Protein Supplementation Research Articles

155 Standardized ileal digestibility of amino acids in soybean meal, fermented soybean meal, and soy protein concentrate fed to nursery pigs

Abstract Accurate information of amino acid (AA) digestibility in protein supplements is critical in formulating diets for nursery pigs. Soybean products are widely used in nursery pig diets due to the high crude protein (CP) concentrations. The objective of the present study was to determine the standardized ileal digestibility (SID) of AA in soybean meal, 3 sources of fermented SBM (FSBM), and soy protein concentrate (SPC) fed to nursery pigs. Ten barrows with an initial body weight of 10.5 kg (standard deviation = 0.9) were surgically fitted with T-cannulas at the distal ileum. The animals were assigned to a replicated 5 × 5 Latin square design with 10 animals, 5 experimental diets, and 5 periods to obtain 10 observations per diet. Five diets were prepared to contain SBM (48.5% CP), 3 sources of FSBM (A, B, and C; 52.6% CP, 55.1% CP, and 49.8% CP, respectively), or SPC (58.4% CP) as the sole source of AA. Each period consisted of 4 d of adaptation period and 3 d of ileal digesta collection period. The values of basal endogenous losses of AA reported in the literature were used to calculate the SID of AA by correcting the apparent ileal digestibility (AID) values. Additionally, a 2-step in vitro procedure modified for nursery pigs was conducted to determine the in vitro ileal disappearance of CP in the 5 ingredients. The AID of all indispensable AA except His and Lys in FSBM-A and FSBM-B was greater (P < 0.05) than that in SBM, whereas AID values for all AA except Trp in SPC did not differ from the values in SBM. The SID of Leu and Trp in FSBM-A and FSBM-B was greater (P < 0.05) than that in SBM or SPC. The SID of all AA in SPC was not different from that in SBM. In vitro ileal disappearance of CP in 3 sources of FSBM was greater (P < 0.001) than that in SBM or SPC. In conclusion, in vitro ileal disappearance of protein was greater in fermented soybean meal compared with soybean meal or soy protein concentrate whereas the standardized ileal digestibility of most amino acids was comparable among the soybean-derived ingredients.

PSI-13 Digestible and metabolizable energy concentrations in soybean meal, fermented soybean meal, and soy protein concentrate fed to nursery pigs

Abstract Accurate information of energy concentrations in protein supplements is critical in formulating diets for nursery pigs. Soybean products are widely used in nursery pig diets due to the high crude protein (CP) concentrations. The objective of the present study was to determine the digestible (DE) and metabolizable energy (ME) in soybean meal (SBM, 48.5% CP), 3 sources of fermented SBM (FSBM-A, FSBM-B, and FSBM-C; 52.6% CP, 55.1% CP, and 49.8% CP, respectively), and soy protein concentrate (SPC, 58.4% CP) fed to nursery pigs. Twelve barrows with an initial body weight of 8.7 kg (standard deviation = 0.5) were individually housed in metabolism crates. A replicated 6 × 4 incomplete Latin square design with 12 animals, 6 experimental diets, and 4 periods was employed. A basal diet contained 96.9% corn as the sole source of energy. The experimental diets were prepared by replacing the basal diet with SBM at 31%, FSBM-A at 27%, FSBM-B at 26%, FSBM-C at 29%, and SPC at 24%. Each period consisted of a 4-d adaptation period and a 4-d collection period. The marker-to-marker procedure was used for the quantitative collection of feces. Urine was collected for 96 h. The difference procedure was employed to calculate the DE and ME values of the soybean ingredients. Additionally, a 3-step in vitro assay was conducted to determine in vitro total tract disappearance of nutrients in the ingredients. The DE concentrations in FSBM-A (4,171 kcal/kg as-fed), FSBM-B (4,111 kcal/kg as-fed), FSBM-C (4,027 kcal/kg as-fed) and SPC (3,999 kcal/kg as-fed) were greater (P < 0.05) than that in SBM (3,724 kcal/kg as-fed). The ME concentrations in FSBM-A (3,883 kcal/kg as-fed) and FSBM-B (3,841 kcal/kg as-fed) were greater (P < 0.05) than that in SBM (3,528 kcal/kg as-fed) but did not differ from those in FSBM-C (3,728 kcal/kg as-fed) or SPC (3,767 kcal/kg as-fed). The DE:gross energy (GE) was greatest (P < 0.05) in FSBM-B but lowest (P < 0.05) in SBM with intermediate ratios for other 3 ingredients whereas the ME:GE and ME:DE were not different among the 5 ingredients. The in vitro total tract disappearance of dry matter and organic matter in SPC was less (P < 0.05) than that in other ingredients. In conclusion, fermented soybean meal and soy protein concentrate contain greater energy concentrations compared with soybean meal.

