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RecruitingNCT07169448FIMUpdated Mar 20, 2026

Food is Medicine Prospective Study

An observational study in Wounds and Injuries, sponsored by Cedars-Sinai Medical Center. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-20.

Sponsored by Cedars-Sinai Medical Center · Observational

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 1 month later.
Study type
Observational
Model
Ecologic or community
Time perspective
Prospective
Enrollment
75
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to examine the impact of a medically tailored post-operative meal delivery program on surgical outcomes and metabolic lab markers in orthopaedic trauma patients. Patients will have 12 days of meals and shakes delivered to their house through our partnership with Meals on Wheels. Metabolic lab values will be drawn at the 2 week and 6 week post-op visits. All patients will be followed for up to 1 year postoperatively.

Read the detailed description

This project addresses critical gaps in our understanding of how malnutrition affects recovery in orthopaedic trauma patients by focusing on three key outcomes: (1) the incidence of acute wound complications, (2) metabolic biomarker changes over time, and (3) patient-reported outcomes (PROMIS scores) and impact (qualitative survey) during the recovery period. By systematically investigating these outcomes, the project aims to understand how post-operative meal supplementation can be optimized to reduce complications and improve recovery. The findings will have significant implications for clinical practice, particularly in developing nutritional programs and guidelines that can be integrated into post-operative care protocols to improve outcomes and reduce healthcare costs for orthopaedic trauma patients.

02

Conditions studied

  • Wounds and Injuries

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Keywords

  • Food is medicine
03

In context

Wounds and Injuries

5,056 studies on the registry are indexed under Wounds and Injuries; 861 are open to participants now.

This study's planned enrollment of 75 is below the median of 135 across 1,597 observational studies indexed under Wounds and Injuries.

Browse Wounds and Injuries studies →

Lead sponsor

Cedars-Sinai Medical Center is the lead sponsor of 441 studies on the registry; 108 are open to participants now.

Of its 62 completed or terminated interventional studies of FDA-regulated products, 47 (76%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Orthopaedic trauma surgical patients that have had an operation and inpatient stay at Cedars-Sinai Medical Center

Inclusion criteria

  • Individuals 18 years old or older are included.
  • English or Spanish speaking
  • Reside in the following zip codes: 90001, 90002, 90003, 90004, 90005, 90006, 90007, 90008, 90009, 90010, 90011, 90012, 90013, 90014, 90015, 90016, 90017, 90018, 90019, 90020, 90021, 90023, 90026, 90027, 90028, 90029, 90031, 90035, 90036, 90037, 90038, 90039, 90043, 90044, 90046, 90047, 90048, 90052, 90057, 90059, 90061, 90062, 90065, 90068, 90069
  • Discharged home, either directly from Cedars-Sinai Medical Center or after time in a skilled nursing facility or acute rehab
  • Orthopaedic trauma surgical patients that have had an operation and inpatient stay at Cedars-Sinai Medical Center

Exclusion criteria

Exclusion Criteria:

  • Any records flagged "break the glass" or "research opt out."
  • Any pregnant patients.
  • Patients with any congenital metabolic conditions
  • Patients with dietary restrictions (ex. Kosher, Halal, vegan, gluten free, etc.) that are unable to be reasonably accommodated by St. Vincent Meals on Wheels
  • Any patients with mental illness the prevents them from giving consent.
  • Patients with dementia or cognitive impairment.
  • Patients who are homeless and/or unreliable to follow up
05

Study design

Observational model
Ecologic or community
Time perspective
Prospective
Enrollment
75 participants (estimated)
Patient registry
No

Groups and cohorts

  • Orthopaedic trauma surgical patients with inpatient stay

    Discharged home from hospital, skilled nursing facility, or acute rehab

06

What researchers measure

Primary outcomes

  1. Metabolic biomarker changes over time

    Evaluation of biomarkers

    Time frame: From enrollment to 6-weeks postop

  2. Incidence of acute wound complications

    Wound compliaction

    Time frame: From enrollment to end of treatment at 1-year postop

Other outcomes

  1. Patient-reported outcomes Depression

    The PROMIS Depression scale is a self-reported measure used to assess negative mood, views of self, and social cognition associated with depressive symptoms. Scores are reported on a T-score metric, standardized with a mean of 50 and standard deviation of 10, based on the U.S. general population. Scale Range: 0 to 100 (T-score) Interpretation: Higher scores indicate worse outcomes, meaning more severe depressive symptoms. A T-score of 50 represents the average level of depressive symptoms in the general population.

    Time frame: From enrollment to end of study period at 1-year postop

  2. Patient-reported outcomes Anxiety

    The PROMIS Anxiety scale measures fear, anxious misery, hyperarousal, and somatic symptoms related to anxiety. Like other PROMIS instruments, it uses a T-score metric with a mean of 50 and standard deviation of 10. Scale Range: 0 to 100 (T-score) Interpretation: Higher scores indicate worse outcomes, meaning greater severity of anxiety symptoms. A T-score of 50 reflects the average level of anxiety symptoms in the general population.

    Time frame: From enrollment to end of study period at 1-year postop

  3. Patient-reported outcomes Physical Function

    The PROMIS Physical Function scale evaluates an individual's capability to perform physical activities such as mobility, dexterity, and self-care. Scores are reported using a T-score, standardized with a mean of 50 and standard deviation of 10. Scale Range: 0 to 100 (T-score) Interpretation: Higher scores indicate better outcomes, meaning greater physical functioning. A T-score of 50 reflects the average physical function in the general population.

