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A systematic review, meta-analysis and meta-regression of the effect of protein supplementation on resistance training-induced gains in muscle mass and strength in healthy adults
Robert W Morton 1, Kevin T Murphy 1, Sean R McKellar 1, Brad J Schoenfeld 2, Menno Henselmans 3, Eric Helms 4, Alan A Aragon 5, Michaela C Devries 6, Laura Banfield 7, James W Krieger 8, Stuart M Phillips 1
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PMID: 28698222 PMCID: PMC5867436 DOI: 10.1136/bjsports-2017-097608
Free PMC article
Erratum in
Correction: A systematic review, meta-analysis and meta-regression of the effect of protein supplementation on resistance training-induced gains in muscle mass and strength in healthy adults.
[No authors listed]
Br J Sports Med. 2020 Oct;54(19):e7. doi: 10.1136/bjsports-2017-097608corr1.
PMID: 32943392 Free PMC article. No abstract available.
Abstract
Objective: We performed a systematic review, meta-analysis and meta-regression to determine if dietary protein supplementation augments resistance exercise training (RET)-induced gains in muscle mass and strength.

Data sources: A systematic search of Medline, Embase, CINAHL and SportDiscus.

Eligibility criteria: Only randomised controlled trials with RET ≥6 weeks in duration and dietary protein supplementation.

Design: Random-effects meta-analyses and meta-regressions with four a priori determined covariates. Two-phase break point analysis was used to determine the relationship between total protein intake and changes in fat-free mass (FFM).

Results: Data from 49 studies with 1863 participants showed that dietary protein supplementation significantly (all p<0.05) increased changes (means (95% CI)) in: strength-one-repetition-maximum (2.49 kg (0.64, 4.33)), FFM (0.30 kg (0.09, 0.52)) and muscle size-muscle fibre cross-sectional area (CSA; 310 µm2 (51, 570)) and mid-femur CSA (7.2 mm2 (0.20, 14.30)) during periods of prolonged RET. The impact of protein supplementation on gains in FFM was reduced with increasing age (-0.01 kg (-0.02,-0.00), p=0.002) and was more effective in resistance-trained individuals (0.75 kg (0.09, 1.40), p=0.03). Protein supplementation beyond total protein intakes of 1.62 g/kg/day resulted in no further RET-induced gains in FFM.

Summary/conclusion: Dietary protein supplementation significantly enhanced changes in muscle strength and size during prolonged RET in healthy adults. Increasing age reduces and training experience increases the efficacy of protein supplementation during RET. With protein supplementation, protein intakes at amounts greater than ~1.6 g/kg/day do not further contribute RET-induced gains in FFM.

Keywords: growth; hypertrophy; performance. leucine; supplement; whey.

© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Conflict of interest statement
Competing interests: SMP has received grant support, travel expenses, and honoraria for presentations from the US National Dairy Council. This agency has supported trials reviewed in this analysis.

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