97 Effects of crude protein content and supplementing probiotics in late gestation and lactation sow diets on performance of sows and suckling pigs

Abstract The objective of this study was to investigate the effects of crude protein (CP) content and supplementation with Bacillus-based probiotics (PRO) in late gestation and lactation sow diets on performance of sows and suckling pigs. Pregnant sows (n = 120; 60 gilts and 60 2+ parity) were assigned to 4 dietary treatments in a 2 x 2 factorial arrangement (2 CP levels, with or without probiotics) from d 85 of gestation to d 21 of lactation. The experiment was conducted in 4 consecutive periods (half sows and half gilts per period). The diets consisted of 1) a corn-soybean meal (SBM)-based low CP (LCP; 12% CP) diet; 2) LCP + 0.05% probiotic (LCP-PRO); 3) a corn-SBM-based high CP (HCP; 15% CP) diet; and 4) HCP + 0.05% probiotic (HCP-PRO). The diets were formulated for 2 phases: gestation (d 85 – 115) and lactation (d 1 – 21). Sow body weight (BW) and backfat thickness were recorded on d 85 and 111 of gestation and on d 1 and 21 of lactation. Sow blood and milk were sampled on d 1 and 21 of lactation to analyze plasma urea nitrogen (PUN) concentration, and milk fat, protein, and lactose, respectively. Data were analyzed using the PROC MIXED of SAS. The statistical model included diet as fixed effect and period as random effect. There were no significant effects of CP and PRO on sow BW or backfat thickness. There was an interaction (P < 0.05) between CP and PRO on the number of stillbirths, where the number of stillbirths did not differ between LCP and LCP-PRO groups, while the number decreased in sows fed HCP-PRO diet compared with HCP diet. Sows fed LCP diets had reduced (P < 0.05) PUN concentrations on d 1 and d 21 of lactation compared with those fed HCP diets. However, no difference was found in fat, protein, or lactose content in both colostrum (d 1) and milk (d 21). Piglets from the sows fed LCP diets showed heavier (P < 0.05) birth weights (1.58, 1.57, 1.53, and 1.52 kg for diets 1 to 4) than those in HCP groups, however, the average daily gain (ADG) of week 1 (188, 166, 187, and 187 g for diets 1 to 4) was less (P < 0.05) for piglets in LCP groups than HCP groups. No other effects were observed on piglet growth. In conclusion, CP and PRO did not affect sow BW and backfat thickness. There was an interaction effect of CP and PRO on reproductive performance, where stillbirths did not differ between LCP and LCP-PRO groups; however, stillbirths decreased with PRO in HCP diet. Moreover, feeding LCP diets to sows did not influence milk nutrient contents and overall growth performance in suckling piglets.

Phenolic Compounds Profile and Antioxidant Capacity of Plant-Based Protein Supplements

The study aimed to determine the phenolic content and antioxidant capacity of five protein supplements of plant origin. The content and profile of phenolics were determined using the UHPLC-DAD-MS method, while antioxidant capacity (ABTS and DPPH assays) and total phenolic content (TPC) were evaluated using spectrophotometric tests. In the analyzed proteins, twenty-five polyphenols were detected, including eleven phenolic acids, thirteen flavonoids, and one ellagitannin. Hemp protein revealed the highest individual phenolics content and TPC value (1620 μg/g and 1.79 mg GAE/g, respectively). Also, hemp protein showed the highest antioxidant activity determined via ABTS (9.37 μmol TE/g) and DPPH (9.01 μmol TE/g) assays. The contents of p-coumaric acid, m-coumaric acid, kaempferol, rutin, isorhamnetin-3-O-rutinoside, kaempferol-3-O-rutinoside, and TPC value were significantly correlated with antioxidant activity assays. Our findings indicate that plant-based protein supplements are a valuable source of phenols and can also be used in research related to precision medicine, nutrigenetics, and nutrigenomics. This will benefit future health promotion and personalized nutrition in the prevention of chronic diseases.

