Evidence-Based Recommendations for Optimal Dietary Protein Intake in Older People: A Position Paper From the PROT-AGE Study Group
Abstract New evidence shows that older adults need more dietary protein than do younger adults to support good health, promote recovery from illness, and maintain functionality. Older people need to make up for age-related changes in protein metabolism, such as high splanchnic extraction and declini...
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| creator | Bauer, Jürgen, MD Biolo, Gianni, MD, PhD Cederholm, Tommy, MD, PhD Cesari, Matteo, MD, PhD Cruz-Jentoft, Alfonso J., MD Morley, John E., MB, BCh Phillips, Stuart, PhD Sieber, Cornel, MD, PhD Stehle, Peter, MD, PhD Teta, Daniel, MD, PhD Visvanathan, Renuka, MBBS, PhD Volpi, Elena, MD, PhD Boirie, Yves, MD, PhD |
| description | Abstract New evidence shows that older adults need more dietary protein than do younger adults to support good health, promote recovery from illness, and maintain functionality. Older people need to make up for age-related changes in protein metabolism, such as high splanchnic extraction and declining anabolic responses to ingested protein. They also need more protein to offset inflammatory and catabolic conditions associated with chronic and acute diseases that occur commonly with aging. With the goal of developing updated, evidence-based recommendations for optimal protein intake by older people, the European Union Geriatric Medicine Society (EUGMS), in cooperation with other scientific organizations, appointed an international study group to review dietary protein needs with aging (PROT-AGE Study Group). To help older people (>65 years) maintain and regain lean body mass and function, the PROT-AGE study group recommends average daily intake at least in the range of 1.0 to 1.2 g protein per kilogram of body weight per day. Both endurance- and resistance-type exercises are recommended at individualized levels that are safe and tolerated, and higher protein intake (ie, ≥1.2 g/kg body weight/d) is advised for those who are exercising and otherwise active. Most older adults who have acute or chronic diseases need even more dietary protein (ie, 1.2–1.5 g/kg body weight/d). Older people with severe kidney disease (ie, estimated GFR |
| doi_str_mv | 10.1016/j.jamda.2013.05.021 |
| format | Article |
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Older people need to make up for age-related changes in protein metabolism, such as high splanchnic extraction and declining anabolic responses to ingested protein. They also need more protein to offset inflammatory and catabolic conditions associated with chronic and acute diseases that occur commonly with aging. With the goal of developing updated, evidence-based recommendations for optimal protein intake by older people, the European Union Geriatric Medicine Society (EUGMS), in cooperation with other scientific organizations, appointed an international study group to review dietary protein needs with aging (PROT-AGE Study Group). To help older people (>65 years) maintain and regain lean body mass and function, the PROT-AGE study group recommends average daily intake at least in the range of 1.0 to 1.2 g protein per kilogram of body weight per day. Both endurance- and resistance-type exercises are recommended at individualized levels that are safe and tolerated, and higher protein intake (ie, ≥1.2 g/kg body weight/d) is advised for those who are exercising and otherwise active. Most older adults who have acute or chronic diseases need even more dietary protein (ie, 1.2–1.5 g/kg body weight/d). Older people with severe kidney disease (ie, estimated GFR <30 mL/min/1.73m2 ), but who are not on dialysis, are an exception to this rule; these individuals may need to limit protein intake. Protein quality, timing of ingestion, and intake of other nutritional supplements may be relevant, but evidence is not yet sufficient to support specific recommendations. Older people are vulnerable to losses in physical function capacity, and such losses predict loss of independence, falls, and even mortality. Thus, future studies aimed at pinpointing optimal protein intake in specific populations of older people need to include measures of physical function.</description><identifier>ISSN: 1525-8610</identifier><identifier>ISSN: 0003-1488</identifier><identifier>ISSN: 1538-9375</identifier><identifier>EISSN: 1538-9375</identifier><identifier>DOI: 10.1016/j.jamda.2013.05.021</identifier><identifier>PMID: 23867520</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Activities of Daily Living ; Acute Disease ; Aged ; Aged, 80 and over ; Chronic Disease ; dietary protein ; Dietary Proteins - metabolism ; Exercise ; Food and Nutrition ; Geriatric Assessment ; Geriatrics ; Humans ; Internal Medicine ; Life Sciences ; Medical Education ; Nutritional Requirements ; Older people ; physical function ; Practice Guidelines as Topic ; protein quality ; Sarcopenia - prevention & control</subject><ispartof>JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2013-08, Vol.14 (8), p.542-559</ispartof><rights>American Medical Directors Association, Inc.