Effect of Oral Ketone Administration During Inactivity-induced Muscle Atrophy and Retraining-induced Regeneration
Trial Snapshot
- Phase
- Phase 2
- Sponsor
- KU Leuven
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- Skeletal muscle biopsies
Study Overview
Brief Summary
The aim of this study is to investigate the effect of oral ketone administration during inactivity-induced muscle atrophy and retraining-induced regeneration. Potential changes in muscle function (cycling performance, knee-extension force and power, jump height) and mass, blood flow and the muscular extracellular matrix will be the main focus. In this context, the dominant leg of the participants (n=24) will be immobilized with a brace for 2 weeks and subsequently retrained in a 4-week progressive resistance exercise training program to stimulate muscle regeneration. During the immobilization and rehabilitation period, participants receive either ketone ester (KE) or placebo (CON). 4 experimental sessions are performed during this time frame in order to evaluate the effects of the trial.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 35 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Recreational sports participation, including general fitness training, between 2 and 5 hours max per week
- •Good health status confirmed by a medical screening
- •Body mass index between 18 and 25
Exclusion Criteria
- •Any kind of injury/pathology that is a contra-indication to perform resistance exercise
- •Intake of any medication or nutritional supplement that could impact muscle protein synthesis during the period of the study
- •Intake of any whey protein, casein or branched-chain amino acid supplement or anti-inflammatory drug from 1 month prior to the start of the study
- •Blood donation within 3 months prior to the start of the study
- •More than 3 alcoholic beverages per day
- •Current participation in another research trial
- •Any other argument to believe that the subject is unlikely to successfully complete the full study protocol
- •Adherence to a high-fat, low-carbohydrate ketogenic diet (less than 20% of energy intake derived from carbohydrates)
- •(Cow's) milk protein allergy
Arms & Interventions
Placebo
Ketone placebo will be provided
Intervention: Medium Chain Triglyceride (MCT) oil (Dietary Supplement)
Ketone
Ketone esters will be provided
Intervention: Ketone ester (Dietary Supplement)
Outcomes
Primary Outcomes
Skeletal muscle biopsies
Time Frame: Day 0 - Day 14 - Day 28 - Day 42
Changes in myofibrillar protein synthesis
Muscle volume
Time Frame: Day 0 - Day 14 - Day 28 - Day 42
Change in volume of quadriceps evaluated by computed-tomography scan
Muscular functional capacity
Time Frame: Day 0 - Day 14 - Day 28 - Day 42
Change in mean power produced during 30 unilateral knee extensions on a knee-extension apparatus
Exercise performance
Time Frame: Day 0 - day 14 - day 28 - day 42
Changes in exercise performance as evaluated during a graded exercise test
Echo-Doppler measurement of femoral artery
Time Frame: Day 0 - Day 14 - Day 28 - Day 42
Change in blood flow of arteria femoralis
Blood marker of collagen synthesis
Time Frame: Day 0 - Day 14 - Day 28 - Day 42
Change in PINP (n-terminal peptide of pro-collagen I) concentration in blood
Secondary Outcomes
No secondary outcomes reported
Investigators
Peter Hespel
Principal Investigator
KU Leuven
