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Muscle Protein Metabolism and Requirements in Female Athletes — Transcript

by GSSI Ask The Expert · 1,830 words · 326 segments · language en · Watch on YouTube

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  1. 0:07Hi, my name is Stuart Phillips. I'm a
  2. 0:08professor in the department of
  3. 0:09kinesiology at McMaster University. This
  4. 0:12presentation highlights the key findings
  5. 0:14from a recent GSSI sports science
  6. 0:17exchange article that our team wrote.
  7. 0:19But rather than hear it from me, here
  8. 0:21are the team that did the work bring to
  9. 0:23you the goods on our paper, Muscle
  10. 0:25Protein Metabolism and Protein
  11. 0:27Requirements for Female Athletes:
  12. 0:29Aligning Science with Sex Specific
  13. 0:31Needs. Hi, I'm James Newood. I'm a
  14. 0:34master student here at McMaster
  15. 0:36University. And we'll start off by
  16. 0:37looking at how dietary protein uh
  17. 0:39supports exercise induced changes to
  18. 0:41skeletal muscle health. So athletes
  19. 0:44place extraordinary demands on their
  20. 0:46bodies with every game, practice, lift
  21. 0:49driving them to adapt and grow stronger.
  22. 0:52Now at the core of this adaptation is
  23. 0:53skeletal muscle which through consistent
  24. 0:56training it repairs, remodels and adapts
  25. 0:58leading to gains in strength, size and
  26. 1:01endurance. Now for these adaptations to
  27. 1:04occur efficiently, the body needs this
  28. 1:06proper support. And that's where
  29. 1:08nutrition, particularly protein, plays a
  30. 1:10key role in muscle recovery and growth.
  31. 1:14Now, dietary protein provides the
  32. 1:17essential amino acids that are the
  33. 1:19building blocks of new muscle protein.
  34. 1:22Now, essential amino acids allow for
  35. 1:24muscle repair, remodeling, and growth to
  36. 1:26occur after exercise. And without this
  37. 1:28dietary protein, recovery slows, muscle
  38. 1:31health declines, and the risk of injury
  39. 1:33increases. When muscles receive adequate
  40. 1:36essential amino acids, they can
  41. 1:38effectively rebuild and adapt to this
  42. 1:40training or performance. Now, research
  43. 1:43shows that consuming about 0.331
  44. 1:46g of protein per kilogram of body weight
  45. 1:49per meal achieves the most anabolic
  46. 1:52response. Any more than that and that
  47. 1:55protein is uh used for energy or simply
  48. 1:58just wasted. Now in order to achieve the
  49. 2:01maximal response the this protein intake
  50. 2:04should consist of all nine essential
  51. 2:06amino acids.
  52. 2:09Now it's helpful to know the maximum
  53. 2:11amount of protein that can be utilized
  54. 2:13at one time. But athletes should also
  55. 2:15think about consistency. So to optimize
  56. 2:18muscle recovery and growth, protein
  57. 2:20needs to be consumed regularly
  58. 2:21throughout the day, not just in one
  59. 2:23sitting. Many people tend to skew their
  60. 2:25protein intake toward dinner, leaving
  61. 2:27breakfast and lunch relatively low in
  62. 2:30protein. So this pattern means body
  63. 2:33spends much of the day in this lower
  64. 2:34anabolic state, missing valuable
  65. 2:36opportunities for repair and adaptation.
  66. 2:39So to get the most out of every meal,
  67. 2:41protein should be distributed evenly
  68. 2:43across breakfast, lunch, and dinner,
  69. 2:45which leaves the body in a more anabolic
  70. 2:47state throughout the majority of the
  71. 2:50day.
  72. 2:52Now when we're talking about athletes,
  73. 2:54this diet, total diet, daily protein
  74. 2:56intake and the uh protein distribution
  75. 3:00are equally important when it comes to
  76. 3:03uh achieving performance and and uh
  77. 3:06recovery goals.
