sarcopenie Muscle strength loss reduced phyiscal functionality
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - 65 years or older - Registered for the Nijmegen Four Days Marches 2017 - Protein intake less than 1.0 gram/kilogram bodyweight/day - Able to understand and perform the study procedures
Exclusion criteria
Exclusion criteria: - Type I or type II diabetes (fasted blood glucose level *7,0 mmol) - Allergic or sensitive for milk proteins, or lactose intolerant. - Having diagnosed COPD or treatmet with cancer - Having diagnosed renal insufficiency - Having diagnosed intestinal diseases influencing the uptake of protein (i.e. active inflammatory bowel disease, Crohn*s disease) - Use of statins - Involved in a heavy resistance type exercise program
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcomes are differences in change in muscle strength and physical performance between the intervention and control group after 12 weeks. Moreover, muscle mass will be determined to assess differences between the intervention and control group. Primary outcome Maximal voluntary contraction (leg extension strength) of 3 repeated measures (3RM) and physical performance (determined with Short Physical Performance Battery (SPPB)). | — |
Secondary
| Measure | Time frame |
|---|---|
| During the Four Days Marches we will assess differences between the protein-supplemented group and the placebo-supplemented group for recovery of physical performance, of muscle strength and biomarkers (muscle and joint). Secondary study parameters are changes in: o Muscle contractile function* o Handgrip strength (dynamometer) o Timed up-and-go (TUG) test o Anthropometrics o Body composition (DEXA) *Performed in a subgroup of 60 subjects (30 intervention, 30 placebo) Other parameters are: o Physical fitness (Åstrand-Rhyming test) o Physical activity (SQUASH) and exercise training (diary) o Daily dietary and protein intake (24h-recalls) o Compliance (protein supplementation) o Blood analyses (protein, glucose and insulin (for screening diabetes), creatinin (for screening renal insufficiency), inflammatory biomarkers, joint markers) o Urine analyses (protein, inflammatory biomarkers, joint markers) o Questionnaire screening sarcopenia (SARC-F) o Questionnaire quality of life (EQ5D) o Questionnaire muscle and joint pain (Short-Form McGill Pain Questionnaire (SF-MPQ) and Brief pain inventory vragenlijst (BPI-SF)) | — |
Countries
Netherlands