PREHABILITATION BEFORE GASTROINTESTINAL CANCER SURGERY (PREHAB-GI): AN IMPLEMENTATION STUDY

BACKGROUND Surgery continues to be the primary treatment option for early-stage colorectal and upper gastrointestinal (UGI) cancers. However, up to 30-40% will experience a major complication. Prehabilitation aims to improve preoperative functional reserves through physical, nutritional, and/or psychological interventions. We aimed to evaluate the implementation of a multimodal prehabilitation program in gastrointestinal cancer surgery patients. METHODS A single-arm implementation study using a pre-post design. Colorectal or UGI cancer patients scheduled for curative intent surgery at Concord Hospital with ≥14 days pre-surgery were recruited. The intervention was face-to-face or by telehealth (COVID adaptations): a 2-4-week program consisting of i) supervised exercise, ii) dietary education and protein supplements, iii) nursing support. The primary outcome was implementation using the RE-AIM (Reach/Effectiveness/Adoption/Implementation/Maintenance) framework. Secondary outcomes included functional, nutritional, and surgical outcomes. RESULTS Over 16 months, 181 were screened; 95 (52%) were eligible. Reach: 77/95 recruited (64 colorectal, 13 UGI). The median age was 70 years; 46 (60%) were males. Median intervention duration was 16 days. Effectiveness: Functional capacity using the 6-minute walk test and 2-minute step test improved from baseline to pre-surgery; 9.3m (p=0.038) and 6.5 steps (p=<0.001), respectively. Self-reported moderate, vigorous and resistance training statistically increased from baseline to pre-surgery. Hospital length of stay decreased by 1.9 days (p=0.010). There was no difference in total complications and readmissions. Adoption: 91% of referrals were directly from surgeons. Implementation: 72 completed the intervention; 5 withdrew after baseline assessment. 34% of assessments and intervention were delivered by telehealth. Adherence to the intervention was high; 94% exercise, 97% nutrition, 98% nursing. Overall, participant and clinician satisfaction was high. Maintenance: The program has been adopted as standard care with modifications post-study completion. CONCLUSIONS Our study shows that multimodal prehabilitation can be successfully implemented in a real-world setting, with a trend to improve functional and surgical outcomes.

IT’S NEVER TOO LATE TO START: A CASE FOR PREVENTATIVE OUTPATIENT GERIATRIC SERVICES

INTRODUCTION & AIMS The population is ageing and the chronic disease burden growing, seeing more older adults present to hospital with preventable non-communicable diseases. Multidisciplinary outpatient teams are well placed to manage modifiable risk factors to prevent disease progression and hospitalisations. A preventative service was launched at Concord Hospital integrating geriatrician, exercise physiologist and dietitian care to optimise the physical and mental health of older adults with chronic disease and frailty. This evaluation aims to determine the success of service implementation and feasibility of the model. METHODS Between November 2022 and June 2023, 59 patients (mean age 80.2 years (SD 6.2), 47.5% female) completed 12-weeks of concurrent exercise and diet interventions with medical oversight. Patients were assessed pre- and post-interventions. Exercise was individualised and multimodal, performed twice weekly in a supervised group. Diet was individualised with a protein supplement prescribed as appropriate. The outcomes measured were Fried Frailty Phenotype (FFP), leg strength (one repetition maximum leg press), Short Physical Performance Battery (SPPB), Geriatric Depression Scale Short Form (GDS), and Mini Nutritional Assessment Long Form (MNA). Service activity was measured monthly via rate of referral and occasions of service (OOS). Data were analysed using JASP (v.0.18.1). RESULTS Monthly rate of referral and OOS increased from 18 to 51 patients and 49 to 479 occasions respectively, indicating service demand. After 12-weeks there were significant improvements in FFP (mean difference [95%CI] -0.4 [-0.7, -0.2] points), leg strength (34.0 [27.1, 40.8] kilograms), SPPB (1.1 [0.8, 1.5] points), GDS (-1.4 [-2.2, -0.6] points) and MNA (2.6 [1.6, 3.5] points), with no effect of sex observed. CONCLUSION Initial implementation of a preventative outpatient geriatric service was successful with increasing service demand and significant physical and mental health improvements. The service model is feasible; however, further evaluation is required to determine outcomes after continued service provision.

Targeting strategies of antenatal balanced energy and protein supplementation in Addis Ababa, Ethiopia: study protocol for a randomized effectiveness study

