Abstract

To maintain muscle mass in older age, several aspects regarding the amount and distribution of protein intake have been suggested. Our objective was to investigate single and combined associations of daily protein intake, evenness of protein distribution across the three main meals, number of meals providing ≥0.4 g protein/kg body weight (BW), and number of meals providing ≥2.5 g leucine, with muscle mass, strength, and power in successful agers. In this cross-sectional study in 97 healthy community-dwelling adults without functional limitations aged 75–85 years, protein intake was assessed using 7-day food records. Muscle mass, leg muscle strength, leg muscle power, and handgrip strength were measured according to standardized protocols. Mean daily protein intake was 0.97 ± 0.28 g/kg BW and the coefficient of variance between main meals was 0.53 ± 0.19. Per day, 0.72 ± 0.50 meals providing ≥0.4 g protein/kg BW and 1.11 ± 0.76 meals providing ≥2.5 g leucine were consumed. No correlations between single or combined aspects of protein intake and skeletal muscle index, leg muscle power, leg muscle strength, or handgrip strength were observed (Spearman’s r of −0.280 to 0.291). In this sample of healthy older adults without functional limitations, aspects of protein intake were not associated with muscle mass, strength, or power.

Highlights

  • Aging is accompanied by a progressive loss of muscle mass, muscle strength, and muscle power, leading to functional decline [1,2]

  • Contrary to our initial hypothesis, we found no positive association between relative protein intake, the evenness of protein distribution, number of meals providing at least 0.4 g protein/kg body weight (BW) or 2.5 g leucine or their combination and SMI, leg muscle power, leg muscle strength, or handgrip strength

  • Protein intake in our sample was more evenly distributed across the main meals, represented by a coefficient of variance (CV) of 0.53 ± 0.19 compared with 0.67 ± 0.2 in the study by Cardon-Thomas et al [49]

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Summary

Introduction

Aging is accompanied by a progressive loss of muscle mass, muscle strength, and muscle power, leading to functional decline [1,2]. In older individuals, muscle protein synthetic response to anabolic stimuli, i.e., exercise and the ingestion of protein, to small amounts of protein, is attenuated [3,4]. To overcome this ‘anabolic resistance’ [5] and to preserve muscle mass as well as strength, several aspects of protein intake are discussed as being relevant: daily amount, distribution over the day, per-meal amount and protein quality [6,7,8,9,10]. A daily protein intake of at least 1.0 g/kg body weight (BW) per day has been suggested for healthy older adults to maintain lean body mass and function [7]

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