Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN Expert Group.

Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN Expert Group.
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DOI:
10.1016/j.clnu.2014.04.007
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发表时间:
2014-12
期刊:
Clinical nutrition (Edinburgh, Scotland)
影响因子:
--
通讯作者:
Calder PC
Calder PC
中科院分区:
其他
文献类型:
--
作者:
Deutz NE;Bauer JM;Barazzoni R;Biolo G;Boirie Y;Bosy-Westphal A;Cederholm T;Cruz-Jentoft A;Krznariç Z;Nair KS;Singer P;Teta D;Tipton K;Calder PC

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衰老过程与肌肉质量的逐渐和渐进式损失以及力量和身体耐力的降低有关。这种情况,肌肉减少症,在久坐的成年人中被广泛观察到。有规律的有氧运动和抗阻运动项目已被证明可以抵消肌肉减少症的大部分方面。此外,良好的营养,特别是充足的蛋白质和能量摄入,可以帮助限制和治疗与年龄相关的肌肉质量、力量和功能能力下降。蛋白质营养与运动相结合被认为是维持肌肉功能的最佳选择。欧洲临床营养与代谢学会(ESPEN)于2013年11月24日和25日在杜布罗夫尼克举办了一场关于老年人蛋白质需求的研讨会,目的是为卫生保健专业人员提供建议,帮助老年人在老年时保持肌肉力量和功能。根据提出和讨论的证据,提出以下建议:(1)对于健康老年人,饮食应至少提供1.0至1.2克蛋白质/公斤体重/天;(2)对于营养不良或因急慢性疾病而有营养不良风险的老年人,饮食应提供1.2至1.5克蛋白质/公斤体重/天,对于患有严重疾病或损伤的个体,摄入量甚至更高;(3)所有老年人应每天进行身体活动或运动(阻力训练,有氧运动)。越久越好。
The aging process is associated with gradual and progressive loss of muscle mass along with lowered strength and physical endurance. This condition, sarcopenia, has been widely observed with aging in sedentary adults. Regular aerobic and resistance exercise programs have been shown to counteract most aspects of sarcopenia. In addition, good nutrition, especially adequate protein and energy intake, can help limit and treat age-related declines in muscle mass, strength, and functional abilities. Protein nutrition in combination with exercise is considered optimal for maintaining muscle function. With the goal of providing recommendations for health care professionals to help older adults sustain muscle strength and function into older age, the European Society for Clinical Nutrition and Metabolism (ESPEN) hosted a Workshop on Protein Requirements in the Elderly, held in Dubrovnik on November 24 and 25, 2013. Based on the evidence presented and discussed, the following recommendations are made: (1) for healthy older people, the diet should provide at least 1.0 to 1.2 g protein/kg body weight/day (2) for older people who are malnourished or at risk of malnutrition because they have acute or chronic illness, the diet should provide 1.2 to 1.5 g protein/kg body weight/day, with even higher intake for individuals with severe illness or injury, and (3) daily physical activity or exercise (resistance training, aerobic exercise) should be undertaken by all older people, for as long as possible.
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