scholarly journals Protein for a Healthy Future: How to Increase Protein Intake in an Environmentally Sustainable Way in Older Adults in the Netherlands

2020 ◽  
Vol 151 (1) ◽  
pp. 109-119
Author(s):  
Alessandra C Grasso ◽  
Margreet R Olthof ◽  
Corné van Dooren ◽  
Roline Broekema ◽  
Marjolein Visser ◽  
...  

ABSTRACT Background Protein intake greater than the currently recommended amount is suggested to improve physical functioning and well-being in older adults, yet it is likely to increase diet-associated greenhouse gas emissions (GHGEs) if environmental sustainability is not considered. Objectives We aimed to identify dietary changes needed to increase protein intake while improving diet environmental sustainability in older adults. Methods Starting from the habitual diet of 1,354 Dutch older adults (aged 56–101 y) from the Longitudinal Aging Study Amsterdam cohort, mathematical diet optimization was used to model high-protein diets with minimized departure from habitual intake in cumulative steps. First, a high-protein diet defined as that providing ≥1.2 g protein · kg body weight−1 · d−1 was developed isocalorically while maintaining or improving nutritional adequacy of the diet. Second, adherence to the Dutch food-based dietary guidelines (FBDG) was imposed. Third, a stepwise 10% GHGE reduction was applied. Results Achieving a high-protein diet aligned with the FBDG without considering GHGEs required an increase in vegetables, legumes, nuts, whole grains, meat/dairy alternatives, dairy, and eggs and a reduction in total meat (for men only) and discretionary products, but it resulted in a 5% increase in GHGEs in men and 9% increase in women. When a stepwise GHGE reduction was additionally applied, increases in poultry and pork (mainly for women) and decreases in beef/lamb and processed meat were accrued, with total meat staying constant until a 50–60% GHGE reduction. Increases in whole grains, nuts, and meat/dairy alternatives and decreases in discretionary products were needed to lower GHGEs. Conclusions A high-protein diet aligned with FBDG can be achieved in concert with reductions in GHGEs in Dutch older adults by consuming no more than the recommended 500 g meat per week while replacing beef and lamb and processed meat with poultry and pork and increasing intake of diverse plant-protein sources.

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.


2021 ◽  
Vol 27 (1) ◽  
pp. 041-052
Author(s):  
Wittawas Sajjapong ◽  
◽  
Preeya Leelahagul ◽  
Sitha Pongphibool ◽  
Narupon Thongsuk ◽  
...  

Introduction: Many underweight males take commercial protein supplements to increase their body weight and build muscle. Nonetheless, commercial protein supplements may cause adverse effects. This study aimed to determine the effects of resistance training exercise combined with a high protein diet on body weight and muscle mass in underweight adolescent males. Methods: A repeated measures design study was conducted on nine males aged 12-15 years with low body weight. Energy and protein requirements were calculated, and energy and protein consumptions were measured for each meal during the high protein diet without exercise (HP) period and the high protein diet with resistance exercise (HPE) period. Subjects engaged in three resistance training sessions each week during HP-E period, for eight weeks. Dietary intake, body composition, blood biochemistry, physical fitness, and self-esteem were assessed. Results: In HP-E period, resistance training exercise combined with a high protein intake (2.14 g/kg/d) increased body weight and lean tissue mass (LTM) by 0.5 kg and 0.5 kg, respectively. Resistance training during HP-E period increased arm, leg, and trunk muscle strength by 20.2%, 7.2%, and 14.5%, respectively, more than high protein diet alone during HP period. High protein intake in HP-E period did not affect blood urea nitrogen (BUN) and creatinine levels (11.0 mg/dL and 0.70 mg/dL, respectively). Conclusion: Eight weeks of resistance training combined with a high protein diet increased body weight and LTM without adverse effects. In particular, resistance exercise predominantly increased muscle strength. Kidney function was not affected by high protein consumption throughout this study.


Circulation ◽  
2013 ◽  
Vol 127 (suppl_12) ◽  
Author(s):  
Marielle F Engberink ◽  
Wieke Altorf-van der Kuil ◽  
Elizabeth J Brink ◽  
Stephan J Bakker ◽  
Marleen A van Baak ◽  
...  