BackgroundAntenatal balanced energy and protein (BEP) supplements have well-documented benefits for pregnancy outcomes. However, considerable practical gaps remain in the effective and cost-effective delivery of antenatal BEP supplements at scale in low- and middle-income countries.MethodsA randomized effectiveness study will be conducted in two sub-cities of Addis Ababa, Ethiopia, to evaluate the effectiveness, cost-effectiveness, and implementation of different targeting strategies of antenatal BEP supplements. Pregnant women aged 18 to 49, with a gestational age of 24 weeks or less, and attending antenatal visits in one of the nine study health facilities are eligible for enrollment. In six of the health facilities, participants will be randomized to one of three study arms: control (Arm 1), targeted BEP provision based on baseline nutritional status (Arm 2), and targeted BEP supplementation based on baseline nutritional status and monthly gestational weight gain (GWG) monitoring (Arm 3). In the remaining three facilities, participants will be assigned to universal BEP provision (Arm 4). Participants in Arms 2 and 3 will receive BEP supplements if they have undernutrition at enrollment, as defined by a baseline body mass index less than 18.5 kg/m2 or mid-upper arm circumference less than 23 cm. In Arm 3, in addition to targeting based on baseline undernutrition, regular weight measurements will be used to identify insufficient GWG and inform the initiation of additional BEP supplements. Participants in Arm 4 will receive BEP supplements until the end of pregnancy, regardless of baseline nutritional status or GWG. All participants will receive standard antenatal care, including iron and folic acid supplementation. A total of 5400 pregnant women will be enrolled, with 1350 participants in each arm. Participants will be followed up monthly during their visits to the antenatal facilities until delivery. Maternal and infant health status will be evaluated within 72 h after delivery and at 6 weeks postpartum. The effectiveness and cost-effectiveness of the different BEP targeting strategies in preventing adverse pregnancy outcomes will be compared across arms. Qualitative data will be analyzed to assess the feasibility, acceptability, and implementation of different supplementation strategies.DiscussionThis study will inform global recommendations and operational guidelines for the effective and cost-effective delivery of antenatal BEP supplements. The targeted approaches have the potential for broader scale-up in Ethiopia and other low-resource settings with a high burden of undernutrition among pregnant women.Trial registrationClinicalTrials.gov registration number: NCT06125860. Registered November 9, 2023.

Effects of prilled fat supplementation in diets with varying protein levels on production performance of early lactating Nili Ravi Buffaloes.

The objective of the current study was to find out the independent and interactive effects of prilled fat supplementation with protein on the production performance of early lactating Nili Ravi buffaloes. Sixteen early lactating buffaloes (36.75 ± 5.79 d in milk; mean ± SE) received 4 treatments in 4 × 4 Latin-square design according to 2 × 2 factorial arrangements. The dietary treatments were:1) LPLF = low protein low fat, 2) LPHF = low protein high fat, 3) HPLF = high protein low fat, and 4) HPHF = high protein high fat. The dietary treatments contained 2 protein (8.7 and 11.7% CP, crude protein) and fat levels (2.6 and 4.6% EE, ether extract) on a dry matter basis. The yields of milk and fat increased with increasing protein and fat independently (p≤0.05). Energy-, protein-, and fat-corrected milk yields also increased with increasing protein and fat independently (p≤0.05). Increasing dietary protein increased the protein yield by 3.75% and lactose yield by 3.15% and increasing dietary fat supplies increased the fat contents by 3.93% (p≤0.05). Milk yield and fat-corrected milk to dry matter intake ratios were increased at high protein and high fat levels (p≤0.05). Milk nitrogen efficiency was unaffected by dietary fat (p>0.10), whereas it decreased with increasing protein supplies (p≤0.05). Plasma urea nitrogen and cholesterol were increased by increasing protein and fat levels, respectively (p≤0.05). The values of predicted methane production reduced with increasing dietary protein and fat. It is concluded that prilled fat and protein supplies increased milk and fat yield along with increased ratios of milk yield and fat-corrected milk yields to dry matter intake. However, no interaction was observed between prilled fat and protein supplementation for production parameters, body weight, BCS and blood metabolites. Predicted methane production decreased with increasing protein and fat levels.

Effects of Adjuvant Exercise and Nutrition Therapy on Muscle Fibre Biomechanics in Gastrointestinal Cancer Patients.

Patients with aggressive cancer, e.g., gastrointestinal cancer, are prone (≥50% chance) to developing cancer cachexia (CC). Little is known about the effects of CC on the biomechanical function of muscle. A promising prevention strategy was found in the form of a multi-modal therapy combining mild resistance exercise (e.g., whole-body electro-myostimulation, WB-EMS) and a protein-rich diet. In a previous study of ours, this was effective in counteracting the loss of muscle mass, yet a systematic and comprehensive assessment of active and passive single muscle fibre functions was so far absent. This pilot study investigated the biomechanical function of single muscle fibres (rectus abdominis) from the biopsies of conventionally treated (pre-)cachectic cancer ((pre-)CC) patients (m = 9), those receiving the multi-modal therapy comprising WB-EMS training and protein-rich nutrition (m = 3), and a control group (m = 5). Our findings not only align with previous findings showing the absolute force loss in CC that is accelerated by atrophy but also speak in favour of a different, potentially energy- and Ca2+-homeostasis-related effect that compromises muscle contraction (F ~0.9 mN vs. F ~0.6 mN in control patients). However, myofibrillar Ca2+ sensitivity and the quality of contraction were unaltered (pCa50: 5.6-5.8). Single fibres from the (pre-)CC patients receiving WB-EMS training and protein supplementation were significantly more compliant (p < 0.001 at ≥130% of resting length L0). Those fibres displayed a similar softness to the ones from the control patients (axial compliance ~15 m/N at ≥130% L0), while single fibres from the patients with (developing) cachexia were significantly stiffer (axial compliance ~7 m/N, p < 0.001 at ≥130% L0). Adjuvant multi-modal therapy (WB-EMS training and nutritional support) contributes to maintaining the axial compliance of single fibres and potentially improves the quality of life for patients at risk of developing CC.

