Effects of enriched branched-chain amino acid supplementation on sarcopenia

Chun-Hung Ko, Shin-Jiuan Wu, Shan-Tair Wang, Yin-Fan Chang, Chin-Sung Chang, Ta-Shen Kuan, Hua-Ying Chuang, Chia-Ming Chang, Willy Chou, Chih-Hsing Wu, Chun-Hung Ko, Shin-Jiuan Wu, Shan-Tair Wang, Yin-Fan Chang, Chin-Sung Chang, Ta-Shen Kuan, Hua-Ying Chuang, Chia-Ming Chang, Willy Chou, Chih-Hsing Wu

Abstract

To evaluate the effects of short-term administration of enriched branched-chain amino acids (BCAAs) on subjects with pre-sarcopenia or sarcopenia, our quasi-experimental study enrolled 33 subjects (12 pre-sarcopenia/21 sarcopenia; 6 men/27 women; mean age 66.6 ± 10.3 years) to take one sachet (3.6 g) of enriched BCAA powder twice a day for five weeks followed by a discontinuation period of 12 weeks. We evaluated sarcopenic parameters, including grip strength, 6-meter gait speed, and bioelectrical-impedance-analysis-derived skeletal mass index (SMI), at baseline, 5 weeks, and 17 weeks. We found that both pre-sarcopenic and sarcopenic subjects showed improved SMI, gait speed, and grip strength at 5 weeks. However, all three parameters progressively declined at 17 weeks, especially SMI and grip strength in subjects aged < 65 years and gait speed and grip strength in subjects aged ≥ 65 years. It thus appears that supplementation with enriched BCAAs for 5 weeks correlates with short-term positive effects on sarcopenic parameters but attenuation of those effects following discontinuation for 12 weeks.

Keywords: BCAA; nutritional supplements; pre-sarcopenia; sarcopenia.

Conflict of interest statement

CONFLICTS OF INTEREST: The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Flowchart of study participants enrolled from community survey.

