Effect of a Novel Protein Ingredient Combined With Oral Nutritional Supplement on Appetite in Older Adults
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Leinster
-
Dublin, Leinster, Ireland, D04 V1W8
- University College Dublin
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Community-dwelling,
- Age 60+ years
- Poor appetite (Simplified Nutritional Appetite Questionnaire (SNAQ) score </=14, answer a, b or c to Q.1 on SNAQ or answer b, c, or d to CES-D question regarding poor appetite in the past week)
- BMI 20-25kg/m2
Exclusion Criteria:
- Current medical condition or medication known to impact appetite or energy intake
- Other medical condition that would impact study participation and outcomes, as judged by the study investigator.
- Heavy smoker (>10/day)
- Inability to come to study centre
- Currently participating in another intervention study
- Lacking informed consent
- Allergic to or unwilling to consume any of the study test foods
- Loss of taste or smell associated with COVID-19
- Unable to walk across a room
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Oral Nutritional Supplement
125 mL of commercially available of Oral Nutritional Supplement, a liquid food product containing vitamins, minerals, protein, fats and carbohydrates.
125 mL of product provides 37.0 g of carbohydrates, 11.6 g of fats, 12.0 g of proteins, vitamins and minerals.
|
Commercially available Oral Nutritional Supplement alone consumed 90 minutes prior to an ad libitum breakfast
|
|
Experimental: Oral Nutritional Supplement + Whey Protein Hydrolysate
2,2 grams of whey protein hydrolysate dissolved in 125 mL of commercially available of Oral Nutritional Supplement
|
Whey Protein Hydrolysate dissolved in an Oral Nutritional Supplement consumed 90 minutes prior to an ad libitum breakfast
|
|
Active Comparator: Whey Protein Hydrolysate
2,2 grams of whey protein hydrolysate dissolved in 125 mL of water
|
Whey Protein Hydrolysate dissolved in still water consumed 90 minutes prior to an ad libitum breakfast
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pre-meal and changes in Hunger
Time Frame: 9.5 hours: fast (pre-ONS), pre-breakfast: 90 (post-ONS), 60, 30 and 0 min; post-breakfast: 0 and 180 min (pre-lunch); post-lunch: 0 and 90 min (pre-ONS); 0 min post-ONS; estimated 120 min. post-ONS (pre-dinner); 0 min. post-dinner
|
Validated 100-millimetre Visual Analogue Scales (VAS) will be used to assess hunger, at ten (10) set time points throughout the experimental visit.
This VAS has anchors located at each end of the scale.
On the left end of the scale, the extreme negative response (0 mm) is represented, while the right end (100 mm) represents the positive response.
Participants mark along the line where it most represents their subjective perception between both ends.
Hunger is directly obtained from its VAS rating.
Changes between fast and post-meal, mean and AUC values will be calculated.
|
9.5 hours: fast (pre-ONS), pre-breakfast: 90 (post-ONS), 60, 30 and 0 min; post-breakfast: 0 and 180 min (pre-lunch); post-lunch: 0 and 90 min (pre-ONS); 0 min post-ONS; estimated 120 min. post-ONS (pre-dinner); 0 min. post-dinner
|
|
Energy Intake (EI) from an ad libitum breakfast meal (kilocalories)
Time Frame: Measures taken immediately following the ad libitum test meal (a single measurement)
|
First meal (ad libitum breakfast) energy intake measurement.
Participants will be served a standardised ad libitum breakfast in the laboratory.
EI (kilocalories) will be measured objectively, by weighing foods before and after consumption and calculating energy intake based on their nutritional data.
|
Measures taken immediately following the ad libitum test meal (a single measurement)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Palatability - Pleasantness
Time Frame: 9.5 hours: mean of ratings taken immediately following the three test meals and the two intakes of the test supplement (single measure), i.e., supplement, breakfast, lunch, supplement, dinner
|
Validated 100-millimetre Visual Analogue Scales (VAS) will be used after each test meal: test supplement, breakfast, lunch, test supplement and dinner.
This VAS has anchors located at each end of the scale.
On the left end of the scale, the extreme negative response (0 mm) is represented, while the right end (100 mm) represents the positive response.
Participants mark along the line where it most represents their subjective perception between both ends.
|
9.5 hours: mean of ratings taken immediately following the three test meals and the two intakes of the test supplement (single measure), i.e., supplement, breakfast, lunch, supplement, dinner
|
|
Palatability - Filling
Time Frame: 9.5 hours: mean of ratings taken immediately following the three test meals and the two intakes of the test supplement (single measure), i.e., supplement, breakfast, lunch, supplement, dinner
|
Validated 100-millimetre Visual Analogue Scales (VAS) will be used after each test meal: test supplement, breakfast, lunch, test supplement and dinner.
This VAS has anchors located at each end of the scale.
