DOI QR코드

DOI QR Code

Association between dietary branched-chain amino acid intake and skeletal muscle mass index among Korean adults: Interaction with obesity

  • Chae, Minjeong (Department of Food and Nutrition, Yeungnam University) ;
  • Park, Hyoung Su (Health & Nutrition R&D Group, Maeil Dairies Co., Ltd) ;
  • Park, Kyong (Department of Food and Nutrition, Yeungnam University)
  • 투고 : 2020.07.08
  • 심사 : 2020.10.27
  • 발행 : 2021.04.01

초록

BACKGROUND/OBJECTIVES: The branched-chain amino acids (BCAA), including isoleucine, leucine, and valine, promote muscle protein synthesis. However, obesity may interfere with protein synthesis by dysregulating mitochondrial function in the muscles. This study aimed to examine the association between dietary intake levels of BCAA and skeletal muscle mass index (SMI) in middle-aged participants, and the effect of obesity/abdominal obesity on this association. SUBJECTS/METHODS: The data of 3,966 men and women aged 50-64 years who participated in the 2008-2011 Korea National Health and Nutrition Examination Survey were analyzed. Intake levels of energy-adjusted dietary amino acids were obtained using a 24-hour dietary recall. SMI was calculated by dividing the appendicular skeletal muscle mass by body weight (kg) and multiplying the result by 100%. Multivariable general linear models were used to analyze the association of dietary BCAA intake levels with SMI. RESULTS: The beneficial effects of energy-adjusted dietary BCAA intakes on SMI were greater in the non-obesity/non-abdominal obesity groups; however, no significant associations were observed in the obesity/abdominal obesity groups (P > 0.05). CONCLUSIONS: Healthy weight and sufficient intake of dietary BCAA are recommended to maintain muscle mass.

