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Engage.. Ignite.. Empower.. © Developed by: Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

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Page 1: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

Engage.. Ignite.. Empower..©

Developed by: Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN

Protein Supplementation Risk v. Reward

Page 2: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

MPS v. MPB

Skeletal Muscle: •  By 4th decade of life (early 30s) – decline of 0.8% / year (female can lose 23%

of LBM between 30-70 years of age). •  Consequence examples: – loss of metabolism, activity-chronic diseases. Throughout Day: •  Protein intake = short-term MPS due to hyperaminoacidemia +

hyperinsulinemia (inhibits MPB) = positive nitrogen balance. •  Few hours later – MPS decreases, MPB increases = negative nitrogen balance

until the subsequent meal is ingested.

MPS MPB

Protein Ingestion

Protein Ingestion

Protein Ingestion

MPS-to-MPB Ratio negatively influenced by: •  Acute resistance training

(reversed if protein consumed before/after).

•  Caloric deficit – attenuated with higher protein intakes.

•  Low/poor protein intakes. •  Aging – attenuated with higher

protein intakes

Introduction …

Page 3: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

* Sport-specific training or > 10 hours of vigorous weekly exercise. ** Belief that excesses cannot be utilized by body – converted to glucose or fats. May also be harmful. *** Some researchers support up to 2.8 g / Kg BW (Poortmans, et al., 2000; Campbell, et al., 2007; Martin, et

al., 2005).

Endurance Athlete * Resistance Athlete Recommended 1.2 - 1.4g / kg BW 1.4 - 2.0g / kg BW Upper Tolerance **/*** 2.0g / Kg BW

Dose 84.1 Kg 65.9 Kg Endurance Athlete 101 - 118g 79 - 92g

Resistance-trained Athlete 118 - 168g 92 - 119g Your own numbers?? ______ g

2009/2010 Position Statements – Quantity

•  Academy of Nutrition and Dietetics, Joint Dietitians of Canada and American College of Sports Medicine / National Strength and Conditioning Association:

Recommendations …

Page 4: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

Protein Intakes – Quantity

Protein Powders – Supplement (FDA) or Complement and Convenience (CC)? •  84.1 Kg = 118-168g per day (using ~140g as an example):

Food Source Pro (g) Kcal Food Source Pro (g) Kcal Dairy – skim (2 x 8 oz.) 16 180 Dairy – skim (2 x 8 oz.) 16 180

Chicken breast (2 x 3oz.) 48 350 Chicken breast (1 x 3oz.) 24 175

Fish (salmon) (1 x 3oz.) 20 200 Fish (salmon) (1 x 3oz.) 20 200

Quinoa (1 cup) 22 640 Quinoa (½ cup) 11 320

Lentils – boiled (1 cup) 18 230 Grains (2 servings) 6 160

Grains (4 servings) 12 320 Vegetables – raw (2 cups) 6 80

Vegetables – raw (2 cups) 6 80 Good Protein Powder 59 275

Total: 142g 2,000* Total: 142g 1,390*

* 610 kcal / day = 28.9 Kg (63.6 lbs.) per year (assuming no protein undulation).

Recommendations …

Page 5: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

Essential Amino Acid (EAA) RDA

Isoleucine (BCAA) 10 mg/kg of BW

Valine (BCAA) 10 mg/kg of BW

Leucine (BCAA) 14 mg/kg of BW

Methionine – sum total +cysteine 13 mg/kg of BW

Tryptophan 3.5 mg/kg of BW

Lysine 12 mg/kg of BW

Phenylalanine – sum total + tyrosine 14 mg/kg of BW

Threonine 7 mg/kg of BW

Histidine * 8 – 12 mg/kg of BW

BCAA = Branched Chain Amino Acids = 30 – 35% of muscle tissue.

Protein Quality (PQ)

PQ assessed via essential amino acid composition of food (aligned with body’s needs) + efficiency of digestion and assimilation into body.

Histamine precursor - allergic reactions; hemoglobin production

Growth; builds Glycine/Serine - needed for collagen.

Muscle synthesis/recovery; blood sugar regulation.

Fatty acid oxidation; Ca absorption; Enzyme/antibody/hormone production

Muscle metabolism/tissue repair – liver support for gallbladder issues.

Sulfur production – metabolism; antioxidant roles

AD hormones precursor; brain/CNS fxn; mood/depression – dopamine, NE

Brain: Serotonin precursor – moods/sleep.

Muscle synthesis/recovery; blood sugar regulation.

