- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03530774
Supplemental Egg Protein Intervention in Older Adults (SPRI)
December 17, 2024 updated by: Sarah Ullevig, The University of Texas at San Antonio
Egg Protein Supplementation for Maintaining Muscle Mass and Function in Older Adults
Older adults are at risk for developing sarcopenia, or age-related muscle loss, which increased the risk of disabilities, falls, and loss of independence.
Many older adults do not consume enough protein each day to maintain their muscle mass and this study aims to investigate if consumption daily egg white protein supplement can help maintain muscle mass and functionality in community-dwelling older adults.
Food insecure older adults that attend congregate nutrition sites will be targeted.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The study aims to evaluate the impact of egg white protein supplementation on muscle mass, strength, and physical function in older adults with low muscle mass or function.
Older adults will be recruited from San Antonio, Texas, the least food secure metropolitan area for older adults.
The project will be conducted entirely at community locations such as congregate meal sites, senior activity centers, and housing communities.
Researchers will conduct recruitment, distribution of supplements and pre and post assessments entirely at these sites, which will alleviate the travel of participants to research sites and provide a unique opportunity to assess this underserved population.
One hundred older adults (≥60yrs old) will be randomly assigned to consume a daily supplement of egg white protein or isoenergetic carbohydrate for 6 months.
Changes in skeletal muscle mass, muscle strength, and physical function will be assessed.
Study Type
Interventional
Enrollment (Actual)
54
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Texas
-
San Antonio, Texas, United States, 78249
- University of Texas at San Antonio
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
60 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- 60 years or older, gait speed >0.8m/s OR hand grip below 20kg for women or below 30kg for men
Exclusion Criteria:
- Over 300 pounds, kidney disease, has taken a protein supplement within the past 30 days, dementia/Alzheimer's, uncontrolled diabetes, wheelchair bound, vegan, allergic to eggs, blind/legally blind, history of stroke/transient ischemic attack with a Barthel score of 15 or lower, cannot read or write English or Spanish and don't have someone to help them with forms/paperwork, not willing to take a supplement for 6 months or will not remain in the local area for the study period.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Egg while protein supplement
25 g of powdered egg white protein supplement daily for 6 months.
Total of 20.6 g of protein in 25 g of supplement.
|
consumption of egg white protein supplement daily for 6 months
|
|
Placebo Comparator: Maltodextrin supplement
25 g of powdered maltodextrin supplement daily for 6 months.
Total 23.5 g of carbohydrate in 25 g of supplement.
|
consumption of maltodextrin supplement daily for 6 months
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Muscle mass
Time Frame: Change from Baseline Muscle Mass at 6 months
|
Dual-energy X-ray absorptimetry
|
Change from Baseline Muscle Mass at 6 months
|
|
Short physical performance battery (SPPB)
Time Frame: Change from Baseline Physical Function at 6 months
|
Includes objective, performance-based measures of balance (standing side by side, semi-tandem and tandem), mobility (4-m habitual gait speed), and strength (5 chair stands).
Each task is scored from 0-4 Points (p) and then summed into a total score of 0 (worst)-12 (best) p, where 12 p represents the highest performance.
|
Change from Baseline Physical Function at 6 months
|
|
Muscle Strength
Time Frame: Change from Baseline Muscle Strength at 6 months
|
Hand Dynamometer
|
Change from Baseline Muscle Strength at 6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Protein intake
Time Frame: Change from Baseline Protein Intake at 6 months
|
24-hour recalls (2 non-consecutive)
|
Change from Baseline Protein Intake at 6 months
|
|
Health-Related Quality of Life
Time Frame: Change from Baseline Health-Related Quality of Life at 6 months
|
Short Form 12 Health Survey
|
Change from Baseline Health-Related Quality of Life at 6 months
|
|
Upper Respiratory Illnesses Frequency
Time Frame: Change From Baseline Upper Respiratory Illness Frequency at 6 months
|
Daily illness log
|
Change From Baseline Upper Respiratory Illness Frequency at 6 months
|
|
Cognitive Function
Time Frame: Change from Baseline Cognitive Function at 6 months
|
Trail Making Test A and B
|
Change from Baseline Cognitive Function at 6 months
|
|
Falls Risk
Time Frame: Change From Baseline Falls Efficacy and Frequency at 6 months
|
A short questionnaire will be used to gather information on number of falls recalled over the past 6 months, whether the individual sought medical attention for any of the falls, and whether an injury resulted from any of the falls.
The Falls Efficacy Scale is a 10 item scale assessing the confidence level individuals have in performing daily activities without falling.
Each item is rated on a scale of 0-10, with 0 signifying no confidence and 10 indicating very confident.
