Efficacy of progressive resistance training intensities and adequate dietary protein intake for community-dwelling frail older adults (TEAMS study), protocol for a randomised controlled trial

Abstract Background Progressive Resistance Training (PRT) and adequate dietary protein are crucial for preventing and managing sarcopenia and frailty in older adults. To date, the optimal intensity of PRT and the added value of dietary protein for enhancing muscle mass, strength, and physical perfor...

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Main Authors: M. Benali, J. van den Helder, E. J.M. Biersteker, J. D. Schoufour, P. J.M. Weijs, M. Tieland
Format: Article
Language:English
Published: BMC 2025-08-01
Series:BMC Geriatrics
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Online Access:https://doi.org/10.1186/s12877-025-06209-9
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author M. Benali
J. van den Helder
E. J.M. Biersteker
J. D. Schoufour
P. J.M. Weijs
M. Tieland
author_facet M. Benali
J. van den Helder
E. J.M. Biersteker
J. D. Schoufour
P. J.M. Weijs
M. Tieland
author_sort M. Benali
collection DOAJ
description Abstract Background Progressive Resistance Training (PRT) and adequate dietary protein are crucial for preventing and managing sarcopenia and frailty in older adults. To date, the optimal intensity of PRT and the added value of dietary protein for enhancing muscle mass, strength, and physical performance in frail older adults remain unclear. This randomised controlled trial aims to determine the efficacy of various PRT intensities and adequate dietary protein intake in improving muscle mass, strength and physical performance in frail, community-dwelling older adults. Methods This study is a two-step randomised clinical trial involving 300 frail older adults. Participants will engage in a 12-week PRT twice weekly. Initially, participants will be randomised to specific training intensities, ranging from 20 to 80% of their one-repetition maximum (1-RM). Subsequently, participants will be further randomised into two groups: an intervention group receiving a dietary intervention targeting a daily protein intake of 1.2–1.5 g/kg/day (PRT-Pro), and a control group with no dietary intervention (PRT-only). The dietary protein intervention will include counselling sessions and the provision of protein-rich foods. Discussion This study aims to elucidate the effect of various PRT intensities and the supplementary effects of adequate dietary protein intake on muscle mass, muscle strength, and physical performance in frail older adults. The results will provide critical insights for scientists and healthcare professionals, facilitating the development of more effective strategies to combat sarcopenia and frailty in this population. Trial registration The trial is registered at the ICTRP (OMON trial ID NL8785).
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spelling doaj-art-62dd9c6da78c4b58a8dec506f08e82f82025-08-20T04:03:01ZengBMCBMC Geriatrics1471-23182025-08-0125111110.1186/s12877-025-06209-9Efficacy of progressive resistance training intensities and adequate dietary protein intake for community-dwelling frail older adults (TEAMS study), protocol for a randomised controlled trialM. Benali0J. van den Helder1E. J.M. Biersteker2J. D. Schoufour3P. J.M. Weijs4M. Tieland5Faculty of Health, Sport and Physical Activity, Center of Expertise Urban Vitality, Amsterdam University of Applied SciencesFaculty of Health, Sport and Physical Activity, Center of Expertise Urban Vitality, Amsterdam University of Applied SciencesFaculty of Health, Sport and Physical Activity, Center of Expertise Urban Vitality, Amsterdam University of Applied SciencesFaculty of Health, Sport and Physical Activity, Center of Expertise Urban Vitality, Amsterdam University of Applied SciencesFaculty of Health, Sport and Physical Activity, Center of Expertise Urban Vitality, Amsterdam University of Applied SciencesFaculty of Health, Sport and Physical Activity, Center of Expertise Urban Vitality, Amsterdam University of Applied SciencesAbstract Background Progressive Resistance Training (PRT) and adequate dietary protein are crucial for preventing and managing sarcopenia and frailty in older adults. To date, the optimal intensity of PRT and the added value of dietary protein for enhancing muscle mass, strength, and physical performance in frail older adults remain unclear. This randomised controlled trial aims to determine the efficacy of various PRT intensities and adequate dietary protein intake in improving muscle mass, strength and physical performance in frail, community-dwelling older adults. Methods This study is a two-step randomised clinical trial involving 300 frail older adults. Participants will engage in a 12-week PRT twice weekly. Initially, participants will be randomised to specific training intensities, ranging from 20 to 80% of their one-repetition maximum (1-RM). Subsequently, participants will be further randomised into two groups: an intervention group receiving a dietary intervention targeting a daily protein intake of 1.2–1.5 g/kg/day (PRT-Pro), and a control group with no dietary intervention (PRT-only). The dietary protein intervention will include counselling sessions and the provision of protein-rich foods. Discussion This study aims to elucidate the effect of various PRT intensities and the supplementary effects of adequate dietary protein intake on muscle mass, muscle strength, and physical performance in frail older adults. The results will provide critical insights for scientists and healthcare professionals, facilitating the development of more effective strategies to combat sarcopenia and frailty in this population. Trial registration The trial is registered at the ICTRP (OMON trial ID NL8785).https://doi.org/10.1186/s12877-025-06209-9FrailtySarcopeniaResistance exerciseProtein intakeAgeing
spellingShingle M. Benali
J. van den Helder
E. J.M. Biersteker
J. D. Schoufour
P. J.M. Weijs
M. Tieland
Efficacy of progressive resistance training intensities and adequate dietary protein intake for community-dwelling frail older adults (TEAMS study), protocol for a randomised controlled trial
BMC Geriatrics
Frailty
Sarcopenia
Resistance exercise
Protein intake
Ageing
title Efficacy of progressive resistance training intensities and adequate dietary protein intake for community-dwelling frail older adults (TEAMS study), protocol for a randomised controlled trial
title_full Efficacy of progressive resistance training intensities and adequate dietary protein intake for community-dwelling frail older adults (TEAMS study), protocol for a randomised controlled trial
title_fullStr Efficacy of progressive resistance training intensities and adequate dietary protein intake for community-dwelling frail older adults (TEAMS study), protocol for a randomised controlled trial
title_full_unstemmed Efficacy of progressive resistance training intensities and adequate dietary protein intake for community-dwelling frail older adults (TEAMS study), protocol for a randomised controlled trial
title_short Efficacy of progressive resistance training intensities and adequate dietary protein intake for community-dwelling frail older adults (TEAMS study), protocol for a randomised controlled trial
title_sort efficacy of progressive resistance training intensities and adequate dietary protein intake for community dwelling frail older adults teams study protocol for a randomised controlled trial
topic Frailty
Sarcopenia
Resistance exercise
Protein intake
Ageing
url https://doi.org/10.1186/s12877-025-06209-9
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