A Whole-Grain Diet Increases Whole-Body Protein Balance Compared to a Macronutrient-Matched Refined-Grain Diet
Abstract Background There are limited data from randomized control trials to support or refute the contention that whole-grains may enhance protein metabolism in humans. The objectives were threefold: 1) to examine the clinical effects of a whole-grain diet on whole-body protein turnover; 2) the cellular effects of whole-grains on protein synthesis in skeletal muscle cells; and 3) the population effects of whole-grain intake on age-related muscle loss. Methods Adults with overweight/obesity (N = 14, age: 40±7 years, BMI: 33±5 kg/m2) were recruited into a crossover, randomized controlled trial (NCT01411540) in which isocaloric, macronutrient-matched whole-grain and refined-grain diets were fully provisioned for two 8-week periods. Diets differed only in the presence of whole-grains (50 g/1000 kcal). Whole-body protein kinetics were assessed at baseline and after each diet in the fasted-state (13C-Leucine) and integrated over 24-hours (15N-Glycine). In vitro studies utilizing C2C12 cells assessed global protein synthesis by SUnSET and anabolic signaling by Western blot. Complementary epidemiologic assessments using the NHANES database assessed the effect of whole-grain intake on muscle function assessed by gait speed in older adults (N = 2,783). Results Integrated 24-hour net protein balance was 3-fold higher on a whole-grain compared to a refined-grain diet (P = 0.04). A whole-grain wheat extract increased submaximal rates of global protein synthesis (27%, P<0.05) in vitro. In a large sample of older adults, whole-grain intake was associated with greater muscle function in older adults (OR (CI) = 0.92 (0.86, 0.98)). Conclusions Consuming 50 g/1000 kcal of whole-grains per day promotes greater whole-body protein turnover and enhances net protein balance in adults. Whole-grains impact skeletal muscle at the cellular level, and in older adults, associate with greater muscle function. Collectively, these data point to a new mechanism whereby whole-grain consumption favorably enhances protein turnover and improves health outcomes.