Evidence map›Paper›PMID 28285641›Full record

Trial reportMetabolism: clinical and experimental2017

Effectiveness of essential amino acid supplementation in stimulating whole body net protein anabolism is comparable between COPD patients and healthy older adults.

Renate Jonker, Nicolaas Ep Deutz, Marcia L Erbland, Paula J Anderson, Mariëlle Pkj Engelen

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Metabolism: clinical and experimental, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  7. Article
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  11. Advances in metabolomics of chronic obstructive pulmonary disease.Chinese medical journal pulmonary and critical care medicine · 2023
    Review
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  16. Article
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  18. Disruption of histidine and energy homeostasis in chronic obstructive pulmonary disease.International journal of chronic obstructive pulmonary disease · 2019
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Renate JonkerCenter for Translational Research in Aging & Longevity, Dept. of Health and Kinesiology, Texas A&M University, College Station, TX, U.S.A.; Dept. of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, AR, U.S.A.. Electronic address: r.jonker@ctral.org.
Nicolaas Ep DeutzCenter for Translational Research in Aging & Longevity, Dept. of Health and Kinesiology, Texas A&M University, College Station, TX, U.S.A.; Dept. of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, AR, U.S.A.
Marcia L ErblandDept. of Pulmonary and Critical Care Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, U.S.A.
Paula J AndersonDept. of Pulmonary and Critical Care Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, U.S.A.
Mariëlle Pkj EngelenCenter for Translational Research in Aging & Longevity, Dept. of Health and Kinesiology, Texas A&M University, College Station, TX, U.S.A.; Dept. of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, AR, U.S.A.
Texas A&M Health Science Center · USUniversity of Arkansas for Medical Sciences · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR029884 · NCRR · UNIV OF ARKANSAS FOR MED SCIS · PI LOWERY, CURTIS L · 2009 to 2011
$11.4M
Eicosapentaenoic acid and protein modulation to induce anabolism in COPDR01HL095903 · NHLBI · UNIV OF ARKANSAS FOR MED SCIS · PI DEUTZ, NICOLAAS E, ENGELEN, MARIELLE PKJ · 2009 to 2012
$1.4M
TSQ Vantage Bundle with Acquity UltraPerformance LCS10RR027047 · NCRR · UNIV OF ARKANSAS FOR MED SCIS · PI DEUTZ, NICOLAAS E · 2010 to 2010
$398k
NCRR NIH HHS S10 RR027047NCRR NIH HHS UL1 RR029884NHLBI NIH HHS R01 HL095903
6 · The paper itself

Abstract

backgroundThe development of effective nutritional strategies in support of muscle growth for patients with chronic obstructive pulmonary disease (COPD) remains challenging. Dietary essential amino acids (EAAs) are the main driver of postprandial net protein anabolism. In agreement, EAA supplements in healthy older adults are more effective than supplements with the composition of complete proteins. In patients with COPD it is still unknown whether complete protein supplements can be substituted with only EAAs, and whether they are as effective as in healthy older adults.

methodsAccording to a double-blind randomized crossover design, we examined in 23 patients with moderate to very severe COPD (age: 65±2 years, FEV

resultsBesides an excellent positive linear relationship between PHE intake and net protein gain in both groups (r=0.84-0.91, P<0.001), net protein gain was 42% higher in healthy controls and 49% higher in COPD patients after intake of the EAA mixture compared to the TAA mixture (P<0.0001). These findings could not be attributed to the high LEU content, as in both groups net protein gain per gram EAA intake was lower for the EAA mixture (P<0.0001). Net protein gain was higher in COPD patients for both mixtures due to a 40% lower splanchnic extraction (P<0.0001), but was similarly related to dietary PHE (i.e. EAA) plasma appearance.

conclusionsIn COPD patients, similarly to healthy older adults, free EAA supplements stimulate whole body protein anabolism more than free amino acid supplements with the composition of complete proteins. Therefore, free EAA supplements may aid in the prevention and treatment of muscle wasting in this patient population.

Indexed as

Dietary SupplementsAgedAmino AcidsAmino Acids, EssentialCross-Over StudiesDouble-Blind MethodFemaleForced Expiratory VolumeHealthy VolunteersHumansInsulinLeucineMaleMiddle AgedPhenylalanineProtein BiosynthesisAmino AcidsAmino Acids, EssentialInsulinLeucinePhenylalanineWhey ProteinsCOPDEssential amino acidLeucineProtein turnover

Identifiers

PMID28285641
PMCPMC5351771
OpenAlexW2563217678

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.