APPETITE: Plant Protein and Exercise Solutions for the Prevention of Undernutrition in Older Adults.

NCT ID: NCT05608707

Last Updated: 2024-12-09

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-22

Study Completion Date

2025-09-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The APPETITE Trial aims to investigate the efficacy of innovative plant protein fibre (PPF) products (developed in a previous workpackage) as part of a personalised diet with/out physical activity on appetite and incidence of undernutrition in older persons from three European countries at high risk of undernutrition.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

It is normal that dietary intake decreases as we age due to reduced activity and muscle mass. However, appetite is a key determinant of dietary intake, and poor appetite can result in undernutrition. In many instances, older adults do not recognise their appetite has decreased significantly as the decline is slow and progressive. Protein and fibre are often poorly consumed in the diets of older adults with decreased appetite, but essential for health and well-being. Interventions designed to increase appetite, or increase dietary intake despite a reduced appetite, should therefore be key to preventing undernutrition (i.e. protein-energy malnutrition as well as nutrient deficiencies). However, treatment strategies for poor appetite are not well-established.

In this multi-centre randomised controlled trial conducted in Ireland, Germany, and Italy, a two-by-two factorial design will define the individual and combined impact of two intervention conditions over 12 weeks: 1) personalised diet with focus on plant-based protein plus fibre; and 2) physical activity.

At each centre, 60 older adults (180 in total) will be randomly allocated to one of the following four groups over a 12 week period: 1) personalised diet plus physical activity program (PD + PA), 2) usual diet plus physical activity (PA), 3) personalised diet and no PA (PD), and 4) control (usual diet, no PA).

Using identical procedures, two testing visits will be completed before and after the 12 intervention or control period.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Appetite Loss Physical Inactivity Undernutrition Anorexia of Aging Aging Ageing Well

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

appetite energy intake nutrition older adults Physical activty

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Randomised controlled trial, a two-by-two factorial design will define the individual and combined impact of two intervention conditions over 12 weeks
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Personalised diet plus physical activity intervention

A personalised diet intervention involving the incorporation of the developed plant-based protein and fibre product.

Participants will also undertake 2 weekly group exercise sessions incorporating strength and balance exercises, along with home-based exercise

Group Type EXPERIMENTAL

Physical activity intervention

Intervention Type BEHAVIORAL

The 12 week intervention will involve 2 weekly group exercise sessions incorporating strength and balance exercises, along with home-based exercise focused on increasing time spent walking.

Personalised nutrition intervention

Intervention Type DIETARY_SUPPLEMENT

Two Plant-based Protein and Fibre (PPF) product products have been selected from six initially developed, with best amino acid blend, taste, and bioavailability. Participants will be provided with the PPFs to consume daily as part of a personalised diet over 12 weeks.

Usual diet plus physical activity

Participants will consume their usual diet and undertake 2 weekly group exercise sessions incorporating strength and balance exercises, along with home-based exercise

Group Type EXPERIMENTAL

Physical activity intervention

Intervention Type BEHAVIORAL

The 12 week intervention will involve 2 weekly group exercise sessions incorporating strength and balance exercises, along with home-based exercise focused on increasing time spent walking.

Personalised diet plus usual physical activity

A personalised diet intervention involving the incorporation of the developed plant-based protein and fibre product.

Group Type EXPERIMENTAL

Personalised nutrition intervention

Intervention Type DIETARY_SUPPLEMENT

Two Plant-based Protein and Fibre (PPF) product products have been selected from six initially developed, with best amino acid blend, taste, and bioavailability. Participants will be provided with the PPFs to consume daily as part of a personalised diet over 12 weeks.

Control (usual diet and physical activity)

This arm will not be given any nutritional or physical activity support. They will be instructed to carry on with their usual activities.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Physical activity intervention

The 12 week intervention will involve 2 weekly group exercise sessions incorporating strength and balance exercises, along with home-based exercise focused on increasing time spent walking.

Intervention Type BEHAVIORAL

Personalised nutrition intervention

Two Plant-based Protein and Fibre (PPF) product products have been selected from six initially developed, with best amino acid blend, taste, and bioavailability. Participants will be provided with the PPFs to consume daily as part of a personalised diet over 12 weeks.

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Structured exercise program Plant-based protein and fibre intervention

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Community-dwelling,
* Age 65+ years,
* BMI 19.5-30.4kg/m2,
* Inactive (\<150 minutes of moderate to vigorous physical activity per week and no regular resistance training),
* Have proof of Covid-19 vaccination

Exclusion Criteria

* Major cognitive impairment (MMSE ≤24),
* Uncontrolled Clinical depression (CES-D \>16),
* Medical condition or current medication known to impact appetite or energy intake,
* Other medical condition that may impact ability to participate in study or study outcomes,
* Heavy smoker (\>10/day),
* Plans to relocate out of the study area within the next 6 months,
* Inability to come to study centre/PA program location,
* Currently participating in another intervention study,
* Inability to participate in physical activity,
* Unable to walk across a room,
* Allergic to or unwilling to consume any of the study test foods,
* Loss of taste or smell associated with COVID-19,
* Unwilling to be randomised to any intervention group.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement

OTHER

Sponsor Role collaborator

Friedrich-Alexander-Universität Erlangen-Nürnberg

OTHER

Sponsor Role collaborator

University of Padova

OTHER

Sponsor Role collaborator

University College Dublin

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Helen M Roche, Professor

Role: PRINCIPAL_INVESTIGATOR

UCD

Katy Horner, PhD

Role: PRINCIPAL_INVESTIGATOR

University College Dublin

Marjolein Visser, PhD

Role: PRINCIPAL_INVESTIGATOR

VU Amsterdam

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

FAU

Nuremberg, , Germany

Site Status

School of Public Health, Physiotherapy and Sports Science

Dublin, Leinster, Ireland

Site Status

UNIPD

Padua, , Italy

Site Status

Countries

Review the countries where the study has at least one active or historical site.

France Germany Ireland Italy

References

Explore related publications, articles, or registry entries linked to this study.

Horner KM, Mullen B, Quinn A, Scheufele P, Gola S, Gonnelli F, Bozzato M, Pratt J, Sala W, Mullin S, Kirwan L, Dardevet D, Guillet C, De Vito G, Visser M, Volkert D, Corish CA. Plant protein, fibre and physical activity solutions to address poor appetite and prevent undernutrition in older adults: study protocol for the APPETITE randomised controlled trial. Br J Nutr. 2024 Sep 28;132(6):823-834. doi: 10.1017/S0007114524002125. Epub 2024 Oct 10.

Reference Type BACKGROUND
PMID: 39387205 (View on PubMed)

Related Links

Access external resources that provide additional context or updates about the study.

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

JPI-ERA-HDHL PREVNUT-2020-1

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

LS-21-96-Roche

Identifier Type: -

Identifier Source: org_study_id