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Diet, HealthyPROPERNCT05426447

Protein and Performance (PROPER) in Endurance Athletes

A study testing Dietary intervention of reduced protein intake and Dietary intervention of normal protein intake in people with Diet, Healthy and Protein Deficiency, run by University of Copenhagen at 1 site in Denmark.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The present study is a parallel group design with randomised allocation to either a 1) reduced protein diet (RP) or a 2) normal protein diet (NP). The two groups will be pair-matched based on habitual dietary protein intake, endurance training, endurance performance, and sex. Read more about this study

Who is it for?
Ages 20 to 50 years, men onlyHealthy volunteers can take part
Conditions the study is for
Diet, Healthy, Protein Deficiency
What is being tested?
Dietary intervention of reduced protein intake and Dietary intervention of normal protein intake
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteDenmark
Study dates
23 Feb 2021to 31 Dec 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 50 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Endurance athlete
  • Exercising at least 10hrs per week
  • Habitual dietary protein intake ~2g/kg body mass
  • BMI<25

Who cannot join

  • Food allergies that exclude the controlled diet
  • Inconsistent endurance training load

Trial locations and contacts

1 site in 1 country.

Denmark1 site
  • University of Copenhagen

    Copenhagen, 2100

Other trials in Denmark

About this study

Official title: Reduced Dietary Protein, Performance and Health

The present study is a parallel group design with randomised allocation to either a 1) reduced protein diet (RP) or a 2) normal protein diet (NP). The two groups will be pair-matched based on habitual dietary protein intake, endurance training, endurance performance, and sex.

The aim of the study is to investigate the effects of reducing dietary protein (~1g protein/kg body mass) compared to an eucaloric normal protein diet (~2g protein/kg body mass) for 6 weeks in well-trained endurance athletes on endurance performance, body composition, skeletal muscle protein synthesis, and health-related outcomes.

The hypothesis is that endurance performance will maintain or even be improved in well-trained endurance athletes after a 6-week dietary intervention of an eucaloric, protein reduced diet compared to a normal protein rich diet.

Read the detailed description

Design: The present study will include two phases: a 3-week run-in period, and a 6-week intervention of controlled diets containing either a reduced dietary protein (RP) or normal (habitual) protein (NP). The run-in period serves as a period for obtaining general activity data and habitual dietary and training habits in order to match the groups before entering the dietary intervention period.

Subjects and dietary goals: The study is aiming at including 20 male endurance athletes exercising ~15hrs+/week. The 20 males will be pair-matched based on habitual endurance training, habitual dietary protein intake, and endurance performance, and allocated in a randomised order to: 1) a reduced-protein diet (RP) or 2) a normal-protein diet (NP).

3-weeks run-in period: After a minimum of 7 days after written consent has been obtained, the run-in period will begin. Habitual endurance training volumes will be registered in an online platform (TrainingPeaks) and daily activity level will be monitored using an accelerometer (SENS) throughout the run-in and diet intervention period. "Heavy water" (D2O) will be ingested in a large bolus (3.5ml/kg LBM) upon beginning of the run-in period and plasma enrichments will be maintained throughout the study period by ingesting small daily boluses. This serves to determine skeletal muscle protein synthesis throughout the study.

6-weeks dietary intervention: The diets will be eucaloric and the estimated energy percentages for macronutrients will be as follows: RP - Protein ~7E%, Carbohydrate ~63E%, Fat ~29E%. NP - Protein ~16E%, Carbohydrate ~53E%, Fat ~30E%. Weekly urine and faeces samples will be collected during the run-in period and dietary intervention and the controlled diets will be supplied weekly for the participants.

Testing: Extensive endurance performance and metabolic testing will be performed prior to-, and during the intervention on weeks -1, 0 (Pre), 3 (Mid), and 6 (Post). The tests include: Body composition by DXA-scanning, resting metabolic rate by online respirometry using a Vyntus (Jaeger, PCX), venous blood-, and skeletal muscle biopsy sampling from m. Vastus Lateralis, a standardised breakfasts, endurance cycling on an electro-magnetically braked bike (Lode Excalibur) or running on a motorised treadmill (Woodway), and haemoglobin mass measuring using a modified version of the CO-rebreathing method.

The body mass will be kept unchanged during the 6-weeks dietary intervention.

