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Resistance training paired with peanut protein affects muscle health in older adults

Evidence-based and cost-effective lifestyle interventions, such as resistance training (RT) and ensuring optimal dietary protein intake, aim to increase muscle mass in older individuals, and support healthy aging and longevity.

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Declines in muscle mass and strength can begin in early adulthood, unnoticeable at first, and eventually progress until functionality, endurance, and general health may be compromised. Evidence-based and cost-effective lifestyle interventions, such as resistance training (RT) and ensuring optimal dietary protein intake, aim to increase muscle mass in older individuals, and support healthy aging and longevity.

Now, as the popularity and consumer demand for plant-based protein to support exercise training grows, the full array of essential and non-essential amino acids and high protein digestibility of defatted peanut protein powder (PP) makes it an exceptional plant-based protein option. Yet, no studies to date have examined if PP combined with RT can enhance training adaptations and measures of muscle mass, function and strength, especially in an older population. For the first time, a randomized controlled clinical trial from researchers at Auburn University published in the Journal of the International Society of Sports Nutrition demonstrates that in combination with RT, intake of PP positively affects select markers of muscle growth and strength among untrained, older adults.

“Many of the previous studies in this space have looked at how animal-based or soy protein-based supplements enhance the response to resistance training,” says Dr. Roberts, PhD, a co-principal investigator on the study from Auburn University in the School of Kinesiology. “This study suggests that pairing resistance training with supplemental peanut powder may be an effective plant-based protein solution to meet protein needs and perhaps slow or prevent age-related loss of muscle in older adults.”

Thirty-nine older, untrained individuals completed a six-week or ten-week supervised RT program, where full-body training was implemented twice weekly. Participants were also randomly assigned to consume either a PP supplement mixed with 16 fl. oz. of water once per day (75 total grams of powder providing 30 grams protein, >9.2 grams of essential amino acids, ~315 calories) or be a “wait-list” control who did not receive any supplement (CTL). On workout days, PP supplements were provided immediately following exercise and compliance was monitored by trained study personnel. Skeletal muscle biopsies and other markers of muscle quality, body composition and strength, as well as three-day self-reported habitual food intake, were collected.

PP supplementation significantly increased knee flexion peak torque – a marker of muscle strength – in the ten-week cohort relative to the CTL group. In looking at the combined data from both the six- and ten-week groups, PP participants experienced significant increases in vastus lateralis (VL) thickness – a measure of muscle growth – compared to CTL participants. Notably, the consumption of protein and fiber significantly increased during the study in the PP group compared to CTL. This is attributed to the ~15 grams per day of fiber and 30 grams per day of protein received from the nutritional supplement. Surprisingly, PP supplementation after one bout of resistance exercise did not enhance muscle protein synthesis rates within a 24-hour period following the first training bout. Body composition was not different between the PP and CTL groups.

“There is strong evidence to suggest protein needs, specifically, the intake of more essential amino acids, increase with age due to many factors,” added co-principal investigator, Drew Frugé, PhD, RD, with the Department of Nutrition, Dietetics and Hospitality Management at Auburn University. “The protein isolated from peanuts contains a full complement of essential amino acids, including the important muscle growth ‘switch’ leucine, that can be delivered in a nutrient-dense package with the functional benefit of being simply incorporated into many easy to consume and tasty food or beverage preparations that meet the dietary needs of older adults.”

This study followed a rigorous methodology by using a randomized design in a laboratory setting and supervising participant training, as well as PP supplement compliance. However, the researchers noted a few limitations, mainly the duration of the intervention of the second cohort. As the original intent was to recruit two separate ten-week cohorts, due to the SARS-CoV-2 pandemic, the researchers voluntarily decided to end the second cohort after only six weeks of training to maintain the health and safety of the participants. The decision to compare PP supplementation to no supplementation was made to establish more “real world” relevance (i.e., people supplement their diets with protein powder, or nothing at all).

