Do protein and energy intakes explain long-term changes in body composition?
Stookey JD ; Adair LS ; Popkin BM Department of Nutrition, University of North Carolina at ChapelHill, NC, USA. jstookey@email.unc.edu BACKGROUND: Despite evidence that profiles of protein and energy intake can determine short-term (< 1 y) change in both lean and fat compartments,the role of diet in longer-term, age-related changes in body composition remains unclear. OBJECTIVE: This paper tests for long-term counterparts to the well-established short-term relationships between protein and energy intake and changes in body composition. DESIGN: Using longitudinal data on 608 healthy, non-obese Chinese (50-69 y)from the 1993 and 1997 China Health and Nutrition Surveys, sex-specific regression models were created to determine if 3-day mean protein (%of energy) and energy (kJ) intakes at baseline predicted change in mid arm muscle area (MAMA) and waist circumference (WC). RESULTS: Although sex-specific U-shaped associations were observed,higher energy intakes were associated with greater g