Protein All of Your Burning Questions Answered. First Edition 2021 Alan Aragon
Protein All of Your Burning Questions Answered. First Edition 2021 Alan Aragon
Questions Answered
By Alan Aragon
- FIRST EDITION -
Copyright: ©2021 By Alan Aragon
All rights reserved. This book or any part thereof, may not be
reproduced or recorded in any form without permission in writing
from the author, except for the quotation of brief excerpts, to
which proper attribution is given.
Suggested citation:
Aragon AA. Protein: All of Your Burning Questions Answered. 1st ed., Los
Angeles: Alan Aragon. https://alanaragon.com/books
This book is NOT intended for the treatment or prevention of disease, nor
as a substitute for medical treatment, nor as an alternative to medical
advice. It is a review of scientific literature presented for informational
purposes, to increase public knowledge of the developments in the field of
nutrition. The information herein should not be adopted without
consulting your doctor or qualified healthcare professional. Use of the
information herein is at the sole choice and risk of the reader. The author
and publisher specifically disclaim all responsibility for any liability, loss, or
risk (personal or otherwise) incurred as a direct or indirect consequence of
the application of any of the contents of this book.
-1-
This book is dedicated to Jeana, Lex, and Max.
You are my dream team and my life’s joy.
-2-
Contents
Chapter 1: Hierarchy of importance (start here, then skip through
the book as you wish) [5]
Chapter 2: How much protein does the general public habitually
consume? [8]
Chapter 3: How much protein is needed to maintain health in the
general population? [10]
Chapter 4: How much protein do competitive athletes habitually
consume? [13]
Chapter 5: How much protein maximizes athletic performance?
[16]
Chapter 6: How much protein maximizes muscle gain? [18]
Chapter 7: How should protein be distributed through the day to
maximize muscle gain? [24]
Chapter 8: How much protein maximally preserves muscle while
losing fat? [27]
Chapter 9: How should protein be distributed through the day to
maximize muscle retention while dieting? [30]
Chapter 10: How does protein intake influence recomposition?
[36]
Chapter 11: How does protein timing (pre, during, and post-
exercise) impact athletic performance? [39]
Chapter 12: How does protein timing (pre, during, and post-
exercise) impact body composition? [43]
Chapter 13: How does BCAA supplementation affect body
composition? [49]
-3-
Chapter 14: How does a high protein intake impact ketosis? [53]
Chapter 15: How does protein restriction influence longevity?
[56]
Chapter 16: How does advanced age impact protein utilization
and dosing requirements? [62]
Chapter 17: How much protein do adolescents need? [67]
Chapter 18: How do sex differences influence protein
requirements? [69]
Chapter 19: How do high-protein diets impact bone and kidney
health? [73]
Chapter 20: Is there an inherent advantage to pre-bed casein?
[76]
Chapter 21: How does postworkout whey compare to chicken,
beef, or casein for improving body composition & strength? [79]
Chapter 22: How do whole eggs compare with egg whites for
muscle growth? [82]
Chapter 23: If collagen is considered a low-quality protein, does
that make collagen supplements useless? [85]
Chapter 24: How do plant proteins compare to animal proteins
for muscle growth? [87]
Chapter 25: How satiating is protein, really? [92]
Chapter 26: What about non-linear protein intake through the
week (training days vs non-training days, protein hyperfeeds)?
[95]
Chapter 27: Protein servings & sources [101]
Postscript [108]
References [109]
-4-
Chapter 1: Hierarchy of importance (start here,
then skip through the book as you wish)
Welcome!
Welcome, and thank you for cracking open this little beast. In
the odd case that you’re reading this, yet you don’t know who I
am or why I’m worth listening to, here is my bio, and here are
my peer reviewed publications. The content of this book is
meticulously compiled from the current state of the scientific
evidence combined with nearly three decades of field
experience. I’m proud to say that I’ve co-authored several of the
key research publications that have shaped the current
practice guidelines on protein intake for sports and fitness-
oriented populations.
Hierarchy of importance
Here’s the crux of why I wanted you to read this introductory
section first. Without maintaining the proper big-picture
-5-
perspective, the smaller details will lack meaning and context.
As you go through the material, keep in mind that there’s an
underlying order of importance when it comes to the various
aspects about protein. From most to least important, the
ranking is as follows (keep in mind that these are specific to
protein; this hierarchy does not apply to all nutrients):
-6-
of within-day distribution are of distantly secondary
importance compared to total daily amount.
Caveats
Keep in mind that nutritional needs vary across the stages of
the human life cycle, well as different disease states. The
protein requirements discussed in this book apply to healthy
adults, unless specified otherwise.
-7-
Chapter 2: How much protein does the general
public habitually consume?
A common statement made by professors throughout my
college experience was that protein supplements (and the push
for greater protein intakes in fitness-related media) are a scam
because people already consume more than enough protein. A
more nuanced approach to this topic shows that different goals
warrant different protein intakes. So, this claim always set off
my skepticism sensors.
Both of these protein intakes (1.17 & 0.92 g/kg in men &
women, respectively) exceed the Recommended Daily
-8-
Allowance (RDA) for protein, which is 0.8 g/kg.4 So, by that
standard, my professors were correct. The general public’s
protein intake exceeds the “official” public health guideline.
The problem is that the RDA is insufficient to meet the needs of
a substantial proportion of the general population, and it comes
up short for practically all dieting and athletic populations. The
following chapters cover the RDA’s shortcomings in more
detail.
-9-
Chapter 3: How much protein is needed to maintain
health in the general population?
Ancient & tenacious
The Recommended Daily Allowance (RDA) for protein is 0.8
g/kg.4 Notably, this figure was derived from nitrogen balance
studies on sedentary individuals. It formally became part of the
public health guidelines in 1980. It’s now 2021, and the RDA for
protein hasn’t changed; no adjustments for athletes or
physically active individuals, no increase for the elderly. Forty
years is a long time for a guideline as important as protein
intake to be outdated, despite a mountain of research showing
benefits of greater intakes across virtually all populations. But,
this is pretty much the normal (glacial) pace of conventional
wisdom when it comes to altering established nutrition rules in
general.
Moving forward
The research community’s call to re-evaluate the RDA has been
ongoing and vigorous. A memorable 2009 review by Donald
Layman,5 one of the pioneers of protein research in physically
active subjects, was blatantly titled, Dietary Guidelines should
reflect new understandings about adult protein needs. This was
- 10 -
perhaps the first paper to address the RDA’s lack of
contingencies for protein needs based on the state of energy
balance. Layman accurately contended that protein
requirements are inversely proportional to energy intake. In
other words, protein requirements increase in the face of
hypocaloric (energy deficit) conditions, which pose an inherent
threat to lean mass preservation. Furthermore, Layman noted
beneficial effects on calcium metabolism and bone health at
protein intakes above 1.2 g/kg.
- 12 -
Chapter 4: How much protein do high-level
competitive athletes habitually consume?
Strength/power athletes
Gillen et al10 reported that elite-level Dutch strength athletes
(71 subjects) had a protein intake that averaged 1.8 g/kg in
those who used protein supplements, and 1.5 g/kg in those
who did not. Slater and Phillips10 relayed the reported intakes
of various strength/power athletes at the elite, national, and
international levels as follows:
Men Women
Throwing: 1.3-2.4 g/kg 1.1-2.5 g/kg
Sprinting: 1.5 g/kg 1.7 g/kg
Weightlifting: 1.3-3.2 g/kg [no data]
Bodybuilders
Slater and Phillips11 reported that the protein intakes of elite-
level male and female bodybuilders was 1.7-2.4 g/kg & 1.5-2.0
g/kg, respectively. A systematic review by Spendlove et al12
reported a range of 157 g/day (1.9 g/kg/day) to 406 g/day (4.3
g/kg/day) among a mix of drug-free and enhanced competitive
bodybuilders. Chappell et al13 reported that in high-level drug-
free bodybuilders, pre-contest protein intakes of men and
- 13 -
women who placed in the top-5 were 3.3 & 2.8 g/kg,
respectively. Protein intake of men and women who placed out
of the top-5 were 2.7 & 2.9 g/kg, respectively. Body
composition was not reported in this study, so no intakes based
on fat-free mass can be reported.
Mixed/team sports
Team sports fall somewhere in the middle of the strength-
endurance continuum, with a mix of demands and energy
system contributions on that continuum. In a large sample of
elite-level team sport athletes (242 subjects), Gillen et al10
found that protein intake averaged 1.6 g/kg in subjects who
used protein supplements, and 1.4 g/kg in those who did not. A
systematic review by Jenner et al14 reported the intakes of
various professional & semi-professional mixed/team sports
athletes as follows:
Men Women
Football (soccer): 1.9-2.0 g/kg [no data]
Australian football: 1.8-3.4 g/kg [no data]
Rugby union: 2.2-2.7 g/kg [no data]
Wheelchair basketball: 1.7 g/kg [no data]
Volleyball: [no data] 0.9 g/kg
Ice hockey: [no data] 1.4 g/kg
- 14 -
Endurance athletes
Finally, we have our quirky friends who just love to see how far
they can push the limits of their fuel tanks. A classic review by
Tarnopolsky et al15 reported protein intakes ranging 1.0-2.2
g/kg among high-level male and female endurance athletes.
More recently, Burke et al16 reported that in elite-level
Australian endurance athletes (4 canoeists, 2 cyclists, 11
distance runners, 3 kayakers, 9 rowers, 9 swimmers, and 3
walkers), protein intake averaged 1.9 g/kg.
- 15 -
Chapter 5: How much protein maximizes
athletic performance?
The following table outlines the latest position stands of the
major nutrition (& exercise) organizations on protein
requirements for athletic populations. The protein
recommendation of the ISSN17 has been the same since their
initial position stand on this topic in 2007; they were a bit
ahead of the game. The current recommendation of the
Academy of Nutrition and Dietetics, Dietitians of Canada, and
American College of Sports Medicine18 has been increased
since their previous statement in 2009, where the range was
1.2-1.7 g/kg.
- 16 -
Caveats to accepting the position stands as gospel
- 17 -
Chapter 6: How much protein maximizes muscle
gain?
- 18 -
Just what kind of caloric surplus is needed, you ask? The
answer is, it depends on the population. Beginners and more
advanced trainees have different requirements. The following
table is a summary of the energy surplus guidelines from a
recent paper I co-authored with Brad Schoenfeld:22
- 19 -
Important side-note: a common misconception is that since
resting muscle burns about 13 kcal/kg (6 kcal/lb) per day,23
only a tiny surplus is required to build muscle. Under that
presumption, the surpluses in the above table might seem too
large. However, aside from the research evidence showing
otherwise,22 I would encourage you to head over to the July
2020 issue of AARR, and read the article titled, A pound of
muscle burns [X] calories per day: facts, fallacies, & applications.
In that article, I discuss the various components of energy
expenditure increases involved with the process of building
new muscle tissue. The resting value of 13 kcal/kg does not
account for non-exercise & exercise activity increases, and thus
should not be used for programming caloric surpluses for
muscle growth.
With all this said, there are a few caveats to consider before
taking the results as unassailable gospel. Note that this analysis
excluded trials involving hypocaloric conditions, which have
their own protein requirements (discussed in Chapter 8). It
also did not focus specifically on highly trained, athletic, or
competitive populations – let alone advanced trainees on
ergogenic supplementation and/or drugs. Furthermore,
protein needs based on total body mass are presumptive about
body composition, when clearly there’s wide variability in the
proportions of lean mass and fat mass between individuals.
Nevertheless, Morton et al’s findings were echoed in
subsequent research by Bandegan et al,25 who found a protein
requirement of 1.7-2.2 g/kg in bodybuilders on a non-training
day, using the indicator amino acid oxidation (IAAO) technique.
Using the same method, Mazzulla et al26 reported that
resistance-trained men required 2.01-2.38 g/kg.
Summing up
• Maximizing muscle growth requires a sustained caloric
surplus (muscle growth can still occur without a surplus, it
just won’t be maximized).
