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Effects of Protein Supplementation Associated with Resistance Training on Body Composition and Muscle Strength in Older Adults: A Systematic Review of Systematic Reviews with Meta-analyses.

Sports medicine (Auckland, N.Z.)
October 1, 2022
Alexandra Ferreira Vieira et al. (5 authors)
Meta-AnalysisSystematic ReviewJournal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to determine whether protein supplementation combined with resistance training enhances lean body mass, muscle mass, and muscle strength in older adults compared to resistance training alone.

Results Summary

Protein supplementation combined with resistance training led to greater increases in lean body mass and muscle mass but did not significantly improve muscle strength compared to resistance training alone. The quality of evidence ranged from moderate to very low.

Population

Older adults

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
protein supplementation combined with resistance training
increase
lean body mass
older people
-
was associated with greater increases
#1
protein supplementation combined with resistance training
increase
muscle mass
older people
-
was associated with greater increases
#2
protein supplementation combined with resistance training
no change
muscle strength increases
older people
-
no differences were observed
#3
protein supplementation associated with resistance training
increase
lean body mass
-
-
induces greater increases
#4
protein supplementation
increase
muscle mass
-
-
enhances gains
#5
protein supplementation
no change
muscle strength
-
-
does not promote greater increases
#6
Abstract

BACKGROUND: There are some controversial findings regarding the benefits of combining protein supplementation with resistance training in order to optimize adaptations to training in older adults. OBJECTIVE: The aim of this review was to summarize the evidence from meta-analyses assessing the effects of protein supplementation combined with resistance training on body composition and muscle strength in the older population. METHODS: We included systematic reviews with meta-analyses of randomized clinical trials that examined the effects of protein and/or amino acid supplementation associated with resistance training compared with resistance training alone on lean body mass, muscle mass, and muscle strength in older people. The search was performed using the MEDLINE (PubMed), Embase, Cochrane Database of Systematic Reviews, Google Scholar, and OpenGrey databases. Methodological quality was assessed using the Assessing the Methodological Quality of Systematic Reviews 2 checklist, and the quality of evidence was determined using the Grading of Recommendations Assessment, Development and Evaluation system. The pooled effect estimates were computed from the standardized mean difference and the 95% confidence interval achieved by each meta-analysis, using random effects models. RESULTS: Five reviews were included, all of moderate methodological quality. In the analyses, protein supplementation combined with resistance training was associated with greater increases in lean body mass and muscle mass when compared with resistance training alone. However, no differences were observed between the interventions on muscle strength increases. The quality of evidence ranged from moderate to very low. CONCLUSION: Protein supplementation associated with resistance training induces greater increases in lean body mass compared with resistance training alone. In addition, it is suggested that the use of protein supplementation enhances gains in muscle mass but does not promote greater increases in muscle strength.

Medical Subject Headings (MeSH)
AgedBody CompositionDietary SupplementsHumansMuscle StrengthMuscle, SkeletalResistance TrainingSystematic Reviews as Topic
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations11
Citations/Year3.7
Relative Citation Ratio1.55
NIH Percentile66.2%
Research Impact Scores
APT Score0.75
Weight Score1.33
Normalized Score0.66
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