The VOILA Intervention Study

NCT ID: NCT05354310

Last Updated: 2022-04-29

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-01

Study Completion Date

2024-07-01

Brief Summary

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The multi-disciplinary and translational VOILA project presents a unique intersection between gut, immuno-metabolic, and musculoskeletal health. The main goals of the project are to develop biomarkers for healthy aging and prevent disease by maintaining quality of life in older adults. Within this umbrella project, the multimodal VOILA lifestyle intervention study will assess the impact of a twelve-week strength training and nutritional intervention in older adults with different degrees of mobility. The study will improve the current understanding of the complex relationship between gut and muscle health in different segments of mobility and obtain an insight into the heterogeneity of responsiveness between individuals.

Detailed Description

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Conditions

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Aging

Keywords

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Resistance Training Nutrition Protein supplement Gut microbiome Immunometabolsim Mobility

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Active reference group

Only baseline measurements will be done.

Group Type NO_INTERVENTION

No interventions assigned to this group

Metabolically compromised group

Group with metabolomic mortality scores above threshold will undergo intervention. Baseline and endline measurements.

Group Type EXPERIMENTAL

VOILA

Intervention Type COMBINATION_PRODUCT

Participants will be given dietary supplement powder containing protein, galactooligosaccharide (GOS), vitamin D, and calcium throughout the twelve weeks of intervention. This will be accompanied with a resistance training regime whereby participants will train three times a week for the three months. A variety of measurements will be carried out at baseline and at endline.

Mobility compromised

Group with walking aids will undergo intervention. Baseline and endline measurements.

Group Type EXPERIMENTAL

VOILA

Intervention Type COMBINATION_PRODUCT

Participants will be given dietary supplement powder containing protein, galactooligosaccharide (GOS), vitamin D, and calcium throughout the twelve weeks of intervention. This will be accompanied with a resistance training regime whereby participants will train three times a week for the three months. A variety of measurements will be carried out at baseline and at endline.

Knee replacement INT

Group with recent knee replacement surgery will undergo intervention. Baseline and endline measurements.

Group Type EXPERIMENTAL

VOILA

Intervention Type COMBINATION_PRODUCT

Participants will be given dietary supplement powder containing protein, galactooligosaccharide (GOS), vitamin D, and calcium throughout the twelve weeks of intervention. This will be accompanied with a resistance training regime whereby participants will train three times a week for the three months. A variety of measurements will be carried out at baseline and at endline.

Knee replacement Control

Group with recent knee replacement surgery will undergo standard care. Baseline and endline measurements.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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VOILA

Participants will be given dietary supplement powder containing protein, galactooligosaccharide (GOS), vitamin D, and calcium throughout the twelve weeks of intervention. This will be accompanied with a resistance training regime whereby participants will train three times a week for the three months. A variety of measurements will be carried out at baseline and at endline.

Intervention Type COMBINATION_PRODUCT

Eligibility Criteria

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Inclusion Criteria

* Age ≥70 years
* A body mass index of 18.5-35.0 kg/m2
* Able to give written informed consent
* Community-dwelling
* Mentally competent with a Mini-Mental State Examination (MMSE) score of ≥24 points
* Able to follow the study protocol

Additional group-specific criteria:

Metabolically compromised group

\- Framingham Risk Score ≥14 and Metabolomic Mortality Score of ≥0.173

Reduced mobility group - People able to walk but needing walking aids to walk anywhere outside their house

Total knee replacement intervention and control group

\- Discharged from MUMC+ after undergoing elective knee replacement surgery (intervention starts \~4 weeks after surgery)

Active reference group

* People who meet the "Nederlandse Norm Gezond Bewegen". This means they partake in at least moderate exercise for at least 30 minutes on 5 days of the week, as determined by the SQUASH questionnaire (40).
* Framingham Risk Score of \<14 and Metabolic Mortality Score of \<0.173

Exclusion Criteria

* Already using prebiotic fibres\*
* Use of laxatives\*
* Not willing to stop using dietary supplements in high doses (high doses: 0.10\*Upper Level or more)\*
* Following a structured, intense exercise programme (currently or in the last year)\*
* Allergic, intolerant or hypersensitive to milk/lactose (self-reported)\*
* Dietary restrictions on milk/lactose/prebiotics/vitamin D/calcium consumption\*
* Abnormal hepatic or renal laboratory parameters (estimated glomerular filtration rate (eGFR) \<30 ml/min/1.73 m2 (screening) or contra-indication by treating medical practitioner (data from hospital)
* Diagnosis of disorders/diseases in which a high protein intake can be harmful, such as renal impairment or failure, liver disease, or diabetes associated with nephropathy (treating medical practitioner has the decisive voice).
* Diseases, conditions or disorders which may affect the ability to follow the study protocol and which cannot be overcome with help of a caregiver Any other medical condition that may interfere with the safety of the participants during training or assessment of the outcome parameters, in the investigators' judgement
* Current participation in other scientific research that conflicts with this study (e.g. intervention studies or weight management studies)
* Not signed up to a general practitioner
* No permission to request information from the general practitioner/ treating specialist(s) about medical history, medication use.

Specific for TKR group:

* Referral to rehabilitation facility after hospital discharge
* Osteoarthritis of the knee secondary to septic arthritis, osteonecrosis, fracture, osteochondritis dissecans, or malignant processes
* Collagen disorders, e.g. Marfan and Ehler-Danlos
* Total hip prosthesis or TKR in both legs
Minimum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Maastricht University Medical Center

OTHER

Sponsor Role collaborator

Wageningen University and Research

OTHER

Sponsor Role collaborator

FrieslandCampina

INDUSTRY

Sponsor Role collaborator

ZonMw: The Netherlands Organisation for Health Research and Development

OTHER

Sponsor Role collaborator

Leiden University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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P.Eline Slagboom

Professor of Molecular Epidemiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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P. Eline Slagboom, PhD

Role: PRINCIPAL_INVESTIGATOR

Leiden University Medical Center

Lex Verdijk, PhD

Role: PRINCIPAL_INVESTIGATOR

Maastricht University Medical Center

Lisette de Groot, PhD

Role: PRINCIPAL_INVESTIGATOR

Wageningen University & Research

Locations

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Wageningen University & Research

Wageningen, Gelderland, Netherlands

Site Status RECRUITING

Maastricht University Medical Center

Maastricht, Limburg, Netherlands

Site Status RECRUITING

Leiden University Medical Center

Leiden, South Holland, Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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P. Eline Slagboom, PhD

Role: CONTACT

Phone: 0653879941

Email: [email protected]

Jordi Morwani Mangnani, MSc

Role: CONTACT

Email: [email protected]

Facility Contacts

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Lisette de Groot, PhD

Role: primary

Charlotte Kramer, MSc

Role: backup

Lex Verdijk, PhD

Role: primary

Alejandra Monsegue, MSc

Role: backup

P. Eline Slagboom, PhD

Role: primary

Jordi Morwani Mangnani, MSc

Role: backup

Other Identifiers

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NL76879.058.21

Identifier Type: -

Identifier Source: org_study_id