
Participants will consume 30 kcal/kg FFM/day.
Participants will consume 1.7 g protein/kg BW/day.
Participants will conduct aerobic exercise designed to expend 15 kcal/kg FFM/day
Participants will be provided calcium and vitamin D supplement in order to maintain calcium and Vitamin D intake constant across all study arms
Participants will be provided with maltodextrin to supplement the liquid diet in order to meet caloric needs within each study arm
Eligibility Criteria
You may qualify if:
- hours/week of purposeful aerobic exercise over the last 3 months
- Body mass index: 19-25 kg/m2
- \< 15% body fat
You may not qualify if:
- Cardiovascular disease risk factors that would result in greater than low risk
- Smoking
- Type I, type II diabetes, or history of high fasting glucose;
- History of high blood pressure and/or use of medication for hypertension;
- History of Dyslipidemia, or on lipid-lowering medication;
- Underlying health condition and/or use of medication that could interfere with any of our study outcomes.
- History or current diagnosis of a clinical eating disorder
- Failure to adhere to study protocol
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Sports and Exercise Nutrition Laboratory, Department of Nutrition and Health Sciences, Ruth Leverton Hall
Lincoln, Nebraska, 68583, United States
Related Publications (19)
Hill JO. Understanding and addressing the epidemic of obesity: an energy balance perspective. Endocr Rev. 2006 Dec;27(7):750-61. doi: 10.1210/er.2006-0032. Epub 2006 Nov 22.
PMID: 17122359BACKGROUNDDonnelly JE, Blair SN, Jakicic JM, Manore MM, Rankin JW, Smith BK; American College of Sports Medicine. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009 Feb;41(2):459-71. doi: 10.1249/MSS.0b013e3181949333.
PMID: 19127177BACKGROUNDWeinheimer EM, Sands LP, Campbell WW. A systematic review of the separate and combined effects of energy restriction and exercise on fat-free mass in middle-aged and older adults: implications for sarcopenic obesity. Nutr Rev. 2010 Jul;68(7):375-88. doi: 10.1111/j.1753-4887.2010.00298.x.
PMID: 20591106BACKGROUNDForbes GB. Body fat content influences the body composition response to nutrition and exercise. Ann N Y Acad Sci. 2000 May;904:359-65. doi: 10.1111/j.1749-6632.2000.tb06482.x.
PMID: 10865771BACKGROUNDAreta JL, Burke LM, Camera DM, West DW, Crawshay S, Moore DR, Stellingwerff T, Phillips SM, Hawley JA, Coffey VG. Reduced resting skeletal muscle protein synthesis is rescued by resistance exercise and protein ingestion following short-term energy deficit. Am J Physiol Endocrinol Metab. 2014 Apr 15;306(8):E989-97. doi: 10.1152/ajpendo.00590.2013. Epub 2014 Mar 4.
PMID: 24595305BACKGROUNDCarbone JW, Pasiakos SM, Vislocky LM, Anderson JM, Rodriguez NR. Effects of short-term energy deficit on muscle protein breakdown and intramuscular proteolysis in normal-weight young adults. Appl Physiol Nutr Metab. 2014 Aug;39(8):960-8. doi: 10.1139/apnm-2013-0433. Epub 2014 Jun 19.
PMID: 24945715BACKGROUNDWasserman DH, Kang L, Ayala JE, Fueger PT, Lee-Young RS. The physiological regulation of glucose flux into muscle in vivo. J Exp Biol. 2011 Jan 15;214(Pt 2):254-62. doi: 10.1242/jeb.048041.
PMID: 21177945BACKGROUNDGault ML, Willems ME. Aging, functional capacity and eccentric exercise training. Aging Dis. 2013 Sep 25;4(6):351-63. doi: 10.14336/AD.2013.0400351.
PMID: 24307968BACKGROUNDDulloo AG, Jacquet J, Montani JP, Schutz Y. How dieting makes the lean fatter: from a perspective of body composition autoregulation through adipostats and proteinstats awaiting discovery. Obes Rev. 2015 Feb;16 Suppl 1:25-35. doi: 10.1111/obr.12253.
