AzTrials
AzTrials

SarcopeniaNCT05574205

Dietary Protein Quality for Skeletal Muscle Anabolism in Older Adults

A study testing Resistance Exercise and Protein supplementation in people with Sarcopenia and Dietary Protein, run by University of Birmingham at 1 site in United Kingdom.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Dietary proteins potently augment muscle protein synthesis. Because of poorer anabolic sensitivity with ageing, studies and guidelines recommend higher dietary protein intake for older adults. Read more about this study

Who is it for?
Ages 50 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Sarcopenia, Dietary Protein, Resistance Exercise
What is being tested?
Resistance Exercise and Protein supplementation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteUnited Kingdom
Study dates
1 Nov 2021to 1 Jan 2024
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 50 to 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Males and Females aged between 50-70 years
  • Accustomed to normal physical activity levels (averaging at least 7000 steps a day)
  • Healthy body mass (i.e., BMI 18-25 kg/m2)
  • General good health indicated by health questionnaire
  • Free from COVID-19 (SARS-CoV-2) symptoms.

Who cannot join

  • Habitually high consumers of protein (>1.6g/kg/day) assessed by habitual diet diary
  • Food allergies
  • Lidocaine allergy
  • Smoker
  • Bleeding Disorders
  • Chronic/systemic illnesses (i.e., renal failure, rheumatoid arthritis, diabetes, poor lung function, heart disease, cancer, uncontrolled hypertension)
  • Regular consumption of any analgesic or anti-inflammatory drugs. Taking medications mknown to affect muscle metabolis (e.g. beta-blockers, corticosteroids).

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • University of Birmingham, School of Sport, Exercise and Rehabilitation Sciences

    Edgbaston, West Midlands, B15 2TT

Other trials in United Kingdom

About this study

Official title: The Importance of Dietary Protein Quality for Skeletal Muscle Anabolism in Older Adults

Dietary proteins potently augment muscle protein synthesis. Because of poorer anabolic sensitivity with ageing, studies and guidelines recommend higher dietary protein intake for older adults. Although higher doses would benefit skeletal muscle remodelling, large protein consumption is not feasible for many older adults. To circumvent, high-protein quality which possesses a high amino acid profile and digestibility appears to have an emergent role for supporting anabolism. Since currently the best line of defence against age related muscle loss is resistance exercise training and regular protein consumption, emphasising high-quality protein ingestion, such as whey protein, within meals may be feasible and efficacious in supporting musculoskeletal remodelling in older adults, without requirement for large protein doses.

The investigators propose that at low doses, high quality protein will have additive benefit to muscle protein synthesis compared to low-quality protein. Further, combining high-quality protein diets with resistance exercise training will have more profound benefits for muscle protein synthesis and muscle remodelling more so than low-quality protein diets.

Read the detailed description

Participants will be randomly assigned to a 10-day dietary intervention consuming primarily animal proteins (high-quality condition) or primarily plant proteins (low-quality condition). In both conditions, participants will undertake supervised single-leg resistance exercise training every other day, amassing five days resistance exercise sessions during the study. The groups will aim to be matched and counterbalanced for gender. Equally for unilateral exercise randomisation for leg dominance will aim to be counterbalanced within both groups.

Preliminary assessments:

5 days preceding the start of the dietary intervention, participants will report to the University of Birmingham, Sport, Exercise and Rehabilitation Science for the following:

  1. Health questionnaire
  2. Written informed consent
  3. Anthropometrics (Height and Weight)
  4. Body fat (bioelectrical impedance)
  5. Start measuring habitual activity (provided with an activity monitor and pedometer)
  6. Start measuring habitual diet (provided with diet diary)

2 days preceding the start of the dietary intervention, participants will report to the University of Birmingham, Sport, Exercise and Rehabilitation Science for the following:

  1. Saliva sample (participant gives own saliva sample in a tube)
  2. 10ml of blood taken for baseline measures (venepuncture by trained phlebotomist)
  3. Loading dose of D2O (stable isotope of water ingested in 8 small 50ml doses taken 1 hour apart throughout the day)
  4. Find 1 repetition maximum (1RM) during unilateral knee extension.

