sulla frequenza dei pasti.....

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un pò di tempo fa ho avuto un interessantissimo scambio di dati con [MENTION=19754]paulstorm[/MENTION] riguardo la questione della frequenza dei pasti.

La questione verteva sulla validità delle due filosofie, o la filosofia "cinque pasti con proteine in ogni pasto" o la filosofia "mangia un po' le proteine quando ti pare basta che le mangi".

Nel frattempo ho trovato la classica "posizione" della ISSN (International Society of Sport Nutrition), dove come sempre ci sono dei passaggi molto interessanti.

Questo è il riassunto generale:

International Society of Sports Nutrition position stand: meal frequency

Position Statement: Admittedly, research to date examining the physiological effects of meal frequency in humans is somewhat limited. More specifically, data that has specifically examined the impact of meal frequency on body composition, training adaptations, and performance in physically active individuals and athletes is scant. Until more research is available in the physically active and athletic populations, definitive conclusions cannot be made. However, within the confines of the current scientific literature, we assert that:

1. Increasing meal frequency does not appear to favorably change body composition in sedentary populations.

2. If protein levels are adequate, increasing meal frequency during periods of hypoenergetic dieting may preserve lean body mass in athletic populations.

3. Increased meal frequency appears to have a positive effect on various blood markers of health, particularly LDL cholesterol, total cholesterol, and insulin.

4. Increased meal frequency does not appear to significantly enhance diet induced thermogenesis, total energy expenditure or resting metabolic rate.

5. Increasing meal frequency appears to help decrease hunger and improve appetite control.


poi nella parte completa del report ci sono dei pezzi molto interessanti:

Protein Metabolism
Garrow et al., [40] reported that during a hypocaloric diet lasting three weeks in obese subjects, nitrogen loss was significantly less when the diet consisted of 15% protein as opposed to 10% protein. Additionally, nitrogen loss was also significantly less when five versus one meal per day were consumed and protein was kept at a constant 13% [40]. Equally important, the lowest nitrogen loss occurred when five versus one meal per day were consumed and protein content was 15% versus 10% [40]. The authors concluded that the protein content of total caloric intake is more important than the frequency of the meals in terms of preserving lean tissue and that higher protein meals are protein sparing even when consuming low energy intakes [40]. While this study was conducted in obese individuals, it may have practical implications in athletic populations. Specifically, the findings support the idea that frequent feedings with a higher protein content (15% vs. 10%) may reduce nitrogen losses during periods of hypocaloric intake.

In contrast to the Garrow et al. findings, Irwin et al. [63] compared the effects of different meal composition and frequency on nitrogen retention. In this study, healthy, young women consumed either three meals of equal size, three meals of unequal size (two small and one large), or six meals (calorie intake was equal between groups). The investigators reported that there was no significant difference in nitrogen retention between any of the different meal frequency regimens [63].

Finkelstein and Fryer [39] also reported no significant difference in nitrogen retention, measured through urinary nitrogen excretion, in young women who consumed an isocaloric diet ingested over three or six meals. The study lasted 60 days, in which the participants first consumed 1,700 kcals for 30 days and then consumed 1,400 kcals for the remaining 30 days [39]. The protein and fat content during the first 30 days was 115 and 50 grams, respectively, and during the last 30 days 106 grams of protein and 40 grams of fat was ingested. The protein content was relatively high (i.e., ~27% - 30% of the total daily calories) and may have aided in the nitrogen retention that was observed. Similarly, in a 14-week intervention, Young et al., [42] reported that consuming 1,800 kcals fed as one, three, or six meals a day did not have a significant impact on nitrogen retention in 11 moderately obese, college aged men.

It is important to emphasize that the previous studies were based on the nitrogen balance technique. Nitrogen balance is a measure of whole body protein flux, and may not be an ideal measure of skeletal muscle protein metabolism. Thus, studies concerned with skeletal muscle should analyze direct measures of skeletal muscle protein synthesis and breakdown (i.e., net protein synthesis). Based on recent research, it appears that skeletal muscle protein synthesis on a per meal basis may be optimized at approximately 20 to 30 grams of high quality protein, or 10-15 grams of essential amino acids [71-73]. In order to optimize skeletal muscle protein balance, an individual will likely need to maximize the response on a per meal basis. Research shows that a typical American diet distributes their protein intake unequally, such that the least amount of protein is consumed with breakfast (~10-14 grams), while the majority of protein is consumed with dinner (~29-42 grams) [74]. Thus, in the American diet, protein synthesis would likely only be optimized once per day with dinner. This was recently demonstrated by Wilson et al. [75] in a published abstract (utilizing a rodent model). The investigators found that equally distributing protein over three meals (16% per meal) resulted in greater overall protein synthesis and muscle mass, in comparison to providing suboptimal protein (8%) at breakfast and lunch, and greater than optimal protein (27%) with dinner [75]. In eucaloric meal frequency studies, which spread protein intake from a few (i.e., two to three meals) to several meals (i.e., greater than five meals), the bolus of protein per meal shrinks, which may provide several suboptimal, or possibly non-significant rises in protein synthesis as opposed to a few meals which may maximally stimulate protein synthesis. This is likely the case in the previously mentioned study by Irwin et al [63] who compared three ~20 gram protein containing meals, to six ~10 gram protein containing meals. Such a study design may negate any positive effects meal distribution could have on protein balance.

