Alternative dietary protein sources to support healthy and active skeletal muscle aging
Open accessAbstract
To mitigate the age-related decline in skeletal muscle quantity and quality, and the associated negative health outcomes, it has been proposed that dietary protein recommendations for older adults should be increased alongside an active lifestyle and/or structured exercise training. Concomitantly, there are growing environmental concerns associated with the production of animal-based dietary protein sources. The question therefore arises as to where this dietary protein required for meeting the protein demands of the rapidly aging global population should (or could) be obtained. Various non-animal–derived protein sources possess favorable sustainability credentials, though much less is known (compared with animal-derived proteins) about their ability to influence muscle anabolism. It is also likely that the anabolic potential of various alternative protein sources varies markedly, with the majority of options remaining to be investigated. The purpose of this review was to thoroughly assess the current evidence base for the utility of alternative protein sources (plants, fungi, insects, algae, and lab-grown “meat”) to support muscle anabolism in (active) older adults. The solid existing data portfolio requires considerable expansion to encompass the strategic evaluation of the various types of dietary protein sources. Such data will ultimately be necessary to support desirable alterations and refinements in nutritional guidelines to support healthy and active aging, while concomitantly securing a sustainable food future.
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Plant-based proteins such as soy, rice, and pea protein are effective but generally require higher doses (25-40 g) to match the leucine threshold necessary for robust MPS stimulation owing to lower essential amino acid content.
“Plant-based proteins such as soy, rice, and pea protein, while effective [82], generally require higher doses (25–40 g) to match the leucine threshold necessary for robust MPS stimulation owing to lower essential amino acid content [53, 74, 83].”
From Nutritional Strategies to Improve Post-exercise Recovery and Subsequent Exercise Performance: A Narrative Review (2025) · cites this paper as [83]
Brown rice is low in lysine but high in methionine, whereas pea is low in methionine and high in lysine.
“For example, brown rice (eg, a grain) is low in lysine but high in methionine, whereas pea (eg, a pulse) is low in methionine and high in lysine [7,77].”
From Nutritional Considerations for the Vegan Athlete (2023) · cites this paper as [7]
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Mitchell, C. J., Milan, A. M., Mitchell, S. M., Zeng, N., Ramzan, F., Sharma, P., Knowles, S. O., Roy, N. C., Sjödin, A., Wagner, K.-H., et al. (2017) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.117.160325 · Cited by 132 · see citing works
Hevia-Larraín, V., Gualano, B., Longobardi, I., Gil, S., Fernandes, A. L., Costa, L. A. R., Pereira, R. M. R., Artioli, G. G., Phillips, S. M., & Roschel, H. (2021) · Sports Medicine · doi:10.1007/s40279-021-01434-9 · Cited by 132 · see citing works
Gorissen, S. H., Trommelen, J., Kouw, I. W., Kouw, I. W., Pennings, B., Pennings, B., Wall, B. T., Churchward-Venne, T. A., Horstman, A. M., Koopman, R., et al. (2020) · The Journal of Nutrition · doi:10.1093/jn/nxaa024 · Cited by 131 · see citing works
Self-citationIn-vitro meat: a promising solution for sustainability of meat sector
Kumar, P., Sharma, N., Sharma, S., Mehta, N. R., Verma, A. K., Chemmalar, S., & Sazili, A. Q. (2021) · Journal of Animal Science and Technology · doi:10.5187/jast.2021.e85 · Cited by 130 · see citing works
Ileal digestibility of dietary protein in the growing pig and adult human
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Robinson, M. M., Turner, S., Hellerstein, M. K., Hamilton, K. L., & Miller, B. F. (2011) · The FASEB Journal · doi:10.1096/fj.11-186437 · Cited by 128 · see citing works
Burd, N. A., Beals, J. W., Martinez, I. G., Salvador, A. F., & Skinner, S. K. (2019) · Sports Medicine · doi:10.1007/s40279-018-1009-y · Cited by 127 · see citing works
Liu, J., Klebach, M., de Visser, M., & Hofman, Z. (2019) · Nutrients · doi:10.3390/nu11112613 · Cited by 127 · see citing works
Factors governing algal growth in photobioreactors: the “open” versus “closed” debate
Grobbelaar, J. U. (2008) · Journal of Applied Phycology · doi:10.1007/s10811-008-9365-x · Cited by 122 · see citing works
Nosworthy, M. G., Medina, G., Franczyk, A. J., Neufeld, J., Appah, P., Utioh, A. C., Frohlich, P., & House, J. D. (2017) · Food Chemistry · doi:10.1016/j.foodchem.2017.07.129 · Cited by 122 · see citing works
Hengeveld, L. M., Boer, J. M. A., Gaudreau, P., Heymans, M. W., Jagger, C., Mendonça, N., Ocké, M. C., Presse, N., Sette, S., Simonsick, E. M., et al. (2020) · Journal of Cachexia Sarcopenia and Muscle · doi:10.1002/jcsm.12580 · Cited by 114 · see citing works
Wade, M., & Hoelle, J. (2020) · Environmental Research Letters · doi:10.1088/1748-9326/aba1c1 · Cited by 114 · see citing works
Flagged first, then by citations
1 of the 295 references couldn’t be matched to a known paper.
