Trial Outcomes & Findings for Investigating Racial Differences in Diet Benefits for Knee Osteoarthritis (NCT NCT04343716)

NCT ID: NCT04343716

Last Updated: 2025-01-09

Results Overview

The Western Ontario and McMaster Osteoarthritis Index (WOMAC) pain score is a 0-20 score with higher scores reflecting more severe pain. Questions 1-5 are summed to provide a WOMAC pain score. Change scores will be calculated. The week 6 WOMAC pain subscale score was subtracted from the baseline score to obtain a difference score. Numbers closer to zero indicate no change.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

19 participants

Primary outcome timeframe

Baseline (week 0), immediately after the intervention (6 weeks)

Results posted on

2025-01-09

Participant Flow

Participant milestones

Participant milestones
Measure
White Women
White women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
Black Women
Black women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
Overall Study
STARTED
3
16
Overall Study
COMPLETED
1
15
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Investigating Racial Differences in Diet Benefits for Knee Osteoarthritis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
White Women
n=1 Participants
White women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
Black Women
n=15 Participants
Black women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
Total
n=16 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=99 Participants
12 Participants
n=107 Participants
12 Participants
n=206 Participants
Age, Categorical
>=65 years
1 Participants
n=99 Participants
3 Participants
n=107 Participants
4 Participants
n=206 Participants
Age, Continuous
69 years
STANDARD_DEVIATION 0 • n=99 Participants
56.53 years
STANDARD_DEVIATION 7.86 • n=107 Participants
57.31 years
STANDARD_DEVIATION 8.21 • n=206 Participants
Sex: Female, Male
Female
1 Participants
n=99 Participants
15 Participants
n=107 Participants
16 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
15 Participants
n=107 Participants
15 Participants
n=206 Participants
Race (NIH/OMB)
White
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
1 Participants
n=99 Participants
15 Participants
n=107 Participants
16 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Baseline (week 0), immediately after the intervention (6 weeks)

The Western Ontario and McMaster Osteoarthritis Index (WOMAC) pain score is a 0-20 score with higher scores reflecting more severe pain. Questions 1-5 are summed to provide a WOMAC pain score. Change scores will be calculated. The week 6 WOMAC pain subscale score was subtracted from the baseline score to obtain a difference score. Numbers closer to zero indicate no change.

Outcome measures

Outcome measures
Measure
White Women
n=1 Participants
White women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
Black Women
n=15 Participants
Black women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
WOMAC Pain Change
1 WOMAC pain score
Standard Error 0
.7571 WOMAC pain score
Standard Error .17

PRIMARY outcome

Timeframe: Baseline (week 0), immediately after the intervention (6 weeks)

The Brief Pain Inventory (BPI) pain score is a 0-40 score with higher scores reflecting more pain. Questions 3-6 are scored on 0-10 and are summed to provide an overall pain score. The week 6 score was subtracted from the baseline score to obtain a difference score. Numbers closer to zero indicate no change.

Outcome measures

Outcome measures
Measure
White Women
n=1 Participants
White women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
Black Women
n=15 Participants
Black women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
BPI Pain Change
4.5 BPI Pain Severity VAS units
Standard Error 0
1.15 BPI Pain Severity VAS units
Standard Error .28

SECONDARY outcome

Timeframe: Baseline (week 0), immediately after the intervention (6 weeks)

The Western Ontario and McMaster Osteoarthritis Index (WOMAC) function score is a 0-68 score with higher scores reflecting greater impairment in function. The 17 items assess difficulty performing specific tasks and are scored 0-4. These scores are summed to provide a WOMAC function score. The week 6 score was subtracted from the baseline score to obtain a difference score. Numbers closer to zero indicate no change.

Outcome measures

Outcome measures
Measure
White Women
n=1 Participants
White women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
Black Women
n=15 Participants
Black women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
WOMAC Physical Function
.375 WOMAC physical function difference score
Standard Error 0
.8238 WOMAC physical function difference score
Standard Error .2

SECONDARY outcome

Timeframe: Baseline (week 0), immediately after the intervention (6 weeks)

The Brief Pain Inventory (BPI) pain interference score is a 0-90 score with higher scores reflecting more pain. Question 9A-I are scored on 0-10 and are summed to provide an overall pain interference score. The week 6 score was subtracted from the baseline score to obtain a difference score. Numbers closer to zero indicate no change.

Outcome measures

Outcome measures
Measure
White Women
n=1 Participants
White women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
Black Women
n=15 Participants
Black women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
BPI Pain Interference Change
2.55 BPI Interference score difference
Standard Error 0
1.6825 BPI Interference score difference
Standard Error .51

SECONDARY outcome

Timeframe: Baseline (week 0), immediately after the intervention (6 weeks)

Before and after the Temporal Summation (TS) task, participants will be asked to rate the intensity of pain in their knee on a 0-100 scale, with "0" representing no pain and "100" representing the most pain imaginable. The difference in the ratings will be considered the evoked pain score. The week 6 score was subtracted from the baseline score to obtain a difference score. Numbers closer to zero indicate no change. A positive number suggests improved pain, whereas a negative value would suggest worsening pain reports.

