Sambashivaiah Sucharita, Marathe Madhavi, Bhadra Rohini, Bhattacharya Shinjini, Selvam Sumithra
Department of Physiology St Johns' Medical College, Bengaluru, India.
Health Care Nutrition Science & Medical Affairs Nutricia International Pvt Ltd., Mumbai, India.
J Nutr Metab. 2024 Sep 3;2024:5582234. doi: 10.1155/2024/5582234. eCollection 2024.
Dietary protein plays a crucial role in the modulation of several physiological processes to sustain health and well-being. There is robust evidence of enhanced muscle protein synthesis, improved physical fitness, body composition, and performance contributed by protein supplementation combined with exercise among trained individuals or athletes. Evidence of the efficacy of such intervention on healthy adults having a sedentary lifestyle is limited. The objective of this study was to evaluate the impact of 12 g of additional protein in the form of a protein supplement compared to a placebo combined with a simple exercise program on plasma amino acid level, body composition, and muscle strength among healthy Indian adults having a relatively sedentary lifestyle. This double-blinded, randomized controlled trial was conducted on sedentary healthy adults 20-45 years of age, with a body mass index (BMI) between 18.5 and 27.9 kg/m. Eighty-two participants were randomized into either the protein (intervention) or placebo (control) group. The exercise regime was the same for both groups. Out of 82 randomized participants, 58 completed the intervention. Blood tests were conducted for the amino acid OMICS measurement followed by dual-energy X-ray absorptiometry (DXA) for body composition and isokinetic dynamometry for muscle strength. A significant improvement was observed in the lean mass (kg) and appendicular muscle mass (AMM) adjusted for weight in the intervention group compared to the control group ( < 0.05). The muscle strength and contractile quality were comparable in the 2 groups. Plasma BCAA showed a significant negative association with body fat % ( = -0.43, < 0.05 for the intervention group and = -0.33, = 0.07 for the control group) and a positive association with lean body mass % ( = 0.56, < 0.01 in the intervention group vs = 0.29, = 0.10 in the control group) in the intervention group compared to control. In conclusion, this study highlighted the value of incorporating a lifestyle intervention including protein supplementation with simple exercises to optimize body composition in sedentary healthy individuals. This trial is registered with CTRI/2018/12/016777.
膳食蛋白质在调节多种生理过程以维持健康和幸福方面起着至关重要的作用。有充分的证据表明,在受过训练的个体或运动员中,蛋白质补充剂与运动相结合可增强肌肉蛋白质合成、改善身体素质、身体成分和运动表现。这种干预对久坐不动生活方式的健康成年人的功效证据有限。本研究的目的是评估与安慰剂相比,以蛋白质补充剂形式额外摄入12克蛋白质并结合简单运动计划,对相对久坐不动生活方式的健康印度成年人的血浆氨基酸水平、身体成分和肌肉力量的影响。这项双盲、随机对照试验是在20至45岁、体重指数(BMI)在18.5至27.9 kg/m之间的久坐不动的健康成年人中进行的。82名参与者被随机分为蛋白质(干预)组或安慰剂(对照)组。两组的运动方案相同。在82名随机参与者中,58人完成了干预。进行血液测试以测量氨基酸组学,随后进行双能X线吸收法(DXA)测量身体成分,并进行等速肌力测试测量肌肉力量。与对照组相比,干预组经体重调整后的瘦体重(kg)和附属肌肉质量(AMM)有显著改善(<0.05)。两组的肌肉力量和收缩质量相当。干预组血浆支链氨基酸(BCAA)与体脂百分比呈显著负相关(干预组:=-0.43,<0.05;对照组:=-0.33,=0.07),与瘦体重百分比呈正相关(干预组:=0.56,<0.01;对照组:=0.29,=0.10)。总之,本研究强调了纳入包括蛋白质补充剂与简单运动在内的生活方式干预以优化久坐不动健康个体身体成分的价值。本试验已在CTRI/2018/12/016777注册。