Muscle Protein Metabolism and Requirements in Female Athletes — Transcript
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- 0:07Hi, my name is Stuart Phillips. I'm a
- 0:08professor in the department of
- 0:09kinesiology at McMaster University. This
- 0:12presentation highlights the key findings
- 0:14from a recent GSSI sports science
- 0:17exchange article that our team wrote.
- 0:19But rather than hear it from me, here
- 0:21are the team that did the work bring to
- 0:23you the goods on our paper, Muscle
- 0:25Protein Metabolism and Protein
- 0:27Requirements for Female Athletes:
- 0:29Aligning Science with Sex Specific
- 0:31Needs. Hi, I'm James Newood. I'm a
- 0:34master student here at McMaster
- 0:36University. And we'll start off by
- 0:37looking at how dietary protein uh
- 0:39supports exercise induced changes to
- 0:41skeletal muscle health. So athletes
- 0:44place extraordinary demands on their
- 0:46bodies with every game, practice, lift
- 0:49driving them to adapt and grow stronger.
- 0:52Now at the core of this adaptation is
- 0:53skeletal muscle which through consistent
- 0:56training it repairs, remodels and adapts
- 0:58leading to gains in strength, size and
- 1:01endurance. Now for these adaptations to
- 1:04occur efficiently, the body needs this
- 1:06proper support. And that's where
- 1:08nutrition, particularly protein, plays a
- 1:10key role in muscle recovery and growth.
- 1:14Now, dietary protein provides the
- 1:17essential amino acids that are the
- 1:19building blocks of new muscle protein.
- 1:22Now, essential amino acids allow for
- 1:24muscle repair, remodeling, and growth to
- 1:26occur after exercise. And without this
- 1:28dietary protein, recovery slows, muscle
- 1:31health declines, and the risk of injury
- 1:33increases. When muscles receive adequate
- 1:36essential amino acids, they can
- 1:38effectively rebuild and adapt to this
- 1:40training or performance. Now, research
- 1:43shows that consuming about 0.331
- 1:46g of protein per kilogram of body weight
- 1:49per meal achieves the most anabolic
- 1:52response. Any more than that and that
- 1:55protein is uh used for energy or simply
- 1:58just wasted. Now in order to achieve the
- 2:01maximal response the this protein intake
- 2:04should consist of all nine essential
- 2:06amino acids.
- 2:09Now it's helpful to know the maximum
- 2:11amount of protein that can be utilized
- 2:13at one time. But athletes should also
- 2:15think about consistency. So to optimize
- 2:18muscle recovery and growth, protein
- 2:20needs to be consumed regularly
- 2:21throughout the day, not just in one
- 2:23sitting. Many people tend to skew their
- 2:25protein intake toward dinner, leaving
- 2:27breakfast and lunch relatively low in
- 2:30protein. So this pattern means body
- 2:33spends much of the day in this lower
- 2:34anabolic state, missing valuable
- 2:36opportunities for repair and adaptation.
- 2:39So to get the most out of every meal,
- 2:41protein should be distributed evenly
- 2:43across breakfast, lunch, and dinner,
- 2:45which leaves the body in a more anabolic
- 2:47state throughout the majority of the
- 2:50day.
- 2:52Now when we're talking about athletes,
- 2:54this diet, total diet, daily protein
- 2:56intake and the uh protein distribution
- 3:00are equally important when it comes to
- 3:03uh achieving performance and and uh
- 3:06recovery goals.
- 3:09Now, while the core principles of
- 3:11protein metabolism apply to all
- 3:13athletes, female athletes experience a
- 3:15few additional physiological factors.
- 3:17things like monthly hormonal
- 3:18fluctuations, the effects of hormone
- 3:21hormonal contraceptives, and even
- 3:23lifestage changes like menopause. So,
- 3:25all of these may influence training,
- 3:27recovery, and nutrition. But even with
- 3:30the growing interest in women's health,
- 3:32female athletes are still under
- 3:33represented in sports science research.
- 3:36So, a lot of what we currently know
- 3:38about exercise protein metabolism is
- 3:41based on studies conducted in mainly
- 3:43male participants, which leaves some
- 3:45important gaps when it comes to female
- 3:46athletes. So, to tell you more about
- 3:48this, here's Alicia.
