Healthy Clinical Trial
Official title:
Effect of Whey Protein Supplementation Associated With Resistance Training on Body Composition, Cellular Hydration, Phase Angle, Muscle Strength, Glycemic and Lipid Profile, Inflammatory and Oxidative Stress Markers in Trained Older Women
The main purpose of the present study was to investigate the effects of whey protein supplementation associated with resistance training on muscle strength, body composition, muscle quality, cellular hydration, cardiometabolic risk factors, inflammatory and oxidative stress markers in trained elderly women and to evaluate whether the timing of protein intake provide different responses on these variables.
This study was carried out over a period of 26 weeks divided in two phases. The first phase
of the study was an eight-week period (weeks 3-10), during which subjects were familiarized
to RT. This RT period was conducted to standardize training status, and to overcome strong
neural adaptations known to occur within the first few weeks of RT. Phase 2, supplementation
phase, the participants was randomized in three groups and started 12 weeks dedicated to
supplementation plus RT (weeks 13-24). At the beginning and the end of each phase of the
experiment, two weeks were allocated for evaluations (weeks 1-2, 11-12 and 25-26) consisting
of anthropometric, body composition, one repetition maximum tests (1RM), phase angle, body
water, blood samples and dietary intake measurements.
Recruitment was carried out through newspaper and radio advertising, and home delivery of
leaflets in the central area and residential neighborhoods. All participants completed health
history and physical activity questionnaires and met the following inclusion criteria: 60
years old or more, physically independent, free from cardiac or orthopedic dysfunction, not
receiving hormonal replacement and/or thyroid therapy, not using equipment that would prevent
the accomplishment of protocols and tests, and not performing any regular physical exercise
for 6 months preceding the beginning of the study. Participants have passed a diagnostic
graded exercise stress test with 12-lead electrocardiogram reviewed by a cardiologist and
were released with no restrictions for participation in this investigation. Eighty-three
Brazilian older women (≥ 60 years old), volunteered to participate in this investigation.
After individual interviews, thirteen volunteers were excluded because they did not meet the
inclusion criteria. Seventy participants were submitted to a standardized resistance training
(RT) program, for eight weeks. After the assessments, the participants were randomly divided
into three groups according relative strength (ratio of total strength obtained on 1-RM tests
by body mass): (1) whey protein pre- and placebo post- RT (whey protein-placebo, (2) placebo
pre- and whey protein post- RT, and (3) placebo pre- and post- RT. A blinded researcher was
responsible for generating random numbers for participant allocation. All groups were
submitted to the same RT program and 66 participants completed the experiment. The reasons
for withdrawal from the study was reported as personal reasons and transportation issues.
Written informed consent was obtained from all participants after a detailed description of
investigation procedures was provided. This investigation was conducted according to the
Declaration of Helsinki and was approved by the local University Ethics Committee (nº
1.700.756).
The paired t-test was used to analyze the effects (pre- vs post-) of the first phase. Two-way
analysis of variance for repeated measures was applied for intra- and inter-group
comparisons. When the baseline was different (ANOVA one-way), two-way analysis of covariance
(ANCOVA) for repeated measures was applied for comparisons, with baseline scores used as
covariates. When an F-ratio was significant, Fisher's post hoc test was employed to identify
mean differences. The statistical power was determined to verify the statistical power of the
analysis. For all statistical analyses, significance was accepted at P<0.05.
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