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Effect of Nutrition Supplementation Combined With Resistance Exercise in Elderly With Sarcopenia.

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ClinicalTrials.gov Identifier: NCT05035121
Recruitment Status : Completed
First Posted : September 5, 2021
Last Update Posted : September 5, 2021
Sponsor:
Information provided by (Responsible Party):
Jiun-Rong Chen, Taipei Medical University

Brief Summary:
The purpose of this study was determine whether milk or soy milk supplements combined with resistance exercise improved sarcopenia in the elderly. This study was randomized controlled trail that recruited elderly people ≧65 years old with sarcopenia in the nursing home of Taipei Veterans General Hospital Su-Ao and Yuanshan Branch from June 2017 to December, 2017. The participants were divided into three groups, such as control, milk supplement and soy milk supplement. The milk and soy milk groups provided 200 mL milk or soy milk two times per day. Moreover, all participants joined the resistance exercise training program, three times per week (30 min/time). After 12 weeks, the anthropometry, sarcopenia index, blood biochemical index, nutrition status index, inflammation index, insulin resistance index, and dietary intake were measured.

Condition or disease Intervention/treatment Phase
Sarcopenia Dietary Supplement: milk supplement Dietary Supplement: soy milk supplement Behavioral: resistance exercise Not Applicable

Detailed Description:
The anthropometry data included body weight and body fat. The sarcopenia index included appendicular skeletal muscle mass index, calf circumferences, hand grip and gait speed. Moreover, blood biochemical index (liver function as ALT, kidney function as creatinine), nutrition status index (prealbumin, 25-hydroxyvitamin D) were also analyzed. The blood hsCRP level was as inflammation index and insulin resistance index included fasting blood sugar, insulin, HbA1c and HOMA-IR. The daily dietary intake were also recorded.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 35 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: The participants were divided into three groups, such as control, milk supplement and soy milk supplement. The milk and soy milk groups provided 200 mL milk or soy milk two times per day. Moreover, all participants joined the resistance exercise training program, three times per week (30min/time).
Masking: Double (Participant, Care Provider)
Primary Purpose: Treatment
Official Title: Effects of Milk or Soy Milk Combined With Mild Resistance Exercise on the Muscle Mass and Muscle Strength in Very Old Nursing Home Residents With Sarcopenia
Actual Study Start Date : March 24, 2017
Actual Primary Completion Date : January 23, 2018
Actual Study Completion Date : March 23, 2018

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: milk supplement
The milk group provided 200 mL milk two times per day. The participants joined the resistance exercise training program, three times per week (30 min/time) during 12 weeks.
Dietary Supplement: milk supplement
Intervention groups provided 200 mL long life milk two times per day at morning and afternoon. The participants joined the resistance exercise training program, three times per week (30 min/time)

Behavioral: resistance exercise
The participants joined the resistance exercise training program, three times per week (30 min/time)

Experimental: soy milk supplement
The soy milk group provided 200 mL soy milk two times per day. The participants joined the resistance exercise training program, three times per week (30 min/time) during 12 weeks.
Dietary Supplement: soy milk supplement
Intervention groups provided 200 mL long life soy milk two times per day at morning and afternoon. The participants joined the resistance exercise training program, three times per week (30 min/time)

Behavioral: resistance exercise
The participants joined the resistance exercise training program, three times per week (30 min/time)

Placebo Comparator: control
The participants joined the resistance exercise training program, three times per week (30 min/time) during 12 weeks.
Behavioral: resistance exercise
The participants joined the resistance exercise training program, three times per week (30 min/time)




Primary Outcome Measures :
  1. appendicular skeletal muscle mass in kilograms [ Time Frame: baseline ]
    The appendicular skeletal muscle mass was evaluated by bioelectrical impedance (BIA) analysis (Inbody S10, Inbody Inc., Seoul, South Korea)

  2. Change from baseline appendicular skeletal muscle mass at 6 weeks [ Time Frame: 6 weeks ]
    The appendicular skeletal muscle mass was evaluated by bioelectrical impedance (BIA) analysis (Inbody S10, Inbody Inc., Seoul, South Korea)

  3. Change from baseline appendicular skeletal muscle mass at 12 weeks [ Time Frame: 12 weeks ]
    The appendicular skeletal muscle mass was evaluated by bioelectrical impedance (BIA) analysis (Inbody S10, Inbody Inc., Seoul, South Korea)

  4. height in meters [ Time Frame: baseline ]
    Height was measured by height meter

  5. Change baseline weeks height at 6 weeks [ Time Frame: 6 weeks ]
    Height was measured by height meter

  6. Change from baseline height at 12 weeks [ Time Frame: 12 weeks ]
    Height was measured by height meter

  7. appendicular skeletal muscle mass index in kg/m^2 [ Time Frame: baseline ]
    The appendicular skeletal muscle mass muscle mass and height was combined to report appendicular skeletal muscle mass index in kg/m^2.

