Cited by 396Muscle metabolism and nutritionNutrition and Health in AgingNutrition and Health Studies

Protein "requirements" beyond the RDA: implications for optimizing health

Open access
Phillips, Stuart M., Chevalier, Stéphanie, Leidy, Heather J.·2016·Applied Physiology, Nutrition, and Metabolism

Abstract

Substantial evidence supports the increased consumption of high-quality protein to achieve optimal health outcomes. A growing body of research indicates that protein intakes well above the current Recommended Dietary Allowance help to promote healthy aging, appetite regulation, weight management, and goals aligned with athletic performance. Higher protein intakes may help prevent age-related sarcopenia, the loss of muscle mass, and strength that predisposes older adults to frailty, disability, and loss of autonomy. Higher protein diets also improve satiety and lead to greater reductions in body weight and fat mass compared with standard protein diets, and may therefore serve as a successful strategy to help prevent and/or treat obesity. Athletes can also benefit from higher protein intakes to maximize athletic performance given the critical role protein plays in stimulating muscle protein remodelling after exercise. Protein quality, per meal dose, and timing of ingestion are also important considerations. Despite persistent beliefs to the contrary, we can find no evidence-based link between higher protein diets and renal disease or adverse bone health. This brief synopsis highlights recent learnings based on presentations at the 2015 Canadian Nutrition Society conference, Advances in Protein Nutrition across the Lifespan. Current evidence indicates intakes in the range of at least 1.2 to 1.6 g/(kg·day) of high-quality protein is a more ideal target for achieving optimal health outcomes in adults.

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Crossref · 10.1139/apnm-2015-0550

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74 of 74 references verified0 citation errors · 0 not checkable

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  • Current evidence indicates optimal protein intakes in the range of 1.2-2.0 g/kg/day should be considered for people involved in a general fitness program or interested in optimizing health.

    “Phillips and colleagues [76], Witard et al. [82], Jager et al. [11] and Tipton et al. [79] report that current evidence indicates optimal protein intakes in the range of 1.2–2.0 g/kg/day should be considered.”

    From ISSN exercise & sports nutrition review update: research & recommendations (2018) · cites this paper as [76]

    The Conclusion (page not specified) recommends 1.2–1.6 g/kg/day of high-quality protein as a more ideal target for optimal health outcomes in adults. The paper supports the lower part of the cited range, but not its 2.0 g/kg/day upper limit. (LLM, conf=0.90)

    Experimental — accuracy not yet measured
  • Research spanning the past 30 years indicates that athletes engaged in intense training may benefit from ingesting about two times the RDA of protein in their diet (1.4-1.8 g/kg/d) to maintain protein balance.

    “However, research spanning the past 30 years has indicated that athletes engaged in intense training may benefit from ingesting about two times the RDA of protein in their diet (1.4–1.8 g/kg/d) to maintain protein balance [11, 70, 71, 73, 75–80].”

    From ISSN exercise & sports nutrition review update: research & recommendations (2018) · cites this paper as [76]

    The summary on Draft p. 20 says athletes appear to benefit from intakes as high as twice the RDA, and Table 2 gives an example of 1.6–1.8 g/kg/day. But the ‘Optimizing adaptations to exercise’ section distinguishes that goal from merely maintaining nitrogen balance. The cited passages do not establish the claim’s 30-year span or its lower figure of 1.4 g/kg/day. (LLM, conf=0.88)

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  • Over time, negative nitrogen balance may lead to muscle wasting, injuries, illness, and training intolerance.

    “Over time, this may lead to muscle wasting, injuries, illness, and training intolerance [76, 77, 81].”

    From ISSN exercise & sports nutrition review update: research & recommendations (2018) · cites this paper as [76]

    In “Optimal protein intakes for athletes” (page unavailable), the paper says athletes can be in negative protein balance overnight, but it does not say that this leads to the listed outcomes over time. Its discussion of protein nutrition in older adults links low protein intake to muscle loss, offering limited support for the muscle-wasting part. The copy does not link negative nitrogen balance to injuries, illness, or training intolerance. (LLM, conf=0.82)

    Experimental — accuracy not yet measured
  • Narrative reviews and meta-analyses yield conflicting results as to the effectiveness of protein supplementation to enhance RET-mediated gains in muscle mass and strength.

