Screening and pre-testing To assess whether volunteers are eligible to participate in this
study, we will invite them to the University for a screening. At the start of the screening
session, the entire experimental trial will be explained and any potential questions will be
answered. Thereafter, the volunteers are asked to read, fill out, and sign the informed
consent form. After signing the informed consent form, the participant's eligibility will be
assessed based on the in- and exclusion criteria. To further assess their eligibility,
participants will be asked to fill out a medical questionnaire to assess their general
health, use of medication, habitual food intake, and physical activity (Appendix F1.1). Next,
blood pressure will be assessed. Body mass (with accuracy of 0.1 kg) and height (with
accuracy of 0.01 m) will be determined, and body composition will be assessed via a Dual
Energy X-ray Absorptiometry (DEXA) scan. A DEXA scan is a simple, non-invasive procedure. At
the beginning of the procedure, subjects will be asked to lie down on a scanning table
wearing underwear and they need to remain motionless during the measurements. As the scanner
moves, a dual energy beam passes through the targeted skeletal muscle section and is measured
by a detector. This procedure is repeated until the whole body is scanned and takes
approximately 3 minutes.
The screening sessions will take place in the morning and participants are instructed to not
have any breakfast in the morning in order to avoid perturbations in the DEXA scan.
In the event of an unexpected medical finding during the screening, subjects will always be
notified. If a subject does not want to receive this notification, she cannot participate in
the study.
Next, subjects will be familiarized and tested for bilateral strength on the exercise
machines. First, participants will warm up on a cycle ergometer for 5 minutes at 100W.
Subjects will be instructed on proper weight-lifting technique on each exercise machine
(leg-press and leg-extension) and complete a standardized testing protocol to determine a
measurement of maximal strength (1RM) for each exercise machine. In short, subjects will be
seated on a leg press and leg extension machine and start with a warm-up of 2 sets of 10
repetitions with self-chosen weights. Then the load will be increased above the warming-up
weight. The load will be increased after each successful lift, until failure, to determine
maximal strength. A repetition is classified as "valid" if the participant is able to
complete the entire lift in a controlled manner, without assistance.
When the screening is successfully performed, the test day will be scheduled. In order to
prevent major impact from the menstrual cycle on the measurements of protein metabolism, the
test day will be scheduled to take place in the first 10 days of the follicular phase.
Each subject will participate in an experimental trial lasting ~9h. Subjects will be
instructed to arrive at the university at 7:45 AM in an overnight fasted and rested state,
meaning that participants are not allowed to eat and drink (except for water) from 22:00 the
night prior to the experimental trial. They will be instructed to come to the university by
car or public transportation. After the subjects arrive at the University, we will ask them
to put on their shorts, determine their body mass, and assign them to a bed. Subjects will
rest in a supine position and a Teflon catheter will be inserted in a heated dorsal hand vein
and placed in a hot-box (60°C) for arterialized blood sampling. A baseline blood sample
(Serum + plasma = 20 mL) will be collected at t= -210min to determine the amino acid
enrichment level prior to the intervention. Following basal blood sample collection, a second
Teflon catheter will be inserted into an antecubital vein of the contralateral arm for stable
isotope infusion with the amino acids 13C6-phenylalanine and 2H2-tyrosine. At the start of
the isotope infusion, the plasma phenylalanine and tyrosine pools will be primed with a
single dose of the tracer solution, directly thereafter the continuous tracer infusion will
commence.
During the entire experimental test day, the hand with the dorsal hand catheter will be
pre-heated for 10 minutes prior to every blood draw in a hot box at 60°C to increase blood
flow. This makes it easier to collect blood and minimizes nutrient exchange from blood into
other tissues. Therefore, it allows us to collect nutrient-rich (arterialized) blood from a
vein. Arterialized blood samples (10mL) will be collected at t = -180, -120, -60, and 0 min
to assess plasma tracer enrichments during the tracer infusion in the resting overnight
post-absorptive period. After a pre-infusion period of 30 minutes (t = -180), during which
the tracer infusion reaches steady state, a first muscle biopsy will be taken from the m.
vastus lateralis to determine the background enrichment. At t=-45 min, a resistance-type
exercise session will be performed (40 minutes). Subsequently, at t= 0 min a second biopsy
will be taken from the same leg in order to assess the basal muscle protein synthetic rate.
Immediately after the second biopsy, subjects will ingest the assigned drink (20g canola or
whey protein or a non-caloric placebo). Subjects will be instructed to consume the drink
within ~5 min.
Upon drink ingestion, the stopwatch will be reset (t= 0 min), and arterialized blood samples
(10 mL) will be collected at t = 30, 60, 90, 120, 180, 240, and 300 min during the
post-prandial period to assess plasma amino acid profiles and enrichments. To determine
postprandial muscle protein synthesis (MPS), another biopsy will be taken at t = 300 min
following meal ingestion from the contra-lateral leg. The muscle biopsy at t = 300 min allows
us to obtain physiological relevant information with regard to the duration of the anabolic
response to protein intake over a commonly used 5h postprandial period. Collectively, with
the obtained biopsies we can measure muscle protein synthesis in the resting state (-180 - 0
min) and entire postprandial period (0 - 300 min; main outcome).
During the test day, a total of 3 muscle biopsies will be taken through 3 separate incisions,
2 biopsies from the one leg and 1 biopsy from the other leg. In total 12 times blood samples
will be taken during the test day, the first sample that will be collected will be 20mL the
subsequent samples 10mL, for a total of 130mL. Additionally, gastro-intestinal (GI) symptoms
will be assessed at t = -60, 30, and 180 minutes and palatability at t = 15 min by
questionnaires