Bihuniak Jessica Dauz, Byer Alessandra, Simpson Christine A, Sullivan Rebecca R, Dudzik Josephine M, Insogna Karl L, Beasley Jeannette M
Department of Nutrition and Food Studies, Montclair State University, Montclair, NJ 07043, USA.
Mather Medical Group, Northwell Health, Port Jefferson, NY 11777, USA.
Nutrients. 2025 Jun 25;17(13):2104. doi: 10.3390/nu17132104.
: Studies have reported an increased risk of type 2 diabetes among people with higher protein intake. Moreover, branched-chain amino acids (BCAA) are reported to be positively associated with insulin resistance (IR). However, it is not understood whether elevated levels of BCAA are causal to IR development, or if higher BCAA are a marker of IR. The objective of this study was to examine the effects of long-term protein and carbohydrate supplementation on plasma BCAA levels, and the relationship between plasma BCAA and IR in postmenopausal women. : Stored samples and data from 84 postmenopausal women who participated in a protein supplementation trial (SPOON) were included. Exclusion criteria consisted of protein intakes less than 0.6 g/kg or greater than 1.0 g/kg, a body mass index (BMI) greater than 32 kg/m or less than 19 kg/m diseases, and conditions and medications known to impact musculoskeletal health. Subjects were randomized to a whey protein (PRO: = 38) or maltodextrin supplement (CHO: = 46) for 18 months. Plasma BCAA, homeostatic model assessment of insulin resistance (HOMA-IR) and body composition were analyzed at baseline and 18 months. : At baseline, there were no significant associations between plasma BCAA and IR. There were also no significant changes in plasma BCAA or IR by study arm. However, there was a significant positive association between plasma BCAA and IR in both groups at 18 months (CHO: r = 0.35, = 0.02; PRO: r = 0.35, = 0.03). : Findings from this study warrant future research to examine other diet and lifestyle factors that may mediate the relationship between circulating BCAA and IR in postmenopausal women.
研究报告称,蛋白质摄入量较高的人群患2型糖尿病的风险增加。此外,据报道支链氨基酸(BCAA)与胰岛素抵抗(IR)呈正相关。然而,尚不清楚BCAA水平升高是否是IR发展的原因,或者较高的BCAA是否是IR的一个标志物。本研究的目的是探讨长期补充蛋白质和碳水化合物对绝经后女性血浆BCAA水平的影响,以及血浆BCAA与IR之间的关系。:纳入了84名参与蛋白质补充试验(SPOON)的绝经后女性的储存样本和数据。排除标准包括蛋白质摄入量低于0.6 g/kg或高于1.0 g/kg、体重指数(BMI)大于32 kg/m²或小于19 kg/m²、疾病以及已知会影响肌肉骨骼健康的状况和药物。受试者被随机分为乳清蛋白组(PRO:n = 38)或麦芽糊精补充剂组(CHO:n = 46),为期18个月。在基线和18个月时分析血浆BCAA、胰岛素抵抗稳态模型评估(HOMA-IR)和身体成分。:在基线时,血浆BCAA与IR之间无显著关联。各研究组的血浆BCAA或IR也无显著变化。然而,在18个月时,两组的血浆BCAA与IR之间均存在显著正相关(CHO组:r = 0.35,P = 0.02;PRO组:r = 0.35,P = 0.03)。:本研究的结果值得未来开展研究,以探讨其他可能介导绝经后女性循环BCAA与IR之间关系的饮食和生活方式因素。