Supplements with purported effects on muscle mass and strength.
Study Goal
The researchers aimed to evaluate the effectiveness of Branched-Chain Amino Acids (BCAAs) in promoting muscle mass or strength gains and preventing muscle wasting.
Results Summary
The study found mixed or unclear evidence (evidence level B) for the effectiveness of BCAAs in increasing or preserving muscle mass and strength. No specific adverse events were mentioned for BCAAs, suggesting relative safety at typical doses.
Population
Healthy subjects and individuals in atrophying situations (e.g., ageing or disuse periods).
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
nitrate | increase | muscle strength | healthy subjects | - | returned sufficient evidence supporting their acute beneficial effects | #1 |
caffeine | increase | muscle strength | healthy subjects | - | returned sufficient evidence supporting their acute beneficial effects | #2 |
creatine | increase | muscle mass and strength | - | - | seems to consistently increase or preserve | #3 |
protein | increase | muscle mass and strength | - | - | seems to consistently increase or preserve | #4 |
polyunsaturated fatty acids | increase | muscle mass and strength | - | - | seems to consistently increase or preserve | #5 |
branched-chain amino acids | no change | - | - | - | mixed or unclear evidence was found | #6 |
adenosine triphosphate | no change | - | - | - | mixed or unclear evidence was found | #7 |
citrulline | no change | - | - | - | mixed or unclear evidence was found | #8 |
β-Hydroxy-β-methylbutyrate | no change | - | - | - | mixed or unclear evidence was found | #9 |
minerals | no change | - | - | - | mixed or unclear evidence was found | #10 |
most vitamins | no change | - | - | - | mixed or unclear evidence was found | #11 |
phosphatidic acid | no change | - | - | - | mixed or unclear evidence was found | #12 |
arginine | no change | - | - | - | mixed or unclear evidence was found | #13 |
conjugated linoleic acid | no change | - | - | - | weak or scarce evidence was found | #14 |
glutamine | no change | - | - | - | weak or scarce evidence was found | #15 |
resveratrol | no change | - | - | - | weak or scarce evidence was found | #16 |
tribulus terrestris | no change | - | - | - | weak or scarce evidence was found | #17 |
ursolic acid | no change | - | - | - | weak or scarce evidence was found | #18 |
ornithine | no change | - | - | - | no evidence was found | #19 |
α-ketoglutarate | no change | - | - | - | no evidence was found | #20 |
PURPOSE: Several supplements are purported to promote muscle hypertrophy and strength gains in healthy subjects, or to prevent muscle wasting in atrophying situations (e.g., ageing or disuse periods). However, their effectiveness remains unclear. METHODS: This review summarizes the available evidence on the beneficial impacts of several popular supplements on muscle mass or strength. RESULTS: Among the supplements tested, nitrate and caffeine returned sufficient evidence supporting their acute beneficial effects on muscle strength, whereas the long-term consumption of creatine, protein and polyunsaturated fatty acids seems to consistently increase or preserve muscle mass and strength (evidence level A). On the other hand, mixed or unclear evidence was found for several popular supplements including branched-chain amino acids, adenosine triphosphate, citrulline, β-Hydroxy-β-methylbutyrate, minerals, most vitamins, phosphatidic acid or arginine (evidence level B), weak or scarce evidence was found for conjugated linoleic acid, glutamine, resveratrol, tribulus terrestris or ursolic acid (evidence level C), and no evidence was found for other supplements such as ornithine or α-ketoglutarate (evidence D). Of note, although most supplements appear to be safe when consumed at typical doses, some adverse events have been reported for some of them (e.g., caffeine, vitamins, α-ketoglutarate, tribulus terrestris, arginine) after large intakes, and there is insufficient evidence to determine the safety of many frequently used supplements (e.g., ornithine, conjugated linoleic acid, ursolic acid). CONCLUSION: In summary, despite their popularity, there is little evidence supporting the use of most supplements, and some of them have been even proven ineffective or potentially associated with adverse effects.