Gewrichtsaandoeningen joint discomfort Knee discomfort
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: o Registration for the Nijmegen Four Days Marches 2016 o Self-reported activity-related knee discomfort (VAS score >=1) o Between 50 and 75 years of age o Willingness to provide written consent after proper information about the study objectives and procedures.
Exclusion criteria
Exclusion criteria: o A known systemic joint or muscle disease o Individuals that follow a low protein diet for medical reasons due to known kidney disease. o Disease influencing the uptake of protein (i.e. inflammatory bowel disease, Crohn*s disease) o Vegetarian diet o Diabetes mellitus (type 1 and type 2) o Recent knee surgery (
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome parameter is the difference in activity-related knee discomfort expressed by the VAS-score at baseline and after the intervention period/during the Nijmegen four-day marches. Furthermore, questionnaires, handgrip strength, muscle contraction characteristics, inflammatory markers and bone and joint markers will be assessed as secondary outcome parameters. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary study parameters/endpoints (if applicable) o (Changes in) activity-related knee discomfort expressed by and the KOOS score Lysholm score o Handgrip strength o Maximal voluntary strength of the quadriceps muscle o Fatigue-index and force-frequency relationship of the quadriceps muscle o Inflammatory markers (IL-6, IL-1beta, TNF-alpha, MCP-1, hsCRP) o Bone and joint markers (PINP, CTX, osteocalcin, CP2, CTXII) Other study parameters (if applicable) o Subject characteristics (anthropometrics) o Protein intake (24h recall) o Physical activity (SQUASH) and exercise training (diary) o Liver and kidney health urine/blood parameters | — |
Countries
Netherlands