Evidence map›Paper›PMID 33255223›Full record

ArticleNutrients2020

Fighting Sarcopenia in Ageing European Adults: The Importance of the Amount and Source of Dietary Proteins.

Diego Montiel-Rojas, Andreas Nilsson, Aurelia Santoro, Alberto Bazzocchi, Lisette C P G M de Groot, Edith J M Feskens, Agnes A M Berendsen, Dawid Madej, Joanna Kaluza, Barbara Pietruszka and 6 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07356440 (Effect of Consumption of Vegetable Protein-enriched Biscuits and Vitamin D Supplementation on the Progression of Sarcopenia in Elderly Subjects), which is not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 9% 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.

NCT07356440 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Effect of Consumption of Vegetable Protein-enriched Biscuits and Vitamin D Supplementation on the Progression of Sarcopenia in Elderly Subjects

TypeinterventionalSponsorUniversity of UdineRan2025 to 2026Enrolled74ConditionsSarcopenia in Elderly, Sarcopenia, Nutritional Intervention, Microbiome AnalysisArmsVitamin D3 supplement, Protein-enriched biscuits, Control biscuit, Placebo oil
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Protein Intake and Sarcopenia in Older Adults: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022
    Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Multidimensional determinants of active and healthy aging trajectories: a position paper from the Age-It Research Program.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  7. Strength Training and Nutrition Help Prevent Sarcopenia in Older Adults.International journal of environmental research and public health · 2025
    Article
  8. Article
  9. Review
  10. Review
  11. The Metabolic Syndrome, a Human Disease.International journal of molecular sciences · 2024
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

16 authors at 7 institutions in 6 countries.

Diego Montiel-RojasSchool of Health Sciences, Örebro University, 702 81 Örebro, Sweden.ORCID 0000-0003-3268-1544
Andreas NilssonSchool of Health Sciences, Örebro University, 702 81 Örebro, Sweden.ORCID 0000-0003-3793-335X
Aurelia SantoroDepartment of Experimental, Diagnostic and Specialty Medicine, Alma Mater Studiorum, University of Bologna, 40138 Bologna, Italy.
Alberto BazzocchiDiagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.
Lisette C P G M de GrootDepartment of Human Nutrition and Health, Wageningen University, 6708WE Wageningen, The Netherlands.ORCID 0000-0003-2778-2789
Edith J M FeskensDepartment of Human Nutrition and Health, Wageningen University, 6708WE Wageningen, The Netherlands.
Agnes A M BerendsenDepartment of Human Nutrition and Health, Wageningen University, 6708WE Wageningen, The Netherlands.ORCID 0000-0003-3459-0603
Dawid MadejDepartment of Human Nutrition, Warsaw University of Life Sciences-SGGW, 02-776 Warsaw, Poland.ORCID 0000-0001-9096-4767
Joanna KaluzaDepartment of Human Nutrition, Warsaw University of Life Sciences-SGGW, 02-776 Warsaw, Poland.ORCID 0000-0001-9454-0929
Barbara PietruszkaDepartment of Human Nutrition, Warsaw University of Life Sciences-SGGW, 02-776 Warsaw, Poland.
Amy JenningsNorwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK.
Susan Fairweather-TaitNorwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK.ORCID 0000-0002-1413-5569
Giuseppe BattistaDepartment of Experimental, Diagnostic and Specialty Medicine, Alma Mater Studiorum, University of Bologna, 40138 Bologna, Italy.ORCID 0000-0003-3639-3494
Miriam CapriDepartment of Experimental, Diagnostic and Specialty Medicine, Alma Mater Studiorum, University of Bologna, 40138 Bologna, Italy.
Claudio FranceschiDepartment of Experimental, Diagnostic and Specialty Medicine, Alma Mater Studiorum, University of Bologna, 40138 Bologna, Italy.
Fawzi KadiSchool of Health Sciences, Örebro University, 702 81 Örebro, Sweden.ORCID 0000-0002-9831-0896
Örebro University · SEUniversity of Bologna · ITWageningen University & Research · NLWarsaw University of Life Sciences · PLUniversity of East Anglia · GBIstituto Ortopedico Rizzoli · ITN. I. Lobachevsky State University of Nizhny Novgorod · RU

Funding

European Union's Seventh Framework Program 266486
6 · The paper itself

Abstract

While an adequate protein intake is important for the maintenance of muscle mass during ageing, the amount and source of protein necessary for optimal prevention of sarcopenia remains to be determined. The present study aimed to investigate the influence of the amount and source of dietary proteins on sarcopenia risk in a cohort of 65-79-year-old European adults within the frame of the NU-AGE study. A total of 986 participants were included in the analysis. Skeletal muscle index (SMI), assessed by dual-energy X-ray absorptiometry (DXA), and handgrip strength (HG) were employed to create a continuous sex-specific sarcopenia risk score (SRS). Total amount together with animal- and plant-derived sources of proteins were obtained from a 7-day food record. Differences in SRS were analysed across groups of total protein intake (<0.8 g/body weight (BW); 0.8-<1.0 g/BW; 1.0-<1.2 g/BW; and ≥1.2 g/BW). The association between SRS and the different sources of protein was assessed using isocaloric substitution models adjusted by demographic, medical, and lifestyle factors. A significant linear dose-response relationship was observed, with a lower SRS linked to higher protein intakes. Based on the isocaloric substitution modelling, a reduced SRS was observed when increasing plant protein to the detriment of animal protein, while holding total protein intake constant. Further, this result remained significant after stratifying the analysis by adherence to different levels of protein intake. Our findings suggest that older adults may benefit from increasing protein intakes above current recommendations. Besides total amount, protein source should be considered when promoting health dietary habits in older adults for the prevention of sarcopenia.

Indexed as

AgingAbsorptiometry, PhotonAgedCohort StudiesDietary ProteinsEuropeFemaleHand StrengthHumansMaleMuscle, SkeletalSarcopeniaDietary Proteinsanimal proteinelderlyisocaloric substitutionmacronutrientsmetabolic syndromemuscle massmuscle strengthphysical activityplant protein

Identifiers

PMID33255223
PMCPMC7760110
OpenAlexW3110123618

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.