1. Effect of a high protein diet and/or resistance exercise on the preservation of fat free mass during weight loss in overweight and obese older adults: a randomized controlled trial
- Author
-
Marjolein Visser, R.G. Memelink, Marielle F. Engberink, Peter J.M. Weijs, Suzanne E van der Plas, A.M. Verreijen, Internal medicine, AGEM - Endocrinology, metabolism and nutrition, APH - Aging & Later Life, APH - Health Behaviors & Chronic Diseases, Nutrition and Health, Physiology, APH - Societal Participation & Health, Lectoraat Voeding en Beweging, Kenniscentrum Bewegen, Sport en Voeding, Faculteit Bewegen, Sport en Voeding, and Hogeschool van Amsterdam more...
- Subjects
Male ,0301 basic medicine ,Gerontology ,Weight loss ,High protein diet ,Medicine (miscellaneous) ,High-protein diet ,Overweight ,medicine.disease_cause ,Body Mass Index ,law.invention ,Randomized controlled trial ,law ,Aged, 80 and over ,Nutrition and Dietetics ,Hand Strength ,Middle Aged ,Treatment Outcome ,Older adults ,Body Composition ,Diet, High-Protein ,Female ,Dietary Proteins ,Waist Circumference ,medicine.symptom ,medicine.medical_specialty ,Diet, Reducing ,Clinical nutrition ,03 medical and health sciences ,SDG 3 - Good Health and Well-being ,Internal medicine ,Journal Article ,medicine ,Humans ,Obesity ,Risk factor ,Aged ,Caloric Restriction ,030109 nutrition & dietetics ,business.industry ,Research ,Resistance Training ,medicine.disease ,Dietary Fats ,Resistance exercise ,Endocrinology ,Fat free mass ,Patient Compliance ,business ,human activities ,Body mass index - Abstract
BACKGROUND: Intentional weight loss in obese older adults is a risk factor for accelerated muscle mass loss. We investigated whether a high protein diet and/or resistance exercise preserves fat free mass (FFM) during weight loss in overweight and obese older adults.METHODS: We included 100 overweight and obese adults (55-80 year) in a randomized controlled trial (RCT) with a 2 × 2 factorial design and intention-to-treat analysis. During a 10-week weight loss program all subjects followed a hypocaloric diet. Subjects were randomly allocated to either a high protein (1.3 g/kg body weight) or normal protein diet (0.8 g/kg), with or without a resistance exercise program 3 times/week. FFM was assessed by air displacement plethysmography.RESULTS: At baseline, mean (±SD) BMI was 32 ± 4 kg/m(2). During intervention, protein intake was 1.13 ± 0.35 g/kg in the high protein groups vs. 0.98 ± 0.29 in the normal protein groups, which reflects a 16.3 ± 5.2 g/d higher protein intake in the high protein groups. Both high protein diet and exercise did not significantly affect change in body weight, FFM and fat mass (FM). No significant protein*exercise interaction effect was observed for FFM. However, within-group analysis showed that high protein in combination with exercise significantly increased FFM (+0.6 ± 1.3 kg, p = 0.011).CONCLUSION: A high protein diet, though lower than targeted, did not significantly affect changes in FFM during modest weight loss in older overweight and obese adults. There was no significant interaction between the high protein diet and resistance exercise for change in FFM. However, only the group with the combined intervention of high protein diet and resistance exercise significantly increased in FFM.TRIAL REGISTRATION: Dutch Trial Register, number NTR4556, date 05-01-2014. more...
- Published
- 2017
- Full Text
- View/download PDF