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The central hypothesis is that the addition of minimally processed lean pork to a healthy plant-forward low ultra-processed diet will enhance nutrient adequacy, promote muscular fitness, and maintain metabolic functions for improved healthspan. A well-designed, randomized, controlled, crossover, feeding study with clinical and molecular mechanistic endpoints is proposed to provide the most definitive level of evidence logistically possible in humans and to establish the role of minimally processed lean pork in healthspan promotion. Utilizing an all-food-provided (dine-in and take-out) design over 18 weeks (rolling recruitment, 8+8, 2w washout), a comprehensive assessment of metabolomics, system biology, physical, and physiological markers that indicate the risk of age-related comorbidities-critical micronutrient deficiency, frailty, metabolic dysfunctions, and cognitive decline, is proposed in upper Midwesterners 65 years and older. A minimally processed plant-forward diet with or without added pork will be compared for over 250 outcome measures using mixed-effects modeling adjusting for covariates in R. n=15/diet/arm i.e., a total starting sample size of n=30 is proposed for 90% power.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low-ultra-processed Omnivorous | Experimental | Minimally processed animal protein-lean pork within a low UPF dietary pattern |
|
| Low-ultra-processed No meat | Other | Plant-forward no meat |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Omnivorous | Other | Pork-added plant-forward diet |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Concentration of Fasting insulin in blood | Using Microplate assay | Time frame: 16 weeks |
| Concentration of Ferritin in blood | Using Microplate assay | Time frame: 16 weeks |
| Concentration of Homocysteine in blood | Using Microplate assay | Time frame: 16 weeks |
| Frequency of Sit-to-stand for strength assessment | Functional assessment test | Time frame: 16 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Fasting blood glucose concentration in blood | Using Glucometer | Time frame: 16 weeks |
| Concentration of FGF21 in blood | Using Microplate assay |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Moul Dey, Ph.D. | South Dakota State University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| South Dakota State University, Wagner Hall 416 | Brookings | South Dakota | 57007 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41551721 | Derived | Vaezi S, de Vargas BO, Weidauer L, Freeling JL, Dey M. Effects of Minimally Processed Red Meat within a Plant-Forward Diet on Biomarkers of Physical and Cognitive Aging: A Randomized Controlled Crossover Feeding Trial. Curr Dev Nutr. 2025 Dec 10;10(1):107615. doi: 10.1016/j.cdnut.2025.107615. eCollection 2026 Jan. | |
| 41202666 | Derived |
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Blinding will be implemented to the extent possible. A researcher, unaware of the study goals and not involved with downstream data analyses will use a 1:1 block randomization to allocate participants to the diets in the first arm. Food service personnel (care provider) will not be aware of study goals and allocations. Metabolomic assays will be run in a blinded manner.
| No meat |
| Other |
Plant-forward no meat |
|
| Time frame: 16 weeks |
| HOMA-IR index using insulin and glucose concentration in blood | Standard equation | Time frame: 16 weeks |
| Concentration of ApoB in blood | Using Microplate assay | Time frame: 16 weeks |
| Concentration of Lipid panel in blood | Cholestech ldx | Time frame: 16 weeks |
| Concentration of IGF-1 in blood | Using Microplate assay | Time frame: 16 weeks |
| Concentration of Complex lipids panel in blood | Using LC/MS based assay | Time frame: 16 weeks |
| Concentration of C-peptide | Using Microplate assay | Time frame: 16 weeks |
| Concentration of HsCRP in blood | Using Microplate assay | Time frame: 16 weeks |
| Height in cm | Measurements | Time frame: 16 weeks |
| Body Weight in kg | Measurements | Time frame:16 weeks |
| Blood pressure in mm Hg | Upper arm cuff | Time frame: 16 weeks |
| heart rate in beats per minute | Upper arm cuff | Time frame: 16 weeks |
| Grip force per kg mass | Using Dynamometer | Time frame: 16 weeks |
| Vaezi S, Freeling JL, de Vargas BO, Weidauer L, Shoemaker ME, Sanders WM, Dey M. Impacts of minimally-processed omnivorous vs lacto-ovo-vegetarian diets on insulin sensitivity, lipid profile, and adiposity in older adults: Secondary findings from a randomized crossover feeding trial. Clin Nutr. 2025 Dec;55:90-103. doi: 10.1016/j.clnu.2025.10.010. Epub 2025 Oct 29. |
| 40832369 | Derived | Vaezi S, de Vargas BO, Freeling JL, Weidauer L, Dey M. Effects of Minimally Processed Red Meat Within a Plant-Forward Diet on Biomarkers of Physical and Cognitive Aging: A Randomized Controlled Crossover Feeding Trial. medRxiv [Preprint]. 2025 Aug 13:2025.08.11.25333443. doi: 10.1101/2025.08.11.25333443. |
| 40291832 | Derived | de Vargas BO, Vaezi S, Freeling JL, Zhang Y, Weidauer L, Lee CL, Zhao J, Dey M. Design and Implementation of the Protein-Distinct Macronutrient-Equivalent Diet (PRODMED) Study: An Eighteen-Week Randomized Crossover Feeding Trial Among Free-Living Rural Older Adults. Curr Dev Nutr. 2025 Mar 24;9(5):104588. doi: 10.1016/j.cdnut.2025.104588. eCollection 2025 May. |