Mechanisms regulating skeletal muscle growth and atrophy
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TABLE OF CONTENTS
1.0 Introduction..............................................................................................................................2
2.0 Key factors that regulate skeletal muscle mass in the body.................................................3
3.0 Role of nutrition in the regulation of skeletal muscle mass.................................................3
3.1 Type of nutrients to ingest..................................................................................................4
3.2 Amounts of nutrients to ingest............................................................................................5
3.3 Timing of nutrients ingestion to maximize absorption and use by muscles...................5
3.4 Other nutritional considerations........................................................................................6
3.5 Potential nutritional limitations.............................................................................................6
4.0 Conclusion................................................................................................................................7
REFERENCES..............................................................................................................................8
1
1.0 Introduction..............................................................................................................................2
2.0 Key factors that regulate skeletal muscle mass in the body.................................................3
3.0 Role of nutrition in the regulation of skeletal muscle mass.................................................3
3.1 Type of nutrients to ingest..................................................................................................4
3.2 Amounts of nutrients to ingest............................................................................................5
3.3 Timing of nutrients ingestion to maximize absorption and use by muscles...................5
3.4 Other nutritional considerations........................................................................................6
3.5 Potential nutritional limitations.............................................................................................6
4.0 Conclusion................................................................................................................................7
REFERENCES..............................................................................................................................8
1
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1.0 Introduction
The muscular system is an organ framework comprising of skeletal, smooth and heart muscles.
The muscular system is generally in charge of the human body movement. Other functions of the
muscular system include keeping up the stance, breathing, biting, gulping, speech as well as
taking part in the work of other interior organs, warm control and digestion among others (1). In
addition to the bones of the skeletal muscles, the muscular system makes up about half of the
total weight of a man’s body. There are about 600 named muscles in the human body (1). Muscle
tissues are found in several body organs such as the digestive organs, the heart, and the veins and
each of them is a sepaproportion organ comprising skeletal muscle tissues, veins, ligaments, and
nerves. There exists three sorts of muscle tissue: cardiac, visceral and skeletal (2). Visceral
muscles are placed inside organs as the stomach, digestion tracts, and veins. They are the
weakest among the three and usually influence organs to contract so as to facilitate movement of
substances through the organ. Cardiovascular muscles found in the heart are in charge of
drawing blood all through the body. Skeletal muscles, on the other hand, are voluntary muscles
and involved in physical activities that man undertakes, for instance walking (1). Since the
muscular system plays such a vital role in the human body, this essay takes a closer focus on the
skeletal muscles which are mainly used in activities at the gym, and throw insights into the
nutritional biochemistry surrounding the development, use, and health of the skeletal muscles.
2.0 Key factors that regulate skeletal muscle mass in the body
Recent and ongoing investigations have indicated a consistent acknowledgment of the essential
part skeletal muscle undertakes in general wellbeing and its effect on entire body metabolism.
The harmony amongst proportion of protein synthesis and proportion of degradation principally
influence the maintenance of skeletal muscle mass, especially in adult human beings.
Additionally, environmental variables associated with activating cellular signaling pathways
have been identified to enhance the equilibrium in place of protein synthesis and degradation
which result in an increase or decrease of skeletal muscle mass respectively. These variables
include hormones, nutrients, cytokines and mechanical loading (3). The key factors that regulate
the skeletal muscle mass are categorized into anabolic and catabolic signaling pathways.
Anabolic pathway controlling protein synthesis in skeletal muscle is mTOR/TORC1 signaling.
The mTOR/TORC1 signaling pathway is the main pathway controlling protein synthesis (4).
2
The muscular system is an organ framework comprising of skeletal, smooth and heart muscles.
