A Dietary Supplement Containing Essential Amino Acids in Combination with Resistance Training Improves Body Composition and Physical Performance Parameters in Generally Healthy Adults: A Pragmatic Single Arm Study Original Research
Main Article Content
Keywords
lean body mass, muscular strength, protein
Abstract
Introduction: Essential amino acid (EAA) supplements are popular for increasing muscle mass and improving performance.
Methods: This pragmatic single arm study enrolled 30 participants (17F/13M) to consume a commercially available supplement providing 3.6 g/d EAA + arginine and complete supervised strength training (two, upper-body days, two, lower body days/week) over a 10-week period. DXA body composition, muscular strength (1 repetition max [1RM]) muscular endurance (number of repetitions to failure), and the Acute Recovery and Stress Scale (ARSS) were assessed at baseline and week 10.
Results: Participants (n=27 completers [15F/12M]; mean ± SD age 38.7 ± 8.6 y and BMI 29.4 ± 3.6 kg/m2) experienced statistically significant (p<0.05) reductions in total fat mass (-0.9 [-1.8, -0.1] kg) and visceral fat (-96 [-165, -26] g), with concurrent increases in total lean body mass (1.1 [0.4, 1.8] kg), upper body strength (~18% increase in bench press 1-RM), lower body strength (~40% increase in angled leg-press 1-RM), and muscular endurance (~75% increased repetitions to failure for both exercises). Additionally, participants demonstrated improvements in all stress and recovery outcomes within the ARSS.
Conclusions: These results demonstrate the potential value of EAA supplementation as part of a comprehensive approach to support physical performance and body composition in previously untrained or recreationally trained adults.
References
2. Tipton KD, Ferrando AA, Phillips SM, Doyle D, Jr., Wolfe RR. Postexercise net protein synthesis in human muscle from orally administered amino acids. Am J Physiol. Apr 1999;276(4):E628-34. doi:10.1152/ajpendo.1999.276.4.E628. https://journals.physiology.org/doi/full/10.1152/ajpendo.1999.276.4.E628
3. Biolo G, Tipton KD, Klein S, Wolfe RR. An abundant supply of amino acids enhances the metabolic effect of exercise on muscle protein. Am J Physiol. Jul 1997;273(1 Pt 1):E122-9. doi:10.1152/ajpendo.1997.273.1.E122. https://journals.physiology.org/doi/abs/10.1152/ajpendo.1997.273.1.E122
4. Fujita S, Dreyer HC, Drummond MJ, et al. Nutrient signalling in the regulation of human muscle protein synthesis. J Physiol. Jul 15 2007;582(Pt 2):813-23. doi:10.1113/jphysiol.2007.134593. https://physoc.onlinelibrary.wiley.com/doi/epdf/10.1113/jphysiol.2007.134593
5. Volpi E, Kobayashi H, Sheffield-Moore M, Mittendorfer B, Wolfe RR. Essential amino acids are primarily responsible for the amino acid stimulation of muscle protein anabolism in healthy elderly adults. Am J Clin Nutr. Aug 2003;78(2):250-8. doi:10.1093/ajcn/78.2.250. https://www.sciencedirect.com/science/article/pii/S0002916522032920
6. Wu G. Amino acids: biochemistry and nutrition CRC Press; 2013.
7. Institute of Medicine. Protein and amino acids. Dietary Reference Intakes: the essential guide to nutrient requirements. Washington (DC): Institute of Medicine, National Academies Press; 2006.
8. Fryar CD, Kruszon-Moran D, Gu Q, Ogden CL. Mean body weight, height, waist circumference, and body mass index among adults: United States, 1999–2000 through 2015–2016. National Health Statistics Reports; no 122 Hyattsville, MD: National Center for Health Statistics. 2018.
9. Hou Y, Wu G. Nutritionally Essential Amino Acids. Adv Nutr. Nov 1 2018;9(6):849-851. doi:10.1093/advances/nmy054. https://www.sciencedirect.com/science/article/pii/S216183132201273X
10. Spillane M, Emerson C, Willoughby DS. The effects of 8 weeks of heavy resistance training and branched-chain amino acid supplementation on body composition and muscle performance. Nutr Health. Oct 2012;21(4):263-73. doi:10.1177/0260106013510999. https://journals.sagepub.com/doi/10.1177/0260106013510999
11. Willoughby DS, Stout JR, Wilborn CD. Effects of resistance training and protein plus amino acid supplementation on muscle anabolism, mass, and strength. Amino Acids. 2007;32(4):467-77. doi:10.1007/s00726-006-0398-7. https://link.springer.com/article/10.1007/s00726-006-0398-7
