from the Irish Times
With more products using the
‘P’ word as a selling point, here’s all you need to know before you jump
on the latest nutrition bandwagon
It is hard to ignore the increasing number of foodstuffs on
supermarket shelves clamouring for attention with “protein” branding.
From meat and dairy to ready-made meals and confectionery, the “P” word
pops up more and more, in many cases alongside food that is well endowed
with protein but does not shout about it.
Clearly,
“high protein” and “protein enriched” labels and products appeal to
consumers even though they tend to cost more. Dietitian Sarah Keogh,
founder of Eatwell, has seen lots of food-related trends come and go but
she believes this one is here to stay.
“A
focus on protein is definitely justified,” she says. However, “the
amount I see people trying to stuff into themselves is probably not.”
If
you have not already jumped on to the “high protein” bandwagon and are
wondering if you are missing out, here are a few questions you might
have:
Are we really not eating enough protein?
Research
shows that, in Ireland, adults are, on average, more than hitting their
targets for protein. Sometimes people looking at a guideline think only
of meat, chicken and fish as sources, says Keogh, forgetting that you
also get protein from dairy, various plant-based items, bread and other
foods, “so they overshoot it massively”. Possible signs of inadequate
protein intake include tiredness, weakness and being prone to
infections, such as mouth ulcers, colds and thrush, due to a weakened
immune system.
The recommended daily
intake here for the population in general is 0.8g of protein per kilo of
body weight, so somebody weighing 60kg would need 48g. However,
different cohorts need more: athletes and bodybuilders, as you might
expect, but many older people would also benefit from increasing their
consumption.
In a set of updated scientific recommendations for food-based dietary guidelines for older adults published in 2021, the Food Safety Authority of Ireland said healthy older
adults should consume a more protein-dense diet than the general adult
population. It recommended that older adults at risk of frailty,
sarcopenia and undernutrition eat a minimum of 1–1.2g per kg body weight
of protein per day to preserve muscle mass.
These recommendations, which were adopted for HSE guidelines,
definitely apply to people over 65, but probably from mid-50s, says
Keogh. This increase in protein intake, ideally alongside an increase in
resistance exercise, is shown to delay frailty.
Most
people need somewhere between 0.8g and 2.2g per kilo of body weight per
day, says registered dietitian and physiologist Orla Walsh, who runs
two clinics in Dublin.
“It depends on lots of things including their goals, diet choice,
medical history, body composition, gender, age, exercise regime etc.”
Protein
feeds our muscles, which are live tissues that are constantly breaking
down and rebuilding, she explains. In order to maximise the rebuilding
process, it is important to eat enough protein each day.
“While
someone who is 30 years old may lose 1 per cent of their muscle mass
per year if they are not mindful of their nutrition and exercise regime,
someone who is 70 years old could lose 5 per cent per year.”
However, says Keogh, “the most important thing that we can do to avoid losing muscle mass is strength training.”
Can I consume too much of it?
“You
can absolutely eat too much,” says Keogh. “Around 15 per cent of your
daily calories should come from protein. What we know is that if you get
up to 30 per cent of your daily calories from protein, we do start to
see some negative health effects long-term.”
But
to reach that level, you would have to eat enormous amounts, she points
out. While there are no definitive findings, “it looks like it may have
a negative impact on things like heart disease. But at the same time, I
wouldn’t be in a huge panic about it.”
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However,
what a lot of people do not realise is that if they overeat protein,
the body does not store the excess, it turns it into fat. She has male
clients who work out in the gym, eat loads of protein and then wonder
why they cannot reduce their belly size. Calorie counters are inclined
to demonise carbohydrates but a gram of carbohydrates and a gram of
protein both contain four calories.
Do I need to eat more if doing strength training?
Muscle
operates on a “use it or lose it policy” but you also have to feed it,
says nutrition coach and gym owner Karen Coghlan. Going into the gym and
lifting loads of weight without consuming enough protein to feed the
muscles optimally means the physical benefit will be less or progress
slower.
She works almost exclusively
with women and finds they tend not to give protein in their diets enough
attention. Others are afraid of eating too much protein because they
think they will build bulky muscles.
Current
marketing of protein is targeted at people who go to the gym, she says,
“but it’s so much more than that. It’s pretty much the basic building
block of the body.”
Not just for muscles. “You’re talking
about your hair, your skin, your nails; even deeper than that, it has a
big regulatory role when it comes to optimising our enzymes, our
hormones, the neurotransmitters and the brain – that all needs amino
acids, which are derived from protein that we get in our diet,” says
Coghlan, who stresses she is not a dietitian. Having had a previous
career in biomedical engineering with the Royal College of Surgeons in Ireland, she studied nutrition coaching and fitness training before setting up her own gym, Freedom Fitness, in Kilcoole, Co Wicklow.
Keogh
says the vast majority of people are already eating enough protein to
build muscle, although women are more inclined to skimp on it.
Consumption of 1 to 1.2g of protein per kilo of body weight will cover
the needs of most people doing gym workouts; “seriously elite”
bodybuilders would be eating around 2g per kilo.
If
someone is consistently working out but cannot progress to higher
weights or more reps, it might be a good idea if they looked at their
protein intake, she suggests. Or they could be low in iron, just tired,
or something else.
What are the best sources?
“Food
first” is always the advice from dietitians. “Generally, people don’t
need to be eating protein-enriched foods to meet their protein
requirements,” says Walsh. “Lots of healthy, minimally processed foods
provide lots of protein, including milk, yoghurt, eggs, meat, poultry
and fish. For example, a pint of milk provides 20g of protein; two large
eggs provide 16g of protein, a tin of tuna provides 35g and a portion
of meat can provide 30 to 50g of protein.”
For
vegetarians and vegans, plant-based sources include beans, lentils,
tofu, tempeh, edamame, nuts, seeds, whole grains and quinoa.
Protein
shakes and other supplements have their place for bodybuilders and
athletes at elite level, says Keogh. Or as a top-up for older people
with small appetites who struggle to get enough from food, and sometimes
as a convenient snack if, say, going straight from work to sports
training.
Coghlan encourages women to look at where
they might add more protein to their everyday meals. But if they are
finding that difficult she would suggest seeking “high protein”
products, or “you can even just go out and buy a protein powder. At the
end of the day all that is is the protein extracted from milk.”
Walsh
says the reason why whey protein, from milk, has become so popular is
that, as well as being quick to digest, it’s rich in the amino acid
leucine, which “makes it a terrific protein for recovery from strength
training, particularly in older people. Generally, people may benefit
from taking one to two scoops of whey protein after a gym session.”
Where does eating ‘high protein’ products sit with avoidance of ultra processed foods?
Manufacturers
can put “high protein” on a label if it accounts for at least 20 per
cent of the calories in the product, explains Keogh, who does some work
in food regulation. But it must also be a reasonable amount of food.
(Technically, mushrooms are “high protein” but you would have to eat a
ridiculous number of them to get a meaningful amount.) To meet the
criteria, products may have protein added. While ideally everybody would
cook from scratch, she believes “high protein” ready-made meals with
labels that indicate they are at least reasonably close to a home-cooked
version are fine.
Will eating more protein help with weight loss?
As
part of a balanced diet it might, because it leaves people feeling
fuller for longer. But bear in mind what Keogh says above about equal
calorific value.
“If you’re feeling fuller for longer, you’re by default going to end up eating less in the long run,” says Coghlan.
Is there any risk of young children not getting enough?
Babies and children are rarely deficient in protein in developed
countries, says Cathy Monaghan, a hospital paediatric dietitian who set
up weaning.ie. Protein deficiency would generally be a symptom of an underlying problem.
From around age one children need around
1g of protein per kilo of body weight. She believes this can be achieved
relatively easily, even with restrictive or picky eaters. While dairy
and fortified dairy alternatives are a primary source of protein for
young children, she advises parents to offer a variety to ensure
adequate intake and balance of essential amino acids.
Parents should not give children protein supplements unless recommended by a paediatrician or a paediatric dietitian.
In
addition to protein, it is important to ensure active children are
consuming enough complex carbohydrate for their activity and growth
needs. If the child is not consuming enough carbohydrate, their body may
convert protein to carbohydrate (in a process called gluconeogenesis).
What about sporty teenagers?
Many
active teens who are keen to build muscle are eating too much protein
as well as too few complex carbohydrates, warns Monaghan. As a result,
the protein is being converted to glucose by the liver and kidneys.
If
you’re unsure about your child’s protein intake, a consultation with a
registered dietitian can really help, she adds. Dietitians who are
registered with Coru, the regulator of health and social care
professionals, are recognised by health insurers, and most policies
cover, or part cover, the cost of consultations.
Is all this noise about protein drowning out other nutritional messages?
“There
needs to be a much bigger conversation around fibre; 80 per cent of
Irish people are fibre deficient,” says Walsh. We need to eat about 14g
of fibre for every 1,000 calories of food, which works out at 25 to 35g a
day for most people.
“Fibre is
incredibly important for gut function, feeding our gut microbiome and
for preventing disease. It’s also important for achieving and
maintaining a healthy body composition,” she adds. “I really hope fibre
becomes as much, if not more, of a talking point than protein.”
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