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Systematic review The Effectiveness of Protein Supplementation Combined with Resistance Exercise Program Among Community-Dwelling Older Adults with Sarcopenia: A Systematic Review and Meta-analysis
Phatcharaphon Whaikid2orcid , Noppawan Piaseu1orcid
Epidemiol Health 2024;e2024030
DOI: https://doi.org/10.4178/epih.e2024030 [Accepted]
Published online: February 14, 2024
1Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
2Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Corresponding author:  Noppawan Piaseu,
Email: noppawan.pia@mahidol.edu
Received: 25 October 2023   • Revised: 28 December 2023   • Accepted: 10 January 2024
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OBJECTIVES
ImprovingThe combination of protein supplementation and resistance exercise shows promise for improving and maintaining muscle mass, strength, and performance through protein supplementation combined with resistance exercise is promising in older adults with sarcopenia. The objective of the presentThis systematic review isaimed to examineevaluate the effects of protein supplementation combined with resistance exercisethis combination on muscle mass, muscle strength, and physical performance amongin community-dwelling older adults with sarcopenia.
METHODS
ComprehensiveWe conducted a comprehensive search across fourof 4 electronic databases,includes: PubMed, Scopus, Embase, and the Medline library, spanningMEDLINE Library. The search covered literature from January 2013 to January 2023, following and followed the Preferred Reporting Items for Systematic ReviewReviews and Meta-AnalysisAnalyses (PRISMA) guidelines. Two independent reviewers evaluateassessed the methodological quality and individualof each study using the standard critical appraisal instrumenttool from the Johanna Briggs Institute (JBI. The meta). Meta-analysis was performed usingwith the JBI Sumari program.
RESULTS
A total of The review included 7 randomized controlled trials and 1 quasi -experimental study consisting, encompassing a total of 854 older adultsparticipants aged 60 years and above were included in this review. The duration of the studies. The study durations ranged from 10 to 24 weeks. TheAn analysis using aof standardized mean difference (SMD) revealeddifferences (SMDs) showed that protein supplementation combined with resistance exercise significantly increased muscle mass (SMD=0.95 (; 95% CI:, 0.13,-1.78),; p< 0.05),) and muscle strength (SMD=0.32 (; 95% CI: 0.08, 0.08-0.56),; p< 0.05).
CONCLUSIONS
The smallAlthough the limited number of RCTs constrains the strengthrandomized controlled trials restricts the robustness of our conclusions. Nevertheless, our findings indicate, the evidence suggests that protein supplementation combined with resistance exercise effectively enhancesis effective in enhancing muscle mass and strength amongin community-dwelling older adults with sarcopenia.


Epidemiol Health : Epidemiology and Health