Dietary intervention each day throughout 10-day intervention participants will provide a saliva sample and then consume a top up dose of D2O, continue wearing an activity tracker and keep a diet diary to record eating times of provided meals.

Meals will be individualised to body weight for each individual to achieve a moderate protein intake of which will then consist of primarily higher quality or lower quality proteins.

Day 0 (first day of diet), participants will report to the University of Birmingham, Sport, Exercise and Rehabilitation Science at 0800h after fasting >10 hours the night prior for the following:

  1. Resting metabolic rate (Laying down for 30 minutes to assess gaseous exchange while wearing a mask)
  2. Muscle architecture (using non-invasive ultrasonography)
  3. Whole-body composition assessment (DXA scan)
  4. Bilateral muscle biopsies (small amount of muscle will be taken from the muscle in the thigh (vastus lateralis) by a trained person from the left and right leg, under local anaesthetic)
  5. Maximal muscle strength (isometric dynamometry) and neural activation (interpolated twitch) during maximal muscle contraction on both legs in series.
  6. Serial blood samples will be taken with a single cannulisation and 8 10ml blood draws taken throughout the visit (before and after consuming a breakfast which is either higher or lower in protein quality, according to the randomised condition).
  7. Perceived appetite will be assessed during the visit, before and after breakfast, using visual analogue scales
  8. Urine collection tub will be provided to collect urine over the next 24-hours.

After consuming specified breakfast on this visit, participants will continue to eat meals given to them according to their random allocation of either higher or lower quality protein diets.

Day 1, 3, 5, 7, 9

Participants will report to the University of Birmingham, Sport, Exercise and Rehabilitation Science to undergo single-leg resistance exercise on a knee extension machine. Eight sets will be completed on the machine at each visit at 75% of 1RM (determined during preliminary visits and will be supervised).

On day 9, the participant will be given a urine collection tub to collect urine over the next 24-hours.

Day 10 (Diet finishing during this visit), participants will report to the University of Birmingham, Sport, Exercise and Rehabilitation Science at 0800h after fasting >10 hours the night prior for the following assessments:

  1. Resting metabolic rate (Laying down for 30 minutes to assess gaseous exchange while wearing a mask)
  2. Whole-body composition assessment (DXA scan)
  3. Muscle Architecture (using non-invasive ultrasonography)
  4. Maximal muscle strength (Isometric Dynamometry) and neural activation during maximal muscle contraction (Interpolated twitch)
  5. Bilateral muscle biopsies (small amount of muscle will be taken from the muscle in the thigh (vastus lateralis) from the left and right leg under local anaesthetic
  6. Serial blood samples will be taken with a single cannulisation and 8 10ml blood draws taken throughout the visit (before and after consuming the final meal of the diet which is the breakfast which is either higher or lower in protein quality, according to the randomised condition)
  7. Perceived appetite will be assessed during the visit, before and after breakfast, using visual analogue scales.
Being tested
Resistance Exercise, Protein supplementation
Medical subject headings
Sarcopenia

What participants receive

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

  • Resistance ExerciseOther

    Also called Single-leg resistance exercise

    Supervised single-leg (unilateral) exercise will be undertaken every other day throughout the dietary intervention

  • Protein supplementationDietary supplement

    Participants will consume a protein supplement alongside a provided diet to control protein amount and quality.

Study groups in NCT05574205
Study groupRoleWhat they receive
High Quality ProteinExperimentalParticipants will consume four high-quality protein containing meals per day (amounting to 1g/kg/day of protein) over a 10-day period. Each meal will contain 75:25 animal:plant protein with most of the animal protein from supplemental high-quality protein powder.
Receives: Other: Resistance Exercise; Dietary Supplement: Protein supplementation
Low Quality ProteinExperimentalParticipants will consume four low-quality protein containing meals per day (amounting to 1g/kg/day of protein) over a 10-day period. Each meal will contain 25:75 animal:plant protein with most of the plant protein from supplemental low-quality protein powder.
Receives: Other: Resistance Exercise; Dietary Supplement: Protein supplementation

What is being measured

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

  1. Muscle protein synthesis using muscle biopsies and deuterated water enrichment.

    Muscle protein synthesis will be assessed during the high-quality and low-quality intervention and compared between exercised and controlled leg.