  78. 3:09Now, while the core principles of
  79. 3:11protein metabolism apply to all
  80. 3:13athletes, female athletes experience a
  81. 3:15few additional physiological factors.
  82. 3:17things like monthly hormonal
  83. 3:18fluctuations, the effects of hormone
  84. 3:21hormonal contraceptives, and even
  85. 3:23lifestage changes like menopause. So,
  86. 3:25all of these may influence training,
  87. 3:27recovery, and nutrition. But even with
  88. 3:30the growing interest in women's health,
  89. 3:32female athletes are still under
  90. 3:33represented in sports science research.
  91. 3:36So, a lot of what we currently know
  92. 3:38about exercise protein metabolism is
  93. 3:41based on studies conducted in mainly
  94. 3:43male participants, which leaves some
  95. 3:45important gaps when it comes to female
  96. 3:46athletes. So, to tell you more about
  97. 3:48this, here's Alicia.
  98. 3:50>> Hi, I'm Alicia Duza, a PhD candidate at
  99. 3:53McMaster University where my research
  100. 3:56focuses on female muscle physiology,
  101. 3:58specifically how ovarian hormones shape
  102. 4:01training adaptations and protein
  103. 4:02metabolism. And as James mentioned, when
  104. 4:06you look at the research, less than 8%
  105. 4:08of exercise nutrition studies include
  106. 4:11female only participants. That's a
  107. 4:14pretty big gap, and filling it is
  108. 4:16crucial for building evidence-based
  109. 4:18strategies that truly support women's
  110. 4:21performance, recovery, and long-term
  111. 4:23health. Now, it's worth saying that
  112. 4:27sexbased differences in overall dietary
  113. 4:30protein needs, if they exist at all, are
  114. 4:33pretty minimal. So, why are we talking
  115. 4:36about this? It's because women don't
  116. 4:38train in the same hormonal environment
  117. 4:41every day. The menstrual cycle creates a
  118. 4:44shifting backdrop that may influence how
  119. 4:47training and nutrition interact.
  120. 4:53While the main goal of the menstrual
  121. 4:55cycle is reproduction, truthfully, it
  122. 4:58creates a constantly changing endocrine
  123. 5:01environment that may influence things
  124. 5:02like appetite, metabolism, and even how
  125. 5:05the body responds to training. Now,
  126. 5:08there are two main phases to the
  127. 5:10menstrual cycle. the follicular phase
  128. 5:12which starts on day one with
  129. 5:14menstruation where estrogen gradually
  130. 5:16rises and the ludial phase after
  131. 5:19ovulation when both estrogen and
  132. 5:22progesterone increase. But here's the
  133. 5:25key point. Ovulation doesn't reliably
  134. 5:28occur on day 14. Recent data shows that
  135. 5:32actually it can happen anywhere between
  136. 5:34day 7 and day 21. And that variability
  137. 5:37makes research and practical
  138. 5:40recommendations much trickier.
  139. 5:43Despite these challenges, early work did
  140. 5:46suggest that protein needs may need to
  141. 5:49be increased in the ludial phase as some
  142. 5:52studies found that there were slightly
  143. 5:54higher amino acid oxidation or breakdown
  144. 5:58during that phase. But when you look
  145. 6:00closely, those differences only actually
  146. 6:02amount to 3 to 5 g. So, a few bites of
  147. 6:06chicken. In other words, while
  148. 6:09physiologically it may be real,
  149. 6:11practically these differences are very,
  150. 6:14very trivial.
  151. 6:17And so, more recent and methodologically
  152. 6:20rigorous studies tell a bit of a clearer
  153. 6:22story. Research from myself and other
  154. 6:25reputable researchers in this field have
  155. 6:27found that there's no meaningful
  156. 6:29difference in resting metabolic rate, no
  157. 6:31differences in substrate use, and no
  158. 6:34differences in muscle protein synthesis
  159. 6:37or breakdown across menstrual cycle
  160. 6:39phases. And actually, IP appetite often
  161. 6:43increases in the ludial phase, leading
  162. 6:46to naturally higher energy and protein
  163. 6:48intake, which likely offsets any small
  164. 6:51metabolic differences.
