增强肌肉质量:探索肌少症患者的亮氨酸和乳清蛋白。

IF 9.1 1区 医学 Q1 GERIATRICS & GERONTOLOGY
Aiman Ijaz, Huma Bader Ul Ain, Tabussam Tufail, Raima Mariam, Sana Noreen, Aniqa Amjad, Ali Ikram, Muhammad Tayyab Arshad, Muhammed Adem Abdullahi
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引用次数: 0

摘要

背景:骨骼肌减少症的特征是骨骼肌质量随着年龄的增长而下降。这对老年人的健康和独立构成了许多挑战。新的和新兴的研究集中在补充富含亮氨酸的乳清蛋白和老年人的阻力训练,以减轻肌肉减少症的影响,包括显著的肌肉质量损失。方法:本研究旨在综合分析目前有关补充富含亮氨酸的乳清蛋白对老年人有益的文献。本文系统回顾了2011年至2024年间发表的随机对照试验、纵向研究和荟萃分析。研究人员探索了亮氨酸合成代谢特性的生化机制,包括其在蛋白质合成和mTOR信号通路中的作用,以阐明亮氨酸增强肌肉蛋白质积累的潜力。结果:回顾的研究结果表明,富含亮氨酸的乳清蛋白补充和阻力训练的联合干预在增加老年肌肉减少症患者的瘦肌肉量、肌肉力量和身体表现方面产生了有利的结果。本文讨论了富含亮氨酸的乳清蛋白减轻肌肉蛋白质分解的潜力,以及它与阻力运动的潜在协同作用,以优化肌肉适应。提出了今后的研究方向,包括研究最佳给药方案、长期可持续性和潜在禁忌症,以提高该干预策略的准确性和适用性。结论补充富含亮氨酸的乳清蛋白结合抗阻训练可有效治疗老年人肌肉减少症。这篇综述巩固了目前对这种干预的理解,强调了它的潜在益处,并为未来的研究和老年肌肉健康的临床应用提供了见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Enhancing Muscle Quality: Exploring Leucine and Whey Protein in Sarcopenic Individuals

Enhancing Muscle Quality: Exploring Leucine and Whey Protein in Sarcopenic Individuals

Background

Sarcopenia is characterised by a decline in the skeletal muscle mass with increasing age. This poses many challenges to the health and independence of older individuals. New and emerging studies have focused on supplementing leucine-enriched whey protein and resistance training in older adults to mitigate the effects of sarcopenia, including significant muscle mass loss.

Methods

This study aimed to comprehensively analyse the current literature regarding the beneficial effects of leucine-enriched whey protein supplementation in older adults. This article systematically reviewed randomised controlled trials, longitudinal studies, and meta-analyses published between 2011 and 2024. The biochemical mechanisms underlying the anabolic properties of leucine, including its role in protein synthesis and mTOR signalling pathways, were explored to elucidate its potential to enhance muscle protein accretion.

Results

Findings from the reviewed studies indicate that the combined intervention of leucine-enriched whey protein supplementation and resistance training elicits favourable outcomes regarding increased lean muscle mass, muscle strength and physical performance in older adults with sarcopenia. The potential of leucine-enriched whey protein to mitigate muscle protein breakdown is discussed along with its potential synergistic effects with resistance exercise to optimise muscle adaptation. Future research directions, including investigations of optimal dosing regimens, long-term sustainability and potential contraindications, are proposed to enhance the precision and applicability of this intervention strategy.

Conclusion

Leucine-enriched whey protein supplementation combined with resistance training is beneficial in addressing sarcopenia in older adults. This review consolidates the current understanding of this intervention, highlights its potential benefits and provides insights for future research and clinical applications in geriatric muscle health.

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来源期刊
Journal of Cachexia Sarcopenia and Muscle
Journal of Cachexia Sarcopenia and Muscle MEDICINE, GENERAL & INTERNAL-
CiteScore
13.30
自引率
12.40%
发文量
234
审稿时长
16 weeks
期刊介绍: The Journal of Cachexia, Sarcopenia and Muscle is a peer-reviewed international journal dedicated to publishing materials related to cachexia and sarcopenia, as well as body composition and its physiological and pathophysiological changes across the lifespan and in response to various illnesses from all fields of life sciences. The journal aims to provide a reliable resource for professionals interested in related research or involved in the clinical care of affected patients, such as those suffering from AIDS, cancer, chronic heart failure, chronic lung disease, liver cirrhosis, chronic kidney failure, rheumatoid arthritis, or sepsis.
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