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      Protein for Life: Review of Optimal Protein Intake, Sustainable Dietary Sources and the Effect on Appetite in Ageing Adults

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          Abstract

          With an ageing population, dietary approaches to promote health and independence later in life are needed. In part, this can be achieved by maintaining muscle mass and strength as people age. New evidence suggests that current dietary recommendations for protein intake may be insufficient to achieve this goal and that individuals might benefit by increasing their intake and frequency of consumption of high-quality protein. However, the environmental effects of increasing animal-protein production are a concern, and alternative, more sustainable protein sources should be considered. Protein is known to be more satiating than other macronutrients, and it is unclear whether diets high in plant proteins affect the appetite of older adults as they should be recommended for individuals at risk of malnutrition. The review considers the protein needs of an ageing population (>40 years old), sustainable protein sources, appetite-related implications of diets high in plant proteins, and related areas for future research.

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          Most cited references67

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          What is the cause of the ageing atrophy?

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            Major dietary protein sources and risk of coronary heart disease in women.

            With the exception of fish, few major dietary protein sources have been studied in relation to the development of coronary heart disease (CHD). Our objective was to examine the relation between foods that are major dietary protein sources and incident CHD. We prospectively followed 84,136 women aged 30 to 55 years in the Nurses' Health Study with no known cancer, diabetes mellitus, angina, myocardial infarction, stroke, or other cardiovascular disease. Diet was assessed by a standardized and validated questionnaire and updated every 4 years. During 26 years of follow-up, we documented 2210 incident nonfatal infarctions and 952 deaths from CHD. In multivariable analyses including age, smoking, and other risk factors, higher intakes of red meat, red meat excluding processed meat, and high-fat dairy were significantly associated with elevated risk of CHD. Higher intakes of poultry, fish, and nuts were significantly associated with lower risk. In a model controlling statistically for energy intake, 1 serving per day of nuts was associated with a 30% (95% confidence interval, 17% to 42%) lower risk of CHD compared with 1 serving per day of red meat. Similarly, compared with 1 serving per day of red meat, a lower risk was associated with 1 serving per day of low-fat dairy (13%; 95% confidence interval, 6% to 19%), poultry (19%; 95% confidence interval, 3% to 33%), and fish (24%; 95% confidence interval, 6% to 39%). These data suggest that high red meat intake increases risk of CHD and that CHD risk may be reduced importantly by shifting sources of protein in the US diet.
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              Sustainable diets for the future: Can we contribute to reducing greenhouse gas emissions by eating a healthy diet?

              Food systems account for 18-20% of UK annual greenhouse gas emissions (GHGEs). Recommendations for improving food choices to reduce GHGEs must be balanced against dietary requirements for health. We assessed whether a reduction in GHGEs can be achieved while meeting dietary requirements for health. A database was created that linked nutrient composition and GHGE data for 82 food groups. Linear programming was used iteratively to produce a diet that met the dietary requirements of an adult woman (19-50 y old) while minimizing GHGEs. Acceptability constraints were added to the model to include foods commonly consumed in the United Kingdom in sensible quantities. A sample menu was created to ensure that the quantities and types of food generated from the model could be combined into a realistic 7-d diet. Reductions in GHGEs of the diets were set against 1990 emission values. The first model, without any acceptability constraints, produced a 90% reduction in GHGEs but included only 7 food items, all in unrealistic quantities. The addition of acceptability constraints gave a more realistic diet with 52 foods but reduced GHGEs by a lesser amount of 36%. This diet included meat products but in smaller amounts than in the current diet. The retail cost of the diet was comparable to the average UK expenditure on food. A sustainable diet that meets dietary requirements for health with lower GHGEs can be achieved without eliminating meat or dairy products or increasing the cost to the consumer.
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                Author and article information

                Journal
                Nutrients
                Nutrients
                nutrients
                Nutrients
                MDPI
                2072-6643
                16 March 2018
                March 2018
                : 10
                : 3
                : 360
                Affiliations
                [1 ]Rowett Institute, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Ashgrove Road West, Aberdeen AB25 2ZD, UK; marta.lonnie@ 123456abdn.ac.uk (M.L.); emma.hooker@ 123456abdn.ac.uk (E.H.)
                [2 ]National Institute for Health Research, Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, 12a Priory Road, Bristol BS8 1TU, UK; jeff.brunstrom@ 123456bristol.ac.uk
                [3 ]Department of Oncology & Metabolism, The Medical School, The University of Sheffield, Beech Hill Road, Sheffield S10 2RX, UK; b.m.corfe@ 123456sheffield.ac.uk (B.M.C.); e.a.williams@ 123456sheffield.ac.uk (E.A.W.)
                [4 ]Insigneo Institute for in silico medicine, The Pam Liversidge Building, Mappin Street, Sheffield S1 3JD, UK
                [5 ]Department of Geography and Planning, School of Environmental Sciences, University of Liverpool, Liverpool L69 7ZT, UK; mark.green@ 123456liverpool.ac.uk
                [6 ]Human Nutrition Research Centre, Institute of Cellular Medicine, Medical School, Newcastle University, William Leech Building, Newcastle upon Tyne NE2 4HH, UK; anthony.watson@ 123456newcastle.ac.uk (A.W.W.); emma.stevenson@ 123456newcastle.ac.uk (E.J.S.)
                [7 ]Campden BRI, Station Rd, Chipping Campden, Gloucestershire GL55 6LD, UK; simon.penson@ 123456campdenbri.co.uk
                Author notes
                [* ]Correspondence: alex.johnstone@ 123456abdn.ac.uk ; Tel.: +44-(0)1224-438614
                Author information
                https://orcid.org/0000-0002-7257-165X
                https://orcid.org/0000-0003-4657-7799
                https://orcid.org/0000-0003-0449-2228
                https://orcid.org/0000-0001-6124-9182
                https://orcid.org/0000-0002-1431-7549
                Article
                nutrients-10-00360
                10.3390/nu10030360
                5872778
                29547523
                9c00dd83-bdd3-4ca1-8da3-56a6caf9a428
                © 2018 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 21 February 2018
                : 14 March 2018
                Categories
                Review

                Nutrition & Dietetics
                ageing,appetite,older adults,plant proteins,protein,sarcopenia,sustainability
                Nutrition & Dietetics
                ageing, appetite, older adults, plant proteins, protein, sarcopenia, sustainability

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