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      International Society of Sports Nutrition Position Stand: protein and exercise

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          Position statement

          The International Society of Sports Nutrition (ISSN) provides an objective and critical review related to the intake of protein for healthy, exercising individuals. Based on the current available literature, the position of the Society is as follows:

          1. An acute exercise stimulus, particularly resistance exercise, and protein ingestion both stimulate muscle protein synthesis (MPS) and are synergistic when protein consumption occurs before or after resistance exercise.

          2. For building muscle mass and for maintaining muscle mass through a positive muscle protein balance, an overall daily protein intake in the range of 1.4–2.0 g protein/kg body weight/day (g/kg/d) is sufficient for most exercising individuals, a value that falls in line within the Acceptable Macronutrient Distribution Range published by the Institute of Medicine for protein.

          3. Higher protein intakes (2.3–3.1 g/kg/d) may be needed to maximize the retention of lean body mass in resistance-trained subjects during hypocaloric periods.

          4. There is novel evidence that suggests higher protein intakes (>3.0 g/kg/d) may have positive effects on body composition in resistance-trained individuals (i.e., promote loss of fat mass).

          5. Recommendations regarding the optimal protein intake per serving for athletes to maximize MPS are mixed and are dependent upon age and recent resistance exercise stimuli. General recommendations are 0.25 g of a high-quality protein per kg of body weight, or an absolute dose of 20–40 g.

          6. Acute protein doses should strive to contain 700–3000 mg of leucine and/or a higher relative leucine content, in addition to a balanced array of the essential amino acids (EAAs).

          7. These protein doses should ideally be evenly distributed, every 3–4 h, across the day.

          8. The optimal time period during which to ingest protein is likely a matter of individual tolerance, since benefits are derived from pre- or post-workout ingestion; however, the anabolic effect of exercise is long-lasting (at least 24 h), but likely diminishes with increasing time post-exercise.

          9. While it is possible for physically active individuals to obtain their daily protein requirements through the consumption of whole foods, supplementation is a practical way of ensuring intake of adequate protein quality and quantity, while minimizing caloric intake, particularly for athletes who typically complete high volumes of training.

          10. Rapidly digested proteins that contain high proportions of essential amino acids (EAAs) and adequate leucine, are most effective in stimulating MPS.

          11. Different types and quality of protein can affect amino acid bioavailability following protein supplementation.

          12. Athletes should consider focusing on whole food sources of protein that contain all of the EAAs (i.e., it is the EAAs that are required to stimulate MPS).

          13. Endurance athletes should focus on achieving adequate carbohydrate intake to promote optimal performance; the addition of protein may help to offset muscle damage and promote recovery.

          14. Pre-sleep casein protein intake (30–40 g) provides increases in overnight MPS and metabolic rate without influencing lipolysis.

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          Most cited references124

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          Carbohydrates for training and competition.

          An athlete's carbohydrate intake can be judged by whether total daily intake and the timing of consumption in relation to exercise maintain adequate carbohydrate substrate for the muscle and central nervous system ("high carbohydrate availability") or whether carbohydrate fuel sources are limiting for the daily exercise programme ("low carbohydrate availability"). Carbohydrate availability is increased by consuming carbohydrate in the hours or days prior to the session, intake during exercise, and refuelling during recovery between sessions. This is important for the competition setting or for high-intensity training where optimal performance is desired. Carbohydrate intake during exercise should be scaled according to the characteristics of the event. During sustained high-intensity sports lasting ~1 h, small amounts of carbohydrate, including even mouth-rinsing, enhance performance via central nervous system effects. While 30-60 g · h(-1) is an appropriate target for sports of longer duration, events >2.5 h may benefit from higher intakes of up to 90 g · h(-1). Products containing special blends of different carbohydrates may maximize absorption of carbohydrate at such high rates. In real life, athletes undertake training sessions with varying carbohydrate availability. Whether implementing additional "train-low" strategies to increase the training adaptation leads to enhanced performance in well-trained individuals is unclear.
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            Role of insulin in the regulation of human skeletal muscle protein synthesis and breakdown: a systematic review and meta-analysis.

            We aimed to investigate the role of insulin in regulating human skeletal muscle metabolism in health and diabetes.
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              Essential amino acids and muscle protein recovery from resistance exercise.