• Based on the collective longitudinal research that directly
assessed body composition, total daily protein intake for
maximizing muscle gain is 1.6-2.2 g/kg of total bodyweight
(0.7-1.0 g/lb).24
• Women typically carry significantly more body fat than
men, so shooting lower on this range might be more
appropriate as a starting point from which to adjust
according to results.
• Remember to use target bodyweight if you’re highly over-
or underweight.
• Alternatively, 2.2 g/kg FFM (1.0 g/lb FFM) can be put to
trial and adjusted according to individual response.
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Chapter 7: How should protein be distributed
through the day to maximize muscle gain?
For gaining muscle, distribution (pattern, frequency, or spread)
of protein doses through the course of the day appears to
matter, especially if the goal is to maximize muscle growth. To
the best of our knowledge, pushing maximal growth is best
accomplished by having protein in similar doses through the
course of the day,27 from waking to pre-bed.28 Each dose should
maximally stimulate muscle protein synthesis (MPS). Muscle
protein breakdown (MPB) is the other side of protein turnover.
Maxing-out MPS (as opposed to minimizing MPB) is the more
important target since changes in MPS are 4-5 times greater
than MPB in response to exercise and feeding..29 Both
processes occur in constant, dynamic cycles. Muscle growth
occurs as a result of MPS exceeding MPB over time.
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Chapter 8: How much protein maximally
preserves muscle while losing fat?
Generally speaking
Athletes’ requirements
- 27 -
Pushing the envelope
Summing up
Boiling down protein requirements to maximize muscle
retention while dieting, it might help to delineate 3 population
tiers, thus 3 sets of recommendations:
- 29 -
Chapter 9: How should protein be distributed
through the day to maximize muscle retention
while dieting?
It’s logical that the protein distribution pattern that maximizes
muscle growth under ideal (surplus/hypercaloric) conditions
is likely to be the same pattern that maximizes muscle
retention under compromised (deficit/hypocaloric)
conditions. However, there’s evidence that the goal of muscle
retention has a greater allowance for suboptimal/skewed
protein intake patterns, which we’ll cover in a moment.
Asymmetric control
Emerging data
To date, there are three studies that fit the above criteria. An 8-
week study by Moro et al39 was dubbed the Leangains study
since it tested the 16:8 fast:feed cycle popularized by Martin
Berkhan. A 3-meal TRF pattern consisting of 16-hour fasting/8-
hour feeding cycles (16/8 TRF, meals occurred at 1 pm, 4 pm,
and 8 pm) was compared with a conventional/control diet with
3 meals distributed within 12-hours (meals occurred at 8 am,
1 pm, and 8 pm) in resistance-trained men. Training occurred
between 4 pm & 6 pm. No significant changes in lean mass
occurred in either group. Interestingly, greater fat loss
occurred in TRF.
Summing up
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Chapter 10: How does protein intake influence
recomposition?
Recomposition, nicknamed “recomp” by the fitness
community, is the coveted holy grail. It’s important to keep in
mind that recomp capacity diminishes alongside the
progression of an individual’s training status.44 Put more
simply, recomp happens more dramatically in untrained (or
previously trained) folks with excess body fat. The closer you
are to your potential, the less available margin there is for
recomp. With advancing proximity to your potential, recomp
becomes an impractical target. Advanced trainees and most
later-intermediates are best served by focusing on one goal at
a time: fat loss or muscle gain, not both simultaneously. For an
in-depth discussion of what distinguishes beginners,
intermediates, and advanced trainees, refer to the August 2019
issue of AARR.
- 36 -
transformations, especially if they over-ate while remaining
sedentary for a prolonged period.
Summing up
- 38 -
Chapter 11: How does protein timing (pre,
during, and post-exercise) impact athletic
performance?
I’ll begin by saying that protein per se (especially compared to
total caloric intake and carbohydrate intake in particular) has
minimal utility as a fuel for enhancing athletic performance.
Although we can end this discussion here, it’s useful to know
the key pieces of research on this topic. It’s also useful to know
the primary rationale, which is to prevent muscle protein
breakdown (MPB), which can indirectly impact performance if
it manifests as a loss of muscle mass. Another justification for
the intake of protein or amino acids during exercise is to
prevent central fatigue, but this is a hypothesis that has largely
failed across multiple studies.48,49
Pre-exercise
On the pre-exercise front, the only study to date which directly
compared protein with other macronutrients on endurance
performance was back in 2002 by Rowlands and Hopkins.50
Twelve competitive cyclists ingested either a high-fat, high-
carbohydrate, or high-protein meal 90 minutes prior to a test
involving sprinting and 50 km performance. No significant
performance differences were seen between the treatments
- 39 -
compared. As for strength performance, to my knowledge,
there is no study specifically comparing pre-exercise protein
with other macronutrients.
During exercise
A crucial yet commonly overlooked factor influencing the
ergogenic potential of intraworkout nutrition (protein or
other) is the presence versus absence of preworkout nutrition,
which from a bioavailability standpoint, can function as
intraworkout nutrition, considering the time course of
digestion and absorption, which can last several hours. In any
case, in the most recent meta-analysis to examine the effect of
protein & carbohydrate co-ingestion versus carbohydrate-only
on endurance performance, Nielsen et al49 reported that when
carbohydrate intake was equated, the condition with more
protein increased endurance capacity. However, this was due
to greater total energy intake. In comparisons that equated
total calories, there was no endurance performance advantage
of a carb-protein mix versus carbs alone.50
Post-exercise
A recent meta-analysis by Craven et al53 reported that protein
co-ingested with carbohydrate does not expedite post-exercise
glycogen resynthesis (or subsequent exercise performance)
compared to carbohydrate alone, especially when the dosing is
at or near 1.0 g/kg/hr. This echoes the recommendations of
recent position stands on post-exercise carbohydrate dosing
(1-1.2 g/kg/hr) for maximizing rates of glycogen replenish-
- 41 -
ment under time-constrained conditions where competitive
endurance bouts are separated by less than 8 hours.18, 54
Summing up
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Chapter 12: How does protein timing (pre,
during, and post-exercise) impact body
composition?
Let’s first establish the reality that total daily nutrient & calorie
intake have the greatest impact on body composition. In the
ISSN’s position stand on diets & body composition,33 I called the
sum of those totals “the cake,” while timing of its constituents
is “the icing.” Protein timing is of distant secondary importance.
It’s common for folks to fall prey to marketing hype and guru-
ism that puts timing up on a magic pedestal, in opposite order
of importance. Get the cake right first, then you can apply the
icing.
Pre-exercise
- 43 -
meaningful body composition advantage to either protocol.57
I’ll touch upon this one again in a moment.
During exercise
Summing up
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Chapter 13: How does BCAA supplementation
affect body composition?
Well hyped, well loved
Mechanistic rationale
These results align with the concept that the whole (intact
protein) is more than the sum of – some of – its parts (BCAAs).
Even the non-essential amino acids (NEAAs) can function
integrally with the other components of the protein. To
illustrate this, I’ll quote an excerpt from a thought-provoking
review by Hou et al:76
“Although EAA and NEAA had been described for over a century,
there are no compelling data to substantiate the assumption that
NEAA are synthesized sufficiently in animals and humans to meet
the needs for maximal growth and optimal health. NEAA play
important roles in regulating gene expression, cell signaling
pathways, digestion and absorption of dietary nutrients, DNA
and protein synthesis, proteolysis, metabolism of glucose and
lipids, endocrine status, men and women fertility, acid–base
- 51 -
balance, antioxidative responses, detoxification of xenobiotics
and endogenous metabolites, neurotransmission, and immunity.”
Summing up
- 52 -
Chapter 14: How does a high protein intake
impact ketosis?
Under normal, non-dieting conditions, circulating ketone levels
are low (<3 mmol/l). Aside from completely fasting, ketosis is
attained by restricting carbohydrate to a maximum of ~50 g or
~10% of total energy, with the predominance of energy intake
from fat (~60-80% or more, depending on degree protein and
carbohydrate displacement).33 This brings circulating ketone
levels to a range of ~0.5-3 mmol/l. The primary ketone in the
blood is β-hydroxybutyrate (BHB). Ketogenic diet proponents
claim rather wishfully that greater degrees of ketosis provide
greater benefits for dieters.
- 53 -
Moderate protein in keto diets has been espoused in the peer
reviewed literature as well. Quoting Paoli et al: 78 “…it is not
correct to equate a ketogenic diet with a high protein diet,
because the state of the art ketogenic diets are normoproteic
thus the daily amount of protein is about 1.2-1.5 g of protein per
kg of body weight.” However, there are enough data from
controlled intervention trials to confidently say that protein
intakes beyond traditional recommendations are still
permissive of BHB levels that would make keto proponents
happy.
Summing up
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Although it’s slightly off-topic from this book, it’s worth
mentioning that there’s nothing inherently superior about
ketogenic dieting vs. non-ketogenic dieting for altering body
composition or improving performance. See the keto FAQ in
the August 2018 issue of AARR, or the ISSN Position Stand on
Diets & Body Composition for more details on ketogenic diets.
Burke LM, et al. J 21 elite race 2.2 g/kg 33 g/day 1.8 mmol/l
Physiol. 2017 May walkers
1;595(9):2785-
2807. [PubMed]
Volek JS, et al. 20 elite ultra- 2.1 g/kg 82 g/day 0.7 mmol/l
Metabolism. 2016 marathoners &
Mar;65(3):100-10. ironman distance
[PubMed] triathletes
- 55 -
Chapter 15: How does protein restriction
influence longevity?
Many people have heard the claim that protein restriction
increases lifespan. Many have accepted it unquestioningly, and
filed it into their belief system. It’s a convenient, common claim
for folks whose dietary ideology makes getting optimal protein
targets somewhat of a pain in the butt. After all, optimizing
protein intake can require extra effort, strategy, and expense. It
would be much simpler (and cheaper) to just skate by on a low
protein intake, thinking you’re getting the added benefit of
greater longevity.
Summing up:
I’ll end off by quoting an excerpt from the December 2017 issue
of AARR, which I feel sums up this topic well:
“For increasing longevity, the case for protein and amino acid
restriction is relatively weak, disjointed, and hypothetical
- 60 -
compared to the case for raising protein intake above the
currently recommended amounts by public health organizations.
The benefits of protein restriction are rooted in animal data,
whose results are largely divergent from controlled human data
examining a broad spectrum of endpoints that define healthy
aging.
- 61 -
Chapter 16: How does advanced age impact
protein utilization and dosing requirements?
Anabolic resistance is characterized by a diminished muscle
protein-synthetic (MPS) response to protein/amino acid
feeding & exercise.89 This is typically an age-related
phenomenon that contributes to the decline of muscle mass
and function. Precise mechanisms are yet to be definitively
elucidated, but the “use it or lose it” principle (applied to
muscle), is a prime contributor. Decreased protein and total
energy intake, in addition to increased physical activity are the
main interplaying culprits in the development of anabolic
resistance. Per the hierarchy of importance regarding protein
variables, total daily intake is at the top. According to expert
panel positions (PROT-AGE and ESPEN),6 individuals over age
65 have the following protein requirements: 1.0-1.2 g/kg for
healthy folks, 1.2-1.5 g/kg in cases of acute or chronic illnesses,
and 2.0 g/kg for those with severe illnesses, injuries, or
malnutrition.
- 64 -
consumption can produce comparable MPS responses between
young (18-35 years) and older individuals (>55 years).
Summing up
• Age-related anabolic resistance is characterized by a
diminished muscular sensitivity to protein feeding, requiring
a higher protein dose to max-out MPS in older vs younger
subjects.
• Per the findings of Moore et al,90 older subjects max-out MPS
at 0.4-0.6 g/kg per meal. Consuming this dose at least 3-4
times in the course of the day would ensure that the targeted
total is hit.
• Anabolic resistance is apparent in the general/untrained
elderly population, and especially apparent in the frail
elderly. However, this phenomenon does not necessarily
apply to healthy older subjects, especially those who
combine resistance training and proper protein feeding.93-95
- 66 -
Chapter 17: How much protein do adolescents
need?
