Dietary Protein in Older Adults: Adequate Daily Intake but Potential for Improved Distribution

被引:46
作者
Cardon-Thomas, Danielle K. [1 ,2 ]
Riviere, Timothy [1 ]
Tieges, Zoe [3 ]
Greig, Carolyn A. [1 ,2 ]
机构
[1] Univ Birmingham, Sch Sport Exercise & Rehabil Sci, Birmingham B15 2TT, W Midlands, England
[2] MRC Arthrit Res UK Ctr Musculoskeletal Ageing Res, Birmingham B15 2TT, W Midlands, England
[3] Univ Edinburgh, Geriatr Med, Edinburgh EH16 4SA, Midlothian, Scotland
关键词
protein intake; protein distribution; ageing; sarcopenia; physical activity; sedentary behavior; SEDENTARY BEHAVIOR; RESISTANCE EXERCISE; ANABOLIC RESPONSE; BODY-COMPOSITION; ACTIVITY-MONITOR; HEALTHY OLDER; MUSCLE; ASSOCIATIONS; VALIDATION; SARCOPENIA;
D O I
10.3390/nu9030184
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Daily distribution of dietary protein may be important in protecting against sarcopenia, specifically in terms of per meal amounts relative to a proposed threshold for maximal response. The aims of this study were to determine total and per meal protein intake in older adults, as well as identifying associations with physical activity and sedentary behavior. Three-day food diaries recorded protein intake in 38 participants. Protein distribution, coefficient of variation (CV), and per meal amounts were calculated. Accelerometry was used to collect physical activity data as well as volume and patterns of sedentary time. Average intake was 1.14 g.kg(-1).day(-1). Distribution was uneven (CV = 0.67), and 79% of participants reported < 0.4 g.kg(-1) protein content in at least 2/3 daily meals. Protein intake was significantly correlated with step count (r = 0.439, p = 0.007) and negatively correlated with sedentary time (r = 0.456, p = 0.005) and Gini index G, which describes the pattern of accumulation of sedentary time (r = 0.421, p = 0.011). Total daily protein intake was sufficient; however, distribution did not align with the current literature; increasing protein intake may help to facilitate optimization of distribution. Associations between protein and other risk factors for sarcopenia may also inform protective strategies.
引用
收藏
页数:10
相关论文
共 36 条
[1]   Timing and distribution of protein ingestion during prolonged recovery from resistance exercise alters myofibrillar protein synthesis [J].
Areta, Jose L. ;
Burke, Louise M. ;
Ross, Megan L. ;
Camera, Donny M. ;
West, Daniel W. D. ;
Broad, Elizabeth M. ;
Jeacocke, Nikki A. ;
Moore, Daniel R. ;
Stellingwerff, Trent ;
Phillips, Stuart M. ;
Hawley, John A. ;
Coffey, Vernon G. .
JOURNAL OF PHYSIOLOGY-LONDON, 2013, 591 (09) :2319-2331
[2]  
Arnal MA, 1999, AM J CLIN NUTR, V69, P1202
[3]   Evidence-Based Recommendations for Optimal Dietary Protein Intake in Older People: A Position Paper From the PROT-AGE Study Group [J].
Bauer, Juergen ;
Biolo, Gianni ;
Cederholm, Tommy ;
Cesari, Matteo ;
Cruz-Jentoft, Alfonso J. ;
Morley, John E. ;
Phillips, Stuart ;
Sieber, Cornel ;
Stehle, Peter ;
Teta, Daniel ;
Visvanathan, Renuka ;
Volpi, Elena ;
Boirie, Yves .
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2013, 14 (08) :542-559
[4]   Distribution but not amount of protein intake is associated with frailty: a cross-sectional investigation in the region of Nurnberg [J].
Bollwein, Julia ;
Diekmann, Rebecca ;
Kaiser, Matthias J. ;
Bauer, Juergen M. ;
Uter, Wolfgang ;
Sieber, Cornel C. ;
Volkert, Dorothee .
NUTRITION JOURNAL, 2013, 12
[5]   Impact of protein pulse feeding on lean mass in malnourished and at-risk hospitalized elderly patients: A randomized controlled trial [J].
Bouillanne, Olivier ;
Curis, Emmanuel ;
Hamon-Vilcot, Brigitte ;
Nicolis, Ioannis ;
Chretien, Pascale ;
Schauer, Nathalie ;
Vincent, Jean-Pierre ;
Cynober, Luc ;
Aussel, Christian .
CLINICAL NUTRITION, 2013, 32 (02) :186-192
[6]   Methods for objective measure, quantification and analysis of sedentary behaviour and inactivity [J].
Chastin, S. F. M. ;
Granat, M. H. .
GAIT & POSTURE, 2010, 31 (01) :82-86
[7]   Relationship between sedentary behaviour, physical activity, muscle quality and body composition in healthy older adults [J].
Chastin, Sebastien Francois Martin ;
Ferriolli, Eduardo ;
Stephens, Nathan A. ;
Fearon, Ken C. H. ;
Greig, Carolyn .
AGE AND AGEING, 2012, 41 (01) :111-114
[8]   Anabolic signaling deficits underlie amino acid resistance of wasting, aging muscle [J].
Cuthbertson, D ;
Smith, K ;
Babraj, J ;
Leese, G ;
Waddell, T ;
Atherton, P ;
Wackerhage, H ;
Taylor, PM ;
Rennie, MJ .
FASEB JOURNAL, 2004, 18 (15) :422-+
[9]   Is there a maximal anabolic response to protein intake with a meal? [J].
Deutz, Nicolaas E. ;
Wolfe, Robert R. .
CLINICAL NUTRITION, 2013, 32 (02) :309-313
[10]   Associations between sedentary behaviour and body composition, muscle function and sarcopenia in community-dwelling older adults [J].
Gianoudis, J. ;
Bailey, C. A. ;
Daly, R. M. .
OSTEOPOROSIS INTERNATIONAL, 2015, 26 (02) :571-579