Background: Mild metabolic acidosis may result in elevated blood pressure (BP). Several formulas to estimate dietary acid load have been developed. However, studies in which these formulas have been validated are limited. Objectives: To validate and/or improve existing formulas for dietary acid load and to examine the association between dietary protein, acid load and BP. Methods: We performed a randomized 14d crossover dietary intervention involving 37 healthy subjects (age: 21±2 y) who consumed individualized, isocaloric diets that were either low or high in protein (0.5 versus 2.0 g protein/kg BW/d). Duplicate portions of the provided diets were collected and analysed for energy and nutrients. We used two measures to characterize dietary acid load (i.e. PRAL and NEAP). Urinary Net Acid Excretion (NAE; i.e. titratable acid + ammonium - bicarbonate) was analysed. BP was measured according to standardized procedures. Results: Mean dietary intakes significantly differed between the low and high protein diet, resulting in significantly different acid load values (Table 1, all p<0.001). The correlation between PRAL and NAE was 0.08 in the low protein diet and 0.62 in the high protein diet. For NEAP the correlations were 0.27 and 0.32. PRAL explained 69% of the variance of NAE, which could not be improved by adding other variables to the formula. Systolic BP was 108.4±7.5 and 109.5±8.0 mmHg on the low and high protein diet respectively (p=0.25). Conclusion: PRAL predicts NAE reasonably well in healthy adults for normal to high protein intake. PRAL can be influenced by diet, but this cannot be clearly attributed to protein intake alone. PRAL does not seem to influence short-term BP in healthy adults with normal BP.


1990 ◽  
Vol 258 (5) ◽  
pp. R1095-R1100 ◽  
Author(s):  
B. S. Daniels ◽  
T. H. Hostetter

Vasoactive hormonal response to two levels of dietary protein intake was studied in seven healthy adult volunteers. The subjects were randomly placed on a 2-g.kg-1.day-1 (high) or 0.55-g.kg-1.day-1 (low) diet using a crossover design and were studied on the morning of the 5th day and again after 24 h of indomethacin treatment. Plasma renin activity (PRA), aldosterone, vasopressin, and urinary excretion of 6-ketoprostaglandin F1 alpha (PGF1 alpha) were significantly higher on the high-protein diet despite constancy of body weight, blood pressure, pulse, urinary sodium and potassium excretion, and plasma amino acid levels. After treatment with cyclooxygenase inhibitor indomethacin, 6-keto-PGF1 alpha excretion was equalized, but the elevated PRA and aldosterone levels persisted on the high-protein diet, suggesting that PRA and aldosterone elevations do not depend entirely on prostanoid release. We conclude that chronic augmentation of dietary protein intake is accompanied by alterations of vasoactive hormones, which persist for up to 10 h postprandially and are independent of elevated plasma amino acid levels. Such hormonal alterations may mediate some of the dietary protein-mediated changes in renal hemodynamics.


1978 ◽  
Vol 235 (3) ◽  
pp. E261 ◽  
Author(s):  
J T Brosnan ◽  
P McPhee ◽  
B Hall ◽  
D M Parry

The influence of protein intake on acid excretion and renal glutamine metabolism was investigated and compared to the effects of NH4Cl-induced metabolic acidosis. Rats fed a diet containing 55% casein excreted more ammonia, phosphate, sulphate, and chloride than did rats fed a 13% casein diet, but, when they were given an 0.1 M NaHCO3 solution to drink, ammonia excretion was no longer elevated. Renal phosphate-dependent glutaminase and phosphoenolpyruvate carboxykinase activities, ammoniagenesis by isolated mitochondria, and the rate of renal gluconeogenesis were all elevated in the rats fed the high-protein diet but not if these rats also drank the sodium bicarbonate solution. Increased glutaminase and phosphoenolpyruvate carboxykinase activities, mitochondrial ammoniagenesis, and gluconeogenesis were all evident in rats made acidotic with NH4Cl. It is concluded that these metabolic adaptations evident in the kidneys of rats fed the high-protein diet are due to the acidogenic effects of increased protein intake.


1937 ◽  
Vol 27 (4) ◽  
pp. 569-583 ◽  
Author(s):  
H. E. Woodman ◽  
R. E. Evans ◽  
W. G. Turpitt

An investigation has been made, by the method of balance trials, of the utilization of food protein, at different levels of protein intake, by bacon pigs throughout the period of growth from weaning to slaughter. Information has also been secured relating to the retention of lime, phosphoric acid and chlorine. The main conclusions are as follows:(1) The young pigs after weaning were able to digest their food with as high an efficiency as was displayed in the later stages of growth. The extra protein in the high-protein rations had little or no effect on the extent to which the food was digested.(2) No evidence was secured at any stage of the trials suggesting the presence of protein in the urine of the pigs subsisting on the high-protein diet.(3) The gilts showed a consistently higher rate of nitrogen retention than their brother-hogs. This behaviour was manifested even when the protein supply in the gilt's ration was lower than that in the ration of the hog with which it was compared. This more efficient utilization of food protein by the gilts is held to explain the tendency of gilts to give somewhat leaner carcasses than hogs.(4) Nitrogen retention from the high-protein diet was no higher than from the normal-protein diet, a rinding suggesting that the amount of protein in the normal rations is sufficient to meet the demands for the quick growth required by modern standards of bacon production.


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