TABLE 1.
PICOS statement that guided the systematic review
Parameter | Inclusion criteria | Exclusion criteria |
---|---|---|
Population | Older adults with or without sarcopenia or frailty (older than 60 years) and without any other overt disease that may affect the outcome | Participants with medical conditions affecting outcome measures, such as cancer, diabetes, chronic obstructive pulmonary disease, and neurological disorders (e.g., Parkinson or dementia) |
Intervention | Whey protein supplementation (with or without exercise training), and whey protein and vitamin D co-supplementation (with or without exercise training) | Interventions with special diets such as the ketogenic diet or co-supplementation with other nutrients or active ingredients with possible effects on LBM (such as omega-3, vitamin E, creatine, and casein) |
Comparator | No intervention (control) or isocaloric and nonisocaloric placebo (carbohydrate based) | No control group or protein-based placebo (such as soy or milk protein) |
Outcome | Sarcopenia-relevant measures, such as lean mass or appendicular lean mass, OR muscle strength (upper body strength: handgrip or lower body strength: leg press or knee extension), OR physical function [gait speed (m/s)], SPPB score, or TUG, time stand, chair stand, balance test, sit-to-stand, and walking tests | Not reporting any of the outcome measures |
Study design | Randomized control trial (RCT) | Not an RCT |
Abbreviations: SPPB, Short Physical Performance Battery; TUG, timed up-and-go.