Adolescence has been loosely defined as the teenage years, but
perhaps more accurately, it’s the timeframe spanning from the
beginning of puberty, to the beginning of adulthood.96 This has
been cited as the period between 10-19 years of age,96 but it’s
also been referred to as 12-18 years of age.97 Adolescence is the
second wave of rapid growth in the human life cycle, with the
first wave occurring from infancy to early childhood.98 Daily
energy requirements reflect the rapid growth that occurs
during adolescence:99,100
- 67 -
Summing up:
- 69 -
breakdown, and no difference in basal level of net muscle
protein balance. Furthermore, there’s no human (or animal)
evidence that ovarian hormones inhibit muscle protein
synthesis. Subsequent research by Smith et al105 found no
meaningful differences in MPS during fasting conditions and
during hyperinsulinemia-hyperaminoacidema between young
and middle-aged adult men and women. Continuing the same
theme, Dryer et al106 found that post-exercise increases in MPS
and mTOR signaling in leg muscle is not different between men
and women.
Summing up
• Overall, there’s insufficient evidence to program different
protein targets either in total or per meal, based on sex. This
lack of meaningful difference in anabolic response to protein
feeding has been seen in the majority of studies examining
this question.
• While younger adults consistently fail to exhibit sex-based
differences in MPS response to nutrition and training, it’s
possible that the greater basal/resting MPS rates in older
women (>65 years) can explain their slower rate of muscle
loss. However, this is largely speculative, since a multitude of
genetic and lifestyle factors are involved, and can vary widely
across individuals.
• Keeping in mind that with an optimal total daily protein
intake of 1.6-2.2 g/kg, both sexes can use 1.6 g/kg as a
baseline from which to adjust upward. It’s reasonable to
assume that women require less protein per unit of total
body mass, since they tend to carry a higher proportion of
- 71 -
body fat than men. Therefore, women’s needs along the 1.6-
2.2 g/kg range will likely hover around the lower rather than
the higher end of the range.
• Fat-free mass (FFM)-based protein targets are more
complicated and not necessarily more accurate, but they can
satisfy some people’s OCD. 2.0 g/kg FFM (0.9 g/lb FFM) is a
reasonable baseline target for general purposes. Individuals
specifically aiming for muscle gain (as well as dieters running
a caloric deficit) can start at 2.2 g/kg FFM (1.0 g/lb FFM), and
adjust according to individual response.
- 72 -
Chapter 19: How do high-protein diets impact
bone and kidney health?
Bone health
Bone health and kidney function are perhaps the most common
concerns surrounding high protein intakes. We’ll start with
bone. Who hasn’t heard the claim that protein, which is made
of amino acids, leeches calcium from bone in order to buffer the
acidity of a high-protein intake, which eventually leads to bone
loss. Well, that sounds logical on paper, but it doesn’t stand the
test of science. The following excerpt from a classic review by
Layman5 is worth quoting because it eloquently nails the
important points:
- 73 -
More recently, Antonio et al110 found that a high protein intake
(averaging 2.8 g/kg) over a 6-month period in trained women
had no harmful effects on bone mineral content or density.
Subsequently, a meta-analysis by Groenendijk et al111 showed
that high (above the RDA of 0.8 g/kg) vs low protein intake
resulted in a significant decrease in hip fractures.
Kidney function
Summing up:
- 75 -
Chapter 20: Is there an inherent advantage to
pre-bed casein?
Cow’s milk protein consists of 80% casein and 20% whey.
Whey is the fast-digesting protein. Casein is a slow-digesting
protein, which gives it the potential for special application at
the pre-bed time point, for the purpose of a timed-release of
amino acid availability. Pre-bed protein increases amino acid
availability through the night, thus resulting in net gains in
muscle protein balance compared to…well, no protein feeding
at all.28 In light of the past several years of pre-bed protein
research, a recent review by Kim116 concluded that 40-48 g
casein ingested roughly 30 minutes prior to sleep enhances the
anabolic response in skeletal muscle – especially when this is
done in the post-exercise state.
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date, there are only two studies that directly examine this
question, which I’ll discuss next.
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Chapter 21: How does postworkout whey
compare to chicken, beef, or casein for
improving body composition & strength?
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difference between whey and casein ingested pre- and/or post-
exercise.124,125 The one study showing whey as the winner123
had a dosing protocol that makes me do a double-take every
time (1.5 g/kg; 90 g per day of the protein supplements, in
addition to their habitual diets). This study also has a higher
potential for bias since the lead investigator was also the
research director of the company that provided the whey
protein product used in the study. This obviously doesn’t
guarantee bias, but it still raises my skeptical senses. Don’t get
me wrong – I love how it validates my own high intake of whey,
but hard not to see this study as an oddity in the literature.
Summing up
The collective evidence thus far does not indicate that the
specific postworkout protein source makes a significant
difference in the enhancement of resistance training
adaptations – especially in the context of a diet containing a mix
of high-quality proteins.
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Chapter 22: How do whole eggs compare with
egg whites for muscle growth?
Acute anabolic response
van Vliet et al126 found that in healthy, resistance-trained men,
the post-exercise consumption of 3 whole eggs resulted in a
29.4% greater stimulation of muscle protein synthesis (MPS)
than 6 egg whites (a protein-equated dose). Short-term MPS
response is useful for investigating mechanism, but it’s
hypothesis-generating until things are put to the test in
longitudinal research capable of measuring changes in body
composition. Fortunately, this has been done. Let’s have a look.
Adaptations to training
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open questions about whether significant differences would be
seen with optimized protein intakes of 1.6-2.2 g/kg.24
Lean mass gain was greater in the whole egg group (3.7 kg vs
2.9 kg), but not to a degree of statistical significance. Fat mass
decreased in both groups (2.0 & 1.1 kg in the whole egg & egg
white group, respectively), but this difference did not reach
statistical significance. However, body fat percentage decrease
was significantly greater in the whole egg group. Total protein
intakes in the whole egg & egg white group were respectively.
In the strength department, whole eggs resulted in significantly
greater gains in knee extension & handgrip strength.
Summing up:
The scant body of research in this area shows that whole eggs
have greater acute and chronic anabolic effects than a protein-
- 83 -
equated dose of egg whites consumed post-exercise. An
additional effect of whole egg consumption is an increase in
testosterone. I wouldn’t say that egg yolks can make or break
body composition goals. It’s a relatively minor variable within
the multitude of programming elements that facilitate muscle
growth. However, based on the evidence thus far, including egg
yolks in the diet might provide a slight edge compared to eating
just the whites.
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Chapter 23: If collagen is considered a low-
quality protein, does that make collagen
supplements useless?
Collagen is the most abundant protein in the entire animal
kingdom.130 It’s also the most abundant protein in humans (and
most vertebrates), comprising up to a third of total bodily
protein mass.131 There are 16 types of collagen in the body, 80-
90% of which are types 1-3. The different collagen types and
their characteristics are tabulated here.130
Summing up:
• The current evidence supports the potential of supplemental
collagen for strengthening ligaments & tendons,133,134
mitigating osteoarthritis & osteoporosis,135,136 reduced-
- 85 -
activity joint pain,137,138 and dermatological
applications.139,140
• Although collagen supplementation has been shown to
increase lean body mass and strength in older141,142 and
younger adults,143 these studies did not directly compare
collagen with another protein source. In direct comparisons,
whey has outperformed collagen for decreasing android
fat144 and increasing acute & longer-term muscle protein
synthesis.145
• The effective dosing ranges 8-15 g.135,141-143 Increased plasma
glycine and proline levels have been reached with 8 g/day.
• 12g/day improved symptoms of osteoarthritis &
osteoporosis.
• 15 g/day resulted in lean mass & strength gains (note that
these results were not from direct comparisons to other
proteins).
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Chapter 24: How do plant proteins compare to
animal proteins for muscle growth?
The popularity of plant-based diets has been on the rise as of
roughly the past decade.146 Plant proteins have long been
considered inferior to animal proteins due to their lower
digestibility & lesser proportion of essential amino acids (EAA),
including key anabolic drivers, the branched-chain amino
acids; leucine in particular.147 Nevertheless, claims of plant-
based proteins being on a level playing field with animal-based
proteins for supporting muscle growth have been gaining
momentum in recent years, so let’s have a look at the evidence.
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A recent 12-week study by Hevia-Larraín et al158 is the first to
compare the effects of a completely plant-based (vegan) diet
with an omnivorous diet on the resistance training adaptations,
under conditions of optimal protein intake (at least 1.6 g/kg).
Both groups showed increased lean mass, cross-sectional area
of type 1 & 2 fibers, and leg press strength, with no differences
between groups. Body fat was unchanged compared to baseline
in both groups. Protein supplementation in the omnivores and
vegans were in the form of whey (41 g/day) and soy protein
(58 g/day), respectively. While the lack of differences is
interesting, the use of untrained subjects is the Achilles’ heel
that leaves open questions. In newbies, potential advantages in
one in treatment versus the other are often masked by an
indiscriminately robust response to whatever novel protocol is
undertaken. Replication of this study with trained subjects
would provide useful data.
Summing up
- 90 -
• Animal proteins possess an anabolic advantage (and in some
cases an ergogenic advantage) due to higher EAA content –
particularly leucine, and also due to constituents such as
taurine, carnosine, creatine,162,163 collagen,132-143 and even
cholesterol,127,164,165 none of which are present in plant foods.
• While it’s possible for exclusively plant-based protein intake
to perform similarly to omnivorous protein intake when
enough total protein is consumed (≥1.6 g/kg), animal-based
protein is generally more anabolic on a gram-for-gram basis.
In support of this point, I’ll end off with a salient excerpt from
a recent review by Berrazaga et al:147
- 91 -
Chapter 25: How satiating is protein, really?
Protein is considered to be the most satiating
macronutrient.166,167 This is based on an abundance of evidence
from short-term satiety response data, as well as longitudinal
studies comparing higher versus lower protein intake on
bodyweight and body composition. Before getting into that,
let’s pay a quick tribute to accuracy by getting the definitions
straight. As Bellisle et al168 eloquently put it:
- 92 -
A possible limit to protein dosing for satiety?
- 93 -
the appearance of a trend favoring the satiating capacity of the
higher-protein intake.
Summing up
Protein is the king of the macronutrients for satiety. In
hypocaloric conditions, it’s debatable whether 1.8 g/kg (vs 2.9
g/kg) is sufficient to max-out satiety, although there seems to
be an advantage for suppressing cravings and increasing
satisfaction with 2.9 g/kg.172 In the case of protein overfeeding
in resistance trainees, there’s potentially some satiety magic
with intakes at or beyond approximately 3 g/kg.112-114,173
- 94 -
Chapter 26: What about non-linear protein
intake through the week (training days vs non-
training days, protein hyperfeeds)?
Carb-cycling, or non-linear carbohydrate intake through the
course of the week has been a perennial topic at the forefront
of physique and athletic performance pursuits. Less on-the-
radar is non-linear protein intake through the course of the
week, and how it might benefit body composition goals.
Summing up
• Rather than low-balling protein on days off, it’s best to keep
protein at levels known to optimize adaptations to resistance
training. Protein turnover and heightened muscular
sensitivity to protein feeding can last 24-48 hours after a
training bout.
• Protein hyperfeeds are a tool I’ve used with dieters seeking
novel tactics to increase satiety and minimize the
- 99 -
psychological fatigue of dieting. It has also worked for
intermediate and advanced trainees seeking recomposition.
• My field experience with protein hyperfeeds reflects the
intriguing results of Antonio et al’s protein overfeeding
studies,112-114,173 as well as Bararat et al’s recent review
reporting that a protein intake of 2.6-3.5 g/kg of FFM is
associated with recomposition.44 The protein hyperfeed
protocol I’ve found success with involves 2-2.5 times normal
protein intake, 2-3 days per week. Protein sources should be
kept lean, for the most part.
• Protein hyperfeeds also make protein lovers extremely
excited about their diets - especially those who prefer more
savory foods than sweet foods. Those with more of a sweet
tooth can still engage in protein hyperfeeds, since endless
dessert variants can be derived from protein powder.
• Who knows, maybe there’s some metabolic magic to be had
from protein hyperfeeds. We’ve got the insulin fairy, might as
well add the protein fairy to the mix (to my newer readers
who might not get that, it’s a corny inside-joke for those who
have been following my work since the olden days).
