Cargando…
Dietary Protein, Muscle and Physical Function in the Very Old
There is an ongoing debate as to the optimal protein intake in older adults. An increasing body of experimental studies on skeletal muscle protein metabolism as well as epidemiological data suggest that protein requirements with ageing might be greater than many current dietary recommendations. Impo...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6073115/ https://www.ncbi.nlm.nih.gov/pubmed/30037048 http://dx.doi.org/10.3390/nu10070935 |
_version_ | 1783344119781785600 |
---|---|
author | Franzke, Bernhard Neubauer, Oliver Cameron-Smith, David Wagner, Karl-Heinz |
author_facet | Franzke, Bernhard Neubauer, Oliver Cameron-Smith, David Wagner, Karl-Heinz |
author_sort | Franzke, Bernhard |
collection | PubMed |
description | There is an ongoing debate as to the optimal protein intake in older adults. An increasing body of experimental studies on skeletal muscle protein metabolism as well as epidemiological data suggest that protein requirements with ageing might be greater than many current dietary recommendations. Importantly, none of the intervention studies in this context specifically investigated very old individuals. Data on the fastest growing age group of the oldest old (aged 85 years and older) is very limited. In this review, we examine the current evidence on protein intake for preserving muscle mass, strength and function in older individuals, with emphasis on data in the very old. Available observational data suggest beneficial effects of a higher protein intake with physical function in the oldest old. Whilst, studies estimating protein requirements in old and very old individuals based on whole-body measurements, show no differences between these sub-populations of elderly. However, small sample sizes preclude drawing firm conclusions. Experimental studies that compared muscle protein synthetic (MPS) responses to protein ingestion in young and old adults suggest that a higher relative protein intake is required to maximally stimulate skeletal muscle MPS in the aged. Although, data on MPS responses to protein ingestion in the oldest old are currently lacking. Collectively, the data reviewed for this article support the concept that there is a close interaction of physical activity, diet, function and ageing. An attractive hypothesis is that regular physical activity may preserve and even enhance the responsiveness of ageing skeletal muscle to protein intake, until very advanced age. More research involving study participants particularly aged ≥85 years is warranted to better investigate and determine protein requirements in this specific growing population group. |
format | Online Article Text |
id | pubmed-6073115 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-60731152018-08-13 Dietary Protein, Muscle and Physical Function in the Very Old Franzke, Bernhard Neubauer, Oliver Cameron-Smith, David Wagner, Karl-Heinz Nutrients Review There is an ongoing debate as to the optimal protein intake in older adults. An increasing body of experimental studies on skeletal muscle protein metabolism as well as epidemiological data suggest that protein requirements with ageing might be greater than many current dietary recommendations. Importantly, none of the intervention studies in this context specifically investigated very old individuals. Data on the fastest growing age group of the oldest old (aged 85 years and older) is very limited. In this review, we examine the current evidence on protein intake for preserving muscle mass, strength and function in older individuals, with emphasis on data in the very old. Available observational data suggest beneficial effects of a higher protein intake with physical function in the oldest old. Whilst, studies estimating protein requirements in old and very old individuals based on whole-body measurements, show no differences between these sub-populations of elderly. However, small sample sizes preclude drawing firm conclusions. Experimental studies that compared muscle protein synthetic (MPS) responses to protein ingestion in young and old adults suggest that a higher relative protein intake is required to maximally stimulate skeletal muscle MPS in the aged. Although, data on MPS responses to protein ingestion in the oldest old are currently lacking. Collectively, the data reviewed for this article support the concept that there is a close interaction of physical activity, diet, function and ageing. An attractive hypothesis is that regular physical activity may preserve and even enhance the responsiveness of ageing skeletal muscle to protein intake, until very advanced age. More research involving study participants particularly aged ≥85 years is warranted to better investigate and determine protein requirements in this specific growing population group. MDPI 2018-07-20 /pmc/articles/PMC6073115/ /pubmed/30037048 http://dx.doi.org/10.3390/nu10070935 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Franzke, Bernhard Neubauer, Oliver Cameron-Smith, David Wagner, Karl-Heinz Dietary Protein, Muscle and Physical Function in the Very Old |
title | Dietary Protein, Muscle and Physical Function in the Very Old |
title_full | Dietary Protein, Muscle and Physical Function in the Very Old |
title_fullStr | Dietary Protein, Muscle and Physical Function in the Very Old |
title_full_unstemmed | Dietary Protein, Muscle and Physical Function in the Very Old |
title_short | Dietary Protein, Muscle and Physical Function in the Very Old |
title_sort | dietary protein, muscle and physical function in the very old |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6073115/ https://www.ncbi.nlm.nih.gov/pubmed/30037048 http://dx.doi.org/10.3390/nu10070935 |
work_keys_str_mv | AT franzkebernhard dietaryproteinmuscleandphysicalfunctionintheveryold AT neubaueroliver dietaryproteinmuscleandphysicalfunctionintheveryold AT cameronsmithdavid dietaryproteinmuscleandphysicalfunctionintheveryold AT wagnerkarlheinz dietaryproteinmuscleandphysicalfunctionintheveryold |