The muscular system is generally in charge of the human body movement. Other functions of the
muscular system include keeping up the stance, breathing, biting, gulping, speech as well as
taking part in the work of other interior organs, warm control and digestion among others (1). In
addition to the bones of the skeletal muscles, the muscular system makes up about half of the
total weight of a man’s body. There are about 600 named muscles in the human body (1). Muscle
tissues are found in several body organs such as the digestive organs, the heart, and the veins and
each of them is a sepaproportion organ comprising skeletal muscle tissues, veins, ligaments, and
nerves. There exists three sorts of muscle tissue: cardiac, visceral and skeletal (2). Visceral
muscles are placed inside organs as the stomach, digestion tracts, and veins. They are the
weakest among the three and usually influence organs to contract so as to facilitate movement of
substances through the organ. Cardiovascular muscles found in the heart are in charge of
drawing blood all through the body. Skeletal muscles, on the other hand, are voluntary muscles
and involved in physical activities that man undertakes, for instance walking (1). Since the
muscular system plays such a vital role in the human body, this essay takes a closer focus on the
skeletal muscles which are mainly used in activities at the gym, and throw insights into the
nutritional biochemistry surrounding the development, use, and health of the skeletal muscles.
2.0 Key factors that regulate skeletal muscle mass in the body
Recent and ongoing investigations have indicated a consistent acknowledgment of the essential
part skeletal muscle undertakes in general wellbeing and its effect on entire body metabolism.
The harmony amongst proportion of protein synthesis and proportion of degradation principally
influence the maintenance of skeletal muscle mass, especially in adult human beings.
Additionally, environmental variables associated with activating cellular signaling pathways
have been identified to enhance the equilibrium in place of protein synthesis and degradation
which result in an increase or decrease of skeletal muscle mass respectively. These variables
include hormones, nutrients, cytokines and mechanical loading (3). The key factors that regulate
the skeletal muscle mass are categorized into anabolic and catabolic signaling pathways.
Anabolic pathway controlling protein synthesis in skeletal muscle is mTOR/TORC1 signaling.
The mTOR/TORC1 signaling pathway is the main pathway controlling protein synthesis (4).
2
The stimulation of amino acids has been found to lead to a rise in intracellular Ca2+ causing
calmodulin activation of Vps34 (vacuolar protein sorting 34) which contribute to the activation
of Mtor. Catabolic pathways, on the other hand, include FoxO and NF-κB. The FoxO pathway is
repressed by Akt phosphorylation and adjusts the manifestation of the muscle-particular
ubiquitin ligases MAFbx and MURF1 (5). An imbalance amongst the proportions of protein
synthesis and protein degradation can either lead to skeletal muscle atrophy or hypertrophy.
When the proportion of protein degradation exceeds that of protein synthesis, skeletal muscle
atrophy results (3). Proteolytic variables associated with muscle atrophy react to several triggers
can be modulated by nutrition through the availability of nutrients in the form of amino acids and
glucose (6).
3.0 Nutrition in the control of skeletal muscle mass
Protein supports your muscle tissue and adds to muscle cell work. Your slender muscle tissue
contains a lot of protein, and your muscle cells persistently decimate old proteins to clear a path
for new ones of every a procedure called protein turnover. Creating new muscle proteins requires
amino acids, which you get from the protein in your eating regimen (7). Skeletal muscle is not
only the biggest metabolically dynamic tissue in the body but also the major spot for glucose
disposal. In pathophysiological circumstances as in fasting, skeletal muscles act as a fuel reserve
for other body organs (3). Developing collection of confirmation that connects nutrition to
muscle mass, power, and purpose, especially in elder human beings. Dietetic protein gives
amino acids that are required for the blend of muscle protein, and additionally going about as an
anabolic boost, with coordinate impacts on protein synthesis. Muscle proteins always turn over,
i.e degraded and then synthesized. Harmony amongst the proportions of synthesis and
degradation of muscle protein pools dictates the amount of that protein in muscle (the net muscle
protein balance (NBAL)), which is the dissimilarity between MPS and MPB (8). Skeletal mass is
increased when there is a net gain in protein synthesis, which can happen following physical
exercise. Conversely, skeletal muscle is lost when degradation happens more quickly than
synthesis (9).
