Effects of Whey Protein Supplementation on Muscle Damage, Hepatic Stress, and Inflammatory Markers in Power‐ and Endurance‐Trained Athletes

This study investigated the effects of 8 weeks of whey protein supplementation (30 g/day) on biomarkers of liver function, inflammation, and muscle damage in trained power-trained (predominantly speed-power/anaerobic-power disciplines) and endurance-trained athletes, in a randomized, double-blind, placebo-controlled design. Fifty-nine male athletes were stratified into power (n = 30) and endurance (n = 29) groups, then randomly assigned to a whey protein group (WG) or a placebo control group (CG). Biomarkers assessed pre- and post-intervention included alanine aminotransferase (ALT), aspartate aminotransferase (AST), C-reactive protein (CRP), and creatine kinase (CK). Significant reductions in ALT, AST, and CK were observed in both endurance- and power-trained athletes after supplementation (p = 0.001, p = 0.015, p = 0.001, and p = 0.003 respectively), indicating attenuated hepatic and muscular stress. Among the four biomarkers, only ALT displayed a statistically significant three-way interaction (Time × Supplementation × Training modality; p = 0.003), identifying it as the sole marker showing a genuine modality-specific differential response to supplementation. A significant within-group reduction in CRP was additionally observed in the supplemented power-trained athletes (p = 0.039), whereas endurance athletes showed only minor, non-significant changes; because the omnibus three-way interaction for CRP was not significant, this finding is reported as a within-group trend rather than evidence of a differential effect between modalities. Placebo groups demonstrated stable or increased enzyme and CRP values, particularly in endurance athletes. These findings suggest that whey protein may attenuate exercise-induced hepatic and muscular stress across training modalities, with a modality-specific effect on hepatic stress markers (ALT) observed in power-trained athletes. The results highlight whey protein's potential as a nutritional aid to promote recovery and physiological adaptation, possibly mediated by antioxidant and anti-inflammatory mechanisms. Further studies are warranted to examine long-term outcomes and dose-response effects across different training profiles.

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Publication Details

Journal
European Journal of Sport Science
Published
2026-10-26
DOI
https://doi.org/10.1002/ejsc.70279
Primary Topic
Muscle metabolism and nutrition
Type
article
Field-Weighted Citation Impact
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article

Effects of Whey Protein Supplementation on Muscle Damage, Hepatic Stress, and Inflammatory Markers in Power‐ and Endurance‐Trained Athletes

Katja Weiss, Beat Knechtle, Afef Hadj Salah Bahlous, Mehdi Mrad et al.
European Journal of Sport Science
Muscle metabolism and nutrition
article

Effects of Whey Protein Supplementation on Muscle Damage, Hepatic Stress, and Inflammatory Markers in Power‐ and Endurance‐Trained Athletes

Katja Weiss, Beat Knechtle, Afef Hadj Salah Bahlous, Mehdi Mrad, Mounir Landolsi, Ezdine Bouhlel, Thomas Johannes Rosemann, Faysal Zarrouk, Mouna Ben Mhamed, Hejer Trabelsi
article en

Abstract

This study investigated the effects of 8 weeks of whey protein supplementation (30 g/day) on biomarkers of liver function, inflammation, and muscle damage in trained power-trained (predominantly speed-power/anaerobic-power disciplines) and endurance-trained athletes, in a randomized, double-blind, placebo-controlled design. Fifty-nine male athletes were stratified into power (n = 30) and endurance (n = 29) groups, then randomly assigned to a whey protein group (WG) or a placebo control group (CG). Biomarkers assessed pre- and post-intervention included alanine aminotransferase (ALT), aspartate aminotransferase (AST), C-reactive protein (CRP), and creatine kinase (CK). Significant reductions in ALT, AST, and CK were observed in both endurance- and power-trained athletes after supplementation (p = 0.001, p = 0.015, p = 0.001, and p = 0.003 respectively), indicating attenuated hepatic and muscular stress. Among the four biomarkers, only ALT displayed a statistically significant three-way interaction (Time × Supplementation × Training modality; p = 0.003), identifying it as the sole marker showing a genuine modality-specific differential response to supplementation. A significant within-group reduction in CRP was additionally observed in the supplemented power-trained athletes (p = 0.039), whereas endurance athletes showed only minor, non-significant changes; because the omnibus three-way interaction for CRP was not significant, this finding is reported as a within-group trend rather than evidence of a differential effect between modalities. Placebo groups demonstrated stable or increased enzyme and CRP values, particularly in endurance athletes. These findings suggest that whey protein may attenuate exercise-induced hepatic and muscular stress across training modalities, with a modality-specific effect on hepatic stress markers (ALT) observed in power-trained athletes. The results highlight whey protein's potential as a nutritional aid to promote recovery and physiological adaptation, possibly mediated by antioxidant and anti-inflammatory mechanisms. Further studies are warranted to examine long-term outcomes and dose-response effects across different training profiles.

European Journal of Sport ScienceVol. 26(11)
University of Zurich (CH), University Hospital of Zurich (CH), Institut Pasteur de Tunis (TN), University of Jendouba (TN), Tunis El Manar University (TN), Manouba University (TN), University of Sousse (TN)
Institut Pasteur de Tunis
Openalex Percentile: Top 16%
Muscle metabolism and nutrition
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