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A high whey protein-, leucine-, and vitamin D-enriched supplement preserves muscle mass during intentional weight loss in obese older adults: a double-blind randomized controlled trial

Verreijen AM, Verlaan S, Engberink MF, Swinkels S, de Vogel-van den Bosch J, Weijs PJ

The American journal of clinical nutrition · 183 citas

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Financiado por la industria

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento
Consumo medido con
No se indica

Quién lo pagó

Financiación
Financiado por la industria
Empresa
Nutricia Research
Empresa
Nutricia Advanced Medical Nutrition

Según 2 financiadores declarados.

Publicación

Publicado
2014-11-26 · Am J Clin Nutr · vol. 101 · número 2 · págs. 279–286
Editorial
Elsevier BV
Citado
235 citas · más que el 99% de estudios similares · 10.5× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
41 trabajos
Acceso
Lectura gratuita
Áreas de investigación
Nutrition and Health in Aging · Muscle metabolism and nutrition · Muscle Physiology and Disorders
Palabras clave
whey protein supplements, leucine, vitamin D, sarcopenia, muscle mass preservation, intentional weight loss, obesity, older adults, appendicular skeletal muscle mass, grip strength, physical performance, resistance training, hypocaloric diet, body composition, protein intake, fat loss, sarcopenic obesity
MeSH
muscle, skeletal, humans, obesity, body weight, weight loss, vitamin d, leucine, dietary proteins, milk proteins, body mass index, hand strength, treatment outcome, diet, reducing, double-blind method, motor activity, body composition, energy intake, dietary supplements, aged, aged, 80 and over, middle aged, female, male, muscle strength, resistance training, sarcopenia, whey proteins

6 autores

  • A.M. Verreijen🇳🇱 · autor de correspondenciaNutricia Research (Netherlands); Amsterdam University of Applied Sciences
  • Sjors Verlaan🇳🇱Nutricia Research (Netherlands); Amsterdam University of Applied Sciences
  • Mariëlle F. Engberink🇳🇱Nutricia Research (Netherlands); Amsterdam University of Applied Sciences
  • Sophie H. N. Willemsen‐Swinkels🇳🇱Nutricia Research (Netherlands); Amsterdam University of Applied Sciences
  • Johan de Vogel‐van den Bosch🇳🇱Nutricia Research (Netherlands); Amsterdam University of Applied Sciences
  • Peter J.M. Weijs🇳🇱Nutricia Research (Netherlands); Amsterdam University of Applied Sciences

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Intentional weight loss in obese older adults is a risk factor for muscle loss and sarcopenia.

Objective

The objective was to examine the effect of a high whey protein-, leucine-, and vitamin D-enriched supplement on muscle mass preservation during intentional weight loss in obese older adults.

Design

We included 80 obese older adults in a double-blind randomized controlled trial. During a 13-wk weight loss program, all subjects followed a hypocaloric diet (-600 kcal/d) and performed resistance training 3×/wk. Subjects were randomly allocated to a high whey protein-, leucine-, and vitamin D-enriched supplement including a mix of other macro- and micronutrients (150 kcal, 21 g protein; 10×/wk, intervention group) or an isocaloric control. The primary outcome was change in appendicular muscle mass. The secondary outcomes were body composition, handgrip strength, and physical performance. Data were analyzed by using ANCOVA and mixed linear models with sex and baseline value as covariates.

Results

At baseline, mean ± SD age was 63 ± 5.6 y, and body mass index (in kg/m(2)) was 33 ± 4.4. During the trial, protein intake was 1.11 ± 0.28 g · kg body weight(-1) · d(-1) in the intervention group compared with 0.85 ± 0.24 g · kg body weight(-1) · d(-1) in the control group (P < 0.001). Both intervention and control groups decreased in body weight (-3.4 ± 3.6 kg and -2.8 ± 2.8 kg; both P < 0.001) and fat mass (-3.2 ± 3.1 kg and -2.5 ± 2.4 kg; both P < 0.001), with no differences between groups. The 13-wk change in appendicular muscle mass, however, was different in the intervention and control groups [+0.4 ± 1.2 kg and -0.5 ± 2.1 kg, respectively; β = 0.95 kg (95% CI: 0.09, 1.81); P = 0.03]. Muscle strength and function improved over time without significant differences between groups.

Conclusion

A high whey protein-, leucine-, and vitamin D-enriched supplement compared with isocaloric control preserves appendicular muscle mass in obese older adults during a hypocaloric diet and resistance exercise program and might therefore reduce the risk of sarcopenia. This trial was registered at the Dutch Trial Register (http://www.trialregister.nl) as NTR2751.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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