NCT05210205

Brief Summary

Soldiers commonly lose muscle mass during training and combat operations that produce large energy deficits (i.e., calories burned \> calories consumed). Developing new combat ration products that increase energy intake (i.e., energy dense foods) or the amount and quality of protein consumed (i.e., essential amino acid \[EAA\] content) may prevent muscle breakdown and stimulate muscle repair and muscle maintenance during unavoidable energy deficit. The primary objective of this study is to determine the effects of prototype recovery food products that are energy dense or that provide increased amounts of EAAs (anabolic component of dietary protein) on energy balance, whole-body net protein balance, and indices of physiological status during strenuous winter military training.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
68

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Mar 2022

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

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 9, 2021

Completed
2 months until next milestone

First Posted

Study publicly available on registry

January 27, 2022

Completed
2 months until next milestone

Study Start

First participant enrolled

March 13, 2022

Completed
13 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 26, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 26, 2022

Completed
Last Updated

May 26, 2022

Status Verified

May 1, 2022

Enrollment Period

13 days

First QC Date

December 9, 2021

Last Update Submit

May 24, 2022

Conditions

Outcome Measures

Primary Outcomes (3)

  • Protein balance

    Use stable isotope methodologies to measure whole-body protein balance

    10 hours

  • Energy Expenditure

    Use stable isotope methodologies to measure energy expenditure during the training exercise.

    8 days

  • Energy intake

    Use food logs and collect food wrappers to measure energy intake during the training exercise.

    8 days

Secondary Outcomes (4)

  • Intestinal Permeability

    24 hours

  • Gut microbiome composition

    Study days -1 and 9

  • Vertical jump

    Study day 0 and 9

  • Pull Strength Test

    Study day 0 and 9

Study Arms (3)

EAA-enhanced food products

EXPERIMENTAL

Consume approximately 1500 calories of EAA-enhanced food products plus ad libitum consumption of 3 combat rations each day during training.

Dietary Supplement: EAA

Energy dense food products

EXPERIMENTAL

Consume approximately 1500 calories of energy dense food products plus ad libitum consumption of 3 combat rations each day during training.

Dietary Supplement: Energy Dense

Control food products

ACTIVE COMPARATOR

Consume approximately 1500 calories of low energy dense food products plus ad libitum consumption of 3 combat rations each day during training.

Dietary Supplement: Control

Interventions

EAADIETARY_SUPPLEMENT

EAA-enhanced protein snack bars

EAA-enhanced food products
Energy DenseDIETARY_SUPPLEMENT

Energy dense snack bars (same calories in a smaller volume of food)

Energy dense food products
ControlDIETARY_SUPPLEMENT

Low energy dense snack bars (same calories in a greater volume of food)

Control food products

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male and female Norwegian Soldiers aged 18 years or older participating in the winter training exercise at the Garrison in Sør-Varanger.

You may not qualify if:

  • Any injury or health condition limiting full participation in the training program.
  • Allergies or intolerance to foods used in the study (including but not limited to lactose intolerance/milk allergy) or vegetarian practices.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Garrison in Sør-Varanger

Kirkenes, Norway

Location

MeSH Terms

Conditions

MalnutritionWeight LossMuscular Atrophy

Condition Hierarchy (Ancestors)

Nutrition DisordersNutritional and Metabolic DiseasesBody Weight ChangesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsNeuromuscular ManifestationsNeurologic ManifestationsNervous System DiseasesAtrophyPathological Conditions, Anatomical

Study Officials

  • Emily E Howard, PhD

    United States Army Research Institute of Environmental Medicine

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
FED
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 9, 2021

First Posted

January 27, 2022

Study Start

March 13, 2022

Primary Completion

March 26, 2022

Study Completion

March 26, 2022

Last Updated

May 26, 2022

Record last verified: 2022-05

Data Sharing

IPD Sharing
Will not share

Locations