  165. 6:53So what does this mean for athletes?
  166. 6:56Current evidence does not support
  167. 6:58increasing protein intake during the
  168. 7:01ludal phase. The most effective strategy
  169. 7:04is still hitting 1.4 to 1.6 g per kilo
  170. 7:09per day of protein, distributing it
  171. 7:12evenly, so every 3 to 4 hours, and
  172. 7:15focusing on total daily intake, not
  173. 7:18cycle timing.
  174. 7:20>> [snorts]
  175. 7:20>> However, not all female athletes have a
  176. 7:24natural menstrual cycle. Over half of
  177. 7:27female athletes use hormonal
  178. 7:28contraceptives.
  179. 7:30Now, combined oral contraceptives and
  180. 7:32progesterine only methods all influence
  181. 7:35hormones differently, which raises the
  182. 7:38question, do they alter protein needs?
  183. 7:41So far, the research suggests probably
  184. 7:44not. Studies comparing oral
  185. 7:46contraceptive users to naturally
  186. 7:48menrating athletes finds no meaningful
  187. 7:51difference in protein synthesis at rest
  188. 7:53or after training. There may be small
  189. 7:56differences between contraceptive types,
  190. 7:59but we don't know yet whether this
  191. 8:01affects nutrition recommendations. So,
  192. 8:03at this point, the evidence is clear.
  193. 8:06While hormones fluctuate throughout the
  194. 8:08menstrual cycle and with contraceptive
  195. 8:10use, these changes don't appear to
  196. 8:13meaningfully alter protein requirements.
  197. 8:15[gasps] Female athletes do not need to
  198. 8:17adjust their protein intake based on
  199. 8:19cycle phase or contraceptive status. The
  200. 8:22priority still remains consistent
  201. 8:25highquality protein throughout the day
  202. 8:27to support training, recovery, and
  203. 8:29performance. But there are some
  204. 8:32circumstances where protein
  205. 8:34recommendations may shift, which is what
  206. 8:36Dominique will tell you about next. Hi
  207. 8:38everyone, my name is Dominique
  208. 8:40Ravenstein and I'm an MSSE student at
  209. 8:42McMaster University. Today I'll be
  210. 8:44discussing some special considerations
  211. 8:46for protein intake for female athletes,
  212. 8:49specifically during menopause, low
  213. 8:51energy availability, and for individuals
  214. 8:53following a plant-based diet.
  215. 8:57As women transition through pmenopause
  216. 8:59and menopause, we see a gradual and
  217. 9:01nonlinear decline in estrogen production
  218. 9:04that coincides with age related losses
  219. 9:06in muscle mass, strength, and function.
  220. 9:09During this time, skeletal muscle can
  221. 9:11become less responsive to dietary
  222. 9:14protein and resistance exercise. And
  223. 9:17this phenomenon is known as anabolic
  224. 9:19resistance. Because of this, some
  225. 9:21researchers have suggested that perry
  226. 9:24and post-menopausal women may benefit
  227. 9:26from higher protein intakes of 1.8 to 2
  228. 9:29g per kilogram of body weight per day.
  229. 9:32However, current evidence indicates that
  230. 9:35the loss of muscle with age is primarily
  231. 9:37driven by aging itself rather than
  232. 9:39estrogen deficiency. We can see that in
  233. 9:42this figure here that muscle mass
  234. 9:44declines linearly with age and it is not
  235. 9:46accelerated during menopause. Supporting
  236. 9:49this, we also see that estrogen-based
  237. 9:51hormone therapy doesn't seem to prevent
  238. 9:53muscle loss. So, perry and
  239. 9:56post-menopausal athletes likely don't
  240. 9:58require higher protein intakes than
  241. 10:00premenopausal athletes. The existing
  242. 10:02athletic guidelines 1.4 to 1.6 g of
  243. 10:06protein per kilogram per day appear to
  244. 10:08be sufficient to support muscle health
  245. 10:11when combined with regular resistance
  246. 10:12exercise.
