Skip to main content
Erschienen in: Journal of the International Society of Sports Nutrition 1/2015

Open Access 01.12.2015 | Short report

Soy protein ingestion results in less prolonged p70S6 kinase phosphorylation compared to whey protein after resistance exercise in older men

verfasst von: Cameron J Mitchell, Paul A Della Gatta, Aaron C Petersen, David Cameron-Smith, James F Markworth

Erschienen in: Journal of the International Society of Sports Nutrition | Ausgabe 1/2015

download
DOWNLOAD
print
DRUCKEN
insite
SUCHEN

Abstract

Background

The phosphorylation of p70S6 Kinase (p70S6K) is an important step in the initiation of protein translation. p70S6K phosphorylation is enhanced with graded intakes of whey protein after resistance exercise. Soy protein ingestion results in lower muscle protein synthesis after exercise compared with whey; however, the underlying mechanisms responsible for this difference have not been reported.

Findings

13 older men (60–75) completed an acute bout of lower body resistance exercise and ingested 30 g of soy protein or carbohydrate. Muscle biopsies were obtained in the rested and fasted state and 2 and 4 hours post exercise. Phosphorylation status of p70S6K was measured with western blot. Results were compared with previously reported data from the ingestion of 30 g of whey protein or placebo. p70S6K phosphorylation was increased 2, but not 4 hours post exercise with soy protein ingestion. p70S6K phosphorylation was not increased post exercise with carbohydrate ingestion.

Conclusions

Ingesting 30 g of either whey or soy protein resulted in equivalent p70S6K phosphorylation at 2 hours post exercise, however, unlike whey, soy protein failed to promote prolonged phosphorylation of p70S6K to 4 hours post-exercise.
Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

DCS and AP designed the study. PDG, AP and JM collected the data. JM and CM analysed the data. CM and JM drafted the manuscript. DCS, AP, PDG, JM and CM approved the final version of the manuscript.
Abkürzungen
1RM
One-repetition maximum
AMPK
Adenosine monophosphate-activated protein kinase
ANOVA
Analysis of variance
ERK
Extracellular signal-regulated kinases
MPS
Muscle protein synthesis
mTOR
Mammalian target of rapamycin
p70S6K
p70S6 kinase
PVDF
Polyvinyl difluoride
S6
Ribosomal protein S6
SDS/PAGE
Sodium dodecyl sulphate/polyacrylamide gel electrophoresis
SEM
Standard error of the mean

Findings

Background

Aging is associated with a progressive loss of muscle mass and function termed sarcopenia [1,2]. Low muscle mass and associated impaired function are emerging as important risk factors for loss of independence [3], poor survivability of many diseases [4] and ultimately all-cause mortality [5]. Reduced muscle protein synthesis (MPS) in aged muscle appears to be underpinned by deficits in the anabolic signalling response to exercise and feeding, a phenomenon which may contribute to the etiology of sarcopenia [6,7]. A better understanding of the molecular responses to exercise and nutrition in aged skeletal muscle will be important in developing effective treatment for sarcopenia.
MPS is primarily controlled by the regulation of translation initiation. The mammalian target of rapamycin (mTOR) integrates signals from nutrients, growth factors and exercise. mTOR phosphorylates downstream targets such as p70S6 kinase (p70S6K) which then phosphorylates ribosomal protein S6 (S6) [8]. In particular, phosphorylation of p70S6K has been shown to relate to both MPS and muscle hypertrophy in some but not all cases [9-13]. It is likely that p70S6K phosphorylation is a major mechanism in determining MPS and ultimately underlining long term changes in muscle mass in response to exercise and nutrition.
Previously we have shown that in agreement with measures of MPS [14], phosphorylation of p70S6K in older adults after resistance exercise responds in a dose dependant manner to increasing amounts of whey protein between 10 and 40 g [15]. In addition to protein dose, protein source and amino acid composition are known to be important determinates of the anabolic signalling response to feeding [16,17]. Yang et al. [18] have shown both at rest and after resistance exercise, that whey protein results in a greater MPS response compared to soy protein in older men. Similar findings have also been reported in young men [17], however; the underlying molecular mechanisms by which whey protein may be more effective than soy protein at stimulating MPS remain unknown. Prior work from our laboratory has shown that in response to a mixed meal enriched in either soy or dairy protein, only the dairy meal stimulated mTOR and S6 phosphorylation, whereas both dairy and soy were capable of stimulating p70S6K phosphorylation in muscle of middle aged men [19].
The mTOR pathway is also sensitive to the effects of carbohydrate via the insulin sensitive role of Akt and the energy sensing role of AMPK [8]. While it has been clearly shown that carbohydrate combined with sufficient protein does not appear to enhance MPS above that of protein alone, it is not known whether ingestion of carbohydrate would result in greater post exercise anabolic signalling response than exercise in the absence of nutrient provision [20].
The purpose of this brief communication is to characterize the time course of p70S6K phosphorylation after resistance exercise in older men in response to feeding with carbohydrate or 30 g of soy protein and contrast these data with previously published data [15] from our laboratory in which the effect of differing whey protein doses was assessed using the same experimental protocol. A secondary purpose of this study was to compare the effects of ingestion of carbohydrate alone vs a non-caloric placebo on the time course of p70S6K phosphorylation following resistance exercise.