PMID: 25614201BACKGROUNDWade GN, Schneider JE, Li HY. Control of fertility by metabolic cues. Am J Physiol. 1996 Jan;270(1 Pt 1):E1-19. doi: 10.1152/ajpendo.1996.270.1.E1.
PMID: 8772468BACKGROUNDLoucks AB. Energy balance and body composition in sports and exercise. J Sports Sci. 2004 Jan;22(1):1-14. doi: 10.1080/0264041031000140518.
PMID: 14974441BACKGROUNDMisra M, Klibanski A. The neuroendocrine basis of anorexia nervosa and its impact on bone metabolism. Neuroendocrinology. 2011;93(2):65-73. doi: 10.1159/000323771. Epub 2011 Jan 13.
PMID: 21228564BACKGROUNDIhle R, Loucks AB. Dose-response relationships between energy availability and bone turnover in young exercising women. J Bone Miner Res. 2004 Aug;19(8):1231-40. doi: 10.1359/JBMR.040410. Epub 2004 Apr 19.
PMID: 15231009BACKGROUNDDe Souza MJ, Williams NI. Beyond hypoestrogenism in amenorrheic athletes: energy deficiency as a contributing factor for bone loss. Curr Sports Med Rep. 2005 Feb;4(1):38-44. doi: 10.1007/s11932-005-0029-1.
PMID: 15659278BACKGROUNDRizzoli R, Bianchi ML, Garabedian M, McKay HA, Moreno LA. Maximizing bone mineral mass gain during growth for the prevention of fractures in the adolescents and the elderly. Bone. 2010 Feb;46(2):294-305. doi: 10.1016/j.bone.2009.10.005. Epub 2009 Oct 17.
PMID: 19840876BACKGROUNDPikosky MA, Smith TJ, Grediagin A, Castaneda-Sceppa C, Byerley L, Glickman EL, Young AJ. Increased protein maintains nitrogen balance during exercise-induced energy deficit. Med Sci Sports Exerc. 2008 Mar;40(3):505-12. doi: 10.1249/MSS.0b013e31815f6643.
PMID: 18379214BACKGROUNDPasiakos SM, Margolis LM, McClung JP, Cao JJ, Whigham LD, Combs GF, Young AJ. Whole-body protein turnover response to short-term high-protein diets during weight loss: a randomized controlled trial. Int J Obes (Lond). 2014 Jul;38(7):1015-8. doi: 10.1038/ijo.2013.197. Epub 2013 Oct 29.
PMID: 24166063BACKGROUNDChevalley T, Bonjour JP, Ferrari S, Rizzoli R. High-protein intake enhances the positive impact of physical activity on BMC in prepubertal boys. J Bone Miner Res. 2008 Jan;23(1):131-42. doi: 10.1359/jbmr.070907.
PMID: 17892378BACKGROUNDRoss AC, Manson JE, Abrams SA, Aloia JF, Brannon PM, Clinton SK, Durazo-Arvizu RA, Gallagher JC, Gallo RL, Jones G, Kovacs CS, Mayne ST, Rosen CJ, Shapses SA. The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know. J Clin Endocrinol Metab. 2011 Jan;96(1):53-8. doi: 10.1210/jc.2010-2704. Epub 2010 Nov 29.
PMID: 21118827BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Karsten Koehler
- Organization
- Technical University of Munich
Study Officials
- PRINCIPAL INVESTIGATOR
Karsten Koehler, PhD
University of Nebraska Lincoln
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- PREVENTION
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 10, 2016
First Posted
October 26, 2016
Study Start
September 1, 2016
Primary Completion
February 1, 2019
Study Completion
February 1, 2019
Last Updated
December 19, 2019
Results First Posted
December 19, 2019
Record last verified: 2019-12
Data Sharing
- IPD Sharing
- Will not share