Proteins …

Page 6: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

AA (g per 25g Protein)

Whey Milk (skim) Egg White

Egg Fish (Salmon)

Beef Pea Chicken

Leucine – BCAA 2.56 2.45 2.09 2.13 2.10 2.06 2.61 2.01

Isoleucine – BCAA 1.67 1.52 1.50 1.36 1.19 1.18 1.18 1.20

Valine – BCAA 1.42 1.68 1.58 1.53 1.33 1.29 1.24 1.30

Total: 5.65 5.64 5.09 5.02 6.62 4.54 5.02 4.50

Histidine – EAA 0.42 0.68 0.56 0.59 0.76 0.83 0.60 0.84

Lysine – EAA 2.40 1.99 1.69 1.80 2.37 2.20 2.04 1.93

Methionine – EAA 0.55 0.63 0.85 0.77 0.81 0.68 0.25 0.60

Phenylalanine – EAA 0.76 1.21 1.45 1.34 1.01 1.03 1.30 1.03

Threonine – EAA 1.72 1.13 1.13 1.19 1.13 1.04 0.86 1.10

Tryptophan – EAA 0.50 0.36 0.31 0.31 0.29 0.17 0.22 0.38

Tyrosine – EAA (made from Phe)

0.74 1.21 0.97 1.03 .87 0.83 0.90 0.64

Total: 12.72 12.84 12.15 12.04 11.86 11.30 11.19 11.02

Protein Quantity and Quality

Proteins …

Page 7: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

AA (g per 25g Protein)

Soy Brown Rice

Potato Quinoa Chia Amaranth Hemp

Leucine – BCAA 2.03 2.07 1.54 1.50 0.80 1.52 0.81

Isoleucine – BCAA 1.21 1.06 1.06 0.90 1.04 1.01 0.67

Valine – BCAA 1.29 1.47 0.81 1.13 1.32 1.18 0.59

Total: 4.51 4.60 3.41 3.53 3.17 3.71 2.08

Histidine – EAA 0.65 0.64 0.60 0.60 0.70 0.67 0.351

Lysine – EAA 1.55 0.96 1.50 1.41 1.18 1.13 0.46

Methionine – EAA 0.33 0.57 0.39 0.50 0.68 0.39 0.30

Phenylalanine – EAA 1.30 1.29 1.14 1.03 1.20 0.94 0.55

Threonine – EAA 0.93 0.92 1.02 0.89 0.91 0.97 0.49

Tryptophan – EAA 0.41 0.32 0.42 0.33 0.33 0.31 0.17

Tyrosine – EAA (made from Phe)

0.93 0.94 0.81 0.70 0.86 0.57 0.37

Total: 10.50 10.23 9.31 8.98 8.94 8.84 4.76

Protein Quantity and Quality

Proteins …

Page 8: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

MPS v. MPB

Leucine Threshold (LT): •  For MPS to occur, intracellular levels of muscle leucine (Leu) must reach

certain concentrations – LT influencers: o  Lowered with resistance training. o  Elevated with aging and inactivity.

•  LT varies (no true LT established), but 1.7 – 2.4g (minimum level) to 4g of Leu can maximally stimulate MPS.

25g Whey 25g Soy 25 g Rice 6.25 g Whey + 5 g Leu

48 g Rice 50 g Soy

Intracellular Leucine Levels Following Protein Consumption in Young, Resistance-trained Subjects*

Leucine Threshold

Optimal

Suboptimal

* Threshold varies with age and activity levels

•  20g of whey isolate = 1.8 – 2.4g Leu

•  6g BCAA mix (2:1:1) ratio = 3g Leu, but all EAAs needed for MPS (stand-alone BCAA not ideal).

Proteins …

Page 9: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

Protein Quality

2014 – UN Food and Agriculture Organization (FAO) endorsed latest method for assessing quality: •  Digestible Indispensable Amino Acid Score (DIAAS) – more accurate than

PDCAAS (protein digestibility corrected amino acid score (1990).

PDCAAS DIAAS Measures remaining protein in fecal matter but this includes digestive secretions, mucus and intestinal

bacteria.