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Understanding Dietary Protein Quality: Digestible Indispensable Amino Acid Scores and Beyond
Matthews, J. J., Arentson-Lantz, E., Moughan, P. J., Wolfe, R. R., Ferrando, A., & Church, D. D. (2025) · Journal of NutriLife · doi:10.1016/j.tjnut.2025.07.005 · Cited by 45 · see citing works
Naderi, A., Rothschild, J. A., Santos, H. O., Hamidvand, A., Koozehchian, M. S., Ghazzagh, A., Berjisian, E., & Podlogar, T. (2025) · Sports Medicine · doi:10.1007/s40279-025-02213-6 · Cited by 43 · see citing works
“Plant-based proteins such as soy, rice, and pea protein, while effective [82], generally require higher doses (25–40 g) to match the leucine threshold necessary for robust MPS stimulation owing to lower essential amino acid content [53, 74, 83].”
Nutritional Considerations for the Vegan Athlete
West, S., Monteyne, A. J., van der Heijden, I., Stephens, F. B., & Wall, B. T. (2023) · Advances in Nutrition · doi:10.1016/j.advnut.2023.04.012 · Cited by 42 · see citing works
Self-citationA perspective on the environmental impact of plant-based protein concentrates and isolates
Aimutis, W. R., & Shirwaiker, R. A. (2024) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2319003121 · Cited by 42 · see citing works
Mycoprotein: A Healthy New Protein with a Low Environmental Impact
Finnigan, T. J. A., Mach, K., & Edlin, A. (2024) · Elsevier eBooks · doi:10.1016/b978-0-323-91652-3.00011-3 · Cited by 34 · see citing works
West, S., Monteyne, A. J., Whelehan, G., van der Heijden, I., Abdelrahman, D. R., Murton, A. J., Finnigan, T. J. A., Stephens, F. B., & Wall, B. T. (2023) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00166.2023 · Cited by 32 · see citing works
Self-citationvan der Heijden, I., Monteyne, A. J., West, S., Morton, J. P., Langan‐Evans, C., Hearris, M. A., Abdelrahman, D. R., Murton, A. J., Stephens, F. B., & Wall, B. T. (2024) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000003432 · Cited by 27 · see citing works
Self-citationMorgan, P. T., Witard, O. C., Højfeldt, G. W., Church, D. D., & Breen, L. (2023) · Proceedings of The Nutrition Society · doi:10.1017/s0029665123003750 · Cited by 27 · see citing works
Soy protein modification strategies, functional interplay and industrial relevance: a review
Pandey, N., Kumar, N., & Upadhyay, A. (2024) · Journal of Food Measurement & Characterization · doi:10.1007/s11694-024-02989-7 · Cited by 22 · see citing works
The Biological Value of Proteins for Pediatric Growth and Development: A Narrative Review
Escobedo-Monge, M. F., Parodi-Román, J., Escobedo-Monge, M. A., & Marugán‐Miguelsanz, J. M. (2025) · Nutrients · doi:10.3390/nu17132221 · Cited by 20 · see citing works
Delsoglio, M., Griffen, C., Syed, R., Cookson, T., Saliba, H., Vowles, A., Davies, S., Willey, N., Thomas, J., Millen, N., et al. (2023) · Frontiers in Nutrition · doi:10.3389/fnut.2023.1297624 · Cited by 20 · see citing works
West, S., Monteyne, A. J., Whelehan, G., Abdelrahman, D. R., Murton, A. J., Finnigan, T. J. A., Mandalari, G., Booth, C., Wilde, P. J., Stephens, F. B., et al. (2024) · Journal of Nutrition · doi:10.1016/j.tjnut.2024.05.018 · Cited by 18 · see citing works
Self-citationvan der Heijden, I., West, S., Monteyne, A. J., Finnigan, T. J. A., Abdelrahman, D. R., Murton, A. J., Stephens, F. B., & Wall, B. T. (2023) · Journal of Nutrition · doi:10.1016/j.tjnut.2023.08.035 · Cited by 18 · see citing works
