The importance of protein sources to support muscle anabolism in cancer: An expert group opinion.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.