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The Key Role of Protein 

Quality Life Forum Healthy Eating Series

January 2020
Proteins are the main building blocks of the human body. However, protein insufficiency is common in aging population. As many at middle-age or after modify their diet due to weight and cholesterol concerns, but neglected protein intake. Other reasons may include physiological aging changes, such as lack of appetite, inactivity, dental health, etc.

Aging is associated with a progressive decline in resting metabolic rate (RMR). Up to 50% of total body weight in young adults is lean muscle mass but this declines with aging to 25% when reaching an age of 75–80 years. The greatest loss of muscle mass is seen in the lower limb muscle groups. According to study findings, declines in skeletal muscle mass and strength are major contributors to increased mortality, morbidity and reduced quality of life in older people. Older people appear to require 1.0 to 1.3 g/kg/day dietary protein to optimize physical function, combined with twice-weekly progressive resistance exercise reduces age-related muscle mass loss. 

Protein is very important for active healthy adults and elderly, for maintain overall body functioning,  muscle strength, and resilience. As aging will lose muscle mass, protein needs of older adults increase for their muscle functioning and strength. The National Institute of Health recommends that 10-35% of calories should be from protein, regardless of total calorie intake. 

The message is clear – older adults need to eat more protein. Now the challenge is to educate and advocate food protein sources. A good balance of protein should be obtained from quality food sources, including plant, dairy and an emphasis on white meat.

Complete and incomplete proteins from food sources

Be aware that there are complete proteins and incomplete proteins from food sources.

Complete protein food sources contains all nine essential amino acids that human bodies can’t make by itself. Some top sources of complete protein include like meat, poultry and seafood (e.g. steak, chicken and salmon). Other animal sources include eggs and low-fat dairy, which are also good sources of complete protein. It is true that some high-protein foods may have a lot of saturated fat. Take steak for example, which has a lot of good quality protein (40 grams) but 12 grams of saturated fat. Some also think red meat may be an issue in development of cancer. Therefore, low-fat meat and poultry became more preferable. Seafood is also a good choice, with healthy cooking and avoid frying.

Incomplete proteins don’t have one or more essential amino acids needed to make a complete protein. Unfortunately, most plant proteins are incomplete (e.g. beans, peas, seeds, nuts, soy beans). It would be hard to remember which foods combine to make an optimal complete protein combination (such as rice and beans), so try mixing different types of plant proteins may get enough essential amino acids, especially for vegetarians.

Some protein rich food examples are –
  • Cow’s milk (1 cup, 250 mL)                ~10 grams
  • Soy drink (1 cup, 250 mL)                  ~8 grams
  • Cottage cheese (serving, 150 mL)      ~17 grams
  • Lean meat (portion, 150 gram)         ~33 grams
  • Fish (portion, 150 gram)                    ~30 grams
  • Egg                                                      ~6 grams
  • Tofu (portion, 100 gram)                   ~10 grams
  • Tuna (can, 95 gram)                           ~19 grams
  • Nuts (30 gram)                                   ~7 grams
  • Legumes (1/2 cup, 75 gram)              ~7 grams
  • Protein bar                                         20-25 grams
  • Protein shake                                     20-25 grams

Protein supplement

Taking whey protein is a convenient way to add protein on top of your daily intake. This can be important for muscle building, as well as for weight loss or simply lacking protein from diet.

Most people can easily get enough protein without using supplements.  Keep in mind that unless your diet is already lacking in protein, supplementing with protein powders is unlikely to have a significant effect on your physical performance acceleration. Isolated and hydrolysate protein powers are also heavily processed products.

​If you're trying to lose weight, extra protein can help you feel less hungry, boost metabolism, help you lose weight faster and lower the likelihood of regaining the lost fat. To make a point here for weight loss purpose,  your goal is to increase percentage of protein intake from daily total calories, but not to increase total calorie intake with added protein shakes. Protein calories are less fattening than calories from carbs and fat, because protein takes more energy to metabolize. Simple changes in food selection can lead to the same or better results than restricting your calorie intake.  However, increase in total daily calorie intake will lead to weight gain. 