Protein-enriched soup and weekly exercise improve muscle health: A randomized trial in mid-to-old age with inadequate protein intake.

Prior research has highlighted the synergistic impact of protein supplementation on muscle function post-exercise in adults; however, evidence supporting the combined effects were less robust and inconsistent on those with protein insufficiency. This investigation aims to explore efficacy of protein-enriched soup coupled with exercise on muscle health and metabolism in middle-aged and older adults with suboptimal protein intake. An open-label, 12-week, randomized controlled trial involving participants with insufficient protein intake (<1.0g/kg/day) was done. The intervention group consumed protein-enriched soup (24-30g protein daily) and 1-h weekly exercise, while controls received health education. Assessments included laboratory tests, functional assessments, and body composition. In this trial, 97 out of 100 randomized participants (mean age: 64.65±4.84years, 81.8% female) completed the study (47 in intervention group and 50 in control group). Compared results of baselines, at 1 and 3months of intervention, significant improvements in waist circumference (83.48±10.22 vs. 82.5±9.88 vs. 82.37±9.42cm, P for trend=0.046), 6-min walking distance (525.65±58.46 vs. 534.47±51.87 vs. 552.02±57.66m, P for trend=0.001), five-time sit-to-stand time (7.63±1.63 vs. 6.81±1.8 vs. 6.4±1.42s, P for trend <0.001), grip strength (26.74±6.54 vs. 27.53±6.99 vs. 28.52±7.09kg, P for trend <0.001), and MNA score (26.8±2.14 vs. 27.73±1.74 vs. 27.55±1.72, P for trend <0.001) were discerned within the intervention group. The intervention demonstrated a significant reduction in serum triglyceride (105.32±49.84 vs. 101.36±42.58 vs. 93.43±41.49mg/dL, P for trend=0.023), increased HDL-C (60.04±16.21 vs. 60±17.37 vs. 62.55±18.27mg/dL, P for trend=0.02), and DHEA-S levels (97.11±54.39 vs. 103.39±56.75 vs. 106.83±60.56μg/dL, P for trend=0.002). Serum myostatin did not differ in both groups, but serum leptin levels significantly increased (9118.88±5811.68 vs. 11508.97±7151.08 vs. 11220.80±7190.71pg/mL, P for trend=0.016) in controls. The intervention group showed greater improvements in 6min walking distance (β=0.71, 95% CI: 6.88 to 40.79, P=0.006), five-time sit-to-stand test (β=-0.87, 95% CI: -1.59 to -0.15, P=0.017), MNA score (β=0.96, 95% CI: 0.20 to 1.71, P=0.013), serum triglycerides (β=-15.01, 95% CI: -27.83 to -2.20, P=0.022), LDL-C (β=-9.23, 95% CI: -16.98 to -1.47, P=0.020), and DHEA-S levels (β=9.98, 95% CI: 0.45 to 19.51, P=0.04) than controls. Protein-enriched soup with weekly exercise over 12weeks significantly improved physical performance, lipid profile, and DHEA-S levels among middle-aged and older adults with inadequate protein intake, while studies assessing long-term benefits of the intervention are needed.

Longitudinal change of energy expenditure, body composition and dietary habits in Progressive Supranuclear Palsy patients.

Alterations in metabolic status, body composition, and food intake are present in all neurodegenerative diseases. Aim of this study was to detect the progression of these changes in Progressive Supranuclear Palsy (PSP). We conducted a longitudinal study of 15 patients with PSP. The assessments were performed at baseline (T0) and after 7(IQR = 5) months of follow-up (T1). We collected anthropometric measures including body weight, height, body mass index and waist circumference, metabolic parameters through indirect calorimeters, body composition using bioimpedance analysis, and dietary habits with a validated questionnaire. PSP-rating scale (PSP-rs) was used to evaluate disease severity and dysphagia. The majority of patients (66.66%) presented PSP-Richardson Syndrome and 33.33% the other variant syndromes of the disease. At T1 there was a decrease in intake of total daily calories (p < 0.001), proteins (p < 0.001), fibers (p = 0.001), calcium (p = 0.008), iron (p < 0.001), zinc (0.034), vitamin E (p = 0.006) and folates (p = 0.038) compared to T0. No other changes were found. As for T1 data, no significant differences were shown according to disease phenotypes or the presence of clinically significant dysphagia for solids. Within a mid-term follow up, PSP patients presented reduced caloric and proteins intake regardless the presence of dysphagia. The PSP-rs is likely not adequate to assess dysphagia, which should be investigated by specific clinical scales or instrumental examinations. With the goal of maintaining adequate nutritional status, the administration of protein and vitamin supplements should be considered even in the absence of dysphagia evidenced by the rating scales.

