Meal Conditions for Spinal Cord Injury

GM
GJ
Overseen ByGary J Farkas, PhD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines how different types of meals affect heart and metabolic health in men with and without spinal cord injuries (SCI). Participants will join one of three groups, each trying a different meal condition: high, moderate, or low meal options for up to three weeks. This research targets men who are not very active and have stable weight. Specifically, men with a long-term spinal cord injury that affects movement and who can feed themselves might be suitable candidates. The trial aims to determine how meal type influences health, especially in those with SCI. As an unphased trial, this study offers a unique opportunity to contribute to understanding nutrition's impact on health, particularly for those with SCI.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but you cannot participate if you are prescribed prokinetic, antipsychotic, or anti-obesity medications.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that different meal plans affect people with spinal cord injury (SCI) in various ways. One study on high-fat meals found that short-term high-fat diets did not significantly change inflammation levels, although some other health markers worsened. This suggests that while some changes occur, they might not be serious or harmful in the short term.

For low-fat meals, studies suggest that a balanced diet with the right mix of carbohydrates, proteins, and fats is important. People with SCI often experience energy imbalances, and good nutrition can help manage these issues safely.

Regarding moderate meals, evidence shows that working with a dietitian can improve health for SCI patients. This indicates that a balanced meal plan is generally safe and beneficial.

Overall, these meal plans aim to find the best balance for health. They are based on current knowledge about nutrition and SCI and are generally considered safe. However, individual responses can vary, so healthcare professionals must monitor participants.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores how different meal conditions—high, moderate, and low—impact individuals with spinal cord injuries. Unlike traditional treatments that focus on medication or physical therapy, this approach examines the role of nutrition and meal sizes in recovery and overall well-being. By understanding the effects of various meal conditions, researchers hope to uncover new insights that could lead to innovative nutritional strategies, potentially improving the quality of life for those with spinal cord injuries.

What evidence suggests that this trial's meal conditions could be effective for spinal cord injury?

This trial will compare different meal conditions for individuals with spinal cord injuries (SCI). Research has shown that diet plays a crucial role for people with SCI. Participants in the high meal condition group may experience changes in certain health markers after consuming large meals, although inflammation remains largely unchanged. Those in the low meal condition group may benefit from foods with a low-glycemic index to help maintain steady blood sugar levels. Studying medium-sized meals presents challenges, but participants in the moderate meal condition group will help explore how balanced diets can prevent common nutrient deficiencies in SCI. Overall, adjusting meal sizes and types can improve health by managing energy and nutrient intake.23678

Who Is on the Research Team?

GJ

Gary J Farkas, PhD

Principal Investigator

University of Miami

Are You a Good Fit for This Trial?

This trial is for men with spinal cord injuries (SCI) at T6 or above, who have been stable in their condition for over a year and can feed themselves. It's also open to inactive men without SCI. Participants should not be very active and must have maintained a consistent weight recently.

Inclusion Criteria

SCI and Controls
* Men
* Physically inactive (\<150 minutes per week of moderate-vigorous activity intensity for the preceding 3 months)
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants are assigned to one of three meal condition groups (Moderate, Low, High) for up to 3 weeks to assess the effects of food on cardiovascular and metabolic health

3 weeks
Visits during each intervention week

Follow-up

Participants are monitored for safety and effectiveness after the intervention

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Ad-libitum control condition
  • High meal condition
  • Low meal condition
  • Moderate meal condition
Trial Overview The study looks at how different amounts of food affect body heat production and heart health in men with high-level SCIs compared to those without. They'll try various meal sizes: high, moderate, low, and as much as they want (ad-libitum).
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Group I: Moderate meal condition groupExperimental Treatment2 Interventions
Group II: Low meal condition groupExperimental Treatment2 Interventions
Group III: High meal condition groupExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Miami

Lead Sponsor

Trials
976
Recruited
423,000+

The Craig H. Neilsen Foundation

Collaborator

Trials
62
Recruited
3,100+

Citations

Dietetics After Spinal Cord Injury: Current Evidence and ...A proper diet for individuals with SCI should distribute carbohydrates, protein, and fat to optimize a lower energy intake requirement.
Unraveling Spinal Cord Injury Nutrition: Effects of Diet on ...A short-term HFD study in patients with chronic SCI did not show significant changes in inflammatory markers, even though metabolic markers worsened after meals ...
Nutritional alterations, adverse consequences, and ...Spinal cord injury (SCI) leads to complex nutritional alterations, including energy imbalance, skewed macronutrient and micronutrient intake ...
Eat Well, Live Well with Spinal Cord InjuryStudies also indicate that because adults with chronic SCI tend to have poor dietary patterns and nutrient deficiencies, coupled with their high prevalence of ...
Food Intake and Thermogenesis in Men with High Spinal ...This research study focuses on understanding how food affects heart and metabolic health in men, specifically comparing those with spinal cord injuries to ...
What are the benefits and harms of delayed enteral feeding in ...There is very low-quality evidence that early enteral feeding (initiated less than 72 h into an ICU admission) is as safe as delayed feeding in ...
Spinal Cord InjuryEvidence suggests that medical nutrition therapy provided to patients with spinal cord injuries by a registered dietitian results in improved nutrition-related ...
Food Security and Perceptions and Barriers to Healthy ...A structured online system, such as the ClinicalTrials.gov results database, that provides the public with access to registration and summary results ...
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