Outcome measures

Outcome measures
Measure
White Women
n=1 Participants
White women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
Black Women
n=15 Participants
Black women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
TS Pain Intensity Change
10 Visual analogue scale difference score
Standard Error 0
-7.8571 Visual analogue scale difference score
Standard Error 5.02

SECONDARY outcome

Timeframe: Baseline (week 0), immediately after the intervention (6 weeks)

Before and after the Repeated Chair Stand (RCS) task, participants will be asked to rate the intensity of pain in their knee on a 0-100 scale, with "0" representing no pain and "100" representing the most pain imaginable. The difference in the ratings will be considered the evoked pain score. The week 6 score was subtracted from the baseline score to obtain a difference score. Numbers closer to zero indicate no change. Positive values suggest improved pain, whereas negative values suggest worsening pain.

Outcome measures

Outcome measures
Measure
White Women
n=1 Participants
White women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
Black Women
n=15 Participants
Black women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
RCS Pain Intensity Change
0 Visual analogue scale difference score
Standard Error 0
6 Visual analogue scale difference score
Standard Error 5.478

SECONDARY outcome

Timeframe: Baseline (week 0), immediately after the intervention (6 weeks)

The Patient Health Questionnaire 9 (PHQ-9) depression score is a 0-27 score with higher scores reflecting more severe depression. The 9 items are scored on a 0-3 scale and are summed to provide an overall depression score. The week 6 score was subtracted from the baseline score to obtain a difference score. Numbers closer to zero indicate no change.

Outcome measures

Outcome measures
Measure
White Women
n=1 Participants
White women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
Black Women
n=15 Participants
Black women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
PHQ-9 Depression Change
0 PHQ9 difference score
Standard Error 0
3.5714 PHQ9 difference score
Standard Error 1.877

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline (week 0), immediately after the intervention (6 weeks)

The time to complete the Repeated Chair Stand (RCS) task will be measured with a stopwatch. The week 6 score was subtracted from the baseline score to obtain a difference score. Numbers closer to zero indicate no change. Positive scores reflect faster completion at the week 6 time point, whereas negative scores reflect slower completion at the last time point. The time to complete the chair stands is unlimited and represented in seconds.

Outcome measures

Outcome measures
Measure
White Women
n=1 Participants
White women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
Black Women
n=15 Participants
Black women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
RCS Time to Completion Change
-.12 Seconds
Standard Error 0
2.3807 Seconds
Standard Error 1.02

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline (week 0), immediately after the intervention (6 weeks)

Before and after the Timed Walk (TW) task, participants will be asked to rate the intensity of pain in their knee on a 0-100 scale with "0" representing no pain and "100" representing the most pain imaginable. The difference in the ratings will be considered the evoked pain score. The week 6 score was subtracted from the baseline score to obtain a difference score. Numbers closer to zero indicate no change. Positive values suggest improved pain, whereas negative values suggest worsening evoked pain.

Outcome measures

Outcome measures
Measure
White Women
n=1 Participants
White women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
Black Women
n=15 Participants
Black women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
TW Pain Intensity Change
0 Visual analogue scale difference score
Standard Error 0
6.3846 Visual analogue scale difference score
Standard Error 2.83

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline (week 0), immediately after the intervention (6 weeks)

The time to complete the Timed Walk (TW) task will be measured with a stopwatch. The week 6 score was subtracted from the baseline score to obtain a difference score. Numbers closer to zero indicate no change. The time allowed is unlimited and represented in seconds. Positive values suggest faster time to completion at the week 6 time point, whereas negative values suggest slower time to completion at the week 6 test.

Outcome measures

Outcome measures
Measure
White Women
n=1 Participants
White women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
Black Women
n=15 Participants
Black women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
TW Time to Completion Change
.88 Seconds
Standard Error 0
.3821 Seconds
Standard Error .26

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, end of the intervention (6 weeks)

The total composite score from the Short Form 36. The scale is scored from 0-100 with 100 representing high quality of life and 0 representing very low quality of life. This is completed by summing the 8 subscales and dividing by 8. The week 6 score is subtracted from the baseline score. Final scores close to 0 suggest no change. Positive scores suggest worsening quality of life, whereas negative scores suggest improved overall quality of life.

Outcome measures

Outcome measures
Measure
White Women
n=1 Participants
White women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
Black Women
n=15 Participants
Black women aged 65-75 with knee OA Low-carbohydrate diet: A diet low in daily carbohydrates (\<40 grams/day) provided as prepared meals.
SF-36 Quality of Life Change
-10.2917 SF-36 Difference Score
Standard Deviation 0
-9.5774 SF-36 Difference Score
Standard Deviation 15.67

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and immediately following the intervention (6 weeks)

Population: This task was seen as very similar to the timed walk and the repeated chair stands. To reduce the impact on the painful knees and time commitment for the participants, we decided to stop using this task for the study. Therefore, data are not available for this outcome.

The change score on a 0-100 visual analogue scale following the timed up and go task. On the scale, "0" represents no pain and "100" represents the most pain imaginable. A difference score will be calculated by subtracting the score at week 6 from the baseline score. Positive values would suggest improved pain and negative values would suggest worsening pain, with values around zero representing no change.

Outcome measures

Outcome data not reported

Adverse Events

White Women

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Black Women

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Robert Sorge

University of Alabama at Birmingham

Phone: 2059348563

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place