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Immune Function and Muscle Adaptations to Resistance exercise in Older Adults: Study Protocol for a Randomized Controlled Trial of a Nutritional Supplement.

Trials
January 1, 1970
Richard A Dennis et al. (10 authors)
Journal ArticleRandomized Controlled TrialResearch Support, U.S. Gov't, Non-P.H.S.Human StudyClinical
Study Details

Study Goal

The researchers aimed to determine if glutamine, as part of a nutritional supplement, could improve immune function and enhance muscle size, strength, and function in older adults undergoing resistance training.

Results Summary

The abstract does not provide specific results for glutamine alone, but the study intended to evaluate its combined effects with arginine and HMB on immune function, muscle gains, and retention of training benefits.

Population

Veterans aged 60 to 80 years.

Effective Dosage

Not specified for glutamine alone.

Duration

Supplementation during 36 resistance training sessions and 26 weeks post-training.

Interactions

None mentioned.

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
nutritional supplementation that supports the immune system
neutral
resistance exercise as an intervention for age-associated muscle loss
older adults
-
could complement
#1
nutritional supplement [arginine (Arg), glutamine (Gln), and β-hydroxy β-methylbutyrate (HMB)]
increase
immune function
-
-
can improve
#2
nutritional supplement [arginine (Arg), glutamine (Gln), and β-hydroxy β-methylbutyrate (HMB)]
increase
muscle growth
-
-
promote
#3
nutritional supplement [arginine (Arg), glutamine (Gln), and β-hydroxy β-methylbutyrate (HMB)]
decrease
muscle loss
-
-
counteract
#4
2 weeks of supplementation
increase
immune function measured as the response to vaccination and systemic and cellular responses to acute resistance exercise
Veterans (age 60 to 80 yrs)
-
improve
#5
supplementation during 36 sessions of resistance training
increase
muscle size, strength, and function
Veterans (age 60 to 80 yrs)
-
boosts gains in
#6
continued supplementation for 26 weeks post-training
increase
training-induced gains in muscle size, strength, and function
Veterans (age 60 to 80 yrs)
-
promotes retention of
#7
nutritional supplement
neutral
immune function
-
-
modulate
#8
nutritional supplement
neutral
training outcomes
-
-
determine the effects on
#9
nutritional intervention
neutral
muscle health during aging
older adults
-
evaluated as a complement to exercise for supporting
#10
Abstract

BACKGROUND: Immune function may influence the ability of older adults to maintain or improve muscle mass, strength, and function during aging. Thus, nutritional supplementation that supports the immune system could complement resistance exercise as an intervention for age-associated muscle loss. The current study will determine the relationship between immune function and exercise training outcomes for older adults who consume a nutritional supplement or placebo during resistance training and post-training follow-up. The supplement was chosen due to evidence suggesting its ingredients [arginine (Arg), glutamine (Gln), and β-hydroxy β-methylbutyrate (HMB)] can improve immune function, promote muscle growth, and counteract muscle loss. METHODS/DESIGN: Veterans (age 60 to 80 yrs, N = 50) of the United States military will participate in a randomized double-blind placebo-controlled trial of consumption of a nutritional supplement or placebo during completion of three study objectives: 1) determine if 2 weeks of supplementation improve immune function measured as the response to vaccination and systemic and cellular responses to acute resistance exercise; 2) determine if supplementation during 36 sessions of resistance training boosts gains in muscle size, strength, and function; and 3) determine if continued supplementation for 26 weeks post-training promotes retention of training-induced gains in muscle size, strength, and function. Analyses of the results for these objectives will determine the relationship between immune function and the training outcomes. Participants will undergo nine blood draws and five muscle (vastus lateralis) biopsies so that the effects of the supplement on immune function and the systemic and cellular responses to exercise can be measured. DISCUSSION: Exercise has known effects on immune function. However, the study will attempt to modulate immune function using a nutritional supplement and determine the effects on training outcomes. The study will also examine post-training benefit retention, an important issue for older adults, usually omitted from exercise studies. The study will potentially advance our understanding of the mechanisms of muscle gain and loss in older adults, but more importantly, a nutritional intervention will be evaluated as a complement to exercise for supporting muscle health during aging. TRIAL REGISTRATION: Clinicaltrials.gov identifier: NCT02261961, registration date 10 June 2014, recruitment active.

Medical Subject Headings (MeSH)
Adaptation, PhysiologicalAgedAged, 80 and overClinical ProtocolsDietary SupplementsHumansImmune SystemMiddle AgedMuscle, SkeletalResistance Training
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations10
Citations/Year1.0
Relative Citation Ratio0.48
NIH Percentile25.9%
Research Impact Scores
APT Score0.25
Weight Score1.72
Normalized Score0.67
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