12. NSCA’s Guide to Tests and Assessments. (2012). (T. A. Miller Ed.). Champaign, IL: Human Kinetics.
13. Ferrando AA, Wolfe RR, Hirsch KR, et al. International Society of Sports Nutrition Position Stand: Effects of essential amino acid supplementation on exercise and performance. J Int Soc Sports Nutr. Dec 2023;20(1):2263409. doi:10.1080/15502783.2023.2263409. https://www.tandfonline.com/doi/full/10.1080/15502783.2023.2263409
14. Phillips SM. The impact of protein quality on the promotion of resistance exercise-induced changes in muscle mass. Nutr Metab (Lond). 2016;13:64. doi:10.1186/s12986-016-0124-8. https://nutritionandmetabolism.biomedcentral.com/articles/10.1186/s12986-016-0124-8
15. Churchward-Venne TA, Burd NA, Phillips SM. Nutritional regulation of muscle protein synthesis with resistance exercise: strategies to enhance anabolism. Nutr Metab (Lond). May 17 2012;9(1):40. doi:10.1186/1743-7075-9-40. https://nutritionandmetabolism.biomedcentral.com/articles/10.1186/1743-7075-9-40
16. Andersen LL, Tufekovic G, Zebis MK, et al. The effect of resistance training combined with timed ingestion of protein on muscle fiber size and muscle strength. Metabolism. Feb 2005;54(2):151-6. doi:10.1016/j.metabol.2004.07.012. https://www.sciencedirect.com/science/article/abs/pii/S0026049504003063
17. Bird SP, Tarpenning KM, Marino FE. Independent and combined effects of liquid carbohydrate/essential amino acid ingestion on hormonal and muscular adaptations following resistance training in untrained men. Eur J Appl Physiol. May 2006;97(2):225-38. doi:10.1007/s00421-005-0127-z. https://link.springer.com/article/10.1007/s00421-005-0127-z
18. Cribb PJ, Williams AD, Stathis CG, Carey MF, Hayes A. Effects of whey isolate, creatine, and resistance training on muscle hypertrophy. Med Sci Sports Exerc. Feb 2007;39(2):298-307. doi:10.1249/01.mss.0000247002.32589.ef. https://journals.lww.com/acsm-msse/fulltext/2007/02000/effects_of_whey_isolate,_creatine,_and_resistance.12.aspx
19. Hulmi JJ, Kovanen V, Selanne H, Kraemer WJ, Hakkinen K, Mero AA. Acute and long-term effects of resistance exercise with or without protein ingestion on muscle hypertrophy and gene expression. Amino Acids. Jul 2009;37(2):297-308. doi:10.1007/s00726-008-0150-6. https://link.springer.com/article/10.1007/s00726-008-0150-6
20. Josse AR, Tang JE, Tarnopolsky MA, Phillips SM. Body composition and strength changes in women with milk and resistance exercise. Med Sci Sports Exerc. Jun 2010;42(6):1122-30. doi:10.1249/MSS.0b013e3181c854f6. https://journals.lww.com/acsm-msse/fulltext/2010/06000/body_composition_and_strength_changes_in_women.11.aspx
21. Kerksick CM, Rasmussen CJ, Lancaster SL, et al. The effects of protein and amino acid supplementation on performance and training adaptations during ten weeks of resistance training. J Strength Cond Res. Aug 2006;20(3):643-53.
22. Wilkinson DJ, Bukhari SSI, Phillips BE, et al. Effects of leucine-enriched essential amino acid and whey protein bolus dosing upon skeletal muscle protein synthesis at rest and after exercise in older women. Clin Nutr. Dec 2018;37(6 Pt A):2011-2021. doi:10.1016/j.clnu.2017.09.008. https://www.sciencedirect.com/science/article/pii/S0261561417313407
23. Paddon-Jones D, Sheffield-Moore M, Katsanos CS, Zhang XJ, Wolfe RR. Differential stimulation of muscle protein synthesis in elderly humans following isocaloric ingestion of amino acids or whey protein. Exp Gerontol. Feb 2006;41(2):215-9. doi:10.1016/j.exger.2005.10.006. https://www.sciencedirect.com/science/article/abs/pii/S0531556505002548
24. Bukhari SS, Phillips BE, Wilkinson DJ, et al. Intake of low-dose leucine-rich essential amino acids stimulates muscle anabolism equivalently to bolus whey protein in older women at rest and after exercise. Am J Physiol Endocrinol Metab. Jun 15 2015;308(12):E1056-65. doi:10.1152/ajpendo.00481.2014. https://journals.physiology.org/doi/full/10.1152/ajpendo.00481.2014
25. Matsui Y, Takayanagi S, Ohira T, et al. Effect of a leucine-enriched essential amino acids mixture on muscle recovery. J Phys Ther Sci. Jan 2019;31(1):95-101. doi:10.1589/jpts.31.95. https://www.jstage.jst.go.jp/article/jpts/31/1/31_jpts-2018-338/_article