scholarly journals Acute Citrulline-Malate Oral Supplementation does not Improve Post-Aerobic-Exercise Autonomic Response in Normotensive and Hypertensive Subjects: a Pilot Randomized Controlled Study

2020 ◽  
Vol 22 (4) ◽  
pp. 242-249
Author(s):  
Juliano Casonatto ◽  
Adeluci Moraes ◽  
Kamila Grandolfi

AbstractThe present study was designed to investigate whether citrulline malate (CM) supplementation might influence post-aerobic-exercise autonomic response in normotensive and hypertensive subjects. Forty individuals (20 normotensives and 20 hypertensives) were randomly assigned to one of the four experimental groups (normotensive-placebo [NP], normotensive-CM [NC], hypertensive-placebo [HP], and hypertensive-CM [HC]). The participants ingested CM (6 g) or placebo dissolved in water (100 ml) 120 min before the exercise session. The exercise session was conducted on a treadmill and consisted of 40 min of running/walking at 60-70% HRreserve. The heart rate variability (HRV) was recorded continuously for 60 min post-exercise. In normotensive subjects at “post-30”, LF increased and HF decreased after the CM supplementation (16% [P=0.041] and -32% [P=0.037], respectively). No significant differences were found in “pre”, “post-30” and “post-60” considering the pooled (NP, NC, HP, and HC) z-scores for time and frequency HRV domains. These results suggest that a single dose of CM supplementation does not promote significant effects on post-exercise autonomic modulation in normotensive and hypertensive subjects. Keywords: Autonomic Nervous System. Citrulline Malate. Hypertension. Exercise. ResumoO presente estudo foi desenvolvido para investigar se a suplementação de citrulina malato (CM) pode influenciar a resposta autonômica após exercício aeróbico em indivíduos normotensos e hipertensos. Quarenta indivíduos (20 normotensos e 20 hipertensos) foram aleatoriamente designados para um dos quatro grupos experimentais (normotenso-placebo [NP], normotenso-CM [NC], hipertenso-placebo [HP] e hipertenso-placebo [HP] e hipertenso-CM [HC]). Os participantes ingeriram CM (6 g) ou placebo dissolvido em água (100 ml) 120 minutos antes da sessão de exercícios. A sessão de exercícios foi realizada em esteira e consistiu em 40 minutos de corrida/caminhada a 60-70% da FCres. A variabilidade da frequência cardíaca (VFC) foi registrada continuamente por 60 minutos após o exercício. Nos normotensos “pós-30”, houve aumento para LF e redução para HF após a suplementação de CM (16% [P=0,041] e -32% [P=0,037], respectivamente). Não foram encontradas diferenças significativas nos momentos "pré", "pós-30" e "pós-60", considerando os escores-z combinados (NP, NC, HP e HC), tanto para os indicadores de domínio do tempo, quando para os de domínio da frequência. Estes resultados sugerem que uma dose única de suplementação de CM não promove efeitos significativos na modulação autonômica após exercício em indivíduos normotensos e hipertensos. Palavras-chave: Sistema Nervoso Autônomo. Citrulina Malato. Hipertensão, Exercício.

2021 ◽  
Vol 80 (1) ◽  
pp. 93-101
Author(s):  
Jefferson Fernando Coelho Rodrigues Júnior ◽  
Alexandre Sérgio Silva ◽  
Glêbia Alexa Cardoso ◽  
Valmir Oliveira Silvino ◽  
Acácio Salvador Veras-Silva ◽  
...  