In light of this facts, therefore, it is important to break down the part that nutrition plays in
skeletal muscle mass into the following areas of interest:
3
calmodulin activation of Vps34 (vacuolar protein sorting 34) which contribute to the activation
of Mtor. Catabolic pathways, on the other hand, include FoxO and NF-κB. The FoxO pathway is
repressed by Akt phosphorylation and adjusts the manifestation of the muscle-particular
ubiquitin ligases MAFbx and MURF1 (5). An imbalance amongst the proportions of protein
synthesis and protein degradation can either lead to skeletal muscle atrophy or hypertrophy.
When the proportion of protein degradation exceeds that of protein synthesis, skeletal muscle
atrophy results (3). Proteolytic variables associated with muscle atrophy react to several triggers
can be modulated by nutrition through the availability of nutrients in the form of amino acids and
glucose (6).
3.0 Nutrition in the control of skeletal muscle mass
Protein supports your muscle tissue and adds to muscle cell work. Your slender muscle tissue
contains a lot of protein, and your muscle cells persistently decimate old proteins to clear a path
for new ones of every a procedure called protein turnover. Creating new muscle proteins requires
amino acids, which you get from the protein in your eating regimen (7). Skeletal muscle is not
only the biggest metabolically dynamic tissue in the body but also the major spot for glucose
disposal. In pathophysiological circumstances as in fasting, skeletal muscles act as a fuel reserve
for other body organs (3). Developing collection of confirmation that connects nutrition to
muscle mass, power, and purpose, especially in elder human beings. Dietetic protein gives
amino acids that are required for the blend of muscle protein, and additionally going about as an
anabolic boost, with coordinate impacts on protein synthesis. Muscle proteins always turn over,
i.e degraded and then synthesized. Harmony amongst the proportions of synthesis and
degradation of muscle protein pools dictates the amount of that protein in muscle (the net muscle
protein balance (NBAL)), which is the dissimilarity between MPS and MPB (8). Skeletal mass is
increased when there is a net gain in protein synthesis, which can happen following physical
exercise. Conversely, skeletal muscle is lost when degradation happens more quickly than
synthesis (9).
In light of this facts, therefore, it is important to break down the part that nutrition plays in
skeletal muscle mass into the following areas of interest:
3
3.1 Type of nutrients to ingest
Proteins have greatly been linked with skeletal muscle physique, strength, and growth.
Significant evidence from extensive research findings has implored the need for protein ingestion
and physical exercise. The two make up the chief anabolic stimuli for muscle protein synthesis.
Branched-chain amino acids intensifies skeletal muscle protein synthesis and NBAL, while
supplementation with leucine, isoleucine, and valine enhance physical exercise and attenuate
muscle loss (10). Outcomes of research for both genders, young and old was different but
followed a consistent sequence. Physical exercise among other benefits stimulates skeletal
muscle tissue to the anabolic features of amino acids (11). Dairy foods such as milk and yogurt
have been identified as good sources of protein-rich foods associated with increased lean mass.
The ingestion of nitrate-rich foods such as green verdant vegetables are associated with
enhancing exercise activity, especially in the young age groups. Long-chain polyunsaturated
fatty acids and antioxidant nutrients have shown a positive relationship with increased physical
exercise (12). Other important nutrients to ingest include:
Potassium and sodium minerals which assume a vital role in workouts, particularly when it is
exceptionally for longer length. Extreme sweating cause potassium and sodium levels to wind up
drained in the body. Iron is another mineral that assists the production of the oxygen-carrying
proteins hemoglobin and myoglobin. Lack of iron in the diet causes fatigue and weakness.
Carbohydrates are macronutrients that are crucial for muscles during physical exercise. At the
point when carbs are devoured, they get changed over to glucose, which is either utilized
promptly for vitality or put away in the muscles as glycogen and utilized for vitality at a later
time. Water is essentially imperative for your muscles, particularly amid long, high-force
preparing sessions. An absence of water can prompt muscle exhaustion, poor coordination, and
issues (13).