Being tested
Dietary intervention of reduced protein intake, Dietary intervention of normal protein intake
Keywords
Diet intervention, Endurance athletes, Endurance performance, Skeletal muscle protein synthesis, Protein intake, Health markers, Microbiome
Medical subject headings
Protein Deficiency

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Dietary intervention of reduced protein intakeOther

    6-wk dietary intervention of reduced protein intake

  • Dietary intervention of normal protein intakeOther

    6-wk dietary intervention of normal protein intake

Study groups in NCT05426447
Study groupRoleWhat they receive
Reduced protein dietExperimentalA 6-week eucaloric dietary intervention of reduced protein intake (~1g protein/kg body mass). The diet will, hence, contain ~7E% protein, ~63E% carbohydrate, and ~29E% fat. Participants are free-living and receive all food pre-packed from the study kitchen. The energy provision will be set to match energy balance.
Receives: Other: Dietary intervention of reduced protein intake
Normal protein dietActive comparatorA 6-week eucaloric dietary intervention of normal protein intake (~2g protein/kg body mass). The diet will, hence, contain ~16E% protein, ~53E% carbohydrate, and ~30E% fat. Participants are free-living and receive all food pre-packed from the study kitchen. The energy provision will be set to match energy balance.
Receives: Other: Dietary intervention of normal protein intake

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Endurance performance on a bike

    Endurance performance defined as maximal aerobic power (Wmax) during incremental test to exhaustion on a bike measured as 1-minute mean power output (W)

    Measured: From Pre (week0) to post (week6)

  2. Microbiome

    Diversity of bacterial strains in gut microbiome measured in feces samples

    Measured: Run-in (week-3 to week0) vs dietary intervention (week0 to week6)

Secondary outcomes (39)
  1. Resting metabolic rate

    Measured in an over-night fasted state via indirect calorimetry expressed in MJ/day

    Measured: Pre (week0) to mid (week3)

  2. Resting metabolic rate

    Measured in an over-night fasted state via indirect calorimetry expressed in MJ/day

    Measured: Pre (week0) to Post (week6)

  3. Lean body mass

    Measured by dual-energy x-ray (DXA)-scanningg expressed in kg

    Measured: Run-in (week-3) to Pre (week0)

  4. Lean body mass

    Measured by dual-energy x-ray (DXA)-scanning expressed in kg

    Measured: Pre (week0) to Post (week6)

  5. Total fat mass

    Measured by dual-energy x-ray (DXA)-scanning expressed in kg

    Measured: Pre (week0) to Post (week6)

  6. Total fat mass

    Measured by dual-energy x-ray (DXA)-scanning expressed in kg

    Measured: Pre (week0) to mid (week3)

  7. Total fat mass

    Measured by dual-energy x-ray (DXA)-scanning expressed in kg

    Measured: Run-in (week-3) to Pre (week0)

  8. Power output at 4mmol/L blood lactate

    Alterations in Power output at 4mmol/L blood lactate in response to diet

    Measured: Pre (week0) to mid (week3)

  9. Power output at 4mmol/L blood lactate

    Alterations in Power output at 4mmol/L blood lactate in response to diet

    Measured: Pre (week0) to Post (week6)

  10. Fractional utilisation of maximal oxygen uptake at 4mmol/L blood lactate

    Alterations in Fractional utilisation of maximal oxygen uptake at 4mmol/L blood lactate in response to diet

    Measured: Pre (week0) to mid (week3)

  11. Fractional utilisation of maximal oxygen uptake at 4mmol/L blood lactate

    Alterations in Fractional utilisation of maximal oxygen uptake at 4mmol/L blood lactate in response to diet

    Measured: Pre (week0) to Post (week6)

  12. Maximal oxygen uptake VO2peak

    Alterations in Maximal oxygen uptake VO2peak measured by an online VO2 apparatus

    Measured: Pre (week0) to mid (week3)

  13. Maximal oxygen uptake VO2peak

    Alterations in Maximal oxygen uptake VO2peak measured by an online VO2 apparatus

    Measured: Pre (week0) to Post (week6)

  14. Peak power output on a 10-seconds sprint

    Alterations in peak power output on a 10-seconds sprint in response to diet

    Measured: Pre (week0) to mid (week3)

  15. Peak power output on a 10-seconds sprint

    Alterations in peak power output on a 10-seconds sprint in response to diet

    Measured: Pre (week0) to Post (week6)

  16. Mean power output on a 10-seconds sprint

    Alterations in mean power output on a 10-seconds sprint in response to diet

    Measured: Pre (week0) to mid (week3)

  17. Mean power output on a 10-seconds sprint

    Alterations in mean power output on a 10-seconds sprint in response to diet

    Measured: Pre (week0) to Post (week6)

  18. Gross efficiency on a bike

    Gross efficiency expressed as % of external power compared to internal (metabolic) power

