A Meal-based Comparison of Protein Quality, Complementary Proteins and Muscle Anabolism

NCT ID: NCT03816579

Last Updated: 2021-04-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

23 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-26

Study Completion Date

2021-01-21

Brief Summary

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To highlight the importance of protein quality rather than the total protein content of a meal, the investigators will demonstrate that unlike high quality proteins, a single meal containing 30 g of an incomplete protein source does not stimulate skeletal muscle protein synthesis. Secondly, the investigators will directly challenge a prevalent, but untested, assertion that has the potential to negatively impact health. The goal is to demonstrate that complementary plant-proteins (i.e., two or more incomplete protein sources) must be consumed at the same meal to stimulate protein synthesis.

Detailed Description

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The investigators will test the following hypotheses in middle-aged men and women (45-60) years old using a randomized, cross over design. All study objectives will be met concurrently:

1. Meals containing 30 g of high quality, predominantly beef-protein (PRO-A) will stimulate acute (i.e., single meal response) and 24 h skeletal muscle protein synthesis \[confirmatory hypothesis\]
2. Meals containing 30 g of complementary plant-based proteins (PRO-B: complete essential amino acid profile at each meal) will stimulate acute and 24 h skeletal muscle protein synthesis, but to a lesser extent than beef-protein.
3. A single meal containing 30 g of an incomplete plant-based protein source (PRO-C: lacking one essential amino acid) will fail to acutely stimulate skeletal muscle protein synthesis
4. Meals containing 30 g of plant-based protein that are incomplete at each separate meal, but complementary over a 24 h period, will fail to stimulate 24 h skeletal muscle protein synthesis.
5. Beef-and plant-based meals will have a similar effect on satiety and 24 h blood glucose \[descriptive\]

If these hypotheses are correct, the investigators will demonstrate that meals containing a moderate amount of high quality protein, such as beef, are an efficient and effective way to augment a largely plant based diet and stimulate skeletal muscle protein synthesis - a prerequisite for outcomes related to physical function, performance, successful aging and metabolic health.

Conditions

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Protein Diet Skeletal Muscle

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants

Study Groups

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PRO-A

Beef protein

Group Type EXPERIMENTAL

PRO-A

Intervention Type OTHER

30 g of beef protein will be consumed at each meal

PRO-B

Complementary proteins at each meal

Group Type EXPERIMENTAL

PRO-B

Intervention Type OTHER

30 g of complementary proteins will be consumed at each meal

PRO-C

Complementary proteins over 24 hours

Group Type EXPERIMENTAL

PRO-C

Intervention Type OTHER

30 g of complementary proteins will be consumed over 24 hours

CON

Low protein (\<5 g) meal

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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PRO-A

30 g of beef protein will be consumed at each meal

Intervention Type OTHER

PRO-B

30 g of complementary proteins will be consumed at each meal

Intervention Type OTHER

PRO-C

30 g of complementary proteins will be consumed over 24 hours

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. All races and ethnic backgrounds
2. Men and women, age 45-60 years

Exclusion Criteria

4. Able and willing to provide informed consent
5. Ability to speak and read English (\* the study procedures, e.g., muscle biopsy, duration of each acute study, e.g. overnight stay; and multiple dietary questionnaires require sound written and spoken English)


1. Sarcopenia (defined by: European Working Group on Sarcopenia in Older People, EWGSOP (44))
2. Clinically significant heart disease (e.g. New York Heart Classification greater than grade II; ischemia)
3. Peripheral vascular disease
4. Pulmonary disease
5. History of systemic or pulmonary embolus
6. Uncontrolled blood pressure (systolic BP\>170, diastolic BP\>95 mmHg)
7. Impaired renal function (creatinine \>1.5 mg/dl)
8. Anemia (hematocrit \<33)
9. Untreated thyroid disease (abnormal TSH)
10. A recent history (\<12 months) of GI bleed
11. Diabetes mellitus or other untreated endocrine or metabolic disease
12. Electrolyte abnormalities
13. Any history of stroke, hypo- or hyper-coagulation disorders
14. Recent (3 years) treated cancer other than basal cell carcinoma
15. Systemic steroids, anabolic steroids, growth hormone or immunosuppressant use within 12 months
16. Recent (6 months) adherence to a weight-loss or weight-gain diet
17. Weight change of 5% or more in previous 6 months
18. Body mass index \>30 or excess body fat that compromises muscle biopsy collection
19. Body mass index \<20 or recent history (\<12 month) of disordered eating
20. Dietary preferences or practices that preclude the consumption of the study meals
21. Acute infectious disease or chronic infection
22. Alcohol or drug abuse
23. Any other condition or event considered exclusionary by study physician
24. Pregnancy
Minimum Eligible Age

45 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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The University of Texas Medical Branch, Galveston

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Doug Paddon-Jones, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Texas

Locations

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Unversity of Texas Medical Branch

Galveston, Texas, United States

Site Status

Countries

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United States

References

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Arentson-Lantz EJ, Von Ruff Z, Connolly G, Albano F, Kilroe SP, Wacher A, Campbell WW, Paddon-Jones D. Meals Containing Equivalent Total Protein from Foods Providing Complete, Complementary, or Incomplete Essential Amino Acid Profiles do not Differentially Affect 24-h Skeletal Muscle Protein Synthesis in Healthy, Middle-Aged Women. J Nutr. 2024 Dec;154(12):3626-3638. doi: 10.1016/j.tjnut.2024.10.010. Epub 2024 Oct 11.

Reference Type DERIVED
PMID: 39396760 (View on PubMed)

Other Identifiers

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18-0147

Identifier Type: -

Identifier Source: org_study_id

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