3.2 Amounts of nutrients to ingest
A study by Groen, et al revealed that over half of the protein-determined amino acids ended up
accessible in the course of a 5-hour time span following the dinner, with approximately 11%
of those amino acids joined in once more muscle protein over that duration. Dietary protein
approvals for older adults, 1.0 to 1.2 g/kg body mass daily have been set by health professionals
(14). The ideal protein quantity for utmost activation of MPS in young grownups at repose is
4
Proteins have greatly been linked with skeletal muscle physique, strength, and growth.
Significant evidence from extensive research findings has implored the need for protein ingestion
and physical exercise. The two make up the chief anabolic stimuli for muscle protein synthesis.
Branched-chain amino acids intensifies skeletal muscle protein synthesis and NBAL, while
supplementation with leucine, isoleucine, and valine enhance physical exercise and attenuate
muscle loss (10). Outcomes of research for both genders, young and old was different but
followed a consistent sequence. Physical exercise among other benefits stimulates skeletal
muscle tissue to the anabolic features of amino acids (11). Dairy foods such as milk and yogurt
have been identified as good sources of protein-rich foods associated with increased lean mass.
The ingestion of nitrate-rich foods such as green verdant vegetables are associated with
enhancing exercise activity, especially in the young age groups. Long-chain polyunsaturated
fatty acids and antioxidant nutrients have shown a positive relationship with increased physical
exercise (12). Other important nutrients to ingest include:
Potassium and sodium minerals which assume a vital role in workouts, particularly when it is
exceptionally for longer length. Extreme sweating cause potassium and sodium levels to wind up
drained in the body. Iron is another mineral that assists the production of the oxygen-carrying
proteins hemoglobin and myoglobin. Lack of iron in the diet causes fatigue and weakness.
Carbohydrates are macronutrients that are crucial for muscles during physical exercise. At the
point when carbs are devoured, they get changed over to glucose, which is either utilized
promptly for vitality or put away in the muscles as glycogen and utilized for vitality at a later
time. Water is essentially imperative for your muscles, particularly amid long, high-force
preparing sessions. An absence of water can prompt muscle exhaustion, poor coordination, and
issues (13).
3.2 Amounts of nutrients to ingest
A study by Groen, et al revealed that over half of the protein-determined amino acids ended up
accessible in the course of a 5-hour time span following the dinner, with approximately 11%
of those amino acids joined in once more muscle protein over that duration. Dietary protein
approvals for older adults, 1.0 to 1.2 g/kg body mass daily have been set by health professionals
(14). The ideal protein quantity for utmost activation of MPS in young grownups at repose is
4
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0.24 g/kg body mass. However, the utmost operative protein dose at repose is greater in older
adults likened to young grownups at 0.40 g/kg body quantity (15).
3.3 Timing of nutrients ingestion to maximize absorption and use by muscles
Since diets are designed, and that food and in additional supplements are collinear, separating
impacts of individual dietary segments isn't conceivable utilizing observational information. It is
hence of significant worth to consider impacts of entire eating regimens, regularly utilizing a
dietary examples approach. An extra favorable position of this approach is that it can likewise
assess complex connections between food ingredients, counting probable synergistic or hostile
impacts on wellbeing results (16). It may be normal that ingesting amino acids preceding activity
would be gainful on the grounds that the take-up of amino acids by muscle is proportionate to the
conveyance, and the extent of the bloodstream to muscle increments amid work out. An
increased net take-up of EAAs means increased muscle protein synthesis. This observation was
made by studies on the grounds that a blend of 6g EAAs and 35g of glucose given earlier to
practice brought about a more noteworthy incitement of net muscle protein adjust than when it
administered either immediately or an hour afterwards (12). Improved diets characterized by
more prominent fruits and vegetables intake show higher admissions of a scope of supplements
that could be vital for muscle work. The uniformity in this provable findings proposes that
intervention research that take a nourishment centered approach, bringing about changes in
ingestions of a scope of supplements as well as food ingredients, can possibly form viable
systems designed for the avoidance or potential cure of age-linked misfortunes in muscle
physique and power (14).