- 100 -
Chapter 27: Protein servings & sources
Categorizing foods is a messy endeavor since there’s inevitable
overlap in macronutrition and micronutrition. Nevertheless, a
general awareness of the fat levels of your protein sources can
help you make the right choices based on the nature of the
overall macronutrient profile you’re aiming for.
The following food lists are separated into animal and plant-
based sources. Leucine content is included. With few
exceptions such as protein powder, plant-based protein
sources have a lower proportion of protein and higher
proportion of carbohydrate and/or fat, so they pack less
protein per calorie.
- 101 -
Remember that serving sizes are arbitrary (& adjustable)
I listed serving sizes that (for the most part) hit 20 g protein or
more. You’ll notice that many of the plant-based servings come
up shy of 20 g protein. However, you can adjust all of the
serving sizes (or number of servings) up or down to hit a
particular protein dose. Just be aware of how serving
adjustments impact total calories. On a final note, keep in mind
that this is not a comprehensive list of foods. The aim is to give
you a quick reference, and help you get some ideas.
- 103 -
LEAN TO MODERATE-FAT PROTEIN SOURCES: ANIMAL-BASED
Food Serving kcal Prot Carb Fat Leu
size (g) (g) (g) (g)
Beef, ground sirloin, 90% 3.5 oz 214 26.6 0 11.1 2.0
lean meat (100 g)
Beef, ground, 85% lean 3.5 oz 250 25.9 0 15.5 2.0
meat/15% fat, patty, (100 g)
broiled
Cheese, feta, reduced fat 2/3 cup 206 21.0 0 13.0 1.7
(150 g)
Cheese, mozzarella, part 3.5 oz 254 24.3 2.8 15.9 2.4
skim milk (100 g)
Cheese, ricotta, part skim 2/3 cup 224 18.5 8.3 12.9 2.0
milk (162 g)
Chicken, leg, meat and 3.5 oz 232 26.0 0 13.5 1.9
skin, roasted (100 g)
Duck, domesticated, meat 3.5 oz 201 23.5 0 11.2 2.0
only, cooked, roasted (100 g)
Egg, whole, hard-boiled or 3 large 232 18.9 1.8 15.9 1.6
poached (150 g)
Lamb, foreshank, trimmed 3.5 oz 243 28.4 0 13.5 2.2
to 1/8" fat, braised (100 g)
Pork, fresh, loin, center rib 3.5 oz 250 26.7 0 15.1 2.1
(chops), bone-in, separable (100 g)
lean and fat, braised
Salmon, Atlantic, cooked, 3.5 oz 206 22.1 0 12.3 1.8
dry heat (100 g)
Sardines, canned in tomato 3.5 oz 186 20.9 0.7 10.5 1.4
sauce, drained solids with (100 g)
bone
Turkey sausage, fresh, 3.5 oz 196 23.9 0 10.4 1.7
cooked (100 g)
- 104 -
HIGH-FAT PROTEIN SOURCES: ANIMAL-BASED
Food Serving kcal Prot Carb Fat Leu
size (g) (g) (g) (g)
Bacon 2 oz 298 21.4 0.8 22.6 1.7
(56 g)
Beef, corned beef, brisket, 3.5 oz 251 18.2 0 19.0 1.4
cooked (100 g)
Beef sausage, fresh, cooked 3.5 oz 332 18.2 0 28.0 1.5
(100 g)
Beef tongue, cooked 3.5 oz 284 19.3 0 22.3 2.0
(100 g)
Cheese, American 3 oz 315 18.6 1.2 26.4 1.6
(85 g)
Cheese, blue 3 oz 297 18.0 2.1 24.0 1.6
(85 g)
Cheese, cheddar 2/3 cup, 300 18.5 0.9 24.8 1.6
(75 g)
Cheese, feta 1 cup 396 21.3 0 31.9 1.7
(150 g)
Cheese, goat 3 oz 381 25.5 1.8 30.0 2.1
(85 g)
Cheese, Monterey jack 3 oz 300 21.0 1.0 27.0 1.6
(85 g)
Cheese, Swiss 3 oz 318 22.5 4.5 23.4 1.8
(85 g)
Sausage, beef, fresh, cooked 3.5 oz 332 18.2 0.4 28.0 1.5
(100 g)
Sausage. pork, fresh, cooked 3.5 oz 339 19.4 0 28.4 1.3
(100 g)
- 105 -
VERY LEAN PROTEIN SOURCES: PLANT-BASED
Food Serving kcal Prot Carb Fat Leu
size (g) (g) (g) (g)
Beans, black, cooked 1 cup 227 15.2 40.8 0.9 1.2
(172 g)
Beans, kidney, all types, 1 cup 225 15.3 40.4 0.9 1.3
cooked (177 g)
Beans, lima, large, cooked 1 cup 216 14.7 39.3 0.7 1.3
(188 g)
Beans, navy, cooked 1 cup 255 15.0 47.8 1.1 1.3
(182 g)
Beans, pinto, cooked 1 cup 245 15.4 44.8 1.1 1.1
(171 g)
Beans, white, cooked 1 cup 249 17.4 44.9 0.6 1.4
(179 g)
Beans, refried, canned 1 cup 217 12.9 36.3 2.8 1.0
(238 g)
Chickpeas (garbanzo beans, 1 cup 269 14.5 45.0 4.2 1.0
cooked (164 g)
Cowpeas, common 1 cup 200 13.3 35.7 0.9 1.0
(blackeyes, crowder, (172 g)
southern), cooked
Edamame (soybean), frozen, 1 cup 189 16.9 15.8 8.1 1.2
prepared (155 g)
Lentils, cooked 1 cup 230 17.9 39.9 0.8 1.3
(198 g)
Peas, green, cooked, boiled, 1.5 cups 187 12.3 34.2 0.6 0.7
drained (240 g)
Pea protein isolate 1 scoop 110 23.1 1.7 1.7 1.9
(28 g)
Soy protein isolate 1 scoop 94.6 22.6 2.1 0.9 1.9
(28 g)
Veggie burgers or soy 2 patties 248 22.0 20.0 8.8 1.9
burgers (140 g
total)
- 106 -
LEAN TO MODERATE-FAT PROTEIN SOURCES: PLANT-BASED
Food Serving kcal Prot Carb Fat Leu
size (g) (g) (g) (g)
Falafel 3.5 oz 333 13.3 31.8 17.8 0.9
(100g),
Hummus 2/3 cup 269 12.8 23.2 15.6 0.9
(162 g)
Soybeans, roasted (soy nuts) 1/3 cup 256 22.4 18.5 12.2 1.8
(57g)
Tempeh, cooked 3.5 oz 196 18.2 9.4 11.4 1.4
(100 g)
Tofu, firm 1 cup 176 20.6 4.2 10.6 1.8
(252 g)
- 107 -
Postscript
Congrats, you made it! For those who finished the book and have
questions, suggestions, criticisms, or compliments, feel free to
email me: [email protected]. Your feedback is much-
appreciated, and will be helpful for improving future editions.
This book is a free gift for current AARR subscribers. For those
who are not yet subbed, but want to stay on top of the latest
research (with instant access to the archive of monthly content
dating back to 2008), go here: https://alanaragon.com/aarr
– Alan
- 108 -
References
1. Wolfe RR, Baum JI, Starck C, Moughan PJ. Factors
contributing to the selection of dietary protein food
sources. Clin Nutr. 2018 Feb;37(1):130-138. [PubMed]
2. Berryman CE, Lieberman HR, Fulgoni VL 3rd, Pasiakos SM.
Protein intake trends and conformity with the Dietary
Reference Intakes in the United States: analysis of the
National Health and Nutrition Examination Survey, 2001-
2014. Am J Clin Nutr. 2018 Aug 1;108(2):405-
413.[PubMed]
3. Fryar CD, Kruszon-Moran D, Gu Q, Ogden CL. Mean Body
Weight, Height, Waist Circumference, and Body Mass Index
Among Adults: United States, 1999-2000 Through 2015-
2016. Natl Health Stat Report. 2018 Dec;(122):1-
16.[PubMed] [Full PDF]
4. National Research Council (US) Subcommittee on the
Tenth Edition of the Recommended Dietary Allowances.
Recommended Dietary Allowances: 10th Edition.
Washington (DC): National Academies Press (US); 1989.
[PubMed]
5. Layman DK. Dietary Guidelines should reflect new
understandings about adult protein needs. NutrMetab
(Lond). 2009;6:12. [PubMed]
6. Lonnie M, Hooker E, Brunstrom JM, Corfe BM, Green MA,
Watson AW, Williams EA, Stevenson EJ, Penson S,
- 109 -
Johnstone AM. Protein for Life: Review of Optimal Protein
Intake, Sustainable Dietary Sources and the Effect on
Appetite in Ageing Adults. Nutrients. 2018 Mar
16;10(3):360. [PubMed]
7. Phillips SM, Chevalier S, Leidy HJ. Protein "requirements"
beyond the RDA: implications for optimizing health. Appl
PhysiolNutrMetab. 2016 May;41(5):565-72.[PubMed]
8. Pencharz PB, Elango R, Wolfe RR. Recent developments in
understanding protein needs - How much and what kind
should we eat? Appl PhysiolNutrMetab. 2016
May;41(5):577-80.
9. Institute of Medicine. 2005. Dietary Reference Intakes for
Energy, Carbohydrates, Fiber, Fat, Protein and Amino
Acids (Macronutrients). The National Academies Press,
Washington, DC, USA. [National Academies Press]
10. Gillen JB, Trommelen J, Wardenaar FC, Brinkmans NY,
Versteegen JJ, Jonvik KL, Kapp C, de Vries J, van den Borne
JJ, Gibala MJ, van Loon LJ. Dietary Protein Intake and
Distribution Patterns of Well-Trained Dutch Athletes. Int J
Sport NutrExercMetab. 2017 Apr;27(2):105-
114.[PubMed]
11. Slater G, Phillips SM. Nutrition guidelines for strength
sports: sprinting, weightlifting, throwing events, and
bodybuilding. J Sports Sci. 2011;29 Suppl 1:S67-
77.[PubMed]
- 110 -
12. Spendlove J, Mitchell L, Gifford J, Hackett D, Slater G, Cobley
S, O'Connor H. Dietary Intake of Competitive Bodybuilders.
Sports Med. 2015 Jul;45(7):1041-63. [PubMed]
13. Chappell AJ, Simper T, Barker ME. Nutritional strategies of
high level natural bodybuilders during competition
preparation. J Int Soc Sports Nutr. 2018 Jan
15;15:4.[PubMed]
14. Jenner SL, Buckley GL, Belski R, Devlin BL, Forsyth AK.
Dietary Intakes of Professional and Semi-Professional
Team Sport Athletes Do Not Meet Sport Nutrition
Recommendations-A Systematic Literature Review.
Nutrients. 2019 May 23;11(5):1160.[PubMed]
15. Tarnopolsky M. Protein requirements for endurance
athletes. Nutrition. 2004 Jul-Aug;20(7-8):662-8.[PubMed]
16. Burke LM, Slater G, Broad EM, Haukka J, Modulon S,
Hopkins WG. Eating patterns and meal frequency of elite
Australian athletes. Int J Sport NutrExercMetab. 2003
Dec;13(4):521-38.[PubMed]
17. Jäger R, Kerksick CM, Campbell BI, Cribb PJ, Wells SD,
Skwiat TM, Purpura M, Ziegenfuss TN, Ferrando AA, Arent
SM, Smith-Ryan AE, Stout JR, Arciero PJ, Ormsbee MJ,
Taylor LW, Wilborn CD, Kalman DS, Kreider RB,
Willoughby DS, Hoffman JR, Krzykowski JL, Antonio J.
International Society of Sports Nutrition Position Stand:
protein and exercise. J Int Soc Sports Nutr. 2017 Jun
20;14:20. [PubMed]
- 111 -
18. Thomas DT, Erdman KA, Burke LM.Position of the
Academy of Nutrition and Dietetics, Dietitians of Canada,
and the American College of Sports Medicine: Nutrition
and Athletic Performance. J AcadNutr Diet. 2016
Mar;116(3):501-528. [PubMed]
19. Elango R, Ball RO, Pencharz PB. Recent advances in
determining protein and amino acid requirements in
humans. Br J Nutr. 2012 Aug;108 Suppl 2:S22-30.