Abstract Considering the role of autonomic nerve activity in blood pressure control, this study aimed to investigate the cardiac autonomic nerve responses after an aerobic exercise session in Anabolic Androgenic Steroids (AAS) users. Twenty men (AAS, n = 9; control group, n = 11) performed an aerobic exercise session (60 min, 70 to 80% of HRmax). Heart rate variability (HRV) was assessed before and during a 60-min post-exercise recovery period. RMSSD (root mean square successive difference of the RR intervals) and the LF/HF ratio (low frequency/high frequency spectra) were also evaluated. The Student's t-test for independent samples was used to compare differences between initial group characteristics. Repeated measures ANOVA was used to compare pre- and post-exercise HRV recovery (p < 0.05). AAS had a lower SDNN (standard deviation of the intervals) (40.8 ± 16.8 vs. 71.6 ± 24.7 ms; p = 0.04, d = 1.4) and a higher LF/HF (3.4 ± 2.1 vs. 1.8 ± 0.9%; p = 0.03, d = 0.9) before exercise. AAS and controls had similar RMSSD (14.0 ± 15.8 vs. 18.9 ± 12.1 ms; p = 0.20) and a LF/HF (2.8 ± 1.6 vs. 2.4 ± 1.2 ms; p = 0.41) immediately post-exercise. The between-groups comparison revealed a higher HF/LF at 30 min (4.3 ± 1.4 vs. 2.5 ± 1.3%; p = 0.008, d = 1.3) and 60 min (5.0 ± 2.2 vs. 2.3 ± 0.8%; p = 0.001, d = 1.6) for the AAS group in the recovery time. This study demonstrated impaired parasympathetic activity at rest and immediately after the exercise session as an adverse effect of AAS usage, but similar behavior regarding the restoration of sympathetic activity.


2013 ◽  
Vol 9 (2) ◽  
pp. 103-108
Author(s):  
R.J. Bloomer ◽  
T.M. Farney

Intensity of exercise can influence substrate utilization, with increasing intensity resulting in lower rates of fat oxidation and the reliance on carbohydrate as the preferred fuel. Fat oxidation (or more specifically, mobilization) can be assessed via the measurement of circulating glycerol, with most prior research focusing on aerobic exercise and measurements obtained during the actual exercise bout. The present study determined the degree of fat oxidation/mobilization by measuring plasma glyctierol concentrations during the one hour post-exercise recovery period following three difference exercise bouts. On four different days, exercise trained men (n=12; 23.7±1.1 years) either rested quietly or performed aerobic cycle exercise (60 min at 70% heart rate reserve), 60 s cycle sprints at 100% max wattage obtained during graded exercise testing (GXT) - a total of five, or 15 s cycle sprints at 200% max wattage obtained during GXT - a total of 10. Blood was collected before and at 1, 30 and 60 min post-exercise. Haematocrit and haemoglobin were measured to correct for changes in plasma volume. Glycerol was analysed in plasma and the area under the curve was calculated. Glycerol increased across time (P<0.0001) from pre-exercise (8.4±0.3 μg/dl) to 1 min (13.1±0.7 μg/dl), 30 min (11.3±0.6 μg/dl) and 60 min (9.1±0.5 μg/dl) post-exercise, with 1 min and 30 min post-exercise greater than pre-exercise and 60 min post-exercise (P<0.05). Area under the curve was greater (P=0.0004) for aerobic exercise (24.7±2.0 μg/dl/h), 60 second sprints (23.4±1.9 μg/dl/h) and 15 sec sprints (24.4±1.5 μg/dl/h), as compared to rest (15.3±0.8 μg/dl/h), with no differences noted between exercise bouts (P≯0.05). All exercise bouts increase circulating glycerol, with no differences noted between bouts. Although previous data indicate that low intensity aerobic exercise results in greater fat oxidation than high intensity exercise (when assessed during the actual exercise session), our findings suggest that high intensity exercise may result in similar fat oxidation/mobilization as compared to aerobic exercise during the acute post-exercise period.


Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1327 ◽  
Author(s):  
Ana Luiza Amaral ◽  
Igor M. Mariano ◽  
Victor Hugo V. Carrijo ◽  
Tállita Cristina F. de Souza ◽  
Jaqueline P. Batista ◽  
...  

Objective: To verify if acute intake of beetroot juice potentiates post-exercise hypotension (PEH) in hypertensive postmenopausal women. Methods: Thirteen hypertensive postmenopausal women (58.1 ± 4.62 years and 27.4 ± 4.25 kg/m²) were recruited to participate in three experimental sessions, taking three different beverages: Beetroot juice (BJ), placebo nitrate-depleted BJ (PLA), and orange flavored non-caloric drink (OFD). The participants performed moderate aerobic exercise training on a treadmill, at 65–70% of heart rate reserve (HRR), for 40 min. After an overnight fast, the protocol started at 07h when the first resting blood pressure (BP) was measured. The beverage was ingested at 07h30 and BP was monitored until the exercise training started, at 09h30. After the end of the exercise session, BP was measured every 15 min over a 90-min period. Saliva samples were collected at rest, immediately before and after exercise, and 90 min after exercise for nitrite (NO2−) analysis. Results: There was an increase in salivary NO2− with BJ intake when compared to OFD and PLA. A slight increase in salivary NO2− was observed with PLA when compared to OFD (p < 0.05), however, PLA resulted in lower salivary NO2− when compared to BJ (p < 0.001). There were no changes in salivary NO2− with the OFD. Systolic and diastolic BP decreased (p < 0.001) on all post exercise time points after all interventions, with no difference between the three beverages. Conclusion: Acute BJ intake does not change PEH responses in hypertensive postmenopausal women, even though there is an increase in salivary NO2−.


