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. 2021 May 11;14(3):259–270. doi: 10.1159/000514427

Table 6.

Intervention studies on the effects of protein intake during weight loss on PF

Study Proband characteristics Protein intake Energy restriction Weight reduction, kg PF change
Porter Starr et al. [7] 67 subjects
Male and female
Age >60 years
BMI ≥30
1.2 g/kg BW/day
0.8 g/kg BW/day
−500 kcal/day
6 months
−8.7±7.4 (P)
−7.5±6.2 (C)
Group difference n.s.
SPPB:
+2.4±1.7 (P)
+0.9±1.7 (C)
p = 0.02 group difference Hand grip strength was unchanged in both groups

Wycherley et al. [43] 43 men
Age 20–45 years
BMI 27–39.9
35% (1.3 g/kg BW/day)
17% (0.8 g/kg BW/day)
−7,000 kJ/day
12 weeks
−10.7±5.3 (P)
−8.7±3.5 (C)
Group difference n.s.
Hand grip strength:
−1.9±4.2 kg (P)
−1.4±4.1 kg (C)
Group differences n.s.
Isometric knee strength:
+16.8 ± 35.2 (P)
+ 11.5 ± 36.8 (C)
Group difference n.s.

Verreijen et al. [13] 88 probands
Male and female
Age >55 years
BMI >30 (men) or >28 (women) and waist circumference >88 cm (women) or >102 cm (men)
1.11 g/kg BW/day
0.85 g/kg BW/day
−600 kcal/day from TEE (REE measured by indirect calorimetry + PAL measured by a 3-day movement diary)
13 weeks
−3.4±3.6
−2.8±2.8
Group difference n.s.
Hand grip strength:
+2.0 ± 4.6 kg (P)
+2.2 ± 4.1 kg (C)
Group difference n.s. 4-m walking speed:
+0.11±0.25 m/s (P)
+1.04±0.22 m/s (C)
Group difference n.s. 400-m walking speed:
+0.04±0.1 m/s (P)
+0.05±0.11 m/s (C)
Group difference n.s. Chair rising test:
−2.4±4.0 s (P)
−1.4±3.1 s (C)
Group difference n.s.

Backx et al. [15] 61 subjects
Male and female
Age 55–70 years
BMI 27–40 and waist circumference >88 cm (women) or >102 cm (men)
1.7 g/kg BW/day
0.9 g/kg BW/day
−25% from the baseline energy intake calculated from a validated 177-item food frequency questionnaire 12 weeks From 92.8±11.0 to 83.9±10.1 (P)
From 90.5±10.0 to 81.5±9.7 (C)
Group difference n.s.
Hand grip strength:
−3±6 kg (P)
−1±5 kg (C)
Group difference n.s.
SPPB score:
+0.1±0.7 (P)
+0.1±0.7 (C)
Group difference n.s. 400-m walking speed:
+0.05±0.09 m/s (P)
+0.02±0.08 m/s (C)
Group difference n.s. Leg press:
−9±14 kg (P)
−9±13 kg (C)
Group difference n.s.

Beavers et al. [39] 69 subjects
Male and female
Age 65–79 years
BMI 30–40
1.2 g/kg BW/day
(weight loss) 0.8 g/kg BW/day
(weight stable)
−500 kcal/day
Weight loss group
Stable-weight group
−6.6±0.4 (weight loss)
−0.2±0.5 (stable weight)
Gait speed:
+0.01 (−0.02 to 0.04) m/s (weight loss)
−0.02 (−0.05 to 0.01) m/s (weight stable)
Group difference n.s.

Verreijen et al. [16] 100 subjects
Male and female
Age 55–80 years
BMI ≥28 (men) or >25 (women) and waist circumference >88 cm (women) or >102 cm (men)
1.3 g/kg BW/day
0.8 g/kg BW/day
−600 kcal/day from TEE (REE measured by indirect calorimetry + PAL measured by a 3-day movement diary)
10 weeks
−2.1±3.6 (P)
−1.7±1.8 (C)
−2.6±2.9 (exercise)
−2.0±2.2 (exercise + P)
Hand grip strength:
−1.7±6.5 kg (P)
+1.8±6.6 kg (C)
−1.8±11.6 kg (exercise)
−2.0±6.0 kg (exercise + P)
Protein × exercise interaction p = 0.03 4-m walking speed:
+0.08±0.26 m/s (P)
+0.13±0.24 m/s (C)
+0.08±0.13 m/s (exercise)
+0.20±0.24 m/s (exercise + P)
Protein × exercise interaction p = 0.045 400-m walking speed:
+0.07±0.1 m/s (P)
+0.04±0.15 m/s (C)
+0.07±0.07 m/s (exercise)
+0.08±0.15 m/s (exercise + P)
Group differences n.s.
Chair rising test:
−1.6±1.7 s (P)
−1.6±2.1 s (C)
−1.0±2.7 s (exercise)
−1.4±2.7 s (exercise + P)
Group differences n.s.

EE, total energy expenditure; n.s., nonsignificant; EN%, percentage of energy; P, protein group, C, control group; BW, body weight.