              This study tests the hypothesis that a dose of 6 g of orally administered essential amino acids (EAAs) stimulates net muscle protein balance in healthy volunteers when consumed 1 and 2 h after resistance exercise. Subjects received a primed constant infusion of L-[(2)H(5)]phenylalanine and L-[1-(13)C]leucine. Samples from femoral artery and vein and biopsies from vastus lateralis were obtained. Arterial EAA concentrations increased severalfold after drinks. Net muscle protein balance (NB) increased proportionally more than arterial AA concentrations in response to drinks, and it returned rapidly to basal values when AA concentrations decreased. Area under the curve for net phenylalanine uptake above basal value was similar for the first hour after each drink (67 +/- 17 vs. 77 +/- 20 mg/leg, respectively). Because the NB response was double the response to two doses of a mixture of 3 g of EAA + 3 g of nonessential AA (NEAA) (14), we conclude that NEAA are not necessary for stimulation of NB and that there is a dose-dependent effect of EAA ingestion on muscle protein synthesis.
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                Author and article information

                Contributors
                ralf.jaeger@increnono.com
                ckerksick@lindenwood.edu
                bcampbell@usf.edu
                paulc@metabolicprecision.com
                shawn.wells@biotrust.com
                tim.skwiat@gmail.com
                martin.purpura@increnovo.com
                tz@appliedhealthsciences.org
                aferrando@uams.edu
                shawn.arent@rutgers.edu
                abbiesmith@unc.edu
                Jeffrey.Stout@ucf.edu
                parciero@skidmore.edu
                mormsbee@fsu.edu
                ltaylor@umhb.edu
                cwilborn@umhb.edu
                Douglas.Kalman@qps.com
                rkreider@tamu.edu
                Darryn_Willoughby@baylor.edu
                jay.hoffman@ucf.edu
                jkrzykow@carrollu.edu
                ja839@nova.edu
                Journal
                J Int Soc Sports Nutr
                J Int Soc Sports Nutr
                Journal of the International Society of Sports Nutrition
                BioMed Central (London )
                1550-2783
                20 June 2017
                20 June 2017
                2017
                : 14
                : 20
                Affiliations
                [1 ]Increnovo LLC, Milwaukee, WI USA
                [2 ]ISNI 0000 0000 8539 0749, GRID grid.431378.a, Exercise and Performance Nutrition Laboratory, School of Health Sciences, , Lindenwood University, ; St. Charles, MO USA
                [3 ]ISNI 0000 0001 2353 285X, GRID grid.170693.a, Performance & Physique Enhancement Laboratory, , University of South Florida, ; Tampa, FL USA
                [4 ]Metabolic Precision Certifications, Queensland, Australia
                [5 ]BioTRUST Nutrition, Irving, TX USA
                [6 ]The Center for Applied Health Sciences, Stow, OH USA
                [7 ]ISNI 0000 0004 4687 1637, GRID grid.241054.6, Department of Geriatrics, , University of Arkansas for Medical Sciences, ; Little Rock, AR USA
                [8 ]ISNI 0000 0004 1936 8796, GRID grid.430387.b, IFNH Center for Health & Human Performance, Department of Kinesiology & Health, Rutgers, , the State University of New Jersey, ; New Brunswick, New Jersey USA
                [9 ]ISNI 0000 0001 1034 1720, GRID grid.410711.2, Applied Physiology Laboratory, Department of Exercise and Sport Science, , University of North Carolina, ; Chapel Hill, NC USA
                [10 ]ISNI 0000 0001 2159 2859, GRID grid.170430.1, Institute of Exercise Physiology and Wellness, , University of Central Florida, ; Orlando, FL USA
                [11 ]ISNI 0000 0001 2270 6467, GRID grid.60094.3b, Human Nutrition and Metabolism Laboratory, Health and Exercise Sciences Department, , Skidmore College, ; Saratoga Springs, NY 12866 USA
                [12 ]ISNI 0000 0004 0472 0419, GRID grid.255986.5, Department of Nutrition, Food and Exercise Sciences, Institute of Sport Sciences and Medicine, , Florida State University, ; Tallahassee, USA
                [13 ]ISNI 0000 0001 0723 4123, GRID grid.16463.36, Biokinetics, Exercise and Leisure Studies, , University of KwaZulu-Natal, ; Durban, 4000 South Africa
                [14 ]GRID grid.441596.b, Human Performance Laboratory, , University of Mary Hardin-Baylor UMHB, ; Belton, TX 76513 USA
                [15 ]Department of Nutrition & Endocrinology, QPS, Miami, FL USA
                [16 ]ISNI 0000 0004 4687 2082, GRID grid.264756.4, Exercise & Sport Nutrition Lab, Human Clinical Research Facility, Department of Health & Kinesiology, , Texas A&M University, ; College Station, TX USA
                [17 ]ISNI 0000 0001 2111 2894, GRID grid.252890.4, Exercise and Biochemical Nutrition Laboratory, Department of Health, Human Performance, and Recreation, , Baylor University, ; Waco, TX USA
                [18 ]ISNI 0000 0004 1936 9553, GRID grid.253721.0, Department of Human Movement Sciences, , Carroll University, ; Waukesha, WI USA
                [19 ]ISNI 0000 0001 2168 8324, GRID grid.261241.2, Department of Health and Human Performance, , Nova Southeastern University, ; Davie, FL USA
                Author information
                http://orcid.org/0000-0002-8930-1058
                Article
                177
                10.1186/s12970-017-0177-8
                5477153
                bc66121a-bf3b-451a-8a13-b677bb53b335
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 3 June 2017
                : 5 June 2017
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                © The Author(s) 2017

                Sports medicine
                Sports medicine

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