Is a Higher Protein Intake Associated with Health Concerns? Effect on Bone and Kidneys

by Mike Nelson, MS, RN
Personal Training Quarterly February 2019
Vol 2, Issue 5

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In this article, Mike Nelson addresses two stubborn myths associated with increased protein intake and negative effects: kidney issues and bone loss.

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This article originally appeared in Personal Training Quarterly (PTQ)—a quarterly publication for NSCA Members designed specifically for the personal trainer. Discover easy-to-read, research-based articles that take your training knowledge further with Nutrition, Programming, and Personal Business Development columns in each quarterly, electronic issue. Read more articles from PTQ »

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References

1. Antonio, J, Ellerbroek, A, Evans, C, Silver, T, and Peacock, CA. High protein consumption in trained women: bad to the bone? J Int Soc Sports Nutr 15(6): 2018.

2. Antonio, J, Ellerbroek, A, Silver, T, Vargas, L, and Peacock, C. The effects of a high protein diet on indices of health and body composition - A crossover trial in resistance-trained men. J Int Soc Sports Nutr 13(3): 2016.

3. Antonio, J, Ellerbroek, A, Silver, T, Vargas, L, Tamayo, A, Buehn, R, and Peacock, CA. A high protein diet has no farmful effects: A one-year crossover study in resistance-trained males. Journal of Nutrition and Metabolism 9104792; 2016.

4. Berns, JS. Nutritional management of chronic kidney disease. The New England Journal of Medicine 378: 584, 2018.

5. Bie, P, and Astrup, A. Dietary protein and kidney function: when higher glomerular filtration rate is desirable. Am J Clin Nutr 102: 3-4, 2015.

6. Brandle, E, Sieberth, HG, and Hautmann, RE. Effect of chronic dietary protein intake on the renal function in healthy subjects. European Journal of Clinical Nutrition 50: 734-740, 1996.

7. Cao, JJ. High dietary protein intake and protein-related acid load on bone health. Current Osteoporosis Reports 15: 571-576, 2017.

8. Hallkvist, OM, Johansson, J, Nordstrom, A, Nordstrom, P, and Hult, A. Dairy product intake and bone properties in 70-year-old men and women. Archives of Osteoporosis 13(9): 2018.

9. Heer, M, Baecker, N, Frings-Meuthen, P, Graf, S, Zwart, SR, Biolo, G, and Smith, SM.  Effects of high-protein intake on bone turnover in long-term bed rest in women. Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquee, Nutrition et Metabolisme 42: 537-546, 2017.

10. Kim, BJ, Lee, SH, Isales, CM, Koh, JM, and Hamrick, MW. The positive association of total protein intake with femoral neck strength, KNHANES IV, Osteoporosis international: A journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2018

11. Langsetmo, L, Shikany, JM, Cawthon, PM, Cauley, JA, Taylor, BC, Vo, TN, Bauer, DC, Orwoll, ES, Schousboe, JT, and Ensrud, KE. The association between protein intake by source and osteoporotic fracture in older men: A prospective cohort study. Journal of Bone and Mineral Research : The Official Journal of the American Society for Bone and Mineral Research 32: 592-600, 2017.

12. Lowery, LM, and Devia, L. Dietary protein safety and resistance exercise: What do we really know? J Int Soc Sports Nutr 6(3): 2009.

13. Nelson, MT. The effects of eating truckloads of protein: The truth about high-protein diets. Testosterone Nation 2017.

14. Phillips, SM. A brief review of higher dietary protein diets in weight loss: A focus on athletes. Sports Med 44(suppl 2): S149-153, 2014.

15. Poortmans, JR, and Dellalieux, O. Do regular high protein diets have potential health risks on kidney function in athletes? Int J Sport Nutr Exerc Metab 10: 28-38, 2000.

16. Shams-White, MM, Chung, M., Du, M, Fu, Z, Insogna, KL, Karlsen, MC, LeBoff, MS, Shapses, SA, Sackey, J, Wallace, TC, et al. Dietary protein and bone health: A systematic review and metaanalysis from the National Osteoporosis Foundation. Am J Clin Nutr 105: 1528-1543, 2017.

17. Tipton, KD. Efficacy and consequences of very-high-protein diets for athletes and exercisers. The Proceedings of the Nutrition Society 70: 205-214, 2011.

18. Wallace, TC, and Frankenfeld, CL. Dietary protein intake above the current RDA and bone health: A systematic review and meta-analysis. Journal of the American College of Nutrition 36: 481-496, 2017.

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MR Mike Nelson, MS, RN

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