Status:

RECRUITING

The Effect of a 2-week Preoperative Vegan Diet Versus Omnivorous Diet on the Protein Turnover in the Osteoarthritic Knee

Lead Sponsor:

Wageningen University

Collaborating Sponsors:

Gelderse Vallei Hospital

Rijnstate Hospital

Conditions:

Osteo Arthritis Knee

Protein Synthesis

Eligibility:

All Genders

60-80 years

Phase:

NA

Brief Summary

Rationale: Protein from plant-based foods may be unable to stimulate protein synthesis due to a suboptimal essential amino acid content and a lower digestibility. However, a more optimal amino acid pr...

Eligibility Criteria

Inclusion

  • Written informed consent;
  • Patients scheduled for total knee arthroplasty;
  • BMI between 20-32 kg/m2;
  • Aged 60 - 80 years;
  • Mentally competent, as judged by the treating physician;

Exclusion

  • Following a vegetarian or vegan diet or a diet that affects protein intake during the six months prior to the study;
  • Participating in a structured progressive exercise training program in the past three months;
  • Lost more than 4 kg body weight during three months prior to the study;
  • Chronic use of medications that affect protein metabolism (i.e. systemic corticosteroids, or prescription strength acne medications);
  • Being diagnosed with one of the following: diabetes mellitus, rheumatoid arthritis, peripheral artery disease Fontaine III or IV, COPD GOLD III or IV, neoadjuvant chemotherapy or radiotherapy, phenylketonuria, collagen disorders (e.g. Marfan and Ehler-Danlos);
  • Alcohol abuse;
  • Surgical intervention to the knee in the past four weeks;
  • Total parenteral nutrition at day of surgery;
  • Glomerular filtration rate (GFR) \<20 mL/min/1.73 m2;
  • Allergic or intolerant to any product included in the diets;
  • Osteoarthritis of the knee secondary to septic arthritis, osteonecrosis, fracture, osteochondritis dissecans, or malignant processes;
  • Any other medical condition that may interfere with the safety of the participants or the outcome parameters, in the investigators judgement;
  • Not willing to stop nutritional supplements, with the exception of vitamin D and supplements on medical advice.
  • Investigator's uncertainty about the willingness or ability of the participant to comply with the protocol instructions;
  • Participation in other studies that may have an impact on the outcomes during the three months before the start of the current study.

Key Trial Info

Start Date :

October 22 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2026

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT06130956

Start Date

October 22 2024

End Date

December 1 2026

Last Update

April 1 2025

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Rijnstate Hospital

Arnhem, Netherlands

2

Hospital Gelderse Vallei

Ede, Netherlands