ProK: Dietary Intake Modifications to Protect Against Changes in Bone Metabolism
Study Details
Study Description
Brief Summary
Bone loss is not only a well-documented effect of spaceflight on astronauts, but also a condition that affects millions of men and women on Earth each year. Many countermeasures to bone loss have been proposed, and many have been evaluated to some degree. To date, those showing potential have focused on either exercise or pharmacological interventions, but none have targeted dietary intake alone as a factor to predict or minimize bone loss during spaceflight. The investigators proposed to document how the ratio of acid precursors to base precursors in the diet is related to directional changes in markers of bone resorption and formation during flight and recovery from flight. There is a high likelihood for success in predicting the extent of bone loss from dietary intake patterns of astronauts during spaceflight, given that this concept is strongly anchored in data obtained from ground-based experiments in our laboratory and others. The notion of manipulating diet to minimize bone loss could also have significant social and economic impacts for NASA and for the general public - especially given the increasing trends for diets that are high in animal protein and low in fruits and vegetables. The results of the proposed experiments will lead to development of a dietary countermeasure for bone loss consisting of a balanced diet with no associated risks for side effects that might be present with pharmaceuticals or supplements, no requirement for payload mass, and no additional crew time necessary during flight.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Low Apro/K Diet Subjects consume a prescribed diet for 4 days with a low ratio of animal protein to potassium (0.3-0.6 g/mEq). |
Other: Preflight
4-d controlled diet sessions will occur twice before flight.
Other: In-flight
4-d controlled diet sessions will take place on flight days 15, 60, 120, and 180. Flight day 30 will only be monitored intakes (subject consume nominal intake)
|
| Experimental: High Apro/K Diet Subjects consume a prescribed diet that has a high ratio of animal protein to potassium (1.0-1.3 g/mEq) for 4 days. |
Other: Preflight
4-d controlled diet sessions will occur twice before flight.
Other: In-flight
4-d controlled diet sessions will take place on flight days 15, 60, 120, and 180. Flight day 30 will only be monitored intakes (subject consume nominal intake)
|
Outcome Measures
Primary Outcome Measures
- Change in urinary n-telopeptide after 15 days of space flight compared to preflight [15 days]
24-h NTX will be used as an indicator of bone resorption
- Change in urinary n-telopeptide after 30 days of space flight compared to preflight [30 days]
- Change in urinary n-telopeptide after 60 days of space flight compared to preflight [60 days]
- Change in urinary n-telopeptide after 120 days of space flight compared to preflight [120 days]
- Change in urinary n-telopeptide after 180 days of space flight compared to preflight [180 days]
- Change in urinary calcium after 15 days of space flight compared to preflight [15 days]
- Change in urinary calcium after 60 days of space flight compared to preflight [60 days]
- Change in urinary calcium after 120 days of space flight compared to preflight [120 days]
- Change in urinary calcium after 180 days of space flight compared to preflight [180 days]
Secondary Outcome Measures
- Change in urinary calcium after 30 days of space flight compared to preflight [30 days]
24-h urinary calcium
Eligibility Criteria
Criteria
Inclusion Criteria:
- Astronauts flying on long-duration (3-6 months) spaceflights
Exclusion Criteria:
- Non-astronauts
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Johnson Space Center | Houston | Texas | United States | 77058 |
Sponsors and Collaborators
- National Aeronautics and Space Administration (NASA)
Investigators
- Principal Investigator: Scott M Smith, PhD, National Aeronautics and Space Administration (NASA)
Study Documents (Full-Text)
None provided.More Information
Publications
- Zwart SR, Davis-Street JE, Paddon-Jones D, Ferrando AA, Wolfe RR, Smith SM. Amino acid supplementation alters bone metabolism during simulated weightlessness. J Appl Physiol (1985). 2005 Jul;99(1):134-40. Epub 2005 Feb 3. Erratum in: J Appl Physiol (1985). 2013 Sep;115(6):950.
- Zwart SR, Hargens AR, Smith SM. The ratio of animal protein intake to potassium intake is a predictor of bone resorption in space flight analogues and in ambulatory subjects. Am J Clin Nutr. 2004 Oct;80(4):1058-65.
- Pro0225