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Effect of whey protein supplementation combined with resistance training on body composition, muscular strength, functional capacity, and plasma-metabolism biomarkers in older women with sarcopenic obesity: A randomized, double-blind, placebo-controlled trial.

Clinical nutrition ESPEN
August 1, 2019
Hellen C G Nabuco et al. (14 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine the effects of whey protein supplementation combined with resistance training on body composition, muscular strength, functional capacity, and plasma-metabolism biomarkers in older women with sarcopenic obesity.

Results Summary

The whey protein group showed greater increases in appendicular lean soft tissue and greater decreases in total and trunk fat mass compared to the placebo group. Both groups improved in muscular strength, waist-hip ratio, functional capacity, and other plasma-metabolism biomarkers, but no significant differences were found between conditions for these outcomes.

Population

Older women with sarcopenic obesity (appendicular lean soft tissue < 15.02 kg and body fat mass ≥ 35%).

Effective Dosage

35 g of whey protein daily, combined with supervised resistance training (8 exercises, 3 × 8-12 reps, 3 times a week).

Duration

12 weeks

Interactions

None mentioned

Extracted Claims (12)
InterventionDirectionEndpointPopulationDosageImpactClaim #
whey protein supplementation associated with resistance training
increase
appendicular lean soft tissue (ALST)
older women with sarcopenic obesity
6.0% vs. PLA = 2.5%
greater increases in
#1
whey protein supplementation associated with resistance training
decrease
total fat mass
older women with sarcopenic obesity
-3.3% vs. -0.3%
greater decreases in
#2
whey protein supplementation associated with resistance training
decrease
trunk fat mass
older women with sarcopenic obesity
-5.1% vs. PLA = -1.1%
greater decreases in
#3
whey protein supplementation associated with resistance training
decrease
IL-6
older women with sarcopenic obesity
-34.6% vs. PLA = 9.3%
greater decreases in
#4
whey protein supplementation associated with resistance training
increase
muscular strength
older women with sarcopenic obesity
-
improved
#5
whey protein supplementation associated with resistance training
decrease
waist-hip ratio
older women with sarcopenic obesity
-
improved
#6
whey protein supplementation associated with resistance training
increase
functional capacity
older women with sarcopenic obesity
-
improved
#7
whey protein supplementation associated with resistance training
increase
other plasma-metabolism biomarkers
older women with sarcopenic obesity
-
improved
#8
resistance training with placebo
increase
muscular strength
older women with sarcopenic obesity
-
improved
#9
resistance training with placebo
decrease
waist-hip ratio
older women with sarcopenic obesity
-
improved
#10
resistance training with placebo
increase
functional capacity
older women with sarcopenic obesity
-
improved
#11
resistance training with placebo
increase
other plasma-metabolism biomarkers
older women with sarcopenic obesity
-
improved
#12
Abstract

BACKGROUNDS & AIMS: Obesity and sarcopenia are independent illnesses associated with contemporary dietary and physical activity behaviors, aggravated by aging. Their coexistence is termed sarcopenic obesity (SO). Hence, increasing protein intake and resistance training (RT) are interventions that could counteract these illnesses. The objective of this investigation was to analyze the effects of whey protein (WP) supplementation associated with RT on body composition, muscular strength, functional capacity, and plasma-metabolism biomarkers in older women with SO. METHODS: Twenty six sarcopenic (appendicular lean soft tissue ALST < 15.02 kg) obese (body fat mass ≥ 35%) older women were randomly assigned to receive daily, either 35 g of WP (WP group) or placebo (PLA group), combined with supervised RT (8 exercises, 3 × 8-12 rep, 3 times a week), during a 12-week protocol. Blood samples, blood pressure, dietary intake, functional capacity tests, the one repetition maximum (1RM) test, and body composition were assessed before and after the intervention period. Two-way analysis of variance for repeated measures was applied for comparisons. RESULTS: The WP group presented greater (P < 0.05) increases in ALST (WP = 6.0% vs. PLA = 2.5%) and decreases in (P < 0.05) total (-3.3% vs. -0.3%) and trunk fat mass (WP = -5.1% vs. PLA = -1.1) and IL-6 (WP = -34.6% vs. PLA = 9.3%) compared with the PLA group. Both groups demonstrated improved (P < 0.05) scores for muscular strength, waist-hip ratio, functional capacity, and other plasma-metabolism biomarkers without significant differences between conditions. CONCLUSION: Whey protein combined with RT increased ALST, and decreased total and trunk fat mass, improving sarcopenia and decreasing SO in older women, with a limited impact on inflammation. Registered under ClinicalTrials.gov Identifier n° NCT03752359.

Medical Subject Headings (MeSH)
AgedBiomarkersBody CompositionDietary SupplementsDouble-Blind MethodFemaleHumansMiddle AgedMuscle StrengthObesityResistance TrainingSarcopeniaTreatment OutcomeWhey Proteins
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations71
Citations/Year11.8
Relative Citation Ratio5.13
NIH Percentile93.3%
Research Impact Scores
APT Score0.95
Weight Score2.49
Normalized Score0.70
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