Increased Consumption of Dairy Foods and Protein during Diet- and Exercise-Induced Weight Loss Promotes Fat Mass Loss and Lean Mass Gain in Overweight and Obese Premenopausal Women

Josse, Andrea R.; Atkinson, Stephanie A.; Tarnopolsky, Mark A.; Phillips, Stuart M.

doi:10.3945/jn.111.141028

Cited by 205 publications

(223 citation statements)

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“…As shown in Table 3, the high-protein−exercise combination increased mean body-fat loss by about 3 kg compared with other conditions while preventing loss of lean body mass. This agrees with data recently reported by Josse et al (2011), who showed that combining exercise training with a higher protein primarily derived from dairy foods enhances body weight loss accompanied by a greater fat/fat-free mass ratio.…”

Section: High-protein Diet and Physical Activitysupporting

confidence: 83%

Protein: A nutrient in focus

Arentson-Lantz

Clairmont

Paddon‐Jones

et al. 2015

Appl. Physiol. Nutr. Metab.

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Abstract:Protein is an essential component of a healthy diet and is a focus of research programs seeking to optimize health at all stages of life. The focus on protein as a nutrient often centers on its thermogenic and satiating effect, and when included as part of a healthy diet, its potential to preserve lean body mass. A growing body of literature, including stable isotope based studies and longer term dietary interventions, suggests that current dietary protein recommendations may not be sufficient to promote optimal muscle health in all populations. A protein intake moderately higher than current recommendations has been widely endorsed by many experts and working groups and may provide health benefits for aging populations. Further, consuming moderate amounts of high-quality protein at each meal may optimally stimulate 24-h muscle protein synthesis and may provide a dietary platform that favors the maintenance of muscle mass and function while promoting successful weight management in overweight and obese individuals. Dietary protein has the potential to serve as a key nutrient for many health outcomes and benefits might be increased when combined with adequate physical activity. Future studies should focus on confirming these health benefits from dietary protein with long-term randomized controlled studies.Key words: protein, requirement, IAAO, aging, sarcopenia, intake distribution, satiety, weight management.Résumé : Les protéines, des composantes essentielles d'un régime sain, sont au centre de programmes de recherche pour optimiser la santé à tous les stades de la vie. On met l'accent concernant les protéines en tant que nutriment surtout sur l'effet thermogène et rassasiant; intégrés dans un régime sain, les protéines pourraient préserver la masse corporelle maigre. De plus en plus d'études dont celles sur les isotopes stables et les interventions alimentaires à long terme suggèrent que les recommandations alimentaires actuelles en matière de protéines ne conviendraient pas à la promotion d'une santé musculaire optimale dans toutes les strates de la population. Un apport protéique modérément supérieur aux recommandations actuelles et soutenu par plusieurs experts et groupes de travail pourrait procurer des bienfaits sanitaires aux populations vieillissantes. De plus, la consommation de quantités modérées de protéines de haute qualité à chaque repas pourrait stimuler durant 24 h la synthèse des protéines musculaires et pourrait constituer une plateforme alimentaire favorisant le maintien de la masse et des fonctions musculaires tout en permettant une gestion du poids avec succès chez les personnes en surpoids et obèses. Les protéines alimentaires ont le potentiel de nutriments essentiels pour de nombreuses problématiques de santé et leurs bénéfices seraient accrus lorsque combinées à suffisamment d'activité physique. Les prochaines études devraient se concentrer sur la validation des bénéfices sanitaires des protéines alimentaires au moyen d'études à long terme contrôlées et aléatoires. [Traduit par l...

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Section: High-protein Diet and Physical Activitysupporting

confidence: 83%

Protein: A nutrient in focus

Arentson-Lantz

Clairmont

Paddon‐Jones

et al. 2015

Appl. Physiol. Nutr. Metab.

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“…However, the precise dose of protein necessary to preserve (or increase) rates of protein synthesis while simultaneously reducing fat mass in the face of different levels of energy restriction has not been determined systematically (24,28). Regardless, the provision of exogenous amino acid during ED appears to be a prerequisite for supporting muscle protein synthesis and allowing an increase in net muscle protein synthesis above that achieved at rest while in EB (2,43).…”

Section: E993 Muscle Protein Synthesis and Short-term Energy Deficitmentioning

confidence: 99%

Reduced resting skeletal muscle protein synthesis is rescued by resistance exercise and protein ingestion following short-term energy deficit

