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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.

Clinical interventions in aging
January 1, 2014
Heliodoro Alemán-Mateo et al. (6 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

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.

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
Absorptiometry, PhotonAgedAgingCheeseDietary ProteinsFemaleGaitHand StrengthHumansMaleMexicoMiddle AgedMilk ProteinsMuscle, SkeletalSarcopeniaSingle-Blind Method
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations63
Citations/Year5.7
Relative Citation Ratio2.97
NIH Percentile84.7%
Research Impact Scores
APT Score0.95
Weight Score1.77
Normalized Score0.70
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