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Evangelista JF, Meirelles CM, Aguiar GS, Alves R, Matsuura C. Effects of Beetroot-Based Supplements on Muscular Endurance and Strength in Healthy Male Individuals: A Systematic Review and Meta-Analysis. JOURNAL OF THE AMERICAN NUTRITION ASSOCIATION 2024; 43:77-91. [PMID: 37167368 DOI: 10.1080/27697061.2023.2211318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2022] [Accepted: 04/03/2023] [Indexed: 05/13/2023]
Abstract
The aim of this study was to systematically review the current literature and analyze the effects of beetroot-based supplements (BRS) on muscular performance. Randomized controlled trials that assessed the acute or short-term effects of BRS administration on muscular endurance and/or strength in healthy male individuals were retrieved from PubMed, EMBASE, CENTRAL, and Web of Science databases from inception to February 20th, 2023. In addition, we also searched preprint papers in medRxiv.org, bibRxiv.org; thesis and dissertations included in oatd.org; and clinical trials published in ClinicalTrials.gov. Data extraction, risk of bias, and study quality were assessed by 2 authors. Meta-analyses and subgroup analyses of standardized mean differences (SMD) were performed using a random-effects model. A total of 1486 records were identified in the databases and 2 were obtained by manual search in the reference list. Of those, 27 studies attended eligibility criteria and composed this systematic review. BRS administration resulted in a positive effect on muscular endurance (SMD: 0.31; 95% confidence interval (CI): 0.10 to 0.51; p < 0.01; n = 16 studies). There was an overall significative effect for muscular strength (SMD: 0.26; 95% CI: 0.03 to 0.48; p < 0.05; n = 18 studies), but a subgroup analysis showed that significant effects were found when strength was measured in a fatigued (SMD: 0.64; 95% CI: 0.25 to 1.03; p < 0.01), but not resting state. BRS administration have a small ergogenic effect on muscular endurance and attenuate the decline in muscular strength in a fatigued state in healthy male individuals.
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Affiliation(s)
| | | | - Gabriella Salles Aguiar
- Department of Pharmacology and Psychobiology, University of the State of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Renata Alves
- Department of Pharmacology and Psychobiology, University of the State of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Cristiane Matsuura
- Department of Pharmacology and Psychobiology, University of the State of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
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López-Samanes Á, Pérez-Lopez A, Morencos E, Muñoz A, Kühn A, Sánchez-Migallón V, Moreno-Pérez V, González-Frutos P, Bach-Faig A, Roberts J, Domínguez R. Beetroot juice ingestion does not improve neuromuscular performance and match-play demands in elite female hockey players: a randomized, double-blind, placebo-controlled study. Eur J Nutr 2023; 62:1123-1130. [PMID: 36401662 DOI: 10.1007/s00394-022-03052-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Accepted: 11/03/2022] [Indexed: 11/20/2022]
Abstract
PURPOSE Beetroot juice is a dietary supplement that contains high levels of inorganic nitrate (NO3-) and that its intake has proven effective at increasing blood nitric oxide (NO) concentrations improving endurance performance. However, the effect of this supplement in team sport performance, especially in female athletes, has been barely studied. This study aimed to compare the acute effects of beetroot juice supplementation on neuromuscular performance and match-play demands in elite female field hockey players. METHODS Eleven elite female hockey players (22.8 ± 5.1 years) belonging to a bronze team medal in Eurohockey Club Champions Cup participated in this study. Participants were randomly divided into two groups undergoing a test battery with beetroot juice (70 mL, 6.4 mmol NO3-) or placebo (70 mL, 0.04 mmol NO3-) in two different days with one week between protocols. The neuromuscular test battery consisted of a countermovement jump, isometric handgrip strength (i.e., dominant hand), 20 m-sprint and repeated sprint ability test (RSA). Afterward, a simulated hockey match play (2 × 12.5 min) was performed and recorded by Global Positioning System (GPS). RESULTS No statistically significant improvements were observed in any physical parameters analysed comparing beetroot juice compared to placebo ingestion, countermovement jump (p = 0.776, ES = 0.16), isometric handgrip strength (p = 0.829; ES = - 0.08), 20 m sprint test (p = 0.227; ES = - 0.23), mean repeated sprint ability (p = 0.955, ES = 0.03) and in any physical match demands measured by GPS (p = 0.243-1.000; ES = 0.02-0.47). CONCLUSION Acute beetroot juice supplementation did not produce any statistically significant improvement in neuromuscular performance or match-play demands in elite female field hockey players. TRIAL REGISTRATION The study was registered in ClinicalTrials.gov with the following ID: NCT05209139. The study was retrospectively registered by 26 January 2022.