On the left end of the scale, the extreme negative response (0 mm) is represented, while the right end (100 mm) represents the positive response.
Participants mark along the line where it most represents their subjective perception between both ends.
|
9.5 hours: mean of ratings taken immediately following the three test meals and the two intakes of the test supplement (single measure), i.e., supplement, breakfast, lunch, supplement, dinner
|
|
Palatability - Satisfaction
Time Frame: 9.5 hours: mean of ratings taken immediately following the three test meals and the two intakes of the test supplement (single measure), i.e., supplement, breakfast, lunch, supplement, dinner
|
Validated 100-millimetre Visual Analogue Scales (VAS) will be used after each test meal: test supplement, breakfast, lunch, test supplement and dinner.
This VAS has anchors located at each end of the scale.
On the left end of the scale, the extreme negative response (0 mm) is represented, while the right end (100 mm) represents the positive response.
Participants mark along the line where it most represents their subjective perception between both ends.
|
9.5 hours: mean of ratings taken immediately following the three test meals and the two intakes of the test supplement (single measure), i.e., supplement, breakfast, lunch, supplement, dinner
|
|
Palatability - Taste
Time Frame: 9.5 hours: mean of ratings taken immediately following the three test meals and the two intakes of the test supplement (single measure), i.e., supplement, breakfast, lunch, supplement, dinner
|
Validated 100-millimetre Visual Analogue Scales (VAS) will be used after each test meal: test supplement, breakfast, lunch, test supplement and dinner.
This VAS has anchors located at each end of the scale.
On the left end of the scale, the extreme negative response (0 mm) is represented, while the right end (100 mm) represents the positive response.
Participants mark along the line where it most represents their subjective perception between both ends.
|
9.5 hours: mean of ratings taken immediately following the three test meals and the two intakes of the test supplement (single measure), i.e., supplement, breakfast, lunch, supplement, dinner
|
|
Palatability - Sweet
Time Frame: 9.5 hours: mean of ratings taken immediately following the three test meals and the two intakes of the test supplement (single measure), i.e., supplement, breakfast, lunch, supplement, dinner
|
Validated 100-millimetre Visual Analogue Scales (VAS) will be used after each test meal: test supplement, breakfast, lunch, test supplement and dinner.
This VAS has anchors located at each end of the scale.
On the left end of the scale, the extreme negative response (0 mm) is represented, while the right end (100 mm) represents the positive response.
Participants mark along the line where it most represents their subjective perception between both ends.
|
9.5 hours: mean of ratings taken immediately following the three test meals and the two intakes of the test supplement (single measure), i.e., supplement, breakfast, lunch, supplement, dinner
|
|
Palatability - Savoury
Time Frame: 9.5 hours: mean of ratings taken immediately following the three test meals and the two intakes of the test supplement (single measure), i.e., supplement, breakfast, lunch, supplement, dinner
|
Validated 100-millimetre Visual Analogue Scales (VAS) will be used after each test meal: test supplement, breakfast, lunch, test supplement and dinner.
This VAS has anchors located at each end of the scale.
On the left end of the scale, the extreme negative response (0 mm) is represented, while the right end (100 mm) represents the positive response.
Participants mark along the line where it most represents their subjective perception between both ends.
|
9.5 hours: mean of ratings taken immediately following the three test meals and the two intakes of the test supplement (single measure), i.e., supplement, breakfast, lunch, supplement, dinner
|
|
Pre-meal and changes in Composite Appetite Score
Time Frame: 9.5 hours: fast (pre-ONS), pre-breakfast: 90 (post-ONS), 60, 30 and 0 min; post-breakfast: 0 and 180 min (pre-lunch); post-lunch: 0 and 90 min (pre-ONS); 0 min post-ONS; estimated 120 min. post-ONS (pre-dinner); 0 min. post-dinner
|
Validated 100-millimetre Visual Analogue Scales (VAS) will be used to estimate changes in appetite, assessed at ten (10) set time points throughout the experimental visit.
This VAS has anchors located at each end of the scale.
On the left end of the scale, the extreme negative response (0 mm) is represented, while the right end (100 mm) represents the positive response.
Participants mark along the line where it most represents their subjective perception between both ends.
Composite Appetite Score is derived from VAS ratings of hunger, fullness, desire to eat and prospective food consumption.
Fasting, mean and AUC values will be calculated.
|
9.5 hours: fast (pre-ONS), pre-breakfast: 90 (post-ONS), 60, 30 and 0 min; post-breakfast: 0 and 180 min (pre-lunch); post-lunch: 0 and 90 min (pre-ONS); 0 min post-ONS; estimated 120 min. post-ONS (pre-dinner); 0 min. post-dinner
|
|
Pre-meal and changes in Fullness
Time Frame: 9.5 hours: fast (pre-ONS), pre-breakfast: 90 (post-ONS), 60, 30 and 0 min; post-breakfast: 0 and 180 min (pre-lunch); post-lunch: 0 and 90 min (pre-ONS); 0 min post-ONS; estimated 120 min. post-ONS (pre-dinner); 0 min. post-dinner
|
Validated 100-millimetre Visual Analogue Scales (VAS) will be used to estimate changes in appetite, assessed at ten (10) set time points throughout the experimental visit.
