Reassessing Protein Supplements: Insights for Adults Over 40
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Understanding Protein Needs in Older Adults
For over two decades, I have been advising adults over the age of 45 on their protein intake. Traditionally, I recommended that they primarily derive protein from whole foods, turn to supplements only when necessary, and engage in resistance training to help maintain or build muscle mass alongside protein intake.
However, recent research has prompted a reassessment of this guidance. Individuals aged 40 and above require more protein to achieve the same muscle-building outcomes as younger adults, while simultaneously needing to consume fewer calories overall. Protein supplements can effectively assist in achieving these dual objectives, but not all types of protein are equally effective for muscle building and maintenance.
The Decline of Muscle Protein Efficiency with Age
As we age, our caloric needs gradually decrease. For those over 30 who do not engage in physical activity, muscle mass declines by approximately 3-5% per decade, leading to reduced calorie expenditure. While exercise can mitigate muscle loss, it does not entirely prevent it. Therefore, older adults face the challenge of fitting adequate protein into a smaller caloric framework.
Research into muscle protein synthesis—essentially how our bodies build new muscle—has shown that younger individuals need relatively little protein to initiate this process. Just 0.24 grams of protein per kilogram of body weight is sufficient for a young adult to begin muscle repair and maintenance. For example, a 180-pound young adult requires about 19 grams of protein at a meal to kickstart this process.
In contrast, older adults, particularly those over 65, need nearly double the amount—0.4 grams per kilogram of body weight—to stimulate the same level of muscle protein synthesis. Thus, a 65-year-old would need around 32 grams of protein to achieve similar results, even though their overall calorie intake may be lower.
This translates to a minimum daily protein intake of 0.8 grams per kilogram of body weight for younger individuals, while older adults are now encouraged to aim for at least 1.2 grams per kilogram. Current research indicates that existing protein intake guidelines for older adults may be inadequate for preserving muscle mass.
Promoting Adequate Protein Intake
The push for increased protein consumption has led some health advocates to suggest extremely high daily protein levels. However, studies indicate that the benefits of protein intake for muscle building plateau around 1.6 grams per kilogram of body weight. For those aiming for a daily intake within the range of 1.2 to 1.6 grams per kilogram, the following guidelines can be helpful:
- 125 pounds: 68–91 grams of protein
- 150 pounds: 82–109 grams of protein
- 175 pounds: 95–127 grams of protein
- 200 pounds: 109–145 grams of protein
It's important to note that most individuals do not require such high amounts of protein to gain health benefits, although athletes may still find value in higher intakes.
The Shift from Food-First to Supplementation
While healthcare professionals typically aim to meet clients' protein needs through food, the reality of reduced appetite and overall caloric requirements may necessitate earlier recommendations for protein supplements to prevent muscle loss. Liquid protein sources can deliver more protein in a smaller caloric package, which can be particularly beneficial for those struggling with appetite or caloric intake.
Evaluating Protein Supplement Options
A variety of protein powders, both animal-based and plant-based, are available, including whey, collagen, and pea protein. Whey protein, derived from milk, has historically been favored due to its high absorption rate, especially in its concentrated form. Collagen, known for its benefits to skin and joints, is made from animal tissues, with vegan alternatives available. Pea protein, typically sourced from yellow peas, offers some dietary fiber as well.
Recent studies have indicated that both whey and pea protein effectively enhance muscle protein synthesis, even in the absence of increased exercise. Conversely, collagen has not demonstrated significant effects on muscle protein synthesis in younger adults, with limited exceptions in older populations.
The Role of Protein in Muscle Maintenance
While protein alone does not enlarge muscles, it is crucial for utilizing the benefits of resistance training. Research has shown that protein supplements can prevent rapid muscle loss, even without additional exercise. For older adults at risk of frailty, dietary protein may be more effective than previously assumed, potentially staving off muscle loss without an increase in physical activity.
As research in this area continues to evolve, it highlights the necessity of understanding protein needs and the effectiveness of various supplements. Individuals who struggle to meet their protein needs through food alone may benefit from incorporating whey or pea protein supplements into their diets.
This information is intended for general knowledge and should not be considered medical advice.