Mamerow · The Journal of nutrition 2014 · randomized crossover trial · n=8

Dietary protein distribution positively influences 24-h muscle protein synthesis in healthy adults.

Cited 434 times in the scientific literature.

Level 2 - randomized trial

Individual randomized crossover metabolic feeding trial

PubMed 24477298 · doi:10.3945/jn.113.185280 · record verified 2026-08-29

What was done

Eight healthy adult men and women (age 36.9 ± 3.1 years, BMI 25.7 ± 0.8 kg/m²) participated in a 7-day crossover feeding study with a 30-day washout period. Participants received isoenergetic, isonitrogenous diets with daily protein distributed evenly across meals (EVEN: ~31.5 g at breakfast, 29.9 g at lunch, 32.7 g at dinner) or skewed toward dinner (SKEW: ~10.7 g at breakfast, 16.0 g at lunch, 63.4 g at dinner). Mixed muscle protein fractional synthesis rate (FSR) was measured over 24-hour periods on day 1 and day 7 using L-[ring-¹³C₆]phenylalanine infusion and vastus lateralis muscle biopsies.

What was found

The 24-hour mixed muscle protein fractional synthesis rate was 25% higher on the EVEN diet (0.075 ± 0.006%/h) compared to the SKEW diet (0.056 ± 0.006%/h; P = 0.003). This difference persisted after 7 days of dietary habituation (EVEN: 0.077 ± 0.006%/h vs. SKEW: 0.056 ± 0.006%/h; P = 0.001).

Why it matters

These findings indicate that consuming moderate amounts of protein (~30 g) at each meal stimulates 24-hour muscle protein synthesis more effectively than consuming the majority of daily protein at dinner.

Limits

The sample size was very small (n = 8). The trial measured acute 24-hour fractional synthesis rates over a 7-day period rather than long-term changes in muscle mass, strength, or functional outcomes. Findings in healthy young-to-middle-aged adults may not generalize to older individuals, athletes, or clinical populations.

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