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Combined L-Citrulline Supplementation and Slow Velocity Low-Intensity Resistance Training Improves Leg Endothelial Function, Lean Mass, and Strength in Hypertensive Postmenopausal Women.

Nutrients
January 1, 1970
Yejin Kang et al. (6 authors)
Randomized Controlled TrialJournal ArticleHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether combined L-citrulline supplementation and slow velocity low-intensity resistance training (SVLIRT) would improve leg endothelial function, lean mass, and strength in hypertensive postmenopausal women.

Results Summary

CIT alone improved leg endothelial function (sfemFMD) after 4 weeks, and combined CIT + SVLIRT further enhanced sfemFMD, leg lean mass, and curl strength compared to placebo after 8 weeks. The effects were statistically significant and clinically meaningful.

Population

Hypertensive postmenopausal women

Effective Dosage

10 g/day

Duration

8 weeks (4 weeks CIT/placebo alone, 4 weeks CIT/placebo + SVLIRT)

Interactions

None mentioned

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
L-citrulline supplementation (CIT)
increase
vascular function
-
-
improved
#1
slow velocity low-intensity resistance training (SVLIRT)
increase
vascular function
-
-
improved
#2
CIT
increase
superficial femoral artery flow-mediated dilation (sfemFMD)
hypertensive postmenopausal women
Δ1.8 ± 0.3% vs. PL: Δ−0.2 ± 0.5%
increased
#3
CIT + SVLIRT
increase
superficial femoral artery flow-mediated dilation (sfemFMD)
hypertensive postmenopausal women
Δ2.7 ± 0.5% vs. PL + SVLIRT: Δ−0.02 ± 0.5
increased
#4
CIT + SVLIRT
increase
leg lean mass (LM)
hypertensive postmenopausal women
Δ0.49 ± 0.15 kg vs. Δ0.07 ± 0.12 kg
improved
#5
CIT + SVLIRT
increase
leg curl strength
hypertensive postmenopausal women
Δ6.9 ± 0.9 kg vs. Δ4.0 ± 1.0 kg
increased greater
#6
CIT supplementation alone
increase
leg endothelial function
hypertensive postmenopausal women
-
improved
#7
CIT combined with SVLIRT
increase
leg lean mass (LM)
hypertensive postmenopausal women
-
has additive benefits on
#8
CIT combined with SVLIRT
increase
curl strength
hypertensive postmenopausal women
-
has additive benefits on
#9
Abstract

Hypertension is highly prevalent in postmenopausal women. Endothelial dysfunction is associated with hypertension and the age-related decreases in muscle mass and strength. L-citrulline supplementation (CIT) and slow velocity low-intensity resistance training (SVLIRT) have improved vascular function, but their effect on muscle mass is unclear. We investigated whether combined CIT and SVLIRT (CIT + SVLIRT) would have additional benefits on leg endothelial function (superficial femoral artery flow-mediated dilation (sfemFMD)), lean mass (LM), and strength in hypertensive postmenopausal women. Participants were randomized to CIT (10 g/day, n = 13) or placebo (PL, n = 11) alone for 4 weeks and CIT + SVLIRT or PL + SVLIRT for another 4 weeks. sfemFMD, leg LM and muscle strength were measured at 0, 4, and 8 weeks. CIT increased sfemFMD after 4 weeks (CIT: Δ1.8 ± 0.3% vs. PL: Δ−0.2 ± 0.5%, p < 0.05) and 8 weeks (CIT + SVLIRT: Δ2.7 ± 0.5% vs. PL + SVLIRT: Δ−0.02 ± 0.5, p = 0.003). Leg LM improved after CIT + SVLIRT compared to PL + SVLIRT (Δ0.49 ± 0.15 kg vs. Δ0.07 ± 0.12 kg, p < 0.05). Leg curl strength increased greater with CIT + SVLIRT compared to PL + SVLIRT (Δ6.9 ± 0.9 kg vs. Δ4.0 ± 1.0 kg, p < 0.05). CIT supplementation alone improved leg endothelial function and when combined with SVLIRT has additive benefits on leg LM and curl strength in hypertensive postmenopausal women.

Medical Subject Headings (MeSH)
HumansFemaleResistance TrainingCitrullinePostmenopauseLegHypertensionMuscle StrengthMuscle, SkeletalDietary Supplements
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations10
Citations/Year3.3
Relative Citation Ratio1.56
NIH Percentile66.4%
Research Impact Scores
APT Score0.75
Weight Score1.59
Normalized Score0.69
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