References

    1. Janssen I, Heymsfield SB, Ross R. Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. J Am Geriatr Soc. 2002; 50:889–96. 10.1046/j.1532-5415.2002.50216.x
    1. Landi F, Liperoti R, Fusco D, Mastropaolo S, Quattrociocchi D, Proia A, Tosato M, Bernabei R, Onder G. Sarcopenia and mortality among older nursing home residents. J Am Med Dir Assoc. 2012; 13:121–26. 10.1016/j.jamda.2011.07.004
    1. Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, Cooper C, Landi F, Rolland Y, Sayer AA, Schneider SM, Sieber CC, Topinkova E, et al., Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2. Sarcopenia: revised european consensus on definition and diagnosis. Age Ageing. 2019; 48:16–31. 10.1093/ageing/afy169
    1. Baumgartner RN, Koehler KM, Gallagher D, Romero L, Heymsfield SB, Ross RR, Garry PJ, Lindeman RD. Epidemiology of sarcopenia among the elderly in new Mexico. Am J Epidemiol. 1998; 147:755–63. 10.1093/oxfordjournals.aje.a009520
    1. Centers for Disease Control and Prevention (CDC). Fatalities and injuries from falls among older adults—United States, 1993-2003 and 2001-2005. MMWR Morb Mortal Wkly Rep. 2006; 55:1221–24.
    1. Yu SC, Khow KS, Jadczak AD, Visvanathan R. Clinical screening tools for sarcopenia and its management. Curr Gerontol Geriatr Res. 2016; 2016:5978523. 10.1155/2016/5978523
    1. Cruz-Jentoft AJ, Kiesswetter E, Drey M, Sieber CC. Nutrition, frailty, and sarcopenia. Aging Clin Exp Res. 2017; 29:43–48. 10.1007/s40520-016-0709-0
    1. Naseeb MA, Volpe SL. Protein and exercise in the prevention of sarcopenia and aging. Nutr Res. 2017; 40:1–20. 10.1016/j.nutres.2017.01.001
    1. Yoshimura Y, Uchida K, Jeong S, Yamaga M. Effects of Nutritional Supplements on Muscle Mass and Activities of Daily Living in Elderly Rehabilitation Patients with Decreased Muscle Mass: A Randomized Controlled Trial. J Nutr Health Aging. 2016; 20:185–91. 10.1007/s12603-015-0570-4
    1. Bauer JM, Verlaan S, Bautmans I, Brandt K, Donini LM, Maggio M, McMurdo ME, Mets T, Seal C, Wijers SL, Ceda GP, De Vito G, Donders G, et al.. Effects of a vitamin D and leucine-enriched whey protein nutritional supplement on measures of sarcopenia in older adults, the PROVIDE study: a randomized, double-blind, placebo-controlled trial. J Am Med Dir Assoc. 2015; 16:740–7. 10.1016/j.jamda.2015.05.021
    1. Walker DK, Dickinson JM, Timmerman KL, Drummond MJ, Reidy PT, Fry CS, Gundermann DM, Rasmussen BB. Exercise, amino acids, and aging in the control of human muscle protein synthesis. Med Sci Sports Exerc. 2011; 43:2249–58. 10.1249/MSS.0b013e318223b037
    1. Burd NA, Gorissen SH, van Loon LJ. Anabolic resistance of muscle protein synthesis with aging. Exerc Sport Sci Rev. 2013; 41:169–73. 10.1097/JES.0b013e318292f3d5
    1. Ter Borg S, Luiking YC, van Helvoort A, Boirie Y, Schols JM, de Groot CP. Low levels of branched chain amino acids, eicosapentaenoic acid and micronutrients are associated with low muscle mass, strength and function in community-dwelling older adults. J Nutr Health Aging. 2019; 23:27–34. 10.1007/s12603-018-1108-3
    1. Komar B, Schwingshackl L, Hoffmann G. Effects of leucine-rich protein supplements on anthropometric parameter and muscle strength in the elderly: a systematic review and meta-analysis. J Nutr Health Aging. 2015; 19:437–46. 10.1007/s12603-014-0559-4
    1. Shad BJ, Thompson JL, Breen L. Does the muscle protein synthetic response to exercise and amino acid-based nutrition diminish with advancing age? a systematic review. Am J Physiol Endocrinol Metab. 2016; 311:E803–17. 10.1152/ajpendo.00213.2016
