Nutritional interventions for exercise-induced muscle damage: an umbrella review of systematic reviews and meta-analyses of randomized trials

随机对照试验 医学 荟萃分析 系统回顾 肌酸激酶 心理干预 营养补充 内科学 梅德林 生物化学 生物 精神科
作者
Sepide Talebi,Hamed Mohammadi,Sheida Zeraattalab-Motlagh,Arman Arab,Mohammad Keshavarz Mohammadian,Seyed Mojtaba Ghoreishy,Maryam Fard,Reza Amiri Khosroshahi,Kurosh Djafarian
出处
期刊:Nutrition Reviews [Oxford University Press]
卷期号:82 (5): 639-653
标识
DOI:10.1093/nutrit/nuad078
摘要

Several meta-analyses have been conducted on the effect of nutritional interventions on various factors related to muscle damage. However, the strength of the evidence and its clinical significance are unclear.This umbrella review aimed to provide an evidence-based overview of nutritional interventions for exercise-induced muscle damage (EIMD).PubMed, Scopus, and ISI Web of Science were systematically searched up to May 2022.Systematic reviews and meta-analyses of randomized controlled trials investigating nutritional interventions' effects on recovery following EIMD were included. The certainty of the evidence was rated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE).Fifty-three randomized controlled trial meta-analyses were included, evaluating 24 nutritional interventions on 10 different outcomes. The results revealed a significant effect of hydroxymethylbutyrate (HMB) supplementation and l-carnitine supplementation for reducing postexercise creatine kinase; HMB supplementation for reducing lactate dehydrogenase; branched-chain amino acids and leaf extract supplementation for reducing the delayed onset of muscle soreness; and l-carnitine, curcumin, ginseng, polyphenols, and anthocyanins for reducing muscle soreness, all with moderate certainty of evidence.Supplementation with HMB, l-carnitine, branched-chain amino acids, curcumin, ginseng, leaf extract, polyphenols, and anthocyanins showed favorable effects on some EIMD-related outcomes.PROSPERO registration no. CRD42022352565.
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