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Trial registered on ANZCTR
Registration number
ACTRN12615000454572
Ethics application status
Approved
Date submitted
22/04/2015
Date registered
11/05/2015
Date last updated
13/04/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of dairy supplementation during immobilization on muscle loss in healthy adult males.
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Scientific title
The efficacy of milk protein in reducing muscle loss during immobilization in healthy adult males
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Secondary ID [1]
286579
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Nil known
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Universal Trial Number (UTN)
U1111-1160-3655
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
immobilization induced muscle loss
294840
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Sarcopenia
294908
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Condition category
Condition code
Musculoskeletal
295110
295110
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention period is 7 weeks.
Daily dose of 20g of milk protein concentrate consumed in 200ml of water. subjects will log the consumption of their supplement. during the entire study
subjects will be provided with breakfast and dinner daily and a nutritionist will give advice on lunch foods to ensure they are consuming 1.0g/kg/day of protein exclusive of the supplement.
During the first week of the study subject's diets will be controlled but they will not consume the supplement or placebo. During the following two weeks they will undergo unilateral lower limb immobilization using a knee brace and will consume the supplement or placebo. During the next two weeks the brace will be removed and they will be asked to take 10,000 steps per day which will be tracked by an accelerometer, they will continue with the supplement or placebo. For the final two weeks of the study subjects will continue to take 10,000 steps per day and will also complete a total of 6 lower body resistance training sessions. Training session will take approximately 30 min in consist of 4 sets preformed to fatigue at 80% of estimated one repetition maximum for both the leg press and leg extension exercise. each session will be supervised at a one-one ratio with a trained investigator. They will continue with the supplement or placebo.
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Intervention code [1]
291693
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Prevention
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Comparator / control treatment
Daily dose of 20g of carbohydrate placebo contained maltodextrin and lactose. The powder is dissolved in 200 ml of water and has a slight vanilla flavour to match that of the protein supplement.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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mid thigh muscle cross sectional area by pqCT scan
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Assessment method [1]
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Timepoint [1]
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baseline (week 0)
post baseline period (+1 week)
Post immobilization (+3 weeks)
post healthy living (+5 weeks)
post resistance training (+7 weeks)
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Primary outcome [2]
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Knee extension torque at 90 degrees measured by dynamometer
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Assessment method [2]
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Timepoint [2]
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baseline (week 0)
post baseline period (+1 week)
Post immobilization (+3 weeks)
post healthy living (+5 weeks)
post resistance training (+7 weeks)
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Secondary outcome [1]
314262
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single leg maximal aerobic power by single leg cycle test of power output
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Assessment method [1]
314262
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Timepoint [1]
314262
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baseline (week 0)
post baseline period (+1 week)
Post immobilization (+3 weeks)
post healthy living (+5 weeks)
post resistance training (+7 weeks)
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Secondary outcome [2]
314263
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Single leg vertical jump
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Assessment method [2]
314263
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Timepoint [2]
314263
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baseline (week 0)
post baseline period (+1 week)
Post immobilization (+3 weeks)
post healthy living (+5 weeks)
post resistance training (+7 weeks)
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Secondary outcome [3]
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muscle protein synthesis measured by muscle deuterium enrichment
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Assessment method [3]
314356
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Timepoint [3]
314356
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post baseline period (+1 week)
Post immobilization (+3 weeks)
post healthy living (+5 weeks)
post resistance training (+7 weeks)
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Eligibility
Key inclusion criteria
non smoker
healthy
BMI 18-34
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Minimum age
45
Years
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Maximum age
60
Years
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Sex
Males
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
current smoking
BMI >34
currently taking beta blockers
currently taking statin drugs
history of DVT
history of lower body musculoskeletal problems
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Assigned subject number based on the date of enrolment in the trial. Allocation is concealed using locked spreadsheet which only reveals allocation once a subject's name and dominant leg has been entered.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
random sequence generated by http://www.r-project.org/
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
Immobilization leg is randomized to dominant or non dominant based in a counterbalanced fashions
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Two way RM ANOVAs
The study was powered based 20% +/- 5% decease in knee extension torque following immobilization and was powered to find a 50% attenuation of muscle torque loss. 80% power was used and alpha was set at 0.05. This resulted in a subject number of 15 per group.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
26/02/2015
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Actual
26/02/2015
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Date of last participant enrolment
Anticipated
1/09/2015
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Actual
9/06/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
30
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Recruitment outside Australia
Country [1]
6839
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New Zealand
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State/province [1]
6839
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Auckland
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Funding & Sponsors
Funding source category [1]
291138
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Commercial sector/Industry
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Name [1]
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Fonterra
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Address [1]
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9 Princes Street, Auckland 1010
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Country [1]
291138
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New Zealand
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Primary sponsor type
Commercial sector/Industry
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Name
Fonterra
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Address
9 Princes Street, Auckland 1010
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Country
New Zealand
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Secondary sponsor category [1]
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University
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Name [1]
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University of Auckland
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Address [1]
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The University of Auckland
Private Bag 92019
Victoria Street West
Auckland 1142
New Zealand
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Country [1]
289817
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northern A Health and Disability Ethics Committee
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Ethics committee address [1]
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Ministry of Health Freyberg Building 20 Aitken Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
292715
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09/10/2014
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Approval date [1]
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16/10/2014
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Ethics approval number [1]
292715
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14/NTA/146/AM01
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Summary
Brief summary
all subjects complete a 7 week protocol with a dietary intake 1.0g/kg/day of protein. The subjects are free living for the first week, undergo unilateral lower limb immobilization for the following two weeks. the next two weeks subjects are remobilized and encouraged to take 10,000 steps per day. for the final two weeks subjects preform resistance training thrice weekly. subjects are randomized to consume 20g of milk protein or placebo dairying following the free living phase. The purpose of this study is to determine if supplemental protein can attenuate muscle and strength loss during immobilization or enhance the degree of muscle and strength regain. It is hypothesized that supplemental protein will reduce the degree of muscle and strength loss during immobilization and enhance the rate of muscle and strength recovery.
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Trial website
http://hnu.auckland.ac.nz/nutrition-mobility
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof David Cameron-Smith
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Address
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Liggins Institute
The University of Auckland
Private Bag 92019
Victoria Street West
Auckland 1142
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Country
56730
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New Zealand
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Phone
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64 9 923 1336
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Fax
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Email
56730
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[email protected]
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Contact person for public queries
Name
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Cameron MItchell
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Address
56731
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Liggins Institute
The University of Auckland
Private Bag 92019
Victoria Street West
Auckland 1142
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Country
56731
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New Zealand
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Phone
56731
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+64099236606
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Fax
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Email
56731
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[email protected]
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Contact person for scientific queries
Name
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Cameron Mitchell
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Address
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Liggins Institute
The University of Auckland
Private Bag 92019
Victoria Street West
Auckland 1142
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Country
56732
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New Zealand
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Phone
56732
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+64099236606
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Fax
56732
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Email
56732
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
Impact of dairy protein during limb immobilization and recovery on muscle size and protein synthesis; a randomized controlled trial
2017
https://doi.org/10.1152/japplphysiol.00803.2017
Embase
Daily protein supplementation attenuates immobilization-induced blunting of postabsorptive muscle mTORC1 activation in middle-aged men.
2021
https://dx.doi.org/10.1152/ajpcell.00284.2020
Embase
Ribosome biogenesis and degradation regulate translational capacity during muscle disuse and reloading.
2021
https://dx.doi.org/10.1002/jcsm.12636
N.B. These documents automatically identified may not have been verified by the study sponsor.
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