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Dietary protein and exercise for preservation of lean mass and perspectives on type 2 diabetes prevention.

Experimental biology and medicine (Maywood, N.J.)
September 1, 2019
Maysa Vieira de Sousa et al. (4 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the impact of HMB supplementation, alongside protein and other nutrients, on muscle mass preservation, strength, and prevention of sarcopenic obesity in the elderly at risk for type 2 diabetes.

Results Summary

The abstract suggests that HMB, in combination with protein and physical activity, may help preserve muscle mass, improve strength, and prevent age-related muscle loss, though specific results for HMB alone are not detailed.

Population

Elderly individuals at risk for type 2 diabetes and sarcopenic obesity.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (22)
InterventionDirectionEndpointPopulationDosageImpactClaim #
dietary protein
no change
lean body mass
-
-
preservation
#1
dietary protein
increase
functional capacity of muscle tissue
-
-
improvements
#2
dietary protein
decrease
chronic diseases such as type 2 diabetes
-
-
prevention
#3
regular physical training associated with dietary protein strategies
increase
lean body mass
the elderly at a risk for type 2 diabetes development
-
effects on
#4
regular physical training associated with dietary protein strategies
decrease
body fat loss
the elderly at a risk for type 2 diabetes development
-
effects on
#5
regular physical training associated with dietary protein strategies
increase
muscle strength
the elderly at a risk for type 2 diabetes development
-
effects on
#6
protein supplementation
increase
muscle mass
-
-
effect on
#7
protein supplementation
increase
strength
-
-
effect on
#8
protein supplementation
increase
volume gain
-
-
effect on
#9
protein supplementation
decrease
progressive decrease in muscle mass with aging
-
-
prevention of
#10
leucine supplementation
increase
muscle mass
-
-
effect on
#11
leucine supplementation
increase
strength
-
-
effect on
#12
leucine supplementation
increase
volume gain
-
-
effect on
#13
leucine supplementation
decrease
progressive decrease in muscle mass with aging
-
-
prevention of
#14
β-hydroxy-β-methylbutyrate (HMB) supplementation
increase
muscle mass
-
-
effect on
#15
β-hydroxy-β-methylbutyrate (HMB) supplementation
increase
strength
-
-
effect on
#16
β-hydroxy-β-methylbutyrate (HMB) supplementation
increase
volume gain
-
-
effect on
#17
β-hydroxy-β-methylbutyrate (HMB) supplementation
decrease
progressive decrease in muscle mass with aging
-
-
prevention of
#18
creatine supplementation
increase
muscle mass
-
-
effect on
#19
creatine supplementation
increase
strength
-
-
effect on
#20
creatine supplementation
increase
volume gain
-
-
effect on
#21
creatine supplementation
decrease
progressive decrease in muscle mass with aging
-
-
prevention of
#22
Abstract

UNLABELLED: Sedentary lifestyle and aging favor the increasing prevalence of obesity and type 2 diabetes and their comorbidities. The loss of lean body mass reduces muscle strength, resulting in impaired functional capacity and leading to increased risks of chronic diseases with advancing age. Besides aging, conditions such as inappetence, social isolation, and inadequate dietary intake cause the loss of lean body mass and increased abdominal fatty mass, resulting in sarcopenic obesity and predisposition to type 2 diabetes. Compared to younger people, this condition is more common in the elderly owing to natural changes in body composition associated with aging. Lifestyle changes such as increased physical activity and improved dietary behaviors are effective for preventing the occurrence of comorbidities. Regarding muscle nutrition, besides caloric adequacy, meeting the requirements for the consumption of dietary amino acids and proteins is important for treating sarcopenia and sarcopenic obesity because muscle tissue mainly consists of proteins and is, therefore, the largest reservoir of amino acids in the body. Thus, this review discusses the effects of dietary protein on the preservation of lean body mass, improvements in the functional capacity of muscle tissue, and prevention of chronic diseases such as type 2 diabetes. In addition, we address the effects of regular physical training associated with dietary protein strategies on lean body mass, body fat loss, and muscle strength in the elderly at a risk for type 2 diabetes development. IMPACT STATEMENT: Diabetes mellitus is a worldwide health problem associated with obesity and sedentary lifestyle, which predisposes affected individuals to mortality and morbidity. Additionally, aging and unhealthy lifestyle behaviors increase inflammation and insulin resistance, contributing to the reduction of cytokines related to muscle nutrition and the suppression of lipogenesis, resulting in the development of sarcopenic obesity. One strategy for the prevention of T2D is the avoidance of secondary aging by participating in healthy action programs, including exercise and nutritional interventions. This minireview of several studies demonstrates the impact of physical activity and nutritional interventions on gaining or preserving muscle mass and on the functional aspects of muscles with aging. It provides information on the effect of protein, leucine, β-hydroxy-β-methylbutyrate (HMB), and creatine supplementation on muscle mass, strength, and volume gain and on the prevention of the progressive decrease in muscle mass with aging in combination with maintaining regular physical activity.

Medical Subject Headings (MeSH)
AgingBody WeightDiabetes Mellitus, Type 2Dietary ProteinsExerciseHumansObesitySarcopenia
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations6
Citations/Year1.0
Relative Citation Ratio0.44
NIH Percentile23.9%
Research Impact Scores
APT Score0.25
Weight Score2.08
Normalized Score0.66
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