Status:

COMPLETED

Citrulline and Protein Metabolism in the Malnourished Elderly People

Lead Sponsor:

Assistance Publique - Hôpitaux de Paris

Collaborating Sponsors:

Kyowa Hakko Kogyo (Japan) providing the amino acids

Conditions:

Metabolism

Elderly

Eligibility:

All Genders

70+ years

Phase:

NA

Brief Summary

The aim of this study is to evaluate the effects of a supplementation of citrulline for three weeks in elderly malnourished and hospitalised subjects on muscle protein synthesis.

Detailed Description

Malnutrition in the elderly causes an important public health problem because their response to re nutrition is highly decreased. Several experimental studies have shown that an amino acid named citru...

Eligibility Criteria

Inclusion

  • elderly hospitalised in geriatric medicine or in following care and rehabilitation, moderately malnourished
  • aged more than 70 years
  • recent moderate undernutrition (30 g/l \< albuminemia \< 35 g/l and 18 \< BMI \< 22 or a score of the Mini Nutritional Assessment (MNA) \< 17 with albuminemia \> 30 g/l)
  • ingesta of at least 20 kcal / kg / d and 0,8 g / kg / d of proteins

Exclusion

  • hospitalisation \< 21d
  • C reactive protein (CRP) \> 50 mg / l
  • end-stage cardiac insufficiency
  • severe digestive incapacity
  • renal insufficiency (Creatinine Clearance \< 30 ml / mn)
  • respiratory failure
  • MMS \< 18
  • uncontrolled acute or chronic infectious pathology (HIV, tuberculosis)
  • corticoids treatment
  • evolutionary neoplasia
  • palliative phase of severe pathology
  • Mental Mini Score status of Folstein (MMS) \< 8
  • parenteral nutrition
  • active chronic hepatitis or cirrhosis
  • participation in another trial

Key Trial Info

Start Date :

December 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2013

Estimated Enrollment :

27 Patients enrolled

Trial Details

Trial ID

NCT00714675

Start Date

December 1 2009

End Date

January 1 2013

Last Update

December 31 2013

Active Locations (1)

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1

Hôpital Emile Roux

Limeil-Brévannes, France, 94