Long-Term Effect of Combined Citrulline and Nitrate-Rich Beetroot Extract Supplementation

NCT ID: NCT05143879

Last Updated: 2021-12-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-05-01

Study Completion Date

2021-10-01

Brief Summary

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Citrulline (CIT) and nitrate-rich beetroot extract (BEET) are widely studied ergogenic aids. However, both supplements have been studied in sort-term and isolated. To the best of the authors' knowledge, the effects of combining both supplements on exercise-induced muscle damage (EIMD) and hormone status have not been investigated to date. Therefore, the main purpose of this study was to determine the effect and degree of potentiation of the long-term (9 weeks) mixture of 3 g/day of CIT plus 2.1 g/day of BEET (300 mg/day of NIT) supplementation on EIMD markers (urea, creatinine, AST, ALT, GGT, LDH and CK) and anabolic/catabolic hormone status (testosterone, cortisol and Testosterone cortisol ratio (T/C)) in male trained triathletes. This study was a double-blind, placebo-controlled trial where participants (n = 32) were randomized into 4 different groups: placebo group (PLG; n = 8), CIT group (CITG; 3 g/day of CIT; n = 8), BEET group (BEETG; 2.1 g/day of BEET (300 mg/day of NIT) ; n = 8) and CIT-NIT group (CIT-BEETG; 3 g/day of CIT plus 2.1 g/day of BEET (300 mg/day of NIT); n = 8). Blood samples were collected from all participants at baseline (T1) and after 9 weeks of supplementation (T2).

Detailed Description

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Triathlon is an endurance sport in which athletes compete sequentially in swimming, cycling and running. Prolonged and strenuous training combined with insufficient recovery can produce muscular and metabolic stress, resulting in structural and functional damage to the musculoskeletal system leading to a fatigue status, which results in decreased athletic performance. As a consequence of this type of combined exercise, there are also alterations in biochemical markers of exercise-induced muscle damage (EIMD) as well as anabolic/catabolic hormones. Therefore, their analysis is useful in determining the balance between training loads and recovery. In this sense, it is essential to include different strategies to reduce or prevent EIMD, which delay or reduce muscle fatigue and improve sports performance. One of these strategies is the use of different ergogenic aids such as L-citrulline (CIT) and nitrates (NIT) which have been proposed as both substances produce an increase in nitric oxide (NO).

Conditions

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Citrulline Nitrate Athletes

Keywords

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triathlon performance ergogenic aids muscle fatigue recovery hormones

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

The main purpose of this study was to determine the effect and degree of potentiation of the long-term (9 weeks) mixture of 3 g/day of CM plus 2.1 g/day of BEET (300 mg/day of NIT) supplementation on EIMD markers (urea, creatinine, AST, ALT, GGT, LDH and CK) and anabolic/catabolic hormone status (testosterone (T), cortisol (C), and T/C) in male trained triathletes.
Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Investigators
This study was a double-blind, placebo-controlled trial where participants (n = 32) were random-ized into 4 different groups: placebo group (PLG; n = 8), CIT group (CITG; 3 g/day of CIT; n = 8), BEET group (BEETG; 2.1 g/day of BEET (300 mg/day of NIT) ; n = 8) and CIT-NIT group (CIT-BEETG; 3 g/day of CIT plus 2.1 g/day of BEET (300 mg/day of NIT); n = 8)

Study Groups

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Placebo

8 subjects took 3 g/kg/day of placebo during 9 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

3 g/day during 9 weeks

Nitrate

8 subjects took 3 g/kg/day of nitrate during 9 weeks

Group Type ACTIVE_COMPARATOR

Nitrate

Intervention Type DIETARY_SUPPLEMENT

300 mg/day during 9 weeks

Citrulline

8 subjects took 3 g/kg/day of citrulline during 9 weeks

Group Type ACTIVE_COMPARATOR

Citrulline

Intervention Type DIETARY_SUPPLEMENT

3 g/day during 9 weeks

Nitrate plus Citrulline

8 subjects took 3 g/kg/day of nitrate plus citrulline during 9 weeks

Group Type ACTIVE_COMPARATOR

Nitrate plus Citrulline

Intervention Type DIETARY_SUPPLEMENT

3 g/day of citrulline and 300 mg/day of nitrate during 9 weeks

Interventions

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Citrulline

3 g/day during 9 weeks

Intervention Type DIETARY_SUPPLEMENT

Nitrate

300 mg/day during 9 weeks

Intervention Type DIETARY_SUPPLEMENT

Nitrate plus Citrulline

3 g/day of citrulline and 300 mg/day of nitrate during 9 weeks

Intervention Type DIETARY_SUPPLEMENT

Placebo

3 g/day during 9 weeks

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Cellulose

Eligibility Criteria

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Inclusion Criteria

* Males between 25 and 35 years old
* Triathletes
* With at least 5 years of experience
* Without any disease
* Non smokers
* Non drinkers of alcohol
* Not to take any other medications or stimulant substances during the study
* 2 weeks without taking other nutritional supplements

Exclusion Criteria

* Men under 25 and over 35 years of age.
* Non triathletes
* Less than 5 years of experience
* With any disease
* Smokers
* Alcohol drinkers
Minimum Eligible Age

25 Years

Maximum Eligible Age

35 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Universidad de León

OTHER

Sponsor Role collaborator

University of the Basque Country (UPV/EHU)

OTHER

Sponsor Role collaborator

University of Valladolid

OTHER

Sponsor Role collaborator

Burgos Nutrition

OTHER

Sponsor Role lead

Responsible Party

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Jose Burgos Balmaseda

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jose Burgos Balmaseda, Graduate

Role: PRINCIPAL_INVESTIGATOR

University of Leon

Locations

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University of Leon

León, Castille and León, Spain

Site Status

Countries

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Spain

References

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Reference Type RESULT
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Milton-Laskibar I, Martinez JA, Portillo MP. Current Knowledge on Beetroot Bioactive Compounds: Role of Nitrate and Betalains in Health and Disease. Foods. 2021 Jun 7;10(6):1314. doi: 10.3390/foods10061314.

Reference Type RESULT
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da Silva DK, Jacinto JL, de Andrade WB, Roveratti MC, Estoche JM, Balvedi MCW, de Oliveira DB, da Silva RA, Aguiar AF. Citrulline Malate Does Not Improve Muscle Recovery after Resistance Exercise in Untrained Young Adult Men. Nutrients. 2017 Oct 18;9(10):1132. doi: 10.3390/nu9101132.

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Daab W, Bouzid MA, Lajri M, Bouchiba M, Saafi MA, Rebai H. Chronic Beetroot Juice Supplementation Accelerates Recovery Kinetics following Simulated Match Play in Soccer Players. J Am Coll Nutr. 2021 Jan;40(1):61-69. doi: 10.1080/07315724.2020.1735571. Epub 2020 Mar 3.

Reference Type RESULT
PMID: 32125249 (View on PubMed)

Other Identifiers

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ULE-020-2020

Identifier Type: -

Identifier Source: org_study_id