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OpenTrials
Completed

NCT Number: NCT05593978

Culinary Medicine to Enhance Protein Intake on Muscle Quality in Older Adults

Aging is associated with a decline in muscle mass, strength, and physical function, leading to muscle mass loss and weakness. These concerns can impact an individual's functional independence and quality of life (QOL). Dietary protein stimulates muscle protein growth. Current studies suggest that optimal protein intake for older adults is greater than the Recommended Dietary Allowance. Barriers to consuming protein-rich foods in older adults include reductions in taste and smell, dentition, dexterity, and changes in living situation. Therefore, nutritional interventions are needed to effectively improve eating behaviors, diet quality, and stimulate muscle growth and strength. These interventions will help prevent, manage, and promote muscle mass loss recovery. Older adults may not be aware of their changing nutrient needs and therefore may lack the skills to prepare nutritionally adequate foods properly. Cooking demonstrations, or culinary medicine (CM), can help teach healthy cooking to reduce potential red meat consumption barriers and improve community-dwelling older adults' dietary habits. Thus, CM can be a novel strategy to improve diet quality in older adults and promote and augment at-home cooking. CM is an evidenced-base field that combines skills of preparing, cooking, and presenting food with the science of medicine. This field can help to accomplish potential eating behaviors and health outcome improvements. A tailored CM program can be an effective strategy that could reduce barriers in protein intake that will enable older adults to age well and productively.

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Key information

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Texas Tech University

Lubbock, Texas, 79409, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 65 years and older
  • physically active
  • able to cook for oneself
  • willing to complete two blood draws

Exclusion criteria

  • <65 years old
  • sedentary lifestyle
  • bleeding disorder
  • heart pacemaker
  • type 1 diabetics and type 2 diabetics taking insulin
  • current smokers
  • amputees

Treatment and study plan

Culinary Medicine

Behavioral

The CM-group will receive weekly cooking demonstrations and education videos via electronic links for 16 weeks, and three nutrition education based on the content of the Nutrition Care Manual from the Academy of Nutrition and Dietetics to show age-appropriate recipes with correct preparation methods and different cooking methods for lean ground red meat to increase protein consumption.

Control

Behavioral

The CN-group will receive weekly recipes via electronic links without the culinary medicine intervention.

Primary outcomes

  1. Dual Energy X-ray Absorptiometry (DXA)

    Time frame: Baseline and change from baseline muscle mass and fat mass at 4 months

    DXA will measure full body muscle mass and fat mass in grams.

Secondary outcomes

  1. Protein questionnaire

    Time frame: Baseline and through study completion, an average of 4 months

    The subject will fill out an online modified version of the rapid self-administered dietary protein food frequency questionnaire. This questionnaire contains 20-items evaluating the weekly intake of different types of meat, dairy, eggs, beans to provide the weekly protein intake in grams.

  2. Cooking Effectiveness Questionnaire

    Time frame: Baseline and through study completion, an average of 4 months

    Questionnaire to record effectiveness of culinary medicine cooking videos based on a scale of from "completely confident" to "not confident at all"

  3. Body mass index in kg/m^2

    Time frame: Baseline and change from baseline BMI at 4 months

    Weight in kg and height in meters will be used to calculate BMI

  4. Weight in lbs

    Time frame: Baseline and change from baseline weight at 4 months

    Weight will be measure to the nearest 0.1 lbs

  5. Height in inches

    Time frame: Baseline

    Height will be measured to the nearest 0.1 in using a stadiometer.

  6. Steps

    Time frame: through study completion, an average of 4 months

    Subjects will be provided a Garmin Vivofit 4 watch to monitor their steps throughout the study

  7. Grip strength

    Time frame: Baseline and change from baseline grip strength at 4 months

    Grip strength will be measured by a handheld dynamometer. The subject will be asked to used the handheld dynamometer three times for each to obtain the average of the three test results.

  8. Physical activity questionnaire

    Time frame: Baseline and change from baseline CHAMPS at 4 months

    Community Healthy Activities Model Program for Seniors (CHAMPS) is 41-items that assess the weekly frequency and duration of various physical activities typically undertaken by older adults. Each question ask how many times a week the participant partake in the activity then ask how many total hours a week the participant did the activity. The frequency per week of all exercise-related activities were calculated by the sum frequency scores/week for each of the activities. The higher the score, the better the outcome

Sponsors and collaborators

Lead sponsor

Texas Tech University

Other

Registry information

Important dates

Study start
2022
Primary completion
2022
Study completion
2023
First posted
Oct 26, 2022
Registry last updated
Aug 4, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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