</rights><rights>2013 American Medical Directors Association, Inc.</rights><rights>Copyright © 2013 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.</rights><rights>Attribution</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c684t-d14bac89290b6c64597063aab346f24775ea1a67f34b419a58f6ea7ac65b577c3</citedby><cites>FETCH-LOGICAL-c684t-d14bac89290b6c64597063aab346f24775ea1a67f34b419a58f6ea7ac65b577c3</cites><orcidid>0000-0002-3999-1599 ; 0000-0002-0348-3664</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1525861013003265$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,309,310,314,550,776,780,785,786,881,3537,23909,23910,25118,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23867520$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-01056780$$DView record in HAL$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-209177$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:127377845$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Bauer, Jürgen, MD</creatorcontrib><creatorcontrib>Biolo, Gianni, MD, PhD</creatorcontrib><creatorcontrib>Cederholm, Tommy, MD, PhD</creatorcontrib><creatorcontrib>Cesari, Matteo, MD, PhD</creatorcontrib><creatorcontrib>Cruz-Jentoft, Alfonso J., MD</creatorcontrib><creatorcontrib>Morley, John E., MB, BCh</creatorcontrib><creatorcontrib>Phillips, Stuart, PhD</creatorcontrib><creatorcontrib>Sieber, Cornel, MD, PhD</creatorcontrib><creatorcontrib>Stehle, Peter, MD, PhD</creatorcontrib><creatorcontrib>Teta, Daniel, MD, PhD</creatorcontrib><creatorcontrib>Visvanathan, Renuka, MBBS, PhD</creatorcontrib><creatorcontrib>Volpi, Elena, MD, PhD</creatorcontrib><creatorcontrib>Boirie, Yves, MD, PhD</creatorcontrib><title>Evidence-Based Recommendations for Optimal Dietary Protein Intake in Older People: A Position Paper From the PROT-AGE Study Group</title><title>JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION</title><addtitle>J Am Med Dir Assoc</addtitle><description>Abstract New evidence shows that older adults need more dietary protein than do younger adults to support good health, promote recovery from illness, and maintain functionality. Older people need to make up for age-related changes in protein metabolism, such as high splanchnic extraction and declining anabolic responses to ingested protein. They also need more protein to offset inflammatory and catabolic conditions associated with chronic and acute diseases that occur commonly with aging. With the goal of developing updated, evidence-based recommendations for optimal protein intake by older people, the European Union Geriatric Medicine Society (EUGMS), in cooperation with other scientific organizations, appointed an international study group to review dietary protein needs with aging (PROT-AGE Study Group). To help older people (>65 years) maintain and regain lean body mass and function, the PROT-AGE study group recommends average daily intake at least in the range of 1.0 to 1.2 g protein per kilogram of body weight per day. Both endurance- and resistance-type exercises are recommended at individualized levels that are safe and tolerated, and higher protein intake (ie, ≥1.2 g/kg body weight/d) is advised for those who are exercising and otherwise active. Most older adults who have acute or chronic diseases need even more dietary protein (ie, 1.2–1.5 g/kg body weight/d). Older people with severe kidney disease (ie, estimated GFR <30 mL/min/1.73m2 ), but who are not on dialysis, are an exception to this rule; these individuals may need to limit protein intake. Protein quality, timing of ingestion, and intake of other nutritional supplements may be relevant, but evidence is not yet sufficient to support specific recommendations. Older people are vulnerable to losses in physical function capacity, and such losses predict loss of independence, falls, and even mortality. Thus, future studies aimed at pinpointing optimal protein intake in specific populations of older people need to include measures of physical function.