Retos ◽  
2015 ◽  
pp. 222-225
Author(s):  
J. Kyle Taylor ◽  
Michael R. Esco ◽  
Li Qian ◽  
Kathryn Dugan ◽  
Kathy Jones

Our purpose was to examine changes in paraoxonase 1 (PON1) concentration and activity following a single aerobic exercise session. Sixteen men (32 ± 8 yrs.; BMI = 29.4 ± 6.8 kg/m2; % fat = 29 ± 13; VO2max = 38.3 ± 11.9 ml.min-1.kg-1; waist circumference = 93.7 ± 16.0 cm; HDL-C = 1.19 ± 0.21 and triglycerides = 1.22 ± 1.04 mmol’™l-1; direct LDL = 2.69 ± 0.73 mmol’™l-1) expended 400 kcals by treadmill walking at 65% of VO2max. Fasting blood samples were collected before (PRE), immediately post-exercise (IPE), 24 hours post-exercise, and 48 hours post-exercise. PON1 concentration, PON1 activity, lipids, apolipoprotein A1 (Apo A1), apolipoprotein B (Apo B), and thiobarbituric acid reactive substances (TBARS) were analyzed for each time point. The men were divided into two groups based on their body mass index (BMI): Normal weight (NW) and Obese Group. At baseline, PON1 concentration and activity were significantly higher in the NW group as compared to the obese group. In addition, PON1 activity was significantly higher in the NW group as compared to the obese group for all time points. Furthermore, PON1 concentration and activity were significantly increased in the combined group immediately post-exercise and returned to baseline levels within 24 hours. PON1 activity was significantly increased in the Obese group IPE and this was observed with increases in HDLc, Apo A1, and TBARS.Key words. PON1 activity, Exercise, Lipids, Lipoproteins.Resumen. Nuestro objetivo fue examinar los cambios en la concentración y actividad de la paraoxonasa 1 (PON1) luego de una sola sesión de ejercicio aeróbico. Dieciséis hombres (32 ± 8 años; IMC = 29.4 ± 6.8 kg/m2; % grasa = 29 ± 13; VO2max = 38.3 ± 11.9 ml.min-1.kg-1; circunferencia de cintura = 93.7 ± 16.0 cm; HDL-C = 1.19 ± 0.21 y triglicéridos = 1.22 ± 1.04 mmol’™l-1; LDL directo = 2.69 ± 0.73 mmol’™l-1) hicieron ejercicio en una banda sin fin al 65% del VO2max hasta gastar 400 kcal. Se recolectaron muestras sanguíneas en ayuno antes (PRE), inmediatamente finalizado el ejercicio (IPE), 24 y 48 horas posteriores al ejercicio. Para cada una de esas muestras, se analizó la concentración y la actividad de PON1, y la concentración de lípidos, apolipoproteína A1 (Apo A1), apolipoproteína B (Apo B), y sustancias reactivas al ácido tiobarbitúrico (TBARS). Los participantes fueron asignados a dos grupos con base en un índice de masa corporal (IMC): grupo de peso normal (NW) y grupo de personas obesas. Los resultados de línea base indicaron que la concentración y actividad de PON1 fueron significativamente mayores en el grupo NW en comparación con el grupo de personas obesas. También se encontró que la actividad de PON1 fue significativamente mayor en el grupo NW en comparación con el grupo de personas obesas en las demás mediciones. Es más, la concentración y actividad de PON1 aumentó significativamente en ambos grupos combinados inmediatamente luego del ejercicio y regresó a sus niveles basales en 24 horas. La actividad de PON1 aumentó significativamente en el grupo de personas obesas IPE y esto se observó con aumentos en en HDLc, Apo A1 y TBARS.Palabras claves. actividad de PON1, ejercicio, lípidos, lipoproteínas.


