Evidence map›Paper›PMID 41863133›Full record

Trial reportJournal of the International Society of Sports Nutrition2026

Combined resistance exercise and essential amino acid intake enhance follistatin/myostatin ratio and muscle fitness in older women: a randomized controlled trial.

Deokhwa Jeong, Rudy J Valentine, Hyeongmo Jeong, Jun-Young Sung, Heekyoung Lim, Sunghwun Kang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the International Society of Sports Nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Review
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

6 authors.

Deokhwa JeongDepartment of Smart Health Science and Technology, Kangwon National University, Gangwon-do, Republic of Korea.
Rudy J ValentineDepartment of Physical Therapy & Kinesiology, University of Massachusetts Lowell, Lowell, MA, United States.ORCID 0000-0003-4915-6615
Hyeongmo JeongDepartment of Sport Science, Kangwon National University, Gangwon-do, Republic of Korea.ORCID 0009-0005-7914-1395
Jun-Young SungInstitute of Sports Medicine & Nutrition, Kwangwoon University, Seoul, Republic of Korea.
Heekyoung LimQuerencia, a Forest Walfare Business, Gangwon-do, Republic of Korea.
Sunghwun KangDepartment of Smart Health Science and Technology, Kangwon National University, Gangwon-do, Republic of Korea.ORCID 0000-0002-3932-0218

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAge-associated sarcopenia and declining physical function in older women are connected to changes in hormones, inflammation, and disrupted protein metabolism. Myokines and cytokines play central roles in muscle atrophy. While both resistance exercise (RE) and essential amino acid (EAA) supplementation are promising interventions, limited randomized trials have assessed their combined effect in healthy elderly populations. Early targeted strategies may help delay sarcopenia and promote healthier aging.

methodsA 12-week randomized controlled trial was performed involving 96 healthy women aged ≥ 65 years without insulin resistance. Participants were randomized into four groups: control, RE, EAA, or RE + EAA. The intervention consisted of a circuit-based training program conducted three times per week, with each session lasting 60 minutes at moderate intensity. Participants in EAA and RE + EAA groups consumed 5.5g of EAA twice daily. Assessments before and after the intervention included body composition, muscle fitness, serum myokines, and inflammatory cytokines. Data analysis involved two-way repeated measures ANOVA, Bonferroni post-hoc comparisons, and one-way ANOVA for changes in the follistatin/myostatin ratio.

resultsThe RE + EAA group demonstrated a significant increase in muscle mass (F(3, 72) = 5.042,

conclusionA 12-week intervention combining resistance exercise and essential amino acid supplementation was superior to either intervention alone in enhancing muscle mass, muscle fitness, myokine profiles, and reducing inflammatory markers among healthy older women. These results support the development of early combined interventions for the prevention of sarcopenia and may guide personalized exercise-nutrition prescriptions for optimal aging.

trial registrationKCT 0010756 (Retrospectively registered; July 15, 2025).

Indexed as

Amino Acids, EssentialDietary SupplementsFollistatinMuscle, SkeletalMyostatinPhysical FitnessResistance TrainingAgedBody CompositionCytokinesFemaleHumansInterleukin-6Muscle StrengthMyokinesSarcopeniaAmino Acids, EssentialCytokinesFollistatinInterleukin-6MyokinesMyostatinessential amino acidmuscle fitnessmuscle massmyokinesResistance exercise

Identifiers

PMID41863133
PMCPMC13007441

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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.