Comparative Effects of Co-Ingesting Whey Protein and Glucose Alone and Combined on Blood Glucose, Plasma Insulin and Glucagon Concentrations in Younger and Older Men

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2022

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Oberoi, A.
Giezenaar, C.
Rigda, R.S.
Lange, K.
Horowitz, M.
Jones, K.L.
Chapman, I.
Soenen, S.

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Nutrients, 2022; 14(15):3111-1-3111-16

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Avneet Oberoi, Caroline Giezenaar, Rachael S. Rigda, Kylie Lange, Michael Horowitz, Karen L. Jones, Ian Chapman, and Stijn Soenen

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Abstract

The ingestion of dietary protein with, or before, carbohydrate may be a useful strategy to reduce postprandial hyperglycemia, but its effect in older people, who have an increased predisposition for type 2 diabetes, has not been clarified. Blood glucose, plasma insulin and glucagon concentrations were measured for 180 min following a drink containing either glucose (120 kcal), whey-protein (120 kcal), whey-protein plus glucose (240 kcal) or control (∼2 kcal) in healthy younger (n = 10, 29 ± 2 years; 26.1 ± 0.4 kg/m²) and older men (n = 10, 78 ± 2 years; 27.3 ± 1.4 kg/m²). Mixed model analysis was used. In both age groups the co-ingestion of protein with glucose (i) markedly reduced the increase in blood glucose concentrations following glucose ingestion alone (p < 0.001) and (ii) had a synergistic effect on the increase in insulin concentrations (p = 0.002). Peak insulin concentrations after protein were unaffected by ageing, whereas insulin levels after glucose were lower in older than younger men (p < 0.05) and peak insulin concentrations were higher after glucose than protein in younger (p < 0.001) but not older men. Glucagon concentrations were unaffected by age. We conclude that the ability of whey-protein to reduce carbohydrate-induced postprandial hyperglycemia is retained in older men and that protein supplementation may be a useful strategy in the prevention and management of type 2 diabetes in older people.

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© 2022 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 (https://creativecommons.org/licenses/by/4.0/).

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