    1. Murphy CH, Saddler NI, Devries MC, McGlory C, Baker SK, Phillips SM. Leucine supplementation enhances integrative myofibrillar protein synthesis in free-living older men consuming lower- and higher-protein diets: a parallel-group crossover study. Am J Clin Nutr. 2016; 104:1594–1606. 10.3945/ajcn.116.136424
    1. Paddon-Jones D, Sheffield-Moore M, Urban RJ, Sanford AP, Aarsland A, Wolfe RR, Ferrando AA. Essential amino acid and carbohydrate supplementation ameliorates muscle protein loss in humans during 28 days bedrest. J Clin Endocrinol Metab. 2004; 89:4351–58. 10.1210/jc.2003-032159
    1. Evans M, Guthrie N, Pezzullo J, Sanli T, Fielding RA, Bellamine A. Efficacy of a novel formulation of l-carnitine, creatine, and leucine on lean body mass and functional muscle strength in healthy older adults: a randomized, double-blind placebo-controlled study. Nutr Metab (Lond). 2017; 14:7. 10.1186/s12986-016-0158-y
    1. Takeuchi I, Yoshimura Y, Shimazu S, Jeong S, Yamaga M, Koga H. Effects of branched-chain amino acids and vitamin D supplementation on physical function, muscle mass and strength, and nutritional status in sarcopenic older adults undergoing hospital-based rehabilitation: A multicenter randomized controlled trial. Geriatr Gerontol Int. 2019; 19:12–17. 10.1111/ggi.13547
    1. Arnarson A, Gudny Geirsdottir O, Ramel A, Briem K, Jonsson PV, Thorsdottir I. Effects of whey proteins and carbohydrates on the efficacy of resistance training in elderly people: double blind, randomised controlled trial. Eur J Clin Nutr. 2013; 67:821–26. 10.1038/ejcn.2013.40
    1. Watson RR, Gerald JK, Preedy VR, eds. Nutrients, dietary supplements, and nutriceuticals: cost analysis versus clinical benefits. New York: Humana Press: 2011. 10.1007/978-1-60761-308-4
    1. Villagra A, Merkel MC, Rodriguez Bugueiro J, Lacquaniti N, Remoli R. [Adherence to oral nutrition supplements in hospitalized patients with clinical pathology-surgical]. Nutr Hosp. 2014; 31:1376–80. 10.3305/nh.2015.31.3.8044
    1. Bukhari SS, Phillips BE, Wilkinson DJ, Limb MC, Rankin D, Mitchell WK, Kobayashi H, Greenhaff PL, Smith K, Atherton PJ. Intake of low-dose leucine-rich essential amino acids stimulates muscle anabolism equivalently to bolus whey protein in older women at rest and after exercise. Am J Physiol Endocrinol Metab. 2015; 308:E1056–65. 10.1152/ajpendo.00481.2014
    1. Devries MC, McGlory C, Bolster DR, et al. Am J Clin Nutr. 2018; 107:217–226. 10.1093/ajcn/nqx028
    1. LeBlanc AD, Schneider VS, Evans HJ, Pientok C, Rowe R, Spector E. Regional changes in muscle mass following 17 weeks of bed rest. J Appl Physiol (1985). 1992; 73:2172–78. 10.1152/jappl.1992.73.5.2172
    1. Thom JM, Thompson MW, Ruell PA, Bryant GJ, Fonda JS, Harmer AR, Janse de Jonge XA, Hunter SK. Effect of 10-day cast immobilization on sarcoplasmic reticulum calcium regulation in humans. Acta Physiol Scand. 2001; 172:141–47. 10.1046/j.1365-201X.2001.00853.x
    1. Dardevet D, Rémond D, Peyron MA, Papet I, Savary-Auzeloux I, Mosoni L. Muscle wasting and resistance of muscle anabolism: the “anabolic threshold concept” for adapted nutritional strategies during sarcopenia. ScientificWorldJournal. 2012; 2012:269531. 10.1100/2012/269531
    1. Anthony JC, Yoshizawa F, Anthony TG, Vary TC, Jefferson LS, Kimball SR. Leucine stimulates translation initiation in skeletal muscle of postabsorptive rats via a rapamycin-sensitive pathway. J Nutr. 2000; 130:2413–19. 10.1093/jn/130.10.2413
