scholarly journals High protein diet: benefits and risks

2021 ◽  
Vol 17 (4) ◽  
pp. 393-400
Author(s):  
M. V. Altashina ◽  
E. V. Ivannikova ◽  
E. A. Troshina

The nature of human nutrition has become increasingly important as an effective element in the prevention and treatment of many pathologies, especially obesity, type 2 diabetes and cardiovascular diseases. High protein diets are some of the most popular eating patterns and the Dukan diet has taken the lead in popularity among the diets of this type. An increase of protein in the diet is effective in reducing body weight, primarily due to the loss of adipose tissue, without a significant effect on muscle mass. Another advantage of a high-protein diet is earlier and longer satiety compared to other diets, which makes it comfortable for use. Besides obesity, high protein diets are presumably effective for treating such diseases as nonalcoholic fatty liver disease, diabetes mellitus and cardiovascular diseases However, despite the important advantages, this nutritional model is not universal and is contraindicated in patients with diseases of liver, kidneys and osteoporosis. Besides, the prolonged use of a high protein diet may increase the risks of urolithiasis and reduced mineral bone density even for healthy individuals. Thus, the increase in the proportion of protein in the diet should take place exclusively under the supervision of a physician.

2019 ◽  
Vol 10 (4) ◽  
pp. 621-633 ◽  
Author(s):  
Samar Malaeb ◽  
Caitlin Bakker ◽  
Lisa S Chow ◽  
Anne E Bantle

ABSTRACT Diet has the potential to be a powerful and cost-effective tool for treatment of type 2 diabetes mellitus (T2D). High-protein diets have shown promise for this purpose. The objective of this systematic review was to evaluate whether high-protein diets improve glycemic outcomes in people with T2D. We conducted a systematic search of literature published prior to 1 February 2018 to find clinical studies of high-protein diet patterns for treatment of T2D in human participants. A high-protein diet was defined as a diet with protein content greater than that of a typical diet in the United States (>16% of total energy as protein). Studies were excluded if weight loss >5% occurred or if no glycemic outcomes were measured. A total of 21 independent articles met our criteria and were included. Most tested diets had a protein content of around 30% of total energy. Many studies supported the use of high-protein diets for patients with T2D, but were limited by small size (n = 8–32) and short duration (1–24 wk). Randomized controlled trials tended to be larger (n = 12–419) and longer (6 wk–2 y), and had mixed results, with many trials showing no difference between a high-protein diet and control. Many randomized controlled trials were limited by low compliance and high dropout rates >15%. There were no consistent beneficial or detrimental effects of high-protein diets on renal or cardiovascular outcomes. Evidence was insufficient to recommend 1 type of protein (plant or animal) over the other. Our review suggests that interventions to improve compliance with diet change over the long term may be equally important as specific macronutrient recommendations for treatment of T2D.


1968 ◽  
Vol 46 (10) ◽  
pp. 1253-1260 ◽  
Author(s):  
R. A. Freedland

Although many enzymes are increased by either a high-protein diet or cortisol adminstration, there was no evidence of a glucocorticoid requirement for the high-protein mediated increases. This was particularly noticeable for enzymes markedly increased by feeding a high-protein diet. Neither adrenalectomy nor hypophysectomy prevented the diet-mediated increases, although in certain instances the responses were decreased. Many enzymes which were unaffected or decreased in the intact rat by feeding a high-protein diet had markedly different responses after endocrine removal. There did not appear to be a general or simple pattern of these altered responses. Therefore predictions on possible activity changes could not be made, except for those enzymes normally increased by a high-protein diet on the basis of metabolic function or hormonal effects. Possible hormonal controls of these changes in enzyme activity are discussed.


1987 ◽  
Vol 35 (8) ◽  
pp. 897-907 ◽  
Author(s):  
A Martinez-Ramon ◽  
E Knecht ◽  
S Grisolía

