Evidence map›Paper›PMID 31307843›Full record

Trial reportClinical nutrition (Edinburgh, Scotland)2020

Effect of essential amino acid supplementation and aerobic exercise on insulin sensitivity in healthy older adults: A randomized clinical trial.

Amanda C Randolph, Melissa M Markofski, Blake B Rasmussen, Elena Volpi

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical nutrition (Edinburgh, Scotland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00872911 (Nutrition and Exercise to Improve Protein Metabolism and Prevent Sarcopenia in Aging), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 34% 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.

NCT00872911 phase1completednot on this map

Nutrition and Exercise to Improve Protein Metabolism and Prevent Sarcopenia in Aging

TypeinterventionalSponsorThe University of Texas Medical Branch, GalvestonRan2009 to 2016Enrolled108ConditionsSarcopeniaArmsAmino acids, Exercise
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Article
  8. Article
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

4 authors at 1 institution in 1 country.

Amanda C RandolphSealy Center on Aging, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.
Melissa M MarkofskiSealy Center on Aging, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.
Blake B RasmussenSealy Center on Aging, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA; Department of Nutrition and Metabolism, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.
Elena VolpiSealy Center on Aging, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA; Department of Internal Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA. Electronic address: evolpi@utmb.edu.
The University of Texas Medical Branch at Galveston · US

Funding

UTMB Clinical and Translational Science AwardUL1TR001439 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI URBAN, RANDALL J · 2015 to 2024
$40.0M
UTMB OAIC Research Education Component (REC)P30AG024832 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI JAMES S. GOODWIN, MD, MELISSA M. MORROW · 2005 to 2026
$26.7M
Nutrition & Exercise to Improve Protein Metabolism & Prevent Sarcopenia in AgingR01AG030070 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI VOLPI, ELENA · 2008 to 2013
$2.5M
Clinical and Behavioral Science Training in Aging and Health DisparitiesT32AG051131 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI MARKIDES, KYRIAKOS S · 2015 to 2019
$436k
Advanced Glycation End-products, Exercise, and SarcopeniaF30AG058381 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI RANDOLPH, AMANDA · 2017 to 2021
$187k
NCATS NIH HHS UL1 TR001439NIA NIH HHS F30 AG058381NIA NIH HHS P30 AG024832NIA NIH HHS R01 AG030070NIA NIH HHS T32 AG051131
6 · The paper itself

Abstract

BACKGROUND &

aimsThe combination of prolonged essential amino acid (EAA) supplementation and aerobic exercise training (Ex) improves muscle protein metabolism, strength and function in healthy older adults. However, excess EAA intake may worsen insulin sensitivity. Here we report the effects of EAA supplementation (EAA, n = 11), placebo (PLA, n = 10), aerobic exercise with placebo (Ex + PLA, n = 11) or Ex with EAA supplementation (Ex + EAA, n = 10) for 22 weeks on insulin sensitivity in non-diabetic older adults.

methodsA 2 × 2 design with block randomization and double blinding for supplement or placebo was used. Subjects ingested EAA (15 g) or placebo daily. Exercising subjects participated in supervised progressive vigorous treadmill walking 3 times weekly. Measures of insulin sensitivity by oral glucose tolerance testing were collected at baseline and 22 weeks. Dietary intakes of protein and specific amino acids were determined in a subset of subjects.

resultsOverall, exercise improved insulin sensitivity, while EAA supplementation had no effect. In the dietary subset, post-intervention insulin sensitivity did not correlate significantly with the total intake of EAA, anti-angiogenic amino acids (cysteine, methionine), or branched-chain amino acids (isoleucine, leucine, valine).

conclusionsOverall, we conclude that in healthy older adults with moderate protein intake, EAA supplementation is metabolically safe as it does not decrease insulin sensitivity regardless of its combination with aerobic exercise. Thus, daily protein intake should be controlled for when modeling insulin sensitivity. Future studies should explore the role of increased blood flow as a potential explanatory factor for the observed interaction between aerobic exercise and supplementation. CLINICAL TRIAL REGISTRATION NUMBER: NCT00872911.

Indexed as

Dietary SupplementsExerciseInsulin ResistanceAgedAmino Acids, EssentialDouble-Blind MethodFemaleHumansMaleAmino Acids, EssentialGlucose metabolismMatsuda indexSarcopenia

Identifiers

PMID31307843
PMCPMC6934924
OpenAlexW2954847175

What OpenQuestion holds

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Registered trials

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.