Common questions and misconceptions about protein supplementation: what does the scientific evidence really show?

Protein supplementation often refers to increasing the intake of this particular macronutrient through dietary supplements in the form of powders, ready-to-drink shakes, and bars. The primary purpose of protein supplementation is to augment dietary protein intake, aiding individuals in meeting their protein requirements, especially when it may be challenging to do so through regular food (i.e. chicken, beef, fish, pork, etc.) sources alone. A large body of evidence shows that protein has an important role in exercising and sedentary individuals. A PubMed search of "protein and exercise performance" reveals thousands of publications. Despite the considerable volume of evidence, it is somewhat surprising that several persistent questions and misconceptions about protein exist. The following are addressed: 1) Is protein harmful to your kidneys? 2) Does consuming "excess" protein increase fat mass? 3) Can dietary protein have a harmful effect on bone health? 4) Can vegans and vegetarians consume enough protein to support training adaptations? 5) Is cheese or peanut butter a good protein source? 6) Does consuming meat (i.e., animal protein) cause unfavorable health outcomes? 7) Do you need protein if you are not physically active? 8) Do you need to consume protein ≤ 1 hour following resistance training sessions to create an anabolic environment in skeletal muscle? 9) Do endurance athletes need additional protein? 10) Does one need protein supplements to meet the daily requirements of exercise-trained individuals? 11) Is there a limit to how much protein one can consume in a single meal? To address these questions, we have conducted a thorough scientific assessment of the literature concerning protein supplementation.

Substitution of human edible feeds with integrated use of reduced fat wheat distillers and high-quality forages in a diet for high production lactating dairy cows

This study has investigated the effect of the integration of wheat distillers, without solubles, after lipid extraction (RF-DDG) in a diet based on high-quality forages in partial substitution of human-edible feeds, i.e. corn and soybean meal (SBM), on milk production and quality, feed conversion efficiency and on the human-edible feed conversion efficiency of high producing dairy cows. The experiment was conducted on a commercial dairy farm for an 8-wk period, split into 2 periods, lasting 28 d each (2-wk adaptation and 2-wk experimental period with data collection) on 180 Holstein cows (averaging 130 DIM and 42.0 kg of milk/d at the start of the trial), randomly assigned to 4 pens (45 cows each). The cows, stratified by DIM, were split in two groups assigned two diets that differed according to the human edible feed inclusion: (1) a control diet (CON), based on alfalfa silage, grass silage, high moisture ear corn silage, and soybean meal (SBM) as a protein supplement, 2) a treatment diet (TREAT), in which the control diet was modified using RF-DDG at 13.0 % (dry matter basis) to totally replace soybean meal (SBM).The dry matter intake was similar across treatments, whereas the milk yield was 2.06 kg/d lower for the TREAT diet. The inclusion of wheat RF-DDG increased the milk fat concentrations (3.74 vs 3.54 %) and decreased the milk protein concentration (3.02 vs 3.18 %), milk protein yield (1.19 vs 1.31 kg/d), and milk urea nitrogen (3.63 vs 7.61 mg/dL). Cows fed the TREAT diet showed an increased aNDFom, ADF ADL, NDIN and ADIN intake compared with those fed the CON diet. The TREAT diet resulted in a reduced milk yield as well as a reduced milk protein concentration and yield, which were likely caused by a reduction in the apparent digestibility of the protein and by different essential AA and RDP contents in the TREAT diet compared to the control DIET. The TREAT diet also decreased serum glucose, albumin, as well as the urea nitrogen and total protein in the blood, compared with the CON diet. Furthermore, the TREAT diet led to a reduction in the milk production feed conversion efficiency (in terms of milk yield/DMI and FPCM/DMI) and in the nitrogen utilization of the milk production (28.3 vs 31.0 %). The inclusion of RF-DDG led to a substantial increase in the human-edible feed conversion index for the protein (1.19 vs. 0.74) and for energy (1.66 vs 1.39), thereby improving the net protein and energy food balance. It has been concluded that further research is needed to find an economical process to extract oil from DDG without causing any further thermal stress that could compromise the protein components and amino acid supply of RF-DDG.

Chilean Market Protein Shakes Composition.

