Monday, October 3, 2011

The Role of Protein in Exercise Recovery...

Proper nutrition is essential to help athletes recover from workouts and competitions.
It is widely accepted that carbohydrates are a critical fuel source during exercise and also play a major role in promoting recovery after exercise. However, the importance of protein is less understood.
There is no doubt that protein ingestion helps athletes recover from exercise, but questions remain regarding the optimal amount, type and timing of protein needed in order to optimize training-induced adaptations in skeletal muscle.



How much protein do athletes need?
The current dietary reference intake (DRI) for protein for persons over 18 years of age, irrespective of physical activity status, is 0.8 g per kilogram of body weight per day (i.e., 80 g of protein for a 220-pound person).
However, many sports nutrition experts have concluded that
protein requirements are higher for athletes (American College of Sports Medicine, American Dietetic Association, and Dietitians of Canada (2000). Joint Position Statement: Nutrition and athletic performance. Med. Sci. Sports Exerc. 32:2130-2145).
The additional protein may be needed in order to promote muscle adaptation during recovery from exercise in several ways:
Aiding in the repair of exercise-induced damage to muscle fibers.
Promoting training-induced adaptations in muscle fibers (e.g., synthesis of new proteins that are involved in energy production and/or force generation).
Facilitating the replenishment of depleted energy stores.
The American College of Sports Medicine (ACSM), American Dietetic Association (ADA) and Dieticians of Canada (DC) recommend that (see reference above):
Protein recommendations for endurance athletes are 1.2 to 1.4 g per kilogram of body weight per day, whereas those for resistance and strength-trained athletes may be as high as 1.6 to 1.7 g per kilogram of body weight per day.
These recommended protein intakes can generally be met through diet alone, without the use of protein or amino acid supplements, if energy intake is adequate to maintain body weight. Some of the implications of the ACSM/ADA/DC Position Statement are that:
Individual protein requirements may be influenced by the size of an athlete as well as the demands of his/her sport (i.e., whether the sport is mainly "endurance"- or "strength"-oriented).
For example, a 132-pound cross-country runner might require 70 to 85 g of protein per day, whereas a 220-pound football player might require up to 160 to 170 g of protein daily.
Athletes require 10 to 15 percent of their daily energy intake from protein, provided that sound nutritional practices are followed and energy intake is sufficient to maintain body weight.


If, for example, an athlete consumes 3,000 kcal and 10 percent of those calories are from protein. That's enough to provide 75 g of protein (3,000 x 0.10 / 4 kcal per gram of protein).
Athletes can meet their protein requirements through diet alone, without the aid of protein or amino-acid supplements, as the typical North American diet is rich in protein-containing foods. The exceptions to this recommendation are athletes who are restricting energy intake in order to lose body weight.
Under those circumstances, a special effort should be made to consume foods (e.g., meat, fish, eggs) and beverages (e.g., milk) that contain ample amounts of high-quality proteins. Vegetarian athletes should also monitor their food choices carefully.


Recovery from strength/resistance exercise
Heavy resistance exercise increases the rates of both protein synthesis and breakdown in muscle for at least 24 hours after a workout. Unless a protein-containing meal is consumed during recovery, breakdown will exceed synthesis, resulting in the loss of muscle mass.
Studies (Tipton KD, Wolfe RR. (2004). Protein and amino acids for athletes. J Sports Sci. 22:65-79; Rasmussen RB, Phillips SM. (2003). Contractile and nutritional regulation of human muscle growth. Exerc. Sport Sci. Rev. 31:127-131.) have shown:
The amount of dietary protein needed to stimulate muscle recovery is surprisingly small, only 5 to 10 grams of amino acids (that's only 20 to 40 kcal of protein).

Essential amino acids are superior to non-essential amino acids for stimulating muscle growth. Foods such as fish, meat, eggs, and milk are rich in essential amino acids.

The "maximum effective dose" of amino acids (i.e., the single serving size that will maximally stimulate muscle protein accretion) is not known, however, one study showed that the amount of muscle protein gained was similar when subjects consumed 20 to 40 g of essential amino acids after weightlifting exercise. (Tipton KD, Ferrando AA, Phillips SM, Doyle D Jr, Wolfe RR. (1999). Postexercise net protein synthesis in human muscle from orally administered amino acids. Am J Physiol Endocrinol Metab 276:E628-E634.)

Thus, there seems to be a point of amino acid availability above which no further stimulation of muscle protein synthesis occurs. This suggests that consuming massive single doses of protein in hopes of further accelerating muscle growth (as often practiced by strength athletes) is futile.

The anabolic boost stimulated by a single dose of amino acids is transient and lasts only one to two hours. This means that ingesting repeated small doses of protein during recovery may be more effective in optimizing the rate of muscle protein gain, as opposed to eating just one large meal.

