Vegetable but not animal protein intake is associated to a better physical performance: a study on a general population sample of adults
Background: The research was conducted in the frame of a population-based, case control study, called Genes Environment Interaction in Respiratory Disease.
Objective: To assess the association between protein intake and physical performance in a general population sample.
Design: Researchers investigated the association between the participants’ dietary information and their physical performance using the 6-min walking test and the distance walked in metres (6MWD) as main outcome measure. Information on dietary intake was collected using the validated European Investigation into Cancer and Nutrition food frequency questionnaires (FFQs). Then, daily intake of energy and macronutrients was estimated by means of the NAF software (nutritional analysis of FFQ). Linear regression models were used to evaluate the associations between vegetable, animal and total protein intakes and the 6MWD. The models were adjusted for socio-demographic features, total fats and available carbohydrate intakes.
Results: The participants were 223 subjects (57% females) aged between 23 and 68 years. Their mean vegetable and animal proteins intake for gram/kg of body weight/day were, respectively, 0.4 and 0.7. After adjusting for all the potential confounders, there was a significant increase of 20.0 (95% CI 0.8; 39.2) m in the distance walked for an increase in 10 g/day of vegetable proteins and non-significant variations of −1.8 (95% CI −9.3; 5.7) m for an increase in 10 g/day of animal proteins and of 0.5 (95% CI −6.8; 7.7) for an increase in 10 g/day of total proteins. Discussion and conclusions: Our result suggests a positive role of vegetable proteins on physical performance. Whether this result is related to the high protein intake itself or may be a consequence of the other properties of plant-based foods deserves further investigation.
- Cooper R, Kuh D, Hardy R; Mortality Review Group; FALCon and HALCyon Study Teams. Objectively measured physical capability levels and mortality: systematic review and meta-analysis. BMJ 2010; 341: c4467. doi: 10.1136/bmj.c4467.
- Cooper R, Kuh D, Cooper C, Gale CR, Lawlor DA, Matthews F, et al. Objective measures of physical capability and subsequent health: a systematic review. Age Ageing 2011; 40(1): 14–23. doi: 10.1093/ageing/afq117.
- Cooper R, Muniz-Terrera G, Kuh D. Associations of behavioural risk factors and health status with changes in physical capability over 10 years of follow-up: the MRC National Survey of Health and Development. BMJ Open 2016; 6(4): e009962. doi: 10.1136/bmjopen-2015-009962.
- Mithal A, Bonjour J, Dawson-Hughes B; IOF CSA Nutrition Working Group. Impact of nutrition on muscle mass, strength, and performance in older adults: response to Scott and Jones. Osteoporos Int 2014; 25(2): 793. doi: 10.1007/s00198-013-2490-7.
- Chaput JP, Lord C, Cloutier M, Aubertin Leheudre M, Goulet ED, Rousseau S, et al. Relationship between antioxidant intakes and class I sarcopenia in elderly men and women. J Nutr Health Aging 2007; 11(4): 363–9.
- Volpi E, Campbell WW, Dwyer JT, Johnson MA, Jensen GL, Morley JE, et al. Is the optimal level of protein intake for older adults greater than the recommended dietary allowance? J Gerontol A Biol Sci Med Sci 2013; 68(6): 677–81. doi: 10.1093/gerona/gls229.
- Wolfe RR, Miller SL, Miller KB. Optimal protein intake in the elderly. Clin Nutr 2008; 27(5): 675–84. doi: 10.1016/j.clnu.2008.06.008.
- Burd NA, Gorissen SH, van Loon LJ. Anabolic resistance of muscle protein synthesis with aging. Exerc Sport Sci Rev 2013; 41(3): 169–73. doi: 10.1097/JES.0b013e318292f3d5
- Pannemans DL, Wagenmakers AJ, Westerterp KR, Schaafsma G, Halliday D. Effect of protein source and quantity on protein metabolism in elderly women. Am J Clin Nutr 1998; 68(6): 1228–35. doi: 10.1093/ajcn/68.6.1228
- Campbell WW, Barton ML Jr, Cyr-Campbell D, Davey SL, Beard JL, Parise G, et al. Effects of an omnivorous diet compared with a lactoovovegetarian diet on resistance-training-induced changes in body composition and skeletal muscle in older men. Am J Clin Nutr 1999; 70(6): 1032–9. doi: 10.1093/ajcn/70.6.1032
- Gregorio L, Brindisi J, Kleppinger A, Sullivan R, Mangano KM, Bihuniak JD, et al. Adequate dietary protein is associated with better physical performance among post-menopausal women 60–90 years. J Nutr Health Aging 2014; 18(2): 155–60. doi: 10.1007/s12603-013-0391-2.
