Study analysis · Nutrients · 2018

This one change helped older women lose 10% body fat—without losing muscle or slowing their metabolism.

Older women who ate more protein and lifted weights lost twice as much fat as those who just worked out or ate more carbs.

Reading level
Moderate certainty
Level 1b · Individual RCT

Overview

What the study found

The study in plain English — the bottom line, every takeaway we extracted, and what to do with them.

In simple terms

This study is like a fair race between three groups of older women: one group just exercised, one ate more carbs, and one ate more protein. The protein group lost more fat, but we don’t know if it was because of the protein or because they tried harder. So we can say protein 'probably helped,' but we can’t say it 'caused' the weight loss for sure.

What’s the bottom line?

Older women who lifted weights and ate more protein lost more fat than those who just lifted weights or ate more carbs.

How strong is this study?

This study did a good job by randomly assigning people to groups so no one got an unfair advantage. But they didn’t hide which diet people were on, so people might have changed how they acted. Also, only 54 women joined, so we can’t be sure it works for everyone. That’s why we should be careful not to overpromise.

Reporting

40 / 100

  • COI disclosure+40/40
  • Data availabilitydata not shared
  • Code availabilitycode not shared
Methodology

62 / 100

  • Randomization+20/20
  • Blindingblinding unclear
  • Control group+15/15
  • Sample size (n=54)+4.7/20
  • Follow-up+10/10
Publication

100 / 100

Statistical

77 / 100

  • P-values+15/15
  • Effect size+20/20
  • Confidence intervals+15/15
  • Pre-registrationnot pre-registered

Each component is scored out of 100 and then capped by the study design — a case series cannot reach the ceiling a randomised trial can, however well it is reported.

Where it sits

RCT reviews

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Randomized Trials
Level 1b
69

69 / 100

Probability of being correct

Participants are randomly assigned to treatment or control groups, minimizing bias. The gold standard for testing whether an intervention causes an effect.

This design can establish causation. Randomization was confirmed, but blinding was unknown, which introduces potential performance and detection bias. However, the study design still allows for causal inference because random assignment minimizes confounding, even without blinding.

Moderate COI

Moderate conflicts that may influence study outcomes

The study was conducted using a commercial fitness program (Curves®) and diet protocol, with authors potentially affiliated with or benefiting from its promotion, but no direct funding or employment ties are disclosed.

Conflict Details

multiple authors
Employment

Curves International: Study used Curves® circuit exercise program and diet protocol, which are proprietary to Curves International; authors may have institutional affiliation or collaboration with the company, though not explicitly stated.

The study relies on a proprietary commercial program (Curves®) without disclosing whether the company had any role in study design, data analysis, or publication. While no direct funding is declared, the use of a branded program introduces potential bias. No independent analysis safeguards are mentioned. Author affiliations with Curves International are not stated, but the close alignment with their protocol raises moderate conflict concerns.

Key takeaways

  1. 01

    Women who ate 1.28g protein per kg of body weight lost 10.2% fat mass and 6.3% body fat, while those on carbs lost 5.9% and 4.3%, and those who only exercised lost 2.7% and 2.0%.

  2. 02

    All groups got stronger and more balanced.

  3. 03

    Losing 10% body fat is clinically meaningful and helps reduce disease risk — and keeping muscle and metabolism stable is rare with dieting, making this result especially valuable for older adults.

Surprising findings

  • A modest protein increase—from 0.83 to 1.28 g/kg/day—triggered dramatic fat loss and hormonal improvements.Most people think you need extreme protein intake (2+ g/kg) for results, but this study shows even a small, realistic boost made a huge difference.
  • Fat-free mass increased in all groups—even those on low-protein diets.It’s assumed that low protein + calorie restriction = muscle loss. But resistance training alone seemed enough to preserve or even slightly build muscle.

Practical takeaways

If you're over 60 and want to lose fat, aim for 1.2–1.3 grams of protein per kg of body weight daily (e.g., 70kg woman = 84–91g protein) while doing 3x weekly resistance training.

This was a supervised study with controlled meals—real-world adherence may be harder. Also, results apply to overweight/obese women aged 60–75, not necessarily men or younger adults.

high confidence

Why this study matters

Protein Beats Carbs for Fat Loss

Women on a higher-protein diet (1.28 g/kg/day) lost 10.2% fat mass and 6.3% body fat percentage—nearly double the fat loss of those on a higher-carb diet (5.9% and 4.3%) and nearly four times that of exercise-only participants (2.7% and 2.0%).

Most people think cutting carbs is the key to fat loss, but this study shows that for older women, boosting protein is far more effective—without extreme dieting.

Metabolism Didn’t Crash

Despite losing significant weight, the higher-protein group maintained their resting energy expenditure—unlike most diets that cause metabolism to slow down by 10–20%.

This is huge for older adults: most weight loss leads to a slower metabolism, making regain inevitable. Here, protein helped keep the furnace burning.

Hormones Shifted in Favor of Fat Loss

Adiponectin (the fat-burning hormone) increased by 52.4%, while leptin (the hunger hormone) dropped by 26.5%—a double win for appetite control and fat metabolism.

These hormonal changes explain why participants felt less hungry and burned more fat—without willpower struggles.

Exercise Alone Still Works—Just Not for Fat Loss

All groups improved strength, endurance, and balance—but only the high-protein group lost significant fat. Exercise built fitness; protein built fat loss.

It’s not that exercise doesn’t matter—it’s that diet determines *what* you lose: fat or muscle. This flips the 'just move more' narrative.

Want the whole report?

Detailed mode opens the full scientific breakdown — every score component, the methodology, conflicts of interest, the evidence analysis behind each claim, and the raw study data.

Standing

Who’s using this study?

The videos and claims on this site that lean on this study, and the researchers who wrote it.

1 video from Shawn Baker MD cite this study, drawing 1 claim from it.

Shawn Baker MD
All 1 video reference this study through extracted claims.

Authored by

16 researchers

If this is your work, this is how we attribute it on Fit Body Science. M Galbreath is listed as the lead author.