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Atrophy and Impaired Muscle Protein Synthesis during Prolonged Inactivity and Stress
Abstract
CONTEXT: We recently demonstrated that 28-d bed rest in healthy volunteers results in a moderate loss of lean leg mass and strength. OBJECTIVE: The objective of this study was to quantify changes in muscle protein kinetics, body composition, and strength during a clinical bed rest model reflecting both physical inactivity and the hormonal stress response to injury or illness. DESIGN: Muscle protein kinetics were calculated during a primed, continuous infusion (0.08 micromol/kg.min) of 13C6-phenylalanine on d 1 and 28 of bed rest. SETTING: The setting for this study was the General Clinical Research Center at the University of Texas Medical Branch. PARTICIPANTS: Participants were healthy male volunteers (n = 6, 28 +/- 2 yr, 84 +/- 4 kg, 178 +/- 3 cm). INTERVENTION: During bed rest, hydrocortisone sodium succinate was administered iv (d 1 and 28) and orally (d 2-27) to reproduce plasma cortisol concentrations consistent with trauma or illness (approximately 22 microg/dl). MAIN OUTCOME MEASURES: We hypothesized that inactivity and hypercortisolemia would reduce lean muscle mass, leg extension strength, and muscle protein synthesis. RESULTS: Volunteers experienced a 28.4 +/- 4.4% loss of leg extension strength (P = 0.012) and a 3-fold greater loss of lean leg mass (1.4 +/- 0.1 kg) (P = 0.004) compared with our previous bed rest-only model. Net protein catabolism was primarily due to a reduction in muscle protein synthesis [fractional synthesis rate, 0.081 +/- 0.004 (d 1) vs. 0.054 +/- 0.007%/h (d 28); P = 0.023]. There was no change in muscle protein breakdown. CONCLUSION: Prolonged inactivity and hypercortisolemia represents a persistent catabolic stimulus that exacerbates strength and lean muscle loss via a chronic reduction in muscle protein synthesis.
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“Using data from studies investigating the effects of an anabolic and catabolic stimulus (e.g., immobilization or exercise) on changes in muscle protein synthesis (Lamon et al., 2016; Paddon‐Jones et al., 2006), power analyses conducted on our primary outcome (FSR) indicated that a sample size of 13 would minimize the risk of type II error (β = 0.2,α = 0.05).”
From The effect of acute sleep deprivation on skeletal muscle protein synthesis and the hormonal environment (2021) · cites this paper as Paddon‐Jones et al., 2006
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“Muscle loss during bed rest appears to be driven primarily by a reduction in muscle protein synthesis [13-15].”
From Protecting muscle mass and function in older adults during bed rest (2010) · cites this paper as [14]
In the citing paper
“For example, recent work has demonstrated that the concomitant effects of pharmacologically induced hypercortisolemia (i.e., approx. 22 μg · dl-1) and 28 day of bed rest in young adults, resulted in a 3-fold greater loss of leg lean mass than eucortisolemic controls (-1.3 kg vs. -0.4 kg) [14].”
From Protecting muscle mass and function in older adults during bed rest (2010) · cites this paper as [14]
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Metadata
- Authors
- Paddon-Jones, D., Sheffield-Moore, M., Cree, M. G., Hewlings, S. J., Aarsland, A., Wolfe, R. R., & Ferrando, A. A.
- Affiliations
- Departments of Surgery (D.P.-J., M.G.C., S.J.H., A.A., R.R.W., A.A.F.), Galveston, Texas 77550
- Internal Medicine (M.S.-M.) Galveston, Texas 77550
- The University of Texas Medical Branch at Galveston (US)
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2006-12-01
- Volume
- 91
- Issue
- 12
- Pages
- 4836-4841
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2033713750
- Cited by
- 254
- References
- 40
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 17 · 2023: 16 · 2022: 15 · 2021: 17 · 2020: 16 · 2019: 13 · 2018: 7 · 2017: 7 · 2016: 14 · 2015: 16 · 2014: 15 · 2013: 21 · 2012: 15
- FWCI
- 3.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Aeronautics and Space Administration (NAG91155)
- University of Texas Medical Branch
- Deutsches Krebsforschungszentrum
- Shriners Hospitals for Children
- National Institutes of Health
- National Institute on Aging (P30AG024832)
- National Institute of General Medical Sciences (5R01 GM 57295, R01GM057295)
- National Center for Research Resources (M01 RR-00073, M01RR000073)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Muscle metabolism and nutrition
- Health Sciences › Medicine › Physiology (medical) › Spaceflight effects on biology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Keywords
- muscle atrophy, muscle protein synthesis, muscle protein degradation, bed rest, physical inactivity, hypercortisolism, cortisol, stress response, lean muscle mass, leg extension strength, body composition
- MeSH terms
- Adult, Bed Rest, Body Composition, Humans, Hydrocortisone, Insulin, Male, Motor Activity, Muscle Proteins, Muscular Atrophy, Phenylalanine, Stress, Physiological, Muscle, Skeletal
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