3.4 Other nutritional considerations
Regardless of whether the protein is devoured in food (blended macronutrient feast) or
supplement (fluid drink or strong block) manner, it is regularly co-ingested with carbohydrates
and additionally fat. Subsequently, it is essential to comprehend the effect of macronutrient co-
ingestion on Muscle Protein Synthesis (MPS) and Skeletal Muscle Mass (SMM) (17).
Macronutrient co-ingestion changes physiological components identified to direct the activation
of MPS. Aldehyde co-ingestion surges plasma insulin absorptions contrasted with aldehyde or
protein single-handedly and the anabolic action of insulin on muscle protein digestion is double-
overlay (18).
5
adults likened to young grownups at 0.40 g/kg body quantity (15).
3.3 Timing of nutrients ingestion to maximize absorption and use by muscles
Since diets are designed, and that food and in additional supplements are collinear, separating
impacts of individual dietary segments isn't conceivable utilizing observational information. It is
hence of significant worth to consider impacts of entire eating regimens, regularly utilizing a
dietary examples approach. An extra favorable position of this approach is that it can likewise
assess complex connections between food ingredients, counting probable synergistic or hostile
impacts on wellbeing results (16). It may be normal that ingesting amino acids preceding activity
would be gainful on the grounds that the take-up of amino acids by muscle is proportionate to the
conveyance, and the extent of the bloodstream to muscle increments amid work out. An
increased net take-up of EAAs means increased muscle protein synthesis. This observation was
made by studies on the grounds that a blend of 6g EAAs and 35g of glucose given earlier to
practice brought about a more noteworthy incitement of net muscle protein adjust than when it
administered either immediately or an hour afterwards (12). Improved diets characterized by
more prominent fruits and vegetables intake show higher admissions of a scope of supplements
that could be vital for muscle work. The uniformity in this provable findings proposes that
intervention research that take a nourishment centered approach, bringing about changes in
ingestions of a scope of supplements as well as food ingredients, can possibly form viable
systems designed for the avoidance or potential cure of age-linked misfortunes in muscle
physique and power (14).
3.4 Other nutritional considerations
Regardless of whether the protein is devoured in food (blended macronutrient feast) or
supplement (fluid drink or strong block) manner, it is regularly co-ingested with carbohydrates
and additionally fat. Subsequently, it is essential to comprehend the effect of macronutrient co-
ingestion on Muscle Protein Synthesis (MPS) and Skeletal Muscle Mass (SMM) (17).
Macronutrient co-ingestion changes physiological components identified to direct the activation
of MPS. Aldehyde co-ingestion surges plasma insulin absorptions contrasted with aldehyde or
protein single-handedly and the anabolic action of insulin on muscle protein digestion is double-
overlay (18).
5
3.5 Potential nutritional limitations
Sarcopenia is a typical condition that is related to colossal individual and monetary expenses and
involves the damage of muscle mass and physical capacity, especially with elder adults. The
situation upshots from the attenuation muscle mass (atrophy) and removal of muscle fibers and is
a normal occurrence of the aging process (19). A review by ESCEO working group focuses to
the significance of 'more beneficial' dietetic trends that are satisfactory in quality in more
established age, to guarantee adequate intake of protein, vitamin D, anti-oxidants supplements
and long-chain polyunsaturated fats. It is common for huge decrease in food and energy with
advancing age, as vitality needs diminishes remarkably between the ages of 40 and 70 years
(12).Reduced food ingestions in elder age add to weight reduction, with repercussions on muscle
physique, strength and physical activity. Dietary-prompted weight reduction is by and large
joined by a reduction in skeletal muscle mass. The reduction of muscle mass prompts a decrease
in muscle strength and hinders physical execution. A rich dietary protein consumption has been
recommended to permit bulk conservation amid vitality intake limitation. Growing protein intake
beyond routine intake levels does not safeguard slender weight, strength or physical exercise
amid delayed energy intake limitation in overweight elder grownups (1).
