scholarly journals Effects of randomized whey-protein loads on energy intake, appetite, gastric emptying, and plasma gut-hormone concentrations in older men and women

2017 ◽  
pp. ajcn154377 ◽  
Author(s):  
Caroline Giezenaar ◽  
Laurence G Trahair ◽  
Natalie D Luscombe-Marsh ◽  
Trygve Hausken ◽  
Scott Standfield ◽  
...  
Nutrients ◽  
2018 ◽  
Vol 10 (10) ◽  
pp. 1451 ◽  
Author(s):  
Caroline Giezenaar ◽  
Kylie Lange ◽  
Trygve Hausken ◽  
Karen Jones ◽  
Michael Horowitz ◽  
...  

Whey protein, when ingested on its own, load-dependently slows gastric emptying and stimulates gut hormone concentrations in healthy young men. The aim of this study was to determine the effects of substitution, and addition, of carbohydrate (dextrose) and fat (olive oil) to whey protein. In randomized, double-blind order, 13 healthy young men (age: 23 ± 1 years, body mass index: 24 ± 1 kg/m2) ingested a control drink (450 mL; ~2 kcal/‘control’) or iso-volumetric drinks containing protein/carbohydrate/fat: (i) 14 g/28 g/12.4 g (280 kcal/‘M280′), (ii) 70 g/28 g/12.4 g (504kcal/‘M504′), and (iii) 70 g/0 g/0 g (280 kcal/‘P280′), on 4 separate study days. Gastric emptying (n = 11, 3D-ultrasonography), blood glucose, plasma insulin, ghrelin, cholecystokinin (CCK) and glucagon-like peptide-1 (GLP-1) concentrations (0–180 min), appetite (visual analogue scales), and ad-libitum buffet-meal energy intake (180–210 min) were determined. Substitution of protein with carbohydrate and fat was associated with faster gastric emptying (lower 50% emptying time (T50)), reduced suppression of ghrelin, and stimulation of GLP-1 (all P < 0.001); while the addition of carbohydrate and fat to protein did not affect gastric emptying or gut hormone responses significantly. Total energy intake (i.e., drink plus meal) was greater after all caloric drinks than control (P < 0.001). In conclusion, substitution of whey protein with dextrose and olive oil accelerated gastric emptying. Higher protein content of a mixed macronutrient drink increased gut hormone and insulin responses.


2015 ◽  
Vol 309 (8) ◽  
pp. R845-R854 ◽  
Author(s):  
Caroline Giezenaar ◽  
Laurence G. Trahair ◽  
Rachael Rigda ◽  
Amy T. Hutchison ◽  
Christine Feinle-Bisset ◽  
...  

Protein-rich supplements are used widely for the management of malnutrition in young and older people. Protein is the most satiating of the macronutrients in young. It is not known how the effects of oral protein ingestion on energy intake, appetite, and gastric emptying are modified by age. The aim of the study was to determine the suppression of energy intake by protein compared with control and underlying gastric-emptying and appetite responses of oral whey protein drinks in eight healthy older men (69–80 yr) compared with eight young male controls (18–34 yr). Subjects were studied on three occasions to determine the effects of protein loads of 30 g/120 kcal and 70 g/280 kcal compared with a flavored water control-drink (0 g whey protein) on energy intake (ad libitum buffet-style meal), and gastric emptying (three-dimensional-ultrasonography) and appetite (0–180 min) in a randomized, double-blind, cross-over design. Energy intake was suppressed by the protein compared with control ( P = 0.034). Suppression of energy intake by protein was less in older men (1 ± 5%) than in young controls (15 ± 2%; P = 0.008). Cumulative energy intake (meal+drink) on the protein drink days compared with the control day increased more in older (18 ± 6%) men than young (1 ± 3%) controls ( P = 0.008). Gastric emptying of all three drinks was slower in older men (50% gastric-emptying time: 68 ± 5 min) than young controls (36 ± 5 min; P = 0.007). Appetite decreased in young, while it increased in older ( P < 0.05). In summary, despite having slower gastric emptying, elderly men exhibited blunted protein-induced suppression of energy intake by whey protein compared with young controls, so that in the elderly men, protein ingestion increased overall energy intake more than in the young men.


2015 ◽  
Vol 102 (6) ◽  
pp. 1574-1584 ◽  
Author(s):  
Amy T Hutchison ◽  
Diana Piscitelli ◽  
Michael Horowitz ◽  
Karen L Jones ◽  
Peter M Clifton ◽  
...  

1999 ◽  
Vol 47 (6) ◽  
pp. 710-715 ◽  
Author(s):  
Naomi J. Tomoyasu ◽  
Michael J. Toth ◽  
Eric T. Poehlman

Author(s):  
Benoît Verdon

Since the 1950s, the growing interest of clinicians in using projective tests to study normal or pathological aging processes has led to the creation of several thematic tests for older adults. This development reflects their authors’ belief that the TAT is not suitable to the concerns and anxieties of elderly persons. The new material thus refers explicitly to situations related to age; it aims to enable older persons to express needs they cannot verbalize during consultations. The psychodynamic approach to thematic testing is based on the differentiation between the pictures’ manifest and latent content, eliciting responses linked to mental processes and issues the respondent is unaware of. The cards do not necessarily have to show aging characters to elicit identification: The situations shown in the pictures are linked to loss, rivalry, helplessness, and renunciation, all issues elderly respondents can identify with and that lead them to express their mental fragilities and resources. The article first explains the principles underlying four of these thematic tests, then develops several examples of stories told for card 3BM of the TAT, thus showing the effectiveness of this tool for the understanding and differentiation of loss-related issues facing older men and women.


Author(s):  
Tiffany Hale

To identify Clyde Warrior as an intellectual subverts prevailing notions of intellectualism. We often think of intellectuals as older men and women whose major contributions are revealed late in life, once the passions of youth have been tempered by experience. Warrior was not this. People frequently imagine intellectuals as existing in isolation, insulated from the demands of regular folk. Warrior was not this either. He was a Ponca, born on the reservation and raised with the influence of his grandparents and community. He was also a renowned singer and powwow fancy dancer, as well as a college student, an organizational leader, a husband, and father of two daughters. Warrior’s political consciousness grew out of the deep connections he maintained to his rural Ponca roots, but he took care to educate himself about the problems affecting Native Americans across the United States as well as colonized peoples globally. As an Oklahoman, he was attuned to race relations in the South and empathized with the struggles of Africans and African Americans. His approach to indigenous political struggles was shaped and informed, for example, by his early and active participation with the Student Nonviolent Coordinating Committee (SNCC) and Martin Luther King Jr.’s Poor People’s Campaign.


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