Effects of Protein Intake Beyond Habitual Intakes Associated With Resistance Training on Metabolic Syndrome-Related Parameters, Isokinetic Strength, and Body Composition in Older Women

in Journal of Aging and Physical Activity

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Hellen C.G. Nabuco
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Crisieli M. Tomeleri
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Rodrigo R. Fernandes
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Paulo Sugihara Junior
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Edilaine F. Cavalcante
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Danielle Venturini
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Décio S. Barbosa
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Analiza M. Silva
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Luís B. Sardinha
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Edilson S. Cyrino
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The objective of this study was to investigate the effects of protein intake beyond habitual intakes associated with resistance training on metabolic syndrome (MetS)-related parameters, isokinetic strength, and body composition in health older women. A total of 30 older women (68.8 ± 4.3 years) participated in this investigation and were assigned to receive 35 g of whey protein or placebo combined with resistance training, over 12-weeks, three times per week. Blood samples, blood pressure, dietary intake, strength, and body composition were assessed before and after the intervention period. Two-way analysis of variance for repeated measures was applied for comparisons. Both groups improved the skeletal muscle mass, muscular strength, waist circumference, triglycerides, high-density lipoprotein, glucose, resistance, reactance, and MetS Z-score risk. However, the improvements in skeletal muscle mass, waist circumference, and MetS Z-score risk were significantly greater in protein group when compared with control group. Moreover, protein group significantly decreased %body fat when compared with control group. Higher protein intake combined with resistance training promoted greater improvements in skeletal muscle mass, %body fat, waist circumference, and MetS Z-score risk in older women.

Nabuco is with Federal Institute of Science and Technology of Mato Grosso, Mato Grosso, Brazil. Nabuco, Tomeleri, Fernandes, Sugihara Junior, Cavalcante, and Cyrino are with Metabolism, Nutrition, and Exercise Laboratory, Physical Education and Sport Center, Londrina State University, Londrina, Paraná, Brazil. Tomeleri is also with the Faculty of Physical Education, University of Campinas, São Paulo, Brazil. Venturini and Barbosa are with Clinical Analyses Laboratory, Londrina State University, Londrina, Paraná, Brazil. Silva and Sardinha are with Exercise and Health Laboratory, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal.

Nabuco (hellen.nabuco@svc.ifmt.edu.br) is corresponding author.
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  • American College of Sports Medicine. (2009). American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Medicine & Science in Sports & Exercise, 41(3), 687708. doi:10.1249/MSS.0b013e3181915670

    • Search Google Scholar
    • Export Citation
  • Arciero, P.J., Gentile, C.L., Martin-Pressman, R., Ormsbee, M.J., Everett, M., Zwicky, L., & Steele, C.A. (2006). Increased dietary protein and combined high intensity aerobic and resistance exercise improves body fat distribution and cardiovascular risk factors. International Journal of Sport Nutrition and Exercise Metabolism, 16(4), 373392. PubMed ID: 17136940 doi:10.1123/ijsnem.16.4.373

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Breen, L., & Phillips, S.M. (2011). Skeletal muscle protein metabolism in the elderly: Interventions to counteract the “anabolic resistance” of ageing. Nutrition & Metabolism, 8, 68. PubMed ID: 21975196 doi:10.1186/1743-7075-8-68

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Brown, J.C., Harhay, M.O., & Harhay, M.N. (2017). Appendicular lean mass and mortality among prefrail and frail older adults. The Journal of Nutrition, Health & Aging, 21(3), 342345. PubMed ID: 28244576 doi:10.1007/s12603-016-0753-7

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Campbell, W.W., Kim, J.E., Amankwaah, A.F., Gordon, S.L., & Weinheimer-Haus, E.M. (2015). Higher total protein intake and change in total protein intake affect body composition but not metabolic syndrome indexes in middle-aged overweight and obese adults who perform resistance and aerobic exercise for 36 weeks. The Journal of Nutrition, 145(9), 20762083. PubMed ID: 26246322 doi:10.3945/jn.115.213595

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cermak, N.M., Res, P.T., de Groot, L.C., Saris, W.H., & van Loon, L.J. (2012). Protein supplementation augments the adaptive response of skeletal muscle to resistance-type exercise training: A meta-analysis. The American Journal of Clinical Nutrition, 96(6), 14541464. PubMed ID: 23134885 doi:10.3945/ajcn.112.037556