6
Sarcopenia is a typical condition that is related to colossal individual and monetary expenses and
involves the damage of muscle mass and physical capacity, especially with elder adults. The
situation upshots from the attenuation muscle mass (atrophy) and removal of muscle fibers and is
a normal occurrence of the aging process (19). A review by ESCEO working group focuses to
the significance of 'more beneficial' dietetic trends that are satisfactory in quality in more
established age, to guarantee adequate intake of protein, vitamin D, anti-oxidants supplements
and long-chain polyunsaturated fats. It is common for huge decrease in food and energy with
advancing age, as vitality needs diminishes remarkably between the ages of 40 and 70 years
(12).Reduced food ingestions in elder age add to weight reduction, with repercussions on muscle
physique, strength and physical activity. Dietary-prompted weight reduction is by and large
joined by a reduction in skeletal muscle mass. The reduction of muscle mass prompts a decrease
in muscle strength and hinders physical execution. A rich dietary protein consumption has been
recommended to permit bulk conservation amid vitality intake limitation. Growing protein intake
beyond routine intake levels does not safeguard slender weight, strength or physical exercise
amid delayed energy intake limitation in overweight elder grownups (1).
6
4.0 Conclusion
The muscular system plays very important roles in the human body. The skeletal muscles which
in particular are involved in the lifting of weights by use of the biceps and triceps. The key
factors that regulate skeletal muscle mass in the body have been identified under two categories;
anabolic and catabolic signaling pathways. An extensive discussion of the role of nutrition has
been given under several approaches. Physical exercise also has constantly been fronted as key
to the development of such muscles. Upon conclusion, therefore, extant substantiation that links
nutrition to muscle mass and strength solidify that nutrition is indeed an important aspect of the
well-being of human beings. Some studies have additionally linked nutrition in the prevention
and management of sarcopenia (12). Ensuring dietary patterns characterized by whole diet
intake, correct amounts of intake and appropriate physical exercise is key to the development and
maintaining skeletal muscle mass (20).
7
The muscular system plays very important roles in the human body. The skeletal muscles which
in particular are involved in the lifting of weights by use of the biceps and triceps. The key
factors that regulate skeletal muscle mass in the body have been identified under two categories;
anabolic and catabolic signaling pathways. An extensive discussion of the role of nutrition has
been given under several approaches. Physical exercise also has constantly been fronted as key
to the development of such muscles. Upon conclusion, therefore, extant substantiation that links
nutrition to muscle mass and strength solidify that nutrition is indeed an important aspect of the
well-being of human beings. Some studies have additionally linked nutrition in the prevention
and management of sarcopenia (12). Ensuring dietary patterns characterized by whole diet
intake, correct amounts of intake and appropriate physical exercise is key to the development and
maintaining skeletal muscle mass (20).
7
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REFERENCES
x
1. Muscolino J. The Muscular System Manual. 3rd ed. NewYork: Mosby; 2009.
2. Johnson RL. Your Muscular Body: How Does Your Body Work? Minneapolis: Lerner
Publishing Group; 2012.
3. Amstrong DD, Esser KA. Cellular Mechanisms regulating protein synthesis and skeletal
muscle hypertrophy in animals. Journal of Applied Physiology. 2009 April; 106(4).
4. Nobukuni TJ, Roccio M, Dan SG, Kim SY, Gulati P. Amino acids mediate mTOR/raptor
signaling through activation of class 3 phosphatidylinositol 3OH-kinase. Proc Natl Acad Sci
U S A. 2005 Oct; 102(40): p. 38–43.
