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乳清蛋白补充在抗阻训练前后对预适应老年女性肌肉质量、肌肉力量和功能能力的影响:一项随机临床试验。

Effects of Whey Protein Supplementation Pre- or Post-Resistance Training on Muscle Mass, Muscular Strength, and Functional Capacity in Pre-Conditioned Older Women: A Randomized Clinical Trial.

机构信息

Federal Institute of Science and Technology of Mato Grosso, Highway BR-364, Km 329, Cuiabá, Mato Grosso 78106-970, Brazil.

Metabolism, Nutrition, and Exercise Laboratory, Physical Education and Sport Center, Londrina State University, Highway Celso Garcia Cid, Londrina, Paraná 86057-970, Brazil.

出版信息

Nutrients. 2018 May 3;10(5):563. doi: 10.3390/nu10050563.

Abstract

Aging is associated with sarcopenia and dynapenia, with both processes contributing to functional dependence and mortality in older adults. Resistance training (RT) and increased protein intake are strategies that may contribute to health improvements in older adults. Therefore, the aim was to investigate the effects of whey protein (WP) supplementation consumed either immediately pre- or post-RT on skeletal muscle mass (SMM), muscular strength, and functional capacity in pre-conditioned older women. Seventy older women participated in this investigation and were randomly assigned to one of three groups: whey protein pre-RT and placebo post-RT (WP-PLA, = 24), placebo pre-RT and whey protein post-RT (PLA-WP, = 23), and placebo pre- and post-RT (PLA-PLA, = 23). Each group ingested 35 g of WP or PLA. The RT program was carried out over 12 weeks (three times per week; 3 × 8⁻12 repetition maximum). Body composition, muscular strength, functional capacity, and dietary intake were assessed pre- and post-intervention. Two-way analysis of covariance (ANCOVA) for repeated measures, with baseline scores as covariates were used for data analysis. A time vs. group interaction ( < 0.05) was observed with WP-PLA and PLA-WP presenting greater increases compared with PLA-PLA for SMM (WP-PLA = 3.4%; PLA-WP = 4.2%; PLA-PLA = 2.0%), strength (WP-PLA = 8.1%; PLA-WP = 8.3%; PLA-PLA = 7.0%), and the 10-m walk test (WP-PLA = −10.8%; PLA-WP = −11.8%; PLA-PLA = −4.3%). Whey protein supplementation was effective in promoting increases in SMM, muscular strength, and functional capacity in pre-conditioned older women, regardless of supplementation timing. This trial was registered at ClinicalTrials.gov: NCT03247192.

摘要

衰老是与肌肉减少症和力量衰减相关的,这两个过程都会导致老年人功能依赖和死亡。阻力训练(RT)和增加蛋白质摄入是可能有助于改善老年人健康的策略。因此,本研究旨在调查在预训练的老年女性中,乳清蛋白(WP)补充剂在 RT 前或 RT 后即刻摄入对骨骼肌质量(SMM)、肌肉力量和功能能力的影响。70 名老年女性参与了这项研究,并被随机分配到以下三组之一:乳清蛋白 RT 前和安慰剂 RT 后(WP-PLA,n=24)、安慰剂 RT 前和乳清蛋白 RT 后(PLA-WP,n=23)和安慰剂 RT 前和后(PLA-PLA,n=23)。每组摄入 35 克 WP 或 PLA。RT 方案持续 12 周(每周 3 次;3×8-12 次重复最大)。在干预前后评估身体成分、肌肉力量、功能能力和饮食摄入。采用重复测量的双因素协方差分析(ANCOVA),以基线评分作为协变量进行数据分析。观察到时间与组之间的交互作用(<0.05),WP-PLA 和 PLA-WP 组的 SMM(WP-PLA=3.4%;PLA-WP=4.2%;PLA-PLA=2.0%)、力量(WP-PLA=8.1%;PLA-WP=8.3%;PLA-PLA=7.0%)和 10 米步行测试(WP-PLA=-10.8%;PLA-WP=-11.8%;PLA-PLA=-4.3%)的增加均大于 PLA-PLA 组。乳清蛋白补充剂在预训练的老年女性中能有效促进 SMM、肌肉力量和功能能力的增加,而与补充剂的时间无关。该试验在 ClinicalTrials.gov 注册:NCT03247192。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f06/5986443/b073124cf87f/nutrients-10-00563-g001.jpg

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