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. 2021 Feb 26;13(3):743. doi: 10.3390/nu13030743

Table 2.

Associations of dietary source of protein with measures of muscle in epidemiological studies.

Study Design Population, n Exposure or Intervention Outcome Measures Results References
Cross-sectional Men and women; mean age 59; n = 2675 Total, animal, plant protein intake; FFQ Leg lean mass, isometric quadriceps strength Total and animal protein positively associated with lean mass; Higher quadriceps strength in higher quartiles compared to lowest quartile of plant protein intake [107]
Longitudinal
(6 years)
Men and women; mean age 59; n = 5124 Total, animal and plant protein intake; FFQ Grip strength, arm lean mass Total and animal protein intake were protective against loss of grip strength [108]
Longitudinal
(3 year)
Men and women; mean age 40; n = 2986 Total protein intake, cluster analysis; FFQ Appendicular lean mass, quadriceps strength Total protein intake associated with appendicular lean mass and quadriceps strength [109]
Longitudinal
(4 years)
Men and women; mean age 72; n = 3122 Net Endogenous Acid Production from Diet; FFQ Appendicular lean mass Lower acid load (more plant protein) associated with slower decline in muscle mass [110]
Longitudinal
(4 years)
Men and women; mean age 72; n = 2726 Total, animal, plant protein intake; FFQ Appendicular lean mass Plant protein intake protective against loss of appendicular lean mass but not total or animal protein [111]
Longitudinal
(2.6 ± 0.4 years)
Female; mean age 62; n = 740 Total protein intake; FFQ Appendicular lean mass, knee extensor strength Failing to meet the recommended consumption of protein associated with significantly lower ALM, but not muscle strength [76]
Longitudinal
(5 year)
Men and women; mean age 74; n = 1561 Total, animal, plant protein intake; FFQ Total lean mass, appendicular lean mass Total and animal protein intake is associated with preservation of lean body mass [77]
Longitudinal
(3 year)
Women; mean age 68; n = 552 Baseline total protein intake; 3-day food record Physical performance measures Higher consumption of dietary protein is associated with better physical function and muscle strength [75]

FFQ, Food Frequency Questionnaire; ALM, Appendicular Lean Mass.