scholarly journals Dietary Protein Intake and Lean Muscle Mass in Survivors of Childhood Acute Lymphoblastic Leukemia: Report From the St. Jude Lifetime Cohort Study

2016 ◽  
Vol 96 (7) ◽  
pp. 1029-1038 ◽  
Author(s):  
Alexandra M. Boland ◽  
Todd M. Gibson ◽  
Lu Lu ◽  
Sue C. Kaste ◽  
James P. DeLany ◽  
...  
Keyword(s):  
Resistance Training ◽  
Muscle Mass ◽  
Dietary Protein ◽  
Protein Intake ◽  
Lymphoblastic Leukemia ◽  
Cross Sectional Study ◽  
Dietary Protein Intake ◽  
Cross Sectional ◽  
Childhood All ◽  
Lean Muscle Mass

Abstract Background Survivors of childhood acute lymphoblastic leukemia (ALL) are at risk for low lean muscle mass and muscle weakness, which may contribute to inactivity and early development of chronic diseases typically seen in older adults. Although increasing protein intake, in combination with resistance training, improves lean muscle mass in other populations, it is not known whether muscular tissue among survivors of ALL, whose impairments are treatment-related, will respond similarly. Objective The aim of this study was to evaluate associations among dietary protein intake, resistance training, and lean muscle mass in survivors of ALL and age-, sex-, and race-matched controls. Design This was a cross-sectional study. Methods Lean muscle mass was determined with dual-energy x-ray absorptiometry, dietary information with 24-hour recalls, and participation in resistance training with a questionnaire. Participants were 365 survivors of ALL (52% male; 87% white; median age=28.5 years, range=23.6–31.7) and 365 controls with no previous cancer. Results Compared with controls, survivors of ALL had lower lean muscle mass (55.0 versus 57.2 kg, respectively) and lower percentage of lean muscle mass (68.6% versus 71.4%, respectively) than controls. Similar proportions of survivors (71.1%) and controls (69.7%) met recommended dietary protein intake (0.8 g/kg/d). Survivors (45.4%) were less likely to report resistance training than controls (53.8%). In adjusted models, 1-g higher protein intake per kilogram of body mass per day was associated with a 7.9% increase and resistance training ≥1×wk, with a 2.8% increase in lean muscle mass. Limitations The cross-sectional study design limits temporal evaluation of the association between protein intake and lean muscle mass. Conclusions The findings suggest that survivors of childhood ALL with low lean muscle mass may benefit from optimizing dietary protein intake in combination with resistance training. Research is needed to determine whether resistance training with protein supplementation improves lean muscle mass in survivors of childhood ALL.

scholarly journals Daily Protein and Energy Intake Are Not Associated with Muscle Mass and Physical Function in Healthy Older Individuals—A Cross-Sectional Study

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2794
Author(s):  
Grith Højfeldt ◽  
Yusuke Nishimura ◽  
Kenneth Mertz ◽  
Simon R. Schacht ◽  
Jonas Lindberg ◽  
...  
Keyword(s):  
Physical Function ◽  
Muscle Mass ◽  
Energy Intake ◽  
Dietary Protein ◽  
Protein Intake ◽  
Cross Sectional Study ◽  
Dietary Protein Intake ◽  
Older Individuals ◽  
Sectional Study ◽  
Cross Sectional

Dietary protein has a pivotal role in muscle mass maintenance with advancing age. However, an optimal dose and distribution of protein intake across the day as well as the interaction with energy intake for the maintenance of muscle mass and physical function in healthy older adults remain to be fully elucidated. The purpose of this study was to examine the association between muscle mass, strength, and physical function, and the total amount and distribution of protein and energy intake across the day in healthy older individuals. The research question was addressed in a cross-sectional study including 184 Danish men and woman (age: 70.2 ± 3.9 years, body mass: 74.9 ± 12.1 kg, Body Mass Index (BMI): 25.4 ± 3.7 kg/m2) where a 3-day dietary registration, muscle mass, strength, and functional measurements were collected. We found that neither daily total protein intake nor distribution throughout the day were associated with muscle mass, strength, or physical function. Consequently, we do not provide an incentive for healthy older Danish individuals who already adhere to the current internationally accepted recommended dietary protein intake (0.83 g/kg/day) to change dietary protein intake or its distribution pattern throughout the day.

