Nutrient-rich dairy proteins improve appendicular skeletal muscle mass and physical performance, and attenuate the loss of muscle strength in older men and women subjects: a single-blind randomized clinical trial.
Study Goal
The researchers aimed to determine whether adding 210 g of ricotta cheese daily improves markers of sarcopenia, such as skeletal muscle mass, handgrip strength, and physical performance, in non-sarcopenic older adults.
Results Summary
The study found that adding ricotta cheese increased appendicular skeletal muscle mass and improved balance-test scores while attenuating the loss of muscle strength compared to the control group. The relative changes in muscle mass and balance were statistically significant, though the effect on strength showed only a tendency toward significance.
Population
Men and women over 60 years of age without sarcopenia.
Effective Dosage
210 g of ricotta cheese daily.
Duration
12 weeks.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
adding 210 g of ricotta cheese daily | increase | skeletal muscle mass, handgrip strength, and physical performance | non-sarcopenic older subjects | - | improves | #1 |
adding 210 g of ricotta cheese daily | increase | appendicular skeletal muscle mass (ASMM) | intervention group (IG/HD + RCH) | 0.6±3.5 kg | increased | #2 |
habitual diet only | decrease | appendicular skeletal muscle mass (ASMM) | control group (CG/HD) | -1.0±2.6 kg | decreased | #3 |
adding 210 g of ricotta cheese daily | decrease | muscle strength | intervention group (IG/HD + RCH) | - | attenuating the loss | #4 |
habitual diet only | decrease | muscle strength | control group (CG/HD) | - | more pronounced loss | #5 |
adding 210 g of ricotta cheese daily | increase | balance-test scores | intervention group (IG/HD + RCH) | - | positive | #6 |
habitual diet only | decrease | balance-test scores | control group (CG/HD) | - | negative | #7 |
adding 210 g of ricotta cheese to the habitual diet | increase | ASMM and balance-test scores | subjects without a pronounced loss of ASMM or sarcopenia | - | improves | #8 |
adding 210 g of ricotta cheese to the habitual diet | increase | the markers of sarcopenia | subjects without a pronounced loss of ASMM or sarcopenia | - | improve | #9 |
BACKGROUND: At present, it is unknown whether the use of nutrient-rich dairy proteins improves the markers of sarcopenia syndrome. Therefore, our proposal was to investigate whether adding 210 g of ricotta cheese daily would improve skeletal muscle mass, handgrip strength, and physical performance in non-sarcopenic older subjects. SUBJECTS AND METHODS: This was a single-blind randomized clinical trial that included two homogeneous, randomized groups of men and women over 60 years of age. Participants in the intervention group were asked to consume their habitual diet but add 210 g of ricotta cheese (IG/HD + RCH), while the control group was instructed to consume only their habitual diet (CG/HD). Basal and 12-week follow-up measurements included appendicular skeletal muscle mass (ASMM) by dual-energy X-ray absorptiometry, handgrip strength by a handheld dynamometer, and physical performance using the short physical performance battery (SPPB) and the stair-climb power test (SCPT). The main outcomes were relative changes in ASMM, strength, SPPB, and SCPT. RESULTS: ASMM increased in the IG/HD + RCH (0.6±3.5 kg), but decreased in the CG/HD (-1.0±2.6). The relative change between groups was statistically significant (P=0.009). The relative change in strength in both groups was negative, but the loss of muscle strength was more pronounced in CG/HD, though in this regard statistical analysis found only a tendency (P=0.07). The relative change in the balance-test scores was positive for the IG/HD + RCH, while in the CG/HD it was negative, as those individuals had poorer balance. In this case, the relative change between groups did reach statistical significance. CONCLUSION: The addition of 210 g of ricotta cheese improves ASMM and balance-test scores, while attenuating the loss of muscle strength. These results suggest that adding ricotta cheese to the habitual diet is a promising dietetic strategy that may improve the markers of sarcopenia in subjects without a pronounced loss of ASMM or sarcopenia.