5. Clarke BA BA, Drujan D, Willis MS, Murphy LO, Corpina RA, Burova E. The E3 Ligase
MuRF1 degrades myosin heavy chain protein in dexamethasone-treated skeletal muscle. Cell
Metab. 2007 Nov; 6(5): p. :376–85.
6. Nader GA, McLoughlin TJ, Esser KA. Expression of beta-catenin is necessary for
physiological growth of adult skeletal muscle. Am J Physiol Cell Physiol. 2006 Jul; 291(1):
p. :C185–8.
7. Cermak NM, Res PT, de Groot LC, Saris WH, Van Loon LJ. Protein supplementation
augments the adaptive response of skeletal muscle to resistance-type exercise training: a
meta-analysis. Am J Clin Nutr. 2012; 96(6): p. 1454-64.
8. Kumar V, Atherton P, Smith P, Rennie MJ. Human muscle protein synthesis and breakdown
during and after exercise. Journal of Applied Physiology. 2009 Jun; 106(6): p. 2026-39.
9. Areta JL, Burke LM, Ross ML, Camera DM, West DW, Broad EM, et al. Timing and
distribution of protein ingestion during prolonged recovery from resistance exercise alters
myofibrillar protein synthesis. J Physiol. 2013; 591(9): p. 2319-31.
10. Carraro F, Stuart CA, Hartl WH, Rosenblatt J, Wolfe RR. Effect of exercise and recovery on
muscle protein synthesis in human subjects. Am J Physiol. 1990; 259(4): p. :E470–6.
11. Nieuwenhuizen WF, Weenen H, Rigby P, Hetherington MM. Older adults and patients in
need of nutritional support: review of current treatment options and factors influencing
nutritional intake. Clin Nutr. 2010; 29: p. 160-169.
8
x
1. Muscolino J. The Muscular System Manual. 3rd ed. NewYork: Mosby; 2009.
2. Johnson RL. Your Muscular Body: How Does Your Body Work? Minneapolis: Lerner
Publishing Group; 2012.
3. Amstrong DD, Esser KA. Cellular Mechanisms regulating protein synthesis and skeletal
muscle hypertrophy in animals. Journal of Applied Physiology. 2009 April; 106(4).
4. Nobukuni TJ, Roccio M, Dan SG, Kim SY, Gulati P. Amino acids mediate mTOR/raptor
signaling through activation of class 3 phosphatidylinositol 3OH-kinase. Proc Natl Acad Sci
U S A. 2005 Oct; 102(40): p. 38–43.
5. Clarke BA BA, Drujan D, Willis MS, Murphy LO, Corpina RA, Burova E. The E3 Ligase
MuRF1 degrades myosin heavy chain protein in dexamethasone-treated skeletal muscle. Cell
Metab. 2007 Nov; 6(5): p. :376–85.
6. Nader GA, McLoughlin TJ, Esser KA. Expression of beta-catenin is necessary for
physiological growth of adult skeletal muscle. Am J Physiol Cell Physiol. 2006 Jul; 291(1):
p. :C185–8.
7. Cermak NM, Res PT, de Groot LC, Saris WH, Van Loon LJ. Protein supplementation
augments the adaptive response of skeletal muscle to resistance-type exercise training: a
meta-analysis. Am J Clin Nutr. 2012; 96(6): p. 1454-64.
8. Kumar V, Atherton P, Smith P, Rennie MJ. Human muscle protein synthesis and breakdown
during and after exercise. Journal of Applied Physiology. 2009 Jun; 106(6): p. 2026-39.
9. Areta JL, Burke LM, Ross ML, Camera DM, West DW, Broad EM, et al. Timing and
distribution of protein ingestion during prolonged recovery from resistance exercise alters
myofibrillar protein synthesis. J Physiol. 2013; 591(9): p. 2319-31.
10. Carraro F, Stuart CA, Hartl WH, Rosenblatt J, Wolfe RR. Effect of exercise and recovery on
muscle protein synthesis in human subjects. Am J Physiol. 1990; 259(4): p. :E470–6.