Despite such limitations, the researchers concluded that “…peanut protein powder supplementation with 6-10 weeks of resistance training enhance certain aspects of muscle hypertrophy and strength in older adults, compared to a resistance training program alone in the elderly population.” Future studies that are longer in duration are needed to definitively determine if PP supplementation can enhance hypertrophic adaptations with resistance training.

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The article, “The effects of resistance training with or without peanut protein supplementation on skeletal muscle and strength adaptations in older individuals”, is published in Journal of the International Society of Sports Nutrition.

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Fitness

Treatment options to help overcome knee pain for sports enthusiasts

“Sports-related pain should be evaluated quickly, especially when it’s difficult to put weight on the knee, swelling occurs or there is restricted range of motion,” said Dr. Alexander Meininger, orthopedic surgeon and MACI consultant.

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Millions of people experience chronic pain, with knee pain among the most common. Athletes and active adults know the impact activities like running and skiing can have on their knees, but when chronic knee pain makes it difficult to do those activities, or even day-to-day tasks like walking up the stairs, people may often face challenges.

According to the journal “Cartilage,” unlike other tissues, cartilage does not repair itself and, without proper treatment, can worsen over time and become more difficult to treat. However, options like FDA-approved knee cartilage repair surgery MACI (autologous cultured chondrocytes on porcine collagen membrane) uses a patient’s cells to help repair cartilage defects and may help alleviate knee pain.

“Sports-related pain should be evaluated quickly, especially when it’s difficult to put weight on the knee, swelling occurs or there is restricted range of motion,” said Dr. Alexander Meininger, orthopedic surgeon and MACI consultant.

Justin Keys, a former patient of Meininger and avid skier, knows that the long-term outcomes of knee cartilage surgery can be worth the short-term sacrifices. After several injuries, including an ACL injury, Keys struggled with most activities except walking on flat, paved surfaces. After consulting with Meininger, Keys chose knee cartilage repair to help get back to his active lifestyle.

Keys considered whether to manage the injury as-is or choose MACI and undergo rehabilitation to potentially get back to his favorite activities in the future. He knew he could no longer use short-term relief methods and had to address his pain with a treatment to help provide lasting relief.

For athletes like Keys who want to fix knee pain, it’s important to consider these steps:

Discuss Options with Your Doctor

Patients should talk to their doctors and undergo an MRI to help assess the internal structures of the knee. Meininger recommends patients and their doctors discuss options for long-term knee restoration health, preserving function for future decades and recognizing the short-term sacrifice.

Set Yourself Up for Success

Experts like Meininger suggest patients take steps ahead of surgery to help their recovery.

“The important thing is to be as fit as possible and use the preseason months to undergo surgery and rehab,” Meininger said.

Patients can take steps to prep their home for recovery, which may include:

  • Bringing necessities down from hard-to-reach shelves
  • Moving furniture to ensure clear pathways
  • Installing shower safety handles to minimize potential falls

The Road to Rehab and Recovery

Rehabilitation takes time and everyone’s experience is unique. It can be as much of a mental challenge as it is physical. Committing to a physical therapy regime, staying hydrated and eating well are important aspects to support recovery. Patients should talk to their doctors with questions and before starting any exercises.

IMPORTANT SAFETY INFORMATION

Do not use if you are allergic to antibiotics such as gentamicin or materials from cow or pig; have severe osteoarthritis of the knee, other severe inflammatory conditions, infections or inflammation in the bone joint and other surrounding tissue or blood clotting conditions; had knee surgery in the past 6 months, not including surgery for obtaining a cartilage biopsy or a surgical procedure to prepare your knee for a MACI implant; or cannot follow a rehabilitation program post-surgery.

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Fitness

6 Exercise safety tips

Now, as social restrictions ease, you may find yourself stepping up your workouts, whether you’re training for an event or working to improve your game in a recreational league.