[PubMed]
20. Kato H, Suzuki K, Bannai M, Moore DR. Protein
Requirements Are Elevated in Endurance Athletes after
Exercise as Determined by the Indicator Amino Acid
Oxidation Method. PLoS One. 2016 Jun
20;11(6):e0157406. [PubMed]
21. Bandegan A, Courtney-Martin G, Rafii M, Pencharz PB,
Lemon PWR. Indicator amino acid oxidation protein
requirement estimate in endurance-trained men 24 h
postexercise exceeds both the EAR and current athlete
guidelines. Am J Physiol Endocrinol Metab. 2019 May
1;316(5):E741-E748. [PubMed]
22. Aragon AA, Schoenfeld BJ. Magnitude and Composition of
the Energy Surplus for Maximizing Muscle Hypertrophy:
Implications for Bodybuilding and Physique Athletes.
Strength and Conditioning Journal: October 2020 – Vol42 -
Issue 5 - p 79-86. [SCJ]
- 112 -
23. McClave SA, Snider HL. Dissecting the energy needs of the
body. CurrOpin Clin NutrMetab Care. 2001 Mar;4(2):143-
7.[PubMed]
24. Morton RW, Murphy KT, McKellar SR, Schoenfeld BJ,
Henselmans M, Helms E, Aragon AA, Devries MC, Banfield
L, Krieger JW, Phillips SM. A systematic review, meta-
analysis and meta-regression of the effect of protein
supplementation on resistance training-induced gains in
muscle mass and strength in healthy adults. Br J Sports
Med. 2018 Mar;52(6):376-384.[PubMed]
25. Bandegan A, Courtney-Martin G, Rafii M, Pencharz PB,
Lemon PW. Indicator Amino Acid-Derived Estimate of
Dietary Protein Requirement for Male Bodybuilders on a
Nontraining Day Is Several-Fold Greater than the Current
Recommended Dietary Allowance. J Nutr. 2017
May;147(5):850-857. [PubMed]
26. Mazzulla M, Sawan SA, Williamson E, Hannaian SJ,
Volterman KA, West DWD, Moore DR. Protein Intake to
Maximize Whole-Body Anabolism during Postexercise
Recovery in Resistance-Trained Men with High Habitual
Intakes is Severalfold Greater than the Current
Recommended Dietary Allowance. J Nutr. 2020 Mar
1;150(3):505-511. [PubMed]
27. Yasuda J, Tomita T, Arimitsu T, Fujita S. Evenly Distributed
Protein Intake over 3 Meals Augments Resistance Exercise-
- 113 -
Induced Muscle Hypertrophy in Healthy Young Men. J Nutr.
2020 Jul 1;150(7):1845-1851. [PubMed]
28. Snijders T, Trommelen J, Kouw IWK, Holwerda AM, Verdijk
LB, van Loon LJC. The Impact of Pre-sleep Protein Ingestion
on the Skeletal Muscle Adaptive Response to Exercise in
Humans: An Update. Front Nutr. 2019 Mar 6;6:17.
[PubMed]
29. Morton RW, McGlory C, Phillips SM. Nutritional
interventions to augment resistance training-induced
skeletal muscle hypertrophy. Front Physiol. 2015 Sep
3;6:245. [PubMed]
30. Macnaughton LS, Wardle SL, Witard OC, McGlory C,
Hamilton DL, Jeromson S, Lawrence CE, Wallis GA, Tipton
KD. The response of muscle protein synthesis following
whole-body resistance exercise is greater following 40 g
than 20 g of ingested whey protein. Physiol Rep. 2016
Aug;4(15):e12893. [PubMed]
31. Park S, Jang J, Choi MD, Shin YA, Schutzler S, Azhar G,
Ferrando AA, Wolfe RR, Kim IY. The Anabolic Response to
Dietary Protein Is Not Limited by the Maximal Stimulation
of Protein Synthesis in Healthy Older Adults: A
Randomized Crossover Trial. Nutrients. 2020 Oct
26;12(11):3276. [PubMed]
32. Schoenfeld BJ, Aragon AA. How much protein can the body
use in a single meal for muscle-building? Implications for
- 114 -
daily protein distribution. J Int Soc Sports Nutr. 2018 Feb
27;15:10.[PubMed]
33. Aragon AA, Schoenfeld BJ, Wildman R, Kleiner S,
VanDusseldorp T, Taylor L, Earnest CP, Arciero PJ, Wilborn
C, Kalman DS, Stout JR, Willoughby DS, Campbell B, Arent
SM, Bannock L, Smith-Ryan AE, Antonio J. International
society of sports nutrition position stand: diets and body
composition. J Int Soc Sports Nutr. 2017 Jun 14;14:16.
[PubMed]
34. Martens EA, Gonnissen HK, Gatta-Cherifi B, Janssens PL,
Westerterp-Plantenga MS. Maintenance of energy
expenditure on high-protein vs. high-carbohydrate diets at
a constant body weight may prevent a positive energy
balance. Clin Nutr. 2015 Oct;34(5):968-75. [PubMed]
35. Bray GA, Redman LM, de Jonge L, Covington J, Rood J, Brock
C, Mancuso S, Martin CK, Smith SR. Effect of protein
overfeeding on energy expenditure measured in a
metabolic chamber. Am J Clin Nutr. 2015 Mar;101(3):496-
505. [PubMed]
36. Hector AJ, Phillips SM. Protein Recommendations for
Weight Loss in Elite Athletes: A Focus on Body
Composition and Performance. Int J Sport Nutr Exerc
Metab. 2018 Mar 1;28(2):170-177. [PubMed]
37. Helms ER, Zinn C, Rowlands DS, Brown SR. A systematic
review of dietary protein during caloric restriction in
resistance trained lean athletes: a case for higher intakes.
- 115 -
Int J Sport Nutr Exerc Metab. 2014 Apr;24(2):127-38.
[PubMed]
38. Mäestu J, Eliakim A, Jürimäe J, Valter I, Jürimäe T. Anabolic
and catabolic hormones and energy balance of the male
bodybuilders during the preparation for the competition. J
Strength Cond Res. 2010 Apr;24(4):1074-81. [PubMed]
39. Moro T, Tinsley G, Bianco A, Marcolin G, Pacelli QF,
Battaglia G, Palma A, Gentil P, Neri M, Paoli A. Effects of
eight weeks of time-restricted feeding (16/8) on basal
metabolism, maximal strength, body composition,
inflammation, and cardiovascular risk factors in
resistance-trained males. J Transl Med. 2016 Oct
13;14(1):290. [PubMed]
40. Tinsley GM, Moore ML, Graybeal AJ, Paoli A, Kim Y,
Gonzales JU, Harry JR, VanDusseldorp TA, Kennedy DN,
Cruz MR. Time-restricted feeding plus resistance training
in active females: a randomized trial. Am J Clin Nutr. 2019
Sep 1;110(3):628-640. [PubMed]
41. Gabel K, Varady KA. Current research: effect of time
restricted eating on weight and cardiometabolic health. J
Physiol. 2020 Oct 1. [PubMed]
42. Stratton MT, Tinsley GM, Alesi MG, Hester GM, Olmos AA,
Serafini PR, Modjeski AS, Mangine GT, King K, Savage SN,
Webb AT, VanDusseldorp TA. Four Weeks of Time-
Restricted Feeding Combined with Resistance Training
Does Not Differentially Influence Measures of Body
- 116 -
Composition, Muscle Performance, Resting Energy
Expenditure, and Blood Biomarkers. Nutrients. 2020 Apr
17;12(4):1126. [PubMed]
43. Schoenfeld BJ, Aragon AA, Krieger JW. Effects of meal
frequency on weight loss and body composition: a meta-
analysis. Nutr Rev. 2015 Feb;73(2):69-82. [PubMed]
44. Bakarat C, Pearson J, Escalante G, Campbell B, De Souza EO.
Body recomposition: Can trained individuals build muscle
and lose fat at the same time? August 2020 Strength and
Conditioning Journal. Published Ahead of Print. DOI:
10.1519/SSC.0000000000000584 [ResearchGate]
45. Lee H, Kim K, Kim B, Shin J, Rajan S, Wu J, Chen X, Brown
MD, Lee S, Park JY. A cellular mechanism of muscle memory
facilitates mitochondrial remodelling following resistance
training. [PubMed]
46. Bruusgaard JC, Johansen IB, Egner IM, Rana ZA, Gundersen
K. Myonuclei acquired by overload exercise precede
hypertrophy and are not lost on detraining. Proc Natl Acad
Sci U S A. 2010 Aug 24;107(34):15111-6. [PubMed]
47. Leuchtmann AB, Mueller SM, Aguayo D, Petersen JA, Ligon-
Auer M, Flück M, Jung HH, Toigo M. Resistance training
preserves high-intensity interval training induced
improvements in skeletal muscle capillarization of healthy
old men: a randomized controlled trial. Sci Rep. 2020 Apr
20;10(1):6578. [PubMed]
- 117 -
48. Stearns RL, Emmanuel H, Volek JS, Casa DJ. Effects of
ingesting protein in combination with carbohydrate during
exercise on endurance performance: a systematic review
with meta-analysis. J Strength Cond Res. 2010;24(8):2192-
2202. [PubMed]
49. Nielsen LL, Tandrup Lambert MN, Jeppesen PB. The Effect
of Ingesting Carbohydrate and Proteins on Athletic
Performance: A Systematic Review and Meta-Analysis of
Randomized Controlled Trials. Nutrients.
2020;12(5):1483. [PubMed]
50. Rowlands DS, Hopkins WG. Effect of high-fat, high-
carbohydrate, and high-protein meals on metabolism and
performance during endurance cycling. Int J Sport Nutr
Exerc Metab. 2002 Sep;12(3):318-35. [PubMed]
51. Power O, Hallihan A, Jakeman P. Human insulinotropic
response to oral ingestion of native and hydrolysed whey
protein. Amino Acids. 2009 Jul;37(2):333-9. [PubMed]
52. Bird SP, Tarpenning KM, Marino FE. Liquid
carbohydrate/essential amino acid ingestion during a
short-term bout of resistance exercise suppresses
myofibrillar protein degradation. Metabolism. 2006
May;55(5):570-7. [PubMed]
53. Craven J, Desbrow B, Sabapathy S, Bellinger P, McCartney
D, Irwin C. The effect of consuming carbohydrate with and
without protein on the rate of muscle glycogen re-
synthesis during short-term post-exercise recovery: a
- 118 -
systematic review and meta-analysis. Sports Med Open.
2021 Jan 28;7(1):9. [PubMed]
54. Kerksick CM, Arent S, Schoenfeld BJ, Stout JR, Campbell B,
Wilborn CD, Taylor L, Kalman D, Smith-Ryan AE, Kreider
RB, Willoughby D, Arciero PJ, VanDusseldorp TA, Ormsbee
MJ, Wildman R, Greenwood M, Ziegenfuss TN, Aragon AA,
Antonio J. International society of sports nutrition position
stand: nutrient timing. J Int Soc Sports Nutr. 2017 Aug
29;14:33. [PubMed]
55. Hackney KJ, Bruenger AJ, Lemmer JT. Timing protein
intake increases energy expenditure 24 h after resistance
training. Med Sci Sports Exerc. 2010 May;42(5):998-1003.
[PubMed]
56. Wingfield HL, Smith-Ryan AE, Melvin MN, Roelofs EJ,
Trexler ET, Hackney AC, Weaver MA, Ryan ED. The acute
effect of exercise modality and nutrition manipulations on
post-exercise resting energy expenditure and respiratory
exchange ratio in women: a randomized trial. Sports Med
Open. 2015 Jun;2:11. [PubMed]
57. Schoenfeld BJ, Aragon A, Wilborn C, Urbina SL, Hayward
SE, Krieger J. Pre- versus post-exercise protein intake has
similar effects on muscular adaptations. PeerJ. 2017 Jan
3;5:e2825. [PubMed]
58. Deldicque L, De Bock K, Maris M, Ramaekers M, Nielens H,
Francaux M, Hespel P. Increased p70s6k phosphorylation
during intake of a protein-carbohydrate drink following
- 119 -
resistance exercise in the fasted state. Eur J Appl Physiol.
