Effect of a High-Protein Energy-Restricted Diet Combined with Resistance Training on Metabolic Profile in Older Individuals with Metabolic Impairments
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Adequate protein intake and resistance training are effective strategies to maintain muscle mass, but the effect of their combination on metabolic profile during weight loss remains to be determined in older adults. The main objective of this study was to determine the effect of a 16-week high-protein caloric restriction combined with resistance training on chronic disease risk factors in obese older individuals with metabolic impairments. A total of 26 overweight adults aged between 60 and 75 years (BMI 32.4 ± 3.9 kg/m2) with at least 2 factors of the metabolic syndrome participated in this study and were randomized into two groups: 1) high-protein caloric restriction (HP; n= 12) and 2) high-protein caloric restriction combined with dynamic-resistance training (HP+RT; n=14). Caloric intake was reduced by 500 kcal/d in all participants and protein intake equated 25-30% of total calories (~1.4 g/kg/d). Exercise training consisted of 3 session/week of resistance training on pulley machines. Outcome measures included total and trunk fat mass (FM), total and appendicular lean body mass (LBM), fasting glucose level, lipid profile and blood pressure. Our results showed that total and trunk FM (all p<0.0001) as well as fasting glucose (p<0.0001), triglycerides (p=0.002) and total cholesterol (p=0.03) levels decreased similarly in both groups. However, total (p=0.04) and appendicular (p=0.02) LBM decreased in the HP group only. Our data show that high-protein energy restriction improves health profile of obese elderly at high risk of chronic disease but needs to be combined with resistance training to maintain LBM.
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The only study that investigated CR effects in combination with higher protein intake (30% compared to 15%) found lower LBM loss than the others (RMD 1.3 kg compared to the main effect of RMD 0.6 kg).
“The only study that has investigated the CR effects in combination with higher protein intake (30% compared to 15% of the rest) found lower LBM loss than the others (RMD 1.3 kg compared to the main effect of RMD 0.6 kg) [7].”
From Resistance Training Prevents Muscle Loss Induced by Caloric Restriction in Obese Elderly Individuals: A Systematic Review and Meta-Analysis (2018) · cites this paper as [7]
The Methods (Caloric restriction diet; page unavailable) report approximately 30% protein in both study groups. Table 2 (Results; page unavailable) reports total LBM changes of −0.9 kg with high-protein caloric restriction alone and +0.4 kg when resistance training was added—a 1.3 kg between-group difference. The paper does not compare its groups with a 15%-protein group or report the claimed 0.6 kg main effect across other studies. (LLM, conf=0.88)
Experimental — accuracy not yet measuredSix RCTs were included for the final meta-analysis.
“Six RCTs were included for the final meta-analysis [7,15,16,20,23].”
From Resistance Training Prevents Muscle Loss Induced by Caloric Restriction in Obese Elderly Individuals: A Systematic Review and Meta-Analysis (2018) · cites this paper as [7]
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Torbahn, G., Schoene, D., Ernst, I. G., Schwingshackl, L., Rücker, G., Knüttel, H., KEMMLER, W. K., Sieber, C. C., Batsis, J. A., Villareal, D. T., et al. (2026) · Obesity Reviews · doi:10.1111/obr.70123
- Authors
- Amamou, T., Normandin, E., Pouliot, J., Dionne, I. J., Brochu, M., & Riesco, E.
- Affiliations
- Université de Sherbrooke (CA)
- Venue
- The Journal of nutrition, health and aging
- Publisher
- Elsevier BV
- Published
- 2017-01
- Volume
- 21
- Issue
- 1
- Pages
- 67-74
- ISSN
- 1279-7707 (ISSN-L)
- PMC
- PMC12879104
- OpenAlex
- W2469968333
- Cited by
- 40
- References
- 53
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 5 · 2022: 8 · 2021: 3 · 2020: 4 · 2019: 6 · 2018: 8 · 2017: 4
- FWCI
- 4.13
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The journal of nutrition health & aging (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Physiology › Dietary Effects on Health
- Keywords
- high-protein diet, caloric restriction, resistance training, metabolic syndrome, older adults, obesity, weight loss, lean body mass, fat mass, fasting blood glucose, lipid profile, blood pressure, chronic disease risk factors
- MeSH terms
- Aged, Blood Glucose, Blood Pressure, Body Composition, Energy Intake, Cholesterol, Dietary Proteins, Female, Humans, Male, Middle Aged, Obesity, Risk Factors, Triglycerides, Body Mass Index, Metabolic Syndrome, Caloric Restriction, Overweight, Resistance Training, Metabolome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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