2020 ◽  
Vol 20 (38) ◽  
pp. 155-162
Author(s):  
Vilton Emanoel Lopes de Moura E Silva ◽  
Valmir Oliveira Silvino ◽  
Jefferson Fernando Coelho Rodrigues Júnior ◽  
Alyson Felipe da Costa Sena ◽  
Carlos Eduardo Neves Amorim ◽  
...  

Introduction: The use of food supplements with esthetic or performance-enhancing goals has been largely investigated. Thermogenics are supplements that increase energy expenditure through thermogenesis and are widely consumed by individuals seeking to improve body composition and exercise performance. Objective: To evaluate the effects of a commercially available thermogenic supplement on post-exercise blood pressure responses. Materials and Methods: Twenty-seven healthy thermogenic supplements users participated in the study. Nine were assigned in the control group (21.67 ± 1.87 years), nine in the thermogenic group (24.00 ± 4.18), and nine in the placebo group (23.67 ± 3.04). The volunteers performed a treadmill aerobic exercise session for 60 minutes at 65 to 85% max heart rate. The hemodynamic variables were measured at rest and during 60 minutes in the post-exercise recovery. The normality of the data was evaluated using the Shapiro-Wilk test. Baseline momentum and post-exercise recovery were analyzed using the two-way ANOVA test (group versus time factors), with Bonferroni post-hoc test. The level of statistical significance was set at p <0.05. Results: The thermogenic supplement did not significantly compromise post-exercise hypotension when compared to the other groups. However, thermogenic supplementation increased the blood pressure in >5 mmHg, which reportedly plays an important role in cardiovascular diseases. Conclusion: The use of the thermogenic Lipo 6 Black Ultra Concentre Nutrex ® did not alter PEH in healthy youngsters. However, since an increase in the blood pressure was observed, this supplementation must be administered with caution.


2020 ◽  
Vol 47 (1) ◽  
Author(s):  
Reham M. Shaat ◽  
Tamer O. Elsaid ◽  
Aymen EL Baz ◽  
Rehan Monir ◽  
Shereen Aly Machaly

Abstract Background Obesity and osteoarthritis are often concomitant. Both are accompanied by oxidative stress and stimulated inflammatory response. Exercise is considered a substantial treatment in rehabilitation of both conditions. Yet most of literature reported the benefits of regular exercising, while there is paucity about the effects of single low to moderate exercise session. This study aimed to investigate the possible potential effects of a single bout of moderate exercise in obese middle-aged individuals with knee osteoarthritis (KOA). Results Score of pain and Western Ontario and Mc-Master University (WOMAC) had been improved 24 h after exercise. Glutathione reductase (GR) activity increased post-exercise but decreased the next 24 h though remained higher than baseline. Blood glucose level was reduced post-exercise whereas blood lipids still uninfluenced by exercise. Markers of inflammation remained unchanged after exercise session. Conclusion A single bout moderate-intensity aerobic exercise is effective in improving pain and antioxidant activity among middle-aged obese patients with primary knee OA. Single bout of mild to moderate exercise may help in treatment of obese patients with KOA. Trial registration Clinical Trials.gov Identifier: NCT03927339


2018 ◽  
Vol 4 (1) ◽  
pp. e000404 ◽  
Author(s):  
Rachel Micay ◽  
Doug Richards ◽  
Michael G Hutchison

ObjectiveThe utility of structured exercise for rehabilitation purposes early in the postacute phase (ie, beyond the initial 24–48 hours of advised rest) following sport-related concussion (SRC) remains largely unexplored. This study examined the feasibility of implementing a standardised aerobic exercise (AE) intervention in the postacute stage of SRC recovery in a sample of adolescent students with SRC compared with usual care.MethodsSymptomatic adolescents with SRC were randomised to one of two groups: Aerobic Exercise (n=8) or Usual Care (n=7). The AE intervention, beginning on day 6 postinjury, comprised eight sessions with progressive increases in intensity and duration on a cycle ergometer. Usual care consisted of rest followed by physician-advised progressions in activity levels in an unsupervised setting. All participants were evaluated by physician at weeks 1, 2, 3 and 4 postconcussion. Outcome measures included: (1) Intervention feasibility: symptom status pre-post exercise sessions and completion of intervention and (2) Clinical recovery: symptom status at weeks 1, 2, 3 and 4 postinjury and medical clearance date.ResultsAll participants completed the exercise sessions as part of the AE intervention and symptom exacerbation was not associated with any exercise session. The AE group experienced greater symptom resolution compared with the Usual Care Group across the recovery timeline.ConclusionA structured AE protocol appears to be safe and feasible to administer in the postacute stage of SRC recovery in adolescents and should be explored as part of a full Phase III Clinical Trial.