2010 Mar;108(4):791-800. [PubMed]
59. Ivy J.L., Portman R.M. Nutrient Timing: The Future of
Sports Nutrition. Basic Health Publications; Laguna Beach,
CA, USA: 2004. [Google Scholar]
60. Schoenfeld BJ, Aragon AA. Is There a Postworkout Anabolic
Window of Opportunity for Nutrient Consumption?
Clearing up Controversies. J Orthop Sports Phys Ther. 2018
Dec;48(12):911-914. [PubMed]
61. Schoenfeld BJ, Aragon AA, Krieger JW. The effect of protein
timing on muscle strength and hypertrophy: a meta-
analysis. J Int Soc Sports Nutr. 2013 Dec 3;10(1):53.
[PubMed]
62. Aragon AA, Schoenfeld BJ. Nutrient timing revisited: is
there a post-exercise anabolic window? J Int Soc Sports
Nutr. 2013 Jan 29;10(1):5. [PubMed]
63. Chappell AJ, Simper T, Barker ME. Nutritional strategies of
high level natural bodybuilders during competition
preparation. J Int Soc Sports Nutr. 2018 Jan 15;15:4.
[PubMed]
64. Blomstrand E, Eliasson J, Karlsson HK, Köhnke R.
Branched-chain amino acids activate key enzymes in
protein synthesis after physical exercise. J Nutr. 2006
Jan;136(1 Suppl):269S-73S [PubMed]
65. Witard OC, Wardle SL, Macnaughton LS, Hodgson AB,
Tipton KD. Protein Considerations for Optimising Skeletal
- 120 -
Muscle Mass in Healthy Young and Older Adults. Nutrients.
2016 Mar 23;8(4):181. [PubMed]
66. Jackman SR, Witard OC, Philp A, Wallis GA, Baar K, Tipton
KD. Branched-Chain Amino Acid Ingestion Stimulates
Muscle Myofibrillar Protein Synthesis following Resistance
Exercise in Humans. Front Physiol. 2017 Jun 7;8:390.
[PubMed]
67. Fedewa MV, Spencer SO, Williams TD, Becker ZE, Fuqua CA.
Effect of branched-Chain Amino Acid Supplementation on
Muscle Soreness following Exercise: A Meta-Analysis. Int J
Vitam Nutr Res. 2019 Nov;89(5-6):348-356. [PubMed]
68. Dudgeon WD, Kelley EP, Scheett TP. In a single-blind,
matched group design: branched-chain amino acid
supplementation and resistance training maintains lean
body mass during a caloric restricted diet. J Int Soc Sports
Nutr. 2016 Jan 5;13:1. [PubMed]
69. Dieter BP, Schoenfeld BJ, Aragon AA. The data do not seem
to support a benefit to BCAA supplementation during
periods of caloric restriction. J Int Soc Sports Nutr. 2016
May 11;13:21. [PubMed]
70. Bagheri R, Forbes SC, Candow DG, Wong A. Effects of
branched-chain amino acid supplementation and
resistance training in postmenopausal women. Exp
Gerontol. 2021 Feb;144:111185. [PubMed]
71. DE Andrade IT, Gualano B, Hevia-LarraÍn V, Neves-Junior J,
Cajueiro M, Jardim F, Gomes RL, Artioli GG, Phillips SM,
- 121 -
Campos-Ferraz P, Roschel H. Leucine Supplementation Has
No Further Effect on Training-induced Muscle Adaptations.
Med Sci Sports Exerc. 2020 Aug;52(8):1809-1814.
[PubMed]
72. Aguiar AF, Grala AP, da Silva RA, Soares-Caldeira LF,
Pacagnelli FL, Ribeiro AS, da Silva DK, de Andrade WB,
Balvedi MCW. Free leucine supplementation during an 8-
week resistance training program does not increase
muscle mass and strength in untrained young adult
subjects. Amino Acids. 2017 Jul;49(7):1255-1262.
[PubMed]
73. Mobley CB, Haun CT, Roberson PA, Mumford PW, Romero
MA, Kephart WC, Anderson RG, Vann CG, Osburn SC, Pledge
CD, Martin JS, Young KC, Goodlett MD, Pascoe DD,
Lockwood CM, Roberts MD. Effects of Whey, Soy or Leucine
Supplementation with 12 Weeks of Resistance Training on
Strength, Body Composition, and Skeletal Muscle and
Adipose Tissue Histological Attributes in College-Aged
Males. Nutrients. 2017 Sep 4;9(9):972. [PubMed]
74. Spillane M, Emerson C, Willoughby DS. The effects of 8
weeks of heavy resistance training and branched-chain
amino acid supplementation on body composition and
muscle performance. Nutr Health. 2012 Oct;21(4):263-73.
[PubMed]
75. Ooi DSQ, Ling JQR, Sadananthan SA, Velan SS, Ong FY, Khoo
CM, Tai ES, Henry CJ, Leow MKS, Khoo EYH, Tan CS, Lee YS,
- 122 -
Chong MFF. Branched-Chain Amino Acid Supplementation
Does Not Preserve Lean Mass or Affect Metabolic Profile in
Adults with Overweight or Obesity in a Randomized
Controlled Weight Loss Intervention. J Nutr. 2021 Feb
4:nxaa414. doi: 10.1093/jn/nxaa414. [PubMed]
76. Hou Y, Yin Y, Wu G. Dietary essentiality of "nutritionally
non-essential amino acids" for animals and humans. Exp
Biol Med (Maywood). 2015 Aug;240(8):997-1007.
[PubMed]
77. Volek J, Phinney S. The art and science of low carbohydrate
performance. Beyond Obesity LLC, Miami FL. 2012.
78. Paoli A. Ketogenic diet for obesity: friend or foe? Int J
Environ Res Public Health. 2014 Feb 19;11(2):2092-107.
[PubMed]
79. Wilson JM, et al. Effects of Ketogenic Dieting on Body
Composition, Strength, Power, and Hormonal Profiles in
Resistance Training Men. J Strength Cond Res. 2020
Dec;34(12):3463-3474. [PubMed]
80. Burke LM, Ross ML, Garvican-Lewis LA, Welvaert M,
Heikura IA, Forbes SG, Mirtschin JG, Cato LE, Strobel N,
Sharma AP, Hawley JA. Low carbohydrate, high fat diet
impairs exercise economy and negates the performance
benefit from intensified training in elite race walkers. J
Physiol. 2017 May 1;595(9):2785-2807. [PubMed]
81. Volek JS, Freidenreich DJ, Saenz C, Kunces LJ, Creighton BC,
Bartley JM, Davitt PM, Munoz CX, Anderson JM, Maresh CM,
- 123 -
Lee EC, Schuenke MD, Aerni G, Kraemer WJ, Phinney SD.
Metabolic characteristics of keto-adapted ultra-endurance
runners. Metabolism. 2016 Mar;65(3):100-10. [PubMed]
82. Mirzaei H, Suarez JA, Longo VD. Protein and amino acid
restriction, aging and disease: from yeast to humans.
Trends Endocrinol Metab. 2014 Nov;25(11):558-66.
[PubMed]
83. Mirzaei H, Raynes R, Longo VD. The conserved role of
protein restriction in aging and disease. Curr Opin Clin
Nutr Metab Care. 2016 Jan;19(1):74-9. [PubMed]
84. Levine ME, Suarez JA, Brandhorst S, Balasubramanian P,
Cheng CW, Madia F, Fontana L, Mirisola MG, Guevara-
Aguirre J, Wan J, Passarino G, Kennedy BK, Wei M, Cohen P,
Crimmins EM, Longo VD. Low protein intake is associated
with a major reduction in IGF-1, cancer, and overall
mortality in the 65 and younger but not older population.
Cell Metab. 2014 Mar 4;19(3):407-17. [PubMed]
85. Kitada M, Ogura Y, Monno I, Koya D. The impact of dietary
protein intake on longevity and metabolic health.
EBioMedicine. 2019 May;43:632-640. [PubMed]
86. Woo SL, Yang J, Hsu M, Yang A, Zhang L, Lee RP, Gilbuena I,
Thames G, Huang J, Rasmussen A, Carpenter CL, Henning
SM, Heber D, Wang Y, Li Z. Effects of branched-chain amino
acids on glucose metabolism in obese, prediabetic men and
women: a randomized, crossover study. Am J Clin Nutr.
2019 Jun 1;109(6):1569-1577. [PubMed]
- 124 -
87. Burd NA, McKenna CF, Salvador AF, Paulussen KJM, Moore
DR. Dietary protein quantity, quality, and exercise are key
to healthy living: a muscle-centric perspective across the
lifespan. Front Nutr. 2019 Jun 6;6:83. [PubMed]
88. Papadopoulou SK. Sarcopenia: A Contemporary Health
Problem among Older Adult Populations. Nutrients. 2020
May 1;12(5):1293. [PubMed]
89. Morton RW, Traylor DA, Weijs PJM, Phillips SM. Defining
anabolic resistance: implications for delivery of clinical
care nutrition. Curr Opin Crit Care. 2018 Apr;24(2):124-
130. [PubMed]
90. Moore DR, Churchward-Venne TA, Witard O, Breen L, Burd
NA, Tipton KD, Phillips SM. Protein ingestion to stimulate
myofibrillar protein synthesis requires greater relative
protein intakes in healthy older versus younger men. J
Gerontol A Biol Sci Med Sci. 2015 Jan;70(1):57-62.
[PubMed]
91. Park S, Jang J, Choi MD, Shin YA, Schutzler S, Azhar G,
Ferrando AA, Wolfe RR, Kim IY. The Anabolic Response to
Dietary Protein Is Not Limited by the Maximal Stimulation
of Protein Synthesis in Healthy Older Adults: A
Randomized Crossover Trial. Nutrients. 2020 Oct
26;12(11):3276. [PubMed]
92. Holwerda AM, Paulussen KJM, Overkamp M, Goessens JPB,
Kramer IF, Wodzig WKWH, Verdijk LB, van Loon LJC. Dose-
Dependent Increases in Whole-Body Net Protein Balance
- 125 -
and Dietary Protein-Derived Amino Acid Incorporation
into Myofibrillar Protein During Recovery from Resistance
Exercise in Older Men. J Nutr. 2019 Feb 1;149(2):221-230.
[PubMed]
93. Breen L, Phillips SM. Skeletal muscle protein metabolism in
the elderly: Interventions to counteract the 'anabolic
resistance' of ageing. Nutr Metab (Lond). 2011 Oct 5;8:68.
doi: 10.1186/1743-7075-8-68. [PubMed]
94. Shad BJ, Thompson JL, Breen L. Does the muscle protein
synthetic response to exercise and amino acid-based
nutrition diminish with advancing age? A systematic
review. Am J Physiol Endocrinol Metab. 2016 Nov
1;311(5):E803-E817. [PubMed]
95. Moro T, Brightwell CR, Deer RR, Graber TG, Galvan E, Fry
CS, Volpi E, Rasmussen BB. Muscle Protein Anabolic
Resistance to Essential Amino Acids Does Not Occur in
Healthy Older Adults Before or After Resistance Exercise
Training. J Nutr. 2018 Jun 1;148(6):900-909. [PubMed]
96. Age limits and adolescents. Paediatr Child Health. 2003
Nov;8(9):577-8. [PubMed]
97. Jaworska N, MacQueen G. Adolescence as a unique
developmental period. J Psychiatry Neurosci. 2015
Sep;40(5):291-3. [PubMed]
98. Hoch AZ, Goossen K, Kretschmer T. Nutritional
requirements of the child and teenage athlete. Phys Med
Rehabil Clin N Am. 2008 May;19(2):373-98, x. [PubMed]
- 126 -
99. Purcell LK; Canadian Paediatric Society, Paediatric Sports
and Exercise Medicine Section. Sport nutrition for young
athletes. Paediatr Child Health. 2013 Apr;18(4):200-5.
