Can a Low-Carb diet ease knee pain? a study investigates racial differences
NCT ID NCT04343716
First seen Aug 13, 2026 · Last updated Aug 14, 2026 · Updated 1 time
Summary
This study tests whether a low-carbohydrate diet (under 40 grams of carbs per day) can reduce pain and improve quality of life in women aged 65-75 with knee osteoarthritis. It specifically looks at whether the diet's effects differ between African-American and non-Hispanic white women. Participants follow the diet for 6 weeks, with meals provided, and researchers measure pain, function, mood, and blood markers of oxidative stress. The goal is to see if this dietary approach could be a personalized way to manage knee OA pain.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- low-carbohydrate diet (less than 40 grams of carbs per day) provided as prepared meals
- What this could lead to
- If successful, this could show that a low-carb diet is a useful, non-drug way to reduce knee osteoarthritis pain, and that its benefits may vary by race, leading to more personalized dietary recommendations.
- What could go wrong
- This is a small, early study with only 19 participants, so results may not apply to everyone. The diet is restrictive and may be hard to follow, and any pain relief might not be due to the diet alone.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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19 people
The number who actually took part.
- Started
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Oct 2020
- Finished
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Sep 2023
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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65 to 75 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. diagnosis of knee OA 2. pain in at least 4/7 days/week for the past 3 months 3. age between 65-75 4. average daily consumption of \>100 g carbohydrates 5. understanding of verbal and written English 6. self-identification as either AA or NHW 7. BMI between 25 and 40 kg/m2 Exclusion Criteria: 1. diabetes 2. unwillingness to follow prescribed diets 3. recent weight change (\>4 kg in past month) 4. currently on a diet 5. history of eating disorders or other psychiatric disorders 6. digestive diseases 7. difficulty chewing or swallowing 8. reliance on others for meal preparation 9. cardiovascular or pulmonary disease 10. daily opioid pain medications 11. use of medications known to alter metabolism or digestion (e.g., proton-pump inhibitors) 12. use of anti-hypertensive medications that affect glucose tolerance 13. use of tobacco 14. participation in extreme exercise 15. knee replacement
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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University of Alabama at Birmingham
Birmingham, Alabama, 35294, United States
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