Muscle Loss Clinical Trial
Official title:
Efficacy of a High Quality Protein Leucine-enriched Nutraceutical in Attenuating Inactivity- and Hypo-energetic Diet-induced Muscle Loss in Older Women
This leucine-enriched protein gummy (as a gummy bar/slab) will be studied to address age-related loss of muscle mass and strength/function in older persons. The product is small volume (approximately 35 g per serve) and low energy (approximately 100 kcal per serve). It is easy to chew and swallow with the consistency of a firm Jello. In addition, it contains an effective dose of leucine in a high-quality protein matrix consisting of milk proteins. Understanding the efficacy of this product on changes in levels of blood amino acids and the molecular signaling required to enhance muscle growth will provide helpful insight for the suggestion of supplemental use.
General experimental design:
Pre-testing will require participants to become familiarized with performing maximal
voluntary isometric contractions, as well as touring the laboratory facilities. Participants
will be asked to complete dietary records for three days to determine habitual caloric
intake. The experimental trial will be conducted in three phases. A baseline run-in phase
(Phase 1) during which participants will consume a diet matching their estimated energy
requirement to put them in a weight-stable phase. Energy requirements will be estimated using
the Harris Benedict equation using an appropriate physical activity factor based on interview
responses to a standard activity questionnaire. Participants will then be assigned to either
the comparator group (n=10) or leucine-enriched protein food group (n=10). For the subsequent
10d (Phase 2), participants will undergo a period of step reduction (< 1000 steps.d-1) whilst
in a 500 kcal.d-1 deficit that will be adjusted for the reduced physical activity due to the
step reduction. The reason for inducing an energy deficit is to mimic a situation where older
individuals will be both physically inactive and 'undernourished', such as during home-bound
periods of sickness or while in hospital. After completing Phase 2, participants will then
return to their normal step count (from measured habitual steps pre-intervention) under
energy balanced conditions for 10d that will serve as a recovery phase, Phase 3. We will
complete assessments of body composition, leg lean mass, maximal voluntary isometric
strength, measures of physical performance, and rate of force development will be made.
Skeletal muscle biopsies will be obtained for biochemical analysis. At these time points,
maximal voluntary isometric force, maximal leg press strength, a battery of physical
performance measures and body composition will once again be obtained.
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