With this said, in order to observe the true relationship between meal frequency and protein status, studies likely need to provide designs in which protein synthesis is maximized over five-six meals as opposed to three meals. This was demonstrated by Paddon-Jones and colleagues [76] who found that mixed muscle protein synthesis was ~23% greater when consuming three large ~850-calorie meals (~23 g protein, ~127 g carbohydrate, and ~30 g fat), supplemented with an additional three small 180-calorie meals containing 15 grams of essential amino acids, as compared to just three 850-calorie meals alone. In summary, the recent findings from the Wilson study [75] combined with the results published by Paddon-Jones et al. [76] suggest that when protein synthesis is optimized, increased feeding frequency may positively impact protein status.

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mag

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grazie, molto interessante, avevo "partecipato" anche io poi in parte alla discussione con [MENTION=19754]paulstorm[/MENTION] ed il discorso era rimasto aperto.

Aggiungo 2 cose:
1) peccato che "While this study was conducted in obese individuals, it may have practical implications in athletic populations
2) evidenzio una ulteriore frase di contributo alla discussione: "it appears that skeletal muscle protein synthesis on a per meal basis may be optimized at approximately 20 to 30 grams of high quality protein, or 10-15 grams of essential amino acids"
 

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grazie, molto interessante, avevo "partecipato" anche io poi in parte alla discussione con [MENTION=19754]paulstorm[/MENTION] ed il discorso era rimasto aperto.

Aggiungo 2 cose:
1) peccato che "While this study was conducted in obese individuals, it may have practical implications in athletic populations
2) evidenzio una ulteriore frase di contributo alla discussione: "it appears that skeletal muscle protein synthesis on a per meal basis may be optimized at approximately 20 to 30 grams of high quality protein, or 10-15 grams of essential amino acids"

è sempre così gli studi sono su soggetti paticolari, obesi, patologie varie, ratti :mrgreen:

2) Anch'io ho letto quella frase, ma....... che ca**o significa? ok la traduzione letterale ma manca un qualche contesto
 

mag

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è sempre così gli studi sono su soggetti paticolari, obesi, patologie varie, ratti :mrgreen:
beh, quella dei ciclisti mi pare una patologia bella tosta :))):

2) Anch'io ho letto quella frase, ma....... che ca**o significa? ok la traduzione letterale ma manca un qualche contesto

mah, io ci leggo una frase normale, magari sbaglio ma ecco cosa ci leggo: "sembra che la sintesi proteica muscolo-scheletrica possa essere ottimizzata su una base di quantità per pasto di circa da 20 a 30 grammi di proteine di alta qualità o di 10-15 grammi di amino essenziali"

it appears that skeletal muscle protein synthesis on a per meal basis may be optimized at approximately 20 to 30 grams of high quality protein, or 10-15 grams of essential amino acids
 

WNC2

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mah, io ci leggo una frase normale, magari sbaglio ma ecco cosa ci leggo: "sembra che la sintesi proteica muscolo-scheletrica possa essere ottimizzata su una base di quantità per pasto di circa da 20 a 30 grammi di proteine di alta qualità o di 10-15 grammi di amino essenziali"

it appears that skeletal muscle protein synthesis on a per meal basis may be optimized at approximately 20 to 30 grams of high quality protein, or 10-15 grams of essential amino acids


Che quindi va d'accordo con l'approccio "classico" di 5-6 pasti con proteine ad ogni pasto e non va d'accordo con la teoria "mangiatene quante te ne servono ma anche tutte insieme" ;nonzo%
 

mag

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Che quindi va d'accordo con l'approccio "classico" di 5-6 pasti con proteine ad ogni pasto e non va d'accordo con la teoria "mangiatene quante te ne servono ma anche tutte insieme" ;nonzo%

assolutamente si, o almeno io lo ho interpretato proprio così
l'articolo dice che pur non dando certezze di fatto ("Until more research is available in the physically active and athletic populations, definitive conclusions cannot be made") è così (anzi, va anche oltre dicendo di distribuire le pro in modo più possibile omogeneo tra i pasti). Anche la frase che tu stesso hai evidenziato dice esattamente la stessa cosa "The investigators found that equally distributing protein over three meals (16% per meal) resulted in greater overall protein synthesis and muscle mass, in comparison to providing suboptimal protein (8%) at breakfast and lunch, and greater than optimal protein (27%) with dinner"
 

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