If you need more protein intake for prevent muscle loss and/or for nutritional needs, supplements are an easy and safe way to add extra protein in your diet. There are many varieties of protein powers available, such as Animal-based protein powders include casein, whey, and collagen and plant-based protein powders include soy, pea, rice, and hemp.

Whey protein

Whey protein is a mixture of proteins in whey, which is a byproduct of cheese production. It’s usually sold as a flavored powder, which is added to shakes, meal replacements and protein bars. The proteins in whey are of a very high quality. They’re loaded with essential amino acids, including leucine and cysteine. 

Take a post workout protein shake may be an added benefit for gym enthusiasts. Protein has been shown to aid weight loss by boosting metabolism and reducing appetite. Whey protein can help increase fat loss while preserving lean muscle mass.  One thing to note is that while one increases the amount of protein in the diet, adequate hydration is very important. This can come from both foods and drinks.

For those with decreased appetites or with other health issues, protein supplement such as whey power is a good alternative. Whey is high in essential amino acids and other healthy nutrients. It’s also rich in the amino acid cysteine, which raises levels of the antioxidant glutathione and leads to many health benefits.  

There are several popular types of whey protein. Their main difference is in the way they have been processed.
  • Concentrate: About 70–80% protein; contains some lactose (milk sugar) and fat and has the best flavor.
  • Isolate: 90% protein, or higher; contains less lactose and fat and lacks a lot of the beneficial nutrients found in whey protein concentrate.
  • Hydrolysate: Also known as hydrolyzed whey, this type has been pre-digested so that it gets absorbed faster. It causes a 28–43% greater spike in insulin levels than isolate.

Whey protein concentrate seems to be the overall best option. If tolerance is an issue, or try to boost protein while keeping carbs and fat low, whey protein isolate — or even hydrolysate — may be a better option. 

A commonly recommended dosage is 1–2 scoops (around 25–50 grams) per day, usually after workouts, or follow the serving instructions on the packaging. Elderly may adjust accordingly per medical recommendations for individual nutritional needs. Generally speaking, whey protein has an excellent safety profile and most people can consume it without problems. However, be aware that both plant and animal proteins can cause inflammation and digestive issues.

When trying a new protein powder, pay attention to how your body responds. As with any supplement, you may wish to take a break every so often or alternate between different products.

Exercise and resistance training for muscle strength

Getting sufficient proteins from diet is basic requirement for body functioning. Protein turnover in skeletal muscle tissue is enhanced by consumption of food, particularly ingestion of amino acids and/or protein which strongly stimulates muscle protein synthesis and inhibits protein breakdown. The effectiveness of exercise in increasing muscle mass and function has been clearly demonstrated even in frail older people.  Keep in mind that aging muscle does respond to exercise, especially resistance exercise. A meta-analysis of studies on resistance training in older adults showed a clear benefit for improved physical function. Other study results show that resistance exercise is as effective in older adults as in young adults to reverse muscle loss and improve muscle protein synthesis. 

The guidelines for physical activity for adults aged 65 years and older, as recommended by the World Health Organization are:
  1. Older adults should do at least 150 minutes of moderate-intensity aerobic physical activity throughout the week or do at least 75 minutes of vigorous-intensity aerobic physical activity throughout the week or an equivalent combination of moderate- and vigorous-intensity activity.
  2. Aerobic activity should be performed in bouts of at least 10 minutes duration.
  3. For additional health benefits, older adults should increase their moderate-intensity aerobic physical activity to 300 minutes per week, or engage in 150 minutes of vigorous-intensity aerobic physical activity per week, or an equivalent combination of moderate-and vigorous-intensity activity.
  4. Older adults, with poor mobility, should perform physical activity to enhance balance and prevent falls on 3 or more days per week.
  5. Muscle-strengthening activities, involving major muscle groups, should be done on 2 or more days a week.
  6. When older adults cannot do the recommended amounts of physical activity due to health conditions, they should be as physically active as their abilities and conditions allow.