    1. Atherton PJ, Smith K, Etheridge T, Rankin D, Rennie MJ. Distinct anabolic signalling responses to amino acids in C2C12 skeletal muscle cells. Amino Acids. 2010; 38:1533–39. 10.1007/s00726-009-0377-x
    1. Kimball SR, Jefferson LS. Signaling pathways and molecular mechanisms through which branched-chain amino acids mediate translational control of protein synthesis. J Nutr. 2006; 136:227S–31S. 10.1093/jn/136.1.227S
    1. Riazi R, Wykes LJ, Ball RO, Pencharz PB. The total branched-chain amino acid requirement in young healthy adult men determined by indicator amino acid oxidation by use of L-[1-13C]phenylalanine. J Nutr. 2003; 133:1383–89. 10.1093/jn/133.5.1383
    1. Kim JS, Ro SH, Kim M, Park HW, Semple IA, Park H, Cho US, Wang W, Guan KL, Karin M, Lee JH. Sestrin2 inhibits mTORC1 through modulation of GATOR complexes. Sci Rep. 2015; 5:9502. 10.1038/srep09502
    1. Wang X, Proud CG. The mTOR pathway in the control of protein synthesis. Physiology (Bethesda). 2006; 21:362–69. 10.1152/physiol.00024.2006
    1. Blomstrand E, Eliasson J, Karlsson HK, Köhnke R. Branched-chain amino acids activate key enzymes in protein synthesis after physical exercise. J Nutr. 2006; 136:269S–73S. 10.1093/jn/136.1.269S
    1. Xu ZR, Tan ZJ, Zhang Q, Gui QF, Yang YM. The effectiveness of leucine on muscle protein synthesis, lean body mass and leg lean mass accretion in older people: a systematic review and meta-analysis. Br J Nutr. 2015; 113:25–34. 10.1017/S0007114514002475
    1. Dijk FJ, van Dijk M, Walrand S, van Loon LJ, van Norren K, Luiking YC. Differential effects of leucine and leucine-enriched whey protein on skeletal muscle protein synthesis in aged mice. Clin Nutr ESPEN. 2018; 24:127–33. 10.1016/j.clnesp.2017.12.013
    1. Yoshimura Y, Wakabayashi H, Yamada M, Kim H, Harada A, Arai H. Interventions for treating sarcopenia: a systematic review and meta-analysis of randomized controlled studies. J Am Med Dir Assoc. 2017; 18:553.e1–16. 10.1016/j.jamda.2017.03.019
    1. Cruz-Jentoft AJ, Landi F, Schneider SM, Zúñiga C, Arai H, Boirie Y, Chen LK, Fielding RA, Martin FC, Michel JP, Sieber C, Stout JR, Studenski SA, et al.. Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the international sarcopenia initiative (EWGSOP and IWGS). Age Ageing. 2014; 43:748–59. 10.1093/ageing/afu115
    1. Malafarina V, Uriz-Otano F, Iniesta R, Gil-Guerrero L. Effectiveness of nutritional supplementation on muscle mass in treatment of sarcopenia in old age: a systematic review. J Am Med Dir Assoc. 2013; 14:10–17. 10.1016/j.jamda.2012.08.001
    1. Yoshimura Y, Bise T, Shimazu S, Tanoue M, Tomioka Y, Araki M, Nishino T, Kuzuhara A, Takatsuki F. Effects of a leucine-enriched amino acid supplement on muscle mass, muscle strength, and physical function in post-stroke patients with sarcopenia: a randomized controlled trial. Nutrition. 2019; 58:1–6. 10.1016/j.nut.2018.05.028
    1. Bloomgarden Z. Diabetes and branched-chain amino acids: what is the link? J Diabetes. 2018; 10:350–52. 10.1111/1753-0407.12645
    1. Zheng Y, Li Y, Qi Q, Hruby A, Manson JE, Willett WC, Wolpin BM, Hu FB, Qi L. Cumulative consumption of branched-chain amino acids and incidence of type 2 diabetes. Int J Epidemiol. 2016; 45:1482–92. 10.1093/ije/dyw143
    1. Isanejad M, LaCroix AZ, Thomson CA, Tinker L, Larson JC, Qi Q, Qi L, Cooper-DeHoff RM, Phillips LS, Prentice RL, Beasley JM. Branched-chain amino acid, meat intake and risk of type 2 diabetes in the women’s health initiative. Br J Nutr. 2017; 117:1523–30. 10.1017/S0007114517001568
