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Effects of Whey Protein Alone or as Part of a Multi-ingredient Formulation on Strength, Fat-Free Mass, or Lean Body Mass in Resistance-Trained Individuals: A Meta-analysis.

Sports medicine (Auckland, N.Z.)
January 1, 2016
Fernando Naclerio et al. (2 authors)
Journal ArticleMeta-AnalysisResearch Support, Non-U.S. Gov'tHuman Study
Study Details

Study Goal

The researchers aimed to determine whether whey protein-containing supplements, alone or as part of a multi-ingredient, improve fat-free mass, lean body mass, and strength in resistance-trained individuals compared to iso-energetic carbohydrate or non-whey protein supplements.

Results Summary

Whey protein supplementation, alone or in multi-ingredient form, was associated with small extra gains in fat-free mass or lean body mass and improved upper and lower body strength, with multi-ingredient formulations showing more pronounced effects in upper body strength.

Population

Resistance-trained adults aged 18 years and over.

Effective Dosage

Not specified in the abstract.

Duration

6 weeks or longer.

Interactions

None mentioned.

Extracted Claims (14)
InterventionDirectionEndpointPopulationDosageImpactClaim #
whey protein-containing supplements
increase
anabolic responses and adaptations process
resistance-trained individuals
-
positive effects for optimizing the anabolic responses and adaptations process
#1
multi-ingredient formulations where whey proteins are combined with carbohydrates, other protein sources, creatine, and amino acids or derivatives
increase
strength and muscle mass gains
athletes
-
effective strategy to maximize strength and muscle mass gains
#2
whey protein-containing supplements, administered alone or as a part of a multi-ingredient
increase
fat-free mass or lean body mass
resistance-trained individuals
effect size of g = 0.301, 95% confidence interval (CI) 0.032-0.571
was associated with small extra gains
#3
whey protein supplementation
increase
fat-free mass or lean body mass
resistance-trained individuals
g = 0.217 (95% CI -0.113 to 0.547)
positive trends resulting in small to moderate effect size
#4
multi-ingredient
increase
fat-free mass or lean body mass
resistance-trained individuals
g = 0.468 (95% CI 0.003-0.934)
positive trends resulting in small to moderate effect size
#5
whey protein supplementation, administered alone or as part of a multi-ingredient
increase
lower body maximal strength
resistance-trained individuals
g = 0.316, 95% CI 0.045-0.588
positive overall extra effect was also observed to maximize
#6
whey protein supplementation, administered alone or as part of a multi-ingredient
increase
upper body maximal strength
resistance-trained individuals
g = 0.458, 95% CI 0.161-0.755
positive overall extra effect was also observed to maximize
#7
whey protein
increase
lower body strength
resistance-trained individuals
g = 0.343, 95% CI -0.016 to 0.702
smaller superiority to maximize strength gains
#8
multi-ingredient
increase
lower body strength
resistance-trained individuals
g = 0.281, 95% CI -0.135 to 0.697
smaller superiority to maximize strength gains
#9
multi-ingredient
increase
upper body strength
resistance-trained individuals
g = 0.612, 95% CI 0.157-1.068
seemed to produce more clear effects
#10
whey protein alone
increase
upper body strength
resistance-trained individuals
g = 0.343, 95% CI -0.048 to 0.735
produce effects
#11
Whey protein alone or as a part of a multi-ingredient
increase
lean body mass or fat-free mass gain
resistance-training individuals
-
appears to maximize
#12
Whey protein alone or as a part of a multi-ingredient
increase
upper and lower body strength improvement
resistance-training individuals
-
appears to maximize
#13
whey proteins are consumed within a multi-ingredient containing creatine
increase
lean body mass or fat-free mass gain and strength improvement
resistance-training individuals
-
enhancement effect seems to be more evident
#14
Abstract

BACKGROUND: Even though the positive effects of whey protein-containing supplements for optimizing the anabolic responses and adaptations process in resistance-trained individuals have been supported by several investigations, their use continues to be controversial. Additionally, the administration of different multi-ingredient formulations where whey proteins are combined with carbohydrates, other protein sources, creatine, and amino acids or derivatives, has been extensively proposed as an effective strategy to maximize strength and muscle mass gains in athletes. OBJECTIVE: We aimed to systematically summarize and quantify whether whey protein-containing supplements, administered alone or as a part of a multi-ingredient, could improve the effects of resistance training on fat-free mass or lean body mass, and strength in resistance-trained individuals when compared with other iso-energetic supplements containing carbohydrates or other sources of proteins. METHODS: A structured literature search was conducted on PubMed, Science Direct, Web of Science, Cochrane Libraries, US National Institutes of Health clinicaltrials.gov, SPORTDiscus, and Google Scholar databases. Main inclusion criteria comprised randomized controlled trial study design, adults (aged 18 years and over), resistance-trained individuals, interventions (a resistance training program for a period of 6 weeks or longer, combined with whey protein supplementation administered alone or as a part of a multi-ingredient), and a calorie equivalent contrast supplement from carbohydrates or other non-whey protein sources. Continuous data on fat-free mass and lean body mass, and maximal strength were pooled using a random-effects model. RESULTS: Data from nine randomized controlled trials were included, involving 11 treatments and 192 participants. Overall, with respect to the ingestion of contrast supplements, whey protein supplementation, administered alone or as part of a multi-ingredient, in combination with resistance training, was associated with small extra gains in fat-free mass or lean body mass, resulting in an effect size of g = 0.301, 95% confidence interval (CI) 0.032-0.571. Subgroup analyses showed less clear positive trends resulting in small to moderate effect size g = 0.217 (95% CI -0.113 to 0.547) and g = 0.468 (95% CI 0.003-0.934) in favor of whey and multi-ingredient, respectively. Additionally, a positive overall extra effect was also observed to maximize lower (g = 0.316, 95% CI 0.045-0.588) and upper body maximal strength (g = 0.458, 95% CI 0.161-0.755). Subgroup analyses showed smaller superiority to maximize strength gains with respect to the contrast groups for lower body (whey protein: g = 0.343, 95% CI -0.016 to 0.702, multi-ingredient: g = 0.281, 95% CI -0.135 to 0.697) while in the upper body, multi-ingredient (g = 0.612, 95% CI 0.157-1.068) seemed to produce more clear effects than whey protein alone (g = 0.343, 95% CI -0.048 to 0.735). LIMITATIONS: Studies involving interventions of more than 6 weeks on resistance-training individuals are scarce and account for a small number of participants. Furthermore, no studies with an intervention longer than 12 weeks have been found. The variation regarding the supplementation protocol, namely the different doses criteria or timing of ingestion also add some concerns to the studies comparison. CONCLUSIONS: Whey protein alone or as a part of a multi-ingredient appears to maximize lean body mass or fat-free mass gain, as well as upper and lower body strength improvement with respect to the ingestion of an iso-energetic equivalent carbohydrate or non-whey protein supplement in resistance-training individuals. This enhancement effect seems to be more evident when whey proteins are consumed within a multi-ingredient containing creatine.

Medical Subject Headings (MeSH)
Body Fat DistributionBody Mass IndexDietary SupplementsHumansMuscle StrengthResistance TrainingWhey Proteins
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations57
Citations/Year6.3
Relative Citation Ratio3.15
NIH Percentile86%
Research Impact Scores
APT Score0.95
Weight Score1.00
Normalized Score0.66
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