Cannavaro Daniele, Leva Francesco, Caturano Alfredo, Berra Cesare Celeste, Bonfrate Leonilde, Conte Caterina
Department of Endocrinology and Metabolic Diseases, IRCCS MultiMedica, 20099 Milan, Italy.
Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma University, 00166 Rome, Italy.
Nutrients. 2025 Jun 13;17(12):2000. doi: 10.3390/nu17122000.
Weight loss interventions in individuals with overweight or obesity result in reductions in both fat mass and lean body mass (LBM). While fat loss is the primary therapeutic target, preserving LBM may have favorable health implications. This narrative review evaluates the role of amino acid supplementation, including essential amino acids (EAAs) and branched-chain amino acids (BCAAs), in supporting the preservation of LBM during weight loss induced by lifestyle interventions, pharmacotherapy, or bariatric surgery. This is a narrative review of preclinical and clinical studies examining the effects of amino acid supplementation during calorie restriction on body composition and, when available, functional outcomes. A comprehensive search was conducted in the PubMed, Scopus, and Web of Science databases. Evidence suggests that EAA and peptide-based supplementation may help preserve LBM during periods of reduced energy intake, particularly when protein intake from whole foods is limited. Benefits appear more consistent when supplementation is combined with resistance exercise. BCAA supplementation alone has shown variable effects, especially in sedentary individuals or when total protein intake is already sufficient. Anabolic resistance associated with obesity may attenuate the muscle protein synthesis response to dietary amino acids. Amino acid supplementation may support the maintenance of LBM during weight loss, particularly under conditions of low protein intake or in conjunction with exercise. Further research is needed to determine the clinical significance of LBM changes and identify optimal supplementation strategies.
对超重或肥胖个体进行体重减轻干预会导致脂肪量和去脂体重(LBM)均减少。虽然减脂是主要治疗目标,但保留去脂体重可能对健康有积极影响。本叙述性综述评估了氨基酸补充剂的作用,包括必需氨基酸(EAA)和支链氨基酸(BCAA),在通过生活方式干预、药物治疗或减肥手术诱导的体重减轻过程中,对支持保留去脂体重的作用。这是一篇对临床前和临床研究的叙述性综述,这些研究考察了在热量限制期间补充氨基酸对身体成分的影响,以及在可行时对功能结果的影响。在PubMed、Scopus和科学网数据库中进行了全面检索。有证据表明,在能量摄入减少期间,基于EAA和肽的补充剂可能有助于保留去脂体重,特别是当来自全食物的蛋白质摄入量有限时。当补充剂与抗阻运动相结合时,益处似乎更一致。单独补充BCAA的效果不一,尤其是在久坐不动的个体中或当总蛋白质摄入量已经充足时。与肥胖相关的合成代谢抵抗可能会减弱肌肉蛋白质合成对膳食氨基酸的反应。在体重减轻期间,氨基酸补充剂可能有助于维持去脂体重,特别是在蛋白质摄入量低的情况下或与运动相结合时。需要进一步研究以确定去脂体重变化的临床意义,并确定最佳补充策略。
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