The impact of dietary protein intake on urinary creatinine excretion in a healthy pediatric population

1998 ◽  
Vol 133 (5) ◽  
pp. 655-659 ◽  
Author(s):  
Annette Neubert ◽  
Thomas Remer
2019 ◽  
Vol 4 (7) ◽  

Background: Creatine and Creatinine plays a role in muscle function. Urinary creatine and urinary creatinine concentration was measured in order to see significance in monitoring athlete and athlete’s performance. Objective: Evaluate association of dietary protein intake, Lean Body Mass (LBM) percentage, Body Mass Index (BMI) and physical activity on urinary creatine, urinary creatinine concentration in different team sports [cricket players (C), basketball players (B) and football players (F)]. Methodology: A total of 62 players from different team sports - C (n-20), B (n-17) and F (n-25) age of 18-30 years participated. Post training urine samples was analyzed. Using Jaffe's reaction, urinary creatinine was obtained and Urinary creatine is obtained by difference in the creatinine present before and after heating with acid solution. 24 hour dietary recall was taken to find athletes protein intake. LBM were taken using Body Impedence Analysis (BIA machine). Data were analysed using SPSS (Statistical Package for Social Sciences Version 16.0). Findings: Pearson bivariate correlation (2-tailed) was used to find the relationship between BMI, LBM, total dietary protein intake per day, dietary protein, duration of practice with urine creatinine and creatine level. Positive correlation between urinary creatine and total dietary protein intake per day, dietary protein according to body weight per day was found (p<0.001), (p<0.005) respectively. Negative correlation between urinary creatinine and dietary protein according to body weight per day and duration of practice per day was found (p<0.001), (p<0.005) respectively. Urinary creatine mean (SD) values- C group 78.63 ± 27.17, B group 102.65 ± 38 and F group 169.60±41.58. Urinary creatinine mean (SD) values- C group 46.60 ± 37.23,B group 84.88 ± 48.27 and F group 70.40±44.083. Conclusion & Significance: Significant increase was seen in urinary creatine excretion with respect to dietary protein per day, dietary protein according to body weight per day. Urinary creatine excretion is more in football players followed by basketball players. Significant decline was seen in urinary creatinine excretion with respect to increase dietary protein according to body weight per day and increase duration of practice. Urinary Creatine excretion is more in basketball players followed by football players Urinary creatine and urinary creatinine excretion depends on sports-type, duration of sports and protein consumption.


Nutrients ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 2207 ◽  
Author(s):  
Mitchell ◽  
Milan ◽  
Mitchell ◽  
Gillies ◽  
D’Souza ◽  
...  

Higher dietary protein intake is increasingly recommended for the elderly; however, high protein diets have also been linked to increased cardiovascular disease (CVD) risk. Trimethylamine-N-oxide (TMAO) is a bacterial metabolite derived from choline and carnitine abundant from animal protein-rich foods. TMAO may be a novel biomarker for heightened CVD risk. The purpose of this study was to assess the impact of a high protein diet on TMAO. Healthy men (74.2 ± 3.6 years, n = 29) were randomised to consume the recommended dietary allowance of protein (RDA: 0.8 g protein/kg bodyweight/day) or twice the RDA (2RDA) as part of a supplied diet for 10 weeks. Fasting blood samples were collected pre- and post-intervention for measurement of TMAO, blood lipids, glucose tolerance, insulin sensitivity, and inflammatory biomarkers. An oral glucose tolerance test was also performed. In comparison with RDA, the 2RDA diet increased circulatory TMAO (p = 0.002) but unexpectedly decreased renal excretion of TMAO (p = 0.003). LDL cholesterol was increased in 2RDA compared to RDA (p = 0.049), but no differences in other biomarkers of CVD risk and insulin sensitivity were evident between groups. In conclusion, circulatory TMAO is responsive to changes in dietary protein intake in older healthy males.


Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 375
Author(s):  
Kelley L. Jackson ◽  
Sareen S. Gropper ◽  
Dennis Hunt ◽  
Deborah D’Avolio ◽  
David Newman

Sufficient dietary protein intake is vital to maintaining muscle health with aging. Yet protein intake among adults is often inadequate. This study’s main objective was to examine the impact of nutrition education (NE) and a per-meal protein prescription (PRx) with versus without diet coaching on protein intake. A secondary objective examined its effects on muscle health. Participants included 53 women, age 45–64 years. All participants received NE and PRx; those randomized to coached-group received 10-weeks of diet coaching. Assessments included: protein intake at baseline, weeks 4 and 12 and muscle health (muscle mass, grip strength, five-chair rise test, 4 mgait speed test). The Chi-square test examined percentages of participants meeting PRx between groups. Repeated measures analysis of variance assessed within group and intervention effects on protein intake and muscle health parameters. Protein intake (g/kg body weight) increased (p < 0.001): not-coached (n = 28) 0.8 ± 0.2 to 1.2 ± 0.3 and coached (n = 25) 1.0 ± 0.2 to 1.4 ± 0.3 with no significant difference between groups. A greater percentage of coached-group participants met (p = 0.04) breakfast (72%) and met (p < 0.001) three-meal (76%) PRx versus not-coached participants (25% and 53%, respectively). Participants in both groups exhibited significantly (p < 0.001) improved times for the five-chair rise test and 4 mgait speed test. Diet coaching in conjunction with a PRx and NE should be considered to assist individuals in improving protein intake through self-selection of protein-rich foods.


