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Effects of a Hypocaloric Diet Plus Resistance Training with and Without Amino Acids in Older Participants with Dynapenic Obesity: A Randomized Clinical Trial.

Nutrients
January 23, 2025
Valentina Muollo et al. (10 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether adding essential amino acids (EAAs) to a hypocaloric diet and resistance training regimen provided additional benefits for improving body composition, physical performance, and muscle strength in older adults with dynapenic obesity.

Results Summary

The study found that while both groups (RT alone and RT+EAAs) improved body composition and physical function, EAA supplementation did not provide additional benefits beyond those achieved by resistance training and a hypocaloric diet alone.

Population

Older adults with dynapenic obesity (BMI ≥ 30 kg/m² and/or high waist circumference and low handgrip strength).

Effective Dosage

Not specified in the abstract.

Duration

Five months.

Interactions

None mentioned.

Extracted Claims (17)
InterventionDirectionEndpointPopulationDosageImpactClaim #
hypocaloric diet plus resistance training
decrease
body mass
older adults with dynapenic obesity
-4.66 kg
reduced
#1
hypocaloric diet plus resistance training with essential amino acids
decrease
body mass
older adults with dynapenic obesity
-4.02 kg
reduced
#2
hypocaloric diet plus resistance training
decrease
waist circumference
older adults with dynapenic obesity
-4.66 cm
reduced
#3
hypocaloric diet plus resistance training with essential amino acids
decrease
waist circumference
older adults with dynapenic obesity
-2.2 cm
reduced
#4
hypocaloric diet plus resistance training
decrease
total fat mass
older adults with dynapenic obesity
-3.81 kg
reduced
#5
hypocaloric diet plus resistance training with essential amino acids
decrease
total fat mass
older adults with dynapenic obesity
-3.72 kg
reduced
#6
hypocaloric diet plus resistance training
decrease
compartmental fat mass
older adults with dynapenic obesity
-
reduced
#7
hypocaloric diet plus resistance training with essential amino acids
decrease
compartmental fat mass
older adults with dynapenic obesity
-
reduced
#8
hypocaloric diet plus resistance training
increase
1-RM strength
older adults with dynapenic obesity
33-47%
improved
#9
hypocaloric diet plus resistance training with essential amino acids
increase
1-RM strength
older adults with dynapenic obesity
33-47%
improved
#10
hypocaloric diet plus resistance training
increase
isometric torque for body mass
older adults with dynapenic obesity
14.5%
improved
#11
hypocaloric diet plus resistance training with essential amino acids
increase
isometric torque for body mass
older adults with dynapenic obesity
10.6%
improved
#12
hypocaloric diet plus resistance training
decrease
functional performance (chair stand)
older adults with dynapenic obesity
-3.24 s
improved
#13
hypocaloric diet plus resistance training with essential amino acids
decrease
functional performance (chair stand)
older adults with dynapenic obesity
-1.5 s
improved
#14
hypocaloric diet plus resistance training
increase
handgrip strength
older adults with dynapenic obesity
-2.7 kg
improved
#15
hypocaloric diet plus resistance training with essential amino acids
increase
handgrip strength
older adults with dynapenic obesity
2.9 kg
improved
#16
essential amino acids supplementation
no change
body composition and physical function
DO participants
-
did not provide additional benefits
#17
Abstract

BACKGROUND/OBJECTIVES: Exercise and nutrition may be useful strategies in dynapenic and sarcopenic obesity management, but the identification of treatment modalities aimed at improving this condition is still lacking. We compared the effect of a five-month hypocaloric diet plus resistance training (RT) with and without essential amino acids (EAAs) on body composition, physical performance, and muscle strength among older adults with dynapenic obesity (DO). METHODS: Older individuals (n = 48) with DO [(BMI ≥ 30 kg/m2 and/or high waist circumference and low handgrip strength (HGS)] were randomized into two double-blind groups (RT without EAAs vs. RT+EAAs). All participants followed a hypocaloric diet (1 g of proteins/kg spread over three meals) and RT for five months. Pre- and post-intervention assessments included the body composition (DXA), Short Physical Performance Battery (SPPB), HGS, one-repetition maximum (1-RM), and maximal isometric torque with an isokinetic dynamometer. RESULTS: Both groups reduced body mass (RT: -4.66 kg; RT+EAAs: -4.02 kg), waist circumference (RT: -4.66 cm; RT+EAAs: -2.2 cm), total fat mass (RT: -3.81 kg; RT+EAAs: -3.72 kg), and compartmental fat mass with no between-group differences. Both groups improved 1-RM strength (33-47%), isometric torque for body mass (RT: 14.5%; RT+EAAs: 10.6%), and functional performance (chair stand (RT: -3.24 s; RT+EAAs: -1.5 s) and HGS (RT: -2.7 kg; RT+EAAs: 2.9 kg)) with no between-group differences. CONCLUSIONS: A moderate hypocaloric diet combined with RT improves body composition and physical function in DO participants, but EAA supplementation did not provide additional benefits.

Medical Subject Headings (MeSH)
HumansAgedMaleFemaleResistance TrainingBody CompositionObesityDouble-Blind MethodHand StrengthCaloric RestrictionMuscle StrengthSarcopeniaDiet, ReducingMiddle AgedWaist CircumferencePhysical Functional PerformanceAmino Acids, EssentialTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy30/10
Quality75/10
Research Impact Scores
APT Score0.05
Weight Score2.50
Normalized Score0.47
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