This VAS has anchors located at each end of the scale.
On the left end of the scale, the extreme negative response (0 mm) is represented, while the right end (100 mm) represents the positive response.
Participants mark along the line where it most represents their subjective perception between both ends.
Fasting, mean and AUC values will be calculated.
|
9.5 hours: fast (pre-ONS), pre-breakfast: 90 (post-ONS), 60, 30 and 0 min; post-breakfast: 0 and 180 min (pre-lunch); post-lunch: 0 and 90 min (pre-ONS); 0 min post-ONS; estimated 120 min. post-ONS (pre-dinner); 0 min. post-dinner
|
|
Pre-meal and changes in Desire to Eat
Time Frame: 9.5 hours: fast (pre-ONS), pre-breakfast: 90 (post-ONS), 60, 30 and 0 min; post-breakfast: 0 and 180 min (pre-lunch); post-lunch: 0 and 90 min (pre-ONS); 0 min post-ONS; estimated 120 min. post-ONS (pre-dinner); 0 min. post-dinner
|
Validated 100-millimetre Visual Analogue Scales (VAS) will be used to estimate changes in appetite, assessed at ten (10) set time points throughout the experimental visit.
This VAS has anchors located at each end of the scale.
On the left end of the scale, the extreme negative response (0 mm) is represented, while the right end (100 mm) represents the positive response.
Participants mark along the line where it most represents their subjective perception between both ends.
Fasting, mean and AUC values will be calculated.
|
9.5 hours: fast (pre-ONS), pre-breakfast: 90 (post-ONS), 60, 30 and 0 min; post-breakfast: 0 and 180 min (pre-lunch); post-lunch: 0 and 90 min (pre-ONS); 0 min post-ONS; estimated 120 min. post-ONS (pre-dinner); 0 min. post-dinner
|
|
Pre-meal and changes in Prospective Food Consumption
Time Frame: 9.5 hours: fast (pre-ONS), pre-breakfast: 90 (post-ONS), 60, 30 and 0 min; post-breakfast: 0 and 180 min (pre-lunch); post-lunch: 0 and 90 min (pre-ONS); 0 min post-ONS; estimated 120 min. post-ONS (pre-dinner); 0 min. post-dinner
|
Validated 100-millimetre Visual Analogue Scales (VAS) will be used to estimate changes in appetite, assessed at ten (10) set time points throughout the experimental visit.
This VAS has anchors located at each end of the scale.
On the left end of the scale, the extreme negative response (0 mm) is represented, while the right end (100 mm) represents the positive response.
Participants mark along the line where it most represents their subjective perception between both ends.
Fasting, mean and AUC values will be calculated.
|
9.5 hours: fast (pre-ONS), pre-breakfast: 90 (post-ONS), 60, 30 and 0 min; post-breakfast: 0 and 180 min (pre-lunch); post-lunch: 0 and 90 min (pre-ONS); 0 min post-ONS; estimated 120 min. post-ONS (pre-dinner); 0 min. post-dinner
|
|
Liking of test meals and supplements
Time Frame: Mean of ratings taken immediately following the three test meals and the two intakes of the test supplement (single measure), i.e., supplement, breakfast, lunch, supplement, dinner
|
9-point likert scale from 0 dislike extremely to 9 like extremely
|
Mean of ratings taken immediately following the three test meals and the two intakes of the test supplement (single measure), i.e., supplement, breakfast, lunch, supplement, dinner
|
|
Pre-meal and changes in Glucose
Time Frame: Up to 2 hours, from fast (morning) to immediately prior to breakfast meal: fasting (immediately before test supplement), and 30, 60, 90 minutes following ingestion of the test supplement
|
Blood samples will be collected by a trained phlebotomist via cannula.
|
Up to 2 hours, from fast (morning) to immediately prior to breakfast meal: fasting (immediately before test supplement), and 30, 60, 90 minutes following ingestion of the test supplement
|
|
Pre-meal and changes in Insulin
Time Frame: Up to 2 hours, from fast (morning) to immediately prior to breakfast meal: fasting (immediately before test supplement), and 30, 60, 90 minutes following ingestion of the test supplement
|
Blood samples will be collected by a trained phlebotomist via cannula.