Methods

Thirteen healthy older men participated in this study and results were compared with those from 20 healthy older men whose characteristics have been previously reported [15]. The men were randomized to ingest either 30 g of carbohydrate (n = 6, 67.2 ± 4.7 years, 93.6 ± 15.2 kg, 179 ± 7 cm) or 30 g of soy protein (n = 7, 69.1 ± 4.5 years, 84.7.6 ± 10.4 kg, 175 ± 4 cm). This study was approved by the Deakin University Human Research Ethics Committee. The detailed exercise, sampling and analysis methods of this study have been reported previously [15]. Briefly, one week prior to the experimental session subjects completed a familiarization session and their one-repetition maximum (1RM) was estimated for the smith rack squat, leg press and leg extension exercises. Subjects arrived at the laboratory in the fasted state; a resting muscle biopsy was obtained from the vastus lateralis muscle. After a brief warmup subjects completed 3 sets of resistance exercise at 80% of their estimated 1RM for smith rack squats, leg press and leg extension in a circuit manner with 1 min rest between exercises and 3 min between sets. After the exercise bout subjects immediately ingested their randomly assigned test beverage. Further muscle biopsies were obtained at 2 and 4 hours post exercise.
Western blotting was performed to quantify the phosphorylation status of p70S6K and was expressed as fold change from rest with total ERK2 used as a loading control. Protein was separated via SDS/PAGE and then transferred to a PVDF membrane, which was incubated overnight with primary antibody against p-p70S6K (Thr389; 1:1000, Cell Signalling, Danvers, MA). After the application of a secondary antibody membranes were imaged and densitometry was performed as previously described. Original data (30 g soy and carbohydrate groups) was compared with previously published data [15] (30 g whey and placebo). Means are reported ± SEM. Differences were tested with two factor ANOVA with treatment as a between subject factor and time as a within subject factor. The Sidak post hoc method was used to compare individual groups and time points when significant interactions were present.

Results

p70S6K phosphorylation was increased above resting fasted levels at two hours post exercise in the 30 g whey and 30 g soy groups (P < 0.001), with no difference between groups. At 4 hours post exercise p70S6K phosphorylation remained elevated above baseline in the 30 g whey group (P < 0.001) but not the 30 g soy (P = 0.25) group (Figure 1). In the carbohydrate group, p70S6K phosphorylation did not significantly differ from baseline at 2 hours or 4 hours post-exercise. Placebo and whey protein dose response (10–40 g) data have been previously reported by us [15].