- Guligowska A, Pigłowska M, Fife E, Kostka J, Sołtysik BK, Kroc Ł, et al. Inappropriate nutrients intake is associated with lower functional status and inferior quality of life in older adults with depression. Clin Interv Aging 2016; 11: 1505–1517. doi: 10.2147/CIA.S114669
- Isanejad M, Mursu J, Sirola J, Kröger H, Rikkonen T, Tuppurainen M, et al. Dietary protein intake is associated with better physical function and muscle strength among elderly women. Br J Nutr 2016; 115(7): 1281–91. doi: 10.1017/S000711451600012X.
- Martin H, Aihie Sayer A, Jameson K, Syddall H, Dennison EM, Cooper C, et al. Does diet influence physical performance in community-dwelling older people? Findings from the Hertfordshire Cohort Study. Age Ageing 2011; 40(2): 181–6. doi: 10.1093/ageing/afq175.
- Radavelli-Bagatini S, Zhu K, Lewis JR, Dhaliwal SS, Prince RL. Association of dairy intake with body composition and physical function in older community-dwelling women. J Acad Nutr Diet 2013; 113(12): 1669–74. doi: 10.1016/j.jand.2013.05.019.
- Houston DK, Nicklas BJ, Ding J, Harris TB, Tylavsky FA, Newman AB, et al. Dietary protein intake is associated with lean mass change in older, community-dwelling adults: the Health, Aging, and Body Composition (Health ABC) Study. Am J Clin Nutr 2008; 87(1): 150–5. doi: 10.1093/ajcn/87.1.150
- Scott D, Blizzard L, Fell J, Giles G, Jones G. Associations between dietary nutrient intake and muscle mass and strength in community-dwelling older adults: the Tasmanian Older Adult Cohort Study. J Am Geriatr Soc 2010; 58(11): 2129–34. doi: 10.1111/j.1532-5415.2010.03147.x.
- Marcon A, Girardi P, Ferrari M, Olivieri M, Accordini S, Bombieri C, et al. Mild asthma and chronic bronchitis seem to influence functional exercise capacity: a multi-case control study. Int Arch Allergy Immunol 2013; 161(2): 181–8. doi: 10.1159/000345137.
- Pisani P, Faggiano F, Krogh V, Palli D, Vineis P, Berrino F. Relative validity and reproducibility of a food frequency dietary questionnaire for use in the Italian EPIC centres. Int J Epidemiol 1997; 26(Suppl 1): S152–60. doi: 10.1093/ije/26.suppl_1.s152
- Pala V, Sieri S, Palli D, Salvini S, Berrino F, Bellegotti M, et al. Diet in the Italian EPIC cohorts: presentation of data and methodological issues. Tumori 2003; 89(6): 594–607.
- Salvini S, Parpinel M, Gnagnarella P, Maisonneuve P, Turrini A. Banca Dati di Composizione degli Alimenti per Studi Epidemiologici in Italia. Milan, Italy: Istituto Europeo di Oncologia; 1998.
- ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002; 166(1): 111–17. doi: 10.1164/ajrccm.166.1.at1102
- Rand WM, Pellett PL, Young VR. Meta-analysis of nitrogen balance studies for estimating protein requirements in healthy adults. Am J Clin Nutr 2003; 77(1): 109–27. doi: 10.1093/ajcn/77.1.109
- Beasley JM, LaCroix AZ, Neuhouser ML, Huang Y, Tinker L, Woods N, et al. Protein intake and incident frailty in the women’s health initiative observational study. J Am Geriatr Soc 2010; 58(6): 1063–71. doi: 10.1111/j.1532-5415.2010.02866.x.
- van Vliet S, Burd NA, van Loon LJ. The skeletal muscle anabolic response to plant- versus animal-based protein consumption. J Nutr 2015; 145(9): 1981–91. doi: 10.3945/jn.114.204305.
- Lord C, Chaput JP, Aubertin-Leheudre M, Labonté M, Dionne IJ. Dietary animal protein intake: association with muscle mass index in older women. J Nutr Health Aging 2007; 11(5): 383–7.
- Chan R, Leung J, Woo J, Kwok T. Associations of dietary protein intake on subsequent decline in muscle mass and physical functions over four years in ambulant older Chinese people. J Nutr Health Aging 2014; 18(2): 171–7. doi: 10.1007/s12603-013-0379-y.
