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A randomized controlled trial of the impact of protein supplementation on leg lean mass and integrated muscle protein synthesis during inactivity and energy restriction in older persons.

The American journal of clinical nutrition
January 1, 1970
Sara Y Oikawa et al. (8 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine if collagen peptide supplementation could alleviate lean mass loss by enhancing muscle protein synthesis during inactivity and a hypoenergetic state.

Results Summary

Collagen peptide supplementation did not protect against leg lean mass loss during inactivity and energy restriction, nor did it enhance muscle protein synthesis during recovery, unlike whey protein.

Population

Older adults (16 men, mean age 69 ± 3 y; 15 women, mean age 68 ± 4 y)

Effective Dosage

30 g collagen peptides, consumed twice daily

Duration

5 weeks (1 week energy balance, 1 week energy restriction, 2 weeks energy restriction + step reduction, 1 week recovery)

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
protein supplementation
no change
leg lean mass
older persons
-
did not confer a benefit in protecting
#1
whey protein supplementation
increase
leg lean mass
older persons
-
augmented
#2
whey protein supplementation
increase
muscle protein synthesis
older persons
-
augmented
#3
diet containing 1.6 g protein · kg-1 · d-1 with whey protein or collagen peptides
decrease
leg lean mass
16 men, mean ± SD age: 69 ± 3 y; 15 women, mean ± SD age: 68 ± 4 y
-
significant reductions in
#4
diet containing 1.6 g protein · kg-1 · d-1 with whey protein or collagen peptides
decrease
integrated muscle protein synthesis
16 men, mean ± SD age: 69 ± 3 y; 15 women, mean ± SD age: 68 ± 4 y
-
decreased
#5
whey protein supplementation
increase
integrated muscle protein synthesis
16 men, mean ± SD age: 69 ± 3 y; 15 women, mean ± SD age: 68 ± 4 y
-
increased
#6
Abstract

BACKGROUND: In older persons, muscle loss is accelerated during physical inactivity and hypoenergetic states, both of which are features of hospitalization. Protein supplementation may represent a strategy to offset the loss of muscle during inactivity, and enhance recovery on resumption of activity. OBJECTIVE: We aimed to determine if protein supplementation, with proteins of substantially different quality, would alleviate the loss of lean mass by augmenting muscle protein synthesis (MPS) while inactive during a hypoenergetic state. DESIGN: Participants (16 men, mean ± SD age: 69 ± 3 y; 15 women, mean ± SD age: 68 ± 4 y) consumed a diet containing 1.6 g protein · kg-1 · d-1, with 55% ± 9% of protein from foods and 45% ± 9% from supplements, namely, whey protein (WP) or collagen peptides (CP): 30 g each, consumed 2 times/d. Participants were in energy balance (EB) for 1 wk, then began a period of energy restriction (ER; -500 kcal/d) for 1 wk, followed by ER with step reduction (ER + SR; <750 steps/d) for 2 wk, before a return to habitual activity in recovery (RC) for 1 wk. RESULTS: There were significant reductions in leg lean mass (LLM) from EB to ER, and from ER to ER + SR in both groups (P < 0.001) with no differences between WP and CP or when comparing the change from phase to phase. During RC, LLM increased from ER + SR, but in the WP group only. Rates of integrated muscle protein synthesis decreased during ER and ER + SR in both groups (P < 0.01), but increased during RC only in the WP group (P = 0.05). CONCLUSIONS: Protein supplementation did not confer a benefit in protecting LLM, but only supplemental WP augmented LLM and muscle protein synthesis during recovery from inactivity and a hypoenergetic state. This trial was registered at http://www.clinicaltrials.gov as NCT03285737.

Medical Subject Headings (MeSH)
AgedCaloric RestrictionCollagenConvalescenceDietary SupplementsEnergy IntakeEnergy MetabolismFemaleHospitalizationHumansLegMaleMotor ActivityMuscle ProteinsMuscle, SkeletalPeptidesProtein BiosynthesisRestWalkingWhey Proteins
Study Links
Quality Scores
SafetyNot Assessed
Efficacy40/10
Quality85/10
Citation Metrics
Total Citations51
Citations/Year7.3
Relative Citation Ratio3.21
NIH Percentile86.3%
Research Impact Scores
APT Score0.95
Weight Score1.93
Normalized Score0.53
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