Number of high-protein containing meals correlates with muscle mass in pre-frail and frail elderly

Hayashi, Ayne Murata; Capitani, Mariana Dutilh de; Dias, Samara Fernandes; Gonçalves, Lívia de Souza; Fernandes, Alan Lins; Jambassi-Filho, José Claudio; Santana, Davi Alves de; Lixandrão, Manoel Emílio; Pereira, Renato Tavares dos Santos; Riani, Luiz; Hevia-Larraín, Victoria; Pereira, Rosa Maria Rodrigues; Gualano, Bruno; Roschel, Hamilton

doi:10.1038/s41430-020-0618-3

Cited by 14 publications

(11 citation statements)

References 27 publications

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“…Bollwein et al (2013) [ 188 ] reported that in a sample of non-frail, pre-frail, and frail older subjects, non-frail individuals exhibited a more evenly distributed protein consumption pattern, despite the similar total daily protein intake in all three groups [ 188 ]. More recently, Hayashi et al (2020) [ 189 ] found that the number of meals containing either >20 g or >30 g of protein was significantly associated with greater total and appendicular lean mass. However, Hudson et al 2020 [ 182 ] conducted a comprehensive literature review regarding the impacts of protein consumption patterns on long-term muscle mass maintenance in the elderly.…”

Section: Maximizing Anabolic Effects Of Protein Ingestion Through An Optimal Consumption Patternmentioning

confidence: 99%

Strategies to Prevent Sarcopenia in the Aging Process: Role of Protein Intake and Exercise

et al. 2021

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Sarcopenia is one of the main issues associated with the process of aging. Characterized by muscle mass loss, it is triggered by several conditions, including sedentary habits and negative net protein balance. According to World Health Organization, it is expected a 38% increase in older individuals by 2025. Therefore, it is noteworthy to establish recommendations to prevent sarcopenia and several events and comorbidities associated with this health issue condition. In this review, we discuss the role of these factors, prevention strategies, and recommendations, with a focus on protein intake and exercise.

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Section: Maximizing Anabolic Effects Of Protein Ingestion Through An Optimal Consumption Patternmentioning

confidence: 99%

Strategies to Prevent Sarcopenia in the Aging Process: Role of Protein Intake and Exercise

et al. 2021

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“…There is a well-established limitation on the quantity and quality of per-meal and total food intake for older adults [ 20 ], and the consensus on the importance of adjusting the diet, especially the supply of protein, for muscle health [ 21 ]. However, recommending protein supplementation as a stand-alone intervention for healthy older individuals seems ineffective in improving muscle mass and strength [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Nutritional Management in a 101-Year-Old Woman with Physical Inactivity and General Weakness: A Case Report

et al. 2023

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Japan has the world’s highest life longevity, and centenarian patients are no longer rare. However, sufficient information related to centenarians is not available. Herein, we report the case of a 101-year-old centenarian woman who recovered from extreme inactivity and general weakness, mainly through nutritional management at home, to understand instances of nutritional management in centenarians. The patient developed lethargy, with a rapid decline in activity levels and food intake. She was diagnosed with senility by a primary doctor. We concluded that she had no problems with feeding and swallowing and predicted that her motivation to eat had decreased. We planned an intervention that lasted three months. To reduce the risk of aspiration, we paid attention to her posture while eating. To stimulate her appetite, we increased the variety and color of food items. To consider both the texture of food and safety, we changed the form of foods from paste (IDDSI Level 4)-like to solid food of regular size as much as possible. We recommended that the patient consume her favorite sweet between meals to enjoy eating. Two and half months after the initial intervention, the patient’s inactivity and general weakness improved dramatically, which was recognized by her willingness to eat, laugh loudly, and hum, although she could not speak clearly. The patient finally was able to have dinner with her family.

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“…Therefore, there is interest in strategies to increase total dietary protein intake [ 4 , 5 , 45 ]. We [ 20 ] and others [ 15 , 21 , 46 ] have previously reported that reaching an adequate protein content per meal (i.e., ≥30 g) is significantly associated with higher daily protein intake and lower proportion of IPI per day (<1.2 g/kg/d). However, this practice is not usual.…”

Section: Discussionmentioning

confidence: 99%

“…In this regard, some studies suggested that inadequate protein intake (<30 g/meal or <0.4 g/kg/meal) at specific meals might be a risk factor to consider as it is associated to a lower skeletal muscle mass, muscle strength, and functionality [ 17 , 18 , 19 ]. On the other hand, the number of meals that reach a protein content ≥30 g/meal or ≥0.4 g/kg/meal appears to be a protective factor as they are associated with a higher skeletal muscle mass, muscle strength, and lower physical disability [ 15 , 20 , 21 ]. Therefore, determining the percentage of older adults for both indicators might help visualize the magnitude of these two possible risk and protective factors.…”

Section: Introductionmentioning

confidence: 99%

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Dietary Protein Intake Patterns and Inadequate Protein Intake in Older Adults from Four Countries

Gaytán-González

Ocampo-Alfaro²,

Torres-Naranjo

et al. 2020

Nutrients

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Recent interest in protein intake per meal is observed in studies that have reported the protein intake patterns in different countries; however, comparisons of these data are lacking. We aimed to compare protein intake patterns and the percentage of inadequate protein intake (IPI) per day and meal in older adults from different countries. We acquired data of protein intake in older adults from four countries (Mexico, United States of America, Germany, and United Kingdom). We compared protein intake (per day and meal), IPI per day and meal, and the number of meals with an adequate protein content among countries. The IPI per day significantly differed among countries for <0.8 and <1.0 (both p < 0.001), but not for <1.2 g/kg/d (p = 0.135). IPI per meal (<30 g/meal) did not differ among countries at breakfast (p = 0.287) and lunch (p = 0.076) but did differ at dinner (p < 0.001). Conversely, IPI per meal (<0.4 g/kg/meal) significantly differed among countries at breakfast, lunch, and dinner (all p < 0.001). The percentage of participants that ate ≥30 g/meal or ≥0.4 g/kg/meal at zero, one, and two or three meals per day significantly differed among countries (all p < 0.05). IPI at breakfast and lunch (<30 g/meal) was a common trait in the analyzed samples and might represent an opportunity for nutritional interventions in older adults in different countries.

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Number of high-protein containing meals correlates with muscle mass in pre-frail and frail elderly

Cited by 14 publications

References 27 publications

Strategies to Prevent Sarcopenia in the Aging Process: Role of Protein Intake and Exercise

Strategies to Prevent Sarcopenia in the Aging Process: Role of Protein Intake and Exercise

Nutritional Management in a 101-Year-Old Woman with Physical Inactivity and General Weakness: A Case Report

Dietary Protein Intake Patterns and Inadequate Protein Intake in Older Adults from Four Countries

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