  8. Change from baseline appendicular skeletal muscle mass index at 6 weeks [ Time Frame: 6 weeks ]
    The appendicular skeletal muscle mass muscle mass and height was combined to report appendicular skeletal muscle mass index in kg/m^2.

  9. Change from baseline appendicular skeletal muscle mass index at 12 weeks [ Time Frame: 12 weeks ]
    The appendicular skeletal muscle mass muscle mass and height was combined to report appendicular skeletal muscle mass index in kg/m^2.

  10. calf circumferences in centimeter [ Time Frame: baseline ]
    calf circumferences (cm) was measured by using a measuring tape to go around the thickest point of the calf and stick tightly without squeezing the skin.

  11. Change from baseline calf circumferences at 6 weeks [ Time Frame: 6 weeks ]
    calf circumferences (cm) was measured by using a measuring tape to go around the thickest point of the calf and stick tightly without squeezing the skin.

  12. Change from baseline calf circumferences at 12 weeks [ Time Frame: 12 weeks ]
    calf circumferences (cm) was measured by using a measuring tape to go around the thickest point of the calf and stick tightly without squeezing the skin.

  13. hand grip in kilograms [ Time Frame: baseline ]
    The muscle strength was evaluated with the hand-grip strength (kg) using a Smedley dynamometer (TTM-YD, Tsutsumi Industries, Tokyo, Japan)

  14. Change from baseline hand grip at 6 weeks [ Time Frame: 6 weeks ]
    The muscle strength was evaluated with the hand-grip strength (kg) using a Smedley dynamometer (TTM-YD, Tsutsumi Industries, Tokyo, Japan)

  15. Change from baseline hand grip at 12 weeks [ Time Frame: 12 weeks ]
    The muscle strength was evaluated with the hand-grip strength (kg) using a Smedley dynamometer (TTM-YD, Tsutsumi Industries, Tokyo, Japan)

  16. gait speed in meter per second [ Time Frame: baseline ]
    The gait speed test was performed by recording the average time of walking 6 meters and representing with the distance (m) per second.

  17. Change from baseline gait speed at 6 weeks [ Time Frame: 6 weeks ]
    The gait speed test was performed by recording the average time of walking 6 meters and representing with the distance (m) per second.

  18. Change from baseline gait speed at 12 weeks [ Time Frame: 12 weeks ]
    The gait speed test was performed by recording the average time of walking 6 meters and representing with the distance (m) per second.


Secondary Outcome Measures :
  1. blood alanine transaminase activity in U/L [ Time Frame: baseline ]
    The blood alanine transaminase (ALT) activity in U/L was measured as liver function index by automated clinical chemistry analyzer.

  2. Change from baseline blood alanine transaminase activity at 12 weeks [ Time Frame: 12 weeks ]
    The blood alanine transaminase (ALT) activity in U/L was measured as liver function index by automated clinical chemistry analyzer.

  3. blood creatinine level in mg/dL [ Time Frame: baseline ]
    The blood creatinine level was measured as kidney function by automated clinical chemistry analyzer.

  4. Change from baseline blood creatinine level at 12 weeks [ Time Frame: 12 weeks ]
    The blood creatinine level was measured as kidney function by automated clinical chemistry analyzer.

  5. blood prealbumin level in mg/dL [ Time Frame: baseline ]
    The blood prealbumin level in mg/dL as the index of nutritional status were measured by automated clinical chemistry analyzer.

  6. Change from baseline blood prealbumin level at 12 weeks [ Time Frame: 12 weeks ]
    The blood prealbumin level in mg/dL as the index of nutritional status were measured by automated clinical chemistry analyzer.

  7. blood 25-hydroxyvitamin D level in ng/mL [ Time Frame: baseline ]
    The blood 25-hydroxyvitamin D level in ng/mL as the index of nutritional status were measured by automated clinical chemistry analyzer.

  8. Change from baseline blood 25-hydroxyvitamin D level at 12 weeks [ Time Frame: 12 weeks ]
    The blood 25-hydroxyvitamin D level in ng/mL as the index of nutritional status were measured by automated clinical chemistry analyzer.

  9. High sensitive C-reactive protein in mg/dL [ Time Frame: baseline ]
    High sensitive C-reactive protein (hsCRP) as the inflammatory indicator were measured by automated clinical chemistry analyzer.

