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老年人膳食蛋白攝入考量(綜述) | 熱心腸日報

Dietary Protein Considerations for Muscle Protein Synthesis and Muscle Mass Preservation in Older Adults

適宜老年人肌肉蛋白合成與保持肌肉質(zhì)量的膳食蛋白考量

10.1017/S0954422420000219

09-04, Review

Abstract & Authors:展開

Abstract:收起
Amino acid (AA) bioavailability is critical for muscle protein synthesis (MPS) and preservation of skeletal muscle mass (SMM). Ageing is associated with reduced responsiveness of MPS to essential amino acids (EAAs). Further, the older population experience anabolic resistance, leading to increased frailty, functional decline and depleted muscle mass preservation, which facilitates the need for increased protein intake to increase their SMM. This review focuses on the role of proteins in muscle mass preservation and examines the contribution of EAAs and protein intake patterns to MPS. Leucine is the most widely studied AA for its role as a potent stimulator of MPS, though due to inadequate data little is yet known about the role of other EAAs. Reaching a conclusion on the best pattern of protein intake has proven difficult due to conflicting studies. A mixture of animal and plant proteins can contribute to increased MPS and potentially attenuate muscle wasting conditions, however there is limited research on the biological impact of protein blends in older adults. While there is some evidence to suggest that liquid protein foods with higher than the recommended daily allowance (RDA) of protein may be the best strategy for achieving high MPS rates in older adults, clinical trials are warranted to confirm an association between food form and SMM preservation. Further research is warranted before adequate recommendations and strategies for optimising SMM in the elderly population can be proposed.

First Authors:
Eunice T Olaniyan

Correspondence Authors:
Eunice T Olaniyan

All Authors:
Eunice T Olaniyan,Fiona O Halloran,Aoife L McCarthy

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