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The Role of Protein and Amino Acids in Sustaining and Enhancing Performance (1999)
Institute of Medicine (IOM)

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. "9 Inherent Difficulties in Defining Amino Acid Requirements." The Role of Protein and Amino Acids in Sustaining and Enhancing Performance. Washington, DC: The National Academies Press, 1999.

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The Role of Protein and Amino Acids in Sustaining and Enhancing Performance

TABLE 9-4 Ileal Indispensable Amine Acid Losses of the Pig and Human

 

Pig* 40 kg mg/kg/d

Human adult 66 kg mg/kg/d

Isoleucine

11.3

1.7

Leucine

25

3.2

Lysino

15.3

3.9

TSA

18.3

1.8

TAA

28.5

3.9

Threonine

32.3

4.2

Valine

18.3

2.9

NOTE: TSA, total sulfur amine acid; TAA, total aromatic amine acid.

* Wang and Fuller (1989).

† Fuller et al. (1994).

The Adaptive Component of the Metabolic Demand

It may appear a simple task to identify and quantify the maintenance MD for each amine acid in terms of the various metabolic pathways involved. However, difficulty arises in distinguishing between obligatory intrinsic, functionally important demands and those that serve a purpose, but can and do vary according to circumstances, that is, an adaptive component It is this adaptive component that brings complexity to the maintenance MD.

The ONL at 54 mg N or 0.34 g protein/kg/day, is only 50 percent of current estimates of the protein requirement (0.6 g/kg/d), and the nature of this additional need (the difference between 0.34 and 0.6 g protein) has in the past been difficult to account for. Usually, it has been attributed to an inefficiency of utilization, although why proteins such as those in milk, eggs, or meat were not utilized more efficiently was always puzzling. It is much easier to understand the inefficiency of utilization as representing an adaptive component of MD.

When subjects are fed a protein-free diet, their urinary N losses initially reflect their normal dietary protein intake and then falls over 7 to 14 days to reach a low stable output level (see FAO/WHO, 1973). That is, an additional loss of body N occurs on a daily basis for some time before equilibrium is reached at the lower level. This additional daily N loss demonstrates the existence of this adaptive component of the MD. Traditionally, this has been defined as ''the labile protein reserves," which imply that metabolically it was a pool of protein that varied in size with the dietary protein intake. In the rat, liver and visceral protein content does vary directly with dietary protein intake (see Munro, 1964) in support of the labile protein reserve concept. However, no such

Page
180
Front Matter (R1-R18)
Executive Summary (1-16)
I Committee Summary and Recommendations (17-18)
1 Committee Review (19-76)
2 Responses to Questions, Conclusions, and Recommendations (77-82)
II Authored Papers and Workshop Discussions (83-84)
3 Protein and Amino Acids: Physiological Optimization for Current and Future Military Operational Scenarios (85-92)
4 Overview of Garrison, Field, and Supplemental Protein Intake by U.S. Military Personnel (93-108)
5 The Energy Costs of Protein Metabolism: Lean and Mean on Uncle Sam's Team (109-120)
6 Regulation of Muscle Mass and Function: Effects of Aging and Hormones (121-136)
7 Effects of Protein Intake on Renal Function and on the Development of Renal Disease (137-154)
8 Infection and Injury: Effects on Whole Body Protein Metabolism (155-168)
9 Inherent Difficulties in Defining Amino Acid Requirements (169-216)
10 Amino Acid Flux and Requirements: Counterpoint Tentative Estimates are Feasible and Necessary (217-242)
11 Physical Exertion, Amino Acid and Protein Metabolism, and Protein Requirements (243-254)
12 Skeletal Muscle Markers (255-278)
13 Alterations in Protein Metabolism Due to the Stress of Injury and Infection (279-284)
Discussion I (285-288)
14 Amino Acid and Protein Requirements: Cognitive Performance, Stress, and Brain Function (289-308)
15 Supplementation with Branched-Chain Amino Acids, Glutamine, and Protein Hydrolysates: Rationale for Effects on Metabolism and Performance (309-330)
16 Dietary Supplements Aimed at Enhancing Performance: Efficacy and Safety Considerations (331-340)
Discussion II (341-346)
Appendixes (347-348)
A Workshop Agenda (349-352)
B Biographical Sketches (353-368)
C Acronyms and Abbreviations (369-372)
D Proteins and Amino Acids - A Selected Bibliography (373-410)
E Protein and Energy Content of Selected Operational Rations (411-412)
Index (413-429)