11. Nieuwenhuizen WF, Weenen H, Rigby P, Hetherington MM. Older adults and patients in
need of nutritional support: review of current treatment options and factors influencing
nutritional intake. Clin Nutr. 2010; 29: p. 160-169.
8
12. Robinson SM, Rueda R, Reginster JY, et al. Does nutrition play a role in the prevention and
management of sarcopenia? Journal of Clinical Nutrition. 2017 August.
13. Aragon A. The Lean Muscle Diet: A Customized Nutrition and Workout Plan--Eat the
Foods You Love to Build the Body You Want and Keep It for Life! Pennsylvannia: Rodale
Books; 2014.
14. Groen BL, Horstman AM, Hamer HM, de Haan M, Kranenburg, JM, Bierau. Post-prandial
protein handling: you are what you just ate. Peer Reviewed Journal. 2015 Aug; 10.
15. Moore DR, Churchward T, Witard O, Breen L, Burd, NA, Tipton KD, et al. Protein
ingestion to stimulate myofibrillar protein synthesis requires greater relative protein intakes
in healthy older versus younger men. J Gerontol A Biol Sci Med Sci. 2015 Jan; 70(1): p. 57-
62.
16. Wakimoto p, Block g. Dietary intake, dietary patterns, and changes with age: an
epidemiological perspective. Journal of Gerontol Ser A. 2001; 56A: p. 65-80.
17. Breen L, Philp A, Witard OC, Jackman SR, Selby A, Smith K, et al. The influence of
carbohydproportion-protein co-ingestion following endurance exercise on myofibrillar and
mitochondrial protein synthesis. Journal of Physiology. 2011 Aug; 589(16).
18. Smith G, Atherton P, Reeds DN, Mohammed DN, Rank I. Dietary omega-3 fatty acid
supplementation increases the proportion of muscle protein synthesis in older adults: a
randomized controlled trial. Clin Sci. 2011 Sep; 121(6): p. 267-78.
19. Senf SM, Dodd SL, Judge AR. FOXO Signaling is Required for Disuse Muscle Atrophy and
is Directly Regulated by Hsp70.. Am J Physiol Cell Physiol. 2009 Oct.
20. Warland S. Nutrition and Skeletal Muscle. 1st ed. Cambridge: Academic Press; 2018.
x
9
management of sarcopenia? Journal of Clinical Nutrition. 2017 August.
13. Aragon A. The Lean Muscle Diet: A Customized Nutrition and Workout Plan--Eat the
Foods You Love to Build the Body You Want and Keep It for Life! Pennsylvannia: Rodale
Books; 2014.
14. Groen BL, Horstman AM, Hamer HM, de Haan M, Kranenburg, JM, Bierau. Post-prandial
protein handling: you are what you just ate. Peer Reviewed Journal. 2015 Aug; 10.
15. Moore DR, Churchward T, Witard O, Breen L, Burd, NA, Tipton KD, et al. Protein
ingestion to stimulate myofibrillar protein synthesis requires greater relative protein intakes
in healthy older versus younger men. J Gerontol A Biol Sci Med Sci. 2015 Jan; 70(1): p. 57-
62.
16. Wakimoto p, Block g. Dietary intake, dietary patterns, and changes with age: an
epidemiological perspective. Journal of Gerontol Ser A. 2001; 56A: p. 65-80.
17. Breen L, Philp A, Witard OC, Jackman SR, Selby A, Smith K, et al. The influence of
carbohydproportion-protein co-ingestion following endurance exercise on myofibrillar and
mitochondrial protein synthesis. Journal of Physiology. 2011 Aug; 589(16).
18. Smith G, Atherton P, Reeds DN, Mohammed DN, Rank I. Dietary omega-3 fatty acid
supplementation increases the proportion of muscle protein synthesis in older adults: a
randomized controlled trial. Clin Sci. 2011 Sep; 121(6): p. 267-78.
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