Areta

Burke²,

Camera

et al. 2014

American Journal of Physiology-Endocrinology and Metabolism

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180

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Postabsorptive rates of MPS were 27% lower in ED than EB (P Ͻ 0.001), but REX stimulated MPS to rates equal to EB. Ingestion of 15 and 30 g of protein after REX in ED increased MPS ϳ16 and ϳ34% above resting EB (P Ͻ 0.02). p70 S6K Thr 389 phosphorylation increased above EB only with combined exercise and protein intake (ϳ2-7 fold, P Ͻ 0.05). In conclusion, short-term ED reduces postabsorptive MPS; however, a bout of REX in ED restores MPS to values observed at rest in EB. The ingestion of protein after REX further increases MPS above resting EB in a dose-dependent manner. We conclude that combining REX with increased protein availability after exercise enhances rates of skeletal muscle protein synthesis during short-term ED and could in the long term preserve muscle mass. body composition; fat-free mass; myofibrillar protein synthesis; weight loss ENERGY DEFICIT (ED) can be achieved through reduced energy intake and/or increased energy expenditure and subsequently leads to loss of fat mass (FM). A reduction in FM is a goal for improved health (19, 33); however, when achieved by energy restriction alone, it typically results in the concomitant weight loss comprised of ϳ25% fat-free mass (FFM) (52), of which skeletal muscle is the main component (37,39). Given that the quality and quantity of skeletal muscle is a major determinant of whole body metabolic rate and functional capacity throughout the lifespan (25), nutritional and exercise strategies to prevent or minimize loss of FFM while losing fat mass are crucial.Pasiakos et al. (41) reported a 19% reduction in basal rates of mixed-muscle protein synthesis in young healthy males and females after 10 days of ED (ϳ500 kcal/day). In contrast, a more recent study from Pasiakos et al. (40) found no decrease in rates of resting muscle protein synthesis after 30 days of moderate ED. If a potential decrease in basal rates of muscle protein synthesis was not accompanied by a concomitant reduction in muscle protein breakdown, then ED would presumably result in a marked loss of skeletal muscle protein. Indeed, prolonged ED-induced body weight loss can be comprised of up to 60% FFM (40). In contrast, exercise has been shown to attenuate the loss of lean body tissue that typically occurs with periods of ED alone (50). However, it is currently unknown whether the anabolic effects of resistance exercise (REX) are attenuated during periods of ED.Provision of dietary amino acids increases skeletal muscle protein synthesis, an effect that is enhanced by prior REX (3, 36). To date, only one study has examined whether skeletal muscle exhibits "anabolic resistance" to exercise and protein ingestion following short-term ED (40). However, in that investigation, rates of mixed-muscle protein synthesis and not myofibrillar protein synthesis (MPS; i.e., the contractile protein fraction of muscle) were measured. Furthermore, there was no examination of the impact of exercise, and the cohort under investigation was comprised mainly of males. Hence, the primary aim of the current study was...

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“…A study with similar components was conducted by Dr. Stuart Phillips' group at McMaster University. Their IDEAL trial found that with additional dietary protein in the form of low-fat dairy products, participants not only lost weight and body fat, but also gained lean body mass [80] which would be advantageous given the high potential for a sarcopenic obese phenotype in aging persons with multiple poor health behaviors.…”

Section: Feasibility and Evidence: Sct-based Interventionsmentioning

confidence: 99%

Developing a new treatment paradigm for disease prevention and healthy aging

Winett

Davy

Marinik

et al. 2013

Behav. Med. Pract. Policy Res.

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An increasingly prevalent pattern of risk factors has emerged in middle-aged and older adults that includes the presence of type 2 diabetes or prediabetes, overweight or obese weight status with central obesity and very high body fat, low cardiorespiratory fitness (CRF), low strength, and a low lean-body-mass-to-body-fat ratio. Traditionally, these problems have been approached with a low-fat and low-calorie diet and with lower to moderate intensity activity such as walking. While the treatment has some clear benefits, this approach may no longer be optimal because it does not reflect more recent findings from nutrition and exercise sciences. Specifically, these fields have gained a greater understanding of the metabolic and functional importance of focusing on reducing body fat and central obesity while maintaining or even increasing lean body mass, a quality weight loss, and how to efficiently and effectively increase CRF and strength. Evidence is presented for shifting the treatment paradigm for disease prevention and healthy aging to include the DASH nutrition pattern but with additional protein, higher intensity, brief aerobic training, effortbased, brief resistance training, and structured physical activity. Recent interventions based on social cognitive theory for initiating and then maintaining health behavior changes show the feasibility and efficacy of the approach we are advocating especially within a multiple health behavior change format and the potential for translating the new treatment paradigm into practice. KEYWORDSDiabetes, Quality weight loss, Treatment paradigm, Multiple health behaviors IMPORTANCE OF THE PROBLEM, USUAL TREATMENT, CHANGING THE TREATMENT PARADIGM A pressing public health problem is the high prevalence of engagement in multiple, poor health behaviors, creating patterns of high risk for morbidity and mortality and contributing to considerable individual and societal financial burden [1,2]. One pattern that is becoming increasingly prevalent is the combination of prediabetes, overweight or obese weight status, central obesity (increased visceral adipose tissue), and low cardiorespiratory fitness (CRF) with gradual loss of lean body mass and strength [3], which further increases the risks for type 2 diabetes (T2D), cardiovascular diseases, and some cancers, disabilities, and premature death [4]. The prevalence of T2D, based on fasting glucose or hemoglobin A1c levels in adults, aged 45-64 years old, is~14 %, and the prevalence of prediabetes for adults >20 years old is~35 % [5]. For adults over 65 years old, the prevalence of T2D is 27 % and the prevalence of prediabetes is~50 % [5]. Overweight, not just obesity weight status, is often comorbid for central obesity (waist circumference (WC) ≥102 cm for men and ≥88 cm for women) [3], which is associated with increased risk of T2D, especially for women [6]. Overweight individuals with large WC's, though at high risk, are often not identified for interventions [6,7]. The normal agerelated loss of lean body mass beginning in m...

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Increased Consumption of Dairy Foods and Protein during Diet- and Exercise-Induced Weight Loss Promotes Fat Mass Loss and Lean Mass Gain in Overweight and Obese Premenopausal Women

Cited by 205 publications

References 61 publications

Protein: A nutrient in focus

Protein: A nutrient in focus

Reduced resting skeletal muscle protein synthesis is rescued by resistance exercise and protein ingestion following short-term energy deficit

Developing a new treatment paradigm for disease prevention and healthy aging

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