    Measured: Pre (week0) to mid (week3)

  19. Gross work efficiency on a bike

    Gross efficiency expressed as % of external power compared to internal (metabolic) power

    Measured: Pre (week0) to Post (week6)

  20. 15-minute time-trial power output on a bike

    Alterations in 15-minute time-trial mean power output

    Measured: Pre (week0) to mid (week3)

  21. 15-minute time-trial power output on a bike

    Alterations in 15-minute time-trial mean power output

    Measured: Pre (week0) to Post (week6)

  22. Fractional utilisation of maximal oxygen uptake during 15-minute time-trial

    Alterations in Fractional utilisation of maximal oxygen uptake during 15-minute time-trial

    Measured: Pre (week0) to mid (week3)

  23. Fractional utilisation of maximal oxygen uptake during 15-minute time-trial

    Alterations in Fractional utilisation of maximal oxygen uptake during 15-minute time-trial

    Measured: Pre (week0) to Post (week6)

  24. Respiratory exchange ratio

    respiratory exchange ratio (RER) during rest and exercise using indirect calorimetry

    Measured: Pre (week0) to Post (week6)

  25. Respiratory exchange ratio

    respiratory exchange ratio (RER) during rest and exercise using indirect calorimetry

    Measured: Pre (week0) to Mid (week3)

  26. Training load

    Training load as quantified by Edward's Training Impulse based on heart rate zones

    Measured: Run-in (week-3) vs dietary intervention (week0 to week6)

  27. Energy intake

    Habitual energy intake registered by food diaries expressed in Mega Joules

    Measured: Run-in (week-3) vs dietary intervention (week0 to week6)

  28. Energy expenditure

    Energy expenditure is measured by combining resting metabolic rate and daily activity recording from accelerometer data and heart rate monitor

    Measured: Run-in (week-3) vs dietary intervention (week0 to week6)

  29. Blood lactate concentration

    Glucose lactate measured in fasted state on an ABL800

    Measured: Run-in (week-3 to week0) vs dietary intervention (week0 to week6)

  30. Blood glucose concentration

    Glucose concentration measured in fasted state on an ABL800

    Measured: Run-in (week-3 to week0) vs dietary intervention (week0 to week6)

  31. Blood amino acid concentration

    Amino acid concentration measured by ELISA

    Measured: Run-in (week-3 to week0) vs dietary intervention (week0 to week6)

  32. Plasma metabolomics

    Plasma metabolomics by chromatography-mass spectrometry

    Measured: Run-in (week-3 to week0) vs dietary intervention (week0 to week6)

  33. Skeletal muscle protein expression

    Alterations in Skeletal muscle protein expression

    Measured: Pre (week0) to mid (week3)

  34. Skeletal muscle protein expression

    Alterations in Skeletal muscle protein expression

    Measured: Pre (week0) to Post (week6)

  35. Haemoglobin mass expressed in grams

    Haemoglobin mass measured via inhalation of carbon monoxide (CO) using the modified CO-rebreathing method

    Measured: Pre (week0) to mid (week3)

  36. Haemoglobin mass expressed in grams

    Haemoglobin mass measured via inhalation of carbon monoxide (CO) using the modified CO-rebreathing method

    Measured: Pre (week0) to Post (week6)

  37. Blood volume in ml

    Blood volume measured via inhalation of carbon monoxide (CO) using the modified CO-rebreathing method

    Measured: Pre (week0) to Post (week6)

  38. Blood volume in ml

    Blood volume measured via inhalation of carbon monoxide (CO) using the modified CO-rebreathing method

    Measured: Pre (week0) to Mid (week3)

  39. Energy expenditure measured as energy intake to maintain body weight

    Daily energy intake during intervention measured in Mega Joules

    Measured: Run-in (week-3 to week0) vs dietary intervention (week0 to week6)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Jun 2022
  2. Study start23 Feb 2021
  3. Primary completion31 Dec 2024 (estimated)
  4. Study completion31 Dec 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Model description
A pair-matched group, parallel design within each sex
Masking
None (open label)
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05426447
Sponsor's protocol ID
PROPER
Acronym
PROPER
Status last verified
May 2024
First submitted
22 Sep 2021
Last updated
7 May 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Dietary intervention of reduced protein intake and Dietary intervention of normal protein intake in people with Diet, Healthy and Protein Deficiency, run by University of Copenhagen at 1 site in Denmark.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 7 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Endurance performance on a bike (time frame: From Pre (week0) to post (week6)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 May 2024.

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