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Affiliation(s)
- Álvaro López-Samanes
- Exercise Physiology Group, School of Physiotherapy, Faculty of Health Sciences, Universidad Francisco de Vitoria Carretera Pozuelo a Majadahonda, Km 1.800, 28223, Pozuelo de Alarcón, Madrid, Spain.
| | - Alberto Pérez-Lopez
- Facultad de Medicina y Ciencias de la Salud, Departamento de Ciencias Biomédicas, Área de Educación Física y Deportiva, Universidad de Alcalá, Madrid, Spain
| | - Esther Morencos
- Exercise and Sport Sciences, Faculty of Health Sciences, Universidad Francisco de Vitoria, Madrid, Spain
| | - Alejandro Muñoz
- Exercise Physiology Group, School of Physiotherapy, Faculty of Health Sciences, Universidad Francisco de Vitoria Carretera Pozuelo a Majadahonda, Km 1.800, 28223, Pozuelo de Alarcón, Madrid, Spain
| | - Adriaan Kühn
- Institute of International Politics, Universidad Francisco de Vitoria, Madrid, Spain
| | - Violeta Sánchez-Migallón
- Exercise Physiology Group, School of Physiotherapy, Faculty of Health Sciences, Universidad Francisco de Vitoria Carretera Pozuelo a Majadahonda, Km 1.800, 28223, Pozuelo de Alarcón, Madrid, Spain
| | - Víctor Moreno-Pérez
- Center for Translational Research in Physiotherapy, Department of Pathology and Surgery, Universidad Miguel Hernández, San Juan, Spain
| | - Pablo González-Frutos
- Exercise and Sport Sciences, Faculty of Health Sciences, Universidad Francisco de Vitoria, Madrid, Spain
| | - Anna Bach-Faig
- FoodLab Research Group, Faculty of Health Sciences, Universitat Oberta de Catalunya, Barcelona, Spain
| | - Justin Roberts
- Cambridge Centre for Sport and Exercise Sciences, School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, UK
| | - Raúl Domínguez
- Departamento de Motricidad Humana y Rendimiento Deportivo, Universidad de Sevilla, Seville, Spain
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Berlanga LA, Lopez-Samanes A, Martin-Lopez J, de la Cruz RM, Garces-Rimon M, Roberts J, Bertotti G. Dietary Nitrate Ingestion Does Not Improve Neuromuscular Performance in Male Sport Climbers. J Hum Kinet 2023; 87:47-57. [PMID: 37229410 PMCID: PMC10203837 DOI: 10.5114/jhk/161812] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 12/28/2022] [Indexed: 05/27/2023] Open
Abstract
Beetroot juice (BJ) is commonly used as an ergogenic aid in endurance and team sports, however, the effect of this supplement on climbing performance is barely studied. The purpose of the current study was to investigate the effect of acute BJ ingestion on neuromuscular and biochemical variables in amateur male sport climbers. Ten physically active sport climbers (28.8 ± 3.7 years) underwent a battery of neuromuscular tests consisting of the half crimp test, the pull-up to failure test, the isometric handgrip strength test, the countermovement jump (CMJ) and the squat jump (SJ). Participants performed the neuromuscular test battery twice in a cross-over design separated by 10 days, 150 min after having consumed either 70-mL of BJ (6.4 mmol NO3-) or a 70-mL placebo (0.0034 mmol NO3-). In addition, nitrate (NO3-) and nitrite (NO2-) saliva concentrations were analysed, and a side effect questionnaire related to ingestion was administrated. No differences were reported in particular neuromuscular variables measured such as the CMJ (p = 0.960; ES = 0.03), the SJ (p = 0.581; ES = -0.25), isometric handgrip strength (dominant/non dominant) (p = 0.459-0.447; ES = 0.34-0.35), the pull-up failure test (p = 0.272; ES = 0.51) or the maximal isometric half crimp test (p = 0.521-0.824; ES = 0.10-0.28). Salivary NO3- and NO2- increased significantly post BJ supplementation compared to the placebo (p < 0.001), while no side effects associated to ingestion were reported (p = 0.330-1.000) between conditions (BJ/placebo ingestion). Acute dietary nitrate supplementation (70-mL) did not produce any statistically significant improvement in neuromuscular performance or side effects in amateur sport climbers.