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In the wake of the COVID-19 pandemic, many Americans are more aware of their health and wellness. Now, as social restrictions ease, you may find yourself stepping up your workouts, whether you’re training for an event or working to improve your game in a recreational league.

Sprains, strains and injuries can happen to even the most seasoned athletes. When you’re testing your limits, even a minor injury can alter your performance. Consider products and supports like these from the CURAD Performance Series product line, available at Walmart and Amazon, to help you get back in the game quickly and safely.

Find more resources to support your fitness journey at CURAD.com.

Keep Dirt and Germs Away

The more active you are, the harder it can be to find a bandage that stays with you all day or all game long.

Spray Away Sore Spots

Controlling mild pain can help keep you at the top of your game, and a topical analgesic works fast to heal common pain brought on by fitness and exercise, such as pain in knees, feet, shoulders and backs.

Put Pain in the Past

When recovery becomes the name of the game and pain relief is needed after daily workouts or bodily injuries. Cold packs work to heal bruises, reduce swelling and relieve headaches and general pain points while microwavable heat packs provide satisfying heat therapy to address sore and stiff joints, muscle cramps and tension.

Reduce Impact of Knee Strain

Weak, injured or arthritic knees can come from many sources, including tendonitis and a wide range of conditions that result in strain or overuse. An adjustable band can provide support for on-field sports and during workouts or everyday activities.

Manage Pain and Relieve Pressure

If you participate in endurance and strength exercises or certain sports, you may ask a lot of your joints. Kinesiology tape can be configured a multitude of ways to help reduce pain and improve blood circulation, as well as relieve tension and pressure.

Control Back Strain

When your back is strained, your body and performance can suffer. A mild or moderate sprain can benefit from strong support and compression.

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Fitness

Exercise can provide relief for dry, itchy eyes

A significant increase in tear secretion and tear film stability after participating in aerobic exercise can be another remedy for relieving dry, itchy eyes.

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Photo by Quinten de Graaf from Unsplash.com

A team led by researchers from the University of Waterloo discovered that a significant increase in tear secretion and tear film stability after participating in aerobic exercise can be another remedy for relieving dry, itchy eyes. 

Every time we blink, our eyes are covered in tear film—an essential protective coating necessary for maintaining healthy ocular function. Healthy tear film comprises three layers–oil, water, and mucin–that work together to hydrate the ocular surface and protect against infection-causing irritants like dust or dirt.

When any part of the tear film becomes unstable, the ocular surface can develop dry spots, causing eye symptoms like itchiness or stinging and burning sensations.

“With so much of our activity tied to screen usage, dry eye symptoms are becoming increasingly common,” said Heinz Otchere, a PhD candidate in vision science at Waterloo. “Instead of having to use eye drops or other alternative treatments, our study aimed to determine if remaining physically active can be an effective preventative measure against dryness.”

Fifty-two participants were divided into two groups—athlete and non-athlete—to participate in an exercise session. Participants in the athlete group exercised at least five times per week, while non-athlete participants exercised no more than once per week. Researchers, which included experts from the University of Cape Coast in Ghana, performed visual examinations before and five minutes after each exercise session, where tear secretion and tear break-up time were assessed.

While participants in the athlete group showed the largest increase, Otchere says all participants experienced a meaningful boost in tear quantity and tear film stability after the exercise session. 

“It can be challenging for people to regularly exercise when the demand is there to work increasingly longer hours in front of screens,” Otchere said. “However, our findings show physical activity can be really important for not just our overall well-being, but for our ocular health too.”

The study, Differential effect of maximal incremental treadmill exercise on tear secretion and tear film stability in athletes and non-athletes, was co-authored by Otchere, the University of Cape Coast’s Samuel Abokyi, Sekyere Nyamaah, and Michael Ntodie, and Ghana’s Our Lady of Grace Hospital’s Yaw Osei Akoto. It was recently published in the Experimental Eye Research journal.

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