Review articleProtein requirements and supplementation in strength sports☆
Introduction
Body proteins are constantly and simultaneously being made (synthesized) and degraded. This constant turnover provides for a mechanism of steady maintenance of potentially damaged and dysfunctional proteins. In skeletal muscle, protein turnover is also ongoing and provides the basis for skeletal muscle's plasticity in response to the degree of imposed high-intensity loading (resistance exercise). A schematic representation of skeletal muscle protein turnover and other muscle-specific metabolic fates of amino acids is shown in Figure 1. The extent to which the amino acids, liberated as a result of muscle proteolysis, are reused is extensive. This intracellular recycling, however, is not 100% efficient and amino acids are lost from skeletal muscle, often in appreciable quantities. The amino acids that are lost from skeletal muscle have numerous fates, but generally speaking are oxidized or converted to glucose via gluconeogenesis, with the amino nitrogen yielding urea. Obviously, the lack of efficiency in reusing amino acids from proteolysis means that we have a daily requirement to ingest protein.
Section snippets
Resistance exercise and protein turnover: mechanisms of hypertrophy
Proteins are constantly and simultaneously being synthesized and degraded (Figure 1). Repair of damaged proteins and remodeling of structural proteins appears to occur as a result of a resistance exercise stimulus.1 However, in human muscle, the process of myofibrillar protein turnover, at least that induced by resistance exercise, is a relatively slow one.2, 3 This slow turnover of muscle protein means that resistance exercise, even though it can induce changes in muscle fiber type and
Protein synthesis
For an increase in fiber diameter to occur, there has to be synthesis of new muscle proteins, more than 70% of which are myofibrillar, mostly actin and myosin, in nature. During the period of fiber hypertrophy, there also needs to be a net positive protein balance: muscle protein synthesis must always exceed muscle protein breakdown. Different investigations have shown that resistance exercise stimulates mixed muscle protein synthesis1, 7, 8, 9 in trained and untrained subjects. The time course
Protein breakdown
Resistance exercise stimulates an increase in the synthetic rate of muscle proteins1, 7, 8, 9 and there is a concomitant increase in the rate of muscle protein breakdown.1, 8, 10 The tight relation between muscle protein synthesis and breakdown has been observed in a number of studies in which the two variables have been measured simultaneously.1, 8, 10
By using a surrogate marker of muscle myofibrillar protein degradation, urinary 3-methylhistidine, others have observed increases,13, 14, 15 or
Protein balance
Every study that has measured muscle protein balance (synthesis minus breakdown) after resistance exercise has found that, while synthesis is markedly elevated (in some cases >150% above baseline levels), muscle balance is negative1, 8, 10 until amino acids are provided intravenously (to simulate postprandial concentrations) or orally.20, 21, 22 This feeding-induced stimulation of muscle protein synthesis20, 21, 22, 23, 24 has been shown to be independent of insulin25 and is likely reflective
Protein requirements in strength-trained athletes
Resistance exercise is followed by a period lasting as long as 48 h8 when rates of muscle protein synthesis are elevated above resting levels.1, 7, 9, 10, 20 The observation that protein synthesis rates are elevated after acute bouts of resistance exercise and that infusion or consumption of amino acids (i.e., protein) synergistically adds to the exercise response20, 21, 29, 30, 31 provide the underlying basis for skeletal muscle growth. Observations of increases in lean body mass and muscle
Summary
Muscle anabolism occurs when protein is consumed but is stimulated to a greater degree when resistance exercise is performed (Figure 2B). Hypertrophy of muscle requires that a period of net positive protein balance occur and, consistent with the rate of turnover of muscle proteins, takes a relatively long time to be observed. The summative effect of acute periods of positive balance resulting from protein consumption and performance of resistance exercise are what ultimately lead to hypertrophy
References (65)
- et al.
The role of diet components, gastrointestinal factors, and muscle innervation on activation of protein synthesis in skeletal muscles following oral refeeding
Nutrition
(1999) Amino acids may be intrinsic regulators of protein synthesis in response to feeding
Clin Nutr
(1998)- et al.
