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Am J Clin Nutr 89: 608-616, 2009. First published December 23, 2008; doi:10.3945/ajcn.2008.26626
American Journal of Clinical Nutrition, doi:10.3945/ajcn.2008.26626
Vol. 89, No. 2, 608-616, February 2009

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© 2009 American Society for Clinical Nutrition

ORIGINAL RESEARCH COMMUNICATION

Protein supplementation before and after exercise does not further augment skeletal muscle hypertrophy after resistance training in elderly men

Lex B Verdijk1,2,3, Richard AM Jonkers1,2,3, Benjamin G Gleeson1,2,3, Milou Beelen1,2,3, Kenneth Meijer1,2,3, Hans HCM Savelberg1,2,3, Will KWH Wodzig1,2,3, Paul Dendale1,2,3 and Luc JC van Loon1,2,3

1 From the Department of Human Movement Sciences, Nutrition and Toxicology Research Institute Maastricht (NUTRIM), Maastricht University, Maastricht, Netherlands (LBV, RAMJ, BGG, MB, KM, HHCMS, and LJCvL), and the Department of Clinical Chemistry, University Hospital Maastricht, Maastricht, Netherlands (WKWHW), Rehabilitation and Health Centre, Virga Jesse Hospital, Hasselt, Belgium (PD).

2 Supported in part by grants from the Anna Foundation, Leiden, Netherlands, and DSM Food Specialties, Delft, Netherlands.

3 Reprints not available. Address correspondence to LB Verdijk, Department of Human Movement Sciences, Faculty of Health, Medicine and Life Sciences, Maastricht University, PO Box 616, 6200 MD Maastricht, Netherlands. E-mail: lex.verdijk{at}bw.unimaas.nl.

Background: Considerable discrepancy exists in the literature on the proposed benefits of protein supplementation on the adaptive response of skeletal muscle to resistance-type exercise training in the elderly.

Objective: The objective was to assess the benefits of timed protein supplementation on the increase in muscle mass and strength during prolonged resistance-type exercise training in healthy elderly men who habitually consume adequate amounts of dietary protein.

Design: Healthy elderly men (n = 26) aged 72 ± 2 y were randomly assigned to a progressive, 12-wk resistance-type exercise training program with (protein group) or without (placebo group) protein provided before and immediately after each exercise session (3 sessions/wk, 20 g protein/session). One-repetition maximum (1RM) tests were performed regularly to ensure a progressive workload during the intervention. Muscle hypertrophy was assessed at the whole-body (dual-energy X-ray absorptiometry), limb (computed tomography), and muscle fiber (biopsy) level.

Results: The 1RM strength increased {approx}25–35% in both groups (P < 0.001). Dual-energy X-ray absorptiometry and computed tomography scans showed similar increases in leg muscle mass (6 ± 1% in both groups; P < 0.001) and in the quadriceps (9 ± 1% in both groups), from 75.9 ± 3.7 and 73.8 ± 3.2 to 82.4 ± 3.9 and 80.0 ± 3.0 cm2 in the placebo and protein groups, respectively (P < 0.001). Muscle fiber hypertrophy was greater in type II (placebo: 28 ± 6%; protein: 29 ± 4%) than in type I (placebo: 5 ± 4%; protein: 13 ± 6%) fibers, but the difference between groups was not significant.

Conclusion: Timed protein supplementation immediately before and after exercise does not further augment the increase in skeletal muscle mass and strength after prolonged resistance-type exercise training in healthy elderly men who habitually consume adequate amounts of dietary protein. This trial was registered at clinicaltrials.gov as NCT00744094.




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