Protein intake and body weight, fat mass and waist circumference: an umbrella review of systematic reviews for the evidence-based guideline on protein intake of the German Nutrition Society

S. Ellinger, A.M. Amini, J. Haardt, A. Lehmann, A. Schmidt, H.A. Bischoff-Ferrari, A. Buyken, A. Kroke, T. Kühn, S. Louis, S. Lorkowski, K. Nimptsch, M.B. Schulze, L. Schwingshackl, R. Siener, G.I. Stangl, D. Volkert, A. Zittermann, B. Watzl, S. Egert, European Journal of Nutrition (2023).

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Journal Article | Published | English
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Ellinger, Sabine; Amini, Anna M.; Haardt, Julia; Lehmann, Andreas; Schmidt, Annemarie; Bischoff-Ferrari, Heike A.; Buyken, AnetteLibreCat; Kroke, Anja; Kühn, Tilman; Louis, Sandrine; Lorkowski, Stefan; Nimptsch, Katharina
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Abstract
<jats:title>Abstract</jats:title><jats:sec> <jats:title>Purpose</jats:title> <jats:p>This umbrella review aimed to assess whether dietary protein intake with regard to quantitative (higher vs. lower dietary protein intake) and qualitative considerations (total, plant-based or animal-based protein intake) affects body weight (BW), fat mass (FM) and waist circumference (WC).</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>A systematic literature search was conducted in PubMed, Embase and Cochrane Database of Systematic Reviews for systematic reviews (SRs) with and without meta-analyses of prospective studies published between 04 October 2007 and 04 January 2022. Methodological quality and outcome-specific certainty of evidence of the retrieved SRs were assessed by using AMSTAR 2 and NutriGrade, respectively, in order to rate the overall certainty of evidence using predefined criteria.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>Thirty-three SRs were included in this umbrella review; 29 were based on randomised controlled trials, a few included cohort studies. In studies without energy restriction, a high-protein diet did not modulate BW, FM and WC in adults in general (all “possible” evidence); for older adults, overall certainty of evidence was “insufficient” for all parameters. Under hypoenergetic diets, a high-protein diet mostly decreased BW and FM, but evidence was “insufficient” due to low methodological quality. Evidence regarding an influence of the protein type on BW, FM and WC was “insufficient”.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusion</jats:title> <jats:p>“Possible” evidence exists that the amount of protein does not affect BW, FM and WC in adults under isoenergetic conditions. Its impact on the reduction in BW and FM under hypoenergetic conditions remains unclear; evidence for an influence of protein type on BW, FM and WC is “insufficient”.</jats:p> </jats:sec>
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European Journal of Nutrition
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Ellinger S, Amini AM, Haardt J, et al. Protein intake and body weight, fat mass and waist circumference: an umbrella review of systematic reviews for the evidence-based guideline on protein intake of the German Nutrition Society. European Journal of Nutrition. Published online 2023. doi:10.1007/s00394-023-03220-x
Ellinger, S., Amini, A. M., Haardt, J., Lehmann, A., Schmidt, A., Bischoff-Ferrari, H. A., Buyken, A., Kroke, A., Kühn, T., Louis, S., Lorkowski, S., Nimptsch, K., Schulze, M. B., Schwingshackl, L., Siener, R., Stangl, G. I., Volkert, D., Zittermann, A., Watzl, B., & Egert, S. (2023). Protein intake and body weight, fat mass and waist circumference: an umbrella review of systematic reviews for the evidence-based guideline on protein intake of the German Nutrition Society. European Journal of Nutrition. https://doi.org/10.1007/s00394-023-03220-x
@article{Ellinger_Amini_Haardt_Lehmann_Schmidt_Bischoff-Ferrari_Buyken_Kroke_Kühn_Louis_et al._2023, title={Protein intake and body weight, fat mass and waist circumference: an umbrella review of systematic reviews for the evidence-based guideline on protein intake of the German Nutrition Society}, DOI={10.1007/s00394-023-03220-x}, journal={European Journal of Nutrition}, publisher={Springer Science and Business Media LLC}, author={Ellinger, Sabine and Amini, Anna M. and Haardt, Julia and Lehmann, Andreas and Schmidt, Annemarie and Bischoff-Ferrari, Heike A. and Buyken, Anette and Kroke, Anja and Kühn, Tilman and Louis, Sandrine and et al.}, year={2023} }
Ellinger, Sabine, Anna M. Amini, Julia Haardt, Andreas Lehmann, Annemarie Schmidt, Heike A. Bischoff-Ferrari, Anette Buyken, et al. “Protein Intake and Body Weight, Fat Mass and Waist Circumference: An Umbrella Review of Systematic Reviews for the Evidence-Based Guideline on Protein Intake of the German Nutrition Society.” European Journal of Nutrition, 2023. https://doi.org/10.1007/s00394-023-03220-x.
S. Ellinger et al., “Protein intake and body weight, fat mass and waist circumference: an umbrella review of systematic reviews for the evidence-based guideline on protein intake of the German Nutrition Society,” European Journal of Nutrition, 2023, doi: 10.1007/s00394-023-03220-x.
Ellinger, Sabine, et al. “Protein Intake and Body Weight, Fat Mass and Waist Circumference: An Umbrella Review of Systematic Reviews for the Evidence-Based Guideline on Protein Intake of the German Nutrition Society.” European Journal of Nutrition, Springer Science and Business Media LLC, 2023, doi:10.1007/s00394-023-03220-x.

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