School of Sport, Exercise, and Rehabilitation Sciences, University of Birmingham, Edgbaston B15 2TT, UK.
Medical Research Council-Versus Arthritis Centre for Musculoskeletal Ageing, University of Birmingham, Edgbaston B15 2TT, UK.
Nutrients. 2021 Oct 12;13(10):3560. doi: 10.3390/nu13103560.
Protein ingestion is a potent stimulator of skeletal muscle protein synthesis (MPS). However, older adults demonstrate resistance to anabolic stimuli. Some evidence has demonstrated that a larger acute protein dose is required in older compared to younger adults to elicit the same synthetic response, suggesting that older adults should be consuming higher habitual dietary protein to optimise muscle mass. However, limited research has explored dietary habits in different age groups or the relationship between habitual dietary intake and mechanistic physiological parameters associated with muscle mass and function. This work investigated the effect of habitual dietary intake in young ( = 10, 25.9 (3.2y)) and older ( = 16, 70.2 (3.2y)) community-dwelling adults (16:10 male: female) on physiological muscle parameters. Dietary intake was assessed using four-day diet diaries. Post-absorptive MPS and MPS responses to feeding (4.25x basal metabolic rate; 16% protein) were determined in muscle biopsies of the via stable isotope tracer ([1, 2C]-leucine) infusions with mass-spectrometric analyses. Body composition was measured by dual-energy x-ray absorptiometry. Whole body strength was assessed via 1-repetition maximum assessments. No significant differences in habitual dietary intake (protein, fat, carbohydrate and leucine as g.kgWBLM.day) were observed between age groups. Whole-body lean mass (61.8 ± 9.9 vs. 49.8 ± 11.9 kg, = 0.01) and knee-extensor strength (87.7 ± 28.3 vs. 56.8 ± 16.4 kg, = 0.002) were significantly higher in young adults. Habitual protein intake (g.kg.day) was not associated with whole-body lean mass, upper-leg lean mass, whole-body strength, knee-extensor strength, basal MPS or fed-state MPS across both age groups. These findings suggest that differences in muscle mass and strength parameters between youth and older age are not explained by differences in habitual dietary protein intake. Further research with a larger sample size is needed to fully explore these relationships and inform on interventions to mitigate sarcopenia development.
蛋白质摄入是刺激骨骼肌蛋白质合成(MPS)的有效刺激物。然而,老年人对合成代谢刺激表现出抵抗。有证据表明,与年轻人相比,老年人需要更大的急性蛋白质剂量才能产生相同的合成反应,这表明老年人应该摄入更高的习惯性膳食蛋白质以优化肌肉质量。然而,有限的研究探索了不同年龄组的饮食习惯,或者习惯性膳食摄入量与与肌肉质量和功能相关的机制生理参数之间的关系。这项工作调查了习惯性饮食摄入对年轻(= 10,25.9(3.2y))和老年(= 16,70.2(3.2y))社区居住成年人(16:10 男:女)的生理肌肉参数的影响。使用为期四天的饮食日记评估饮食摄入。通过稳定同位素示踪剂([1,2C]-亮氨酸)输注和质谱分析,在肌肉活检中测定空腹 MPS 和喂养后 MPS 反应(4.25x 基础代谢率;16%蛋白质)。通过双能 X 射线吸收法测量身体成分。通过 1 次重复最大评估评估全身力量。年龄组之间观察到习惯性饮食摄入(蛋白质、脂肪、碳水化合物和亮氨酸,以 g.kgWBLM.day 表示)没有显著差异。年轻成年人的全身瘦体重(61.8 ± 9.9 与 49.8 ± 11.9 kg,= 0.01)和膝关节伸肌力量(87.7 ± 28.3 与 56.8 ± 16.4 kg,= 0.002)显著更高。习惯性蛋白质摄入量(g.kg.day)与两个年龄组的全身瘦体重、大腿瘦体重、全身力量、膝关节伸肌力量、基础 MPS 或喂养状态 MPS 均无相关性。这些发现表明,年轻人和老年人之间肌肉质量和力量参数的差异不能用习惯性膳食蛋白质摄入量的差异来解释。需要更大的样本量进行进一步研究,以充分探索这些关系,并为缓解肌肉减少症发展的干预措施提供信息。