Elsevier

Nutrition

Volume 20, Issues 7–8, July–August 2004, Pages 689-695
Nutrition

Review article
Protein requirements and supplementation in strength sports

https://doi.org/10.1016/j.nut.2004.04.009Get rights and content

Abstract

Daily requirements for protein are set by the amount of amino acids that is irreversibly lost in a given day. Different agencies have set requirement levels for daily protein intakes for the general population; however, the question of whether strength-trained athletes require more protein than the general population is one that is difficult to answer. At a cellular level, an increased requirement for protein in strength-trained athletes might arise due to the extra protein required to support muscle protein accretion through elevated protein synthesis. Alternatively, an increased requirement for protein may come about in this group of athletes due to increased catabolic loss of amino acids associated with strength-training activities. A review of studies that have examined the protein requirements of strength-trained athletes, using nitrogen balance methodology, has shown a modest increase in requirements in this group. At the same time, several studies have shown that strength training, consistent with the anabolic stimulus for protein synthesis it provides, actually increases the efficiency of use of protein, which reduces dietary protein requirements. Various studies have shown that strength-trained athletes habitually consume protein intakes higher than required. A positive energy balance is required for anabolism, so a requirement for “extra” protein over and above normal values also appears not to be a critical issue for competitive athletes because most would have to be in positive energy balance to compete effectively. At present there is no evidence to suggest that supplements are required for optimal muscle growth or strength gain. Strength-trained athletes should consume protein consistent with general population guidelines, or 12% to 15% of energy from protein.

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

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      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.

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