Postprandial muscle protein synthesis rate is unaffected by 20-day habituation to a high protein intake: a randomized controlled, crossover trial.

Grith Højfeldt, Jacob Bülow, Jakob Agergaard, Lene R Simonsen, Jens Bülow, Peter Schjerling, Gerrit van Hall, Lars Holm

Journal: European journal of nutrition 2021;60(8):4307-4319

PMID: 34032900

Abstract

PURPOSE

During the last decade more researchers have argued in favor of an increased protein intake for older adults. However, there is a lack of knowledge on the long-term effects of conforming to such a high protein intake with regards to the basal and postprandial muscle protein turnover. The purpose of this study was to compare the postprandial synthesis response in muscle proteins, and the abundance of directly incorporated food-derived amino acids following habituation to high vs. recommended level of protein intake.

METHODS

In a double blinded crossover intervention 11 older male participants (66.6 ± 1.7 years of age) were habituated for 20 days to a recommended protein (RP) intake (1.1 g protein/kg lean body mass (LBM)/day) and a high protein (HP) intake (> 2.1 g protein/kg LBM/day). Following each habituation period, intrinsically labelled proteins were ingested as part of a mixed meal to determine the incorporation of meal protein-derived amino acids into myofibrillar proteins. Furthermore, the myofibrillar fractional synthesis rate (FSR) and amino acid kinetics across the leg were determined using gold standard stable isotope tracer methodologies. RT qPCR was used to assess the expression of markers related to muscle proteinsynthesis and breakdown.

RESULTS

No impact of habituation was observed on skeletal muscle amino acid or protein kinetics. However, the shunting of amino acids directly from artery to vein was on average 2.9 [Formula: see text]mol/min higher following habituation to HP compared to RP.

CONCLUSIONS

In older males, habituation to a higher than the currently recommended protein intake did not demonstrate any adaptions in the muscle protein turnover or markers hereof when subjected to an intake of an identical mixed meal.

CLINICAL TRIAL REGISTRY

Journal number NCT02587156, Clinicaltrials.org. Date of registration: October 27th, 2015.

© 2021. Springer-Verlag GmbH Germany, part of Springer Nature.

Address: Institute of Sports Medicine Copenhagen, Department of Orthopedic Surgery, Copenhagen University Hospital Bispebjerg and Frederiksberg, Copenhagen, Denmark. [email protected].; Institute of Sports Medicine Copenhagen, Department of Orthopedic Surgery, Copenhagen University Hospital Bispebjerg and Frederiksberg, Copenhagen, Denmark.; Department of Clinical Physiology and Nuclear Medicine, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark.; Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.; Center for Healthy Aging, Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.; Clinical Metabolomics Core Facility, Department of Biochemistry, Rigshospitalet, Copenhagen, Denmark.; School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.

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