Exercise Physiology Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Clin Nutr ESPEN. 2022 Aug;50:74-83. doi: 10.1016/j.clnesp.2022.05.020. Epub 2022 Jun 6.
BACKGROUND & AIM: Whey protein (WP) is one of the well-known dairy driven products to help people to change their weight and body composition (BC). This study aimed to investigate the effect of WP on weight and BC on every published RCT on all populations.
A systematic review of the literature was undertaken to identify RCTs that examined the effect of WP on weight, body fat, lean body mass, fat-free mass, and waist circumference. To create weighted-group-mean differences for within- and between-group comparisons, random effects models were used. Subgroup analyses were also done to determine the effect of potential sources of heterogeneity.
Thirty-five RCTs, with a total of 1902 adult participants were included in pooled analysis. The effect of WP supplementation on BMI (-0.156, 95% CI: -0.31, 0.00, P < 0.05), body fat mass (-0.144, 95% CI: -0.28, 0.00, P < 0.05), and waist circumference (-0.448, 95% CI: -0.86, -0.03, P < 0.05) in within group analysis, and BMI (-0.769, 95% CI: -1.54, 0.00, P < 0.05) and lean body mass (0.741, 95% CI: 0.07, 1.41, P < 0.05) in the between group analysis was indicated. Resistance training, WP dosage, sex, age group, the type of control group (placebo, different proteins, etc.), the control group dosage, and energy intake before and during the trial, as well as between the WP and control groups, were recognized as the main sources of heterogeneity.
The data from trials currently available supports the use of WP to improve BC indicators. The benefits of WP on BC are expected to be greatest when combined with resistance training and a reduction in overall calorie consumption.
乳清蛋白(WP)是一种众所周知的乳制品,有助于人们改变体重和身体成分(BC)。本研究旨在调查 WP 对所有人群的 RCT 中体重和 BC 的影响。
系统检索文献,以确定检查 WP 对体重、体脂肪、瘦体重、去脂体重和腰围影响的 RCT。为了创建组内和组间比较的加权组均差,使用了随机效应模型。还进行了亚组分析,以确定潜在异质性来源的影响。
共纳入 35 项 RCT,共有 1902 名成年参与者进行汇总分析。WP 补充对 BMI(-0.156,95%CI:-0.31,0.00,P<0.05)、体脂肪量(-0.144,95%CI:-0.28,0.00,P<0.05)和腰围(-0.448,95%CI:-0.86,-0.03,P<0.05)的影响在组内分析中,以及 BMI(-0.769,95%CI:-1.54,0.00,P<0.05)和瘦体重(0.741,95%CI:0.07,1.41,P<0.05)在组间分析中。阻力训练、WP 剂量、性别、年龄组、对照组类型(安慰剂、不同蛋白质等)、对照组剂量、试验前后的能量摄入,以及 WP 和对照组之间的差异,被认为是主要的异质性来源。
目前试验数据支持使用 WP 来改善 BC 指标。当 WP 与阻力训练和整体热量摄入减少相结合时,WP 对 BC 的益处预计最大。