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Chung, J.Y., Kang, H.T., Lee, D.C., Lee, H.R., & Lee, Y.J. (2013). Body composition and its association with cardiometabolic risk factors in the elderly: A focus on sarcopenic obesity. Archives of Gerontology and Geriatrics, 56(1), 270278. PubMed ID: 23079031 doi:10.1016/j.archger.2012.09.007

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155159. PubMed ID: 19565683 doi:10.1037/0033-2909.112.1.155

  • Conceição, M.S., Bonganha, V., Vechin, F.C., Berton, R.P., Lixandrão, M.E., Nogueira, F.R., . . . Libardi, C.A. (2013). Sixteen weeks of resistance training can decrease the risk of metabolic syndrome in healthy postmenopausal women. Clinical Interventions in Aging, 8, 12211228. doi:10.2147/CIA.S44245

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cruz-Jentoft, A.J., Baeyens, J.P., Bauer, J.M., Boirie, Y., Cederholm, T., Landi, F., . . . European Working Group on Sarcopenia in Older People. (2010). Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age and Ageing, 39(4), 412423. PubMed ID: 20392703 doi:10.1093/ageing/afq034

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Deutz, N.E., Bauer, J.M., Barazzoni, R., Biolo, G., Boirie, Y., Bosy-Westphal, A., . . . Calder, P.C. (2014). Protein intake and exercise for optimal muscle function with aging: Recommendations from the ESPEN Expert Group. Clinical Nutrition, 33(6), 929936. PubMed ID: 24814383 doi:10.1016/j.clnu.2014.04.007

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Felicio, D.C., Pereira, D.S., Assumpcao, A.M., de Jesus-Moraleida, F.R., de Queiroz, B.Z., da Silva, J.P., . . . Pereira, L.S. (2014). Poor correlation between handgrip strength and isokinetic performance of knee flexor and extensor muscles in community-dwelling elderly women. Geriatrics & Gerontology International, 14(1), 185189. PubMed ID: 23617580 doi:10.1111/ggi.12077

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Fernandes, R.R., Nabuco, H.C.G., Suguhara Junior, P.S., Cavalcanti, E.F., Tomeleri, C.M., Ribeiro, A.S., . . . Cyrino, E.S. (2018). Effect of protein intake beyond habitual intakes following resistance training on cardiometabolic risk disease parameters in pre-conditioned older women. Experimental Gerontology, 110, 914. PubMed ID: 29752998 doi:10.1016/j.exger.2018.05.003

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gentil, P., Del Vecchio, F.B., Paoli, A., Schoenfeld, B.J., & Bottaro, M. (2017). Isokinetic dynamometry and 1RM tests produce conflicting results for assessing alterations in muscle strength. Journal of Human Kinetics, 56, 1927. PubMed ID: 28469740 doi:10.1515/hukin-2017-0019

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gonzalez, J.T., Rumbold, P.L., & Stevenson, E.J. (2012). Effect of calcium intake on fat oxidation in adults: A meta-analysis of randomized, controlled trials. Obesity Reviews, 13(10), 848857. PubMed ID: 22708505 doi:10.1111/j.1467-789X.2012.01013.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gordon, C.C., Chumlea, W.C., & Roche, A.F. (1988). Stature, recumbent length, and weight. In T.G. Lohman, A.F. Roche, & R. Martorell (Eds.), Anthropometric standardization reference manual (pp. 38). Champaign, IL: Human Kinetics Books.

    • Search Google Scholar
    • Export Citation
  • Grundy, S.M., Cleeman, J.I., Daniels, S.R., Donato, K.A., Eckel, R.H., Franklin, B.A., . . . Costa, F. (2005). Diagnosis and management of the metabolic syndrome: An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation, 112(17), 27352752. PubMed ID: 16157765 doi:10.1161/CIRCULATIONAHA.105.169404

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hakkinen, K., Kallinen, M., Linnamo, V., Pastinen, U.M., Newton, R.U., & Kraemer, W.J. (1996). Neuromuscular adaptations during bilateral versus unilateral strength training in middle-aged and elderly men and women. Acta Physiologica Scandinavica, 158(1), 7788. PubMed ID: 8876751 doi:10.1046/j.1365-201X.1996.523293000.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hamrick, M.W., McGee-Lawrence, M.E., & Frechette, D.M. (2016). Fatty infiltration of skeletal muscle: Mechanisms and comparisons with bone marrow adiposity. Frontiers in Endocrinology, 7, 69. PubMed ID: 27379021 doi:10.3389/fendo.2016.00069