Understanding the nutritional content of protein supplements is crucial for optimal nutritional planning among athletes and other people. Distribution of macronutrients and aminograms in the main products available in the national Chilean market remains unknown. A descriptive cross-sectional study was conducted to identify the main protein supplements available in the Chilean market. Information on macronutrients and aminograms from the nutritional labels of each product was extracted. The analysis considered the content per portion and per 100 g. Cluster analysis models and graphical representations were explored. Eighty protein shakes were assessed in the Santiago de Chile market. The median protein dosage was 32 g (range from 25 to 52), and the median energy value stood at 390 kcal (range from 312 to 514). The median protein content per 100 g of product was found to be 75 g (range from 42.5 to 97.2). The combined median concentration of amino acids was 4749.75 mg. Among these, the essential amino acid L-Tryptophan exhibited the lowest concentration at 1591.50 mg, while the conditional amino acid L-Glutamine had the highest median concentration at 17,336 mg. There was a significant prevalence of animal-derived products, placing specific emphasis on protein supplements that feature elevated levels of the amino acids L-Glutamine and L-Leucine.

Emerging Trends in Bioavailability and Pharma-Nutraceutical Potential of Whey Bioactives.

Whey, a component of milk and a useful by-product of the dairy industry's casein and cheese-making, has been used for generations to augment animal feed. It contains a range of proteins, including α-lactalbumin, β-lactoglobulin, bovine serum albumin, heavy and light chain immunoglobulins, lactoferrin, glycomacropeptide, and lactoperoxidase. Whey proteins exhibit great potential as biopolymers for creating bioactive delivery systems owing to their distinct health-enhancing characteristics and the presence of numerous amino acid groups within their structures. Whey has considerable factors such as antitumor, anti-inflammatory, antihypertensive, hypolipidemic, antiviral, and antibacterial properties in addition to chelating. The global market of whey protein stood at USD 5.33 billion in 2021, with a projected compound annual growth rate of 10.48% spanning the interval from 2022 to 2030. The escalating demand for whey protein is intrinsically linked to the amplifying consciousness surrounding healthy lifestyles. Notably, protein supplements are recurrently endorsed by fitness and sports establishments, thereby accentuating the focal point of customers toward whey protein. This review focuses on nutritional composition, whey bioactives, and their bioavailability with potential health benefits.

The response of gut and fecal bacterial communities of the European sea bass (Dicentrachus labrax) fed a low fish-plant meal and yeast protein supplementation diet

Abstract As aquaculture is nowadays the major fish-food production sector, continuous research is undergoing for aquafeeds that could replace conventional fishmeal in order to enhance its environmental and economic sustainability. Fish gut microorganisms might be involved in nutrient assimilation and thus they are crucial for their hosts’ well-being. In this study the bacterial diversity was investigated by16S rRNA gene metabarcoding in order to investigate changes in midgut (M) and feces (F) microbiota of sea bass Dicentrachus labrax fed with conventional (C) and innovative-low fish meal diet (I), aiming at discovering microbiota that could be associated with the enhancement of host's health and productivity. Our results indicated that Proteobacteria (Pseudomonadota) prevailed in all samples followed by Firmicutes (Bacillota) or Bacteroidota (mostly in feces), while fecal communities were richer. Taxonomic distributions at the operational taxonomic unit level in midgut samples revealed differentially abundant fermentative species that prevailed in individuals fed with the innovative diet. Especially Staphylococcus was more abundant in MI samples implying enhancement from ingredients present only in the innovative diet and implying that this feed shapes rather favorable microbiota, which could support the digestion and good growth performance in aquaculture.

The Effect of Whey Protein Supplements on Acne Vulgaris among Male Adolescents and Young Adults: A Case-Control Study from North of Jordan.

Young people and athletes willing to gain muscle mass and strength are likely to consume whey protein supplements. The effect of milk as a dietary source of whey protein on acne is still controversial. At the same time, a few studies have suggested an acnegenic impact of whey protein supplements. To examine the association of whey protein supplements on acne risk among male adolescents and young adults. 201 male teenagers and young adults attending fitness centers in Irbid/Jordan were involved in an observational case-control research; those with acne were deemed cases, and those without acne were considered controls. The primary outcome was a comparison of the proportion of participants in each group who consumed whey protein supplements within the previous three months. 100 acne-afflicted participants were compared to 101 healthy controls with similar demographics, including age, body mass index, educational level, and smoking habits, as well as intake of vitamin B12, corticosteroids, and anabolic steroids. However, considerably more participants in the acne group (47%) were taking whey protein supplements than in the control group (27.7%) (p=0.0047). The significance of this difference was maintained after multivariate analysis. This case-control study provides evidence of a positive association between whey protein consumption and acne risk.

