How to Help Clients Lose Weight But Not Muscle Mass

Jun 12, 2025
 

The TLDR: 

  • This 6-week study examined if high protein intake could help 12 resistance-trained athletes on a 25% calorie deficit diet preserve muscle and physical performance.
  • Higher protein intake (up to ~2.2g/kg) offered no significant advantage over lower intakes (~1.2g/kg) for retaining fat-free mass, losing fat, or maintaining performance. All groups successfully reduced fat mass and increased upper body strength.
  •  The findings suggest that the standard ACSM protein recommendation of 1.2-1.7g/kg is sufficient for dieting athletes who are resistance training. The study also noted that the athletes' metabolisms slowed more than expected, irrespective of protein consumption.

If you like what you see here, check out our board-approved continuing education courses for PTs. We cover topics like:

- Nutrition interventions for chronic diseases (e.g., obesity, diabetes, cardiovascular diseases)

- Advanced nutritional strategies to support physical therapy for patients with metab...

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Can Protein Reduce Ultra Processed Food Consumption?

Jun 10, 2025
 

The TLDR: 

  • Protein-enriched ultra-processed foods (UPFs) led to lower calorie intake and higher energy expenditure compared to standard UPFs in a short-term study.

  • Despite these effects, protein-enriched UPFs did not prevent overeating, showing only modest improvement in overall energy balance.

  • Hormonal responses suggested better appetite regulation and nutrient partitioning with the high-protein UPF diet.

 

If you like what you see here, check out our board-approved continuing education courses for PTs. We cover topics like:

- Nutrition interventions for chronic diseases (e.g., obesity, diabetes, cardiovascular diseases)

- Advanced nutritional strategies to support physical therapy for patients with metabolic disorders

- Case studies demonstrating successful integration of nutrition into physical therapy care plans

Each physical therapy CEU course emphasizes practical, evidence-based learning, ensuring that participants can immediately apply the skills to th...

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Does Beet Juice Really Increase Power Output?

Jun 02, 2025
 

The TLDR: 

  • Beetroot juice supplementation increased nitrate and nitrite levels in a dose-dependent manner, but this did not translate into improved performance in resistance exercises like squats, bench press, or countermovement jumps.

  • No dose of dietary nitrate (low, moderate, or high) enhanced resistance training performance in resistance-trained men compared to a placebo.

  • Only the low-dose nitrate condition showed a significant correlation between increased blood nitrite and improved squat power and velocity, suggesting a possible narrow performance window that warrants further investigation.

 

If you like what you see here, check out our board-approved continuing education courses for PTs. We cover topics like:

- Nutrition interventions for chronic diseases (e.g., obesity, diabetes, cardiovascular diseases)

- Advanced nutritional strategies to support physical therapy for patients with metabolic disorders

- Case studies demonstrating successful integration...

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Why Breakfast Timing Might Matter More Than You Think: What PTs Should Know About Metabolism and Meal Timing

May 27, 2025

Why Breakfast Timing Might Matter More Than You Think: What PTs Should Know About Metabolism and Meal Timing

As physical therapists, we understand the importance of movement, but what about meal timing? A new study sheds light on how the timing of breakfast—not just whether you eat it—can significantly impact blood sugar regulation later in the day, particularly in adolescent girls.

The Study at a Glance

Researchers looked at how eating breakfast early (8:30 a.m.), late (10:30 a.m.), or skipping it altogether affected blood sugar after lunch. The study included 15 girls around age 13 who didn’t usually eat breakfast. They ate a carb-rich breakfast and lunch on test days, separated by a 3–30 day washout period.

Here’s what they found:

  • Before lunch: Blood sugar and insulin levels were higher when breakfast was eaten (early or late) versus skipping it.

  • After lunch: Girls who ate a late breakfast had lower blood sugar levels than those who ate early or skipped breakfast.

  • ...
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Does the Order of Food Matter for Blood Sugar?

May 12, 2025
 

For many years we didn't know there was a priority for eating certain foods first. Some suggested foods rich in certain macros like protein and fiber could delay gastric emptying. By delaying gastric emptying, one could perhaps blunt a spike in blood sugars. Well, finally we have some new research on this in our newest research video update for physical therapists!

If you like what you see here, check out our board-approved continuing education courses for PTs. We cover topics like:

- Nutrition interventions for chronic diseases (e.g., obesity, diabetes, cardiovascular diseases)

- Advanced nutritional strategies to support physical therapy for patients with metabolic disorders

- Case studies demonstrating successful integration of nutrition into physical therapy care plans

Each physical therapy CEU course emphasizes practical, evidence-based learning, ensuring that participants can immediately apply the skills to their clinical practice. Sign up today and save!

Transcript:

Dr....