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Affiliation(s)
- Luis A. Berlanga
- Physical Activity and Sport, Centro de Estudios Universitarios Cardenal Spínola CEU, Sevilla, Spain
- Exercise Physiology Group, Faculty of Health Sciences, Universidad Francisco de Vitoria, Madrid, Spain
| | - Alvaro Lopez-Samanes
- Exercise Physiology Group, Faculty of Health Sciences, Universidad Francisco de Vitoria, Madrid, Spain
| | - Julio Martin-Lopez
- Exercise Physiology Group, Faculty of Health Sciences, Universidad Francisco de Vitoria, Madrid, Spain
| | | | - Marta Garces-Rimon
- Grupo de Investigación en Biotecnología Alimentaria, Universidad Francisco de Vitoria, Madrid, Spain
| | - Justin Roberts
- Cambridge Centre for Sport and Exercise Sciences (CCSES), School of Psychology and Sport Science, Anglia Ruskin University, East Road, Cambridge, UK
| | - Gabriele Bertotti
- Exercise Physiology Group, Faculty of Health Sciences, Universidad Francisco de Vitoria, Madrid, Spain
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López-Samanes Á, Ramos-Álvarez JJ, Miguel-Tobal F, Gaos S, Jodra P, Arranz-Muñoz R, Domínguez R, Montoya JJ. Influence of Beetroot Juice Ingestion on Neuromuscular Performance on Semi-Professional Female Rugby Players: A Randomized, Double-Blind, Placebo-Controlled Study. Foods 2022; 11:foods11223614. [PMID: 36429210 PMCID: PMC9689822 DOI: 10.3390/foods11223614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 10/21/2022] [Accepted: 11/10/2022] [Indexed: 11/16/2022] Open
Abstract
PURPOSE Beetroot juice (BRJ) is considered an ergogenic aid with good to strong evidence for improving human performance in sport modalities with similar demands to rugby. However, most of the studies were realized in male athletes with limited evidence in female athletes. Thus, the aim of this study was to explore the acute ingestion of BRJ in female rugby players. METHODS Fourteen semi-professional female rugby players (25.0 ± 3.7 years) belonging to a team from the First Spanish Female Rugby Division participated in this study. Participants were randomly divided into two groups that realized a neuromuscular battery after BRJ (140mL, 12.8 mmol NO3-) or placebo (PLAC, 140 mL, 0.08 mmol NO3-) ingestion on two different days separated by one week between protocols. The neuromuscular test battery consisted of a countermovement jump (CMJ), isometric handgrip strength (i.e., dominant), 10-m and 30-m sprint, agility t-test and Bronco test. Afterwards, participants reported a rate of perception scale (6-20 points) and side effects questionnaire associated with BRJ or PLAC ingestion. RESULTS Statistically significant improvements were observed in CMJ (7.7%; p = 0.029; ES = 0.62), while no differences were reported in dominant isometric handgrip strength (-1.7%; p = 0.274; ES = -0.20); 10-m and 30-m sprint (0.5-0.8%; p = 0.441-0.588; ES = 0.03-0.18); modified agility t-test (-0.6%; p = 0.503; ES = -0.12) and Bronco test (1.94%; p = 0.459; ES = 0.16). CONCLUSIONS BRJ ingestion could improve neuromuscular performance in the CMJ test, while no differences in sprint (10-m and 30-m sprint test), agility, isometric handgrip strength and endurance performance (i.e., Bronco test) were reported.
