Effectiveness of Protein Supplementation Combined with Resistance Training on Muscle Strength and Physical Performance in Elderly: A Systematic Review and Meta-Analysis

The aim of this study was to evaluate the effectiveness of the combination of resistance training (RT) and protein supplementation (PS), compared to RT alone or combined with a placebo (plS), in the improvement of muscle strength and physical performance. The search strategy in PubMed, Cochrane Libr...

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Main Authors: Noé Labata-Lezaun, Luis Llurda-Almuzara, Carlos López-de-Celis, Jacobo Rodríguez-Sanz, Vanessa González-Rueda, César Hidalgo-García, Borja Muniz-Pardos, Albert Pérez-Bellmunt
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/12/9/2607
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author Noé Labata-Lezaun
Luis Llurda-Almuzara
Carlos López-de-Celis
Jacobo Rodríguez-Sanz
Vanessa González-Rueda
César Hidalgo-García
Borja Muniz-Pardos
Albert Pérez-Bellmunt
author_facet Noé Labata-Lezaun
Luis Llurda-Almuzara
Carlos López-de-Celis
Jacobo Rodríguez-Sanz
Vanessa González-Rueda
César Hidalgo-García
Borja Muniz-Pardos
Albert Pérez-Bellmunt
author_sort Noé Labata-Lezaun
collection DOAJ
description The aim of this study was to evaluate the effectiveness of the combination of resistance training (RT) and protein supplementation (PS), compared to RT alone or combined with a placebo (plS), in the improvement of muscle strength and physical performance. The search strategy in PubMed, Cochrane Library, and Web of Sciences databases found a total of 294 studies. Once inclusion and exclusion criteria were applied, 16 studies were included for the qualitative analysis. A total of 657 healthy elderly (>60 years) participants were analysed. Finally, 15 articles were included in the quantitative analysis with one being excluded due to issues with data availability. Upper-limb, lower-limb, and handgrip strength were the primary outcomes of the meta-analysis. The secondary outcomes, related to physical performance, were Short Physical Performance Battery (SPPB), gait speed, and the five-chair-rise test (5CRT). The main results of the meta-analysis show no statistical differences for upper-limb (SMD: 0.56, 95% CI: −0.09, 1.21, <i>p</i> = 0.09, I2 = 68%), lower-limb (SMD: 0.00, 95% CI: −0.18, 0.18, <i>p</i> = 1.0, I2 = 11%), and handgrip strength (SMD: 0.03, 95% CI: −0.26, 0.32, <i>p</i> = 0.84, I2 = 0%) between the RT + PS and the RT alone (or combined with plS). Moreover, no statistical differences were found relating to physical performance. In view of these results, protein supplementation combined with RT does not provide additional benefits compared to RT alone or with plS in healthy elderly adults.
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spelling doaj.art-3574d1a1ab054cf4b9e1420b9e1b35fc2023-11-20T11:32:10ZengMDPI AGNutrients2072-66432020-08-01129260710.3390/nu12092607Effectiveness of Protein Supplementation Combined with Resistance Training on Muscle Strength and Physical Performance in Elderly: A Systematic Review and Meta-AnalysisNoé Labata-Lezaun0Luis Llurda-Almuzara1Carlos López-de-Celis2Jacobo Rodríguez-Sanz3Vanessa González-Rueda4César Hidalgo-García5Borja Muniz-Pardos6Albert Pérez-Bellmunt7Department of Basic Sciences, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Barcelona, SpainDepartment of Basic Sciences, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Barcelona, SpainPhysiotherapy Department, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Barcelona, SpainDepartment of Basic Sciences, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Barcelona, SpainPhysiotherapy Department, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Barcelona, SpainPhysiotherapy Department, Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, SpainGENUD (Growth, Exercise, Nutrition and Development) Research Group, University of Zaragoza, 50009 Zaragoza, SpainDepartment of Basic Sciences, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Barcelona, SpainThe aim of this study was to evaluate the effectiveness of the combination of resistance training (RT) and protein supplementation (PS), compared to RT alone or combined with a placebo (plS), in the improvement of muscle strength and physical performance. The search strategy in PubMed, Cochrane Library, and Web of Sciences databases found a total of 294 studies. Once inclusion and exclusion criteria were applied, 16 studies were included for the qualitative analysis. A total of 657 healthy elderly (>60 years) participants were analysed. Finally, 15 articles were included in the quantitative analysis with one being excluded due to issues with data availability. Upper-limb, lower-limb, and handgrip strength were the primary outcomes of the meta-analysis. The secondary outcomes, related to physical performance, were Short Physical Performance Battery (SPPB), gait speed, and the five-chair-rise test (5CRT). The main results of the meta-analysis show no statistical differences for upper-limb (SMD: 0.56, 95% CI: −0.09, 1.21, <i>p</i> = 0.09, I2 = 68%), lower-limb (SMD: 0.00, 95% CI: −0.18, 0.18, <i>p</i> = 1.0, I2 = 11%), and handgrip strength (SMD: 0.03, 95% CI: −0.26, 0.32, <i>p</i> = 0.84, I2 = 0%) between the RT + PS and the RT alone (or combined with plS). Moreover, no statistical differences were found relating to physical performance. In view of these results, protein supplementation combined with RT does not provide additional benefits compared to RT alone or with plS in healthy elderly adults.https://www.mdpi.com/2072-6643/12/9/2607elderlyresistance trainingprotein supplementationmuscle strengthphysical performance
spellingShingle Noé Labata-Lezaun
Luis Llurda-Almuzara
Carlos López-de-Celis
Jacobo Rodríguez-Sanz
Vanessa González-Rueda
César Hidalgo-García
Borja Muniz-Pardos
Albert Pérez-Bellmunt
Effectiveness of Protein Supplementation Combined with Resistance Training on Muscle Strength and Physical Performance in Elderly: A Systematic Review and Meta-Analysis
Nutrients
elderly
resistance training
protein supplementation
muscle strength
physical performance
title Effectiveness of Protein Supplementation Combined with Resistance Training on Muscle Strength and Physical Performance in Elderly: A Systematic Review and Meta-Analysis
title_full Effectiveness of Protein Supplementation Combined with Resistance Training on Muscle Strength and Physical Performance in Elderly: A Systematic Review and Meta-Analysis
title_fullStr Effectiveness of Protein Supplementation Combined with Resistance Training on Muscle Strength and Physical Performance in Elderly: A Systematic Review and Meta-Analysis
title_full_unstemmed Effectiveness of Protein Supplementation Combined with Resistance Training on Muscle Strength and Physical Performance in Elderly: A Systematic Review and Meta-Analysis
title_short Effectiveness of Protein Supplementation Combined with Resistance Training on Muscle Strength and Physical Performance in Elderly: A Systematic Review and Meta-Analysis
title_sort effectiveness of protein supplementation combined with resistance training on muscle strength and physical performance in elderly a systematic review and meta analysis
topic elderly
resistance training
protein supplementation
muscle strength
physical performance
url https://www.mdpi.com/2072-6643/12/9/2607
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