Obesity Appears to Be Associated With Altered Muscle Protein Synthetic and Breakdown Responses to Increased Nutrient Delivery in Older Men, but Not Reduced Muscle Mass or Contractile Function
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Obesity is increasing, yet despite the necessity of maintaining muscle mass and function with age, the effect of obesity on muscle protein turnover in older adults remains unknown. Eleven obese (BMI 31.9 ± 1.1 kg · m−2) and 15 healthy-weight (BMI 23.4 ± 0.3 kg · m−2) older men (55–75 years old) participated in a study that determined muscle protein synthesis (MPS) and leg protein breakdown (LPB) under postabsorptive (hypoinsulinemic-euglycemic clamp) and postprandial (hyperinsulinemic hyperaminoacidemic-euglycemic clamp) conditions. Obesity was associated with systemic inflammation, greater leg fat mass, and patterns of mRNA expression consistent with muscle deconditioning, whereas leg lean mass, strength, and work done during maximal exercise were no different. Under postabsorptive conditions, MPS and LPB were equivalent between groups, whereas insulin and amino acid administration increased MPS in only healthy-weight subjects and was associated with lower leg glucose disposal (LGD) (63%) in obese men. Blunting of MPS in the obese men was offset by an apparent decline in LPB, which was absent in healthy-weight subjects. Lower postprandial LGD in obese subjects and blunting of MPS responses to amino acids suggest that obesity in older adults is associated with diminished muscle metabolic quality. This does not, however, appear to be associated with lower leg lean mass or strength.
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With ageing, the impaired balance between protein synthesis and proteolysis in skeletal muscle results in a progressive decline in skeletal muscle mass, strength, and function.
“With ageing, the impaired balance between protein synthesis and proteolysis in skeletal muscle results in a progressive decline in skeletal muscle mass, strength, and function and is defined as sarcopenia.[ 3 ]”
From Pathogenesis of sarcopenia and the relationship with fat mass: descriptive review (2022) · cites this paper as [3]
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- Authors
- Murton, A. J., Marimuthu, K., Mallinson, J. E., Selby, A. L., Smith, K., Rennie, M. J., & Greenhaff, P. L.
- Affiliations
- University of Nottingham (GB)
- Royal Derby Hospital (GB)
- Corresponding author
- Greenhaff, Paul L.
- ORCID
- Venue
- Diabetes
- Publisher
- American Diabetes Association
- Published
- 2015-05-26
- Volume
- 64
- Issue
- 9
- Pages
- 3160-3171
- ISSN
- 0012-1797 (ISSN-L)
- 1939-327X
- OpenAlex
- W1946678503
- Cited by
- 97
- References
- 35
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 8 · 2023: 10 · 2022: 9 · 2021: 12 · 2020: 12 · 2019: 11 · 2018: 14 · 2017: 3 · 2016: 11 · 2015: 1
- FWCI
- 5.14
- Type
- journal article
- Language
- en
- Open access
- Locations
- Diabetes (publishedVersion)
- PubMed (publishedVersion)
- Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by)
- Nottingham ePrints (University of Nottingham) (submittedVersion, cc-by)
- Funders
- Biotechnology and Biological Sciences Research Council (BB/G011435/1)
- 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
- obesity, muscle protein synthesis, muscle protein degradation, older men, muscle protein turnover, insulin resistance, amino acids, systemic inflammation, muscle deconditioning, muscle mass, muscle strength, exercise capacity, leg fat mass
- MeSH terms
- Adipose Tissue, Aged, Amino Acids, Atrophy, Humans, Hypoglycemic Agents, Inflammation, Insulin, Leg, Male, Middle Aged, Muscle Contraction, Muscle Proteins, Obesity, RNA, Messenger, Glucose Clamp Technique, Case-Control Studies, Muscle, Skeletal, Gene Expression Profiling, Adipokines
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