Friday, March 22, 2019

US adults do not consume enough protein, study warns

New research in the Journal of Nutrition, Health & Aging reveals that older people in the United States do not consume enough protein. Insufficient protein is a marker of poor diet and health overall, the study also suggests.

With age, the human body loses muscle mass. Sarcopenia, or the age-related gradual loss of muscle function, can slash muscle strength by around 50 percent. Also, loss of muscle mass and strength can lead to poor overall quality of life and increase the risk of falls and fractures in older age. So, as we age, intake of protein becomes increasingly important. However, few adults consume as much protein as they should, for a variety of reasons.

Older people often lose their appetite with age, have lower energy needs, or sometimes eat less due to financial and social difficulties. However, researchers do not know precisely how much protein older adults consume, so a new study aimed to fill this gap in research. Christopher A. Taylor, Ph.D. — a registered dietitian and associate professor at the Ohio State
University in Columbus — is the last and corresponding author of the new study.

Taylor and his team examined data from the 2005–2014 National Health and Nutrition Examination Survey to investigate the protein intake of 11,680 adults aged 51 and above. The scientists looked at the link between protein intake, dietary patterns, and physical function in these older adults. They stratified the study sample, used the Healthy Eating Index to assess the quality of the adults' diet, and weighted the data analyses "to create a nationally representative sample."

Overall, their analysis found that up to 46 percent of the oldest participants in the study did not consume enough protein on a regular basis. A third of them were missing 30 grams (g) of protein from their daily diet, which — for an adult who weighs 160 pounds, or 72.6 kilograms (kg) — is the equivalent of over half of the recommended intake. The United States recommended daily allowance of protein is 0.8 g per kg.

Secondly, participants whose protein intake was lower than the recommended level had a poorer diet overall, as well as "significantly more functional limitations." These people consumed fewer healthful foods such as greens and beans, dairy, seafood, and plant protein foods. People who do not consume enough protein, explain the study authors, are less likely to meet the recommended daily allowances for micronutrients that have antioxidant properties or that benefit the immune system, such as zinc, selenium, vitamin E, vitamin C, and vitamin D.

Also, according to the researchers, "[T]hose below the protein intake recommendation were more likely to be limited when stooping, crouching, or kneeling, standing or sitting for long periods, walking up 10 steps, preparing meals, and walking for a quarter mile." They conclude that "[n]utrition screening procedures should not be limited to the oldest adults and could begin with those over 50 years of age."

My Take:
When I read the title of this article I immediately questioned the validity. Most Americans just eat too much food and are morbidly obese. I think the recommendation of 0.8 g per Kg is too high. For me that would be 67 g of protein daily. My goal is 45 g per day.

However, even if their recommendation is too high, if people are 30 g short of this level it is too low. Again, for me that would be 37 g per day, 20% below my goal.

Bottom Line:
The goal of 45 g of protein intake per day is a reasonable, easily obtained goal. Two eggs for breakfast provide 15 g of protein and 4 ounces of meat or fish at lunch and dinner is also 15 g each. That is a small protein serving at each of the main meals. You can supplement some nuts or other protein rich plant food to raise that intake if you feel it is necessary or skip a protein serving at one meal.

Source: February 25, 2019 NIH

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