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Affiliation(s)
- Álvaro López-Samanes
- Exercise Physiology Group, Faculty of Health Sciences, School of Physiotherapy, Universidad Francisco de Vitoria, 28223 Madrid, Spain
| | - Juan José Ramos-Álvarez
- Faculty of Medicine, School of Sport Medicine, Madrid Complutense University, 28040 Madrid, Spain
- Correspondence: ; Tel.: +34-913-947-088
| | - Francisco Miguel-Tobal
- Faculty of Medicine, School of Sport Medicine, Madrid Complutense University, 28040 Madrid, Spain
| | - Sofía Gaos
- Exercise Physiology Group, Faculty of Health Sciences, School of Physiotherapy, Universidad Francisco de Vitoria, 28223 Madrid, Spain
| | - Pablo Jodra
- Faculty of Education Sciences, University of Alcalá, 19001 Alcala de Henares, Spain
| | - Raquel Arranz-Muñoz
- Faculty of Medicine, School of Sport Medicine, Madrid Complutense University, 28040 Madrid, Spain
| | - Raúl Domínguez
- Departamento de Motricidad Humana y Rendimiento Deportivo, University of Seville, 41013 Seville, Spain
- Studies Research Group in Neuromuscular Responses (GEPREN), University of Lavras, Lavras 37200-000, Brazil
| | - Juan José Montoya
- Faculty of Medicine, School of Sport Medicine, Madrid Complutense University, 28040 Madrid, Spain
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Alvares TS, Oliveira GVD, Volino-Souza M, Conte-Junior CA, Murias JM. Effect of dietary nitrate ingestion on muscular performance: a systematic review and meta-analysis of randomized controlled trials. Crit Rev Food Sci Nutr 2021; 62:5284-5306. [PMID: 33554654 DOI: 10.1080/10408398.2021.1884040] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Dietary nitrate consumption from foods such as beetroot has been associated with many physiological benefits including improvements in vascular health and exercise performance. More recently, attention has been given to the use of dietary nitrate as a nutritional strategy to optimize muscular performance during resistance exercise. Our purpose was to perform a systematic review and meta-analysis of the research literature assessing the effect of dietary nitrate ingestion on muscular strength and muscular endurance. A structured search was carried out in accordance with PRISMA guidelines and from the total included studies (n = 34 studies), 12 studies had data for both measurement of strength and muscular endurance outcomes, 14 studies had data only for muscular strength outcome, and 8 studies had data only for muscular endurance outcome. Standardized mean difference (SMD) was calculated and meta-analyses were performed by using a random-effects model. Dietary nitrate ingestion was found to result in a trivial but significant effect on muscular strength (overall SMD = 0.08, P = 0.0240). Regarding muscular endurance dietary nitrate was found to promote a small but significant effect (overall SMD = 0.31, P < 0.0001). Dosage, frequency of ingestion, training level, muscle group, or type of contraction did not affect the findings, except for a greater improvement in muscle endurance during isometric and isotonic when compared to isokinetic contractions. Dietary nitrate seems to have a positive effect on muscular strength and muscular endurance, which is mostly unaffected by dosage, frequency of ingestion, training level, muscle group, or type of contraction. However, given the trivial to small effect, further experimental research on this topic is warranted.