Analysis of body-composition techniques and models for detecting change in soft tissue with strength training
Am J Clin Nutr
(1996) - et al.
Effect of isometric exercises on body potassium and dietary protein requirements of young men
Am J Clin Nutr
(1977) - et al.
Nitrogen balance in men with adequate and deficient energy intake at three levels of work
J Nutr
(1984) - et al.
Human protein requirementsthe effect of variations in energy intake within the maintenance range
Am J Clin Nutr
(1976) - et al.
Nitrogen balance as related to caloric and protein intake in active young men
Am J Clin Nutr
(1954) - et al.
The independent and combined effects of 16 weeks of vigorous exercise and energy restriction on body mass and composition in free-living overweight men—a randomized controlled trial
Metabolism
(2003) - et al.
Effect of a high-protein, energy-restricted diet on body composition, glycemic control, and lipid concentrations in overweight and obese hyperinsulinemic men and women
Am J Clin Nutr
(2003) - et al.
Quantitative effect of an isoenergetic exchange of fat for carbohydrate on dietary protein utilization in healthy young men
Am J Clin Nutr
(1979)
Four-year study of university athletes' dietary intake
J Am Diet Assoc
Increased rates of muscle protein turnover and amino acid transport after resistance exercise in humans
Am J Physiol
Skeletal muscle adaptations during early phase of heavy-resistance training in men and women
J Appl Physiol
Changes in muscle strength, muscle fibre size and myofibrillar gene expression after immobilization and retraining in humans
J Physiol
Regulation of fiber size, oxidative potential, and capillarization in human muscle by resistance exercise
Am J Physiol
Muscle fiber hypertrophy, hyperplasia, and capillary density in college men after resistance training
J Appl Physiol
Whole body leucine metabolism during and after resistance exercise in fed humans
Med Sci Sports Exerc
Changes in human muscle protein synthesis after resistance exercise
J Appl Physiol
Mixed muscle protein synthesis and breakdown following resistance exercise in humans
Am J Physiol
Acute effects of resistance exercise on muscle protein synthesis rate in young and elderly men and women
Am J Physiol
Resistance training reduces the acute exercise-induced increase in muscle protein turnover
Am J Physiol
Resistance exercise training increases mixed muscle protein synthesis rate in frail women and men >76 yr old
Am J Physiol
Resistance-training-induced adaptations in skeletal muscle protein turnover in the fed state
Can J Physiol Pharmacol
Biphasic changes in 3-methylhistdine excretion in humans after exercise
Am J Physiol
Increased excretion of urea and Nτ-methylhistidine by rats and humans after a bout of exercise
J Appl Physiol
Urinary 3-methylhistidine excretion increases with repeated weight training exercise
Med Sci Sports Exerc
Failure of weight training to affect urinary indices of protein metabolism in men
Med Sci Sports Exerc
3-Methylhistidine excretion and the urinary 3-methylhistidine/creatinine ratio are poor indicators of skeletal muscle protein breakdown
Clin Sci
Influence of age and resistance exercise on human skeletal muscle proteolysisa microdialysis approach
J Physiol
Insulin selectively attenuates breakdown of nonmyofibrillar proteins in peripheral tissues of normal men
Am J Physiol
An abundant supply of amino acids enhances the metabolic effect of exercise on muscle protein
Am J Physiol
An oral essential amino acid-carbohydrate supplement enhances muscle protein anabolism after resistance exercise
J Appl Physiol
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2021, Journal of Dairy ScienceCitation Excerpt :Rates of MPS and muscle protein breakdown fluctuate during normal daily life and depend largely on food intake. The rate of MPS increases after a meal and decreases between meals, whereas that for muscle protein breakdown shows opposite changes (Phillips, 2004). As such, strategies to maximize postprandial MPS could be effective for maintaining and increasing skeletal muscle mass.
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S. M. Phillips received a New Investigator award from the Canadian Institutes of Health Research. Research support from the National Science and Engineering Research Council of Canada and the Premier's Research Excellence Award of Ontario is gratefully acknowledged.