“Strong” = several concordant meta-analyses or systematic reviews. “Moderate” = one synthesis, or several controlled trials. “Limited” = early trials only. The rating is about the quality of the studies, not about how useful the supplement is.
In the elderly, leucine at mealtimes restarts muscle protein synthesis and helps a little in cases of sarcopenia. In young people who weight train, four trials find no extra muscle or strength.
Well tolerated at 6 g per day for 13 weeks in elderly individuals, and between 1.2 and 6 g per day in studies from the 2019 review. Very few studies have sought the maximum safe dose, particularly in elderly or ill individuals. Limitations: in young people who weight train, leucine adds neither muscle nor strength: nothing at 3 g per day for 8 weeks, nothing at 10 g per day for 12 weeks in trained men, and a placebo group that progresses just as much for 12 weeks. It does not protect the muscle of an immobilized leg: 7.5 g then 15 g per day for 7 days slowed neither muscle wasting nor strength loss in young men. In elderly men eating enough protein, 7.5 g per day for 3 months (healthy) or 6 months (type 2 diabetic) changed neither muscle mass, nor strength, nor blood glucose. Making more protein does not mean gaining muscle: the meta-analysis in the elderly finds higher muscle synthesis, but no difference in total or leg lean mass. Evidence in sarcopenic individuals is of low quality, and several reviews combine leucine alone with leucine-enriched proteins, often with vitamin D.
6 g per day in sarcopenic elderly individuals; 4 to 5 g at each of the three meals in trials on muscle synthesis.
In a 12-week weight training trial in 75 young men, the placebo group gained as much muscle (2.2 kg on average for all groups) as the leucine group: all ate 600 to 800 kcal more per day than at baseline.
This meta-analysis compiled data to explore the effect of leucine supplementation in elderly individuals with sarcopenia. The results suggest that leucine may show trends toward improving muscle strength, muscle quality, and physical performance. A high dose of leucine was associated with a significant improvement in appendicular muscle mass and walking speed. However, the beneficial therapeutic impact of leucine alone is limited without concomitant additional therapy.
Huang C, Hsieh MH. — Nutrients (2025) — View the source study
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