Maintaining adequate daily protein intake is important to maintain muscle mass throughout the lifespan. In this regard, the overnight period has been identified as a window of opportunity to increase protein intake in the elderly. However, it is unknown whether pre-sleep protein intake affects next-morning appetite and, consequently, protein intake. Therefore, the purpose of the current study was to investigate the effects of a pre-sleep protein drink on next-morning appetite, energy intake and metabolism. Twelve older individuals (eight males, four females; age: 71.3 ± 4.2 years) took part in a single-blind randomised cross-over study. After a standardised dinner, participants consumed either a 40-g protein drink, isocaloric maltodextrin drink, or placebo water control before bedtime. Next-morning appetite, energy intake, resting metabolic rate (RMR), respiratory exchange rate (RER), and plasma acylated ghrelin, leptin, glucose, and insulin concentrations were assessed. No between-group differences were observed for appetite and energy intake at breakfast. Furthermore, RMR, RER, and assessed blood markers were not significantly different between any of the treatment groups. Pre-sleep protein intake does not affect next-morning appetite and energy intake and is therefore a viable strategy to increase daily protein intake in an older population.Nutrients 2020, 12, 90 2 of 14 leading to skeletal muscle accretion over time. This anabolic response to dietary protein is, however, blunted in older compared with younger individuals, such that a greater protein dose is needed to elicit a similar muscle anabolic response. A retrospective study by Moore and colleagues revealed that maximal stimulation of MPS occurred at 0.24 g·kg body mass −1 and 0.40 g·kg body mass −1 in young and older individuals, respectively [12]. Based on these per meal protein intakes, it has been suggested that the current recommended dietary allowance (RDA) for protein of 0.8 g·kg −1 ·day −1 is suboptimal for the maintenance of skeletal muscle mass with advancing age. However, increasing protein intakes up to 1.2-2.0 g·kg −1 ·day −1 has been shown to reduce long-term lean mass loss in the elderly [13], and has been shown to have no negative side-effects on health outcomes such as kidney function [14]. Oftentimes the overnight period is overlooked as a window of opportunity to increase protein intake. Recently, it was shown that pre-sleep protein ingestion in older individuals is successfully digested, absorbed and incorporated in de novo protein synthesis during the overnight period [15]. Thus, the overnight period, which under normal circumstances is linked to postabsorptive muscle catabolism, could be used to maximise muscle anabolism with important implications in sarcopenia [16,17]. In addition to the potential for overnight muscle anabolism, pre-sleep protein ingestion has been reported to increase next morning resting metabolic rate (RMR) and fat oxidation, potentially conferring beneficial changes in body composition over time [18].At prese...
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