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Inadequacy of Body Weight-Based Recommendations for Individual Protein Intake—Lessons from Body Composition Analysis
Abstract
Current body weight-based protein recommendations are ignoring the large variability in body composition, particularly lean mass (LM), which drives protein requirements. We explored and highlighted the inter-individual variability of weight versus body composition-adjusted protein intakes by secondary analysis in three cohorts of (1) 574 healthy adults (mean ± SD age: 41.4 ± 15.2 years); (2) 403 cirrhotic patients (age: 44.7 ± 12.3 years) and (3) 547 patients with lung cancer (age: 61.3 ± 8.2 years). LM was assessed using different devices (magnetic resonance imaging, dual-energy X-ray absorptiometry, computer tomography, total body potassium and bioelectrical impedance), body weight-based protein intake, its ratio (per kg LM) and mean protein requirement were calculated. Variability in protein intake in all cohorts ranged from 0.83 to 1.77 g protein per kg LM per day using (theoretical protein intake of 60 g protein per day). Calculated mean protein requirement was 1.63 g protein per kg LM per day; consequently, 95.3% of healthy subjects, 100% of cirrhotic and 97.4% of cancer patients would present with a low protein intake per kg LM. Weight-adjusted recommendations are inadequate to address the LM specific differences in protein needs of healthy subjects or clinical populations. Absolute protein intake seems to be more relevant compared to the relative proportion of protein, which in turn changes with different energy needs.
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“Finally, research that has examined outcomes for effective protein intake have revealed a possible range between 0⋅83 g and 1⋅77 g/kg LBM, well above the US RDA using total body weight(4,8).”
From Association between protein intake and lean body mass in a group of Masters Athletes (2022) · cites this paper as [4]
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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 [4]
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“Dietary intervention for these individuals ought to provide an adequate protein intake per LM to prevent loss of LM [36], while guaranteeing a low energy intake for weight loss [37].”
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Self-citationLow Protein Intake: The Impact on Calcium and Bone Homeostasis in Humans
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Johnson Stoklossa, C. A., Sharma, A. M., Forhan, M., Siervo, M., Padwal, R. S., & Prado, C. M. (2017) · Journal of Nutrition and Metabolism · doi:10.1155/2017/7307618 · Cited by 121
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Association 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
- Geisler, C., Prado, C., & Müller, M.
- Affiliations
- Institut für Humanernährung und Lebensmittelkunde, Christian-Albrechts-Universität zu Kiel, Düsternbrooker Weg 17, D-24105 Kiel, Germany
- Alberta Institute for Human Nutrition, Department of Agricultural, Food and Nutritional Science, University of Alberta, 4-002 Li Ka Shing Centre, Edmonton, AB T6G 2P5, Canada
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2016-12-31
- Volume
- 9
- Issue
- 1
- Pages
- 23
- ISSN
- 2072-6643
- Cited by
- 27
- References
- 8
- Language
- en
- Funders
- Deutsche Forschungsgemeinschaft (DFG) (DFG Mü 714/8-1-3, DFG Bo 3296/1-1)
- Federal Ministry of Education and Research (BMBF) (BMBF 0312823A, BMBF 01EA1336, 01GI1121A, 01GI1125, 01GI0821)
- Seca GmbH & Co. KG (BCA-01)
- B Braun Melsungen, Melsungen, Germany
- GTx, Inc. (PI: CMP)
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