Carbamoyl phosphate synthetase I (CPS-I) is the most abundant protein of rat liver mitochondria. Biochemical measurements in liver homogenates have shown that the liver from rats fed a high-protein diet contains more CPS-I per gram tissue protein than controls. However, there is no information on changes in the intact tissue at the cellular and mitochondrial level. Therefore, monoclonal antibodies to beef liver CPS-I were produced by the hybridoma technique. Four clones, C-241/1A, B, C, and D secreted immunogammaglobulin (IgG) IgG1. Using C-241/C, we measured by electron microscopy immunogold procedures the labeling of CPS-I in mitochondria from liver of rats fed high protein (casein, 50 and 80% of total food intake) diets. CPS-I (expressed as gold particles/micron2 of mitochondrial cross-sectional area) was greater than in mitochondria from control rats (20% casein diet), whether the rats were fed for 1, 6, or 14 months on the high-protein diets. The immunocytochemical measurements shown here demonstrate that the increase in the level of CPS-I in high-protein diets is a reflection of both the larger number of CPS-I molecules per mitochondrial area and the larger proportion of the total hepatocyte volume occupied by mitochondria. Similar measurements were carried out with glutamate dehydrogenase (GDH) using previously characterized monoclonal antibodies. No differences in GDH labeling were found with high-protein diets. Interestingly, when mitochondria from hepatocytes of rats fed a high-protein diet were divided into two subpopulations on the basis of mitochondrial cross-sectional size (i.e., greater or less than 0.7 micron2), the large mitochondria had 1.2 times more CPS-I and 0.8 times less GDH than the small mitochondria nearby.


1941 ◽  
Vol 74 (6) ◽  
pp. 591-600 ◽  
Author(s):  
H. Philipsborn ◽  
L. N. Katz ◽  
S. Rodbard

The effect of high and low protein diets were studied on fourteen dogs in twenty-four different experiments. In only two of these animals, both with moderate renal excretory failure, was a reversible rise in blood pressure elicited by a high protein diet. The possible mechanisms involved in meeting an increased excretory load are discussed.


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.


Animals ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. 2139
Author(s):  
Yumeng Xi ◽  
Yuanpi Huang ◽  
Ying Li ◽  
Junshu Yan ◽  
Zhendan Shi

Firstly, forty-eight 1-day-old goslings were randomly allocated to four groups and were fed diets containing crude protein (CP) at different concentrations: 160, 180, 200, and 220 g/kg in Experiment One. We found a dose-dependent relationship between the dietary protein levels and morbidity of gosling gout. The concentration of serum uric acid (UA), creatinine (Cr), and urea nitrogen (UN), and the activity of xanthine oxidase in the 220CP groups were significantly higher than those in the low-protein diet groups. Beneficial microbes, including Akkermansia, Lactococcus, and Butyricicoccus were enriched in the ceca of healthy goslings, while the microbes Enterococcus, Enterobacteriaceae, and Bacteroides were enriched in those with gout. Then, we explored the effects of fermented feed on gosling gout caused by high-protein diets in Experiment Two. A total of 720 1-day-old goslings were randomly allotted to four experimental groups: CN (162.9 g/kg CP), CNF (167.5 g/kg CP, replacing 50 g/kg of the basal diet with fermented feed), HP (229.7 g/kg CP, a high-protein diet), and HPF (230.7 g/kg CP, replacing 50 g/kg of the high-protein diet with fermented feed). We found that the cumulative incidence of gout increased in the HP group compared with that in the control, but decreased in the HPF group compared to that in the HP group. Similarly, the concentration of serum UA in the HP group was higher than that in the CN group, but decreased in the HPF group. Meanwhile, compared with the HP group, using fermented feed in diets decreased the abundance of Enterococcus in the ceca of goslings, while increasing the abundance of Lactobacillus. These results suggest that appropriate dietary protein levels and the fermented feed supplement might relieve the kidney injury and gut microbiota dysbiosis caused by high-protein diets in the development of gosling gout.


1982 ◽  
Vol 206 (1) ◽  
pp. 13-18 ◽  
Author(s):  
P Fafournoux ◽  
C Rémésy ◽  
C Demigné

After adaptation of rats to a 90%-casein diet, hepatic uptake of alanine is strikingly increased in vivo, with concomitant appearance of a concentration of favourable for uptake. With a high-protein diet, uptake of 2-aminoisobutyrate by isolated hepatocytes in the presence of various concentrations of substrates suggested induction of the A system (high-affinity system), whose emergence has been reported during starvation or after glucagon treatment. The other system (ASC, L) were characterized: induction processes only affected the A system. Dibutyryl cyclic AMP addition resulted in an increase in 2-aminoisobutyrate transport at low substrate concentration, the response being greater after adaptation to a high-protein diet. Evidence is presented suggesting that the increased uptake of amino acids by the liver of rats fed on high-protein diets is obtained by developing favourable gradients and enhancing transport capacities. These adaptations allow sufficient amounts of amino acids to enter the liver, where accelerated metabolism plays a decisive role.


