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Table 1 The characteristics of included 6 studies

From: Effects of protein supplementation on muscle mass, muscle strength, and physical performance in older adults with physical inactivity: a systematic review and meta-analysis

Authors

Country

Duration

Age

PA before study initiation

PA during the study period

Exercise

Subjects (n-exp/n-con)

Intervention

Control

Measurement tools

Outcomes

Bermon, 1998 [25]

   

  Bermon, 1998 (A) [25]

France

52 days

67–82

Low PA

Low PA

No

8/8

20 g/d(5 days)+ 3 g/d(47 days) creatine monohydrate

7 g glucose (4 times/day for 5 days)+ 5 g glucose(once a day for 47 days)

Adjusted muscle cross-section integration(accounting for skin and fat via skin-fold)

MM: lower limb muscular volume;

MS: 1-RM, 12-RM and IIE of three major muscle groups

  Bermon, 1998(B) [25]

France

52 days

67–82

Low PA

Trained

The strength training programme (three sets of eight repetitions at 80% of one-repetition maximum, for leg press, leg extension and chest press, 3 days a week)

8/8

20 g/d(5 days)+ 3 g/d(47 days) creatine monohydrate

7 g glucose (4 times/day for 5 days)+ 5 g glucose(once a day for 47 days)

Adjusted muscle cross-section integration(accounting for skin and fat via skin-fold)

MM: lower limb muscular volume;

MS: 1-RM, 12-RM and IIE of three major muscle groups

  Buckinx, 2020 [15]

Canada

12 weeks

≥ 60

Sedentary and inactive

Trained

High-intensity interval training for 12 weeks, three session of 30 min each week.

23/21

10 g L- citrulline

10 g maltodextrin

pQCT

MM:LBM, ALM;

MS: HGS, leg power;

PP: TUG, chair stand test, alternate-step test, balance test, 4MWT, 6MWT.

  Chalé, 2013 [16]

America

6 months

70–85

Sedentary

Trained

Resistance training

three times per week for 6 months.

42/38

40 g/d whey protein concentrate

46 g/d isocaloric control.

DEX, CT

MM: LBM, ALM, leg Lean, arm lean, truck lean;

MS: knee extensor strength, knee flexor strength;

PP: short physical performance battery, TUG, the 5-item physical performance Battery

Deutz, 2013 [17]

   

  Deutz, 2 2013(B) [17] 

America

63 days

60–76

Fully functional with no mobility limitations

bed rest for 10 days

No

11/8

β-hydroxy-β-methylbutyrate (calcium salt, 1.5 g twice daily e total 3 g/day)

Placebo

DEX

MM: LBM, ALM, leg Lean, arm lean, truck lean;

MS: knee extensor strength, knee flexor strength;

PP: SPPB, TUG, the 5-item physical performance Battery

  Deutz, 2013(B) [17]

America

63 days

60–76

After the bed rest for 10 days

Trained

Rehabilitation program (resistance training 3×/week) 8 weeks

11/8

β-hydroxy-β-methylbutyrate (calcium salt, 1.5 g twice daily, total 3 g/day)

Placebo

DEX

MM: LBM, ALM, leg Lean, arm lean, truck lean;

MS: knee extensor strength, knee flexor strength;

PP: SPPB, TUG, the 5-item physical performance Battery

  Dirks, 2014 [19]

Netherlands

7 days

69 ± 1

no prior prolonged resistance exercise in past 6 months

One-legged knee immobilization for 5 days

No

11/12

a high whey protein leucineenriched oral nutritional supplement (twice daily, 10 drinks in total, each drink provide 21 g protein)

Without supplement

CT, DXA scan

leg extension machine.

Quadriceps CSAs, single leg 1-RM.

  Ferrando, 2010 [22]

America

52 days

> 60

Moderately active

Bed rest for 10 days

No

10/12

Essential amino acid supplemental 45 g (15 g TID) of amino acids.

Placebo

DEXA

LBM, leg lean mass, stair ascent power, stair descent power.

  1. Abbreviations: EXP experiment group, CON control group, PA Physical activity level, PLA placebo, HMB β-hydroxy-β-methylbutyrate, DEX dual energy x-ray absorptiometry, CSAs anatomic cross-sectional areas, MM muscle mass, MS muscle strength, PP physical performance, 1-RM one repetition maximum, IIE isometric intermittent endurance, LBM total lean body mass, ALM appendicular lean mass, HGS handgrip strength, TUG time up and go, 4MWT 4-meter walking test, 6MWT 6-minute walking test, SPPB short physical performance battery, NA not available