International Society of Sports Nutrition Position Stand: Effects of essential amino acid supplementation on exercise and performance
Key Findings — the ten ISSN positions (abstract)
1. Role of EAA: the primary effect of EAAs on skeletal muscle is stimulation of muscle protein synthesis (MPS) and turnover; turnover replaces degraded or damaged proteins and is the metabolic foundation for functional performance.
2. Free-form EAA kinetics: supplementation with free-form EAAs produces a quick rise in peripheral EAA concentrations, which stimulates MPS.
3. Safety: the safe upper limit of EAA intake, absent inborn metabolic disease, easily accommodates additional supplementation.
4. Dose at rest:
| Context | Dose (abstract) |
|---|---|
| MPS stimulation at rest begins | relatively small dosages: 1.5-3.0 g EAA |
| MPS plateau | ~15-18 g EAA |
5. Non-essential amino acids are not required for the EAA-induced MPS stimulation.
6. Free EAA vs intact protein: free-form EAA ingestion stimulates MPS more than an equivalent amount of intact protein.
7. Repeated dosing: repeated EAA-induced MPS stimulation through the day does not diminish the anabolic effect of meal intake.
8. Aging: direct comparisons of formulas are lacking, but aging requires a greater proportion of leucine to overcome anabolic resistance.
9. Without exercise: EAA supplementation can enhance functional outcomes in anabolic-resistant populations.
10. Caloric deficit: EAA requirements rise during a caloric deficit; meeting whole-body EAA requirements then preserves anabolic sensitivity in skeletal muscle.
Practical Application
Limitations
Position stand — a consensus over heterogeneous studies, largely MPS (a surrogate) rather than performance outcomes; direct comparisons of EAA formulas are lacking (position 8); doses beyond the rest-state 1.5-3.0 g threshold and 15-18 g plateau are not given in the abstract.