  10. Change from baseline High sensitive C-reactive protein at 12 weeks [ Time Frame: 12 weeks ]
    High sensitive C-reactive protein (hsCRP) as the inflammatory indicator were measured by automated clinical chemistry analyzer.

  11. blood fasting blood sugar in mg/dL [ Time Frame: baseline ]
    The blood fasting blood sugar level in mg/dL as the insulin resistance index was measured by automated clinical chemistry analyzer.

  12. Change from baseline blood fasting blood sugar at 12 weeks [ Time Frame: 12 weeks ]
    The blood fasting blood sugar level in mg/dL as the insulin resistance index was measured by automated clinical chemistry analyzer.

  13. blood insulin level in milli-international unit/L [ Time Frame: baseline ]
    The blood insulin level in milli-international unit/L as the insulin resistance index was measured by commercial kits.

  14. Change from baseline blood insulin level at 12 weeks [ Time Frame: 12 weeks ]
    The blood insulin level in milli-international unit/L as the insulin resistance index was measured by commercial kits.

  15. blood HbA1c in percentage [ Time Frame: baseline ]
    The blood HbA1c in percentage as the insulin resistance index was measured by automated clinical chemistry analyzer.

  16. Change from baseline blood HbA1c at 12 weeks [ Time Frame: 12 weeks ]
    The blood HbA1c in percentage as the insulin resistance index was measured by automated clinical chemistry analyzer.

  17. Homeostasis model assessment-insulin resistance index (HOMA-IR) [ Time Frame: baseline ]
    HOMA-IR was calculated according to the formula: fasting insulin (μU/mL) x fasting glucose (mmol/L)/22.5

  18. Change from baseline homeostasis model assessment-insulin resistance index (HOMA-IR) at 12 weeks [ Time Frame: 12 weeks ]
    HOMA-IR was calculated according to the formula: fasting insulin (μU/mL) x fasting glucose (mmol/L)/22.5

  19. blood insulin-like growth factor 1 in mg/dL [ Time Frame: baseline ]
    The blood insulin-like growth factor 1 (IGF-1) level considered to be related with the protein synthesis in muscle was measured by chemiluminescence immunoassay.

  20. Change from baseline blood insulin-like growth factor 1 at 12 weeks [ Time Frame: 12 weeks ]
    The blood insulin-like growth factor 1 (IGF-1) level considered to be related with the protein synthesis in muscle was measured by chemiluminescence immunoassay.


Other Outcome Measures:
  1. diet assessment [ Time Frame: baseline ]
    Dietary data were collected based on the meal menu of the nursing home including one weekday and two weekends at the beginning and the end of the experiment. Caregivers recorded the actual food intake by participants. The intake of total energy, carbohydrate, protein and fat was analyzed with E Kitchen Nutrients Analysis Software (E Kitchen Business, Taichung, Taiwan) based on the food and nutrient database created by the Organization Act of the Food and Drug Administration, Ministry of Health and Welfare, Taiwan.

  2. Change from baseline diet assessment at 12 weeks [ Time Frame: 12 weeks ]
    Dietary data were collected based on the meal menu of the nursing home including one weekday and two weekends at the beginning and the end of the experiment. Caregivers recorded the actual food intake by participants. The intake of total energy, carbohydrate, protein and fat was analyzed with E Kitchen Nutrients Analysis Software (E Kitchen Business, Taichung, Taiwan) based on the food and nutrient database created by the Organization Act of the Food and Drug Administration, Ministry of Health and Welfare, Taiwan.



Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years to 99 Years   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Age ≧ 65 years old
  • No allergies to milk and soy milk
  • Sarcopenia cases (AWGS)
  • Active ability

Exclusion Criteria:

  • End-of-life patient or estimated death within six months
  • Last stage of cancer
  • Chronic kidney disease stage 4

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05035121


Locations
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Taiwan
Taipei Medical University
New Taipei City, Taiwan
Sponsors and Collaborators
Taipei Medical University
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Responsible Party: Jiun-Rong Chen, Professor, Taipei Medical University
ClinicalTrials.gov Identifier: NCT05035121    
Other Study ID Numbers: N201702034
First Posted: September 5, 2021    Key Record Dates
Last Update Posted: September 5, 2021
Last Verified: August 2021

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Jiun-Rong Chen, Taipei Medical University:
sarcopenia
milk
soy milk
resistance exercise
Additional relevant MeSH terms:
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Sarcopenia
Muscular Atrophy
Neuromuscular Manifestations
Neurologic Manifestations
Nervous System Diseases
Atrophy
Pathological Conditions, Anatomical