  247. 10:16Another context where protein needs may
  248. 10:18shift is during periods of low energy
  249. 10:21availability, which occurs when there's
  250. 10:23a mismatch between energy intake and
  251. 10:25exercise energy expenditure. Now, this
  252. 10:28can happen intentionally, for example,
  253. 10:30to meet body composition goals or
  254. 10:32unintentionally when high training
  255. 10:34volumes aren't matched with sufficient
  256. 10:36fueling. Now short bouts of low energy
  257. 10:39availability may not cause immediate
  258. 10:42issues but when it becomes prolonged or
  259. 10:44severe it can lead to relative energy
  260. 10:47deficiency in sport or reds. This
  261. 10:50condition is linked to menal dysfunction
  262. 10:52[snorts]
  263. 10:53reduced performance and negative effects
  264. 10:55on skeletal muscle health. To help
  265. 10:58counteract the negative effects of low
  266. 11:00energy availability on skeletal muscle,
  267. 11:02resistance exercise should be a priority
  268. 11:05as muscle loading is the most powerful
  269. 11:07stimulus for preserving lean tissue.
  270. 11:09Also, increasing protein to 1.6 to 2.2 g
  271. 11:13per kilogram per day can help support
  272. 11:15muscle mass retention during this time.
  273. 11:18We're also seeing a growing number of
  274. 11:19female athletes adopt vegetarian or
  275. 11:21plant-based diets. We can see this trend
  276. 11:23in a survey of 1,628
  277. 11:26female runners where 40% reported
  278. 11:28following a vegan diet and 23% reported
  279. 11:31following a vegetarian diet. Plant-based
  280. 11:35proteins are sometimes considered
  281. 11:36inferior to animal-based ones because
  282. 11:39they're less digest digestible and lower
  283. 11:41in certain essential amino acids.
  284. 11:43However, when total protein intake is
  285. 11:45sufficient and includes complimentary
  286. 11:47sources, vegan and plant-based diets can
  287. 11:50elicit anabolic responses comparable to
  288. 11:52animal-derived proteins. So,
  289. 11:54plant-focused athletes should emphasize
  290. 11:56a wide variety of protein sources and
  291. 11:58may benefit from targeting the higher
  292. 12:00end of protein recommendations, closer
  293. 12:02to 1.6 g per kilogram per day to offset
  294. 12:05the lower essential amino acid content
  295. 12:07of plant-based foods. Overall, current
  296. 12:10evidence suggests that well-planned
  297. 12:12vegetarian and vegan diets do not
  298. 12:14inherently disadvantage athletes as long
  299. 12:17as total protein intake is adequate. In
  300. 12:20summary, female athletes experience
  301. 12:22unique hormonal transitions and
  302. 12:25physiological demands across their
  303. 12:26lifespan, but the fundamentals of
  304. 12:29protein nutrition remains consistent.
  305. 12:31The evidence supports an individualized
  306. 12:33approach that focuses on total daily
  307. 12:36intake, balanced meal distribution, and
  308. 12:39overall dietary context rather than
  309. 12:42adjusting protein needs based solely on
  310. 12:44the menstrual cycle or contraceptive
  311. 12:46use. Whether you're young and healthy,
  312. 12:49facing energy deficits, experiencing
  313. 12:52menopause, or following a plant-based
  314. 12:54diet, combining resistance training with
  315. 12:57protein intakes around 1.4 to 1.6 6 g
  316. 13:01per kilogram per day provides a strong
  317. 13:04foundation for muscle health performance
  318. 13:07and long-term well-being. And for
  319. 13:09practitioners, ultimately empowering
  320. 13:12female athletes with clear,
  321. 13:15evidenceinformed guidance is key to
  322. 13:17fueling success. Feel free to use our
  323. 13:20summary image and share that with your
  324. 13:22athletes.
  325. 13:24Thank you so much for listening and we
  326. 13:26hope you enjoy reading our paper.

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