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Janssen, I., Heymsfield, S.B., Baumgartner, R.N., & Ross, R. (2000). Estimation of skeletal muscle mass by bioelectrical impedance analysis. Journal of Applied Physiology, 89(2), 465471. doi:10.1152/jappl.2000.89.2.465

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kalinkovich, A., & Livshits, G. (2017). Sarcopenic obesity or obese sarcopenia: A cross talk between age-associated adipose tissue and skeletal muscle inflammation as a main mechanism of the pathogenesis. Ageing Research Reviews, 35, 200221. PubMed ID: 27702700 doi:10.1016/j.arr.2016.09.008

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Karelis, A.D., Messier, V., Suppere, C., Briand, P., & Rabasa-Lhoret, R. (2015). Effect of cysteine-rich whey protein (immunocal®) supplementation in combination with resistance training on muscle strength and lean body mass in non-frail elderly subjects: A randomized, double-blind controlled study. The Journal of Nutrition, Health & Aging, 19(5), 531536. PubMed ID: 25923482 doi:10.1007/s12603-015-0442-y

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kim, H., Kim, M., Kojima, N., Fujino, K., Hosoi, E., Kobayashi, H., . . . Yoshida, H. (2016). Exercise and nutritional supplementation on community-dwelling elderly Japanese women with sarcopenic obesity: A randomized controlled trial. Journal of the American Medical Directors Association, 17(11), 10111019. PubMed ID: 27544583 doi:10.1016/j.jamda.2016.06.016

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Liao, C.D., Tsauo, J.Y., Wu, Y.T., Cheng, C.P., Chen, H.C., Huang, Y.C., . . . Liou, T.H. (2017). Effects of protein supplementation combined with resistance exercise on body composition and physical function in older adults: A systematic review and meta-analysis. The American Journal of Clinical Nutrition, 106(4), 10781091. PubMed ID: 28814401 doi:10.3945/ajcn.116.143594

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lima, R.M., Bottaro, M., Carregaro, R.L., De Oliveira, J.F., Bezerra, L.M.A., & Oliveira, R.J. (2012). Efeitos do treinamento resistido sobre a força muscular de idosas: uma comparação entre métodos [Effects of resistance training on the muscular strength of the elderly women: A comparison between methods]. Revista Brasileira de Cineantropometria e Desempenho Humano, 14(4), 409418. doi:10.5007/1980-0037.2012v14n4p409

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Maltais, M.L., Perreault, K., Courchesne-Loyer, A., Lagacé, J.-C., Barsalani, R., & Dionne, I.J. (2016). Effect of resistance training and various sources of protein supplementation on body fat mass and metabolic profile in sarcopenic overweight older adult men: A pilot study. International Journal of Sport Nutrition and Exercise Metabolism, 26(1), 7177. PubMed ID: 26894503 doi:10.1123/ijsnem.2015-0160

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mirmiran, P., Hajifaraji, M., Bahadoran, Z., Sarvghadi, F., & Azizi, F. (2012). Dietary protein intake is associated with favorable cardiometabolic risk factors in adults: Tehran Lipid and Glucose Study. Nutrition Research, 32(3), 169176. PubMed ID: 22464803 doi:10.1016/j.nutres.2012.01.003

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Monego, E., Peixoto, M.R., Santiago, R., Gil, M.F., Cordeiro, M.M., Campos, M.I., & de Souza, R.G. (2013). Alimentos Brasileiros e Suas Porções: Um Guia para Avaliação do Consumo Alimentar [Brazilian Foods and Their Portions: A Guide to Evaluating Food Consumption]. Rio de Janeiro, Brazil: Rúbio.

