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Human Protein and Amino Acid Requirements
Abstract
Human protein and amino acid nutrition encompasses a wide, complex, frequently misunderstood, and often contentious area of clinical research and practice. This tutorial explains the basic biochemical and physiologic principles that underlie our current understanding of protein and amino acid nutrition. The following topics are discussed: (1) the identity, measurement, and essentiality of nutritional proteins; (2) the definition and determination of minimum requirements; (3) nutrition adaptation; (4) obligatory nitrogen excretion and the minimum protein requirement; (5) minimum versus optimum protein intakes; (6) metabolic responses to surfeit and deficient protein intakes; (7) body composition and protein requirements; (8) labile protein; (9) N balance; (10) the principles of protein and amino acid turnover, including an analysis of the controversial indicator amino acid oxidation technique; (11) general guidelines for evaluating protein turnover articles; (12) amino acid turnover versus clearance; (13) the protein content of hydrated amino acid solutions; (14) protein requirements in special situations, including protein‐catabolic critical illness; (15) amino acid supplements and additives, including monosodium glutamate and glutamine; and (16) a perspective on the future of protein and amino acid nutrition research. In addition to providing practical information, this tutorial aims to demonstrate the importance of rigorous physiologic reasoning, stimulate intellectual curiosity, and encourage fresh ideas in this dynamic area of human nutrition. In general, references are provided only for topics that are not well covered in modern textbooks.
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“Although protein recommendations are proportionate to total body weight, recent evidence suggests that LBM may provide a more accurate and precise metric for dietary protein needs given the known relationship between dietary protein and body composition in the literature(3–5).”
From Association between protein intake and lean body mass in a group of Masters Athletes (2022) · cites this paper as [5]
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Cited by
ESPEN guideline on clinical nutrition in the intensive care unit.
Singer, P., Blaser, A. R., Berger, M. M., Alhazzani, W., Calder, P. C., Casaer, M. P., Hiesmayr, M., Mayer, K., Montejo, J. C., Pichard, C., et al. (2019) · Clinical Nutrition · doi:10.1016/j.clnu.2018.08.037 · Cited by 2,904
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Will We Ever Agree on Protein Requirements in the Intensive Care Unit?
Hoffer, L. J., Dickerson, R. N., Martindale, R. G., McClave, S. A., & Ochoa Gautier, J. B. (2017) · Nutrition in Clinical Practice · doi:10.1177/0884533617694613 · Cited by 17
Self-citationAssociation between protein intake and lean body mass in a group of Masters Athletes
Stanzione, J. R., Boullata, J. I., Bruneau, M. L., & Volpe, S. L. (2022) · Journal of Nutritional Science · doi:10.1017/jns.2022.10 · Cited by 5
Metadata
- Authors
- Hoffer, L. J.
- Venue
- Journal of Parenteral and Enteral Nutrition
- Publisher
- Wiley
- Published
- 2016-01-21
- Volume
- 40
- Issue
- 4
- Pages
- 460-474
- ISSN
- 0148-6071
- 1941-2444
- Cited by
- 107
- References
- 10
- Language
- en
- Licence
- onlinelibrary.wiley.com/termsAndConditions#vor (vor)
- journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
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