2018 ◽  
Vol 31 (6) ◽  
pp. 509-521
Author(s):  
Kamila GRANDOLFI ◽  
João Vagner CAVALARI ◽  
Renata Cristina GÓES ◽  
Marcos Doederlein POLITO ◽  
Juliano CASONATTO

ABSTRACT Objective To investigate whether acute citrulline supplementation might influence post-exercise hypotension in normotensive and hypertensive individuals. Methods Following a randomized double-blind design, twenty normotensive (28±7 years, 74±17kg, 1.7±0.09m) and 20 hypertensive individuals (55±12 years, 76±15kg, 1.59±0.09m) were randomly assigned to one of the four experimental groups (Normotensive-Placebo; Normotensive-Citrulline; Hypertensive-Placebo; Hypertensive-Citrulline). The placebo groups ingested 6g of corn starch and the citrulline groups ingested 6g of citrulline dissolved in water. The participants performed 40 minutes of walking/running on a treadmill at 60-70% heart rate reserve. Blood pressure was measured immediately after a 60-min exercise session using an oscillometric device and 24-h ambulatory monitoring. Results The post-exercise hypotension was more pronounced in hypertensives and the Hypertensive-Citrulline group showed a consistent systolic blood pressure reduction during the laboratorial phase, which can be seen by looking at the mean of 60 minutes (-15.01mmHg vs -3.14mmHg [P=0.005]; -4.16mmHg [P=0.009]; -6.30mmHg [P=0.033] in comparison with the Normotensive-Placebo, Normotensive-Citrulline, and Hypertensive-Placebo groups, respectively). During ambulatory blood pressure monitoring, the Hypertensive-Citrulline group showed a significant reduction in systolic blood pressure (-21.05mmHg) in the awake period compared with the Normotensive-Citrulline group (-3.17mmHg [P=0.010]). Conclusion Acute citrulline oral supplementation can induce greater post-exercise hypotension response in hypertensive than normotensive individuals.


Author(s):  
Juliano Casonatto ◽  
Renata Cristina Góes ◽  
Kamila Grandolfi ◽  
João Vagner Cavalari

Background: L-citrulline malate supplementation promotes an increase in oxide nitric metabolites, which are considered important mediators of peripheral vasodilation. Thus, the supplementation with this substance might maximize the duration and magnitude of post-exercise hypotension. Objectives: To investigate the hypotensive effect of L-citrulline malate supplementation following a single session of aerobic exercise in normotensives. Methods: Forty adults, normotensives, sedentary, were randomly assigned to one of the four experimental groups (control-placebo, control-Lcitrulline, exercise-placebo and exercise-Lcitrulline). All participants ingested a sachet with placebo or L-citrulline with malate (6 grams), both dissolved in water and the ingestion was made 120 minutes before starting the experimental session. The subjects performed 40 minutes of walk/run at 60-70% of reserve heart rate. For the control session, they remained seated in rest during 40 minutes. The blood pressure was taken in rest and every 10 minutes until complete 60 minutes after the experimental session. The ambulatory blood pressure device take the readings every 20 minutes (awake time) and each 30 minutes (sleep time) over the course of 24 hours. Results: L-citrulline malate supplementation associated to aerobic exercise promoted significantly reductions on systolic blood pressure when compared with control-placebo at 20 min (net change[NC]: 9.7 mmHg [P=0.010]), 40 min (NC: 12.7 mmHg [P=0.010]), 50 min (NC: 12.1 mmHg [P=0.012]), 60 min (NC: 9.0 mmHg [P=0.050]) and overall mean (NC: 7.8 mmHg [P=0.018]) post exercise. Conclusion: Acute L-citrulline malate supplementation might potentiate the post-exercise hypotension effects in normotensive subjects.


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