    • Search Google Scholar
    • Export Citation
  • Morton, R.W., Murphy, K.T., McKellar, S.R., Schoenfeld, B.J., Henselmans, M., Helms, E., . . . Phillips, S.M. (2018). A systematic review, meta-analysis and meta-regression of the effect of protein supplementation on resistance training-induced gains in muscle mass and strength in healthy adults. British Journal of Sports Medicine, 52(6), 376384. PubMed ID: 28698222 doi:10.1136/bjsports-2017-097608

    • Search Google Scholar
    • Export Citation
  • Nabuco, H.C.G., Tomeleri, C.M., Sugihara Junior, P., Fernandes, R.R., Cavalcante, E.F., Antunes, M., . . . Cyrino, E.S. (2018a). Lower protein and higher carbohydrate intake are related with altering metabolic syndrome components in elderly women: A cross-sectional study. Experimental Gerontology, 103, 132137. doi:10.1016/j.exger.2018.01.013

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Nabuco, H.C.G., Tomeleri, C.M., Sugihara Junior, P., Fernandes, R.R., Cavalcante, E.F., Antunes, M., . . . Cyrino, E.S. (2018b). Effects of whey protein supplementation pre- or post-resistance training on muscle mass, muscular strength, and functional capacity in pre-conditioned older women: A randomized clinical trial. Nutrients, 10(5), 563. doi:10.3390/nu10050563

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Newman, A.B., Kupelian, V., Visser, M., Simonsick, E.M., Goodpaster, B.H., Kritchevsky, S.B., . . . Harris, T.B. (2006). Strength, but not muscle mass, is associated with mortality in the health, aging and body composition study cohort. The Journals of Gerontology, Series A: Biological Sciences & Medical Sciences, 61(1), 7277. doi:10.1093/gerona/61.1.72

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Oliveira, P.F., Gadelha, A.B., Gauche, R., Paiva, F.M., Bottaro, M., Vianna, L.C., & Lima, R.M. (2015). Resistance training improves isokinetic strength and metabolic syndrome-related phenotypes in postmenopausal women. Clinical Interventions in Aging, 10, 12991304. PubMed ID: 26300634 doi:10.2147/CIA.S87036

    • Search Google Scholar
    • Export Citation
  • Pal, S., & Ellis, V. (2011). Acute effects of whey protein isolate on blood pressure, vascular function and inflammatory markers in overweight postmenopausal women. British Journal of Nutrition, 105(10), 15121519. PubMed ID: 21272399 doi:10.1017/S0007114510005313

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Pal, S., & Radavelli-Bagatini, S. (2013). The effects of whey protein on cardiometabolic risk factors. Obesity Reviews, 14(4), 324343. PubMed ID: 23167434 doi:10.1111/obr.12005

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Peppa, M. (2012). Body composition as an important determinant of metabolic syndrome in postmenopausal women. Endocrinology & Metabolic Syndrome, 2(1). doi:10.4172/2161-1017.S1-009

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Peppa, M., Koliaki, C., Papaefstathiou, A., Garoflos, E., Katsilambros, N., Raptis, S.A., . . . Dimitriadis, G.D. (2013). Body composition determinants of metabolic phenotypes of obesity in nonobese and obese postmenopausal women. Obesity, 21(9), 18071814. PubMed ID: 23696298 doi:10.1002/oby.20227

    • Search Google Scholar
    • Export Citation
  • Perna, S., Guido, D., Grassi, M., & Rondanelli, M. (2015). Association between muscle mass and adipo-metabolic profile: A cross-sectional study in older subjects. Clinical Interventions in Aging, 10, 499504. PubMed ID: 25759569 doi:10.2147/cia.S67872

    • Search Google Scholar
    • Export Citation
  • Pinheiro, A.B.V., Lacerda, E.M.A., Benzecry, E.H., Gomes, M.C.S., & da Costa, V.M. (2009). Tabela para avaliação de consumo alimentar em medidas caseiras [Table for evaluation of food consumption in household measures]. Atheneu.

    • Search Google Scholar
    • Export Citation
  • Rabelo, H.T., Bezerra, L.A., Terra, D.F., Lima, R.M., Silva, M.A., Leite, T.K., & de Oliveira, R.J. (2011). Effects of 24 weeks of progressive resistance training on knee extensors peak torque and fat-free mass in older women. The Journal of Strength and Conditioning Research, 25(8), 22982303. PubMed ID: 21606859 doi:10.1519/JSC.0b013e3181e86106

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ribeiro, A.S., Deminice, R., Schoenfeld, B.J., Tomeleri, C.M., Padilha, C.S., Venturini, D., . . . Cyrino, E.S. (2017). Effect of resistance training systems on oxidative stress in older women. International Journal of Sport Nutrition and Exercise Metabolism, 27(5), 439447. doi:10.1123/ijsnem.2016-0322