- Kojima N, Kim M, Saito K, Yoshida H, Yoshida Y, Hirano H, et al. Lifestyle-related factors contributing to decline in knee extension strength among elderly women: a cross-sectional and longitudinal cohort study. PLoS One 2015; 10(7): e0132523. doi: 10.1371/journal.pone.0132523.
- Ives SJ, Bloom S, Matias A, Morrow N, Martins N, Roh Y, et al. Effects of a combined protein and antioxidant supplement on recovery of muscle function and soreness following eccentric exercise. J Int Soc Sports Nutr 2017; 14: 21. doi: 10.1186/s12970-017-0179-6.
- Joobeur S, Rouatbi S, Latiri I, Sfaxi R, Ben Saad H. Influencing factors of the 6-min walk distance in adult Arab populations: a literature review. Tunis Med 2016; 94(5): 339–348.
- Gilbert JA, Bendsen NT, Tremblay A, Astrup A. Effect of proteins from different sources on body composition. Nutr Metab Cardiovasc Dis 2011; 21(Suppl 2): B16–31. doi: 10.1016/j.numecd.2010.12.008.
- Hoffman JR, Falvo MJ. Protein – which is best? J Sports Sci Med 2004; 3(3): 118–30.
- Karamali M, Kashanian M, Alaeinasab S, Asemi Z. The effect of dietary soy intake on weight loss, glycaemic control, lipid profiles and biomarkers of inflammation and oxidative stress in women with polycystic ovary syndrome: a randomised clinical trial. J Hum Nutr Diet 2018; 31(4): 533–543. doi: 10.1111/jhn.12545.
- Appleby PN, Thorogood M, Mann JI, Key TJ. The Oxford vegetarian study: an overview. Am J Clin Nutr 1999; 70(3 Suppl): 525S–531S. doi: 10.1093/ajcn/70.3.525s.
- Melby CL, Toohey ML, Cebrick J. Blood pressure and blood lipids among vegetarian, semivegetarian, and nonvegetarian African Americans. Am J Clin Nutr 1994; 59(1): 103–9. doi: 10.1093/ajcn/59.1.103
- Thorogood M, Carter R, Benfield L, McPherson K, Mann JI. Plasma lipids and lipoprotein cholesterol concentrations in people with different diets in Britain. Br Med J (Clin Res Ed) 1987; 295(6594): 351–3. doi: 10.1136/bmj.295.6594.351
- Levin N, Rattan J, Gilat T. Energy intake and body weight in ovo-lacto vegetarians. J Clin Gastroenterol 1986; 8(4): 451–3.
- Thorogood M, Mann J, Appleby P, McPherson K. Risk of death from cancer and ischaemic heart disease in meat and non-meat eaters. BMJ 1994; 308(6945): 1667–70. doi: 10.1136/bmj.308.6945.1667
- Fraser GE, Lindsted KD, Beeson WL. Effect of risk factor values on lifetime risk of and age at first coronary event. The adventist health study. Am J Epidemiol 1995; 142(7): 746–58. doi: 10.1093/oxfordjournals.aje.a117706
- Burr ML, Sweetnam PM. Vegetarianism, dietary fiber, and mortality. Am J Clin Nutr 1982; 36(5): 873–7. doi: 10.1093/ajcn/36.5.873
- Snowdon DA, Phillips RL. Does a vegetarian diet reduce the occurrence of diabetes? Am J Public Health 1985; 75(5): 507–12. doi: 10.2105/ajph.75.5.507
- Snowdon DA, Phillips RL, Fraser GE. Meat consumption and fatal ischemic heart disease. Prev Med 1984; 13(5): 490–500.
- Giovannucci E, Rimm EB, Stampfer MJ, Colditz GA, Ascherio A, Willett WC. Intake of fat, meat, and fiber in relation to risk of colon cancer in men. Cancer Res 1994; 54(9): 2390–7.
- White R, Frank E. Health effects and prevalence of vegetarianism. West J Med 1994; 160(5): 465–70.
- Hasler CM. The cardiovascular effects of soy products. J Cardiovasc Nurs 2002; 16(4): 50–63; quiz 75–6.
- Bourahli MK, Bougrida M, Martani M, Mehdioui H, Saad HB. 6-Min walk-test data in healthy North-African subjects aged 16–40 years. Egypt J Chest Dis Tu 2016; 65(1): 349–60. doi: 10.1016/j.ejcdt.2015.08.003.
- Macdonald HM, New SA, Reid DM. Longitudinal changes in dietary intake in Scottish women around the menopause: changes in dietary pattern result in minor changes in nutrient intake. Public Health Nutr 2005; 8(4): 409–16.
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