Mobility and strength training with and without protein supplements for pre-frail or frail older adults with low protein intake: the Maximising Mobility and Strength Training (MMoST) feasibility randomised controlled trial protocol

Background Frailty is a common syndrome affecting older people and puts them at risk of hospitalisation, needing care or death. First signs of frailty include reduced muscle strength and mobility decline. A key cause of mobility decline as we age is sarcopenia (age related reduction in muscle strength and mass). Poor nutrition contributes to sarcopenia. A shortfall in protein is associated with reduced muscle mass and strength. This may be due to inadequate intake but also because older people have higher protein needs, especially those with multimorbidity. We need to develop effective treatment to reduce or slow the onset of frailty and mobility decline. Exercise is a recommended treatment. Protein supplements to address the shortfall in protein have the potential to enhance the benefit of regular exercise in frail or pre-frail older adults. This has yet to be definitively demonstrated. Aim To establish the feasibility of conducting an RCT evaluating mobility and strength training with or without protein supplements for people over 60 years old who are frail or pre-frail with a low protein intake. Methods A multicentre, parallel, 2-group, feasibility RCT. Participants (recruitment target = 50) with problems walking, low protein intake and classified as frail or pre-frail will be recruited from four NHS Physiotherapy community services. Participants will be randomised (secure computer-generated: 1:1) to receive 24 weeks of mobility and strength training (delivered in 16 group sessions plus home exercises) or 24 weeks of mobility and strength training with daily protein supplements. Primary feasibility objectives are to estimate 1) ability to screen and recruit eligible participants, 2) intervention fidelity, adherence, and tolerance and 3) retention of participants at follow up. Secondary objectives are to 1) test data collection procedures, 2) assess data completeness and 3) confirm sample size calculation for a definitive RCT. Registration ISRCTN Registry (ISRCTN30405954; 18/10/2022).

Targeting strategies with lipid vectors for nucleic acid supplementation therapy in Fabry disease: a systematic review.

Fabry disease (FD) results from a lack of activity of the lysosomal enzyme α-Galactosidase A (α-Gal A), leading to the accumulation of glycosphingolipids in several different cell types. Protein supplementation by pDNA or mRNA delivery presents a promising strategy to tackle the underlying genetic defect in FD. Protein-coding nucleic acids in FD can be either delivered to the most affected sites by the disease, including heart, kidney and brain, or to specialized organs that can act as a production factory of the enzyme, such as the liver. Lipid-based systems are currently at the top of the ranking of non-viral nucleic acid delivery systems, and their versatility allows the linking to the surface of a wide range of molecules to control their biodistribution after intravenous administration. This systematic review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement guidelines and provides an overview and discussion of the targeting ligands that have been employed so far to actively vectorize intravenously administered non-viral vectors based on lipid carriers to clinically relevant organs in the treatment of FD, for protein-coding nucleic acid (pDNA and mRNA) supplementation. Among the thirty-two studies included, the majority focus on targeting the liver and brain. The targeting of the heart has been reported to a lesser degree, whereas no articles addressing kidney-targeting have been recorded. Although a great effort has been made to develop organ-specific nucleic acid delivery systems, the design of active-targeted carriers with high quality, good clinical translation, and large-scale manufacturing capacity is still challenging.

Utility of by‐products of black soldier fly larvae (Hermetia illucens) production as feed ingredients for Pacific Whiteleg shrimp (Litopenaeus vannamei)

AbstractProjected growth in insect production as alternative feedstuffs will yield novel by‐products that are potentially valuable for aquafeed applications. We analyzed the nutrient composition of three by‐products occurring from black soldier fly larvae production (exuvia, cocoon, imago) and the bioavailability of key nutrients for Pacific Whiteleg shrimp (Litopenaeus vannamei). Protein accounted for 317 g kg−1 in exuviae, 433 g kg−1 in cocoons, and up to 521 g kg−1 in adult flies (imagines). Considerable amounts of essential amino acids were detected in imago meal, which significantly matched the ideal dietary amino acid composition for penaeid shrimp (r2 = 0.66, p = 0.0076). Exuviae and cocoons contained moderate amounts of lipids (64–140 g kg−1), while imagines comprised 356 g kg−1 total lipid. Saturated fatty acids predominated in all insect materials (47%–83% of total fatty acids). Chitin concentration was highest in cocoons and exuviae (154 and 139 g kg−1) and low in imagines (51 g kg−1). A feeding trial with shrimp, L vannamei, revealed apparent digestibility coefficients of 20%–59% for protein, 24%–54% for energy, 25%–49% for carbon, and 27%–68% for copper. Defatting of imago meal increased the digestibility of protein, energy, and carbon by 77%, 64%, and 61%, respectively. Defatted imago meal can serve as a protein supplement for shrimp diets.