title: Insufficient amounts and inadequate distribution of dietary protein intake in apparently healthy older adults in a developing country: implications for dietary strategies to prevent sarcopenia.
abstract: BACKGROUND
  Both low dietary protein intake and inadequate distribution of protein over the three mealtimes have been reported in older Caucasian adults, but the association between protein intake at each meal and muscle mass has not been studied. The purpose of this study was to evaluate dietary protein intake and distribution by mealtimes, and to explore their association with appendicular skeletal muscle mass in apparently healthy older adults.
  
  
  METHODS
  This was a cross-sectional pilot study that included 78 people over the age of 60 years. Caloric and protein intake were estimated on the basis of three nonconsecutive 24-hour diet recalls and appendicular skeletal muscle mass by dual-energy X-ray absorptiometry.
  
  
  RESULTS
  Men consumed 13.4 g of protein/day more than women (P < 0.05). The estimated value of dietary protein intake was 0.9 g/kg/day. In this sample, 28% of subjects did not cover 100% of the dietary reference intake for protein. Lower consumption of dietary protein was found at breakfast and dinnertime compared with the recommended amount of 25-30 g (P < 0.05). Also, the study observed that appendicular skeletal muscle mass in men and women who consumed <25 g of protein at each mealtime was different from that found in the group that consumed >25 g of protein at one, two, or three mealtimes.
  
  
  CONCLUSIONS
  While protein intake was higher than current recommendations, it failed to achieve the values reported as necessary to prevent sarcopenia. In addition, there was under-consumption of protein per mealtime, especially at breakfast and dinner.
authors.affiliation: Nutrition and Metabolism Department, Division of Nutrition, Research Center for Food and Development, Hermosillo, Sonora, México.
authors.forename: Roxana E Ruiz
authors.initials: RE
authors.lastname: Valenzuela
authors.forename: José A
authors.initials: JA
authors.lastname: Ponce
authors.forename: Gloria Guadalupe
authors.initials: GG
authors.lastname: Morales-Figueroa
authors.forename: Karina Aguilar
authors.initials: KA
authors.lastname: Muro
authors.forename: Virginia Ramírez
authors.initials: VR
authors.lastname: Carreón
authors.forename: Heliodoro
authors.initials: H
authors.lastname: Alemán-Mateo
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D004044:Dietary Proteins / Q000008:administration & dosage*; D002149:Energy Intake; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged; D010865:Pilot Projects; D055948:Sarcopenia / Q000178:diet therapy / Q000517:prevention & control*; D017678:Sex Distribution
chemical_list: D004044:Dietary Proteins
keywords: appendicular skeletal muscle mass; dietary protein intake; older adults
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