[PubMed]
100. Smith JW, Holmes ME, McAllister MJ. Nutritional
considerations for performance in young athletes. J Sports
Med (Hindawi Publ Corp). 2015;2015:734649. [PubMed]
101. Institute of Medicine. 2005. Dietary Reference Intakes
for Energy, Carbohydrate, Fiber, Fat, Fatty Acids,
Cholesterol, Protein, and Amino Acids. Washington, DC:
The National Academies Press. [Full Report]
102. Berg EK. Performance Nutrition for the Adolescent
Athlete: A Realistic Approach. Clin J Sport Med. 2019
Sep;29(5):345-352. [PubMed]
103. Elango R, Humayun MA, Ball RO, Pencharz PB. Protein
requirement of healthy school-age children determined by
the indicator amino acid oxidation method. Am J Clin Nutr.
2011 Dec;94(6):1545-52. [PubMed]
104. Tipton KD. Gender differences in protein metabolism.
Curr Opin Clin Nutr Metab Care. 2001 Nov;4(6):493-8.
[PubMed]
105. Smith GI, Atherton P, Reeds DN, Mohammed BS, Jaffery
H, Rankin D, Rennie MJ, Mittendorfer B. No major sex
differences in muscle protein synthesis rates in the
postabsorptive state and during hyperinsulinemia-
- 127 -
hyperaminoacidemia in middle-aged adults. J Appl Physiol
(1985). 2009 Oct;107(4):1308-15. [PubMed]
106. Dreyer HC, Fujita S, Glynn EL, Drummond MJ, Volpi E,
Rasmussen BB. Resistance exercise increases leg muscle
protein synthesis and mTOR signalling independent of sex.
Acta Physiol (Oxf). 2010 May;199(1):71-81. [PubMed]
107. Witard OC, Wardle SL, Macnaughton LS, Hodgson AB,
Tipton KD. Protein Considerations for Optimising Skeletal
Muscle Mass in Healthy Young and Older Adults. Nutrients.
2016 Mar 23;8(4):181. [PubMed]
108. Smith GI, Atherton P, Villareal DT, Frimel TN, Rankin D,
Rennie MJ, Mittendorfer B. Differences in muscle protein
synthesis and anabolic signaling in the postabsorptive
state and in response to food in 65-80 year old men and
women. PLoS One. 2008 Mar 26;3(3):e1875. [PubMed]
109. Malowany JM, West DWD, Williamson E, Volterman KA,
Abou Sawan S, Mazzulla M, Moore DR. Protein to Maximize
Whole-Body Anabolism in Resistance-trained Females
after Exercise.Med Sci Sports Exerc. 2019 Apr;51(4):798-
804. [PubMed]
110. Antonio J, Ellerbroek A, Evans C, Silver T, Peacock CA.
High protein consumption in trained women: bad to the
bone? J Int Soc Sports Nutr. 2018 Jan 31;15:6. [PubMed]
111. Groenendijk I, den Boeft L, van Loon LJC, de Groot
LCPGM. High versus low dietary protein intake and bone
health in older adults: a systematic review and meta-
- 128 -
analysis. Comput Struct Biotechnol J. 2019 Jul 22;17:1101-
1112. [PubMed]
112. Antonio J, Ellerbroek A, Silver T, Orris S, Scheiner M,
Gonzalez A, Peacock CA. A high protein diet (3.4 g/kg/d)
combined with a heavy resistance training program
improves body composition in healthy trained men and
women--a follow-up investigation. J Int Soc Sports Nutr.
2015 Oct 20;12:39. [PubMed]
113. Antonio J, Ellerbroek A, Silver T, Vargas L, Peacock C. The
effects of a high protein diet on indices of health and body
composition--a crossover trial in resistance-trained men. J
Int Soc Sports Nutr. 2016 Jan 16;13:3. [PubMed]
114. Antonio J, Ellerbroek A, Silver T, Vargas L, Tamayo A,
Buehn R, Peacock CA. A high protein diet has no harmful
effects: a one-year crossover study in resistance-trained
males. J Nutr Metab. 2016;2016:9104792. [PubMed]
115. Devries MC, Sithamparapillai A, Brimble KS, Banfield L,
Morton RW, Phillips SM. Changes in Kidney Function Do
Not Differ between Healthy Adults Consuming Higher-
Compared with Lower- or Normal-Protein Diets: A
Systematic Review and Meta-Analysis. J Nutr. 2018 Nov
1;148(11):1760-1775. [PubMed]
116. Kim J. Pre-sleep casein protein ingestion: new paradigm
in post-exercise recovery nutrition. Phys Act Nutr. 2020
Jun 30;24(2):6-10. [PubMed]
- 129 -
117. Antonio J, Ellerbroek A, Peacock C, Silver T. Casein
protein supplementation in trained men and women:
morning versus evening. Int J Exerc Sci. 2017 May
1;10(3):479-486. [PubMed]
118. Joy JM, Vogel RM, Shane Broughton K, Kudla U, Kerr NY,
Davison JM, Wildman REC, DiMarco NM. Daytime and
nighttime casein supplements similarly increase muscle
size and strength in response to resistance training earlier
in the day: a preliminary investigation. J Int Soc Sports
Nutr. 2018 May [PubMed]
119. Sharp MH, Lowery RP, Shields KA, Lane JR, Gray JL, Partl
JM, Hayes DW, Wilson GJ, Hollmer CA, Minivich JR, Wilson
JM. The Effects of Beef, Chicken, or Whey Protein After
Workout on Body Composition and Muscle Performance. J
Strength Cond Res. 2018 Aug;32(8):2233-2242. [PubMed]
120. Churchward-Venne TA, Pinckaers PJM, Smeets JSJ,
Peeters WM, Zorenc AH, Schierbeek H, Rollo I, Verdijk LB,
van Loon LJC. Myofibrillar and Mitochondrial Protein
Synthesis Rates Do Not Differ in Young Men Following the
Ingestion of Carbohydrate with Milk Protein, Whey, or
Micellar Casein after Concurrent Resistance- and
Endurance-Type Exercise. J Nutr. 2019 Feb 1;149(2):198-
209. [PubMed]
121. Reitelseder S, Agergaard J, Doessing S, Helmark IC, Lund
P, Kristensen NB, Frystyk J, Flyvbjerg A, Schjerling P, van
Hall G, Kjaer M, Holm L. Whey and casein labeled with L-[1-
- 130 -
13C]leucine and muscle protein synthesis: effect of
resistance exercise and protein ingestion. Am J Physiol
Endocrinol Metab. 2011 Jan;300(1):E231-42. [PubMed]
122. Tipton KD, Elliott TA, Cree MG, Wolf SE, Sanford AP,
Wolfe RR. Ingestion of casein and whey proteins result in
muscle anabolism after resistance exercise. Med Sci Sports
Exerc. 2004 Dec;36(12):2073-81. [PubMed]
123. Cribb PJ, Williams AD, Carey MF, Hayes A. The effect of
whey isolate and resistance training on strength, body
composition, and plasma glutamine. Int J Sport Nutr Exerc
Metab. 2006 Oct;16(5):494-509. [PubMed]
124. Wilborn CD, Taylor LW, Outlaw J, Williams L, Campbell
B, Foster CA, Smith-Ryan A, Urbina S, Hayward S. The
Effects of Pre- and Post-Exercise Whey vs. Casein Protein
Consumption on Body Composition and Performance
Measures in Collegiate Female Athletes. J Sports Sci Med.
2013 Mar 1;12(1):74-9. [PubMed]
125. Fabre M, Hausswirth C, Tiollier E, Molle O, Louis J,
Durguerian A, Neveux N, Bigard X. Effects of postexercise
protein intake on muscle mass and strength during
resistance training: Is there an optimal ratio between fast
and slow proteins? Int J Sport Nutr Exerc Metab. 2017
Oct;27(5):448-457. [PubMed]
126. van Vliet S, Shy EL, Abou Sawan S, Beals JW, West DW,
Skinner SK, Ulanov AV, Li Z, Paluska SA, Parsons CM, Moore
DR, Burd NA. Consumption of whole eggs promotes greater
- 131 -
stimulation of postexercise muscle protein synthesis than
consumption of isonitrogenous amounts of egg whites in
young men. Am J Clin Nutr. 2017 Dec;106(6):1401-1412.
[PubMed]
127. Bagheri R, Hooshmand Moghadam B, Ashtary-Larky D,
Forbes SC, Candow DG, Galpin AJ, Eskandari M, Kreider RB,
Wong A. Whole egg vs. egg white ingestion during 12
weeks of resistance training in trained young males: a
randomized controlled trial. J Strength Cond Res. 2021 Feb
1;35(2):411-419. [PubMed]
128. Zhang X, Lv M, Luo X, Estill J, Wang L, Ren M, Liu Y, Feng
Z, Wang J, Wang X, Chen Y. Egg consumption and health
outcomes: a global evidence mapping based on an
overview of systematic reviews. Ann Transl Med. 2020
Nov;8(21):1343. [PubMed]
129. Mah E, Chen CO, Liska DJ. The effect of egg consumption
on cardiometabolic health outcomes: an umbrella review.
Public Health Nutr. 2020 Apr;23(5):935-955. [PubMed]
130. Lodish H, Berk A, Zipursky SL, et al. Molecular Cell
Biology. 4th edition. New York: W.H. Freeman; 2000.
Section 22.3, Collagen: The Fibrous Proteins of the Matrix.
[NCBI]
131. Poortmans JR, Carpentier A, Pereira-Lancha LO, Lancha
A Jr. Protein turnover, amino acid requirements and
recommendations for athletes and active populations. Braz
J Med Biol Res. 2012 Oct;45(10):875-90. [PubMed]
- 132 -
132. Paul C, Leser S, Oesser S. Significant Amounts of
Functional Collagen peptides can be incorporated in the
diet while maintaining indispensable amino acid balance.
Nutrients. 2019 May 15;11(5):1079. [PubMed]
133. Praet SFE, Purdam CR, Welvaert M, Vlahovich N, Lovell
G, Burke LM, Gaida JE, Manzanero S, Hughes D, Waddington
G. Oral Supplementation of Specific Collagen Peptides
Combined with Calf-Strengthening Exercises Enhances
Function and Reduces Pain in Achilles Tendinopathy
Patients. Nutrients. 2019 Jan 2;11(1):76. [PubMed]
134. Dressler P, Gehring D, Zdzieblik D, Oesser S, Gollhofer A,
König D. Improvement of Functional Ankle Properties
Following Supplementation with Specific Collagen
Peptides in Athletes with Chronic Ankle Instability. J Sports
Sci Med. 2018 May 14;17(2):298-304. [PubMed]
135. Porfirio E, Fanaro GB. Collagen supplementation as a
complementary therapy for the prevention and treatment
of osteoporosis and osteoarthritis: a systematic review.
Rev. bras. geriatr. gerontol. vol.19 no.1 Rio de Janeiro
Jan./Feb. 2016. [Scielo]
136. König D, Oesser S, Scharla S, Zdzieblik D, Gollhofer A.
Specific Collagen peptides improve bone mineral density
and bone markers in postmenopausal women-a
randomized controlled study. Nutrients. 2018 Jan
16;10(1):97. [PubMed]
- 133 -
137. Zdzieblik D, Oesser S, Gollhofer A, Koenig D.
Corrigendum: Improvement of activity-related knee joint
discomfort following supplementation of specific collagen
peptides. Appl Physiol Nutr Metab. 2017 Nov;42(11):1237.
[PubMed]
138. Clark KL, Sebastianelli W, Flechsenhar KR, Aukermann
DF, Meza F, Millard RL, Deitch JR, Sherbondy PS, Albert A.
24-Week study on the use of collagen hydrolysate as a
dietary supplement in athletes with activity-related joint
pain. Curr Med Res Opin. 2008 May;24(5):1485-96.
