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Effect of Dietary Protein on Fat-Free Mass in Energy Restricted, Resistance-Trained Individuals: An Updated Systematic Review with Meta-Regression

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Journal Article

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Ovid Technologies (Wolters Kluwer Health)

Abstract

Individuals often restrict energy intake to lose fat mass (and body mass [BM]) while performing resistance training (RT) to retain fat-free mass (FFM). Therefore, the aim of the present systematic review with meta-regression was to explore (a) the pattern and strength of the dose-response relationship between daily dietary protein intake and FFM change, and (b) whether intervention duration, energy deficit magnitude, baseline body fat percentage (BF%), and participant sex influence this relationship. Studies were included if they involved a standardized RT protocol with nonobese, energy-restricted (experiencing fat mass loss) individuals with a minimum of 3 months RT experience. Of 916 retrieved studies, data were extracted from a total of 29 studies. Bayesian methods were used to fit linear and nonlinear meta-regression models and estimate effect sizes, highest density credible intervals, and probabilities. Results suggest a >97% probability of a linear dose-response relationship between daily protein intake [g/kgBM: β = 0.07 (95% highest density interval [HDI]: -0.01 to 0.14), and g/kg/FFM: β = 0.06 (95% HDI: 0.01 to 0.12)] and favorable FFM changes. The relationship is stronger when protein intake is expressed relative to FFM, in interventions longer than 4 weeks, in men, and when BF% is lower. Overall, the heterogeneity between studies renders our findings exploratory.

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Strength and Conditioning Journal, ISSN: 1524-1602 (Print); 1533-4295 (Online), Ovid Technologies (Wolters Kluwer Health). doi: 10.1519/SSC.0000000000000888

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This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.