    Measured: 0-10 days

  2. Leg Strength using dynamometry

    Evaluating change in leg strength, of trained leg, pre- and post-intervention with high-quality and low-quality protein condition

    Measured: 0-10 days

  3. Neural activation using interpolated twitch

    Assessing change in neural activation via non-invasive interpolated twitch technique of between exercised legs pre-and post intervention in both protein quality conditions

    Measured: 0-10 days

  4. Muscle architecture using ultrasound

    Using non-invasive ultrasound to determine change of muscle structure with training between protein quality conditions.

    Measured: 0-10 days

Secondary outcomes (8)
  1. Appetite regulation using questionnaires

    Assessing perceived hunger using a validated, 8 question, 100mm visual analogue scales.

    Measured: 0-10 days (3 hours postprandial)

  2. Appetite regulation, blood

    Assessing the secretion of hunger and appetite hormones within the blood after meals which contain high-quality versus low-quality protein.

    Measured: 0-10 days (3 hours postprandial)

  3. Metabolic rate, metabolic cart

    Evaluating alterations in energy expenditure before and after high-quality or low-quality protein containing meal using a metabolic cart.

    Measured: 0-10 days

  4. Nitrogen balance from urine and dietary protein intake

    Evaluating change in nitrogen balance between adhering to high-quality or low-quality protein diets over a 10-day period

    Measured: 0-10 days (24-hour urine collection)

  5. Body composition using Duel- energy x-ray absorptiometry (DXA) scan.

    Change in body composition (muscle mass, fat mass, bone mineral density) will be evaluated using a DXA scanner before and after adhering to single leg resistance exercise paired with either high-quality or low-quality protein diet.

    Measured: 0-10 days

  6. Muscle fibre specific analysis using immunofluorescence microscopy.

    Evaluate changes in fibre specific differences in the distribution and localisation of key anabolic markers between trained and untrained legs for both protein quality conditions.

    Measured: 0-10 days

  7. Intramuscular signalling using western blotting

    Evaluate changes in protein content and phosphorylation from the start to the end of the intervention.

    Measured: 0-10 days

  8. Physical activity levels using accelerometery and pedometer

    Monitoring of habitual and habitual physical activity to evaluate if intensity and duration of activity is similar between habitual and intervention.

    Measured: -5-10 days

Timeline

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

  1. First posted10 Oct 2022
  2. Study start1 Nov 2021
  3. Primary completion1 Dec 2023
  4. Study completion1 Jan 2024

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
Participants will be randomly assigned to either the high-quality or low-quality condition. Within both conditions single-leg resistance exercise will be undertaken meaning the other non-exercise leg for each participant will act as their own internal control.
Masking
Single blind
Who is masked
Participant
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05574205
Sponsor's protocol ID
RG_20-157
Status last verified
Sep 2021
First submitted
29 Sep 2022
Last updated
1 Aug 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Korzepa M, Quinlan JI, Marshall RN, Rogers LM, Belfield AE, Elhassan YS, Lawson A, Ayre C, Senden JM, Goessens JP, Glover EI, Wallis GA, van Loon LJ, Breen L. Resistance training increases myofibrillar protein synthesis in middle-to-older aged adults consuming a typical diet with no influence of protein source: a randomized controlled trial. Am J Clin Nutr. 2025 Jul;122(1):122-136. doi: 10.1016/j.ajcnut.2025.04.019. Epub 2025 Apr 25.

    PubMed 40288581

Questions about this trial

What is this clinical trial studying?

A study testing Resistance Exercise and Protein supplementation in people with Sarcopenia and Dietary Protein, run by University of Birmingham at 1 site in United Kingdom.

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 5 inclusion and 7 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: finished, as of the sponsor's last update on 1 Aug 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 United Kingdom. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Muscle protein synthesis using muscle biopsies and deuterated water enrichment. (time frame: 0-10 days). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05574205, which also lists 1 linked publication.

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 1 Aug 2024.

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