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| Name | Class |
|---|---|
| Danone Nutricia Research | INDUSTRY |
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In this 5-month study, we will track the incorporation and washout of n-3 PUFA into different tissues following two different dosing strategies in healthy young and older volunteers. All groups will be followed for washout.
Data gathered from this study will be used to establish novel dosing strategies and provide insights into the incorporation of n-3 PUFAs in different tissues and their washout in young and older participants.
Skeletal muscle is crucial for health and accounts for approximately 40% of total body mass. A loss of skeletal muscle mass is seen in the process of ageing, with reductions between 0.2%-0.5% of muscle mass per year starting in the fifth decade. Accelerated loss of muscle and function above a certain threshold is characterized as sarcopenia. Age-related sarcopenia is prevalent in the UK; it is estimated to affect 4.6% men and 7.9% women with an average age of 67 years. Older people have an impaired capacity to increase muscle protein synthesis (MPS) rates in response to protein intake; this is thought to be a key contributor to age-related sarcopenia. Therefore, it is essential to elucidate new strategies to prevent and treat the accelerated loss of muscle mass and function.
Omega (ω)-polyunsaturated fatty acids (n-3 PUFAs) derived from fish oil have possible beneficial effects on health. Evidence suggests potential therapeutic effects of n-3 PUFAs in maintenance/prevention of loss of skeletal muscle mass. N-3 PUFAs probably exert their effects by incorporation into tissue membranes. However, the relation between dose and incorporation into tissue membranes is unclear. Interestingly, a higher dose ingested over 4 weeks seen by McGlory et al. induced similar omega-3 incorporation in the tissue compared to the low doses over 8 weeks studied by Smith et al. If higher doses change tissue composition earlier, then there will be earlier benefits for muscle health and function. Thus, there is a need to examine whether an initial loading dose incorporation into tissues can be sustained by moving to a lower maintenance feeding dose. Furthermore, the exact molecular mechanisms of how n-3 PUFAs act on skeletal muscle are unclear. Several metabolic and molecular responses are affected, but wherein these pathways n-3 PUFAs act remain largely unknown and requires more investigation, with a focus on long-term settings.
This study aims to tackle these problems by executing a 5-month study where we will track the incorporation and washout of n-3 PUFAs into different tissues following two different dosing strategies in healthy young and older volunteers. Data gathered from this study will be used to establish novel dosing strategies and provide insights into the incorporation of n-3 PUFAs in different tissues and their washout in young and older participants. Ultimately, these insights will help targeting, prevention, and treatment of sarcopenia.
Participating in this study requires approximately 30 hours of commitment, of which 12 hours will be spent in the lab.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Young loading dose group | Experimental | Participants (18-35) will receive a loading dose of fish oil supplementation during the first 4 weeks of the intervention period of the study. In the last 8 weeks participants will receive a maintenance dose of fish oil supplementation. The total amount of EPA/DHA received throughout the supplementation period will be the same as the old group. |
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| Old loading dose group | Experimental | Participants (60y+) will receive a loading dose of fish oil supplementation during the first 4 weeks of the intervention period of the study. In the last 8 weeks participants will receive a maintenance dose of fish oil supplementation. The total amount of EPA/DHA received throughout the supplementation period will be the same as the young group. |
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| Young constant dose group | Experimental | Participants (18-35y) will receive a constant dose of fish oil supplementation throughout the intervention period of the study. Total amount of EPA/DHA received throughout the 12 weeks supplementation period will be the same as the loading groups. |
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| Old constant dose group | Experimental | Participants (60y+) will receive a constant dose of fish oil supplementation throughout the intervention period of the study. Total amount of EPA/DHA received throughout the 12 weeks supplementation period will be the same as the loading groups. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fish oil supplementation | Dietary Supplement | Fish oil capsules. |
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| Measure | Description | Time Frame |
|---|---|---|
| Red blood cell lipid composition | Changes in red blood cell membrane lipid composition by collecting venous blood samples. | Screening, Baseline (0 weeks), 4 weeks, 6 weeks, 8 weeks, 12 weeks (post intervention), 14 weeks, 16 weeks, 20 weeks (post wash-out) |
| Skeletal muscle lipid composition | Changes in skeletal muscle lipid composition by performing a muscle tissue biopsy in the vastus lateralis. | Baseline (0 weeks), 4 weeks, 12 weeks (post-intervention), 20 weeks (post wash-out) |
| Adipose tissue lipid composition | Changes in adipose lipid composition by performing an adipose tissue biopsy in the abdominal region. | Baseline (0 weeks), 4 weeks, 12 weeks (post-intervention), 20 weeks (post wash-out) |
| Measure | Description | Time Frame |
|---|---|---|
| Skeletal muscle tissue biopsy muscle protein turnover markers | Secondary outcome from the skeletal muscle biopsy will focus on the measurement of the phosphorylation status of signaling proteins known to regulate protein synthesis and breakdown. | Baseline (0 weeks), 4 weeks, 12 weeks (post-intervention), 20 weeks (post wash-out) |
| Measure | Description | Time Frame |
|---|---|---|
| Body composition DEXA scan. | Body composition will be estimated using dual energy X-ray absorptiometry (DEXA) scan. | Baseline (0 weeks), 12 weeks (post-intervention), 20 weeks (post wash-out) |
| Subcutaneous fat determination. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Milena Banic, Msc | University of Stirling | Principal Investigator |
| Nidia Rodriguez-Sanchez, PhD | University of Stirling | Study Director |
| Stuart Galloway, PhD | University of Stirling | Study Director |
| Oliver Witard, PhD | King's College London | Study Director |
| Miriam van Dijk-Ottens, PhD | Danone Nutricia Research | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Stirling | Stirling | Stirlingshire | FK9 4LA | United Kingdom |
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| ID | Term |
|---|---|
| D055948 | Sarcopenia |
| D009133 | Muscular Atrophy |
| ID | Term |
|---|---|
| D020879 | Neuromuscular Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D001284 | Atrophy |
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Randomized controlled trial, parallel design.
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| Adipose tissue biopsy inflammation markers |
Secondary outcome from the adipose tissue biopsy will focus on markers involved in inflammation (e.g. NF-kB, IL-6) |
| Baseline (0 weeks), 4 weeks, 12 weeks (post-intervention), 20 weeks (post wash-out) |
| Red blood cell lipid mediator markers | Secondary outcome measures from red blood cells will focus on mediators derived from lipid and changes in lipid mediator synthesis. | Baseline (0 weeks), 4 weeks, 12 weeks (post-intervention), 20 weeks (post wash-out) |
Subcutaneous fat will be assessed with the sum of skinfold thicknesses from 8 sites, following the ISAK protocol.
| Baseline (0 weeks), 12 weeks (post-intervention), 20 weeks (post wash-out) |
| Strength measures | Muscle strength is determined by performing the handgrip strength test. | Screening (baseline, 0 weeks), 8 weeks, 16 weeks. |
| Mobility measures | Muscle mobility is determined by performing the timed-up-and-go test. | Screening (baseline, 0 weeks), 8 weeks, 16 weeks. |
| D020763 |
| Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |