Protein and amino acid metabolism with reference to aging and the elderly. 1990

V R Young
Massachusetts Institute of Technology, Cambridge 02139.

In this short review, selected aspects of body protein and amino-acid metabolism during aging in human subjects have been explored. There is a progressive diminution of total body protein with aging, due largely to a loss of skeletal muscle protein. These changes are accompanied by a shift in the overall pattern of whole body protein synthesis and breakdown, with muscle mass estimated to account for about 30 percent of whole body protein turnover in the young adult, as compared with a lower value of 20 percent or less in elderly subjects. There is no evidence that the loss of muscle protein is related to a reduced "amino acid tolerance" to insulin, since leucine-insulin metabolic relationships appear to remain intact during advancing adult age. However, because skeletal muscle mass plays an important role in the response to body protein and amino-acid metabolism to stress, such as that due to infection or trauma, this decline in the contribution of muscle to total body protein metabolism might be a factor responsible for the reduced ability of older people to withstand such unfavorable circumstances. Recent observations on the importance of muscle as a source of glutamine that is essential for immune cell function support this contention. The dietary requirements for individual essential and for total protein are limited and often contradictory (see, for example, Young, et al, 1982). However, elderly individuals are more likely to be affected by various biological, environmental and social factors, which would generally increase protein and amino acid needs above those for younger adults. Thus, in practice, the protein needs in the elderly are likely to be higher than those in the young. The decline in energy intake, together with its possible consequences for reducing the efficiency of dietary protein utilization, also will tend to increase the protein need for elderly subjects, relative to that for physically more active young adults. Until more data become available, it is recommended, for food planning purposes, that an appropriate protein allowance would be about 15 percent of the total energy intake, for mixed food protein sources characteristic of the diets of industrialized countries. Epidemiological surveys of the protein nutritional status of healthy, free living elderly subjects and of institutionalized individuals without clinically apparent terminal or wasting illness are consistent with this recommendation.

UI MeSH Term Description Entries
D011506 Proteins Linear POLYPEPTIDES that are synthesized on RIBOSOMES and may be further modified, crosslinked, cleaved, or assembled into complex proteins with several subunits. The specific sequence of AMINO ACIDS determines the shape the polypeptide will take, during PROTEIN FOLDING, and the function of the protein. Gene Products, Protein,Gene Proteins,Protein,Protein Gene Products,Proteins, Gene
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000375 Aging The gradual irreversible changes in structure and function of an organism that occur as a result of the passage of time. Senescence,Aging, Biological,Biological Aging
D000596 Amino Acids Organic compounds that generally contain an amino (-NH2) and a carboxyl (-COOH) group. Twenty alpha-amino acids are the subunits which are polymerized to form proteins. Amino Acid,Acid, Amino,Acids, Amino

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