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| Name | Class |
|---|---|
| Cargill | INDUSTRY |
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Background Protein intake is important for skeletal muscle mass maintenance with aging and the ingestion of specifically-timed protein supplements could increase overall protein intake and thereby contribute to skeletal muscle mass maintenance. Recently, more attention has been given to the ingestion of plant-based protein blends as a more sustainable high-quality alternative to milk protein, as a means to increase muscle protein build-up and, as such, support muscle maintenance, especially when consuming suboptimal amounts of protein in the regular diet.
Objective To assess the benefit of daily protein supplementation with either a plant-based protein blend or a milk protein on top of a standard diet to stimulate integrated muscle protein synthesis rates in healthy older individuals with and without exercise.
Hypotheses It is hypothesized that both the plant protein blend and the milk protein supplement will result in greater muscle protein build-up when compared with a standard diet control condition.
It is also hypothesized that exercise will result in greater muscle protein build-up when compared to the resting leg in all conditions, with similar effects of the protein supplements vs the control diet as in the non-exercised leg.
This study will show the potential benefit of protein supplementation with alternative protein sources to support skeletal muscle maintenance in older individuals.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Maltodextrin | Placebo Comparator | daily 2 x 20g maltodextrin ingestion |
|
| Milk protein | Experimental | daily 2 x 20g milk protein ingestion |
|
| Plant protein blend | Experimental | daily 2 x 20g plant protein blend ingestion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Resistance exercise | Behavioral | 4 single-leg exercise sessions |
|
| Measure | Description | Time Frame |
|---|---|---|
| Integrated muscle protein synthesis rates in the non-exercised leg. | Calculated by the changein deuterium labelled alanine in skeletal muscle protein | 10 days |
| Measure | Description | Time Frame |
|---|---|---|
| Integrated muscle protein synthesis rates in the exercised leg. | Calculated by the change in deuterium labelled alanine in skeletal muscle protein | 10 days |
| Dietary protein intake | Assessed by calculating the actual intakes from the provided diet |
| Measure | Description | Time Frame |
|---|---|---|
| Age (year) | Interview question | At baseline |
| Body mass (kg) | Assessed using scale | At baseline |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Luc van Loon, PhD | Maastricht University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maastricht University Medical Center+ | Maastricht | Limburg | 6229ER | Netherlands |
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| ID | Term |
|---|---|
| D055948 | Sarcopenia |
| D009133 | Muscular Atrophy |
| D007732 | Kwashiorkor |
| ID | Term |
|---|---|
| D020879 | Neuromuscular Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D001284 | Atrophy |
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| ID | Term |
|---|---|
| D055070 | Resistance Training |
| ID | Term |
|---|---|
| D005081 | Exercise Therapy |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
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Randomized, controlled, parallel-group trial.
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Protein supplements are packed the same and look and taste similar.
| Standardized diet | Behavioral | Fully standardized provided energy-balanced diet providing recommended daily allowance for protein. |
|
| Plant protein supplement | Dietary Supplement | Dissolved in water with breakfast and prior to sleep. |
|
| Maltodextrin supplement | Dietary Supplement | Dissolved in water with breakfast and prior to sleep. |
|
| Milk protein supplement | Dietary Supplement | Dissolved in water with breakfast and prior to sleep. |
|
| 10 days |
| Dietary fat intake | Assessed by calculating the actual intakes from the provided diet | 10 days |
| Dietary carbohydrate intake | Assessed by calculating the actual intakes from the provided diet | 10 days |
| Step count | Assessed using a accelerometer | 10 days |
| Muscle Crosssectional are | Assessed using Ultrasound | 10 days |
| Height (m) | Assessed using stadiometer | At baseline |
| Body fat % | Assessed using Dexa scan | At baseline |
| Lean body mass (kg) | Assessed using Dexa scan | At baseline |
| Appendicular lean mass (kg) | Assessed using Dexa scan | At baseline |
| Sex | Biological sex checked using interview | At baseline |
| Systolic and diastolic blood pressure | Automated measurement | At baseline |
| D020763 |
| Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |
| D000067011 | Severe Acute Malnutrition |
| D044342 | Malnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D005791 |
| Patient Care |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D064797 | Physical Conditioning, Human |
| D015444 | Exercise |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |