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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Nutr.</journal-id>
<journal-title>Frontiers in Nutrition</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Nutr.</abbrev-journal-title>
<issn pub-type="epub">2296-861X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnut.2022.934438</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Nutrition</subject>
<subj-group>
<subject>Clinical Trial</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>A Novel Plant-Based Protein Has Similar Effects Compared to Whey Protein on Body Composition, Strength, Power, and Aerobic Performance in Professional and Semi-Professional Futsal Players</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Teixeira</surname> <given-names>Filipe J.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x02020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1792721/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Matias</surname> <given-names>Catarina N.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x02020;</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Faleiro</surname> <given-names>Jo&#x000E3;o</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1511331/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Giro</surname> <given-names>Rita</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1797094/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Pires</surname> <given-names>Joana</given-names></name>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Figueiredo</surname> <given-names>Helena</given-names></name>
<xref ref-type="aff" rid="aff7"><sup>7</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Carvalhinho</surname> <given-names>Raquel</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff8"><sup>8</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Monteiro</surname> <given-names>Cristina P.</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff9"><sup>9</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/812516/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Reis</surname> <given-names>Joana F.</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff9"><sup>9</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/328384/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Valamatos</surname> <given-names>Maria J.</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff10"><sup>10</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Teixeira</surname> <given-names>V&#x000ED;tor H.</given-names></name>
<xref ref-type="aff" rid="aff11"><sup>11</sup></xref>
<xref ref-type="aff" rid="aff12"><sup>12</sup></xref>
<xref ref-type="aff" rid="aff13"><sup>13</sup></xref>
<xref ref-type="aff" rid="aff14"><sup>14</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Schoenfeld</surname> <given-names>Brad J.</given-names></name>
<xref ref-type="aff" rid="aff15"><sup>15</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/455300/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Bettery Lifelab, Bettery S.A.</institution>, <addr-line>Lisboa</addr-line>, <country>Portugal</country></aff>
<aff id="aff2"><sup>2</sup><institution>Atl&#x000E2;ntica, Instituto Universit&#x000E1;rio, F&#x000E1;brica da P&#x000F3;lvora de Barcarena</institution>, <addr-line>Barcarena</addr-line>, <country>Portugal</country></aff>
<aff id="aff3"><sup>3</sup><institution>Interdisciplinary Center for the Study of Human Performance, Universidade de Lisboa</institution>, <addr-line>Cruz-Quebrada</addr-line>, <country>Portugal</country></aff>
<aff id="aff4"><sup>4</sup><institution>Centro de Investiga&#x000E7;&#x000E3;o em Desporto, Educa&#x000E7;&#x000E3;o F&#x000ED;sica, Exerc&#x000ED;cio e Sa&#x000FA;de, Universidade Lus&#x000F3;fona</institution>, <addr-line>Lisbon</addr-line>, <country>Portugal</country></aff>
<aff id="aff5"><sup>5</sup><institution>Athletic Club Oulu Football Club</institution>, <addr-line>Oulu</addr-line>, <country>Finland</country></aff>
<aff id="aff6"><sup>6</sup><institution>Grupo de Ativistas em Tratamentos</institution>, <addr-line>Lisboa</addr-line>, <country>Portugal</country></aff>
<aff id="aff7"><sup>7</sup><institution>Jos&#x000E9; de Mello Sa&#x000FA;de</institution>, <addr-line>Lisboa</addr-line>, <country>Portugal</country></aff>
<aff id="aff8"><sup>8</sup><institution>Departamento de Sa&#x000FA;de do Futebol Clube do Porto</institution>, <addr-line>Porto</addr-line>, <country>Portugal</country></aff>
<aff id="aff9"><sup>9</sup><institution>Laboratory of Physiology and Biochemistry of Exercise, Faculdade de Motricidade Humana, Universidade de Lisboa</institution>, <addr-line>Cruz-Quebrada</addr-line>, <country>Portugal</country></aff>
<aff id="aff10"><sup>10</sup><institution>Neuromuscular Research Lab, Faculdade de Motricidade Humana, Universidade de Lisboa, Estrada da Costa</institution>, <addr-line>Cruz-Quebrada</addr-line>, <country>Portugal</country></aff>
<aff id="aff11"><sup>11</sup><institution>Faculty of Nutrition and Food Sciences, University of Porto</institution>, <addr-line>Porto</addr-line>, <country>Portugal</country></aff>
<aff id="aff12"><sup>12</sup><institution>Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sports, University of Porto</institution>, <addr-line>Porto</addr-line>, <country>Portugal</country></aff>
<aff id="aff13"><sup>13</sup><institution>Laboratory for Integrative and Translational Research in Population Health (ITR)</institution>, <addr-line>Porto</addr-line>, <country>Portugal</country></aff>
<aff id="aff14"><sup>14</sup><institution>Futebol Clube do Porto</institution>, <addr-line>Porto</addr-line>, <country>Portugal</country></aff>
<aff id="aff15"><sup>15</sup><institution>Health Sciences Department, Lehman College, City University of New York</institution>, <addr-line>Bronx, NY</addr-line>, <country>United States</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Heitor O. Santos, Federal University of Uberlandia, Brazil</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Francesco Campa, University of Padua, Italy; Ezequiel Gon&#x000E7;alves, State University of Northern Paran&#x000E1;, Brazil</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Filipe J. Teixeira <email>filipe.teixeira&#x00040;betterylife.com</email></corresp>
<fn fn-type="other" id="fn001"><p>This article was submitted to Sport and Exercise Nutrition, a section of the journal Frontiers in Nutrition</p></fn>
<fn fn-type="equal" id="fn002"><p>&#x02020;These authors have contributed equally to this work and share first authorship</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>19</day>
<month>07</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>9</volume>
<elocation-id>934438</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>05</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>23</day>
<month>06</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2022 Teixeira, Matias, Faleiro, Giro, Pires, Figueiredo, Carvalhinho, Monteiro, Reis, Valamatos, Teixeira and Schoenfeld.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Teixeira, Matias, Faleiro, Giro, Pires, Figueiredo, Carvalhinho, Monteiro, Reis, Valamatos, Teixeira and Schoenfeld</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>The effects of dietary protein on body composition and physical performance seemingly depend on the essential amino acid profile of the given protein source, although controversy exists about whether animal protein sources may possess additional anabolic properties to plant-based protein sources.</p>
</sec>
<sec>
<title>Purpose</title>
<p>To compare the effects of a novel plant-based protein matrix and whey protein supplementation on body composition, strength, power, and endurance performance of trained futsal players.</p>
</sec>
<sec>
<title>Methods</title>
<p>Fifty male futsal players were followed during 8 weeks of supplementation, with 40 completing the study either with plant-based protein (<italic>N</italic> = 20) or whey protein (<italic>N</italic> = 20). The following measures were assessed: bone mineral content, lean body mass, and fat mass; muscle thickness of the rectus femoris; total body water; blood glucose, hematocrit, C-reactive protein, aspartate aminotransferase, alanine aminotransferase, creatine kinase, creatinine, and estimated glomerular filtration rate; salivary cortisol; maximal strength and 1-RM testing of the back squat and bench press exercises; muscle power and countermovement jump; VO<sub>2max</sub> and maximal aerobic speed. Subjects were asked to maintain regular dietary habits and record dietary intake every 4 weeks through 3-day food records.</p>
</sec>
<sec>
<title>Results</title>
<p>No differences in any variable were observed between groups at baseline or pre- to post-intervention. Moreover, no time<sup>&#x0002A;</sup>group interaction was observed in any of the studied variables, and a time effect was only observed regarding fat mass reduction.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Supplementing with either a novel plant-based protein matrix or whey protein did not affect any of the variables assessed in high-level futsal players over 8 wks. These results suggest that whey protein does not possess any unique anabolic properties over and above those of plant-based proteins when equated to an essential amino acid profile in the population studied. Furthermore, when consuming a daily protein intake &#x0003E;1.6 g/kg BW.day<sup>&#x02212;1</sup>, additional protein supplementation does not affect body composition or performance in trained futsal players, regardless of protein type/source.</p>
</sec>
</abstract>
<kwd-group>
<kwd>supplementation</kwd>
<kwd>protein</kwd>
<kwd>athletes</kwd>
<kwd>lean body mass</kwd>
<kwd>power</kwd>
<kwd>aerobic capacity</kwd>
</kwd-group>
<counts>
<fig-count count="3"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="71"/>
<page-count count="12"/>
<word-count count="8995"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>Introduction</title>
<p>Futsal is a demanding team sport involving strenuous high-intensity bouts of running accelerations and decelerations along with kicking, tackling, turning, changes of direction, and repeated sprinting (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>). Although similar to football (soccer), futsal has different features i.e., unlimited number of substitutions, use of a smaller ball with less bounce, lower number of players (only four outfield players and one goalkeeper), smaller goals (with 2 &#x000D7;3 m), shorter match duration (two equal periods of only 20 min with clock stoppage for fouls, etc.) (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B4">4</xref>). Due to these specific features, research indicates that high-level futsal players require high levels of agility (<xref ref-type="bibr" rid="B5">5</xref>), muscle power (<xref ref-type="bibr" rid="B5">5</xref>&#x02013;<xref ref-type="bibr" rid="B7">7</xref>), repeated sprint ability (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>), jumping (<xref ref-type="bibr" rid="B10">10</xref>), and aerobic performance (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B11">11</xref>). In fact, 5 to 10% of the distance covered during a futsal match is performed while sprinting (<xref ref-type="bibr" rid="B12">12</xref>&#x02013;<xref ref-type="bibr" rid="B14">14</xref>), which when associated with other tasks (i.e., kicking, turning, etc.) requires high strength and power development of the lower limbs (<xref ref-type="bibr" rid="B15">15</xref>). Additionally, like other small-sided games, high level futsal requires elevated levels of aerobic capacity (VO<sub>2</sub>max 55.2&#x02013;62.8 ml.kg<sup>&#x02212;1</sup>.min<sup>&#x02212;1</sup>) (<xref ref-type="bibr" rid="B3">3</xref>).</p>
<p>Despite its growing popularity (<xref ref-type="bibr" rid="B12">12</xref>), research studies regarding dietary supplements in futsal athletes are scant. While evidence indicates that protein supplementation enhances muscle strength and hypertrophy, it may also play a role in muscle repair and recovery from endurance exercise (<xref ref-type="bibr" rid="B16">16</xref>), and further improve VO<sub>2</sub>peak with endurance training (<xref ref-type="bibr" rid="B17">17</xref>). Current protein recommendations for endurance athletes and those engaged in team sports range from 1.2 to 2.0 g/kg BW.day<sup>&#x02212;1</sup> (<xref ref-type="bibr" rid="B18">18</xref>&#x02013;<xref ref-type="bibr" rid="B20">20</xref>), with earlier recommendations for football (soccer) ranging between 1.4 and 1.7 g.kg BW.day<sup>&#x02212;1</sup> (<xref ref-type="bibr" rid="B21">21</xref>) and more recent recommendations indicating potential benefits from higher amounts 1.6&#x02013;2.2 g/kg BW.day<sup>&#x02212;1</sup> (<xref ref-type="bibr" rid="B22">22</xref>).</p>
<p>To optimize muscle hypertrophy in conjunction with regimented resistance exercise training (RET), a protein should provide 6&#x02013;15 g of essential amino acids per serving (<xref ref-type="bibr" rid="B23">23</xref>, <xref ref-type="bibr" rid="B24">24</xref>), including 1.7&#x02013;3.5 g of leucine (<xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B25">25</xref>), with a total daily protein intake of &#x0007E;1.6 g/kg BW.day<sup>&#x02212;1</sup>; timing, dose, and protein source appear to play only a minor role in the process (<xref ref-type="bibr" rid="B16">16</xref>). Several research studies have compared whey protein with plant-based proteins such as rice (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B27">27</xref>), pea (<xref ref-type="bibr" rid="B28">28</xref>), and soy (<xref ref-type="bibr" rid="B29">29</xref>, <xref ref-type="bibr" rid="B30">30</xref>), with no differences in body composition or strength observed between groups. Conversely, other research has found superior results with whey or milk protein when compared to soy (<xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B32">32</xref>). No research has been performed comparing a plant-based protein to whey regarding team sports, i.e., futsal. Thus, the purpose of this study was to compare supplementation with whey vs. a protein matrix combining multiple plant-based protein sources fortified with branched-chain amino acids (BCAA) (<xref ref-type="bibr" rid="B33">33</xref>) on measures of body composition, strength, power, and aerobic performance in futsal players. Given that both protein sources provided identical amounts of protein and essential amino acids, we hypothesized that changes would be similar between conditions.</p>
</sec>
<sec sec-type="methods" id="s2">
<title>Methods</title>
<sec>
<title>Ethics</title>
<p>This investigation was approved by the Faculty of Human Kinetics Institutional Review Board (approval number 37/2021) and conformed to all standards of human research set out in the declaration of Helsinki (<xref ref-type="bibr" rid="B34">34</xref>). The trial was registered at <ext-link ext-link-type="uri" xlink:href="https://ClinicalTrials.gov">clinicaltrials.gov</ext-link> as NCT05228236 (<ext-link ext-link-type="uri" xlink:href="https://clinicaltrials.gov/ct2/show/NCT05228236">https://clinicaltrials.gov/ct2/show/NCT05228236</ext-link>). Prior to engaging in any of the study procedures, the purpose and design of the study, the data collection methodologies, and all potential risks and benefits were explained to potential research participants. All participants gave their verbal and written informed consent before enrolling.</p>
</sec>
<sec>
<title>Participants</title>
<p>Fifty male futsal players, not engaged in RET, at the time of the investigation, volunteered to participate in this 8-week study. From the initial sample, forty completed the investigation. Participants were between the ages of 18 and 35 y and were recruited from national level futsal sports clubs. They were randomly assigned to one of two groups: novel plant-based protein (PB) or whey protein (WP). For details, please refer to the CONSORT flow diagram (<xref ref-type="fig" rid="F1">Figure 1</xref>). Baseline measures were performed pre-season while wk 4 and 8 were assessed during the competitive season, in the first half of the regular phase of the championship.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>CONSORT diagram of the randomization and flow of participants through the study.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-09-934438-g0001.tif"/>
</fig>
<p>The final sample was comprised of both professional and semi-professional players. The professional players (<italic>n</italic> = 16) participated in the Major Portuguese National Futsal League &#x0201C;LIGA PLACARD&#x0201D; and had a sport-specific training frequency of 5 times per week (5&#x000D7;/wk) and a weekend game frequency of 1&#x000D7;/wk. Each training session lasted &#x0007E;1.5 h.</p>
<p>The semi-professional players (<italic>n</italic> = 34) participated in either the second (<italic>n</italic> = 17) or third (<italic>n</italic> = 17) Portuguese National Futsal League. Training sessions lasted &#x0007E;1.5 h for both teams and athletes had a training frequency of 3&#x000D7;/wk and a weekend game frequency of 1&#x000D7;/wk.</p>
<p>Participants represented the top five teams of each division and included players from the current and former national team. Although the players were from different teams, they had similar training schemes, where sport-specific training regimen was normally comprised of mobility and injury prevention exercises for &#x0007E;20 min, followed by technical and tactical components for &#x0007E;30 min. The remainder of the training session was dedicated to open exercises, mimicking game conditions. RET was not part of the coaches&#x00027; training prescription at the initial phase of the season, nevertheless, three players reported that they occasionally went to the gym on their own to perform RET.</p>
<sec>
<title>Sample Size and Study Design</title>
<p>Most previous research comparing plant-based whey proteins show similar effects on body composition and performance (<xref ref-type="bibr" rid="B26">26</xref>&#x02013;<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B35">35</xref>), assuming equal amounts of protein and essential amino acids are provided. Anticipating similar results and bearing in mind that when there are no differences between the arms of the study, a significant effect size does not exist, we employed a non-inferiority trial. Nevertheless, the only study that found significant differences between a plant-based protein (soy) and whey protein reported an 80% power at an &#x003B1;-level of 5%, with a 0.5 kg difference in lean body mass (LBM) (<xref ref-type="bibr" rid="B32">32</xref>). Assuming similar conditions but 85% power, an alpha of 0.05, and a 0.5 effect size (<xref ref-type="bibr" rid="B36">36</xref>), GPower (version 3.1, Dusseldorf, Germany) calculated a required sample of 36 participants. Considering a 25% dropout, a sample of 48 participants would be required and we recruited 50 participants as a buffer against attrition.</p>
</sec>
<sec>
<title>Supplementation and Randomization Protocol</title>
<p>All protein powders presented a third-party certificate of analysis regarding their nutritional composition (<xref ref-type="table" rid="T1">Table 1</xref>) and were tested for doping-controlled substances (LGC group, Middlesex, UK). Additionally, the protein content of both supplements was re-assessed at our laboratory using a Dumatherm automatic Nitrogen analyzer (C. Gerhardt GmbH, Germany) according to the manufacturer&#x00027;s guidelines. More specifically, a sample within 90&#x02013;140 mg was weighted in an aluminum foil (Dumafoil, C. Gerhardt GmbH, Germany) using an analytical scale (Kern model ABS 320-4N, GmbH, Germany). The sample was then compacted and inserted into the device. The results were analyzed considering a conversion factor of 6.25 (for PB) and 6.38 (for WP) per N gram, an O<sub>2</sub> factor of 1.8 mL/mg and a 300 ml/min of O<sub>2</sub> flow rate.</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Supplementation nutritional composition.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th valign="top" align="center"><bold>PB</bold></th>
<th valign="top" align="center"><bold>WP</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Dose per serving (g)</td>
<td valign="top" align="center">32</td>
<td valign="top" align="center">34</td>
</tr>
<tr>
<td valign="top" align="left">Energy (kcal)</td>
<td valign="top" align="center">130</td>
<td valign="top" align="center">135</td>
</tr>
<tr>
<td valign="top" align="left">Fat (g)</td>
<td valign="top" align="center">2.7</td>
<td valign="top" align="center">2.4</td>
</tr>
<tr>
<td valign="top" align="left">Saturated fats</td>
<td valign="top" align="center">0.6</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr>
<td valign="top" align="left">Carbohydrates (g)</td>
<td valign="top" align="center">0.6</td>
<td valign="top" align="center">2.7</td>
</tr>
<tr>
<td valign="top" align="left">Sugars</td>
<td valign="top" align="center">&#x0003C;0.5</td>
<td valign="top" align="center">2.1</td>
</tr>
<tr>
<td valign="top" align="left">Protein (g)</td>
<td valign="top" align="center">25</td>
<td valign="top" align="center">24.8</td>
</tr>
<tr>
<td valign="top" align="left" colspan="3"><bold>Essential amino acids (g)</bold></td>
</tr>
<tr>
<td valign="top" align="left">Histidine</td>
<td valign="top" align="center">0.6</td>
<td valign="top" align="center">0.4</td>
</tr>
<tr>
<td valign="top" align="left">Isoleucine<xref ref-type="table-fn" rid="TN1"><sup>&#x0002A;</sup></xref></td>
<td valign="top" align="center">1.1</td>
<td valign="top" align="center">1.4</td>
</tr>
<tr>
<td valign="top" align="left">Leucine<xref ref-type="table-fn" rid="TN1"><sup>&#x0002A;</sup></xref></td>
<td valign="top" align="center">2.2</td>
<td valign="top" align="center">2.4</td>
</tr>
<tr>
<td valign="top" align="left">Lysine</td>
<td valign="top" align="center">1.7</td>
<td valign="top" align="center">1.8</td>
</tr>
<tr>
<td valign="top" align="left">Methionine</td>
<td valign="top" align="center">0.3</td>
<td valign="top" align="center">0.3</td>
</tr>
<tr>
<td valign="top" align="left">Phenylalanine</td>
<td valign="top" align="center">1.1</td>
<td valign="top" align="center">0.8</td>
</tr>
<tr>
<td valign="top" align="left">Threonine</td>
<td valign="top" align="center">0.9</td>
<td valign="top" align="center">1.2</td>
</tr>
<tr>
<td valign="top" align="left">Tryptophan</td>
<td valign="top" align="center">0.2</td>
<td valign="top" align="center">0.1</td>
</tr>
<tr>
<td valign="top" align="left">Valine<xref ref-type="table-fn" rid="TN1"><sup>&#x0002A;</sup></xref></td>
<td valign="top" align="center">1.1</td>
<td valign="top" align="center">1.0</td>
</tr>
<tr>
<td valign="top" align="left">&#x02211; Essential Amino acids (g)</td>
<td valign="top" align="center">9.2</td>
<td valign="top" align="center">9.4</td>
</tr>
<tr>
<td valign="top" align="left">&#x02211; BCAA<xref ref-type="table-fn" rid="TN1"><sup>&#x0002A;</sup></xref> (g)</td>
<td valign="top" align="center">4.4</td>
<td valign="top" align="center">4.8</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="TN1"><label>&#x0002A;</label><p><italic>BCAA, branched-chain amino acids; PB, plant-based protein; WP, whey protein</italic>.</p></fn>
</table-wrap-foot>
</table-wrap>
<p>The PB supplement was comprised of a proprietary blend (BETTPRO<sup>&#x000AE;</sup>) containing pea protein isolate (85% PRO concentration), yeast protein (80% PRO concentration), and BCAA 4:1:1, currently, patent-pending (Bettery S.A., Oeiras, Portugal), while the WP supplement was comprised of a whey protein concentrate yielding an 80% protein concentration (Ewalco AB, Gothenburg, Sweden). The proprietary blend was mostly comprised of pea protein (&#x0003E;70%) with the yeast and BCAA included to complement and match the essential amino acid profile of whey. Both supplements required the addition of fat-reduced cocoa powder, emulsifiers, thickeners, and sweeteners to ensure similar taste and texture. The PB required the use of masking excipients to neutralize the typical flavor of the pea protein. Both supplements were weighted in single-dose (see <xref ref-type="table" rid="T1">Table 1</xref> for supplement composition) individual plastic bags using a digital scale model EMB 5200 G 5 (Kern, Balingen, Germany). The participants were instructed to dissolve the content of each bag within 250 mL of water. A 2-week supply was delivered to each player; a researcher collected the empty plastic bags to assess adherence while delivering a new supply. Participants received the packaged supplements and instructions in a double-blinded fashion. Supplementation compliance (a minimum of 90% compliance was deemed acceptable), possible side effects, and subjectively perceived fatigue and muscle recovery were assessed by questionnaire at the end of each 4-week block of supplementation.</p>
<p>Participants were randomized, within each competitive level, using a covariate adaptative randomization method based on age, grip strength, DXA-measured fat (FM), and LBM. Accordingly, at baseline, there were no statistically significant differences between groups regarding all the reported variables (<xref ref-type="table" rid="T2">Tables 2</xref>, <xref ref-type="table" rid="T3">3</xref>). The investigator responsible for the sample randomization and supplement distribution was not directly involved in participants&#x00027; eligibility interviews or data collection. All other investigators and all the participants were blind to the supplementation conditions and randomization sequence.</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p>Energy and macronutrient intake at baseline and after 8 weeks of intervention.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th valign="top" align="center" colspan="3" style="border-bottom: thin solid #000000;"><bold>PB (<italic>n</italic> &#x0003D; 20)</bold></th>
<th valign="top" align="center" colspan="3" style="border-bottom: thin solid #000000;"><bold>WP (<italic>n</italic> &#x0003D; 20)</bold></th>
</tr>
<tr>
<th/>
<th valign="top" align="center"><bold>Baseline</bold></th>
<th valign="top" align="center"><bold>Post 4 weeks</bold></th>
<th valign="top" align="center"><bold>Post 8 weeks</bold></th>
<th valign="top" align="center"><bold>Baseline</bold></th>
<th valign="top" align="center"><bold>Post 4 weeks</bold></th>
<th valign="top" align="center"><bold>Post 8 weeks</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Energy (kcal)</td>
<td valign="top" align="center">2,057.3 &#x000B1; 350.3</td>
<td valign="top" align="center">2,073.5 &#x000B1; 309.9</td>
<td valign="top" align="center">2,064.2 &#x000B1; 366.7</td>
<td valign="top" align="center">2,055.5 &#x000B1; 242.1</td>
<td valign="top" align="center">2,093.5 &#x000B1; 246.3</td>
<td valign="top" align="center">2,080.5 &#x000B1; 255.0</td>
</tr>
<tr>
<td valign="top" align="left">Energy (kcal/kg FFM)</td>
<td valign="top" align="center">36.3 &#x000B1; 8.1</td>
<td valign="top" align="center">36.1 &#x000B1; 9.5</td>
<td valign="top" align="center">35.8 &#x000B1; 7.1</td>
<td valign="top" align="center">36.1 &#x000B1; 6.7</td>
<td valign="top" align="center">36.2 &#x000B1; 6.0</td>
<td valign="top" align="center">37.1 &#x000B1; 6.4</td>
</tr>
<tr>
<td valign="top" align="left">Protein (g)</td>
<td valign="top" align="center">113.6 &#x000B1; 26.6</td>
<td valign="top" align="center">117.7 &#x000B1; 21.5</td>
<td valign="top" align="center">121.1 &#x000B1; 21.4</td>
<td valign="top" align="center">118.2 &#x000B1; 27.2</td>
<td valign="top" align="center">118.6 &#x000B1; 28.0</td>
<td valign="top" align="center">121.7 &#x000B1; 20.9</td>
</tr>
<tr>
<td valign="top" align="left">Protein (g/kg BW.day<sup>&#x02212;1</sup>)</td>
<td valign="top" align="center">1.6 &#x000B1; 0.5</td>
<td valign="top" align="center">1.7 &#x000B1; 0.2</td>
<td valign="top" align="center">1.7 &#x000B1; 0.3</td>
<td valign="top" align="center">1.6 &#x000B1; 0.5</td>
<td valign="top" align="center">1.7 &#x000B1; 0.4</td>
<td valign="top" align="center">1.7 &#x000B1; 0.4</td>
</tr>
<tr>
<td valign="top" align="left">Fat (g)</td>
<td valign="top" align="center">84.9 &#x000B1; 17.4</td>
<td valign="top" align="center">84.6 &#x000B1; 18.8</td>
<td valign="top" align="center">84.1 &#x000B1; 16.3</td>
<td valign="top" align="center">85.5 &#x000B1; 22.5</td>
<td valign="top" align="center">83.2 &#x000B1; 15.0</td>
<td valign="top" align="center">84.2 &#x000B1; 18.4</td>
</tr>
<tr>
<td valign="top" align="left">Carbohydrate (g)</td>
<td valign="top" align="center">203.9 &#x000B1; 51.9</td>
<td valign="top" align="center">202.7 &#x000B1; 54.4</td>
<td valign="top" align="center">198.8 &#x000B1; 58.0</td>
<td valign="top" align="center">188.5 &#x000B1; 32.9</td>
<td valign="top" align="center">201.5 &#x000B1; 33.8</td>
<td valign="top" align="center">200.8 &#x000B1; 38.2</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>BW, body weight; PB, plant-based protein; WP, whey protein</italic>.</p>
</table-wrap-foot>
</table-wrap>
<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption><p>Body composition, performance, and hematological and biochemical markers at baseline and after 4 and 8 weeks of intervention.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th valign="top" align="center" colspan="3" style="border-bottom: thin solid #000000;"><bold>PB (<italic>n</italic> &#x0003D; 20)</bold></th>
<th valign="top" align="center" colspan="3" style="border-bottom: thin solid #000000;"><bold>WP (<italic>n</italic> &#x0003D; 20)</bold></th>
</tr>
<tr>
<th/>
<th valign="top" align="center"><bold>Baseline</bold></th>
<th valign="top" align="center"><bold>Post 4 weeks</bold></th>
<th valign="top" align="center"><bold>Post 8 weeks</bold></th>
<th valign="top" align="center"><bold>Baseline</bold></th>
<th valign="top" align="center"><bold>Post 4 weeks</bold></th>
<th valign="top" align="center"><bold>Post 8 weeks</bold></th>
</tr>
<tr>
<th valign="top" align="left" colspan="7"><bold>Body composition</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Body mass (kg)</td>
<td valign="top" align="center">70.8 &#x000B1; 9.2</td>
<td valign="top" align="center">70.5 &#x000B1; 9.3</td>
<td valign="top" align="center">69.9 &#x000B1; 9.0</td>
<td valign="top" align="center">71.6 &#x000B1; 10.2</td>
<td valign="top" align="center">70.6 &#x000B1; 7.7</td>
<td valign="top" align="center">69.7 &#x000B1; 7.7</td>
</tr>
<tr>
<td valign="top" align="left">TBW (L)</td>
<td valign="top" align="center">43.1 &#x000B1; 4 4</td>
<td valign="top" align="center">43.0 &#x000B1; 4.3</td>
<td valign="top" align="center">42.9 &#x000B1; 4.4</td>
<td valign="top" align="center">43.7 &#x000B1; 4.3</td>
<td valign="top" align="center">43.1 &#x000B1; 3.7</td>
<td valign="top" align="center">42.8 &#x000B1; 4.0</td>
</tr>
<tr>
<td valign="top" align="left">Muscle thickness rectus femoris (mm)</td>
<td valign="top" align="center">26.7 &#x000B1; 3 6</td>
<td valign="top" align="center">27.2 &#x000B1; 2.7</td>
<td valign="top" align="center">28.0 &#x000B1; 3.2</td>
<td valign="top" align="center">26.4 &#x000B1; 3.4</td>
<td valign="top" align="center">27.0 &#x000B1; 2.9</td>
<td valign="top" align="center">27.9 &#x000B1; 2.7</td>
</tr>
<tr>
<td valign="top" align="left">Bone mineral content (kg)</td>
<td valign="top" align="center">2.93 &#x000B1; 0.39</td>
<td valign="top" align="center">2.96 &#x000B1; 0.38</td>
<td valign="top" align="center">2.97 &#x000B1; 0.43</td>
<td valign="top" align="center">3.06 &#x000B1; 0.45</td>
<td valign="top" align="center">3.06 &#x000B1; 0.46</td>
<td valign="top" align="center">3.07 &#x000B1; 0.42</td>
</tr>
<tr>
<td valign="top" align="left">Lean body mass (kg)</td>
<td valign="top" align="center">57.7 &#x000B1; 5.8</td>
<td valign="top" align="center">57.9 &#x000B1; 5.4</td>
<td valign="top" align="center">58.5 &#x000B1; 6.3</td>
<td valign="top" align="center">58.0 &#x000B1; 5.9</td>
<td valign="top" align="center">58.2 &#x000B1; 5.3</td>
<td valign="top" align="center">58.9 &#x000B1; 5.5</td>
</tr>
<tr>
<td valign="top" align="left">Lean soft tissue (kg)</td>
<td valign="top" align="center">54.6 &#x000B1; 5.5</td>
<td valign="top" align="center">55.0 &#x000B1; 5.1</td>
<td valign="top" align="center">55.3 &#x000B1; 5.9</td>
<td valign="top" align="center">54.8 &#x000B1; 5.5</td>
<td valign="top" align="center">55.1 &#x000B1; 4.97</td>
<td valign="top" align="center">55.7 &#x000B1; 5.1</td>
</tr>
<tr>
<td valign="top" align="left">Fat mass (kg)</td>
<td valign="top" align="center">13.1 &#x000B1; 5.0</td>
<td valign="top" align="center">12.1 &#x000B1; 5.0</td>
<td valign="top" align="center">11.4 &#x000B1; 4.1<xref ref-type="table-fn" rid="TN2"><sup>&#x00023;</sup></xref></td>
<td valign="top" align="center">13.6 &#x000B1; 5.4</td>
<td valign="top" align="center">11.5 &#x000B1; 3.5</td>
<td valign="top" align="center">10.9 &#x000B1; 3.2<xref ref-type="table-fn" rid="TN2"><sup>&#x00023;</sup></xref></td>
</tr>
<tr>
<td valign="top" align="left">Fat mass (%)</td>
<td valign="top" align="center">18.1 &#x000B1; 4.9</td>
<td valign="top" align="center">17.6 &#x000B1; 4.8</td>
<td valign="top" align="center">16.1 &#x000B1; 4.2</td>
<td valign="top" align="center">18.5 &#x000B1; 4.8</td>
<td valign="top" align="center">17.7 &#x000B1; 3.7</td>
<td valign="top" align="center">15.4 &#x000B1; 3.2</td>
</tr>
<tr>
<td valign="top" align="left">Visceral fat area (cm)</td>
<td valign="top" align="center">61.9 &#x000B1; 21.5</td>
<td valign="top" align="center">59.6 &#x000B1; 20.0</td>
<td valign="top" align="center">57.1 &#x000B1; 21.3</td>
<td valign="top" align="center">57.1 &#x000B1; 18.3</td>
<td valign="top" align="center">53.1 &#x000B1; 11.9</td>
<td valign="top" align="center">51.2 &#x000B1; 10.4</td>
</tr>
<tr>
<td valign="top" align="left" colspan="7"><bold>Muscle strength</bold></td>
</tr>
<tr>
<td valign="top" align="left">Handgrip dominant hand (N)</td>
<td valign="top" align="center">471.2 &#x000B1; 91.2</td>
<td valign="top" align="center">483.4 &#x000B1; 93.8</td>
<td valign="top" align="center">486.4 &#x000B1; 89.3</td>
<td valign="top" align="center">461.3 &#x000B1; 75.9</td>
<td valign="top" align="center">470.5 &#x000B1; 74.0</td>
<td valign="top" align="center">475.4 &#x000B1; 73.7</td>
</tr>
<tr>
<td valign="top" align="left">Back squat 1 RM (kg)</td>
<td valign="top" align="center">76.6 &#x000B1; 14.3</td>
<td valign="top" align="center">78.4 &#x000B1; 13.8</td>
<td valign="top" align="center">85.5 &#x000B1; 15.6</td>
<td valign="top" align="center">80.2 &#x000B1; 14.7</td>
<td valign="top" align="center">81.0 &#x000B1; 13.8</td>
<td valign="top" align="center">85.9 &#x000B1; 13.1</td>
</tr>
<tr>
<td valign="top" align="left">Bench press 1 RM (kg)</td>
<td valign="top" align="center">54.6 &#x000B1; 13.0</td>
<td valign="top" align="center">55.3 &#x000B1; 16.2</td>
<td valign="top" align="center">56.9 &#x000B1; 9.1</td>
<td valign="top" align="center">56.8 &#x000B1; 8.6</td>
<td valign="top" align="center">57.4 &#x000B1; 9.4</td>
<td valign="top" align="center">59.1 &#x000B1; 9.7</td>
</tr>
<tr>
<td valign="top" align="left">Counter movement jump (cm)</td>
<td valign="top" align="center">33.5 &#x000B1; 4.2</td>
<td valign="top" align="center">34.7 &#x000B1; 4.5</td>
<td valign="top" align="center">38.0 &#x000B1; 4.7</td>
<td valign="top" align="center">33.5 &#x000B1; 3.9</td>
<td valign="top" align="center">36.9 &#x000B1; 4.0</td>
<td valign="top" align="center">38.7 &#x000B1; 3.4</td>
</tr>
<tr>
<td valign="top" align="left" colspan="7"><bold>Anaerobic and aerobic performance</bold></td>
</tr>
<tr>
<td valign="top" align="left">Anaerobic peak power (W/kg)</td>
<td valign="top" align="center">12.9 &#x000B1; 4.50</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">11.4 &#x000B1; 3.2</td>
<td valign="top" align="center">12.4&#x000B1; 4.8</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">11.5 &#x000B1; 4.2</td>
</tr>
<tr>
<td valign="top" align="left">Anaerobic average power (W/kg)</td>
<td valign="top" align="center">8.5 &#x000B1; 1.0</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">8.4 &#x000B1; 0.7</td>
<td valign="top" align="center">8.3 &#x000B1; 0.9</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">8.1 &#x000B1; 0.9</td>
</tr>
<tr>
<td valign="top" align="left">Anaerobic power drop (%)</td>
<td valign="top" align="center">62.7 &#x000B1; 15.4</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">58.5 &#x000B1; 11.1</td>
<td valign="top" align="center">64.0 &#x000B1; 16.9</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">62.8 &#x000B1; 14.0</td>
</tr>
<tr>
<td valign="top" align="left">VO<sub>2max</sub> (mL/kg/min)</td>
<td valign="top" align="center">49.7 &#x000B1; 7.1</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">50.6 &#x000B1; 7.6</td>
<td valign="top" align="center">51.2 &#x000B1; 7.0</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">51.1 &#x000B1; 3.3</td>
</tr>
<tr>
<td valign="top" align="left">VO<sub>2max</sub> (mL/min)</td>
<td valign="top" align="center">3,545.8 &#x000B1; 436.8</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">3,544.8 &#x000B1; 380.9</td>
<td valign="top" align="center">3,719.1 &#x000B1; 410.8</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">3,582.7 &#x000B1; 294.8</td>
</tr>
<tr>
<td valign="top" align="left">MAS (km/h)</td>
<td valign="top" align="center">16.0 &#x000B1; 1.6</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">16.3 &#x000B1; 1.9</td>
<td valign="top" align="center">15.0 &#x000B1;1.9</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">16.2 &#x000B1; 1.2</td>
</tr>
<tr>
<td valign="top" align="left" colspan="7"><bold>Hematological and biochemical markers</bold></td>
</tr>
<tr>
<td valign="top" align="left">C Reactive protein (mg/L)</td>
<td valign="top" align="center">10.0 &#x000B1; 5.0</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">9.4 &#x000B1; 1.2</td>
<td valign="top" align="center">8.9 &#x000B1; 2.2</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">8.3 &#x000B1; 0.7</td>
</tr>
<tr>
<td valign="top" align="left">Hematocrit (%)</td>
<td valign="top" align="center">44.2 &#x000B1; 3.3</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">43.6 &#x000B1; 2.6</td>
<td valign="top" align="center">44.4 &#x000B1; 2.4</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">44.3 &#x000B1; 2.4</td>
</tr>
<tr>
<td valign="top" align="left">Creatine kinase (U/L)</td>
<td valign="top" align="center">254.4 &#x000B1; 126.3</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">201.0 &#x000B1; 68.9</td>
<td valign="top" align="center">272.5 &#x000B1; 114.1</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">195.5 &#x000B1; 55.6</td>
</tr>
<tr>
<td valign="top" align="left">Alanine aminotransferase (U/L)</td>
<td valign="top" align="center">22.8 &#x000B1; 15.4</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">19.0 &#x000B1; 6.1</td>
<td valign="top" align="center">21.0 &#x000B1; 9.6</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">20.2 &#x000B1; 6.9</td>
</tr>
<tr>
<td valign="top" align="left">Aspartate aminotransferase (U/L)</td>
<td valign="top" align="center">25.3 &#x000B1; 16.9</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">20.5 &#x000B1; 6.9</td>
<td valign="top" align="center">19.3 &#x000B1; 7.4</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">19.7 &#x000B1; 5.9</td>
</tr>
<tr>
<td valign="top" align="left">Glucose (mg/dL)</td>
<td valign="top" align="center">77.8 &#x000B1; 13.1</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">70.1 &#x000B1; 11.6</td>
<td valign="top" align="center">76.6 &#x000B1; 13.6</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">67.6 &#x000B1; 12.4</td>
</tr>
<tr>
<td valign="top" align="left">Creatinine (mg/dL)</td>
<td valign="top" align="center">1.4 &#x000B1; 0.2</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">1.5 &#x000B1; 0.2</td>
<td valign="top" align="center">1.4 &#x000B1; 0.3</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">1.5 &#x000B1; 0.2</td>
</tr>
<tr>
<td valign="top" align="left">Estimated glomerular filtration rate (mL/min)</td>
<td valign="top" align="center">82.1 &#x000B1; 17.3</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">80.8 &#x000B1; 12.6</td>
<td valign="top" align="center">83.4 &#x000B1; 20.2</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">79.6 &#x000B1; 20.1</td>
</tr>
<tr>
<td valign="top" align="left">Salivary cortisol (&#x003BC;g/dL)</td>
<td valign="top" align="center">1.2 &#x000B1; 0.6</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">1.2 &#x000B1; 0.4</td>
<td valign="top" align="center">0.9 &#x000B1; 0.6</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">0.7 &#x000B1; 0.5</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>PB, plant-based protein; WP, whey protein; TBW, Total body water; MAS, maximal aerobic speed</italic>.</p>
<fn id="TN2"><label>&#x00023;</label><p><italic>Time effect from baseline (ANCOVA)</italic>.</p></fn>
<p><italic>Results are presented as mean &#x000B1; SD</italic>.</p>
</table-wrap-foot>
</table-wrap>
</sec>
</sec>
<sec>
<title>Assessments</title>
<p>Athletes&#x00027; anthropometry, body composition, strength, power, aerobic performance, nutritional intake, health, and safety biochemical parameters were assessed at baseline and week 8. A partial evaluation was performed in week 4 that included anthropometry, body composition, strength, power, and nutritional intake assessment. All evaluations of the participants, including blood and saliva samples collection, were performed in our laboratory facilities, early in the morning (7 a.m.) after a 12-h fast and without consumption of alcohol, caffeine/stimulant beverages, and at least 12 h from the last exercise session. Biofluids and body composition assessments were performed fasting, while the performance evaluations were made in a fed state, with the consumption of a meal replacement bar (nutritional composition: 231 kcal, 14 g fat, 12 g carbohydrate, and 13 g protein).</p>
<sec>
<title>Anthropometry</title>
<p>Participants had their weight and height measured wearing minimal clothing and without shoes to the nearest 0.1 kg and 0.1 cm, respectively, with a scale and a stadiometer (Seca, Hamburg, Germany) using standardized procedures as reported elsewhere (<xref ref-type="bibr" rid="B37">37</xref>).</p>
</sec>
<sec>
<title>Body Composition</title>
<p>Body composition was determined by three methodologies:</p>
<p>(a) Dual energy X-ray absorptiometry (DXA) (Horizon Wi, Hologic, Waltham, USA) where participants underwent a whole-body DXA scan according to the procedures recommended by the manufacturer. The same technician positioned the patient, performed the scan, and executed the analyses. The DXA measurements included whole-body measurements of bone mineral content (BMC, g), LBM (kg), as well as absolute and percentage fat mass (FM, kg, and %). Within FM, visceral adipose tissue was distinguished using DXA software (<xref ref-type="bibr" rid="B38">38</xref>).</p>
<p>(b) B-mode ultrasonography for muscle thickness (MT) measurement of the rectus femoris (RF) (<xref ref-type="bibr" rid="B39">39</xref>) using a 7.5 MHz linear-array transducer (model WED-180 HL, Welld, Shenzhen, China). Longitudinal and transversal scans were obtained at the muscles&#x00027; mid-belly at 56% of the distance from the proximal edge of the patella to the anterior superior iliac spine (<xref ref-type="bibr" rid="B40">40</xref>). Participants were positioned in a seated position with their knees flexed at 90&#x000B0; (0&#x000B0; being a full extension), participants&#x00027; legs were supported during the scan and their muscles relaxed. To ensure that repeated scans (weeks 4 and 8) were taken from the same site, scanning locations were mapped with a malleable transparent plastic sheet at the baseline measurement, along with other distinguishing surface landmarks (e.g., border of the patella, tattoos, scars, moles). We defined MT as the perpendicular distance between the subcutaneous adipose tissue-muscle interface and intermuscular interface. Averaged values from three measurements were considered for further analysis. All measures were collected and digitally analyzed by the same operator who was blinded to group allocation. The test-retest CV in 29 participants for the MT in RF using ultrasonography in our laboratory is 2.1%.</p>
<p>(c) Bioelectrical impedance analysis (BIA) is a phase sensitive device, from which whole-body resistance (R) and reactance (Xc) are obtained using a single frequency of 50 kHz (BIA 101 BIVA<sup>&#x000AE;</sup>PRO, Akern S.R.L., Pisa, Italy). Device calibration was performed according to the procedures recommended by the manufacturer. Assessments were obtained after a 10-min rest period in a supine position following the guidelines for athletes stated elsewhere (<xref ref-type="bibr" rid="B41">41</xref>). From the raw data R and Xc, total body water (TBW) was determined using Akern Software (version 1.19.2). The test-retest CV in 15 participants for R and Xc in our laboratory is 3.5 and 1.5%, respectively.</p>
</sec>
<sec>
<title>Hematological and Biochemical Analysis</title>
<p>Saliva and whole blood were collected into salivettes and EDTA tubes by standard procedures. Blood measurements included the assessment of glucose, hematocrit (Hct), C-reactive protein (CRP), aspartate aminotransferase (AST), alanine aminotransferase (ALT), creatine kinase (CK), and creatinine, using photometry techniques in automated equipment (Vario Photometer II DP310, Diaglobal Gmbh, Berlin, Germany; Nycocard reader II, Abbott, Chicago, Illinois, EUA). Creatinine values were used to calculate the estimated glomerular filtration rate (eGFR) (<xref ref-type="bibr" rid="B42">42</xref>). Cortisol was evaluated in saliva through Enzyme-Linked Immunosorbent Assay (ELISA) commercial kits (Salimetrics, PA, USA) in an automated reader (800 TS Absorbance Reader, Biotek, Vermont, USA).</p>
</sec>
<sec>
<title>Performance Tests</title>
<sec>
<title>Muscle Strength</title>
<p>Maximal isometric handgrip strength of the dominant hand was determined using a Jamar<sup>&#x000AE;</sup> hydraulic hand dynamometer (Jamar, Sammons Preston, Inc, Bolingbrook, IL). The participants were tested in a standing position with an elbow in full extension (<xref ref-type="bibr" rid="B43">43</xref>). The participant was asked to squeeze the dynamometer at maximal effort for three trials, with a 30-s break between each trial. The best of the three trials was considered for data analysis.</p>
<p>Maximum strength (1-RM) was predicted based on load-velocity relationship for the back squat and bench press exercises on a Multipower machine. For both back squat and bench press, participants performed one set of 8 repetitions at a self-selected load, having been instructed to perform the concentric phase as fast as possible. A linear encoder (Vitruve Encoder, Madrid, Spain) was attached to the barbell during the tests, measuring its vertical displacement and velocity. The higher mean propulsive velocity along the 8 repetitions was used to predict the 1-RM (<xref ref-type="bibr" rid="B44">44</xref>). The determination of 1RM was directly supervised by an NSCA-certified strength and conditioning specialist.</p>
<p>Jump height was assessed by a countermovement jump which was performed on a contact-mat jump system controlled by an open-source hardware and software model (Chronojump, Barcelona, Spain). The displacement of center of gravity (jump height h) during the flight was estimated by means of flight time (t) through a standardized kinematic equation h = t2.g/8, where g is gravity (<xref ref-type="bibr" rid="B45">45</xref>). The best attempt out of three was considered for analysis.</p>
<p>Participants were familiarized with the muscle strength tests prior to our investigation.</p>
</sec>
<sec>
<title>Anaerobic and Aerobic Performance</title>
<p>Anaerobic power performance was assessed <italic>via</italic> a supramaximal cycling test&#x02014;Wingate, performed on a cycle ergometer (Monark ergomedic 894 E, Monark Exercise AB, Vansbro, Sweden). Participants were instructed to cycle as fast as possible against a predetermined resistance (7.5% of the participant&#x00027;s body mass)for 30 s (<xref ref-type="bibr" rid="B46">46</xref>). Variables collected at the end of the test included anaerobic peak power, anaerobic average power, and anaerobic drop power, calculated as the percentage drop between peak and minimum power of the test.</p>
<p>Aerobic performance was assessed <italic>via</italic> VO<sub>2max</sub> and maximal aerobic speed (MAS), determined by a breath-by-breath gas analyzer (Quark, Cosmed, Italy) in an incremental treadmill test. After a 3-min warm-up at 5 km&#x000B7;h<sup>&#x02212;1</sup>, participants began the test at 6 km&#x000B7;h<sup>&#x02212;1</sup> and 2% grade. Each minute the speed increased 1 km&#x000B7;h<sup>&#x02212;1</sup> until volitional exhaustion so that fatigue would be induced within 8&#x02013;12 min (<xref ref-type="bibr" rid="B47">47</xref>). Standardized verbal encouragement was given throughout the test. The MAS was considered as the speed of the last stage completed (<xref ref-type="bibr" rid="B48">48</xref>) while VO<sub>2max</sub> was considered the highest 30 s average value of VO<sub>2</sub> and assumed when at least 2 of the following criteria were met: respiratory quotient &#x0003E;1.10; heart rate (HR) equal to or &#x0003E;95% of predicted maximal HR (calculated as 208&#x02013;0.7 &#x000D7; age); and increments in VO<sub>2</sub> below 2 ml&#x000B7;kg<sup>&#x02212;1</sup>&#x000B7;min<sup>&#x02212;1</sup> despite an increase in speed (<xref ref-type="bibr" rid="B49">49</xref>).</p>
</sec>
</sec>
<sec>
<title>Diet Control and Supplementation</title>
<p>Three-day food records (2 weekdays and 1 weekend day) were requested to characterize the food intake of the participants at baseline, weeks 4 and 8. Individuals were instructed to maintain their normal dietary intake during the 8-week study period. Food records were then analyzed by software [Nutritics Research Edition (v5.09), Dublin, Ireland] for total energy and macronutrient consumption, by a registered dietitian.</p>
<p>After evaluations, each participant received either PB or WP. Participants were only aware that these were protein supplements and that compounds were distributed in a double-blinded manner. Both groups consumed the protein supplements 30&#x02013;60 min after exercise on training days and 30&#x02013;60 min before bedtime on non-training days.</p>
</sec>
</sec>
<sec>
<title>Statistical Analysis</title>
<p>IBM SPSS Statistics version 25.0, 2012 (IBM, Chicago, Illinois, USA) was used to analyze the data. Basic descriptive statistics were run to characterize the study participants. All variables were assessed for normality using the Kolmogorov&#x02013;Smirnov test. Independent sample <italic>T</italic>-tests were used to compare means between groups at baseline. <italic>Post-hoc</italic> intention to treat (ITT) analysis was applied to investigate the effects of intervention over time within and between groups through generalized estimated equations (GEE) analyses. Time and time-by-group interactions were analyzed by analysis of covariance (ANCOVA), using baseline measurements as the covariate. The equality of the matrix of variance and sphericity were explored with the Levene F-test and Mauchly&#x00027;s test, respectively. Significance for &#x003B1; was set at <italic>p</italic> &#x02264; 0.05.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<p>Data from 40 participants were considered for final analysis (PB = 20, WP=20). Sample losses were due to personal reasons (<italic>N</italic> = 5) or due to injury during practice (<italic>N</italic> = 5), therefore an intervention adherence of 80% was observed. No differences were observed between groups at baseline nor after 8 weeks of supplementation. Analysis of food records showed no differences between groups at baseline nor pre- to post-study regarding energy and macronutrient intake (<xref ref-type="table" rid="T2">Table 2</xref>).</p>
<p>Participants were compliant with the supplementation, taking 93 &#x000B1; 1% of supplements with no adverse effects reported throughout the study. No differences were found between groups regarding general perceived side effects of the supplementation. Additionally, perceived gastrointestinal disturbances were 18% higher in the WP group.</p>
<p>No differences were observed between conditions at baseline regarding all variables (see <xref ref-type="table" rid="T3">Table 3</xref>; <xref ref-type="fig" rid="F2">Figures 2</xref>, <xref ref-type="fig" rid="F3">3</xref>). Moreover, no differences were observed between groups from baseline to week 8 (<italic>p</italic> &#x0003E; 0.05). No time<sup>&#x0002A;</sup>group interaction was observed in any of the studied variables, and a time effect was only observed for a reduction in FM. Similar results were observed when the analysis was carried out using ITT.</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>Changes (&#x00394; baseline-week 8) in lean body mass <bold>(A)</bold>, fat mass <bold>(B)</bold> during the 8-week supplementation protocol. Data are shown as box and whisker plots where whiskers are the maximum and minimum and the box represents the interquartile range, the line the group median. Dots represent outliers. &#x0002A;Represents an observed time effect. PB, plant-based protein; WP, whey protein.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-09-934438-g0002.tif"/>
</fig>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p>Performance markers at baseline and post 8 weeks: back squat <bold>(A)</bold>, bench press <bold>(B)</bold>, counter movement jump <bold>(C)</bold>, anaerobic peak power <bold>(D)</bold>, VO2max <bold>(E)</bold> and maximal aerobic speed <bold>(F)</bold>. PB, plant-based protein; WP, whey protein.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-09-934438-g0003.tif"/>
</fig>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<sec>
<title>Body Composition</title>
<p>We found no differences between groups regarding all body composition variables when comparing PB and WP in professional and semi-professional futsal athletes. These findings are in line with previous populations (<xref ref-type="bibr" rid="B26">26</xref>&#x02013;<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B35">35</xref>) but not with others (<xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B50">50</xref>, <xref ref-type="bibr" rid="B51">51</xref>). Of note, a study by Babault et al. (<xref ref-type="bibr" rid="B28">28</xref>) that compared pea protein with whey used 25 g 2 times a day (50 g daily) on untrained subjects. Compared to the present study, this investigation (<xref ref-type="bibr" rid="B28">28</xref>) was of longer duration (12 wks), used only three exercises (involving elbow flexor and extensor muscles), and involved a higher daily protein supplementation in untrained men. Moreover, Babault et al. (<xref ref-type="bibr" rid="B28">28</xref>) did not control the dietary intake and the pea protein supplement offered a lower amount of leucine per serving than in our study (1.6 vs. 2.2 g). Another study compared pea protein with whey protein, in trained subjects (<xref ref-type="bibr" rid="B35">35</xref>), performed a combination of high-intensity functional training (HIFT) and no differences were found between groups after 8 wks of HIFT, with only a time effect being reported regarding 1-RM squat and deadlift. Limitations in that study included a small sample size (<italic>n</italic> = 15) and the use of a BIA model with questionable accuracy (<xref ref-type="bibr" rid="B52">52</xref>, <xref ref-type="bibr" rid="B53">53</xref>).</p>
<p>Studies from Joy et al. (<xref ref-type="bibr" rid="B26">26</xref>) and Moon et al. (<xref ref-type="bibr" rid="B27">27</xref>) that compared rice protein with whey protein also presented several limitations. As acknowledged by the authors, sample sizes were relatively small (<italic>n</italic> = 24) and the Moon et al. (<xref ref-type="bibr" rid="B27">27</xref>) work lacked training supervision. Moreover, neither study employed a direct measure of hypertrophy, which may have limited the ability to detect subtle longitudinal changes in muscle mass (<xref ref-type="bibr" rid="B54">54</xref>). The sample in our study was comprised of professional and semi-professional futsal players without RET exposure, which explains the absence of a time effect pertaining MT and fat free mass (FFM) gains, even when consuming at least 1.6 g/kg BW.day<sup>&#x02212;1</sup> of protein (<xref ref-type="bibr" rid="B16">16</xref>). Still, the FFM gains in both groups are in line with the values reported in some meta-analysis (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B55">55</xref>) and with the works by Joy et al. (<xref ref-type="bibr" rid="B26">26</xref>) and Moon et al. (<xref ref-type="bibr" rid="B27">27</xref>) using rice protein. Our results pertaining to MT are also consistent with the work by Banazsek et al. (<xref ref-type="bibr" rid="B35">35</xref>), who found no differences between pea protein and whey protein after 8 wks of HIFT.</p>
<p>In contrast, Volek et al. (<xref ref-type="bibr" rid="B32">32</xref>) reported superior increases in FFM favoring WP vs. soy protein in untrained subjects. It should be noted that the supplements used by Volek et al. (<xref ref-type="bibr" rid="B32">32</xref>) also provided carbohydrates and the soy protein supplement provided a lower amount of leucine than the PB in our study (1.4 vs. 2.2 g). Furthermore, the amount of leucine provided from both supplements in Volek et al. (<xref ref-type="bibr" rid="B32">32</xref>) differed greatly (1.4 g of leucine in the soy protein group vs. 2.2 g in the WP), which is particularly important given the recommended leucine dosage for maximizing muscle protein synthesis (1.7&#x02013;3.5 g per meal) (<xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B25">25</xref>). Other studies that reported conflicting findings with ours did not compare isolated protein sources (<xref ref-type="bibr" rid="B50">50</xref>), and assessed dairy protein vs. soy protein in elderly participants (<xref ref-type="bibr" rid="B31">31</xref>).</p>
<p>In our study, a time effect was noted regarding FM loss, with no differences between groups. These results are in agreement with some studies (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B32">32</xref>) but not others (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B35">35</xref>). This might be explained by the reduced energy availability in both arms of our study (PB: 35.8 &#x000B1; 7.1; WP: 37.1 &#x000B1; 6.4 kcal/kg FFM), which seems more appropriate for fat loss (<xref ref-type="bibr" rid="B56">56</xref>). Moreover, research indicates a higher protein intake might mitigate FFM loss during periods of energy restriction (<xref ref-type="bibr" rid="B57">57</xref>, <xref ref-type="bibr" rid="B58">58</xref>), which might explain the FM reduction while maintaining FFM. Taken together, the absence of a RET protocol and the reduced energy availability in our trial might explain the lack of a time effect pertaining to FFM gains and the reduction of FM in both conditions. Furthermore, since the dietary intake did not change throughout the study, one might speculate that a natural increase pertaining to in-season training volume might have led to the reported FM reduction in both groups.</p>
</sec>
<sec>
<title>Muscle Strength</title>
<p>No differences were found between groups regarding both muscle strength markers, nor did we observe a time effect. These results are in contrast with protein supplement research performed in combination with RET (<xref ref-type="bibr" rid="B26">26</xref>&#x02013;<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B35">35</xref>). Since our sample was comprised of futsal players not engaged in RET, these results are not surprising. A meta-analysis by Morton et al. (<xref ref-type="bibr" rid="B16">16</xref>), found that protein supplementation has little effect on strength when compared to RET when individuals consume &#x0003E;1.6 g/kg BW.day<sup>&#x02212;1</sup> of protein. Similar results have been reported regarding protein supplementation on muscle force production with both acute and chronic concurrent training (<xref ref-type="bibr" rid="B59">59</xref>). Still, when comparing our results with the study from Banazsek et al. (<xref ref-type="bibr" rid="B35">35</xref>), which used a sample closer to ours (HIFT), our results are in line with all findings except for 1-RM. It could be hypothesized that protein supplementation might improve performance <italic>via</italic> enhanced recovery. However, a recent study showed no differences between a high intake of pea protein or WP when compared with water intake on post-exercise delayed onset muscle soreness (<xref ref-type="bibr" rid="B60">60</xref>), casting doubt on the hypothesis.</p>
</sec>
<sec>
<title>Anaerobic and Aerobic Performance</title>
<p>No between-group differences or time effects were found regarding anaerobic or aerobic performance. Few studies have investigated the effects of protein supplementation on anaerobic (<xref ref-type="bibr" rid="B59">59</xref>) and aerobic performance (<xref ref-type="bibr" rid="B61">61</xref>&#x02013;<xref ref-type="bibr" rid="B63">63</xref>). Regarding protein supplementation on muscle power Camera et al. (<xref ref-type="bibr" rid="B59">59</xref>) showed similar results to ours. Also, it seems that when adequate amounts of carbohydrates are consumed, protein supplementation does not further increase aerobic performance (<xref ref-type="bibr" rid="B24">24</xref>). Moreover, our results agree with a recent systematic review showing that protein supplementation increases myofibrillar but not mitochondrial protein synthesis (<xref ref-type="bibr" rid="B64">64</xref>), consequently failing to enhance whole-body aerobic power (i.e., VO<sub>2max</sub>).</p>
</sec>
<sec>
<title>Hematological and Biochemical Markers</title>
<p>No effects of time or group were detected regarding all hematological and biochemical markers. Only one previous study by Nieman et al. (<xref ref-type="bibr" rid="B60">60</xref>) compared pea protein vs. WP after a 90-min eccentric exercise bout regarding proxy markers of muscle damage (CK) in non-athletic, non-obese males. Results showed that WP delayed the elevation of CK to a greater extent than pea protein or water. These results conflict with ours since we did not find any differences between groups. Discrepancies in findings can potentially be explained by the fact that we studied a different population (trained futsal players) and did not include a specific muscle damage-inducing protocol. Moreover, we used a novel protein/BCAA matrix that combined not only pea protein but also yeast protein and BCAA as well, yielding an equal amino acid profile to whey protein.</p>
<p>Regarding ALT and AST (proxy markers of liver health) our null findings align with those of Nieman et al. (<xref ref-type="bibr" rid="B60">60</xref>). The lack of changes in eGFR and creatinine in our study is consistent with a plethora of research showing that relatively high protein diets do not have negative effects on renal health in healthy individuals (<xref ref-type="bibr" rid="B65">65</xref>&#x02013;<xref ref-type="bibr" rid="B67">67</xref>) or even in overweight/obese individuals with mild kidney function impairment (<xref ref-type="bibr" rid="B68">68</xref>). In brief, both proteins displayed a good safety profile after 8 wks of supplementation, with no changes in inflammatory markers (CRP), red blood cell profile (Hct), liver (ALT/AST), glucose or kidney function (creatinine, eGFR), being observed between groups.</p>
</sec>
<sec>
<title>Strengths and Limitations</title>
<p>This is the first study to compare a plant-based protein vs. whey in professional and semi-professional team sports athletes (i.e., futsal). Few (or no) studies have compared the effects of a protein source when provided as supplemental protein outside RET or strength/power sports (<xref ref-type="bibr" rid="B61">61</xref>&#x02013;<xref ref-type="bibr" rid="B63">63</xref>), with only one comparative study being performed in collegiate female basketball players (whey vs. casein) (<xref ref-type="bibr" rid="B69">69</xref>). Furthermore, we supplemented with an iso-energetic, iso-nitrogenous, iso-EAA novel plant-based protein/BCAA mixture that matched whey protein, using yeast protein for the first time. Moreover, we assessed not only body composition using multiple gold standard methods but also anaerobic and aerobic performance, as well as several hematological and biochemical markers, thus providing a complete longitudinal view of the effects of both proteins. While this study provides novel insights, it nevertheless presents some limitations. For one, the inclusion of a placebo/control group would have added important information to the findings. In addition, we did not assess the effectiveness of the blinding and thus cannot be completely sure that there was not a residual placebo effect. Additionally, the participants spontaneously reduced their protein intake from other sources, when supplementing with either protein. Albeit not interfering with their usual diet adds ecological validity to our study, it precludes any conclusions from an increase in dietary protein. Moreover, extending the study length to 12 wks or more and employing a RET protocol in both groups would have provided additional insights into the effects of the proteins on measures of strength and body composition. It is also important to bear in mind that DXA, as well as BIA-derived parameters, have different instrumental sensitivities thus not allowing for direct comparisons between studies that measure R, Xc, and/or water compartments with different technologies or sampling frequencies (<xref ref-type="bibr" rid="B70">70</xref>, <xref ref-type="bibr" rid="B71">71</xref>). As previously discussed, although not changing the diet of the participants adds ecological validity to this study, this might have influenced some performance outcomes (i.e., aerobic capacity) due to reduced energy and carbohydrate intake.</p>
</sec>
</sec>
<sec sec-type="conclusions" id="s5">
<title>Conclusion</title>
<p>In summary, supplementing with either a novel plant-based protein matrix or whey protein did not affect any of the variables assessed in high-level futsal players over 8 wks. These results suggest that whey protein does not possess any unique anabolic properties over and above those of plant-based proteins when equated for essential amino acid profile in the studied population. Furthermore, when consuming a daily protein intake &#x0003E;1.6 g/kg BW.day<sup>&#x02212;1</sup>, additional protein supplementation does not affect body composition or performance in trained futsal players, regardless of protein type/source.</p>
</sec>
<sec sec-type="data-availability" id="s6">
<title>Data Availability Statement</title>
<p>The datasets presented in this article are not readily available because the portuguese data protection law does not allow to share data of the participants. The database can only be accessed by the investigation team. Requests to access the datasets should be directed to <email>filipe.teixeira&#x00040;betterylife.com</email>.</p>
</sec>
<sec id="s7">
<title>Ethics Statement</title>
<p>The studies involving human participants were reviewed and approved by Faculty of Human Kinetics Institutional Review Board. The patients/participants provided their written informed consent to participate in this study.</p>
</sec>
<sec id="s8">
<title>Author Contributions</title>
<p>FJT, CNM, CPM, JFR, MJV, and VHT: substantial contributions to the conception and design of the work. FJT, CNM, JF, RG, JP, HF, RC, and BJS: acquisition, analysis, and/or interpretation of data for the work. BJS: statistical expertise. FT and CNM: significant manuscript writer. FJT, CNM, CPM, JFR, MJV, VHT, JF, RG, JP, HF, RC, and BJS: manuscript revising critically for important intellectual content and final approval of the version to be published. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec sec-type="funding-information" id="s9">
<title>Funding</title>
<p>The publishing cost of this work was supported by the Interdisciplinary Center for the Study of Human Performance&#x02014;CIPER (Unit 447) under grant UIDB/00447/2020.</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of Interest</title>
<p>FJT, CNM, JF, and RG are currently employees of a biotechnology company (Bettery S.A.) that produces dietary supplements. This company also developed the plant-based protein matrix (BETTPRO<sup>&#x000AE;</sup>) used in this study. BJS formerly served on the scientific advisory board of Dymatize Nutrition, a manufacturer of sports supplements. HF is employed by Jos&#x000E9; de Mello Sa&#x000FA;de. RC, VHT are advisors for Futebol Clube do Porto. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x00027;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
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<p>A special thank you to the athletes and technical team that took time out of their busy schedules to participate. This work was dedicated to the memory of Prof. Kevin D. Tipton who recently passed away. Dr. Tipton was a pioneer in protein research and a soccer fan, his contributions to the field will live on eternally.</p>
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