- 3:50>> Hi, I'm Alicia Duza, a PhD candidate at
- 3:53McMaster University where my research
- 3:56focuses on female muscle physiology,
- 3:58specifically how ovarian hormones shape
- 4:01training adaptations and protein
- 4:02metabolism. And as James mentioned, when
- 4:06you look at the research, less than 8%
- 4:08of exercise nutrition studies include
- 4:11female only participants. That's a
- 4:14pretty big gap, and filling it is
- 4:16crucial for building evidence-based
- 4:18strategies that truly support women's
- 4:21performance, recovery, and long-term
- 4:23health. Now, it's worth saying that
- 4:27sexbased differences in overall dietary
- 4:30protein needs, if they exist at all, are
- 4:33pretty minimal. So, why are we talking
- 4:36about this? It's because women don't
- 4:38train in the same hormonal environment
- 4:41every day. The menstrual cycle creates a
- 4:44shifting backdrop that may influence how
- 4:47training and nutrition interact.
- 4:53While the main goal of the menstrual
- 4:55cycle is reproduction, truthfully, it
- 4:58creates a constantly changing endocrine
- 5:01environment that may influence things
- 5:02like appetite, metabolism, and even how
- 5:05the body responds to training. Now,
- 5:08there are two main phases to the
- 5:10menstrual cycle. the follicular phase
- 5:12which starts on day one with
- 5:14menstruation where estrogen gradually
- 5:16rises and the ludial phase after
- 5:19ovulation when both estrogen and
- 5:22progesterone increase. But here's the
- 5:25key point. Ovulation doesn't reliably
- 5:28occur on day 14. Recent data shows that
- 5:32actually it can happen anywhere between
- 5:34day 7 and day 21. And that variability
- 5:37makes research and practical
- 5:40recommendations much trickier.
- 5:43Despite these challenges, early work did
- 5:46suggest that protein needs may need to
- 5:49be increased in the ludial phase as some
- 5:52studies found that there were slightly
- 5:54higher amino acid oxidation or breakdown
- 5:58during that phase. But when you look
- 6:00closely, those differences only actually
- 6:02amount to 3 to 5 g. So, a few bites of
- 6:06chicken. In other words, while
- 6:09physiologically it may be real,
- 6:11practically these differences are very,
- 6:14very trivial.
- 6:17And so, more recent and methodologically
- 6:20rigorous studies tell a bit of a clearer
- 6:22story. Research from myself and other
- 6:25reputable researchers in this field have
- 6:27found that there's no meaningful
- 6:29difference in resting metabolic rate, no
- 6:31differences in substrate use, and no
- 6:34differences in muscle protein synthesis
- 6:37or breakdown across menstrual cycle
- 6:39phases. And actually, IP appetite often
- 6:43increases in the ludial phase, leading
- 6:46to naturally higher energy and protein
- 6:48intake, which likely offsets any small
- 6:51metabolic differences.
- 6:53So what does this mean for athletes?
- 6:56Current evidence does not support
- 6:58increasing protein intake during the
- 7:01ludal phase. The most effective strategy
- 7:04is still hitting 1.4 to 1.6 g per kilo
- 7:09per day of protein, distributing it
- 7:12evenly, so every 3 to 4 hours, and
- 7:15focusing on total daily intake, not
- 7:18cycle timing.
- 7:20>> [snorts]
- 7:20>> However, not all female athletes have a
- 7:24natural menstrual cycle. Over half of
- 7:27female athletes use hormonal
- 7:28contraceptives.
- 7:30Now, combined oral contraceptives and
- 7:32progesterine only methods all influence
- 7:35hormones differently, which raises the
- 7:38question, do they alter protein needs?
- 7:41So far, the research suggests probably
- 7:44not. Studies comparing oral
- 7:46contraceptive users to naturally
- 7:48menrating athletes finds no meaningful
- 7:51difference in protein synthesis at rest
- 7:53or after training. There may be small
- 7:56differences between contraceptive types,
- 7:59but we don't know yet whether this
- 8:01affects nutrition recommendations. So,
- 8:03at this point, the evidence is clear.
- 8:06While hormones fluctuate throughout the
- 8:08menstrual cycle and with contraceptive
- 8:10use, these changes don't appear to
- 8:13meaningfully alter protein requirements.
- 8:15[gasps] Female athletes do not need to
- 8:17adjust their protein intake based on
- 8:19cycle phase or contraceptive status. The
- 8:22priority still remains consistent
- 8:25highquality protein throughout the day
- 8:27to support training, recovery, and
- 8:29performance. But there are some
- 8:32circumstances where protein
- 8:34recommendations may shift, which is what
- 8:36Dominique will tell you about next. Hi
- 8:38everyone, my name is Dominique
- 8:40Ravenstein and I'm an MSSE student at
- 8:42McMaster University. Today I'll be
- 8:44discussing some special considerations
- 8:46for protein intake for female athletes,
- 8:49specifically during menopause, low
- 8:51energy availability, and for individuals
- 8:53following a plant-based diet.
- 8:57As women transition through pmenopause
- 8:59and menopause, we see a gradual and
- 9:01nonlinear decline in estrogen production
- 9:04that coincides with age related losses
- 9:06in muscle mass, strength, and function.
