NCT02945410

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

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
20

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Sep 2016

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2016

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

October 10, 2016

Completed
16 days until next milestone

First Posted

Study publicly available on registry

October 26, 2016

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2019

Completed
11 months until next milestone

Results Posted

Study results publicly available

December 19, 2019

Completed
Last Updated

December 19, 2019

Status Verified

December 1, 2019

Enrollment Period

2.4 years

First QC Date

October 10, 2016

Results QC Date

October 9, 2019

Last Update Submit

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

EXPERIMENTAL

Participants will be calorie restricted to 30 kcal/kg FFM/day and consume 1.7 g protein/kg BW/day.

Other: Caloric RestrictionOther: ProteinOther: ExerciseDietary Supplement: Calcium and Vitamin DOther: Maltodextrin

Caloric Restriction and Normal Protein

ACTIVE COMPARATOR

Participants will be calorie restricted to 30 kcal/kg FFM/day and consume 0.8 g protein/kg BW/day.

Other: Caloric RestrictionOther: ExerciseDietary Supplement: Calcium and Vitamin DOther: Maltodextrin

Energy Balance

PLACEBO COMPARATOR

Participants will be in energy balance and consume 1.7 g protein/kg BW/day.

Other: ProteinOther: ExerciseDietary Supplement: Calcium and Vitamin DOther: Maltodextrin

Interventions

Participants will consume 30 kcal/kg FFM/day.

Caloric Restriction and High ProteinCaloric Restriction and Normal Protein
ProteinOTHER

Participants will consume 1.7 g protein/kg BW/day.

Caloric Restriction and High ProteinEnergy Balance

Participants will conduct aerobic exercise designed to expend 15 kcal/kg FFM/day

Caloric Restriction and High ProteinCaloric Restriction and Normal ProteinEnergy Balance
Calcium and Vitamin DDIETARY_SUPPLEMENT

Participants will be provided calcium and vitamin D supplement in order to maintain calcium and Vitamin D intake constant across all study arms

Caloric Restriction and High ProteinCaloric Restriction and Normal ProteinEnergy Balance

Participants will be provided with maltodextrin to supplement the liquid diet in order to meet caloric needs within each study arm

Caloric Restriction and High ProteinCaloric Restriction and Normal ProteinEnergy Balance

Eligibility Criteria

Age19 Years - 30 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64)

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

Location

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: 17122359BACKGROUND
  • Donnelly 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: 19127177BACKGROUND
  • Weinheimer 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: 20591106BACKGROUND
  • Forbes 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: 10865771BACKGROUND
  • Areta 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: 24595305BACKGROUND
  • Carbone 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: 24945715BACKGROUND
  • Wasserman 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: 21177945BACKGROUND
  • Gault 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: 24307968BACKGROUND
  • Dulloo 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: 25614201BACKGROUND
  • Wade 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: 8772468BACKGROUND
  • Loucks AB. Energy balance and body composition in sports and exercise. J Sports Sci. 2004 Jan;22(1):1-14. doi: 10.1080/0264041031000140518.

    PMID: 14974441BACKGROUND
  • Misra 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: 21228564BACKGROUND
  • Ihle 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: 15231009BACKGROUND
  • De 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: 15659278BACKGROUND
  • Rizzoli 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: 19840876BACKGROUND
  • Pikosky 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: 18379214BACKGROUND
  • Pasiakos 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: 24166063BACKGROUND
  • Chevalley 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: 17892378BACKGROUND
  • Ross 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

Weight LossStarvation

Interventions

Caloric RestrictionProteinsExerciseCalciumVitamin Dmaltodextrin

Condition Hierarchy (Ancestors)

Body Weight ChangesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsMalnutritionNutrition DisordersNutritional and Metabolic Diseases

Intervention Hierarchy (Ancestors)

Diet TherapyNutrition TherapyTherapeuticsEnergy IntakeDietNutritional Physiological PhenomenaDiet, Food, and NutritionPhysiological PhenomenaAmino Acids, Peptides, and ProteinsMotor ActivityMovementMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological PhenomenaMetals, Alkaline EarthElementsInorganic ChemicalsMetalsBlood Coagulation FactorsBiological FactorsSecosteroidsSteroidsFused-Ring CompoundsPolycyclic Compounds

Results Point of Contact

Title
Dr. Karsten Koehler
Organization
Technical University of Munich

Study Officials

  • Karsten Koehler, PhD

    University of Nebraska Lincoln

    PRINCIPAL INVESTIGATOR

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

Locations