Beltsville Human Nutrition Research Center, Agricultural Research Service, USDA, Beltsville, MD 20705, USA.
J Nutr. 2011 Aug;141(8):1489-94. doi: 10.3945/jn.111.139840. Epub 2011 Jun 15.
A double-blind, randomized clinical trial was conducted to determine the effect of consumption of supplemental whey protein (WP), soy protein (SP), and an isoenergetic amount of carbohydrate (CHO) on body weight and composition in free-living overweight and obese but otherwise healthy participants. Ninety overweight and obese participants were randomly assigned to 1 of 3 treatment groups for 23 wk: 1) WP; 2) SP (each providing ~56 g/d of protein and 1670 kJ/d); or 3) an isoenergetic amount of CHO. Supplements were consumed as a beverage twice daily. Participants were provided no dietary advice and continued to consume their free-choice diets. Participants' body weight and composition data were obtained monthly. Dietary intake was determined by 24-h dietary recalls collected every 10 d. After 23 wk, body weight and composition did not differ between the groups consuming the SP and WP or between SP and CHO; however, body weight and fat mass of the group consuming the WP were lower by 1.8 kg (P < 0.006) and 2.3 kg (P < 0.005), respectively, than the group consuming CHO. Lean body mass did not differ among any of the groups. Waist circumference was smaller in the participants consuming WP than in the other groups (P < 0.05). Fasting ghrelin was lower in participants consuming WP compared with SP or CHO. Through yet-unknown mechanisms, different sources of dietary protein may differentially facilitate weight loss and affect body composition. Dietary recommendations, especially those that emphasize the role of dietary protein in facilitating weight change, should also address the demonstrated clinical potential of supplemental WP.
一项双盲、随机临床试验旨在确定补充乳清蛋白(WP)、大豆蛋白(SP)和等能量碳水化合物(CHO)的摄入对自由生活的超重和肥胖但其他健康参与者的体重和组成的影响。90 名超重和肥胖参与者被随机分配到 3 个治疗组中的 1 个,为期 23 周:1)WP;2)SP(均提供约 56 g/d 的蛋白质和 1670 kJ/d);或 3)等能量的 CHO。补品作为饮料每日两次服用。未向参与者提供饮食建议,他们继续食用自由选择的饮食。每月获取参与者的体重和组成数据。通过每 10 天收集一次的 24 小时膳食回忆来确定膳食摄入量。23 周后,摄入 SP 和 WP 或 SP 和 CHO 的组之间的体重和组成没有差异;然而,摄入 WP 的组的体重和脂肪量分别降低了 1.8 公斤(P < 0.006)和 2.3 公斤(P < 0.005),而摄入 CHO 的组。任何组之间的瘦体重都没有差异。摄入 WP 的参与者的腰围比其他组小(P < 0.05)。与 SP 或 CHO 相比,摄入 WP 的参与者的空腹 ghrelin 较低。通过未知的机制,不同来源的膳食蛋白质可能以不同的方式促进体重减轻并影响身体成分。饮食建议,特别是那些强调膳食蛋白质在促进体重变化中的作用的建议,也应该解决补充 WP 的已证明的临床潜力。