Evidence map›Paper›PMID 41483327›Full record

Trial reportEuropean journal of nutrition2026

Efficacy of leucine-rich high protein supplementation on body composition and muscle function among older adults with sarcopenia: a randomized controlled trial.

Swin Xin Chung, Suzana Shahar, Devinder Kaur Ajit Singh, Nurul Fatin Malek Rivan, Norwahidah Abdul Karim, Nik Farhan Nik Fuad, Ying Qian Ong, Asnida Arifin, Ashrani Aizzuddin Abd Rahni

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

9 authors.

Swin Xin ChungDietetics Programme, Centre for Healthy Ageing and Wellness (H-CARE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia.
Suzana ShaharDietetics Programme, Centre for Healthy Ageing and Wellness (H-CARE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia. suzana.shahar@ukm.edu.my.
Devinder Kaur Ajit SinghPhysiotherapy Programme, Centre for Healthy Ageing and Wellness (H-CARE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia.
Nurul Fatin Malek RivanNutritional Sciences Programme, Centre for Healthy Ageing and Wellness (H-CARE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia.
Norwahidah Abdul KarimDepartment of Biochemistry, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, 56000, Kuala Lumpur, Malaysia.
Nik Farhan Nik FuadDepartment of Radiology, Universiti Kebangsaan Malaysia Medical Centre, 56000, Kuala Lumpur, Malaysia.
Ying Qian OngDietetics Programme, Centre for Healthy Ageing and Wellness (H-CARE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia.
Asnida ArifinCentre for Healthy Ageing and Wellness (H-CARE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia.
Ashrani Aizzuddin Abd RahniDepartment of Electrical, Electronic and Systems Engineering, Faculty of Engineering and Built Environment, Universiti Kebangsaan Malaysia, 43600, Bangi, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the effect of leucine-rich high protein supplementation on body composition, muscle function and gene expression among older adults with or at risk of sarcopenia residing in Klang Valley, Malaysia.

methodsA total of 47 participants were recruited into this 12-week double-blinded, randomized controlled trial. Intervention group consumed 2 sachets of high protein supplement daily contributing to 50.6 g of protein/day and 6 g of leucine/day. Control group received placebo supplement. Body composition was assessed via anthropometry measurements, bioelectrical impedance analysis (BIA), and magnetic resonance imaging (MRI) of left mid-thigh. Meanwhile, muscle function was assessed using short physical performance battery (SPPB). A total of 16 ml of full blood was collected pre- and post- study to assess participants' health profiling and changes in gene expression as determined by mitochondrial RNA activity derived from the peripheral blood mononuclear cells. The measurements were performed at 0, 6, and 12 weeks.

resultsParticipants were mostly women (89.4%) with a mean age of 69.3 ± 7.1 years. Repeated measures ANOVA showed no significant intervention effect in body composition (anthropometry measurements and BIA) as well as muscle function (SPPB score). However, genes responsible for adenosine triphosphate (ATP) production (GBA, MLYCD), cell proliferation (STAT5A) and DNA repair (BRCC3) were significantly up-regulated in intervention group (p < 0.05).

conclusionLeucine-rich high protein supplementation did not produce significant changes in body composition or muscle function in older adults with sarcopenia. However, it showed potential in improving gene expression. Further studies with a longer supplementation period and a larger sample size might be needed for noticeable changes, particularly for body composition.

Indexed as

Body CompositionDietary ProteinsDietary SupplementsLeucineMuscle, SkeletalSarcopeniaAgedDouble-Blind MethodFemaleHumansMalaysiaMaleMiddle AgedDietary ProteinsLeucineHigh protein supplementationLeucine-richOlder adultsRandomized controlled trialSarcopenia

Identifiers

PMID41483327
PMCPMC12764641

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Registered trials

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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.