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The importance of protein sources to support muscle anabolism in cancer: An expert group opinion.

Clinical nutrition (Edinburgh, Scotland)
January 1, 2022
Katherine L Ford et al. (11 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the comparative anabolic potential of animal-based (including dairy) and plant-based proteins in supporting muscle health during cancer treatment.

Results Summary

The study found that animal-based proteins, including dairy, offer superior anabolic potential compared to plant-based proteins for muscle health in cancer patients, recommending that ≥65% of protein intake should come from animal sources during active treatment. A plant-rich diet may still support muscle anabolism but requires larger protein quantities to meet optimal amino acid needs.

Population

Patients undergoing active cancer treatment.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
animal-based proteins
increase
muscle anabolism
patients with cancer
-
offers superior anabolic potential
#1
animal-based foods
increase
protein intake
patients during active cancer treatment
≥65%
should represent the majority
#2
diet rich in plant-derived proteins
increase
muscle anabolism
patients with cancer
-
may support
#3
diet rich in plant-derived proteins
increase
protein intake
patients with cancer
-
requiring a larger quantity
#4
exclusively plant-based (i.e., vegan) diet
decrease
protein intake
patients upon a diagnosis of cancer
-
caution against initiating
#5
combination of animal- and plant-based protein sources
increase
dietary amino acid composition that promotes muscle anabolism
patients with cancer
-
optimally obtained through
#6
Abstract

This opinion paper presents a short review of the potential impact of protein on muscle anabolism in cancer, which is associated with better patient outcomes. Protein source is a topic of interest for patients and clinicians, partly due to recent emphasis on the supposed non-beneficial effect of proteins; therefore, misconceptions involving animal-based (e.g., meat, fish, dairy) and plant-based (e.g., legumes) proteins in cancer are acknowledged and addressed. Although the optimal dietary amino acid composition to support muscle health in cancer is yet to be established, animal-based proteins have a composition that offers superior anabolic potential, compared to plant-derived proteins. Thus, animal-based foods should represent the majority (i.e., ≥65%) of protein intake during active cancer treatment. A diet rich in plant-derived proteins may support muscle anabolism in cancer, albeit requiring a larger quantity of protein to fulfill the optimal amino acid intake. We caution that translating dietary recommendations for cancer prevention to cancer treatment may be inadequate to support the pro-inflammatory and catabolic nature of the disease. We further caution against initiating an exclusively plant-based (i.e., vegan) diet upon a diagnosis of cancer, given the presence of elevated protein requirements and risk of inadequate protein intake to support muscle anabolism. Amino acid combination and the long-term sustainability of a dietary pattern void of animal-based foods requires careful and laborious management of protein intake for patients with cancer. Ultimately, a dietary amino acid composition that promotes muscle anabolism is optimally obtained through combination of animal- and plant-based protein sources.

Medical Subject Headings (MeSH)
Anabolic AgentsAnimal Proteins, DietaryExpert TestimonyHumansMuscle, SkeletalNeoplasmsPlant Proteins, Dietary
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations36
Citations/Year12.0
Relative Citation Ratio5.30
NIH Percentile93.7%
Research Impact Scores
APT Score0.95
Weight Score2.79
Normalized Score0.69
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