키워드

참고문헌

  1. Grimby G, Saltin B. The ageing muscle. Clin Physiol 1983;3:209-18. https://doi.org/10.1111/j.1475-097X.1983.tb00704.x
  2. Malmstrom TK, Miller DK, Simonsick EM, Ferrucci L, Morley JE. SARC-F: a symptom score to predict persons with sarcopenia at risk for poor functional outcomes. J Cachexia Sarcopenia Muscle 2016;7:28-36. https://doi.org/10.1002/jcsm.12048
  3. 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. https://doi.org/10.1093/oxfordjournals.aje.a009520
  4. Atkins JL, Whincup PH, Morris RW, Lennon LT, Papacosta O, Wannamethee SG. Sarcopenic obesity and risk of cardiovascular disease and mortality: a population-based cohort study of older men. J Am Geriatr Soc 2014;62:253-60. https://doi.org/10.1111/jgs.12652
  5. Pinedo-Villanueva R, Westbury LD, Syddall HE, Sanchez-Santos MT, Dennison EM, Robinson SM, Cooper C. Health care costs associated with muscle weakness: a UK population-based estimate. Calcif Tissue Int 2019;104:137-44. https://doi.org/10.1007/s00223-018-0478-1
  6. 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, Vandewoude M, Visser M, Zamboni M, Bautmans I, Baeyens JP, Cesari M, Cherubini A, Kanis J, Maggio M, Martin F, Michel JP, Pitkala K, Reginster JY, Rizzoli R, Sanchez-Rodriguez D, Schols J; 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. https://doi.org/10.1093/ageing/afy169
  7. Tischler ME, Desautels M, Goldberg AL. Does leucine, leucyl-tRNA, or some metabolite of leucine regulate protein synthesis and degradation in skeletal and cardiac muscle? J Biol Chem 1982;257:1613-21. https://doi.org/10.1016/S0021-9258(19)68081-6
  8. Damodaran S. Fennema's Food Chemistry. 4th ed. Boca Raton (FL): CRC Press; 2008. p.217-329.
  9. 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. https://doi.org/10.1017/S0007114514002475
  10. de Mello AH, Costa AB, Engel JDG, Rezin GT. Mitochondrial dysfunction in obesity. Life Sci 2018;192:26-32. https://doi.org/10.1016/j.lfs.2017.11.019
  11. Andreux PA, van Diemen MPJ, Heezen MR, Auwerx J, Rinsch C, Groeneveld GJ, Singh A. Mitochondrial function is impaired in the skeletal muscle of pre-frail elderly. Sci Rep 2018;8:8548. https://doi.org/10.1038/s41598-018-26944-x
  12. Kras KA, Hoffman N, Roust LR, Patel SH, Carroll CC, Katsanos CS. Plasma amino acids stimulate uncoupled respiration of muscle subsarcolemmal mitochondria in lean but not obese humans. J Clin Endocrinol Metab 2017;102:4515-25. https://doi.org/10.1210/jc.2017-01201
  13. Heo JW, No MH, Park DH, Kang JH, Seo DY, Han J, Neufer PD, Kwak HB. Effects of exercise on obesityinduced mitochondrial dysfunction in skeletal muscle. Korean J Physiol Pharmacol 2017;21:567-77. https://doi.org/10.4196/kjpp.2017.21.6.567
  14. Goodpaster BH, Brown NF. Skeletal muscle lipid and its association with insulin resistance: what is the role for exercise? Exerc Sport Sci Rev 2005;33:150-4. https://doi.org/10.1097/00003677-200507000-00008
  15. Morris MS, Jacques PF. Total protein, animal protein and physical activity in relation to muscle mass in middle-aged and older Americans. Br J Nutr 2013;109:1294-303. https://doi.org/10.1017/S0007114512003133
  16. Park HA. Adequacy of protein intake among Korean elderly: an analysis of the 2013-2014 Korea National Health and Nutrition Examination Survey data. Korean J Fam Med 2018;39:130-4. https://doi.org/10.4082/kjfm.2018.39.2.130
  17. Berner LA, Becker G, Wise M, Doi J. Characterization of dietary protein among older adults in the United States: amount, animal sources, and meal patterns. J Acad Nutr Diet 2013;113:809-15. https://doi.org/10.1016/j.jand.2013.01.014
  18. Oh C, Jeon BH, Reid Storm SN, Jho S, No JK. The most effective factors to offset sarcopenia and obesity in the older Korean: physical activity, vitamin D, and protein intake. Nutrition 2017;33:169-73. https://doi.org/10.1016/j.nut.2016.06.004
  19. Son J, Yu Q, Seo JS. Sarcopenic obesity can be negatively associated with active physical activity and adequate intake of some nutrients in Korean elderly: findings from the Korea National Health and Nutrition Examination Survey (2008-2011). Nutr Res Pract 2019;13:47-57. https://doi.org/10.4162/nrp.2019.13.1.47
  20. Walrand S, Guillet C, Salles J, Cano N, Boirie Y. Physiopathological mechanism of sarcopenia. Clin Geriatr Med 2011;27:365-85. https://doi.org/10.1016/j.cger.2011.03.005
  21. Kweon S, Kim Y, Jang MJ, Kim Y, Kim K, Choi S, Chun C, Khang YH, Oh K. Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol 2014;43:69-77. https://doi.org/10.1093/ije/dyt228
  22. Willett W, Stampfer MJ. Total energy intake: implications for epidemiologic analyses. Am J Epidemiol 1986;124:17-27. https://doi.org/10.1093/oxfordjournals.aje.a114366
  23. Ainsworth BE, Haskell WL, Leon AS, Jacobs DR Jr, Montoye HJ, Sallis JF, Paffenbarger RS Jr. Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc 1993;25:71-80. https://doi.org/10.1249/00005768-199301000-00011
  24. World Health Organization. Regional Office for the Western Pacific. The Asia-Pacific Perspective: Redefining Obesity and Its Treatment. Sydney: Health Communications Australia; 2000.