Nutrients ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 514 ◽  
Author(s):  
Sandra Vidal-Lletjós ◽  
Mireille Andriamihaja ◽  
Anne Blais ◽  
Marta Grauso ◽  
Patricia Lepage ◽  
...  

Mucosal healing after an inflammatory flare is associated with lasting clinical remission. The aim of the present work was to evaluate the impact of the amount of dietary protein on epithelial repair after an acute inflammatory episode. C57BL/6 DSS-treated mice received isocaloric diets with different levels of dietary protein: 14% (P14), 30% (P30) and 53% (P53) for 3 (day 10), 6 (day 13) and 21 (day 28) days after the time of colitis maximal intensity. While the P53 diet worsened the DSS- induced inflammation both in intensity and duration, the P30 diet, when compared to the P14 diet, showed a beneficial effect during the epithelial repair process by accelerating inflammation resolution, reducing colonic permeability and increasing epithelial repair together with epithelial hyperproliferation. Dietary protein intake also impacted mucosa-adherent microbiota composition after inflammation since P30 fed mice showed increased colonization of butyrate-producing genera throughout the resolution phase. This study revealed that in our colitis model, the amount of protein in the diet modulated mucosal healing, with beneficial effects of a moderately high-protein diet, while very high-protein diet displayed deleterious effects on this process.


2019 ◽  
Vol 122 (03) ◽  
pp. 322-330 ◽  
Author(s):  
Eunjin So ◽  
Seul Ki Choi ◽  
Hyojee Joung

AbstractThe present study investigated the association between protein intake and lean mass according to obesity status over a 12-year period. Data on 4412 participants aged 40–69 years were obtained from the Korean Genome and Epidemiology Study. The usual dietary protein intake of these participants was assessed at baseline using a semi-quantitative FFQ. Body composition was measured using bioelectrical impedance analysis at baseline and after a 12-year follow-up. Linear mixed-effects models were used to examine the associations between lean mass after a 12-year follow-up and protein intake at baseline. After adjusting for covariates and lean mass at baseline, comparisons between the highest and lowest tertiles revealed that dietary protein intake was positively associated with lean mass in both men (β = 0·79, P = 0·001) and women (β = 0·28, P = 0·082) after the 12-year period; however, those differences were attenuated after additional adjustment for fat mass at baseline and were stronger in the normal-weight group (men, β = 0·85, P = 0·002; women, β = 0·97, P &lt; 0·001) but were not detected in the obese group. In the obese group, age (men, β = 4·08, P &lt; 0·001; women, β = 2·61, P &lt; 0·001) and regular physical activity (men, β = 0·88, P = 0·054; women, β = 0·76, P &lt; 0·001) were significantly associated with lean mass after 12 years of follow-up. The results of the present study showed that protein intake may contribute to the prevention of ageing-related lean mass loss; however, the impact of this intake may vary depending on obesity status. Therefore, the maintenance of a healthy body weight during ageing through enhanced protein intake is likely to confer health benefits.


2020 ◽  
Vol 9 (10) ◽  
pp. 3104
Author(s):  
Ilse J. M. Hagedoorn ◽  
Niala den Braber ◽  
Milou M. Oosterwijk ◽  
Christina M. Gant ◽  
Gerjan Navis ◽  
...  

Objective: In order to promote physical activity (PA) in patients with complicated type 2 diabetes, a better understanding of daily movement is required. We (1) objectively assessed PA in patients with type 2 diabetes, and (2) studied the association between muscle mass, dietary protein intake, and PA. Methods: We performed cross-sectional analyses in all patients included in the Diabetes and Lifestyle Cohort Twente (DIALECT) between November 2016 and November 2018. Patients were divided into four groups: <5000, 5000–6999, 7000–9999, ≥ 10,000 steps/day. We studied the association between muscle mass (24 h urinary creatinine excretion rate, CER) and protein intake (by Maroni formula), and the main outcome variable PA (steps/day, Fitbit Flex device) using multivariate linear regression analyses. Results: In the 217 included patients, the median steps/day were 6118 (4115–8638). Of these patients, 48 patients (22%) took 7000–9999 steps/day, 37 patients (17%) took ≥ 10,000 steps/day, and 78 patients (36%) took <5000 steps/day. Patients with <5000 steps/day had, in comparison to patients who took ≥10,000 steps/day, a higher body mass index (BMI) (33 ± 6 vs. 30 ± 5 kg/m2, p = 0.009), lower CER (11.7 ± 4.8 vs. 14.8 ± 3.8 mmol/24 h, p = 0.001), and lower protein intake (0.84 ± 0.29 vs. 1.08 ± 0.22 g/kg/day, p < 0.001). Both creatinine excretion (β = 0.26, p < 0.001) and dietary protein intake (β = 0.31, p < 0.001) were strongly associated with PA, which remained unchanged after adjustment for potential confounders. Conclusions: Prevalent insufficient protein intake and low muscle mass co-exist in obese patients with low physical activity. Dedicated intervention studies are needed to study the role of sufficient protein intake and physical activity in increasing or maintaining muscle mass in patients with type 2 diabetes.


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