PMID- 37239618 OWN - NLM STAT- MEDLINE DCOM- 20230529 LR - 20230613 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 20 IP - 10 DP - 2023 May 20 TI - The Influence of Whey Protein on Muscle Strength, Glycemic Control and Functional Tasks in Older Adults with Type 2 Diabetes Mellitus in a Resistance Exercise Program: Randomized and Triple Blind Clinical Trial. LID - 10.3390/ijerph20105891 [doi] LID - 5891 AB - OBJECTIVES: To evaluate the effect of whey protein (WP) supplementation associated with resistance training (RT) on glycemic control, functional tasks, muscle strength, and body composition in older adults living with type 2 diabetes mellitus (T2DM). Secondly, to evaluate the safety of the protocol for renal function. METHODS: The population comprised twenty-six older men living with T2DM (68.5 +/- 11.5 years old). The participants were randomly assigned to the Protein Group (PG) and the Control Group (CG). The handgrip test and evolution of exercise loads, according to the Omni Resistance Exercise Scale, evaluated muscle strength. Functional tasks were assessed by force platform in three different protocols: Sit-to-Stand, Step/Quick Turn, and Step Up/Over. Body composition was evaluated by bioimpedance and glycemic control and renal function were assessed by biochemical analyses. Both groups performed RT for 12 weeks, twice a week, prioritizing large muscle groups. Protein supplementation was 20 g of whey protein isolate and the CG was supplemented with an isocaloric drink, containing 20 g of maltodextrin. RESULTS: There was a significant difference in muscle strength, according to the evolution of the exercise loads, but it was not confirmed in the handgrip test. However, there was no significant difference between the groups, regarding performance in functional tasks, glycemic control, or body composition. Renal function showed no alteration. CONCLUSION: The intake of 20 g of WP in older male adults living with T2DM did not increase the effect of RT on muscle strength, functional tasks, and glycemic control. The intervention was proven safe regarding renal function. FAU - Soares, Andre Luiz de Seixas AU - Soares ALS AD - Program in Aging Sciences, Universidade Sao Judas Tadeu (USJT), Sao Paulo 03166-000, SP, Brazil. AD - Georgia Prevention Institute, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA. FAU - Machado-Lima, Adriana AU - Machado-Lima A AUID- ORCID: 0000-0002-5741-3418 AD - Program in Aging Sciences, Universidade Sao Judas Tadeu (USJT), Sao Paulo 03166-000, SP, Brazil. AD - Laboratory Study of Movement, Instituto de Ortopedia e Traumatologia do Hospital das Clinicas (IOT-HC), Faculdade de Medicina da Universidade de Sao Paulo (FMUSP), Sao Paulo 05402-000, SP, Brazil. FAU - Brech, Guilherme Carlos AU - Brech GC AUID- ORCID: 0000-0002-0403-0632 AD - Program in Aging Sciences, Universidade Sao Judas Tadeu (USJT), Sao Paulo 03166-000, SP, Brazil. AD - Laboratory Study of Movement, Instituto de Ortopedia e Traumatologia do Hospital das Clinicas (IOT-HC), Faculdade de Medicina da Universidade de Sao Paulo (FMUSP), Sao Paulo 05402-000, SP, Brazil. FAU - Greve, Julia Maria D'Andrea AU - Greve JMD AD - Laboratory Study of Movement, Instituto de Ortopedia e Traumatologia do Hospital das Clinicas (IOT-HC), Faculdade de Medicina da Universidade de Sao Paulo (FMUSP), Sao Paulo 05402-000, SP, Brazil. FAU - Dos Santos, Joselma Rodrigues AU - Dos Santos JR AD - Laboratory Study of Movement, Instituto de Ortopedia e Traumatologia do Hospital das Clinicas (IOT-HC), Faculdade de Medicina da Universidade de Sao Paulo (FMUSP), Sao Paulo 05402-000, SP, Brazil. FAU - Inojossa, Thiago Resende AU - Inojossa TR AD - Laboratory Study of Movement, Instituto de Ortopedia e Traumatologia do Hospital das Clinicas (IOT-HC), Faculdade de Medicina da Universidade de Sao Paulo (FMUSP), Sao Paulo 05402-000, SP, Brazil. FAU - Rogero, Marcelo Macedo AU - Rogero MM AUID- ORCID: 0000-0003-0517-1645 AD - Department of Nutrition, Faculty of Public Health, FMSUP, Sao Paulo 01151-000, SP, Brazil. FAU - Salles, Joao Eduardo Nunes AU - Salles JEN AD - Department of Internal Medicine, The Discipline of Endocrinology, Santa Casa of Sao Paulo Medical School, Sao Paulo 01224-001, SP, Brazil. FAU - Santarem-Sobrinho, Jose Maria AU - Santarem-Sobrinho JM AD - Centro de Estudos em Ciencias da Atividade Fisica-CECAFI-FMUSP, Sao Paulo 05403-010, SP, Brazil. FAU - Davis, Catherine L AU - Davis CL AD - Georgia Prevention Institute, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA. FAU - Alonso, Angelica Castilho AU - Alonso AC AUID- ORCID: 0000-0002-9644-5068 AD - Program in Aging Sciences, Universidade Sao Judas Tadeu (USJT), Sao Paulo 03166-000, SP, Brazil. AD - Laboratory Study of Movement, Instituto de Ortopedia e Traumatologia do Hospital das Clinicas (IOT-HC), Faculdade de Medicina da Universidade de Sao Paulo (FMUSP), Sao Paulo 05402-000, SP, Brazil. LA - eng SI - ClinicalTrials.gov/NCT03792646 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20230520 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 RN - 0 (Whey Proteins) SB - IM MH - Humans MH - Male MH - Aged MH - Middle Aged MH - Aged, 80 and over MH - Whey Proteins/therapeutic use MH - *Resistance Training/methods MH - *Diabetes Mellitus, Type 2/therapy MH - Hand Strength MH - Glycemic Control MH - Muscle, Skeletal/physiology MH - Double-Blind Method MH - Muscle Strength/physiology MH - Dietary Supplements MH - Body Composition/physiology PMC - PMC10217832 OTO - NOTNLM OT - older adults OT - postural balance OT - resistance training OT - type 2 diabetes OT - whey protein COIS- The authors declare no conflict of interest. EDAT- 2023/05/27 09:42 MHDA- 2023/05/29 06:41 PMCR- 2023/05/20 CRDT- 2023/05/27 01:12 PHST- 2023/02/24 00:00 [received] PHST- 2023/04/24 00:00 [revised] PHST- 2023/05/09 00:00 [accepted] PHST- 2023/05/29 06:41 [medline] PHST- 2023/05/27 09:42 [pubmed] PHST- 2023/05/27 01:12 [entrez] PHST- 2023/05/20 00:00 [pmc-release] AID - ijerph20105891 [pii] AID - ijerph-20-05891 [pii] AID - 10.3390/ijerph20105891 [doi] PST - epublish SO - Int J Environ Res Public Health. 2023 May 20;20(10):5891. doi: 10.3390/ijerph20105891.