Samples protein in ileum which represents only protein in the food

Examines digestion of crude protein Examines digestion of individual AAs

Scores truncated to max of 1.0 – undervalues protein quality (important with small intakes)

Has no limitation to ranking protein quality

Proteins …

Page 10: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

AA (g/100g Protein)

Whey Milk (skim)

Egg White

Pea Egg Soy Fish (Salmon)

Brown Rice

Leucine – BCAA 10.23 9.80 8.37 10.42 8.53 8.11 8.40 8.29

1.00 1.00 1.00 0.96

0.70

0.48

1.22 1.24

1.08 1.00

0.64

0.44

0.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

Milk Protein Concentrate

Whey Protein Isolate

Whey Protein Concentrate

Soy Protein Isolate Pea Protein Concentrate

Wheat

Protein PDCAAS v. DIAAS Scores

PDCAAS DIAAS

AA (g/100g Protein)

Beef Chicken Amaranth Quinoa Potato Chia Hemp

Leucine – BCAA 8.25 8.02 6.08 6.00 6.16 3.20 3.25

•  Pea – poor DIAAS (0.64 v. soy at 1.00 and whey at 1.24). •  Soy – used for splanchnic (abdominal) activity, urea synthesis and for oxidation (energy production).

Proteins …

Page 11: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

Essential Amino Acids

•  Animal-based proteins – generally have better AA profiles (ratios) v. vegetable based proteins (e.g., 4-to-1 Leu-to-Trp ratios). o  Compare on nutrients. o  Compare on kcal.

Egg (1 large)

Quinoa (½ cup)

Hemp (20g protein)

EAA 3.5g 3.5g 2.9g LAA None Tryptophan

Methionine Tryptophan

Histidine, Lysine, Isoleucine Relatively inexpensive High in glutamine (recovery)

Kcal 60-75 kcal 315 kcal 100 kcal (powder)

Proteins …

Page 12: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

Protein Quality

Whey stimulates MPS better than any other protein form:

Whey Casein Soy Hydrolyzed Collagen

Complete Protein (as all EAA) Yes Yes Yes Yes

Protein Quality Very Good Very Good Good Poor

Digestibility Fast Slow Fast Semi-fast

Leu (per 25g protein) 3.0 2.3 1.3 0.8

BCAA (per 25g protein) 5.6 4.9 3.4 1.4

EAA (per 25g protein) 12.4 11.0 9.0 3.8

Proteins …

Page 13: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

Protein Types and Times

Page 14: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

Good Protein Sources

•  Milk = combination of casein and whey: •  Casein = ~ 70-80% of protein in cow’s milk. •  Whey = ~ 20% of protein in cow’s milk - translucent-white liquid left

when milk coagulates. o  When dried (concentrated) = forms good quality protein.

Casein Whey

Forms gel (clot) in stomach – slows gastric emptying.

Rapid gastric emptying – quick assimilation into body.

Provides sustained (slow) release of amino acids into

blood – can last several hours.

Good source of BCAAs & glutamine. •  Leucine – important for initiating transcription

pathways - accelerates recovery / adaptation. •  Glutamine – helps immune system recovery.

Good source of BCAAs and glutamine

Good source of cysteine – helps make glutathione. •  Glutathione: powerful antioxidant against free

radical damage & toxins. •  Whey can increase cellular glutathione levels.

Proteins …

Page 15: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

Component Whey Powder Whey Concentrate Whey Isolate Food additive Removal of water, some

lactose, ash & mineral. Further removal of lactose & fat –

fastest GE / assimilation. More expensive.

Greater processing = some protein denaturation.

Protein % 11-14.5% 25-89% > 90%

Lactose % 63-75% 10-55% < 1%

Milk Fat % 1-1.5% 2-10% < 1%

•  Whey Isolate Hydrolysate: o  Pre-digested, resists further breakdown in stomach (pepsin) = improved

di-/tri-peptide uptake and faster GE /assimilation. o  Little more expensive than whey isolates.

Comparing Casein vs. Whey

•  1st 3-hours – whey increases protein synthesis rates 119% v. casein. •  7-hours post exercise – higher Leu balance from casein (yet, whey has 24.7%

more Leu than casein) – slow delivery.

Proteins …

Page 16: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

•  Other Proteins: o  Egg-based (albumin)

§  Very good protein source. §  Slightly more expensive than milk-based; more salty. §  Not as soluble as whey isolates.

•  Vegetable Protein (Soy): o  Textured vegetable protein (TVP) – derived from soy (meat alternative). o  Generally contain some phytochemicals (e.g., isoflavones) – estrogen

effects and health? o  Contains fiber – possible lipid-lowering benefits?

Component Soy Flour Soy Concentrate Soy Isolate Protein Composition 50% 70% 90% Comments Least refined Defatted soybeans

High digestibility Most refined

No fiber

o  Vegetable / nut-based (e.g., rice, almond) §  Generally inferior in protein quality. §  Certainly exhibit inferior absorbability.

