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.
Authors
- Katja Weiss (ORCID: https://orcid.org/0000-0003-1247-6754)
- Beat Knechtle (ORCID: https://orcid.org/0000-0002-2412-9103)
- Afef Hadj Salah Bahlous (ORCID: https://orcid.org/0000-0003-2863-8682)
- Mehdi Mrad (ORCID: https://orcid.org/0000-0002-9482-5913)
- Mounir Landolsi
- Ezdine Bouhlel (ORCID: https://orcid.org/0000-0003-3358-1262)
- Thomas Johannes Rosemann (ORCID: https://orcid.org/0000-0002-6436-6306)
- Faysal Zarrouk
- Mouna Ben Mhamed (ORCID: https://orcid.org/0009-0002-0829-9759)
- Hejer Trabelsi (ORCID: https://orcid.org/0009-0005-5053-1824)
Institutions
- 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)
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
- 0.00
Funders
- Institut Pasteur de Tunis