scholarly journals Association between Protein Intake and Skeletal Muscle Mass among Community-Dwelling Older Japanese: Results from the DOSANCO Health Study: A Cross-Sectional Study

Nutrients ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 187
Author(s):  
Akinori Yaegashi ◽  
Takashi Kimura ◽  
Takumi Hirata ◽  
Shigekazu Ukawa ◽  
Koshi Nakamura ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Muscle Mass ◽  
Dietary Protein ◽  
Protein Intake ◽  
Skeletal Muscle Mass ◽  
Vegetable Protein ◽  
Cross Sectional Study ◽  
Dietary Protein Intake ◽  
Sectional Study ◽  
Cross Sectional

Whether the source of dietary protein intake is related to appendicular skeletal muscle mass (AMM) and muscle mass (MM) remains unclear. We conducted this cross-sectional study of 277 residents (115 men, 162 women) aged ≥65 years in Japan to examine the association of the amount of dietary protein intake with AMM and MM. We measured dietary protein intake using a brief self-administered diet history questionnaire. AMM and MM were assessed based on bioelectrical impedance. Multivariable linear regression analyses were used to estimate β coefficients that were adjusted for potential confounders. Among Japanese women aged ≥75 years, but not among women aged 65–74 years, dietary animal protein intake was significantly associated with AMM (β (95% confidence interval (CI)): 0.25 (0.10, 0.40)) and MM (β (95% CI): 0.40 (0.16, 0.64)). However, dietary vegetable protein intake was not associated with AMM (β (95% CI): −0.17 (−0.74, 0.41)) and MM (β (95% CI): −0.30 (−1.23, 0.63)). Furthermore, in men aged ≥65 years, dietary protein intake was not associated with AMM or MM. In conclusion, dietary animal protein intake, but not vegetable protein intake, were positively associated with AMM and MM among this population of Japanese women aged ≥75 years.

scholarly journals Influence of dietary protein intake on body composition in chronic kidney disease patients in stages 3–5: A cross-sectional study

Nefrología ◽  
2018 ◽  
Vol 38 (6) ◽  
pp. 647-654
Author(s):  
Guillermina Barril ◽  
Angel Nogueira ◽  
Mar Ruperto López ◽  
Yone Castro ◽  
José Antonio Sánchez-Tomero
Keyword(s):  
Chronic Kidney Disease ◽  
Body Composition ◽  
Kidney Disease ◽  
Dietary Protein ◽  
Protein Intake ◽  
Cross Sectional Study ◽  
Dietary Protein Intake ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Low Physical Activity in Patients with Complicated Type 2 Diabetes Mellitus Is Associated with Low Muscle Mass and Low Protein Intake

2020 ◽  
Vol 9 (10) ◽  
pp. 3104
Author(s):  
Ilse J. M. Hagedoorn ◽  
Niala den Braber ◽  
Milou M. Oosterwijk ◽  
Christina M. Gant ◽  
Gerjan Navis ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Muscle Mass ◽  
Dietary Protein ◽  
Protein Intake ◽  
Outcome Variable ◽  
Dietary Protein Intake ◽  
Cross Sectional ◽  
Creatinine Excretion

