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      Common questions and misconceptions about protein supplementation: what does the scientific evidence really show?

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          ABSTRACT

          Protein supplementation often refers to increasing the intake of this particular macronutrient through dietary supplements in the form of powders, ready-to-drink shakes, and bars. The primary purpose of protein supplementation is to augment dietary protein intake, aiding individuals in meeting their protein requirements, especially when it may be challenging to do so through regular food (i.e. chicken, beef, fish, pork, etc.) sources alone. A large body of evidence shows that protein has an important role in exercising and sedentary individuals. A PubMed search of “protein and exercise performance” reveals thousands of publications. Despite the considerable volume of evidence, it is somewhat surprising that several persistent questions and misconceptions about protein exist. The following are addressed: 1) Is protein harmful to your kidneys? 2) Does consuming “excess” protein increase fat mass? 3) Can dietary protein have a harmful effect on bone health? 4) Can vegans and vegetarians consume enough protein to support training adaptations? 5) Is cheese or peanut butter a good protein source? 6) Does consuming meat (i.e., animal protein) cause unfavorable health outcomes? 7) Do you need protein if you are not physically active? 8) Do you need to consume protein ≤ 1 hour following resistance training sessions to create an anabolic environment in skeletal muscle? 9) Do endurance athletes need additional protein? 10) Does one need protein supplements to meet the daily requirements of exercise-trained individuals? 11) Is there a limit to how much protein one can consume in a single meal? To address these questions, we have conducted a thorough scientific assessment of the literature concerning protein supplementation.

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          Meta-analysis of prospective cohort studies evaluating the association of saturated fat with cardiovascular disease.

          A reduction in dietary saturated fat has generally been thought to improve cardiovascular health. The objective of this meta-analysis was to summarize the evidence related to the association of dietary saturated fat with risk of coronary heart disease (CHD), stroke, and cardiovascular disease (CVD; CHD inclusive of stroke) in prospective epidemiologic studies. Twenty-one studies identified by searching MEDLINE and EMBASE databases and secondary referencing qualified for inclusion in this study. A random-effects model was used to derive composite relative risk estimates for CHD, stroke, and CVD. During 5-23 y of follow-up of 347,747 subjects, 11,006 developed CHD or stroke. Intake of saturated fat was not associated with an increased risk of CHD, stroke, or CVD. The pooled relative risk estimates that compared extreme quantiles of saturated fat intake were 1.07 (95% CI: 0.96, 1.19; P = 0.22) for CHD, 0.81 (95% CI: 0.62, 1.05; P = 0.11) for stroke, and 1.00 (95% CI: 0.89, 1.11; P = 0.95) for CVD. Consideration of age, sex, and study quality did not change the results. A meta-analysis of prospective epidemiologic studies showed that there is no significant evidence for concluding that dietary saturated fat is associated with an increased risk of CHD or CVD. More data are needed to elucidate whether CVD risks are likely to be influenced by the specific nutrients used to replace saturated fat.
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            Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein and Amino Acids

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              Immune function in sport and exercise.

              Regular moderate exercise is associated with a reduced incidence of infection compared with a completely sedentary state. However, prolonged bouts of strenuous exercise cause a temporary depression of various aspects of immune function (e.g., neutrophil respiratory burst, lymphocyte proliferation, monocyte antigen presentation) that usually lasts approximately 3-24 h after exercise, depending on the intensity and duration of the exercise bout. Postexercise immune function dysfunction is most pronounced when the exercise is continuous, prolonged (>1.5 h), of moderate to high intensity (55-75% maximum O(2) uptake), and performed without food intake. Periods of intensified training (overreaching) lasting 1 wk or more may result in longer lasting immune dysfunction. Although elite athletes are not clinically immune deficient, it is possible that the combined effects of small changes in several immune parameters may compromise resistance to common minor illnesses, such as upper respiratory tract infection. However, this may be a small price to pay as the anti-inflammatory effects of exercise mediated through cytokines and/or downregulation of toll-like receptor expression are likely mediators of many of the long-term health benefits of regular exercise.
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                Author and article information

                Journal
                J Int Soc Sports Nutr
                J Int Soc Sports Nutr
                Journal of the International Society of Sports Nutrition
                Routledge
                1550-2783
                16 April 2024
                2024
                16 April 2024
                : 21
                : 1
                : 2341903
                Affiliations
                [a ]Nova Southeastern University; , Department of Health and Human Performance, Davie, FL, USA
                [b ]University of Arkansas for Medical Sciences; , Department of Geriatrics, Little Rock, AR, USA
                [c ]University of Central Florida; , School of Kinesiology and Rehabilitation Science, Orlando, FL, USA
                [d ]Lindenwood University; , Exercise and Performance Nutrition Laboratory, St. Charles, MO, USA
                [e ]University of South Carolina; , Department of Exercise Science, Arnold School of Public Health, Columbia, SC, USA
                [f ]University of Regina; , Faculty of Kinesiology and Health Studies, Regina, Canada
                [g ]Brandon University; , Department of Physical Education, Faculty of Education, Brandon, MB, Canada
                [h ]Keiser University; , Exercise and Sport Science, West Palm Beach Flagship Campus, West Palm Beach, FL, USA
                [i ]Texas A&M University; , Exercise & Sport Nutrition Lab, Human Clinical Research Facility, Department of Health & Kinesiology, College Station, TX, USA
                Author notes
                CONTACT Jose Antonio Jose.Antonio@ 123456nova.edu Department of Health and Human Performance, Nova Southeastern University, 3401 S. University Drive, Davie, Florida, USA
                Author information
                https://orcid.org/0000-0002-8930-1058
                https://orcid.org/0000-0001-6114-1649
                https://orcid.org/0000-0003-0647-0591
                https://orcid.org/0000-0002-6655-4482
                https://orcid.org/0000-0003-0458-7294
                https://orcid.org/0009-0009-0141-3994
                https://orcid.org/0000-0002-7279-4968
                Article
                2341903
                10.1080/15502783.2024.2341903
                11022925
                38626029
                af951042-e626-4f61-b1fb-23ca022c200a
                © 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.

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                Page count
                Figures: 0, References: 216, Pages: 1
                Categories
                Review Article
                Review

                Sports medicine
                erogenic aid,performance,exercise,supplement
                Sports medicine
                erogenic aid, performance, exercise, supplement

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