- 9:09During this time, skeletal muscle can
- 9:11become less responsive to dietary
- 9:14protein and resistance exercise. And
- 9:17this phenomenon is known as anabolic
- 9:19resistance. Because of this, some
- 9:21researchers have suggested that perry
- 9:24and post-menopausal women may benefit
- 9:26from higher protein intakes of 1.8 to 2
- 9:29g per kilogram of body weight per day.
- 9:32However, current evidence indicates that
- 9:35the loss of muscle with age is primarily
- 9:37driven by aging itself rather than
- 9:39estrogen deficiency. We can see that in
- 9:42this figure here that muscle mass
- 9:44declines linearly with age and it is not
- 9:46accelerated during menopause. Supporting
- 9:49this, we also see that estrogen-based
- 9:51hormone therapy doesn't seem to prevent
- 9:53muscle loss. So, perry and
- 9:56post-menopausal athletes likely don't
- 9:58require higher protein intakes than
- 10:00premenopausal athletes. The existing
- 10:02athletic guidelines 1.4 to 1.6 g of
- 10:06protein per kilogram per day appear to
- 10:08be sufficient to support muscle health
- 10:11when combined with regular resistance
- 10:12exercise.
- 10:16Another context where protein needs may
- 10:18shift is during periods of low energy
- 10:21availability, which occurs when there's
- 10:23a mismatch between energy intake and
- 10:25exercise energy expenditure. Now, this
- 10:28can happen intentionally, for example,
- 10:30to meet body composition goals or
- 10:32unintentionally when high training
- 10:34volumes aren't matched with sufficient
- 10:36fueling. Now short bouts of low energy
- 10:39availability may not cause immediate
- 10:42issues but when it becomes prolonged or
- 10:44severe it can lead to relative energy
- 10:47deficiency in sport or reds. This
- 10:50condition is linked to menal dysfunction
- 10:52[snorts]
- 10:53reduced performance and negative effects
- 10:55on skeletal muscle health. To help
- 10:58counteract the negative effects of low
- 11:00energy availability on skeletal muscle,
- 11:02resistance exercise should be a priority
- 11:05as muscle loading is the most powerful
- 11:07stimulus for preserving lean tissue.
- 11:09Also, increasing protein to 1.6 to 2.2 g
- 11:13per kilogram per day can help support
- 11:15muscle mass retention during this time.
- 11:18We're also seeing a growing number of
- 11:19female athletes adopt vegetarian or
- 11:21plant-based diets. We can see this trend
- 11:23in a survey of 1,628
- 11:26female runners where 40% reported
- 11:28following a vegan diet and 23% reported
- 11:31following a vegetarian diet. Plant-based
- 11:35proteins are sometimes considered
- 11:36inferior to animal-based ones because
- 11:39they're less digest digestible and lower
- 11:41in certain essential amino acids.
- 11:43However, when total protein intake is
- 11:45sufficient and includes complimentary
- 11:47sources, vegan and plant-based diets can
- 11:50elicit anabolic responses comparable to
- 11:52animal-derived proteins. So,
- 11:54plant-focused athletes should emphasize
- 11:56a wide variety of protein sources and
- 11:58may benefit from targeting the higher
- 12:00end of protein recommendations, closer
- 12:02to 1.6 g per kilogram per day to offset
- 12:05the lower essential amino acid content
- 12:07of plant-based foods. Overall, current
- 12:10evidence suggests that well-planned
- 12:12vegetarian and vegan diets do not
- 12:14inherently disadvantage athletes as long
- 12:17as total protein intake is adequate. In
- 12:20summary, female athletes experience
- 12:22unique hormonal transitions and
- 12:25physiological demands across their
- 12:26lifespan, but the fundamentals of
- 12:29protein nutrition remains consistent.
- 12:31The evidence supports an individualized
- 12:33approach that focuses on total daily
- 12:36intake, balanced meal distribution, and
- 12:39overall dietary context rather than
- 12:42adjusting protein needs based solely on
- 12:44the menstrual cycle or contraceptive
- 12:46use. Whether you're young and healthy,
- 12:49facing energy deficits, experiencing
- 12:52menopause, or following a plant-based
- 12:54diet, combining resistance training with
- 12:57protein intakes around 1.4 to 1.6 6 g
- 13:01per kilogram per day provides a strong
- 13:04foundation for muscle health performance
- 13:07and long-term well-being. And for
- 13:09practitioners, ultimately empowering
- 13:12female athletes with clear,
- 13:15evidenceinformed guidance is key to
- 13:17fueling success. Feel free to use our
- 13:20summary image and share that with your
- 13:22athletes.
- 13:24Thank you so much for listening and we
- 13:26hope you enjoy reading our paper.
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