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Validation of a Revised Food Frequency Questionnaire

Completed
Conditions
Nutrition
Osteoporosis
Interventions
Other: Full length Block 2014 Food Frequency Questionnaire
Other: Revised Calcium, Vitamin D and Protein Screener
Registration Number
NCT02693184
Lead Sponsor
University of Nebraska
Brief Summary

The purpose of this study is to validate a revised food frequency questionnaire that is designed to capture vitamin D, calcium and protein intake in a population of elderly men and women with fragility fractures. Protein, calcium and protein intake will be correlated with biochemical measures and bone mineral density measured by DXA.

Detailed Description

The purpose of this study is to validate a revised food frequency questionnaire that is designed to capture vitamin D, calcium and protein intake in a population of elderly men and women with fragility fractures. Protein, calcium and protein intake will be correlated with biochemical measures and bone mineral density measured by DXA.

Eligibility Criteria) Forty-five eligible participants will be recruited from the endocrine referrals for osteoporosis/fracture. They will be men and women, age \>65 years with a fragility fracture (defined as a fracture sustained after a fall from a standing height or less). They will be English speaking. They will need to have the mental capacity to recall events, (MMSE score ³24).11 They will need to have a telephone and the ability to answer questions over a phone. They will not have secondary causes of fragility fracture such as malabsorption (celiac disease, bariatric surgery), liver disease, organ transplant, hyperparathyroidism, multiple myeloma, current cancer diagnosis, or alcoholism. They will not have renal disease requiring dialysis (as the dietary requirement of these patients is quite different from the general elderly population). They will not be on tubefeeds of any kind (although supplemental food such as Ensure is allowed). Interventions and Evaluations) The evaluations will include a history and physical exam, and a mini mental status exam. Two telephone interviews will be conducted \~ 4 weeks apart during which the Block 2014 questionnaire will be given and the revised screener will be given. The order that the questionnaires are given will be randomized. As part of the standard of care workup for osteoporosis, a biochemical workup including 25-hydroxyvitamin D, comprehensive metabolic profile, bone specific alkaline phosphatase (a bone remodeling marker), phosphorus and transglutaminase IgA (to rule out celiac disease), and DXA scan for bone mineral density (BMD) measurement will be done. The BMD by DXA and 25-hydroxyvitamin D will be correlated to protein, calcium and vitamin D intake obtained by the Block 2014.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
31
Inclusion Criteria
  • They will be men and women, age >65 years with a fragility fracture (defined as a fracture sustained after a fall from a standing height or less). They will be English speaking. They will need to have the mental capacity to recall events, (MMSE score >24).11 They will need to have a telephone and the ability to answer questions over a phone.
Exclusion Criteria
  • They will not have secondary causes of fragility fracture such as malabsorption (celiac disease, bariatric surgery), liver disease, organ transplant, hyperparathyroidism, multiple myeloma, current cancer diagnosis, or alcoholism. They will not have renal disease requiring dialysis (as the dietary requirement of these patients is quite different from the general elderly population). They will not be on tubefeeds of any kind (although supplemental food such as Ensure is allowed).

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Fragility Fracture CaseFull length Block 2014 Food Frequency QuestionnaireMen and women, age \>65 years with a fragility fracture (defined as a fracture sustained after a fall from a standing height or less).
Fragility Fracture CaseRevised Calcium, Vitamin D and Protein ScreenerMen and women, age \>65 years with a fragility fracture (defined as a fracture sustained after a fall from a standing height or less).
Primary Outcome Measures
NameTimeMethod
Agreement of the 2 FFQs on calcium intake1 year

Calcium intake will be assessed with 2 different methods

Agreement of the 2 FFQs on protein intake1 year

Protein intake will be assessed with 2 different methods

Agreement of the 2 FFQs on vitamin D intake1 year

Vitamin D intake will be assessed with 2 different methods

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Unversity of Nebraska Medical Center

🇺🇸

Omaha, Nebraska, United States

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