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Affiliation(s)
- Thiago Silveira Alvares
- Nutrition and Exercise Metabolism Research Group, Federal University of Rio de Janeiro, Macaé Campus, Brazil
| | - Gustavo Vieira de Oliveira
- Nutrition and Exercise Metabolism Research Group, Federal University of Rio de Janeiro, Macaé Campus, Brazil
| | - Mônica Volino-Souza
- Nutrition and Exercise Metabolism Research Group, Federal University of Rio de Janeiro, Macaé Campus, Brazil
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Sánchez-Alcaraz BJ, Martínez-Gallego R, Llana S, Vučković G, Muñoz D, Courel-Ibáñez J, Sánchez-Pay A, Ramón-Llin J. Ball Impact Position in Recreational Male Padel Players: Implications for Training and Injury Management. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18020435. [PMID: 33430496 PMCID: PMC7828082 DOI: 10.3390/ijerph18020435] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Revised: 12/29/2020] [Accepted: 01/05/2021] [Indexed: 11/16/2022]
Abstract
Racket sports such as padel are characterized by the repetition of unilateral gestures, which can lead to negative adaptations like asymmetries or overuse musculoskeletal injuries. The purpose of this study was to determine the differences in ball impact positions (i.e., forward or backward of the center of gravity) in nine stroke types in a sample of forty-eight recreational male padel players. The sample included 14,478 shots corresponding to 18 matches from six tournaments. Forty-eight male padel players were classified into two groups according to their level: trained (n = 24) and novice (n = 24). Type of stroke and ball impact position were registered using a computerized motion tracking video system. The ball impact position was computed from the distance (cm) between the coordinates of the ball and the player’s center of gravity. Results show that trained players hit the ball in a more backward position (from 11 to 25 cm, compared to novice) in serve and offensive strokes (volleys, trays, and smashes) but used more forward strokes (from 7 to 32 cm, compared to novice) in defensive shots (groundstrokes, wall strokes, and lobs). Because the current differential variables are trainable and demonstrated to be of relevance for performance, the findings of this study may assist padel coaches in designing proper training plans to improve effectiveness and to prevent musculoskeletal injuries regarding the type of stroke and ball impact position. Such knowledge may constitute a very important factor affecting technique, biomechanics, and injury management in padel players of different competitive levels.
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Affiliation(s)
- Bernardino Javier Sánchez-Alcaraz
- Department of Physical Activity and Sport, Faculty of Sport Sciences, University of Murcia. C/ Argentina, s/n, 30720 San Javier, Spain; (B.J.S.-A.); (J.C.-I.); (A.S.-P.)
| | - Rafael Martínez-Gallego
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Valencia, Av. Blasco Ibáñez, 13, 46010 Valencia, Spain; (R.M.-G.); (S.L.)
| | - Salvador Llana
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Valencia, Av. Blasco Ibáñez, 13, 46010 Valencia, Spain; (R.M.-G.); (S.L.)
| | - Goran Vučković
- Faculty of Sport, University of Ljubljana, Gortanova ul. 22, 1000 Ljubljana, Slovenia;
| | - Diego Muñoz
- Department of Musical, Plastic and Corporal Expression, Faculty of Sport Sciences, University of Extremadura, Av. de la Universidad, s/n, 10003 Cáceres, Spain
- Correspondence: ; Tel.: +34-927-257-460
| | - Javier Courel-Ibáñez
- Department of Physical Activity and Sport, Faculty of Sport Sciences, University of Murcia. C/ Argentina, s/n, 30720 San Javier, Spain; (B.J.S.-A.); (J.C.-I.); (A.S.-P.)
| | - Alejandro Sánchez-Pay
- Department of Physical Activity and Sport, Faculty of Sport Sciences, University of Murcia. C/ Argentina, s/n, 30720 San Javier, Spain; (B.J.S.-A.); (J.C.-I.); (A.S.-P.)
| | - Jesús Ramón-Llin
- Department of Musical, Plastic and Corporal Expression, Faculty of Education, University of Valencia, Av. dels Tarongers, 4, 46022 Valencia, Spain;
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Beetroot Juice - Legal Doping for Athletes? CENTRAL EUROPEAN JOURNAL OF SPORT SCIENCES AND MEDICINE 2021. [DOI: 10.18276/cej.2021.3-06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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