Discussion

The consumption of 30 g of whey or soy protein after exercise in older men results in large increases in phosphorylation of p70S6K at 2 hours after exercise regardless of protein source [15, present study]. However, whilst whey protein resulted in elevated p70S6K phosphorylation for at least 4 hours post exercise [15], phosphorylation had returned to baseline in the group consuming a matching dose of soy protein. The physiological relevance of the time course of elevated p70S6K phosphorylation has not been firmly established however, these data fit well with MPS data from Yang et al. [18] who showed that the 4 hour average post exercise rate of MPS was elevated in older men who consumed either whey or soy protein, but was higher after the consumption of whey protein when compared to soy. Similarly over the 2.5 hour post exercise period in young men, MPS was elevated above baseline to a greater degree after the consumption of whey protein compared to soy protein [17]. Measures of MPS provide important insight into the likely phenotypic outcome of chronic post exercise protein consumption [21], however, they lack temporal resolution and do not provide insight into the underlying molecular mechanisms. Because MPS is an aggregate measure between two muscle biopsies it is likely that in the above studies the rate of MPS was not constant throughout the full measurement period. Churchward-Venne et al. [16] have shown that after resistance exercise, early (1-3 h) MPS is similar after the ingestion of whey protein or composite amino acid mixtures, however, whey protein appears to prolong both the MPS response (3-5 h) as well as the phosphorylation of p70S6K beyond that of amino acids alone.
Although not directly measured in this study it is likely that the different leucine content of whey and soy protein resulted in a greater peak concentration of leucine in the blood and a more prolonged elevation in leucine levels [17-19]. Prolonged elevation of p70S6K phosphorylation does not always translate to persistent increases in MPS due to the ‘muscle full effect’ [22], however, resistance exercise appears to extend the period of elevated MPS following feeding when p70S6K phosphorylation is also increased [16]. Our data fits well with MPS data from young and old men as well as the results of long term training studies in young men which show greater lean mass gain with post exercise whey consumption when compared with soy protein consumption [23]. Future work should establish a time course for both MPS and anabolic signalling after the consumption of whey and soy protein. Additionally, more work is required to characterize the signalling events upstream of p70S6K in order to better understand how exercise and nutritional stimuli are sensed and integrated into a signal for increased protein translation initiation and synthesis. In conclusion, this study shows that carbohydrate alone provided after resistance exercise does not augment p70S6K activation and that compared to whey [15] soy protein lead to a less prolonged p70S6K signalling response after resistance exercise in muscle of older men.
Written informed consent was obtained from the participants for the publication of this report and any accompanying images.

Acknowledgments

The authors would like to acknowledge the participants for their time commitment. This study was funded by The National Dairy Council/DMI (Australia), Deakin University and the Liggins Institute.

Funding

The National Dairy Council/DMI (USA), Deakin University (Australia) and the Liggins Institute (New Zealand).
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.
The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.
The Creative Commons Public Domain Dedication waiver (https://​creativecommons.​org/​publicdomain/​zero/​1.​0/​) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