Objective: In order to promote physical activity (PA) in patients with complicated type 2 diabetes, a better understanding of daily movement is required. We (1) objectively assessed PA in patients with type 2 diabetes, and (2) studied the association between muscle mass, dietary protein intake, and PA. Methods: We performed cross-sectional analyses in all patients included in the Diabetes and Lifestyle Cohort Twente (DIALECT) between November 2016 and November 2018. Patients were divided into four groups: <5000, 5000–6999, 7000–9999, ≥ 10,000 steps/day. We studied the association between muscle mass (24 h urinary creatinine excretion rate, CER) and protein intake (by Maroni formula), and the main outcome variable PA (steps/day, Fitbit Flex device) using multivariate linear regression analyses. Results: In the 217 included patients, the median steps/day were 6118 (4115–8638). Of these patients, 48 patients (22%) took 7000–9999 steps/day, 37 patients (17%) took ≥ 10,000 steps/day, and 78 patients (36%) took <5000 steps/day. Patients with <5000 steps/day had, in comparison to patients who took ≥10,000 steps/day, a higher body mass index (BMI) (33 ± 6 vs. 30 ± 5 kg/m2, p = 0.009), lower CER (11.7 ± 4.8 vs. 14.8 ± 3.8 mmol/24 h, p = 0.001), and lower protein intake (0.84 ± 0.29 vs. 1.08 ± 0.22 g/kg/day, p < 0.001). Both creatinine excretion (β = 0.26, p < 0.001) and dietary protein intake (β = 0.31, p < 0.001) were strongly associated with PA, which remained unchanged after adjustment for potential confounders. Conclusions: Prevalent insufficient protein intake and low muscle mass co-exist in obese patients with low physical activity. Dedicated intervention studies are needed to study the role of sufficient protein intake and physical activity in increasing or maintaining muscle mass in patients with type 2 diabetes.

scholarly journals Clinical and Dietary Determinants of Muscle Mass in Patients with Type 2 Diabetes: Data from the Diabetes and Lifestyle Cohort Twente

2021 ◽  
Vol 10 (22) ◽  
pp. 5227
Author(s):  
Annis C. Jalving ◽  
Milou M. Oosterwijk ◽  
Ilse J. M. Hagedoorn ◽  
Gerjan Navis ◽  
Stephan J. L. Bakker ◽  
...  
Keyword(s):  
Risk Factors ◽  
Type 2 Diabetes ◽  
Muscle Mass ◽  
Dietary Protein ◽  
Protein Intake ◽  
Modifiable Risk Factors ◽  
Dietary Protein Intake ◽  
Cross Sectional ◽  
The Mean

Low muscle mass in patients with type 2 diabetes is associated with a progressively higher risk of morbidity and mortality. The aim of this study was to identify modifiable targets for intervention of muscle mass in type 2 diabetes. Cross-sectional analyses were performed in 375 patients of the Diabetes and Lifestyle Cohort Twente-1 study. Muscle mass was estimated by 24 h urinary creatinine excretion rate (CER, mmol/24 h). Patients were divided in sex-stratified tertiles of CER. To study determinants of CER, multivariable linear regression analyses were performed. Protein intake was determined by Maroni formula and by a semi-quantitative Food Frequency Questionnaire. The mean CER was 16.1 ± 4.8 mmol/24 h and 10.9 ± 2.9 mmol/24 h in men and women, respectively. Lower CER was significantly associated with older age (p < 0.001) as a non-modifiable risk factor, whereas higher BMI (p = 0.015) and lower dietary protein intake (both methods p < 0.001) were identified as modifiable risk factors for lower CER. Overall body mass index (BMI) was high, even in the lowest CER tertile the mean BMI was 30.9 kg/m2, mainly driven by someone’s body weight (p = 0.004) instead of someone’s height (p = 0.58). In the total population, 28% did not achieve adequate protein intake of >0.8 g/kg/day, with the highest percentage in the lowest CER tertile (52%, p < 0.001). Among patients with type 2 diabetes treated in secondary care, higher BMI and low dietary protein intake are modifiable risk factors for lower muscle mass. Considering the risk associated with low muscle mass, intervention may be useful. To that purpose, dietary protein intake and BMI are potential targets for intervention.

Sign in / Sign up

Export Citation Format

Share Document