    “Despite a large volume of work in this area, narrative reviews1–5 and even meta-analyses6–12 yield conflicting results as to the actual effectiveness of protein supplementation to enhance RET-mediated gains in muscle mass and strength.”

    From A systematic review, meta-analysis and meta-regression of the effect of protein supplementation on resistance training-induced gains in muscle mass and strength in healthy adults (2018) · cites this paper as [5]

    The “Optimizing adaptations to exercise” section reviews protein intake and muscle responses to resistance exercise, so this paper fits the citing sentence’s group of narrative reviews. But the passages found do not say that reviews or meta-analyses conflict about whether supplementation improves training-related muscle mass and strength gains. The conflicting meta-analysis findings described in “Protein quantity and weight loss” concern weight-loss diets, not resistance training; page numbers were unavailable in our copy. (LLM, conf=0.78)

    Experimental — accuracy not yet measured
  • Peri-menopausal and post-menopausal athletes experience a decline of estradiol and ensuing insulin and anabolic resistance coupled with the demands of physical activity.

    “due to the decline of estradiol and the ensuing insulin and anabolic resistance coupled with the demands of physical activity [242–244]”

    From International society of sports nutrition position stand: nutritional concerns of the female athlete (2023) · cites this paper as [243]

    The “Protein requirements for older adults” section describes age-related anabolic resistance and identifies insulin resistance as a possible contributing factor. The “Optimizing adaptations to exercise” section discusses athletes’ training demands. Neither passage establishes that declining estradiol causes insulin or anabolic resistance in peri- or post-menopausal athletes; page numbers are unavailable in our copy. (LLM, conf=0.86)

    Experimental — accuracy not yet measured

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Cites

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Research works printed but not linked: 4

  1. [16]16. Farsijani, S., Morais, J.S., Payette, H., Gaudreau, P., Shatenstein, B., and Chevalier, S. 2015. Are there health benefits associated with distributing protein intake equally across meals in older adults? Appl. Physiol. Nutr. Metab. 40(5): 510 (abstract).
  2. [48]48. Res, P.T., Groen, B., Pennings, B., Beelen, M., Wallis, G.A., Gijsen, A.P., Senden, J.M., and van Loon, L.J. 2012. Protein ingestion prior to sleep improves post-exercise overnight recovery. Med. Sci. Sports Exerc. 44(8): 1560-1569.
  3. [52]52. J. Appl. Physiol. 107(4): 1308-1315.
  4. [63]63. WHO. 2011. Technical Report Series 935. Protein and Amino Acid Requirements in Human Nutrition: report of a joint FAO/WHO/UNU expert consultation. pp. 93-103.

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Authors
Phillips, S. M., Chevalier, S., & Leidy, H. J.
Affiliations
  • McMaster University (CA)
  • McGill University Health Centre (CA)
  • University of Missouri (US)
Venue
Applied Physiology, Nutrition, and Metabolism
Published
2016-05
Volume
41
Issue
5
Pages
565-572
ISSN
  • 1715-5312 (ISSN-L)
  • 1715-5320
OpenAlex
W2292846232
Cited by
396
References
74
Citations by year
2026: 49 · 2025: 41 · 2024: 30 · 2023: 35 · 2022: 42 · 2021: 41 · 2020: 52 · 2019: 34 · 2018: 39 · 2017: 22 · 2016: 10
FWCI
3.79
Type
journal article
Language
en
Open access
Locations
  • Applied Physiology, Nutrition, and Metabolism (publishedVersion)
  • PubMed (publishedVersion)
  • TSpace (University of Toronto) (acceptedVersion, other-oa)
  • TSpace (University of Toronto) (acceptedVersion)
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 › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
Keywords
protein intake, high-quality protein, RDA, sarcopenia, healthy aging, frailty, obesity, satiety, weight management, athletic performance, muscle protein synthesis, protein timing, protein dose, kidney disease risk, bone health, older adults
MeSH terms
Body Weight Maintenance, Aging, Body Weight, Canada, Dietary Proteins, Health Promotion, Humans, Nutritive Value, Societies, Scientific, Meta-Analysis as Topic, Exercise, Muscle Weakness, Athletic Performance, Sarcopenia, Athletes, Meals, Sports Nutritional Physiological Phenomena, Recommended Dietary Allowances

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