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Ketones are natural substances normally produced by the body during prolonged fasting and starvation, or in response to a "ketogenic" diet to be used as fuel by the brain and muscles. Ketones are therefore similar to dietary proteins, carbohydrates and fats since they represent a source of energy for the body. In addition to serving as a source of energy, ketones have also been shown to stimulate increased rates of muscle protein synthesis in humans.
The ingestion of dietary protein is well established to stimulate an increase in the rate of protein synthesis in skeletal muscle. The rate of muscle protein synthesis can be maximized following the intake of 20g of protein. As a result, smaller doses of protein (i.e. 10g) represent a sub-optimal dose of protein because there is still room for improvement concerning muscle protein synthesis.
Recently ketone-containing food products have become available that elevate ketone levels in the body without the need for ketogenic diets or prolonged fasting. Therefore, the purpose of this study is to measure skeletal muscle protein synthesis rates after ingesting the following:
It is hypothesized that muscle protein synthesis rates will increase following the ingestion of a ketone-containing beverage. Further, muscle protein synthesis rates will be enhanced when the ketone-containing beverage and sub-optimal protein dose are taken together.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ketone | Experimental | Ketone monoester supplement (R)-3-hydroxybutyl (R)-3-hydroxybutyrate based on participants' body weight (0.36g/kg body weight) and carbohydrate control. |
|
| Ketone + Protein | Experimental | Ketone monoester supplement (R)-3-hydroxybutyl (R)-3-hydroxybutyrate based on participants' body weight (0.36g/kg body weight) and 10g of whey protein. |
|
| Protein | Experimental | Carbohydrate control and 10g of whey protein. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ketone | Dietary Supplement |
|
| Measure | Description | Time Frame |
|---|---|---|
| Fractional synthetic rate of muscle protein synthesis (myofibrillar) | 0-5 hours in the post-prandial period |
| Measure | Description | Time Frame |
|---|---|---|
| Fractional synthetic rate of muscle protein synthesis (myofibrillar) | 0-3 hours in the pre-prandial period; 0-2 hours, and 2-5 hours into the post-prandial period | |
| Plasma enrichments (in moles percent excess) of L-[ring-2H5]-phenylalanine | 3 hours pre-prandial to 5 hours post-prandial |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tyler A Churchward-Venne, Ph.D. | McGill University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Exercise Metabolism and Nutrition Research Laboratory | Montreal | Quebec | H2W 1S4 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38215886 | Derived | Hannaian SJ, Lov J, Hawley SE, Dargegen M, Malenda D, Gritsas A, Gouspillou G, Morais JA, Churchward-Venne TA. Acute ingestion of a ketone monoester, whey protein, or their co-ingestion in the overnight postabsorptive state elicit a similar stimulation of myofibrillar protein synthesis rates in young males: a double-blind randomized trial. Am J Clin Nutr. 2024 Mar;119(3):716-729. doi: 10.1016/j.ajcnut.2024.01.004. Epub 2024 Jan 11. |
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| ID | Term |
|---|---|
| D007662 | Ketosis |
| ID | Term |
|---|---|
| D000138 | Acidosis |
| D000137 | Acid-Base Imbalance |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D007659 | Ketones |
| D011506 | Proteins |
| ID | Term |
|---|---|
| D009930 | Organic Chemicals |
| D000602 | Amino Acids, Peptides, and Proteins |
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| Ketone + Protein | Dietary Supplement |
|
|
| Protein | Dietary Supplement |
|
|
| Plasma glucose concentration (mmol/L) | 3 hours pre-prandial to 5 hours post-prandial |
| Plasma insulin concentration (pmol/L) | 3 hours pre-prandial to 5 hours post-prandial |
| Plasma amino acid concentrations (mmol/L) | 3 hours pre-prandial to 5 hours post-prandial |
| Capillary blood Beta-OHB concentrations (mmol/L) | 0-5 hours in the post-prandial period |
| Signaling molecule phosphorylation status | The use of Western blots to measure the phosphorylation status of signaling molecules involved in protein synthesis ie. mTOR, p70S6k, 4E-BP1 | 0, 2, and 5 hours into the post-prandial period |