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ribeiro, A.S., Schoenfeld, B.J., Souza, M.F., Tomeleri, C.M., Venturini, D., Barbosa, D.S., & Cyrino, E.S. (2016). Traditional and pyramidal resistance training systems improve muscle quality and metabolic biomarkers in older women: A randomized crossover study. Experimental Gerontology, 79, 815. PubMed ID: 26972635 doi:10.1016/j.exger.2016.03.007

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ribeiro, A.S., Tomeleri, C.M., Souza, M.F., Pina, F.L., Schoenfeld, B.J., Nascimento, M.A., . . . Cyrino, E.S. (2015). Effect of resistance training on C-reactive protein, blood glucose and lipid profile in older women with differing levels of RT experience. Age, 37(6), 109. PubMed ID: 26499819 doi:10.1007/s11357-015-9849-y

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Sardinha, L.B., Lohman, T.G., Teixeira, P.J., Guedes, D.P., & Going, S.B. (1998). Comparison of air displacement plethysmography with dual-energy X-ray absorptiometry and 3 field methods for estimating body composition in middle-aged men. The American Journal of Clinical Nutrition, 68(4), 786793. PubMed ID: 9771855 doi:10.1093/ajcn/68.4.786

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Sociedade Brasileira de Cardiologia, Sociedade Brasileira de Hipertensão, and Sociedade Brasileira de Nefrologia. (2010). VI Brazilian guidelines on hypertension. Arquivos Brasileiros de Cardiologia, 95(Suppl. 1), 151.

    • Search Google Scholar
    • Export Citation
  • Sugihara Junior, P., Ribeiro, A.S., Nabuco, H.C.G., Fernandes, R.R., Tomeleri, C.M., Cunha, P.M., . . . Cyrino, E.S. (2017). Effects of whey protein supplementation associated with resistance training on muscular strength, hypertrophy and muscle quality in pre-conditioned older women. International Journal of Sport Nutrition and Exercise Metabolism, 28(5): 528535. doi:10.1123/ijsnem.2017-0253

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Taleb-Belkadi, O., Chaib, H., Zemour, L., Fatah, A., Chafi, B., & Mekki, K. (2016). Lipid profile, inflammation, and oxidative status in peri- and postmenopausal women. Gynecological Endocrinology, 14. doi:10.1080/09513590.2016.1214257

    • Search Google Scholar
    • Export Citation
  • Tian, S., & Xu, Y. (2016). Association of sarcopenic obesity with the risk of all-cause mortality: A meta-analysis of prospective cohort studies. Geriatrics & Gerontology International, 16(2), 155166. PubMed ID: 26271226 doi:10.1111/ggi.12579

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Tomeleri, C.M., Ribeiro, A.S., Souza, M.F., Schiavoni, D., Schoenfeld, B.J., Venturini, D., . . . Cyrino, E.S. (2016). Resistance training improves inflammatory level, lipid and glycemic profiles in obese older women: A randomized controlled trial. Experimental Gerontology, 84, 8087. PubMed ID: 27616162 doi:10.1016/j.exger.2016.09.005

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Tomeleri, C.M., Souza, M.F., Burini, R.C., Cavaglieri, C.R., Ribeiro, A.S., Antunes, M., . . . Cyrino, E.S. (2018). Resistance training reduces metabolic syndrome and inflammatory markers in older women: A randomized controlled trial. Journal of Diabetes, 10(4), 328337. PubMed ID: 29031002 doi:10.1111/1753-0407.12614

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ward-Ritacco, C.L., Adrian, A.L., Johnson, M.A., Rogers, L.Q., & Evans, E.M. (2014). Adiposity, physical activity, and muscle quality are independently related to physical function performance in middle-aged postmenopausal women. Menopause, 21(10), 11141121. PubMed ID: 24618768 doi:10.1097/GME.0000000000000225

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Zamboni, M., Rossi, A.P., Fantin, F., Zamboni, G., Chirumbolo, S., Zoico, E., & Mazzali, G. (2013). Adipose tissue, diet and aging. Mechanisms of Ageing and Development, 136–137, 129137. PubMed ID: 24662191 doi:10.1016/j.mad.2013.11.008

    • Search Google Scholar
    • Export Citation
  • Zemel, M.B. (2004). Role of calcium and dairy products in energy partitioning and weight management. The American Journal of Clinical Nutrition, 79(5), 907S912S. PubMed ID: 15113738 doi:10.1093/ajcn/79.5.907S

    • Crossref
    • Search Google Scholar
    • Export Citation
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