[PubMed]
139. Sugihara F, Inoue N, Venkateswarathirukumara S.
Ingestion of bioactive collagen hydrolysates enhanced
pressure ulcer healing in a randomized double-blind
placebo-controlled clinical study. Sci Rep. 2018 Jul
30;8(1):11403. [PubMed]
140. Choi FD, Sung CT, Juhasz ML, Mesinkovsk NA. Oral
Collagen Supplementation: A Systematic Review of
Dermatological Applications. J Drugs Dermatol. 2019 Jan
1;18(1):9-16. [PubMed]
141. Zdzieblik D, Oesser S, Baumstark MW, Gollhofer A, König
D. Collagen peptide supplementation in combination with
resistance training improves body composition and
increases muscle strength in elderly sarcopenic men: a
randomised controlled trial. Br J Nutr. 2015 Oct
28;114(8):1237-45. [PubMed]
- 134 -
142. Jendricke P, Centner C, Zdzieblik D, Gollhofer A, König D.
Specific Collagen Peptides in Combination with Resistance
Training Improve Body Composition and Regional Muscle
Strength in Premenopausal Women: A Randomized
Controlled Trial. Nutrients. 2019 Apr 20;11(4):892.
[PubMed]
143. Kirmse M, Oertzen-Hagemann V, de Marées M, Bloch W,
Platen P. Prolonged Collagen peptide supplementation and
resistance exercise training affects body composition in
recreationally active men. Nutrients. 2019 May
23;11(5):1154. [PubMed]
144. Giglio BM, Schincaglia RM, da Silva AS, Fazani ICS,
Monteiro PA, Mota JF, Cunha JP, Pichard C, Pimentel GD.
Whey protein supplementation compared to collagen
increases blood nesfatin concentrations and decreases
android fat in overweight women: a randomized double-
blind study. Nutrients. 2019 Sep 2;11(9):2051. [PubMed]
145. Oikawa SY, Kamal MJ, Webb EK, McGlory C, Baker SK,
Phillips SM. Whey protein but not collagen peptides
stimulate acute and longer-term muscle protein synthesis
with and without resistance exercise in healthy older
women: a randomized controlled trial. Am J Clin Nutr. 2020
Mar 1;111(3):708-718. [PubMed]
146. Medawar E, Huhn S, Villringer A, Veronica Witte A. The
effects of plant-based diets on the body and the brain: a
- 135 -
systematic review. Transl Psychiatry. 2019 Sep
12;9(1):226. [PubMed]
147. Berrazaga I, Micard V, Gueugneau M, Walrand S. The Role
of the Anabolic Properties of Plant- versus Animal-Based
Protein Sources in Supporting Muscle Mass Maintenance:
A Critical Review. Nutrients. 2019 Aug 7;11(8):1825.
[PubMed]
148. Tang JE, Moore DR, Kujbida GW, Tarnopolsky MA,
Phillips SM. Ingestion of whey hydrolysate, casein, or soy
protein isolate: effects on mixed muscle protein synthesis
at rest and following resistance exercise in young men. J
Appl Physiol (1985). 2009 Sep;107(3):987-92. [PubMed]
149. Yang Y, Churchward-Venne TA, Burd NA, Breen L,
Tarnopolsky MA, Phillips SM. Myofibrillar protein
synthesis following ingestion of soy protein isolate at rest
and after resistance exercise in elderly men. Nutr Metab
(Lond). 2012 Jun 14;9(1):57. [PubMed]
150. Gorissen SH, Horstman AM, Franssen R, Crombag JJ,
Langer H, Bierau J, Respondek F, van Loon LJ. Ingestion of
wheat protein increases in vivo muscle protein synthesis
rates in healthy older men in a randomized trial. J Nutr.
2016 Sep;146(9):1651-9. [PubMed]
151. Brennan JL, Keerati-U-Rai M, Yin H, Daoust J, Nonnotte E,
Quinquis L, St-Denis T, Bolster DR. Differential responses
of blood essential amino acid levels following ingestion of
high-quality plant-based protein blends compared to whey
- 136 -
protein-a double-blind randomized, cross-over, clinical
trial. Nutrients. 2019 Dec 6;11(12):2987. [PubMed]
152. Monteyne AJ, Coelho MOC, Porter C, Abdelrahman DR,
Jameson TSO, Jackman SR, Blackwell JR, Finnigan TJA,
Stephens FB, Dirks ML, Wall BT. Mycoprotein ingestion
stimulates protein synthesis rates to a greater extent than
milk protein in rested and exercised skeletal muscle of
healthy young men: a randomized controlled trial. Am J
Clin Nutr. 2020 Aug 1;112(2):318-333. [PubMed]
153. Pinckaers PJM, et al. The Muscle Protein Synthetic
Response Following Ingestion of Corn Protein, Milk
Protein and Their Protein Blend in Young Males. Curr Dev
Nutr. 2020 Jun; 4(Suppl 2): 651. [PMC]
154. Joy JM, Lowery RP, Wilson JM, Purpura M, De Souza EO,
Wilson SM, Kalman DS, Dudeck JE, Jäger R. The effects of 8
weeks of whey or rice protein supplementation on body
composition and exercise performance. Nutr J. 2013 Jun
20;12:86. [PubMed]
155. Babault N, Païzis C, Deley G, Guérin-Deremaux L, Saniez
MH, Lefranc-Millot C, Allaert FA. Pea proteins oral
supplementation promotes muscle thickness gains during
resistance training: a double-blind, randomized, Placebo-
controlled clinical trial vs. Whey protein. J Int Soc Sports
Nutr. 2015 Jan 21;12(1):3. [PubMed]
156. Nieman DC, Zwetsloot KA, Simonson AJ, Hoyle AT, Wang
X, Nelson HK, Lefranc-Millot C, Guérin-Deremaux L. Effects
- 137 -
of Whey and Pea Protein Supplementation on Post-
Eccentric Exercise Muscle Damage: A Randomized Trial.
Nutrients. 2020 Aug 9;12(8):2382. [PubMed]
157. Messina M, Lynch H, Dickinson JM, Reed KE. No
Difference Between the Effects of Supplementing With Soy
Protein Versus Animal Protein on Gains in Muscle Mass
and Strength in Response to Resistance Exercise. Int J Sport
Nutr Exerc Metab. 2018 Nov 1;28(6):674-685. [PubMed]
158. Hevia-Larraín V, Gualano B, Longobardi I, Gil S,
Fernandes AL, Costa LAR, Pereira RMR, Artioli GG, Phillips
SM, Roschel H. High-protein plant-based diet versus a
protein-matched omnivorous diet to support resistance
training adaptations: a comparison between habitual
vegans and omnivores. Sports Med. 2021 Feb 18. [PubMed]
159. Reed KE, Camargo J, Hamilton-Reeves J, Kurzer M,
Messina M. Neither soy nor isoflavone intake affects male
reproductive hormones: An expanded and updated meta-
analysis of clinical studies. Reprod Toxicol. 2020 Dec
28;100:60-67. [PubMed]
160. Kraemer WJ, Solomon-Hill G, Volk BM, Kupchak BR,
Looney DP, Dunn-Lewis C, Comstock BA, Szivak TK,
Hooper DR, Flanagan SD, Maresh CM, Volek JS. The effects
of soy and whey protein supplementation on acute
hormonal reponses to resistance exercise in men. J Am Coll
Nutr. 2013;32(1):66-74. [PubMed]
- 138 -
161. Goodin S, Shen F, Shih WJ, Dave N, Kane MP, Medina P,
Lambert GH, Aisner J, Gallo M, DiPaola RS. Clinical and
biological activity of soy protein powder supplementation
in healthy male volunteers. Cancer Epidemiol Biomarkers
Prev. 2007 Apr;16(4):829-33. [PubMed]
162. Wu G. Important roles of dietary taurine, creatine,
carnosine, anserine and 4-hydroxyproline in human
nutrition and health. Amino Acids. 2020 Mar;52(3):329-
360. [PubMed]
163. Kerksick CM, Wilborn CD, Roberts MD, Smith-Ryan A,
Kleiner SM, Jäger R, Collins R, Cooke M, Davis JN, Galvan E,
Greenwood M, Lowery LM, Wildman R, Antonio J, Kreider
RB. ISSN exercise & sports nutrition review update:
research & recommendations. J Int Soc Sports Nutr. 2018
Aug 1;15(1):38. [PubMed]
164. Lee CW, et al. Dietary cholesterol affects skeletal muscle
protein synthesis following acute resistance exercise.
Volume25, IssueS1 Experimental Biology 2011 Meeting
Abstracts April 2011 Pages lb563-lb563 [FASEB]
165. Riechman SE, Andrews RD, Maclean DA, Sheather S.
Statins and dietary and serum cholesterol are associated
with increased lean mass following resistance training. J
Gerontol A Biol Sci Med Sci. 2007 Oct;62(10):1164-71.
[PubMed]
- 139 -
166. Soenen S, Westerterp-Plantenga MS. Proteins and
satiety: implications for weight management. Curr Opin
Clin Nutr Metab Care. 2008 Nov;11(6):747-51. [PubMed]
167. Westerterp-Plantenga MS, Lemmens SG, Westerterp KR.
Dietary protein - its role in satiety, energetics, weight loss
and health. Br J Nutr. 2012 Aug;108 Suppl 2:S105-12.
[PubMed]
168. Bellisle F, Drewnowski A, Anderson GH, Westerterp-
Plantenga M, Martin CK. Sweetness, satiation, and satiety. J
Nutr. 2012 Jun;142(6):1149S-54S. [PubMed]
169. Leidy HJ. Increased dietary protein as a dietary strategy
to prevent and/or treat obesity. Mo Med. 2014 Jan-
Feb;111(1):54-8. [PubMed]
170. Kim JE, O'Connor LE, Sands LP, Slebodnik MB, Campbell
WW. Effects of dietary protein intake on body composition
changes after weight loss in older adults: a systematic
review and meta-analysis. Nutr Rev. 2016 Mar;74(3):210-
24. [PubMed]
171. Clifton PM, Condo D, Keogh JB. Long term weight
maintenance after advice to consume low carbohydrate,
higher protein diets--a systematic review and meta
analysis. Nutr Metab Cardiovasc Dis. 2014 Mar;24(3):224-
35. [PubMed]
172. Roberts J, Zinchenko A, Mahbubani K, Johnstone J, Smith
L, Merzbach V, Blacutt M, Banderas O, Villasenor L, Vårvik
FT, Henselmans M. Satiating effect of high protein diets on
- 140 -
resistance-trained subjects in energy deficit. Nutrients.
2018 Dec 28;11(1):56. [PubMed]
173. Antonio J, Peacock CA, Ellerbroek A, Fromhoff B, Silver T.
The effects of consuming a high protein diet (4.4 g/kg/d)
on body composition in resistance-trained individuals. J Int
Soc Sports Nutr. 2014 May 12;11:19. doi: 10.1186/1550-
2783-11-19. [PubMed]
174. MacDougall JD, Gibala MJ, Tarnopolsky MA, MacDonald
JR, Interisano SA, Yarasheski KE. The time course for
elevated muscle protein synthesis following heavy
resistance exercise. Can J Appl Physiol. 1995
Dec;20(4):480-6. [PubMed]
175. Phillips SM, Tipton KD, Aarsland A, Wolf SE, Wolfe RR.
Mixed muscle protein synthesis and breakdown after
resistance exercise in humans. Am J Physiol. 1997
Jul;273(1 Pt 1):E99-107. [PubMed]
176. Moore DR. Maximizing Post-exercise Anabolism: The
Case for Relative Protein Intakes. Front Nutr. 2019 Sep
10;6:147. [PubMed]
177. Burd NA, West DW, Moore DR, Atherton PJ, Staples AW,
Prior T, Tang JE, Rennie MJ, Baker SK, Phillips SM.
Enhanced amino acid sensitivity of myofibrillar protein
synthesis persists for up to 24 h after resistance exercise in
young men. J Nutr. 2011 Apr 1;141(4):568-73. [PubMed]
178. Damas F, Phillips SM, Libardi CA, Vechin FC, Lixandrão
ME, Jannig PR, Costa LA, Bacurau AV, Snijders T, Parise G,
- 141 -
Tricoli V, Roschel H, Ugrinowitsch C. Resistance training-
induced changes in integrated myofibrillar protein
synthesis are related to hypertrophy only after attenuation
of muscle damage. J Physiol. 2016 Sep 15;594(18):5209-
22. [PubMed]
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- 142 -