DCS and AP designed the study. PDG, AP and JM collected the data. JM and CM analysed the data. CM and JM drafted the manuscript. DCS, AP, PDG, JM and CM approved the final version of the manuscript.
Literatur
1.
Zurück zum Zitat Goodpaster BH, Park SW, Harris TB, Kritchevsky SB, Nevitt M, Schwartz AV, et al. The loss of skeletal muscle strength, mass, and quality in older adults: the health, aging and body composition study. J Gerontol A Biol Sci Med Sci. 2006;61:1059–64.CrossRefPubMed Goodpaster BH, Park SW, Harris TB, Kritchevsky SB, Nevitt M, Schwartz AV, et al. The loss of skeletal muscle strength, mass, and quality in older adults: the health, aging and body composition study. J Gerontol A Biol Sci Med Sci. 2006;61:1059–64.CrossRefPubMed
2.
Zurück zum Zitat Fielding RA, Vellas B, Evans WJ, Bhasin S, Morley JE, Newman AB, et al. Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences. International working group on sarcopenia. J Am Med Dir Assoc. 2011;12:249–56.CrossRefPubMed Fielding RA, Vellas B, Evans WJ, Bhasin S, Morley JE, Newman AB, et al. Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences. International working group on sarcopenia. J Am Med Dir Assoc. 2011;12:249–56.CrossRefPubMed
3.
Zurück zum Zitat Landi F, Liperoti R, Russo A, Giovannini S, Tosato M, Capoluongo E, et al. Sarcopenia as a risk factor for falls in elderly individuals: results from the ilSIRENTE study. Clin Nutr. 2012;31:652–8.CrossRefPubMed Landi F, Liperoti R, Russo A, Giovannini S, Tosato M, Capoluongo E, et al. Sarcopenia as a risk factor for falls in elderly individuals: results from the ilSIRENTE study. Clin Nutr. 2012;31:652–8.CrossRefPubMed
4.
Zurück zum Zitat Ruiz JR, Sui X, Lobelo F, Morrow Jr JR, Jackson AW, Sjostrom M, et al. Association between muscular strength and mortality in men: prospective cohort study. BMJ. 2008;337:a439.CrossRefPubMedCentralPubMed Ruiz JR, Sui X, Lobelo F, Morrow Jr JR, Jackson AW, Sjostrom M, et al. Association between muscular strength and mortality in men: prospective cohort study. BMJ. 2008;337:a439.CrossRefPubMedCentralPubMed
5.
Zurück zum Zitat Metter EJ, Talbot LA, Schrager M, Conwit R. Skeletal muscle strength as a predictor of all-cause mortality in healthy men. J Gerontol A Biol Sci Med Sci. 2002;57:B359–65.CrossRefPubMed Metter EJ, Talbot LA, Schrager M, Conwit R. Skeletal muscle strength as a predictor of all-cause mortality in healthy men. J Gerontol A Biol Sci Med Sci. 2002;57:B359–65.CrossRefPubMed
6.
Zurück zum Zitat Moore DR, Churchward-Venne TA, Witard O, Breen L, Burd NA, Tipton KD, et al. Protein ingestion to stimulate myofibrillar protein synthesis requires greater relative protein intakes in healthy older versus younger men. J Gerontol A Biol Sci Med Sci. 2015;70(1):57–62.CrossRefPubMed Moore DR, Churchward-Venne TA, Witard O, Breen L, Burd NA, Tipton KD, et al. Protein ingestion to stimulate myofibrillar protein synthesis requires greater relative protein intakes in healthy older versus younger men. J Gerontol A Biol Sci Med Sci. 2015;70(1):57–62.CrossRefPubMed
7.
Zurück zum Zitat Burd NA, Gorissen SH, van Loon LJ. Anabolic resistance of muscle protein synthesis with aging. Exerc Sport Sci Rev. 2013;41:169–73.CrossRefPubMed Burd NA, Gorissen SH, van Loon LJ. Anabolic resistance of muscle protein synthesis with aging. Exerc Sport Sci Rev. 2013;41:169–73.CrossRefPubMed
8.
Zurück zum Zitat Drummond MJ, Dreyer HC, Fry CS, Glynn EL, Rasmussen BB. Nutritional and contractile regulation of human skeletal muscle protein synthesis and mTORC1 signaling. J Appl Physiol. 2009;106:1374–84.CrossRefPubMedCentralPubMed Drummond MJ, Dreyer HC, Fry CS, Glynn EL, Rasmussen BB. Nutritional and contractile regulation of human skeletal muscle protein synthesis and mTORC1 signaling. J Appl Physiol. 2009;106:1374–84.CrossRefPubMedCentralPubMed
9.
Zurück zum Zitat Baar K, Esser K. Phosphorylation of p70(S6k) correlates with increased skeletal muscle mass following resistance exercise. Am J Physiol. 1999;276:C120–7.PubMed Baar K, Esser K. Phosphorylation of p70(S6k) correlates with increased skeletal muscle mass following resistance exercise. Am J Physiol. 1999;276:C120–7.PubMed