2012 ◽  
Vol 108 (S2) ◽  
pp. S122-S129 ◽  
Author(s):  
Peter Clifton

Red meat intake has been frequently associated with the development of coronary artery disease and type 2 diabetes but vegetable protein has been associated with protection from these diseases. Whether this is related to the protein per se or to the increased polyunsaturated fat or higher fibre levels associated with more vegetarian diets is not clear.High protein diets are associated with greater satiety and in some studies are associated with greater weight loss compared with high carbohydrate diets especially in an ad libitum design. These diets also lower plasma triglyceride and blood pressure and sometimes spare lean mass. There appear to be no harmful effects of high protein diets on bone density or renal function in weight loss studies.


2014 ◽  
Vol 26 (3) ◽  
pp. 262-266
Author(s):  
Luisa Paschino

Con l'aumento costante della prevalenza di sovrappeso e obesità in tutto il mondo, è sempre maggiore l'interesse e l'utilizzo di diete iperproteiche da parte della popolazione generale per contrastare tale fenomeno. Tuttavia, vi sono ancora oggi forti dubbi sulla sicurezza a lungo termine delle High-Protein diets, soprattutto per quanto riguarda il possibile sviluppo e la progressione della patologia renale. Le diete iperproteiche sono state associate a ipertrofia renale, iperfiltrazione glomerulare, accelerazione della CKD, aumento della proteinuria, maggior rischio di nefrolitiasi e varie alterazioni metaboliche. Mentre è ormai accettato che tali condizioni possono causare un danno renale progressivo nelle persone che già soffrono di patologia renale, meno chiaro è invece l'impatto di un elevato apporto di proteine nei soggetti sani. Una comprensione globale del rischio ad esse correlato è ancora oggi limitata dall'assenza di rigorosi studi a lungo termine sull'uomo e dalla mancanza di una definizione universalmente accettata di High-Protein diet. A tal proposito è bene non indicare diete iperproteiche nei soggetti con GFR


2010 ◽  
Vol 104 (9) ◽  
pp. 1395-1405 ◽  
Author(s):  
Margriet A. B. Veldhorst ◽  
Klaas R. Westerterp ◽  
Anneke J. A. H. van Vught ◽  
Margriet S. Westerterp-Plantenga

Two types of relatively high-protein diets, with a normal or low proportion of carbohydrates, have been shown effective for weight loss. The objective was to assess the significance of the presence or absence of carbohydrates and the proportion of fat in high-protein diets for affecting appetite suppression, energy expenditure, and fat oxidation in normal-weight subjects in energy balance. Subjects (aged 23 (sd3) years and BMI 22·0 (sd1·9) kg/m2) were stratified in two groups. Each was offered two diets in a randomised cross-over design: group 1 (n22) – normal protein (NP; 10, 60 and 30 % energy (En%) from protein, carbohydrate and fat), high protein (HP; 30, 40 and 30 En%); group 2 (n23) – normal protein (NP-g; 10, 60 and 30 En%), high protein, carbohydrate-free (HP-0C; 30, 0 and 70 En%) for 2 d; NP-g and HP-0C were preceded by glycogen-lowering exercise (day 1). Appetite was measured throughout day 2 using visual analogue scales (VAS). Energy expenditure (EE) and substrate oxidation (respiratory quotient; RQ) were measured in a respiration chamber (08.00 hours on day 2 until 07.30 hours on day 3). Fasting plasma β-hydroxybutyrate (BHB) concentration was measured (day 3). NP-g and NP did not differ in hunger, EE, RQ and BHB. HP-0C and HPv.NP-g and NP, respectively, were lower in hunger (P < 0·05;P < 0·001) and RQ (P < 0·01;P < 0·001) and higher in EE (P < 0·05;P = 0·07) and BHB (P < 0·05;P < 0·001). Hunger and RQ were lower with HP-0C than HP (693 (sd208)v.905 (sd209) mm VAS × 24 h,P < 0·01; 0·76 (sd0·01)v. 0·81 (sd0·02),P < 0·01); BHB was higher (1349 (sd653)v.332 (sd102) μmol/l;P < 0·001). ΔHunger, ΔRQ, and ΔBHB were larger between HP-0C–NP-g than between HP–NP ( − 346 (sd84)v.− 107 (sd52) mm VAS ×  24 h,P < 0·01; − 0·09 (sd0·00)v.− 0·05 (sd0·00),P < 0·001; 1115 (sd627)v.104 (sd42) μmol/l,P < 0·001). In conclusion, appetite suppression and fat oxidation were higher on a high-protein diet without than with carbohydrates exchanged for fat. Energy expenditure was not affected by the carbohydrate content of a high-protein diet.


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