Self-citationMorgan, P. T., Carson, B. P., & Witard, O. C. (2024) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-024-07945-6 · Cited by 18 · see citing works
Protein extraction from the industrial solid residue of brown seaweed after alginate extraction
Bojorges, H., Martínez‐Sanz, M., Fontes‐Candia, C., Díaz-Piñero, L., Martínez‐Abad, A., López‐Rubio, A., & Fabra, M. J. (2024) · Food Hydrocolloids · doi:10.1016/j.foodhyd.2024.110708 · Cited by 15 · see citing works
Wu, J., Zhu, H., & Li, C. (2024) · International Journal of Gastronomy and Food Science · doi:10.1016/j.ijgfs.2024.100983 · Cited by 15 · see citing works
van der Heijden, I., West, S., Monteyne, A. J., Finnigan, T., Abdelrahman, D., Murton, A., Stephens, F., & Wall, B. T. (2024) · British Journal of Nutrition · doi:10.1017/s0007114524000163 · Cited by 16 · see citing works
Self-citationSex-Specific Diet–Microbiota Interactions in Ageing: Implications for Healthy Longevity
Hernández-Acosta, J., Tovar, A. R., & Torres, N. (2025) · Nutrients · doi:10.3390/nu17243833 · Cited by 10 · see citing works
Routroy, S., Prakash, P., Kumar, R., Chandan, N. K., Sahu, B., Nanda, S., Pillai, B. R., & Mohanta, K. N. (2024) · Aquaculture International · doi:10.1007/s10499-024-01677-z · Cited by 10 · see citing works
Huang, Y., Jia, S., Lin, Y., Wang, J., Nong, L., Ye, L., & Liang, S. (2025) · Synthetic and Systems Biotechnology · doi:10.1016/j.synbio.2025.01.003 · Cited by 10 · see citing works
Leydon, C. L., Harrington, J. M., Millar, S., & McCarthy, S. N. (2024) · Journal of Cleaner Production · doi:10.1016/j.jclepro.2024.142189 · Cited by 9 · see citing works
Smith, M., Hoffman, N. J., Jose, A. T. S., Burke, L. M., & Opar, D. A. (2025) · Sports Medicine · doi:10.1007/s40279-025-02174-w · Cited by 7 · see citing works
Prosser, S., Fava, M., Rogers, L. M., Liaset, B., & Breen, L. (2024) · British Journal Of Nutrition · doi:10.1017/s0007114524000540 · Cited by 6 · see citing works
Alternative protein sources and healthy skeletal muscle aging: A narrative review
Dai, Z., Zhao, Y., Ke, Y., Huang, J., Zhu, J., Wu, H., Yang, Y., Shang, H., & Xia, Z. (2025) · Journal of Functional Foods · doi:10.1016/j.jff.2025.106990 · Cited by 6 · see citing works
Meat Alternatives and Their Impact on Human Health: A Comprehensive Review
Pontalti, E., Cullere, M., & Zotte, A. D. (2024) · Meat and Muscle Biology · doi:10.22175/mmb.17711 · Cited by 5 · see citing works
Derbyshire, E. J., Brameld, J. M., Wall, B. T., Thomas, P. W., Arens, U., Forde, C. G., Hall, W. L., Glenn, A. J., Hill, T. R., & Paxman, J. R. (2025) · Nutrition Bulletin · doi:10.1111/nbu.70011 · Cited by 4 · see citing works
Self-citationGöbl, C. S., Dardano, A., Daniele, G., & Tura, A. (2025) · Nutrients · doi:10.3390/nu17162682 · Cited by 3 · see citing works
ROGERS, L. M., Quinlan, J. I., Lau, K. M., BELFIELD, A. E., Korzepa, M., Hannaian, S. J., Gritsas, A., Churchward‐Venne, T. A., Wallis, G. A., & Breen, L. (2025) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000003756 · Cited by 2 · see citing works
Potential of edible insects as alternative protein source for the older adults
Ke, Y., Dai, Z., Zhao, Y., Yang, Y., Wu, H., Shang, H., Cholewa, J. M., Zanchi, N. E., & Xia, Z. (2025) · Current Research in Food Science · doi:10.1016/j.crfs.2025.101153 · Cited by 2 · see citing works
Rutherford, J. A. G., Elliott, R. M., Knott, G. P., Thatcher, R., & MANDERS, R. J. F. (2025) · Nutrition Reviews · doi:10.1093/nutrit/nuae218 · Cited by 1 · see citing works
Aimutis, W. R., & Shirwaiker, R. A. (2025) · Frontiers in Plant Science · doi:10.3389/fpls.2025.1626856 · Cited by 1 · see citing works
