Protein Supplements Boost Endurance Stamina But Won't Shrink Your Waistline
A 23-trial meta-analysis finds protein supplementation significantly extends time to exhaustion during endurance training, but doesn't move the needle on body fat or VO2max.
Summary
A 2025 systematic review and meta-analysis of 23 randomized controlled trials (1,146 participants) examined protein supplementation during endurance training. The key finding: protein significantly improved time to exhaustion (SMD=0.45), a meaningful endurance performance benefit. Lean body mass showed a small, non-significant trend upward (SMD=0.13). However, protein supplementation did not significantly change body weight, body fat percentage, or overall aerobic capacity (VO2max). Subgroup analysis suggested untrained individuals may gain more VO2max benefit than trained athletes. The results highlight protein's role in sustaining endurance effort rather than altering body composition during aerobic-focused training programs.
Detailed Summary
Protein supplementation is well-established for resistance training, but its role in endurance sports has been less clear. This 2025 meta-analysis from Wuhan Sports University set out to resolve that ambiguity by pooling data from 23 randomized controlled trials covering 1,146 healthy adults aged 18–65, with studies drawn from Web of Science, PubMed, and SPORTDiscus databases up to April 2025.
The standout finding is a statistically significant improvement in time to exhaustion (TTE) — the ability to sustain exercise until failure — with a standardized mean difference (SMD) of 0.45 (95% CI: 0.15–0.76, p<0.01). This is a moderate effect size and is clinically meaningful for endurance athletes who need to sustain high-intensity efforts. The likely mechanism involves protein blunting muscle protein catabolism and supporting branched-chain amino acid availability during prolonged exercise, which can account for up to 6% of total energy expenditure in sessions exceeding two hours.
Lean body mass showed a small positive trend (SMD=0.13, 95% CI: −0.01 to 0.28, p=0.07) that fell just short of statistical significance. This is biologically plausible — endurance training alone produces minimal muscle hypertrophy, so protein's anabolic signal is modest. Body weight and body fat percentage were not significantly altered, suggesting protein supplementation doesn't drive fat loss or unwanted weight gain in this context.
VO2max, the gold standard of aerobic capacity, was not significantly improved overall. However, a subgroup analysis revealed that untrained individuals may derive greater VO2max benefit (SMD=0.21) compared to trained athletes, who likely have less room for aerobic improvement. Anaerobic capacity measures also showed no significant change with protein supplementation.
The authors note this review updates and extends a 2020 meta-analysis by Lin et al., which had concluded protein improved aerobic capacity and lean mass. The current analysis, incorporating newer trials and subgroup moderator analyses by training status, sex, and protein type, presents a more nuanced picture. Protein type (e.g., whey vs. other sources) and timing were not consistently reported across trials, limiting definitive guidance on optimal protocols. The authors recommend future research clarify protein intake habits, explore populations with chronic disease, expand sample sizes, and consider carbohydrate co-ingestion effects.
Key Findings
- Protein supplementation significantly improved time to exhaustion during endurance exercise (SMD=0.45, p<0.01).
- Lean body mass showed a small, non-significant positive trend (SMD=0.13) with protein supplementation.
- No significant effects on body weight, body fat percentage, or overall VO2max were observed.
- Untrained individuals may experience greater VO2max gains from protein supplementation than trained athletes (SMD=0.21).
- Aerobic and anaerobic capacity measures were not significantly changed by protein supplementation.
Methodology
Systematic review and meta-analysis of 23 randomized controlled trials (1,146 participants) using a random-effects model with REML heterogeneity estimation; effect sizes reported as standardized mean differences (SMD). Subgroup and meta-regression analyses explored moderating variables including training status, sex, and protein type. PRISMA 2020 guidelines followed; pre-registered on PROSPERO (CRD420251034453).
Study Limitations
Only 23 trials were included, with considerable variability in protein type, dose, and timing across studies, limiting precise dosing recommendations. The review was restricted to healthy adults aged 18–65, so findings may not generalize to older adults, clinical populations, or elite athletes. Publication bias and incomplete reporting of protein distribution throughout the day were additional constraints acknowledged by the authors.
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