    Time frame: From enrollment to end of study period at 1-year postop

  4. Patient-reported outcomes Pain Interference

    The PROMIS Pain Interference scale assesses the extent to which pain hinders engagement with social, cognitive, emotional, physical, and recreational activities. It is scored on the T-score metric, with a mean of 50 and standard deviation of 10. Scale Range: 0 to 100 (T-score) Interpretation: Higher scores indicate worse outcomes, meaning pain is interfering more with daily life. A T-score of 50 indicates average pain interference relative to the general population.

    Time frame: From enrollment to end of study period at 1-year postop

07

Study locations

1 of 1 sites recruiting
  • Cedars-Sinai Medical Center
    Los Angeles, California 90048, United States
    Recruiting
08

References and documents

Publications

  • Firoozabadi R, Hamilton B, O'Donnell C, Agel J, Benirschke S, Kramer P, Henley MB. Prospective Study Investigating the Prevalence and Evolution of Malnourishment in the Acute Orthopaedic Trauma Patient. Arch Bone Jt Surg. 2022 Jul;10(7):592-600. doi: 10.22038/ABJS.2021.47718.2341. PubMed 36032641 ↗
  • George A, Holderread BM, Lambert BS, Harris JD, McCulloch PC. Post-operative protein supplementation following orthopaedic surgery: A systematic review. Sports Med Health Sci. 2023 Sep 7;6(1):16-24. doi: 10.1016/j.smhs.2023.08.002. eCollection 2024 Mar. PubMed 38463662 ↗
  • Lawson RM, Doshi MK, Barton JR, Cobden I. The effect of unselected post-operative nutritional supplementation on nutritional status and clinical outcome of orthopaedic patients. Clin Nutr. 2003 Feb;22(1):39-46. doi: 10.1054/clnu.2002.0588. PubMed 12553948 ↗
  • Yeung SE, Hilkewich L, Gillis C, Heine JA, Fenton TR. Protein intakes are associated with reduced length of stay: a comparison between Enhanced Recovery After Surgery (ERAS) and conventional care after elective colorectal surgery. Am J Clin Nutr. 2017 Jul;106(1):44-51. doi: 10.3945/ajcn.116.148619. Epub 2017 May 3. PubMed 28468890 ↗
  • Mosquera C, Koutlas NJ, Edwards KC, Strickland A, Vohra NA, Zervos EE, Fitzgerald TL. Impact of malnutrition on gastrointestinal surgical patients. J Surg Res. 2016 Sep;205(1):95-101. doi: 10.1016/j.jss.2016.05.030. Epub 2016 May 26. PubMed 27621004 ↗
  • Handcox JE, Gutierrez-Naranjo JM, Salazar LM, Bullock TS, Griffin LP, Zelle BA. Nutrition and Vitamin Deficiencies Are Common in Orthopaedic Trauma Patients. J Clin Med. 2021 Oct 28;10(21):5012. doi: 10.3390/jcm10215012. PubMed 34768533 ↗
  • Ernst A, Wilson JM, Ahn J, Shapiro M, Schenker ML. Malnutrition and the Orthopaedic Trauma Patient: A Systematic Review of the Literature. J Orthop Trauma. 2018 Oct;32(10):491-499. doi: 10.1097/BOT.0000000000001254. PubMed 30247276 ↗
  • Leandro-Merhi VA, de Aquino JL. Determinants of malnutrition and post-operative complications in hospitalized surgical patients. J Health Popul Nutr. 2014 Sep;32(3):400-10. PubMed 25395903 ↗
  • Bonilla-Palomas JL, Gamez-Lopez AL, Castillo-Dominguez JC, Moreno-Conde M, Lopez Ibanez MC, Alhambra Exposito R, Ramiro Ortega E, Anguita-Sanchez MP, Villar-Raez A. Nutritional Intervention in Malnourished Hospitalized Patients with Heart Failure. Arch Med Res. 2016 Oct;47(7):535-540. doi: 10.1016/j.arcmed.2016.11.005. PubMed 28262195 ↗
  • Ponsford J, Hill B, Karamitsios M, Bahar-Fuchs A. Factors influencing outcome after orthopedic trauma. J Trauma. 2008 Apr;64(4):1001-9. doi: 10.1097/TA.0b013e31809fec16. PubMed 18404068 ↗
  • Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg. 2002 Jun;183(6):630-41. doi: 10.1016/s0002-9610(02)00866-8. PubMed 12095591 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07169448
Lead sponsor
Cedars-Sinai Medical Center
Responsible party
Carol A. Lin, MD (Associate Professor, Cedars-Sinai Medical Center) — Principal investigator
First posted
Sep 11, 2025
Start date
Sep 1, 2025
Primary completion
Sep 2027 (estimated)
Completion
Sep 2027 (estimated)
Last update
Mar 20, 2026

Study contacts

Program Manager
Contact
joel.arnold@cshs.org
424-314-0536
Program Manager
Contact
laura.sarmiento@cshs.org
310-423-4295
Carol Lin, MD
principal investigator · Cedars-Sinai Medical Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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