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Effect of Whey Protein' Supplementation and Exercise in Patients With Heart Failure

Effect of Supplementation With Whey Protein in Preservation of Muscle Mass and Strength, Quality of Life of Patients With Heart Failure in Cardiac Rehabilitation

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03142399
Acronym
PROT-HF
Enrollment
4
Registered
2017-05-05
Start date
2018-01-02
Completion date
2019-06-30
Last updated
2017-12-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Heart Failure, Muscle Loss, Quality of Life, Sarcopenia

Keywords

heart failure, cardiac reabilitation, nutritional status, quality of life, milk protein

Brief summary

The aim of this study is evaluate the effect of whey protein supplementation on muscle mass preservation, improvement of strength and quality of life, and inflammatory parameters in patients with heart failure NYHA I or II followed by a cardiac rehabilitation program.

Detailed description

Heart failure is the final route of most heart diseases and is a worldwide problem due to its high prevalence, morbidity and mortality. In Brazil, it is an important cause of hospitalization and one of the most important health challenges, since its prevalence tends to increase with the aging of the population and the increase in the survival of patients who have suffered acute coronary events. This is an ongoing epidemic problem, resulting in a high socioeconomic cost, represented by the expense of medications, repeated hospitalizations, loss of productivity, early retirements, possible surgeries and, ultimately, heart transplantation. In this sense, it is of great importance to carry out studies that evaluate the possible benefits of new clinical and nutritional interventions for HF patients, favoring the development of treatment strategies for these individuals and also for public health. Our hypothesis is based on the fact that whey protein supplementation associated with physical exercise in patients with heart failure could promote preservation of muscle mass, increase in muscle strength, and improve quality of life, Body composition and physical capacity. The volunteers will receive 30 grams per day of whey protein or maltodextrin in a double-blind, controlled clinical trial lasting 12 weeks. During this period they will perform supervised physical exercise 3 times a week in a cardiac rehabilitation program. They will also receive nutritional counseling.

Interventions

DIETARY_SUPPLEMENTwhey protein

Supplementation with whey protein isolate or maltodextrin (30 grams per day) for 12 weeks associated with supervised exercise and nutritional counseling in patients with heart failure.

Sponsors

National Institute of Cardiology, Laranjeiras, Brazil
Lead SponsorOTHER_GOV

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Clinical diagnosis of heart failure NYHA I or II after medical evaluation; * Indication to participate in a cardiac rehabilitation program; * Fully medicated for heart disease; * Age greater than or equal to 50 years; * Ejection fraction less than 50%.

Exclusion criteria

* Neoplasia at any site; * Impaired renal function (\<50ml / min / 1.73m2); * Impaired hepatic function (TGP\> 150U / l) or decompensated hepatic cirrhosis classified with Child-Pugh B or C; * Presence of ressincronizer or other device; * Atrial fibrilation; * Allergy of milk protein.

Design outcomes

Primary

MeasureTime frameDescription
Preservation of skeletal muscle mass12 weeksAssessment of body composition through bioelectrical impedance and anthropometry

Secondary

MeasureTime frameDescription
Quality of life12 weeksEvaluation of health-related quality of life through the application of the Minnesota Living With Heart Failure Questionnaire validated for brazilian population
Muscle strength12 weeksEvaluation of manual gripping force through dynamometry
Change in peak oxygen uptake (VO2 peak)12 weeksCardiopulmonary exercise test will be performed to measure VO2 peak and other parameters representative of cardiovascular reserve.
Microvascular reactivity12 weeksA laser speckle contrast imaging system with a laser wavelength of 785 nm (PeriCam PSI system, Perimed, Järfälla, Sweden) coupled to iontophoresis of acetylcholine and sodium nitroprusside will measure non-invasively real time cutaneous microvascular flow changes in the forearm. For the post occlusive reactive hyperemia (PORH) test, arterial occlusion will be performed with suprasystolic pressure (50 mmHg above the systolic arterial pressure) using a sphygmomanometer applied to the arm of the subject over three minutes. Peak skin flow will be measured after pressure release.

Countries

Brazil

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 5, 2026