10.
Zurück zum Zitat Terzis G, Georgiadis G, Stratakos G, Vogiatzis I, Kavouras S, Manta P, et al. Resistance exercise-induced increase in muscle mass correlates with p70S6 kinase phosphorylation in human subjects. Eur J Appl Physiol. 2008;102:145–52.CrossRefPubMed Terzis G, Georgiadis G, Stratakos G, Vogiatzis I, Kavouras S, Manta P, et al. Resistance exercise-induced increase in muscle mass correlates with p70S6 kinase phosphorylation in human subjects. Eur J Appl Physiol. 2008;102:145–52.CrossRefPubMed
11.
Zurück zum Zitat Mitchell CJ, Churchward-Venne TA, Bellamy L, Parise G, Baker SK, Phillips SM. Muscular and systemic correlates of resistance training-induced muscle hypertrophy. PloS one. 2013;8:e78636.CrossRefPubMedCentralPubMed Mitchell CJ, Churchward-Venne TA, Bellamy L, Parise G, Baker SK, Phillips SM. Muscular and systemic correlates of resistance training-induced muscle hypertrophy. PloS one. 2013;8:e78636.CrossRefPubMedCentralPubMed
12.
Zurück zum Zitat Mitchell CJ, Churchward-Venne TA, West DW, Burd NA, Breen L, Baker SK, et al. Resistance exercise load does not determine training-mediated hypertrophic gains in young men. J Appl Physiol. 2012;113:71–7.CrossRefPubMedCentralPubMed Mitchell CJ, Churchward-Venne TA, West DW, Burd NA, Breen L, Baker SK, et al. Resistance exercise load does not determine training-mediated hypertrophic gains in young men. J Appl Physiol. 2012;113:71–7.CrossRefPubMedCentralPubMed
13.
Zurück zum Zitat Kumar V, Selby A, Rankin D, Patel R, Atherton P, Hildebrandt W, et al. Age-related differences in the dose–response relationship of muscle protein synthesis to resistance exercise in young and old men. J Physiol. 2009;587:211–7.CrossRefPubMedCentralPubMed Kumar V, Selby A, Rankin D, Patel R, Atherton P, Hildebrandt W, et al. Age-related differences in the dose–response relationship of muscle protein synthesis to resistance exercise in young and old men. J Physiol. 2009;587:211–7.CrossRefPubMedCentralPubMed
14.
Zurück zum Zitat Yang Y, Breen L, Burd NA, Hector AJ, Churchward-Venne TA, Josse AR, et al. Resistance exercise enhances myofibrillar protein synthesis with graded intakes of whey protein in older men. Br J Nutr. 2012;108:1780–8.CrossRefPubMed Yang Y, Breen L, Burd NA, Hector AJ, Churchward-Venne TA, Josse AR, et al. Resistance exercise enhances myofibrillar protein synthesis with graded intakes of whey protein in older men. Br J Nutr. 2012;108:1780–8.CrossRefPubMed
15.
Zurück zum Zitat D'Souza RF, Marworth JF, Figueiredo VC, Della Gatta PA, Petersen AC, Mitchell CJ, et al. Dose-dependent increases in p70S6K phosphorylation and intramuscular branched-chain amino acids in older men following resistance exercise and protein intake. Physiological reports. 2014;2(8):e12112.CrossRefPubMedCentralPubMed D'Souza RF, Marworth JF, Figueiredo VC, Della Gatta PA, Petersen AC, Mitchell CJ, et al. Dose-dependent increases in p70S6K phosphorylation and intramuscular branched-chain amino acids in older men following resistance exercise and protein intake. Physiological reports. 2014;2(8):e12112.CrossRefPubMedCentralPubMed
16.
Zurück zum Zitat Churchward-Venne TA, Burd NA, Mitchell CJ, West DW, Philp A, Marcotte GR, et al. Supplementation of a suboptimal protein dose with leucine or essential amino acids: effects on myofibrillar protein synthesis at rest and following resistance exercise in men. J Physiol. 2012;590:2751–65.CrossRefPubMedCentralPubMed Churchward-Venne TA, Burd NA, Mitchell CJ, West DW, Philp A, Marcotte GR, et al. Supplementation of a suboptimal protein dose with leucine or essential amino acids: effects on myofibrillar protein synthesis at rest and following resistance exercise in men. J Physiol. 2012;590:2751–65.CrossRefPubMedCentralPubMed
17.
Zurück zum Zitat Tang JE, Moore DR, Kujbida GW, Tarnopolsky MA, Phillips SM. Ingestion of whey hydrolysate, casein, or soy protein isolate: effects on mixed muscle protein synthesis at rest and following resistance exercise in young men. J Appl Physiol. 2009;107:987–92.CrossRefPubMed Tang JE, Moore DR, Kujbida GW, Tarnopolsky MA, Phillips SM. Ingestion of whey hydrolysate, casein, or soy protein isolate: effects on mixed muscle protein synthesis at rest and following resistance exercise in young men. J Appl Physiol. 2009;107:987–92.CrossRefPubMed