Proteins …

Page 17: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

Protein Timing and Dosing

How much protein should be consumed within one meal? •  Many variables influence protein digestion and absorption rates:

o  Protein digestibility efficiency between plant and animal sources. o  Body size and genetics. o  Meal size and composition. o  Protein sources (casein may take up to 8-hours to digest/absorb while

whey may take 1-hour). o  Diet experience (individuals consuming higher protein intakes adapt to

digest proteins more efficiently).

Men Women Upper threshold = 50g Upper threshold = 30g

Rx = 35-45g Rx = 15-25g

Proteins …

Page 18: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

Protein Timing and Dosing

Strong support for protein ingestion in 60-min preceding, not just following exercise. •  If total daily protein intake is reduced = reduced post-exercise MPS – total

daily protein intake (overall quantity) is as important as timing around exercise. •  Whey protein (20g) = greatest post-exercise MPS over 1st 4 hours (high BCAA,

fastest protein), but larger dosages of plant-based proteins (45-50g) show similar results if they reach LT.

Pre-Exercise Post-exercise No Protein Ingested

Muscle Protein Synthesis Rates

Elevated MPS Rates

6g EAA v. 20g whey v. whole foods equivalent? •  Whole protein food sources not as

effective + large kcal quantities. 6g EAA + 35 g CHO v. no CHO – same? •  Potentiates insulin effect on amino acid

uptake and protein synthesis.

Proteins …

Page 19: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

Endurance Athlete Resistance Athlete Physical Performance Possibly – lacking strong

evidence Possible increased muscle growth Faster recovery and less DOMS

Psychological Performance Lower RPE and mental fatigue No significant evidence

Protein Timing and Dosing During Exercise

•  Range = 3½ - 6g/serving ingesting 2-4 servings/hour = ~7-25g/hour.

Central Fatigue Theory:

During Exercise = Fats in Blood

Mobilized Fats Bound to Albumin

At Rest = Balance – Amino Acids Levels in Blood and Uptake into Cells (e.g., Muscle)

Muscle Cells don’t Care for Tryptophan

Tryptophan Bound to Albumin

Reduces Amount Crossing BBB

More Free Tryptophan in Blood

More Crosses BBB Serotonin and Melatonin

More BCAA Uptake into Cells

Proteins …

Page 20: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

MPS most active during 1st 4 hours post-exercise, then body returns back to cycling between MPS and MPB. •  How much protein?

o  Minimum of 5-10g of protein can stimulate some MPS. o  Dosing: 0.24g/Kg BW maximally stimulated MPS in younger adults v.

0.4g/Kg BW in older adults (> 65 years of age). o  LT must be reached (1.7 - 2.4g minimum)

Protein Timing and Dosing After Exercise

End-exercise

1-hour 2-hour 3-hour 4-hour 5-hour

Post-exercise Protein Synthesis Rates by Dose

5g 10g 20g 30g 40g

20g of fast protein (younger) consumed within 30-min increases rates over 10g, but no significant increases > 20g in most subjects.

Proteins …

Page 21: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

Protein Sequencing

Pre-Workout

Post-workout

AM

3-4+ hours later

Later evening

Add to Total Intake

If applicable – reduce catabolic state (reduce cortisol) – faster proteins are ideal (5-10g).

6g EAA or up to 20g whey isolate (fast protein).

Up to 20g whey isolate (fast protein) to maximize MPS.

Reduce MPB that follows MPS ‘window’ (catabolic state = 10-15g protein – any good protein.

≥ 10g slow protein (reduce early morning cortisol effects).

During Workout 7-25g BCAA (protein) / hour.*

Meet total daily protein needs, but build around 6 key sequences (meals and/or protein complements.

* Supporting research is mixed on this benefit.

Proteins …

Page 22: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

Protein Intake Worksheet

Event Amount Balance Total Daily Requirement: ____ g

Morning: ____ g ____ g Pre-workout: ____ g ____ g During Workout: ____ g ____ g Immediate Recovery: ____ g ____ g 3 – 4 Hours Later: ____ g ____ g Late Night: ____g ____ g

Remaining Balance: ____ g Meal/snack allocation ____ g

Proteins …

Page 23: Protein Supplementation - s3.amazonaws.comExhibition... · Fabio Comana, MA., MS. NASM CPT, CES & PES; NSCA CSCS; ACSM EP-C; ACE CPT & HC; CISSN Protein Supplementation Risk v. Reward

Facebook

Name: Fabio Comana, MA., MS.

Credentials: NASM CPT, CES & PES; ACE CPT & HC; NSCA CSCS; ACSM EP-C; CISSN.

Email: [email protected]

Thank You..!! For Your Commitment to Excellence

Questions .. ??