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A Randomized Controlled Pilot Exercise and Protein Effectiveness Supplementation Study (EXPRESS) on Reducing Frailty Risk in Community-Dwelling Older People

Agathe Daria Jadczak, Renuka Visvanathan, Robert Barnard, Natalie D. Luscombe‐Marsh

2021Journal of Nutrition in Gerontology and Geriatrics27 citationsDOI

Abstract

This pilot study aimed to examine the feasibility and effectiveness of a 6-months multi-component exercise program combined with twice daily consumption of either rice (RicePro) or whey-based (WheyPro) protein supplements (2 × 20 g of protein) on gait speed, grip strength and physical performance in community-dwelling pre-frail and frail older adults. Secondary outcomes included: frailty score, muscle mass, quality of life, nutritional intake, cognitive performance, depression and physical activity levels. A total of 70 participants (mean age 73.34 ± 6.85 years) were randomly allocated to either RicePro (n = 36) or WheyPro (n = 34). No adverse events were reported in regards to the exercise, however, several gastrointestinal symptoms were noted with the whey protein causing two-fold more symptoms compared to the rice protein. No differences were found between the groups (p > 0.05), except the total consumed energy (kJ) (p = 0.014) and fat (g) (p = 0.012) which was significantly lower in WheyPro. The results indicate that the quality of protein may not be as important as long as a sufficient amount is consumed.

Topics & Concepts

MedicineGrip strengthPhysical therapyRandomized controlled trialSarcopeniaQuality of life (healthcare)Depression (economics)Adverse effectInternal medicineNursingEconomicsMacroeconomicsNutrition and Health in AgingFrailty in Older AdultsMuscle metabolism and nutrition
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