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How Much More Dietary Protein Do Geriatric Clients Need? What Physios Need to Know

May 05, 2025
 

TLDR:

  • A randomized controlled trial investigated the effects of higher dietary protein intake (1.2-1.5 g/kg) versus the standard RDA (0.8 g/kg) on physical performance and body composition in middle-aged and older adults with type 2 diabetes and reduced muscle mass.
  • After 12 weeks, the higher protein group showed improvements in grip strength and timed up and go test, while the control group experienced reductions in lean muscle mass and grip strength.
  • The findings suggest that protein intake exceeding the standard RDA may help older adults with type 2 diabetes maintain or improve functional measures and mitigate muscle loss.

 

If you like what you see here, check out our board-approved continuing education courses for PTs. We cover topics like:

- Nutrition interventions for chronic diseases (e.g., obesity, diabetes, cardiovascular diseases)

- Advanced nutritional strategies to support physical therapy for patients with metabolic disorders

- Case studies demonstrating suc...

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Should You Throw Your CGMs Away? What PTs Need to Know About Continuous Glucose Monitors.

Apr 29, 2025
 

 The TLDR:

  • A new study by Hengist et al. (including Kevin Hall) investigated the reliability of continuous glucose monitors (CGMs) in adults without diabetes across four different dietary patterns.
  • The study found a weak to moderate correlation between CGM readings and specific diets, with significant inter-individual and intra-individual variability in glucose responses to the same meals.
  • The authors suggest that factors beyond diet, such as environment, hydration, and activity, likely contribute to the variability observed in CGM readings.

If you like what you see here, check out our board-approved continuing education courses for PTs. We cover topics like:

- Nutrition interventions for chronic diseases (e.g., obesity, diabetes, cardiovascular diseases)

- Advanced nutritional strategies to support physical therapy for patients with metabolic disorders

- Case studies demonstrating successful integration of nutrition into physical therapy care plans

Each physical therapy ...

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What Are the Best and Worst Foods for Obesity that PTs Need to Know?

Apr 29, 2025

The TLDR:

  • Strong Nutritional Evidence: A large meta-analysis supports advising patients on the benefits of whole grains, legumes, fruits, and nuts for obesity risk reduction, and the risks of sugary drinks and red meat.
  • CEU Opportunity: This research exemplifies the evidence-based nutrition content offered in board-approved physical therapy continuing education courses.
  • Practical Patient Education: PTs can use these findings for general nutritional guidance, emphasizing fiber-rich, lower-calorie plant-based foods.

If you like what you see here, check out our board-approved continuing education courses for PTs. We cover topics like:

- Nutrition interventions for chronic diseases (e.g., obesity, diabetes, cardiovascular diseases)

- Advanced nutritional strategies to support physical therapy for patients with metabolic disorders

- Case studies demonstrating successful integration of nutrition into physical therapy care plans

Each physical therapy ceu course emphasizes practica...

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Which Diet is Better for Fatty Liver Disease: Time Restrictive Feeding or Vegetarian?

Apr 21, 2025
 

 The TLDR:

  • A 2025 study (Shafi et al.) investigated the effects of time-restricted feeding (16/8) versus a lacto-ovo-vegetarian diet on Metabolic-Associated Fatty Liver Disease (MAFLD) over 12 weeks.
  • The lacto-ovo-vegetarian group showed greater weight loss and significant reductions in liver enzymes, triglycerides, insulin, and tumor necrosis factor compared to the time-restricted feeding group.
  • While both diets led to body fat loss and some reduction in liver enzymes, the study's primary outcome of liver fibrosis reduction was only estimated, making it difficult to definitively determine which diet was more effective, leading Dr. Wells to suggest the best diet is likely the one promoting weight loss for the individual.

If you like what you see here, check out our board-approved continuing education courses for PTs. We cover topics like:

- Nutrition interventions for chronic diseases (e.g., obesity, diabetes, cardiovascular diseases)

- Advanced nutritional strategies to supp...

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Is There A Dietary Critical Window for Children? Effects of Early Sugar on Chronic Diseases

Apr 04, 2025
 

 The TLDR:

  • Early Nutritional Influences & Long-Term Health: Research highlights the profound impact of nutrition during the first 1,000 days on the later development of chronic conditions like type 2 diabetes, hypertension, and obesity – conditions frequently encountered and managed by physical therapists.
  • Implications for Pediatric PT & Patient Education: This study underscores the importance for pediatric PTs to understand the critical window of early nutrition and to educate families on the long-term benefits of limiting added sugars and promoting healthy dietary habits from infancy.
  • Integrating Nutritional Considerations into PT Practice: While not primary nutrition providers, PTs can benefit from understanding the link between early nutrition and chronic disease risk, informing their holistic approach to patient care, particularly in pediatrics and when addressing lifestyle-related conditions.

 

If you like what you see here, check out our board-approved continuing educat...

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