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Supplements with purported effects on muscle mass and strength.

European journal of nutrition
December 1, 2019
Pedro L Valenzuela et al. (5 authors)
Journal ArticleReviewHuman Study
Study Details

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

Extracted Claims (20)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
CaffeineCreatineDietary SupplementsFatty Acids, UnsaturatedHumansMuscle StrengthMuscle, SkeletalMuscular AtrophyNitratesProteins
Study Links
Quality Scores
Safety80
Efficacy50/10
Quality75/10
Citation Metrics
Total Citations47
Citations/Year7.8
Relative Citation Ratio3.63
NIH Percentile88.6%
Research Impact Scores
APT Score0.95
Weight Score2.32
Normalized Score0.67
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