The objective of this study was to evaluate the effect of Whey Protein (WP) and Soy Protein (SP) nutritional supplements on nutritional status and disease activity in Crohn's disease patients.
The patients were split into two groups: one group was supplemented with whey protein and the other, with soy protein. Participants were assessed at three moments: before starting the intervention and after 8 and 16 weeks. The nutritional status and body composition were measured using bioimpedance analysis, anthropometry and albumin and pre-albumin dosages. Dietary intake was determined by 24-h dietary recalls. The disease activity was evaluated by Crohn's Disease Activity Index, serum cytokines and C-reactive protein dosages.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
41
Whey protein was provided as sachets with 15g. Patients were advised to consume two sachets per day (amounting to 22.4g of protein) mixed with food or a cold beverage, for 16 weeks. All patients remained on an unrestricted diet and did not receive nutritional advice.
Soy protein was provided as sachets with 15g. Patients were advised to consume two sachets per day (amounting to 22.4g of protein) mixed with food or a cold beverage, for 16 weeks. All patients remained on an unrestricted diet and did not receive nutritional advice.
University of Campinas
Campinas, São Paulo, Brazil
Body mass index
Body mass index (BMI) was calculated from weight and height (kilograms per meter squared) and classified according to the World Health Organization.
Time frame: 16 weeks
Body fat percentage
Body fat was measured using bioimpedance analysis. Whole-body resistance and reactance were measured using a tetrapolar bioelectrical impedance analyzer in accordance with the manufacturer's guidelines (BIODYNAMICS, Model 310e).
Time frame: 16 weeks
Body lean percentage
The body lean mass was measured using bioimpedance analysis. Whole-body resistance and reactance were measured using a tetrapolar bioelectrical impedance analyzer in accordance with the manufacturer's guidelines (BIODYNAMICS, Model 310e).
Time frame: 16 weeks
Mid-arm circumference
Mid-arm circumference was obtained using the tape measure.
Time frame: 16 weeks
Mid-arm muscle circumference
Mid-arm muscle circumference was calculated from mid-arm circumference and triceps skin fold thickness.
Time frame: 16 weeks
Corrected arm muscle area
Corrected arm muscle area was calculated from mid-arm circumference and triceps skin fold thickness.
Time frame: 16 weeks
Crohn's Disease Activity Index
The Crohn's Disease Activity Index was used for evaluation of disease activity.
Time frame: 16 weeks
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C-reactive protein
Time frame: 16 weeks
Serum albumin
Time frame: 16 weeks
Pre-albumin
Time frame: 16 weeks
Triceps skin fold thickness
Triceps skin fold thickness was obtained using the Lange skin fold caliper.
Time frame: 16 weeks