Scores are totaled and range from 0-100 with higher scores indicating greater confidence
|
Change From Baseline Falls Efficacy and Frequency at 6 months
|
|
Functional Limitations and Disability
Time Frame: Change From Baseline Functional Limitations and Disability at 6 months
|
The Late-Life Function and Disability Instrument is a validated questionnaire that measures both functional limitations and disability.
The function component evaluates self-reported difficulty in performing 32 physical activities.
Scores range from 0-100 with higher scores indicating higher levels of function.
Disability component evaluates self-reported limitations and frequency of limitations in 16 activities.
Scores range from 0-100 with higher scores indicating higher levels of function.
|
Change From Baseline Functional Limitations and Disability at 6 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Sarah L Ullevig, PhD, RD, University of Texas at San Antonio
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, Martin FC, Michel JP, Rolland Y, Schneider SM, Topinkova E, Vandewoude M, Zamboni M; European Working Group on Sarcopenia in Older People. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010 Jul;39(4):412-23. doi: 10.1093/ageing/afq034. Epub 2010 Apr 13.
- Ali S, Garcia JM. Sarcopenia, cachexia and aging: diagnosis, mechanisms and therapeutic options - a mini-review. Gerontology. 2014;60(4):294-305. doi: 10.1159/000356760. Epub 2014 Apr 8.
- Janssen I, Shepard DS, Katzmarzyk PT, Roubenoff R. The healthcare costs of sarcopenia in the United States. J Am Geriatr Soc. 2004 Jan;52(1):80-5. doi: 10.1111/j.1532-5415.2004.52014.x.
- Cruz-Jentoft AJ, Landi F, Schneider SM, Zuniga C, Arai H, Boirie Y, Chen LK, Fielding RA, Martin FC, Michel JP, Sieber C, Stout JR, Studenski SA, Vellas B, Woo J, Zamboni M, Cederholm T. Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS). Age Ageing. 2014 Nov;43(6):748-59. doi: 10.1093/ageing/afu115. Epub 2014 Sep 21.
- Paddon-Jones D, Rasmussen BB. Dietary protein recommendations and the prevention of sarcopenia. Curr Opin Clin Nutr Metab Care. 2009 Jan;12(1):86-90. doi: 10.1097/MCO.0b013e32831cef8b.
- Drewnowski A, Specter SE. Poverty and obesity: the role of energy density and energy costs. Am J Clin Nutr. 2004 Jan;79(1):6-16. doi: 10.1093/ajcn/79.1.6.
- Best RL, Appleton KM. The consumption of protein-rich foods in older adults: an exploratory focus group study. J Nutr Educ Behav. 2013 Nov-Dec;45(6):751-5. doi: 10.1016/j.jneb.2013.03.008. Epub 2013 Jul 2.
- Lloyd JL, Wellman NS. Older Americans Act Nutrition Programs: A Community-Based Nutrition Program Helping Older Adults Remain at Home. J Nutr Gerontol Geriatr. 2015;34(2):90-109. doi: 10.1080/21551197.2015.1031592.
- Milne AC, Avenell A, Potter J. Meta-analysis: protein and energy supplementation in older people. Ann Intern Med. 2006 Jan 3;144(1):37-48. doi: 10.7326/0003-4819-144-1-200601030-00008. Erratum In: Ann Intern Med. 2006 Apr 4;144(7):538.
- Ullevig SL, Zuniga K, Austin Lobitz C, Santoyo A, Yin Z. Egg protein supplementation improved upper body muscle strength and protein intake in community-dwelling older adult females who attended congregate meal sites or adult learning centers: A pilot randomized controlled trial. Nutr Health. 2022 Dec;28(4):611-620. doi: 10.1177/02601060211051592. Epub 2021 Nov 3.
Helpful Links
- Ziliak JP, Gundersen C. The Health Consequences of Senior Hunger in the United States : Evidence from the 1999-2010 NHANES. 2014.
- Borger C, Dys TD, Engelhard E, et al. Hunger in America 2014: Executive summary. 2014
- Strickhouser S, Wright JD, Donley AM. Food insecurity among older adults. AARP Foundation. 2015.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
May 31, 2017
Primary Completion (Actual)
August 31, 2018
Study Completion (Actual)
August 31, 2018
Study Registration Dates
First Submitted
October 13, 2017
First Submitted That Met QC Criteria
May 8, 2018
First Posted (Actual)
May 21, 2018
Study Record Updates
Last Update Posted (Actual)
March 25, 2025
Last Update Submitted That Met QC Criteria
December 17, 2024
Last Verified
November 1, 2020
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 17-110
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
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.
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