Hubbard, G. P., Griffen, C., Capener, R., Wyer, N., Martin, R., Raif, R., Green, L., Sutcliffe, S., Michaels, E. K., Dube, Y., et al. (2025) · Frontiers in Nutrition · doi:10.3389/fnut.2025.1621993 · Cited by 1 · see citing works
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Rogers, L. M., Korzepa, M., Belfield, A. E., Quinlan, J. I., Wallis, G. A., & Breen, L. (2026) · Journal of Nutrition · doi:10.1016/j.tjnut.2025.101321 · Cited by 1 · see citing works
Liang, Y., Liu, Q., Zhang, X., Li, B., & Hou, T. (2026) · Food & Function · doi:10.1039/d5fo04912a · Cited by 1 · see citing works
Pratt, J., Acheson, J., Lazaratou, A., Greenhalgh, E. K., Witard, O. C., Sale, C., Hannaian, S. J., Gritsas, A., Churchward‐Venne, T. A., Hearris, M. A., et al. (2025) · The Journal of Nutritional Physiology · doi:10.1016/j.jnphys.2025.100001 · Cited by 1 · see citing works
Algae-Derived Protein Sources: A Sustainable Recipe to Support Human Skeletal Muscle Remodeling?
Rogers, L. M., & Breen, L. (2023) · Journal of Nutrition · doi:10.1016/j.tjnut.2023.10.021 · Cited by 1 · see citing works
Dietary Protein: Impact on Public Health
Sone, H., Yoshizawa, S. M., & Horikawa, C. (2025) · Springer eBooks · doi:10.1007/978-3-031-32047-7_157-1
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The Whey of the Future: Is rBLG a New Player within Protein Nutrition?
Haigh, F. A., & Wall, B. T. (2026) · Journal of Nutrition · doi:10.1016/j.tjnut.2026.101485
Self-citationNutrition and Health Aspects of Meat Analogs
Musa, K. H., & Huda, N. (2026) · Springer eBooks · doi:10.1007/978-3-032-19713-9_7
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Does protein source influence ageing muscle? A contemporary physiological perspective
Apicella, M. C. A., Korzepa, M., & Breen, L. (2026) · The Journal of Nutritional Physiology · doi:10.1016/j.jnphys.2026.100043
Effects of mushroom mycelial inoculation on protein quality and functional properties of oats
Park, H. Y., Han, N., Park, H.-W., Park, S.-A., Park, J. Y., Oh, Y., Hong, S.-Y., & Lee, Y. (2026) · Food Engineering Progress · doi:10.13050/foodengprog.260023
- Authors
- van der Heijden, I., Monteyne, A. J., Stephens, F. B., & Wall, B. T.
- Affiliations
- Department of Sport and Health Sciences, College of Life Environmental Sciences, University of Exeter , Exeter, United Kingdom
- University of Exeter (GB)
- Corresponding author
- Wall, Benjamin T
- Venue
- Nutrition Reviews
- Publisher
- Oxford University Press (OUP)
- Published
- 2022-08-12
- Volume
- 81
- Issue
- 2
- Pages
- 206-230
- ISSN
- 0029-6643 (ISSN-L)
- 1753-4887
- OpenAlex
- W4290975650
- Semantic Scholar
- 5cf80a8d3a62e8945b31565cebd4708d5beab0fb
- Cited by
- 45
- References
- 295
- Citations by year
- 2026: 7 · 2025: 19 · 2024: 13 · 2023: 6
- FWCI
- 1.36
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Nutrition Reviews (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Marlow Foods
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Keywords
- alternative protein sources, dietary protein, skeletal muscle aging, sarcopenia, muscle anabolism, older adults, plant proteins, fungi, insect protein, algae, cultured meat, sustainable food, active ageing, exercise training, protein recommendations
- MeSH terms
- Aging, Dietary Proteins, Humans, Nutritional Status, Exercise, Muscle, Skeletal, Sarcopenia
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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