The Effect of Protein Supplementation on Bone Health in Healthy Older Men and Women
NCT ID: NCT00421408
Last Updated: 2020-04-09
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE1/PHASE2
208 participants
INTERVENTIONAL
2007-02-28
2012-09-30
Brief Summary
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Detailed Description
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This study will last 18 months. For the duration of the study, participants will be randomly assigned to receive either a 40-gram protein supplement or placebo daily. There will be a total of nine study visits that will occur at screening, study entry, Month 1.5, and every three months thereafter. Dietary records, nutritional counseling, glucose finger stick tests, and questionnaires related to falls, physical activity, habits, and study satisfaction will occur at all study visits. Blood and urine collection, functional testing, and bone mineral density (BMD) testing will occur at selected visits. At Months 0 and 18, half of the participants will undergo a quantitative computed tomography (CT) scan to determine bone mineral density.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Protein powder
Participants will receive a protein supplement daily (40 g whey protein supplement).
Whey protein supplement
40-g whey protein supplement daily for 18 months
Placebo carbohydrate
Participants will receive a placebo supplement daily (40 g maltodextrin).
Placebo
Placebo supplement daily for 18 months
Interventions
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Whey protein supplement
40-g whey protein supplement daily for 18 months
Placebo
Placebo supplement daily for 18 months
Eligibility Criteria
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Inclusion Criteria
* Women age 60 years or greater, men age 70 years or greater
* Dietary protein intake level between 0.6 g/kg and 1.0 g/kg at baseline
Exclusion Criteria
* Primary hyperparathyroidism or unexplained hypercalcemia
* Untreated hyperthyroidism or hyperthyroidism that has resulted from medical treatment
* Diabetes mellitus type 1
* Cancer diagnosis for solid malignancies (e.g., cancer of the colon, breast,prostate, lungs, lymphocytes) within the 18 months prior to study entry
* Long-term use of chemotherapeutic drugs, aromatase inhibitors, or tamoxifen
* Active treatment for leukemia or multiple myeloma
* Active inflammatory bowel disease
* Life expectancy of less than 2 years
* Current and ongoing use of methotrexate, phenytoin, phenobarbital, or inhaled corticosteroids at a dose of greater than 800 mcg/day
* Use of raloxifene, estrogen, androgen, progesterone, soy isoflavones, oral glucocorticoids, or herbal supplements with estrogenic activity OR a change in dosage of thyroid medications within the 1 year prior to study entry if unwilling to avoid such agents during the duration of the study
* Current use of antiresorptive agents (e.g., calcitonin or bisphosphonates). More information about this criterion can be found in the protocol.
* serum creatinine greater than 1.2 mg/dl
* History of chronic liver disease or evidence of liver disease at screening
* Bilateral hip replacement
* women who have a bone mineral density T-score \< -2.5 at either the hip or spine unless they have decided to decline treatment with conventional anti-osteoporotic medications
* Body mass index (BMI) greater than 32 or less than 19
* Use of proton-pump inhibitors taken twice daily
* Fasting glucose level greater than 110 mg/dl
* Serum albumin level less than 3.0 mg/dl
* Kidney stones or history of kidney stones within the 3 years prior to study entry
60 Years
85 Years
ALL
Yes
Sponsors
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National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
NIH
Office of Dietary Supplements (ODS)
NIH
Yale University
OTHER
Responsible Party
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Principal Investigators
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Karl L. Insogna, MD
Role: PRINCIPAL_INVESTIGATOR
Yale University
Locations
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University of Connecticut Health Center
Farmington, Connecticut, United States
Yale University
New Haven, Connecticut, United States
Countries
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References
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Newton KM, LaCroix AZ, Levy L, Li SS, Qu P, Potter JD, Lampe JW. Soy protein and bone mineral density in older men and women: a randomized trial. Maturitas. 2006 Oct 20;55(3):270-7. doi: 10.1016/j.maturitas.2006.04.011. Epub 2006 May 26.
Uenishi K, Ishida H, Toba Y, Aoe S, Itabashi A, Takada Y. Milk basic protein increases bone mineral density and improves bone metabolism in healthy young women. Osteoporos Int. 2007 Mar;18(3):385-90. doi: 10.1007/s00198-006-0228-5. Epub 2006 Oct 18.
Kerstetter JE, Bihuniak JD, Brindisi J, Sullivan RR, Mangano KM, Larocque S, Kotler BM, Simpson CA, Cusano AM, Gaffney-Stomberg E, Kleppinger A, Reynolds J, Dziura J, Kenny AM, Insogna KL. The Effect of a Whey Protein Supplement on Bone Mass in Older Caucasian Adults. J Clin Endocrinol Metab. 2015 Jun;100(6):2214-22. doi: 10.1210/jc.2014-3792. Epub 2015 Apr 6.
Other Identifiers
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