    1. Cummings NE, Williams EM, Kasza I, Konon EN, Schaid MD, Schmidt BA, Poudel C, Sherman DS, Yu D, Arriola Apelo SI, Cottrell SE, Geiger G, Barnes ME, et al.. Restoration of metabolic health by decreased consumption of branched-chain amino acids. J Physiol. 2018; 596:623–45. 10.1113/JP275075
    1. Nagata C, Nakamura K, Wada K, Tsuji M, Tamai Y, Kawachi T. Branched-chain amino acid intake and the risk of diabetes in a Japanese community: the takayama study. Am J Epidemiol. 2013; 178:1226–32. 10.1093/aje/kwt112
    1. Din US, Brook MS, Selby A, Quinlan J, Boereboom C, Abdullah H, Franchi M, Narici MV, Phillips BE, Williams JW, Rathmacher JA, Wilkinson DJ, Atherton PJ, Smith K. A double-blind placebo controlled trial into the impacts of HMB supplementation and exercise on free-living muscle protein synthesis, muscle mass and function, in older adults. Clin Nutr. 2019; 38:2071–78. 10.1016/j.clnu.2018.09.025
    1. Chen LK, Woo J, Assantachai P, Auyeung TW, Chou MY, Iijima K, Jang HC, Kang L, Kim M, Kim S, Kojima T, Kuzuya M, Lee JS, et al.. Asian working group for sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment. J Am Med Dir Assoc. 2020; 21:300–07.e2. 10.1016/j.jamda.2019.12.012
    1. Young AM, Kidston S, Banks MD, Mudge AM, Isenring EA. Malnutrition screening tools: comparison against two validated nutrition assessment methods in older medical inpatients. Nutrition. 2013; 29:101–06. 10.1016/j.nut.2012.04.007
    1. Wyka J, Biernat J, Mikołajczak J, Piotrowska E. Assessment of dietary intake and nutritional status (MNA) in polish free-living elderly people from rural environments. Arch Gerontol Geriatr. 2012; 54:44–49. 10.1016/j.archger.2011.02.001
    1. Chang CS, Chang YF, Wang MW, Chen CY, Chao YJ, Chang HJ, Kuo PH, Yang YC, Wu CH. Inverse relationship between central obesity and osteoporosis in osteoporotic drug naive elderly females: the tianliao old people (TOP) study. J Clin Densitom. 2013; 16:204–11. 10.1016/j.jocd.2012.03.008
    1. Pietrobelli A, Rubiano F, St-Onge MP, Heymsfield SB. New bioimpedance analysis system: improved phenotyping with whole-body analysis. Eur J Clin Nutr. 2004; 58:1479–84. 10.1038/sj.ejcn.1601993
    1. Janssen I, Heymsfield SB, Baumgartner RN, Ross R. Estimation of skeletal muscle mass by bioelectrical impedance analysis. J Appl Physiol (1985). 2000; 89:465–71. 10.1152/jappl.2000.89.2.465
    1. Wu CH, Chen KT, Hou MT, Chang YF, Chang CS, Liu PY, Wu SJ, Chiu CJ, Jou IM, Chen CY. Prevalence and associated factors of sarcopenia and severe sarcopenia in older taiwanese living in rural community: the tianliao old people study 04. Geriatr Gerontol Int. 2014. (Suppl 1); 14:69–75. 10.1111/ggi.12233
    1. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, Martin FC, Michel JP, Rolland Y, Schneider SM, Topinková E, Vandewoude M, Zamboni M, European Working Group on Sarcopenia in Older People. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010; 39:412–23. 10.1093/ageing/afq034
    1. Chen LK, Liu LK, Woo J, Assantachai P, Auyeung TW, Bahyah KS, Chou MY, Chen LY, Hsu PS, Krairit O, Lee JS, Lee WJ, Lee Y, et al.. Sarcopenia in Asia: consensus report of the Asian working group for sarcopenia. J Am Med Dir Assoc. 2014; 15:95–101. 10.1016/j.jamda.2013.11.025
    1. Murakami S, Sawaki K, Shiraishi Y, Ohtani M. Effects of oral supplementation with a mixture of amino acids on immune function in athletes at a summer training camp for track and field and long-distance runners. J Jap Soc Clin Sports Med. 2011; 19:280–289.

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