Jorn Trommelen, PhD Profile picture
Dec 19 10 tweets 4 min read Twitter logo Read on Twitter
Our new work:
No upper limit to the anabolic response to protein ingestion?

Challenges current views on:
1⃣Dose-response relationship
2⃣"Excessive" protein getting oxidized
3⃣Protein distribution
4⃣MUCH more!

Paper:


1/10 🧵 cell.com/cell-reports-m…
Image
It is generally accepted that a single bolus of 20 g protein results in a near-max stimulation of muscle protein synthesis in healthy young adults.

Excessive protein is thought to be oxidized.

This is the basis for the recommendation to distribute daily protein intake.

2/10 Image
I was skeptical:

1⃣Meal frequency does not appear to strongly impact muscle mass in chronic studies

2⃣Some animals consume infrequent but GIGANTIC meals (e.g. snakes)

3⃣MPS studies typically seem too short to allow large amounts of protein to be fully digested

3/10 Image
Therefore, we performed a study comparing:
- 0PRO
- 25PRO
- 100PRO

Milk protein (intrinsically labeled for gold standard methodology)

Postexercise in young adults

Prolonged 12-h assessment period with muscle biopsies every 4 h to determine MPS timeline

4/10 Image
Whereas plasma amino acid concentrations did not differ anymore from placebo after ~5 h in 25PRO....

...they were still substantially higher in 100PRO at the end of the 12-h postprandial period.

This suggests that 100PRO was still digesting (confirmed with tracers)

5/10 Image
Whole-body protein metabolism

100PRO had by far the highest protein synthetic response and the most positive net balance

Protein intake stimulated an increase in AA oxidation, but that increase seems negligible compared to the increase in protein synthesis.

6/10 Image
Myofibrillar protein synthesis

100PRO was ~30% higher vs 25PRO over the 12-h
~20% in the first 4 h
~40% in the last 8 h

Thus, a large amount of protein has an added benefit in the early phase, but the main benefit is a more prolonged response vs a moderate amount

7/10 Image
Some implications

1⃣Dose-response
Protein in excess of 20 g gets effectively used and is not "wasted"
(at least in healthy young adults following resistance exercise)

2⃣Protein distribution
- evidence was already questionable
- now mechanistic supports also falls away

8/10
3⃣Time-restricted feeding
How long are you actually fasted?
If protein intake is high during the feeding period, you may still not be fasted for >12 h later....

In addition, our data suggests that prolonged anabolism does not negatively impact muscle autophagy markers.

9/x
The paper has infinite more data and discussion.

Would love to hear your thoughts on my best work yet:
@mackinprof
@DrMyohead
@donlayman
@LeighBreen
@gareth_wallis
@Gonzalez_JT
@donlayman
@BenjaminTWall
@Nicholas_Burd
@BioLayne
@OllyWitard

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More from @JornTrommelen

Mar 3
Does the ketogenic diet increase fat loss?

A thread 🧵👇

#keto #dieting #fatloss
The ketogenic diet restricts carbohydrates with the purpose of lowering insulin levels. Insulin is a hormone that is involved in fat metabolism. Therefore, some suggest that a ketogenic diet is very effective for fat loss.

2/
This study investigated whether a ketogenic diet increases fat loss compared to a high-carbohydrate diet in overweight and obese men.

3/
Read 9 tweets
Mar 1
Our new paper:
Pre-sleep Protein Ingestion Increases Mitochondrial Protein Synthesis Rates During Overnight Recovery from Endurance Exercise: A Randomized Controlled Trial

Open access link:
link.springer.com/article/10.100…

A thread 🧵👇

#protein #casein #whey Image
We have previously shown that pre-sleep protein ingestion improves overnight myofibrillar protein synthesis.

In addition, we have shown that long-term pre-sleep protein supplementation improves muscle mass and strength gains.

2/ Image
Our new study had several study novelties:

- endurance exercise was performed
- mitochondrial protein synthesis was assessed
- whey and casein protein were compared

3/ Image
Read 9 tweets
Feb 23
Can resistance training counteract the adverse effects of androgen deprivation therapy?

A thread 🧵👇

#resistancetraining #prostatecancer #ADT
Prostate cancer is one of the most common types of cancer. An effective treatment is androgen deprivation therapy (ADT), which lowers testosterone levels to castration levels. However, such low testosterone levels tend to result in a loss of muscle mass and strength.

2/
Our study investigated the effect of resistance training with or without protein supplementation on muscle mass and strength in prostate cancer patients undergoing ADT.

3/
Read 9 tweets
Feb 22
Can alcohol consumption affect muscle growth?

A thread 🧵👇

#alcohol #muscleproteinsynthesis #recovery Image
Exercise and protein ingestion are the main factors that stimulate muscle protein synthesis (the main process driving muscle adaptations such as growth).

2/ Image
It has been reported that athletes are more likely to consume excessive amounts of alcohol, especially as part of binge-drinking practices in team sports. Can these practices affect muscle protein synthesis?

3/ Image
Read 8 tweets
Feb 9
Do older people need more protein following exercise?

A thread 🧵👇

#aging #healthyaging #muscle
Muscle growth occurs when muscle protein synthesis exceeds muscle protein breakdown. Resistance exercise stimulates both muscle protein synthesis and breakdown. Ingestion of protein further increases muscle protein synthesis and is needed to achieve positive protein net balance.
In young adults, 20 g of high-quality protein seems optimal to stimulate post-exercise muscle protein synthesis. However, is this also true for older adults?

3/
Read 7 tweets
Jan 7
At which age do we start to lose muscle mass?

A thread 🧵👇

#ageing #muscle #sarcopenia
Aging is associated with the loss of muscle mass. This phenomenon is also known as sarcopenia. Around what age does this start to occur?

2/
This study investigated the influence of age on muscle mass in a large sample of adults. Skeletal muscle mass was measured with a whole-body MRI for 468 adults of 18-88 years old. People that were bedridden, had physical disabilities, or had chronic illnesses were excluded.

3/
Read 7 tweets

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