Carbohydrate added to a protein mixture does not markedly affect the muscle anabolic response, but does confer other benefits, most important being the resynthesis of muscle glycogen.


Recovery from endurance exercise
Muscle glycogen is the predominant fuel for energy during exercise, and the ability to rapidly replenish glycogen stores during recovery is important for athletes. This is particularly true for athletes undergoing long exercise bouts or multiple daily workouts.
The best strategy to promote muscle glycogen resynthesis during the initial few hours after exercise is to ingest a high amount of carbohydrate at frequent intervals.
Provided that carbohydrates are consumed at a rate of about 1.2 gram per kilogram of body weight per hour (0.5 g/lb/h), in 15 to 30 minute intervals, most evidence suggests that protein added to a recovery drink will not further enhance the rate of muscle glycogen resynthesis. (5Burke LM et al. (2004). Carbohydrates and fat for training and recovery. J Sports Sci 22:15-30.
Protein consumed after exercise does assist in the repair and synthesis of muscle proteins, and as such, is vital to the recovery process.
For example, protein added to a carbohydrate/fat supplement increased leg muscle protein accretion during recovery from cycling exercise, as opposed to net losses in muscle protein when just carbohydrate and fat were ingested. (6Levenhagen DK et al. (2002) Postexercise protein intake enhances whole-body and leg protein accretion in humans. Med Sci Sports Exerc. 34:828-837.)


Does protein added to sports drink during exercise improve performance?
Two studies recently reported that consuming a protein and carbohydrate beverage during exercise increased performance as compared to carbohydrate alone. ( Ivy JL et al. (2003). Effect of a carbohydrate-protein supplement on endurance performance during exercise of varying intensity. Int J Sports Nutr Exerc Metab. 13:382-395; Saunders MJ et al. (2004). Effects of a carbohydrate-protein beverage on cycling endurance and muscle damage. Med Sci Sports Exerc. 36:1233-1238.)
Both studies measured exercise time to fatigue in trained cyclists using a randomized double-blind repeated measures design. In each experiment, subjects ingested a 7.75 percent carbohydrate solution on one occasion and a drink that contained 7.75 percent carbohydrate plus an additional 1.94 percent protein (about 4 g of protein per 8-oz serving) on another occasion.


Results

In the first study, subjects cycled at 85 percent peak VO2max immediately after performing three hours of standardized cycle exercise. Results showed that the subjects:
Rode 36 percent longer when ingesting the carbohydrate solution as compared to the placebo.
Rode 55 percent longer when ingesting the carbohydrate + protein solution compared to placebo, and this was also significantly longer than the carbohydrate trial.


Although the second study did not include a control group (no placebo trial), the results were similar in that the subjects rode 29 percent longer during a cycling task at 75 percent VO2peak when they ingested carbohydrate + protein as compared to carbohydrate alone.
While these results are intriguing, definitive conclusions are hampered by the way the research was conducted. Two major limitations are that:
Neither study compared the carbohydrate+PRO drink to a carbohydrate beverage that was matched for total energy intake (i.e., the drinks differed in total calories provided).
The total amount of carbohydrate provided was less than what is generally recommended to be optimal for endurance performance.
As a result, it is not possible to discern whether the increased time to fatigue was attributable to the influence of protein per se or simply the additional energy provided.
It is possible that--like the effect on muscle glycogen resynthesis during recovery--the addition of protein to a carbohydrate beverage is only beneficial when the rate of carbohydrate intake is below the amount needed by the body.
Regardless, additional studies will confirm or refute these initial observations and will also evaluate how carbohydrate and protein might (or might not) interact to benefit the athlete during exercise.


Take home points
After a hard workout, athletes should consume a recovery beverage or snack that contains a small amount of high-quality protein with adequate carbohydrate in order to repair/stimulate muscle proteins and also replenish muscle glycogen stores after exercise.
Foods such as milk, yogurt, a small sandwich, an energy bar with at least 10 grams of protein or a canned sports nutrition shake are all appropriate carbohydrateices.
Although speculative, the muscle proteins stimulated by protein ingestion after endurance exercise are likely related to aerobic energy production (e.g., mitocarbohydratendrial enzymes), whereas those stimulated after weightlifting exercise are likely related to non-oxidative energy production and force generation (e.g., contractile proteins).

The "optimal" recovery beverage composition for strength/resistance and endurance athletes remains to be determined. However, any strategy that provides ample carbohydrate and protein will likely be of benefit to both.

While the addition of protein to a recovery drink is clearly beneficial, it is premature to recommend that protein should be consumed with carbohydrate during exercise.

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