</description><subject>Activities of Daily Living</subject><subject>Acute Disease</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Chronic Disease</subject><subject>dietary protein</subject><subject>Dietary Proteins - metabolism</subject><subject>Exercise</subject><subject>Food and Nutrition</subject><subject>Geriatric Assessment</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Life Sciences</subject><subject>Medical Education</subject><subject>Nutritional Requirements</subject><subject>Older people</subject><subject>physical function</subject><subject>Practice Guidelines as Topic</subject><subject>protein quality</subject><subject>Sarcopenia - prevention & control</subject><issn>1525-8610</issn><issn>0003-1488</issn><issn>1538-9375</issn><issn>1538-9375</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>D8T</sourceid><recordid>eNqFkl9v0zAUxSMEYmPwCZCQH0EixX9iO0ECqWxdN6lSq23wajnOLXObxMFOivrIN8ehZRJIiCcfXf_OvbLvSZKXBE8IJuLdZrLRTaUnFBM2wXyCKXmUnBLO8rRgkj8eNeVpLgg-SZ6FsME4ooV4mpxQlgvJKT5Nfsx2toLWQPpJB6jQDRjXNNBWureuDWjtPFp2vW10jS4s9Nrv0cq7HmyLrttebwFFtawr8GgFrqvhPZqilQt29KOV7uLFpXcN6u8BrW6Wd-l0PkO3_VDt0dy7oXuePFnrOsCL43mWfL6c3Z1fpYvl_Pp8ukiNyLM-rUhWapMXtMClMCLjhcSCaV2yTKxpJiUHTbSQa5aVGSk0z9cCtNRG8JJLadhZkh76hu_QDaXqfHyU3yunrTqWtlGB4jQnlEb-7T_5C_tlqpz_qoZBUVwQKSP-5oDf6_oP9mq6UGMNE8yFzPGORPb1ge28-zZA6FVjg4G61i24ISiSkZxklOEiouyAGu9C8LB-6E2wGmOgNupXDNQYA4W5ijGIrlfHAUPZQPXg-b33CHw4ABB_fGfBq2DsGIPKejC9qpz9z4CPf_lNbVtrdL2FPYSNG3wbl6mIClRhdTsmcQwiYRgzKjj7Ce0n1_4</recordid><startdate>20130801</startdate><enddate>20130801</enddate><creator>Bauer, Jürgen, MD</creator><creator>Biolo, Gianni, MD, PhD</creator><creator>Cederholm, Tommy, MD, PhD</creator><creator>Cesari, Matteo, MD, PhD</creator><creator>Cruz-Jentoft, Alfonso J., MD</creator><creator>Morley, John E., MB, BCh</creator><creator>Phillips, Stuart, PhD</creator><creator>Sieber, Cornel, MD, PhD</creator><creator>Stehle, Peter, MD, PhD</creator><creator>Teta, Daniel, MD, PhD</creator><creator>Visvanathan, Renuka, MBBS, PhD</creator><creator>Volpi, Elena, MD, PhD</creator><creator>Boirie, Yves, MD, PhD</creator><general>Elsevier Inc</general><general>American Veterinary Medical Association</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>DF2</scope><scope>D8T</scope><scope>ZZAVC</scope><orcidid>https://orcid.org/0000-0002-3999-1599</orcidid><orcidid>https://orcid.org/0000-0002-0348-3664</orcidid></search><sort><creationdate>20130801</creationdate><title>Evidence-Based Recommendations for Optimal Dietary Protein Intake in Older People: A Position Paper From the PROT-AGE Study Group</title><author>Bauer, Jürgen, MD ; 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Older people need to make up for age-related changes in protein metabolism, such as high splanchnic extraction and declining anabolic responses to ingested protein. They also need more protein to offset inflammatory and catabolic conditions associated with chronic and acute diseases that occur commonly with aging. With the goal of developing updated, evidence-based recommendations for optimal protein intake by older people, the European Union Geriatric Medicine Society (EUGMS), in cooperation with other scientific organizations, appointed an international study group to review dietary protein needs with aging (PROT-AGE Study Group). To help older people (>65 years) maintain and regain lean body mass and function, the PROT-AGE study group recommends average daily intake at least in the range of 1.0 to 1.2 g protein per kilogram of body weight per day. Both endurance- and resistance-type exercises are recommended at individualized levels that are safe and tolerated, and higher protein intake (ie, ≥1.2 g/kg body weight/d) is advised for those who are exercising and otherwise active. Most older adults who have acute or chronic diseases need even more dietary protein (ie, 1.2–1.5 g/kg body weight/d). Older people with severe kidney disease (ie, estimated GFR <30 mL/min/1.73m2 ), but who are not on dialysis, are an exception to this rule; these individuals may need to limit protein intake. Protein quality, timing of ingestion, and intake of other nutritional supplements may be relevant, but evidence is not yet sufficient to support specific recommendations. Older people are vulnerable to losses in physical function capacity, and such losses predict loss of independence, falls, and even mortality. Thus, future studies aimed at pinpointing optimal protein intake in specific populations of older people need to include measures of physical function.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23867520</pmid><doi>10.1016/j.jamda.2013.05.021</doi><tpages>18</tpages><orcidid>https://orcid.org/0000-0002-3999-1599</orcidid><orcidid>https://orcid.org/0000-0002-0348-3664</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Activities of Daily Living Acute Disease Aged Aged, 80 and over Chronic Disease dietary protein Dietary Proteins - metabolism Exercise Food and Nutrition Geriatric Assessment Geriatrics Humans Internal Medicine Life Sciences Medical Education Nutritional Requirements Older people physical function Practice Guidelines as Topic protein quality Sarcopenia - prevention & control |
| title | Evidence-Based Recommendations for Optimal Dietary Protein Intake in Older People: A Position Paper From the PROT-AGE Study Group |
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