18.
Zurück zum Zitat Yang Y, Churchward-Venne TA, Burd NA, Breen L, Tarnopolsky MA, Phillips SM. Myofibrillar protein synthesis following ingestion of soy protein isolate at rest and after resistance exercise in elderly men. Nutr Metab. 2012;9:57.CrossRef Yang Y, Churchward-Venne TA, Burd NA, Breen L, Tarnopolsky MA, Phillips SM. Myofibrillar protein synthesis following ingestion of soy protein isolate at rest and after resistance exercise in elderly men. Nutr Metab. 2012;9:57.CrossRef
19.
Zurück zum Zitat Gran P, Larsen A, Bonham M, Dordevic A, Rupasinghe T, Silva C, et al. Muscle p70S6K phosphorylation in response to soy and dairy rich meals in middle aged men with metabolic syndrome: a randomised crossover trial. Nutr Metab. 2014;11:46.CrossRef Gran P, Larsen A, Bonham M, Dordevic A, Rupasinghe T, Silva C, et al. Muscle p70S6K phosphorylation in response to soy and dairy rich meals in middle aged men with metabolic syndrome: a randomised crossover trial. Nutr Metab. 2014;11:46.CrossRef
20.
Zurück zum Zitat Staples AW, Burd NA, West DW, Currie KD, Atherton PJ, Moore DR, et al. Carbohydrate does not augment exercise-induced protein accretion versus protein alone. Med Sci Sports Exerc. 2011;43:1154–61.CrossRefPubMed Staples AW, Burd NA, West DW, Currie KD, Atherton PJ, Moore DR, et al. Carbohydrate does not augment exercise-induced protein accretion versus protein alone. Med Sci Sports Exerc. 2011;43:1154–61.CrossRefPubMed
21.
Zurück zum Zitat Mitchell CJ, Churchward-Venne TA, Cameron-Smith D, Phillips SM. What is the relationship between the acute muscle protein synthetic response and changes in muscle mass? J Appl Physiol (1985) 2014 Sep 25 [Epub ahead of print]. Mitchell CJ, Churchward-Venne TA, Cameron-Smith D, Phillips SM. What is the relationship between the acute muscle protein synthetic response and changes in muscle mass? J Appl Physiol (1985) 2014 Sep 25 [Epub ahead of print].
22.
Zurück zum Zitat Atherton PJ, Etheridge T, Watt PW, Wilkinson D, Selby A, Rankin D, et al. Muscle full effect after oral protein: time-dependent concordance and discordance between human muscle protein synthesis and mTORC1 signaling. Am J Clin Nutr. 2010;92:1080–8.CrossRefPubMed Atherton PJ, Etheridge T, Watt PW, Wilkinson D, Selby A, Rankin D, et al. Muscle full effect after oral protein: time-dependent concordance and discordance between human muscle protein synthesis and mTORC1 signaling. Am J Clin Nutr. 2010;92:1080–8.CrossRefPubMed
23.
Zurück zum Zitat Volek JS, Volk BM, Gomez AL, Kunces LJ, Kupchak BR, Freidenreich DJ, et al. Whey protein supplementation during resistance training augments lean body mass. J Am Coll Nutr. 2013;32:122–35.CrossRefPubMed Volek JS, Volk BM, Gomez AL, Kunces LJ, Kupchak BR, Freidenreich DJ, et al. Whey protein supplementation during resistance training augments lean body mass. J Am Coll Nutr. 2013;32:122–35.CrossRefPubMed
Metadaten
Titel
Soy protein ingestion results in less prolonged p70S6 kinase phosphorylation compared to whey protein after resistance exercise in older men
verfasst von
Cameron J Mitchell
Paul A Della Gatta
Aaron C Petersen
David Cameron-Smith
James F Markworth
Publikationsdatum
01.12.2015
Verlag
BioMed Central
DOI
https://doi.org/10.1186/s12970-015-0070-2

Weitere Artikel der Ausgabe 1/2015

Journal of the International Society of Sports Nutrition 1/2015 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Medizinstudium Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Aquatherapie bei Fibromyalgie wirksamer als Trockenübungen

03.05.2024 Fibromyalgiesyndrom Nachrichten

Bewegungs-, Dehnungs- und Entspannungsübungen im Wasser lindern die Beschwerden von Patientinnen mit Fibromyalgie besser als das Üben auf trockenem Land. Das geht aus einer spanisch-brasilianischen Vergleichsstudie hervor.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärztinnen und Psychotherapeuten.

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.