Adequate dietary protein intake combined with physical activity is essential for healthy aging.  Including resistance exercise several times per week is considered to be crucial to maintain muscle strength, maintain muscle mass, and reduce falls and fractures. 

Action Call


  1. Track daily food diary for a week for protein intake self-evaluation
  2. Get start or continue exercise routine with resistant training
  3. Reach out qualitylifeforum@outlook.com for help and personalized health coaching

Summary

  • Proteins are the main building blocks of the human body. Best protein source is from balanced diet.
  • As aging will lose muscle mass, protein needs of older adults increase for maintain muscle functioning and strength, combined with exercise and resistant training.
  • Animal-based (complete) protein include casein, whey, and collagen and plant-based (incomplete) protein include soy, pea, rice, and hemp.
  • A variety of protein supplements are available and may be used for personal goals of muscle building, weight loss or nutritional needs.
  • Whey protein powder is generally safe and well tolerated at recommended dosage 

Reference:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555150/
https://khn.org/news/why-older-adults-should-eat-more-protein-and-not-overdo-protein-shakes/
http://eldercarechannel.com/frailty-and-its-answer-protein/
https://www.healthline.com/nutrition/whey-protein-101#what-is-it
https://www.healthline.com/nutrition/protein-shakes-weight-loss#section9
https://www.healthline.com/nutrition/6-reasons-why-a-calorie-is-not-a-calorie#section2
https://www.sport-fitness-advisor.com/high-calorie-low-carb-foods.html

© All rights reserved

Disclaimer: This information is for educational and informational purposes only. It is not medical advice. Consult your healthcare professional for personal conditions.

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      • 2021 Nov Gratitude Power for Wellbeing
      • 2019 Dec Dealing with Difficult Emotions in Holiday Season
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    • Healthy Living >
      • 2022 Jan Health: the Cornerstone for Quality of Life
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      • Blog Are You Motivated for a Healthy Life Style?
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      • 2022 July Daily Routine for Healthy Aging
      • 2017 June Sleep Well
      • 2021 May Simplify Life for healthy aging
      • 2019 Aug Downsizing in the Golden Years
      • 2017 Sept Music Learning for older adults
    • Healthy Eating >
      • 2022 Sept Your Decision Power for Food Choices and Eating Behavior
      • 2022 Oct Hydration for Healthy Aging
      • 2018 Aug Nourish Your Body for Healthy Living
      • 2017 Oct Better to Eat Meat or Plant Food
      • 2020 Jan The Key Role of Protein in Healthy Aging
      • 2020 Feb Healthy Fat for Healthy Aging
      • 2020 March Healthy Aging Energy Source Carbohydrate
      • 2017 July Intermittent Fasting
      • 2020 Sept Time-Restricted Feeding Is A Healthy Lifestyle Choice
      • 2022 Nov Go green for health: A Green Tea Invitation
      • 2019 June Dietary Supplements Are Not Drugs
      • 2015 Nov Blog The Value of Vitamin and Dietary Supplements
    • Golden Age Fitness >
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      • 2017 March Exercise for Blood Sugar Regulation
      • 2017 Jan Willness Attitude and Winterizing Fitness
      • 2016 Apr Balance Training
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      • 2018 Sept Keep Life in Motion
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      • 2023 Feb Benefits of Swimming for Healthy Aging
    • Age-related Health Challenges >
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      • 2018 May Blood Sugar Self-Management
      • 2018 April Lowering Cholesterol
      • 2017 Nov Immunity and Aging
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      • 2017 May How to Reduce Aging Eye Fatigue
      • 2022 Mar Age-Related Hearing Loss
      • 2022 April Aging and Oral Health
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      • 2021 July Range of Motion Recovery from Frozen Shoulder
      • 2019 Nov Osteoporosis in Women
      • 2019 Feb Food Safety and H. pylori Infection
      • 2019 July GERD
      • 2016 Oct Significant Health Indicators
      • 2018 Oct Tough Fight for the Belly Fat
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      • 2016 May Emotional Healing
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