Université Clermont Auvergne, INRA, UNH, Unité de Nutrition Humaine, CHU Clermont-Ferrand, Service de Nutrition Clinique.
Université Clermont Auvergne, INRA, UNH, Unité de Nutrition Humaine, CRNH Auvergne, Clermont-Ferrand, France.
Curr Opin Clin Nutr Metab Care. 2018 Jan;21(1):37-41. doi: 10.1097/MCO.0000000000000427.
The speed of dietary protein digestion influences postprandial amino acid availability which is crucial for improving altered anabolic response of skeletal muscle one feature of sarcopenia during aging.
By analogy with carbohydrate and in reference to their absorption rate, dietary proteins can be classified as 'fast' or 'slow' proteins depending on matrix food structure and technological processes, which can influence amino acids availability and their subsequent metabolic actions. 'Fast' digestive proteins have been shown to stimulate muscle protein synthesis and to improve muscle function in several recent studies involving older patients. These new aspects may be applied for improving health through preservation or restoration of muscle protein mass and function in clinical situations (obesity, rheumatoid arthritis and cancer cachexia).
Using fast digestive proteins is of major interest to overcome 'anabolic resistance' of aging for limiting sarcopenia. Fast proteins' action on muscle anabolism may be stimulated by other nutrients like vitamin D or omega 3 fatty acids or by combination with exercise. The beneficial impact of the 'fast' protein concept beyond the amount of dietary protein on muscle preservation is a promising therapeutic perspective to improve mobility and quality of life of older patients affected with chronic disease.
饮食蛋白质的消化速度影响餐后氨基酸的可用性,这对于改善骨骼肌衰老时合成代谢反应的改变至关重要,这是肌肉减少症的一个特征。
类比于碳水化合物,并根据其吸收速度,饮食蛋白质可以根据基质食物结构和技术过程分为“快速”或“缓慢”蛋白质,这会影响氨基酸的可用性及其随后的代谢作用。在几项涉及老年患者的最新研究中,“快速”消化蛋白质已被证明可刺激肌肉蛋白质合成并改善肌肉功能。这些新方面可应用于通过保存或恢复肌肉蛋白质质量和功能来改善健康状况(肥胖、类风湿关节炎和癌症恶病质)。
使用快速消化蛋白质对于克服衰老引起的“合成代谢抵抗”以限制肌肉减少症非常重要。快速蛋白质对肌肉合成代谢的作用可以通过其他营养素(如维生素 D 或 ω-3 脂肪酸)或与运动相结合来刺激。“快速”蛋白质概念对肌肉保存的影响超出了饮食蛋白质的数量,这是改善受慢性疾病影响的老年患者的活动能力和生活质量的有前途的治疗前景。