Mobility Limitation
Conditions
Keywords
Whey protein, Resistance exercise, Physical activity, Mobility disability, Physical function, Muscle mass, Muscle strength, Older Adults, Mobility-Limited
Brief summary
This research study is looking at the effects of a whey protein nutritional supplement on changes in muscle mass, strength and physical function in response to a 6 month program of strength training exercise.
Interventions
powdered, 46g supplement dissolved in fluids, twice daily
powdered, 46g supplement dissolved in fluids, twice daily
Sponsors
Study design
Eligibility
Inclusion criteria
* Male and Females 70-85 yrs * Community dwelling * Short Physical Performance Battery score \< 10 * BMI = 21-32.5
Exclusion criteria
* Acute or terminal illness * Mini Mental State Exam \< 23 * Myocardial infarction in previous 6 months, symptomatic coronary artery disease, or congestive heart failure * Upper or lower extremity fracture in previous 6 months * Uncontrolled hypertension (\>150/90 mm Hg). * Neuromuscular diseases and drugs which affect neuromuscular function. * Hormone replacement therapy * eGFR \<30 mL/min/1.73m2 * Types I and II Diabetes Mellitus * Dietary protein intake \< 0.8 g.kg-1.day-1 * Disorders of nutrient absorption * Milk, or whey allergy * Sulfa drugs and allergy to PABA-containing sunscreens
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 1 Repetition Maximum Muscle Strength 1-RM (N) Double Leg Press | Baseline and follow up (6 months) | The maximum muscle strength of the leg extensor muscles as measured by pneumatic strength training equipment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lean Mass | Baseline and follow up (6 months) | Whole body lean mass (kg) as measured by dual energy x-ray absorptiometry. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| A,1 (Intervention) Whey protein: powdered, 46g supplement dissolved in fluids, twice daily | 42 |
| A,2 (Control) Maltodextrin placebo: powdered, 46g supplement dissolved in fluids, twice daily | 38 |
| Total | 80 |
Baseline characteristics
| Characteristic | A,2 (Control) | A,1 (Intervention) | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 38 Participants | 42 Participants | 80 Participants |
| Age, Categorical Between 18 and 65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Continuous | 77.3 years STANDARD_DEVIATION 3.9 | 78.0 years STANDARD_DEVIATION 4 | 77.7 years STANDARD_DEVIATION 4 |
| Region of Enrollment United States | 38 participants | 42 participants | 80 participants |
| Sex: Female, Male Female | 22 Participants | 25 Participants | 47 Participants |
| Sex: Female, Male Male | 16 Participants | 17 Participants | 33 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 14 / 42 | 19 / 38 |
| serious Total, serious adverse events | 6 / 42 | 3 / 38 |
Outcome results
1 Repetition Maximum Muscle Strength 1-RM (N) Double Leg Press
The maximum muscle strength of the leg extensor muscles as measured by pneumatic strength training equipment.
Time frame: Baseline and follow up (6 months)
Population: 5 subjects were not included in follow up analysis
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Whey Protein | 1 Repetition Maximum Muscle Strength 1-RM (N) Double Leg Press | Baseline | 1223 N | Standard Deviation 380 |
| Whey Protein | 1 Repetition Maximum Muscle Strength 1-RM (N) Double Leg Press | Follow up | 1483 N | Standard Deviation 517 |
| Placebo | 1 Repetition Maximum Muscle Strength 1-RM (N) Double Leg Press | Baseline | 1256 N | Standard Deviation 461 |
| Placebo | 1 Repetition Maximum Muscle Strength 1-RM (N) Double Leg Press | Follow up | 1465 N | Standard Deviation 528 |
Lean Mass
Whole body lean mass (kg) as measured by dual energy x-ray absorptiometry.
Time frame: Baseline and follow up (6 months)
Population: 5 subjects were not included in follow up analysis
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Whey Protein | Lean Mass | Baseline | 46.7 Kg | Standard Deviation 8.6 |
| Whey Protein | Lean Mass | Follow up | 47.3 Kg | Standard Deviation 8.6 |
| Placebo | Lean Mass | Baseline | 46.4 Kg | Standard Deviation 8.4 |
| Placebo | Lean Mass | Follow up | 46.7 Kg | Standard Deviation 8.4 |