  25. Korea Health Industry Development Institute. Development of Nutrient Database. Cheongju: Korea Health Industry Development Institute; 2000.
  26. Rural Development Administration National Institute of Rural Agricultural Sciences. Food Composition Table. 7th ed. Suwon: Rural Development Administration National Institute of Rural Agricultural Sciences; 1996.
  27. The Korean Nutrition Society. Computer aided nutritional analysis program 4.0 [Internet]. Seoul: The Korean Nutrition Society; 2011 [cited 2019 May 31]. Available from: http://kns.or.kr/Center/CanPro.asp.
  28. Chae M, Park H, Park K. Estimation of dietary amino acid intake and independent correlates of skeletal muscle mass index among Korean adults. Nutrients 2020;12:1043. https://doi.org/10.3390/nu12041043
  29. Scott Freeman HH. Biological Science. 2nd ed. Upper Saddle River (NJ): Pearson Prentice Hall; 2005.
  30. Tymoczko JL, Berg JM, Stryer L. Biochemistry: a Short Course. New York (NY): W. H. Freeman; 2010.
  31. 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. https://doi.org/10.1046/j.1532-5415.2002.50216.x
  32. Srikanthan P, Karlamangla AS. Relative muscle mass is inversely associated with insulin resistance and prediabetes. Findings from the third National Health and Nutrition Examination Survey. J Clin Endocrinol Metab 2011;96:2898-903. https://doi.org/10.1210/jc.2011-0435
  33. Willett W. Nutritional Epidemiology. 3rd ed. New York (NY): Oxford University Press; 2012. p.274-5.
  34. Tatpati LL, Irving BA, Tom A, Bigelow ML, Klaus K, Short KR, Nair KS. The effect of branched chain amino acids on skeletal muscle mitochondrial function in young and elderly adults. J Clin Endocrinol Metab 2010;95:894-902. https://doi.org/10.1210/jc.2009-1822
  35. Bastard JP, Maachi M, Lagathu C, Kim MJ, Caron M, Vidal H, Capeau J, Feve B. Recent advances in the relationship between obesity, inflammation, and insulin resistance. Eur Cytokine Netw 2006;17:4-12.
  36. Kim TN, Park MS, Lim KI, Choi HY, Yang SJ, Yoo HJ, Kang HJ, Song W, Choi H, Baik SH, Choi DS, Choi KM. Relationships between sarcopenic obesity and insulin resistance, inflammation, and vitamin D status: the Korean Sarcopenic Obesity Study. Clin Endocrinol (Oxf ) 2013;78:525-32. https://doi.org/10.1111/j.1365-2265.2012.04433.x
  37. Kim DH, Sarbassov DD, Ali SM, King JE, Latek RR, Erdjument-Bromage H, Tempst P, Sabatini DM. mTOR interacts with raptor to form a nutrient-sensitive complex that signals to the cell growth machinery. Cell 2002;110:163-75. https://doi.org/10.1016/S0092-8674(02)00808-5
  38. Suryawan A, Jeyapalan AS, Orellana RA, Wilson FA, Nguyen HV, Davis TA. Leucine stimulates protein synthesis in skeletal muscle of neonatal pigs by enhancing mTORC1 activation. Am J Physiol Endocrinol Metab 2008;295:E868-75. https://doi.org/10.1152/ajpendo.90314.2008
  39. 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;130:2413-9. https://doi.org/10.1093/jn/130.10.2413
  40. Moberg M, Apro W, Ekblom B, van Hall G, Holmberg HC, Blomstrand E. Activation of mTORC1 by leucine is potentiated by branched-chain amino acids and even more so by essential amino acids following resistance exercise. Am J Physiol Cell Physiol 2016;310:C874-84. https://doi.org/10.1152/ajpcell.00374.2015
  41. Ottestad I, Ulven SM, Oyri LK, Sandvei KS, Gjevestad GO, Bye A, Sheikh NA, Biong AS, Andersen LF, Holven KB. Reduced plasma concentration of branched-chain amino acids in sarcopenic older subjects: a cross-sectional study. Br J Nutr 2018;120:445-53. https://doi.org/10.1017/s0007114518001307
  42. 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;19:12-7. https://doi.org/10.1111/ggi.13547
  43. Rahimi MH, Shab-Bidar S, Mollahosseini M, Djafarian K. Branched-chain amino acid supplementation and exercise-induced muscle damage in exercise recovery: a meta-analysis of randomized clinical trials. Nutrition 2017;42:30-6. https://doi.org/10.1016/j.nut.2017.05.005
  44. Park Y, Choi JE, Hwang HS. Protein supplementation improves muscle mass and physical performance in undernourished prefrail and frail elderly subjects: a randomized, double-blind, placebo-controlled trial. Am J Clin Nutr 2018;108:1026-33. https://doi.org/10.1093/ajcn/nqy214
  45. Aubertin-Leheudre M, Adlercreutz H. Relationship between animal protein intake and muscle mass index in healthy women. Br J Nutr 2009;102:1803-10. https://doi.org/10.1017/S0007114509991310
  46. Krajcovicova-Kudlackova M, Babinska K, Valachovicova M. Health benefits and risks of plant proteins. Bratisl Lek Listy 2005;106:231-4.
  47. Korea Health Industry Development Institute. Quality Control and Analysis Support on Nutrition Survey of the 4th Korea National Health & Nutrition Examination Survey (KNHANES IV). Cheongju: Korea Center for Disease Control and Prevention; 2009.

피인용 문헌

  1. Daily Leucine Intake Is Positively Associated with Lower Limb Skeletal Muscle Mass and Strength in the Elderly vol.13, pp.10, 2021, https://doi.org/10.3390/nu13103536