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Journal of the International Society of Sports Nutrition 2007, 4:8
http://www.jissn.com/content/4/1/8
Page 2 of 7
(page number not for citation purposes)
Protein intake recommendations
Controversy has existed over the safety and effectiveness
of protein intake above that currently recommended. Cur-
rently, the RDA for protein in healthy adults is 0.8 g/kg
body weight per day [1]. The purpose of this recommen-
dation was to account for individual differences in protein
metabolism, variations in the biological value of protein,
and nitrogen losses in the urine and feces. Many factors
need to be considered when determining an optimal
amount of dietary protein for exercising individuals.
These factors include protein quality, energy intake, car-
bohydrate intake, mode and intensity of exercise, and the
timing of the protein intake [2]. The current recom-
mended level of protein intake (0.8 g/kg/day) is estimated
to be sufficient to meet the need of nearly all (97.5%)
healthy men and women age 19 years and older. This
amount of protein intake may be appropriate for non-
exercising individuals, but it is likely not sufficient to off-
set the oxidation of protein/amino acids during exercise
(approximately 1­5% of the total energy cost of exercise)
nor is it sufficient to provide substrate for lean tissue
accretion or for the repair of exercise induced muscle dam-
age [3,4].
Protein recommendations are based upon nitrogen bal-
ance assessment and amino acid tracer studies. The nitro-
gen balance technique involves quantifying the total
amount of dietary protein that enters the body and the
total amount of the nitrogen that is excreted [5]. Nitrogen
balance studies may underestimate the amount of protein
required for optimal function because these studies do
not directly relate to exercise performance. Also, it is pos-
sible that protein intake above those levels deemed neces-
sary by nitrogen balance studies may improve exercise
performance by enhancing energy utilization or stimulat-
ing increases in fat-free mass in exercising individuals [2].
Indeed, an abundance of research indicates that those
individuals who engage in physical activity/exercise
require higher levels of protein intake than 0.8 g/kg body
weight per day, regardless of the mode of exercise (i.e.
endurance, resistance, etc.) or training state (i.e. recrea-
tional, moderately or well-trained) [6-13]. Also, there is a
genuine risk in consuming insufficient amounts of pro-
tein, especially in the context of exercise; a negative nitro-
gen balance will likely be created, leading to increased
catabolism and impaired recovery from exercise [14].
Relative to endurance exercise, recommended protein
intakes range from of 1.0 g/kg to 1.6 g/kg per day
[2,4,7,15] depending on the intensity and duration of the
endurance exercise, as well as the training status of the
individual. For example, an elite endurance athlete
requires a greater level of protein intake approaching the
higher end the aforementioned range (1.0 to 1.6 g/kg/
day). Additionally, as endurance exercise increases in
intensity and duration, there is an increased oxidation of
branched-chain amino acids, which creates a demand
within the body for protein intakes at the upper end of
this range. Strength/power exercise is thought to increase
protein requirements even more than endurance exercise,
particularly during the initial stages of training and/or
sharp increases in volume. Recommendations for
strength/power exercise typically range from 1.6 to 2.0 g/
kg/day [3,11-13,16], although some research suggests that
protein requirements may actually decrease during train-
ing due to biological adaptations that improve net protein
retention [17].
Little research has been conducted on exercise activities
that are intermittent in nature (e.g., soccer, basketball,
mixed martial arts, etc.). In a review focusing on soccer
players, a protein intake of 1.4­1.7 g/kg was recom-
mended [18]. Protein intakes within this range (1.4 to 1.7
g/kg/day) are recommended for those engaging in other
types of intermittent sports.
In summary, it is the position of the International Society
of Sport Nutrition that exercising individuals ingest pro-
tein ranging from 1.4 to 2.0 g/kg/day. Individuals engag-
ing in endurance exercise should ingest levels at the lower
end of this range, individuals engaging in intermittent
activities should ingest levels in the middle of this range,
and those engaging in strength/power exercise should
ingest levels at the upper end of this range.
Safety of protein intakes higher than RDA
It is often erroneously reported by popular media that a
chronically high protein intake is unhealthy and may
result in unnecessary metabolic strain on the kidneys
leading to impaired renal function. Another concern that
is often cited is that high protein diets increase the excre-
tion of calcium thereby increasing the risk for osteoporo-
sis. Both of these concerns are unfounded as there is no
substantive evidence that protein intakes in the ranges
suggested above will have adverse effects in healthy, exer-
cising individuals.
One of the main points of debate relative to protein intake
and kidney function is the belief that habitual protein
consumption in excess of the RDA promotes chronic renal
disease through increased glomerular pressure and hyper-
filtration [19,20]. The majority of scientific evidence cited
by the authors [20] was generated from animal models
and patients with co-existing renal disease. As such, the
extension of this relationship to healthy individuals with
normal renal function is inappropriate [21]. In a well
designed prospective cohort study, it was surmised that
high protein intake was not associated with renal func-
tional decline in women with normally operating kidneys
[22]. Also, it has been reported that there are no statisti-


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