|
Up to 2 hours, from fast (morning) to immediately prior to breakfast meal: fasting (immediately before test supplement), and 30, 60, 90 minutes following ingestion of the test supplement
|
|
Pre-meal and changes in Growth Hormone
Time Frame: Up to 2 hours, from fast (morning) to immediately prior to breakfast meal: fasting (immediately before test supplement), and 30, 60, 90 minutes following ingestion of the test supplement
|
Blood samples will be collected by a trained phlebotomist via cannula.
|
Up to 2 hours, from fast (morning) to immediately prior to breakfast meal: fasting (immediately before test supplement), and 30, 60, 90 minutes following ingestion of the test supplement
|
|
Pre-meal and changes in Cortisol
Time Frame: Up to 2 hours, from fast (morning) to immediately prior to breakfast meal: fasting (immediately before test supplement), and 30, 60, 90 minutes following ingestion of the test supplement
|
Blood samples will be collected by a trained phlebotomist via cannula.
|
Up to 2 hours, from fast (morning) to immediately prior to breakfast meal: fasting (immediately before test supplement), and 30, 60, 90 minutes following ingestion of the test supplement
|
|
Pre-meal and changes in GLP-1
Time Frame: Up to 2 hours, from fast (morning) to immediately prior to breakfast meal: fasting (immediately before test supplement), and 30, 60, 90 minutes following ingestion of the test supplement
|
Blood samples will be collected by a trained phlebotomist via cannula.
|
Up to 2 hours, from fast (morning) to immediately prior to breakfast meal: fasting (immediately before test supplement), and 30, 60, 90 minutes following ingestion of the test supplement
|
|
Pre-meal and changes in PYY
Time Frame: Up to 2 hours, from fast (morning) to immediately prior to breakfast meal: fasting (immediately before test supplement), and 30, 60, 90 minutes following ingestion of the test supplement
|
Blood samples will be collected by a trained phlebotomist via cannula.
|
Up to 2 hours, from fast (morning) to immediately prior to breakfast meal: fasting (immediately before test supplement), and 30, 60, 90 minutes following ingestion of the test supplement
|
|
Pre-meal and changes in Total Ghrelin
Time Frame: Up to 2 hours, from fast (morning) to immediately prior to breakfast meal: fasting (immediately before test supplement), and 30, 60, 90 minutes following ingestion of the test supplement
|
Blood samples will be collected by a trained phlebotomist via cannula.
|
Up to 2 hours, from fast (morning) to immediately prior to breakfast meal: fasting (immediately before test supplement), and 30, 60, 90 minutes following ingestion of the test supplement
|
|
Pre-meal and changes in Acylated Ghrelin
Time Frame: Up to 2 hours, from fast (morning) to immediately prior to breakfast meal: fasting (immediately before test supplement), and 30, 60, 90 minutes following ingestion of the test supplement
|
Blood samples will be collected by a trained phlebotomist via cannula.
|
Up to 2 hours, from fast (morning) to immediately prior to breakfast meal: fasting (immediately before test supplement), and 30, 60, 90 minutes following ingestion of the test supplement
|
|
Total Energy intake (EI) (kilocalories)
Time Frame: 24 hours from breakfast, lunch and dinner meals, as well as from evening and night
|
24-hour energy intake measurement derived from in-lab day trial plus free-living intake of standard meals plus food diary completed at home.
Participants will be served a test supplement in two different time points, a standardised ad libitum breakfast, two standardised main meals (lunch and dinner) and will be required to complete a food diary from the dinner until bedtime.
24-hour EI (kilocalories) will be measured objectively, by weighing foods before and after consumption and calculating energy intake based on their nutritional data, and estimating caloric content from food diary provided.
Total accumulated energy intake includes ad libitum breakfast meal, two test supplements, lunch meal, dinner meal and evening foods.
|
24 hours from breakfast, lunch and dinner meals, as well as from evening and night
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- LS-22-64-Horner#2
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Aging
-
NCT07572266Not yet recruitingAging | Healthy Aging | Aging Well
-
NCT04151654CompletedAging | Aging Problems | Aging Disorder
-
NCT07207044RecruitingAging | Healthy Aging | Aging Frailty
-
NCT07334106RecruitingAging | Aging Well | Aging, Biological | Aging, Healthy
-
NCT07651527Not yet recruitingAging | Aging Disorder | Aging, Healthy
-
NCT07596056Not yet recruiting
-
NCT03643237CompletedAging | Aging Problems
-
NCT05001646Not yet recruitingAging | Aging Well
-
NCT06734468Active, not recruitingAging | Aging, Healthy
Clinical Trials on Oral Nutritional Supplement
-
NCT03245047Completed
-
NCT02360722Withdrawn
-
NCT02523027CompletedChildren - Malnutrition
-
NCT06704022Not yet recruiting
-
NCT01859416CompletedNursing Home Residents | Malnutrition or Risk of Malnutrition
-
NCT05437068WithdrawnMalnutrition, Child