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Nutrients Dec 2021l-Carnitine (l-C) and any of its forms (glycine-propionyl l-Carnitine (GPL-C) or l-Carnitine l-tartrate (l-CLT)) has been frequently recommended as a supplement to...
l-Carnitine (l-C) and any of its forms (glycine-propionyl l-Carnitine (GPL-C) or l-Carnitine l-tartrate (l-CLT)) has been frequently recommended as a supplement to improve sports performance due to, among others, its role in fat metabolism and in maintaining the mitochondrial acetyl-CoA/CoA ratio. The main aim of the present systematic review was to determine the effects of oral l-C supplementation on moderate- (50-79% V˙O) and high-intensity (≥80% V˙O) exercise performance and to show the effective doses and ideal timing of its intake. A structured search was performed according to the PRISMA statement and the PICOS guidelines in the Web of Science (WOS) and Scopus databases, including selected data obtained up to 24 October 2021. The search included studies where l-C or glycine-propionyl l-Carnitine (GPL-C) supplementation was compared with a placebo in an identical situation and tested its effects on high and/or low-moderate performance. The trials that used the supplementation of l-C together with additional supplements were eliminated. There were no applied filters on physical fitness level, race, or age of the participants. The methodological quality of studies was evaluated by the McMaster Critical Review Form. Of the 220 articles obtained, 11 were finally included in this systematic review. Six studies used l-C, while three studies used l-CLT, and two others combined the molecule propionyl l-Carnitine (PL-C) with GPL-C. Five studies analyzed chronic supplementation (4-24 weeks) and six studies used an acute administration (<7 days). The administration doses in this chronic supplementation varied from 1 to 3 g/day; in acute supplementation, oral l-C supplementation doses ranged from 3 to 4 g. On the one hand, the effects of oral l-C supplementation on high-intensity exercise performance variables were analyzed in nine studies. Four of them measured the effects of chronic supplementation (lower rating of perceived exertion (RPE) after 30 min at 80% V˙O on cycle ergometer and higher work capacity in "all-out" tests, peak power in a Wingate test, and the number of repetitions and volume lifted in leg press exercises), and five studies analyzed the effects of acute supplementation (lower RPE after graded exercise test on the treadmill until exhaustion and higher peak and average power in the Wingate cycle ergometer test). On the other hand, the effects of l-C supplementation on moderate exercise performance variables were observed in six studies. Out of those, three measured the effect of an acute supplementation, and three described the effect of a chronic supplementation, but no significant improvements on performance were found. In summary, l-C supplementation with 3 to 4 g ingested between 60 and 90 min before testing or 2 to 2.72 g/day for 9 to 24 weeks improved high-intensity exercise performance. However, chronic or acute l-C or GPL-C supplementation did not present improvements on moderate exercise performance.
Topics: Administration, Oral; Athletic Performance; Carnitine; Dietary Supplements; Exercise; Female; Humans; Male; Sports Nutritional Physiological Phenomena; Time Factors
PubMed: 34959912
DOI: 10.3390/nu13124359 -
Nutrients Sep 2023To summarize available evidence in the literature on the impacts of CoQ supplementation on metabolic, biochemical, and performance outcomes in athletes. (Review)
Review
BACKGROUND
To summarize available evidence in the literature on the impacts of CoQ supplementation on metabolic, biochemical, and performance outcomes in athletes.
METHODS
Six databases, Cochrane Library (33 articles), PubMed (90 articles), Scopus (55 articles), Embase (60 articles), SPORTDiscus (1056 articles), and Science Direct (165 articles), were researched. After applying the eligibility criteria, articles were selected for peer review independently as they were identified by June 2022. The protocol for this systematic review was registered on PROSPERO (CRD42022357750).
RESULTS
Of the 1409 articles found, 16 were selected for this systematic review. After CoQ supplementation, a decrease in oxidative stress markers was observed, followed by higher antioxidant activity. On the other hand, lower levels of liver damage markers (ALT); Aspartate aminotransferase (AST); and Gamma-glutamyl transpeptidase (γGT) were identified. Finally, we found a reduction in fatigue indicators such as Creatine Kinase (CK) and an increase in anaerobic performance.
CONCLUSIONS
This systematic review concludes that supplementation with orally administered CoQ (30-300 mg) was able to potentiate plasma antioxidant activity and anaerobic performance, reducing markers linked to oxidative stress and liver damage in athletes from different modalities aged 17 years old and older.
PubMed: 37764774
DOI: 10.3390/nu15183990 -
Nutrients Feb 2022Using nutritional supplements is a widespread strategy among basketball players to ensure the appropriate provision of energy and nutrients to avoid certain complaints.... (Review)
Review
Using nutritional supplements is a widespread strategy among basketball players to ensure the appropriate provision of energy and nutrients to avoid certain complaints. Particularly in basketball, there is no consensus on the type, quantity or form of use in which these supplements should be administered. Therefore, the main aim of this systematic review is to highlight the ergo-nutritional aids that may be effective in basketball. A structured search was carried out following the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines in the Medline/PubMed and Web of Science, Cochrane Library, and Scopus databases until 31 December 2021; no year restriction was applied to the search strategy. There were no filters applied to the basketball players' level, gender, race, or age to increase the power of the analysis. The results of this systematic review have shown that the effective dose of caffeine to enhance anaerobic performance and the feeling of vigorousness and energy ranges from 3 to 6 mg·kg, showing more positive effects when is supplemented 60-75 min before exercise in the morning and in test-based task. On the other hand, vitamin E (ranging from 200 to 268 mg), vitamin D (10,000 IU) and EPA (2 g) may have a potential role in recovery and wellness. The primary limitation of this study is the scarcity of studies related to nutritional supplementation in basketball players. However, a major strength is that this is the first systematic review describing what ergo-nutritional aids may be specifically helpful for basketball. Despite the need for future studies, certain nutritional supplements may have promising advantages for basketball (long-term supplementation of nitrates for recovery), whereas others (β-alanine, sodium bicarbonate, and acute nitrate supplementation) might theoretically be regarded as not interesting for basketball, or even not recommended by the World Anti-Doping Agency (WADA) as bovine colostrum.
Topics: Animals; Basketball; Caffeine; Cattle; Dietary Supplements; Vitamin D; Vitamins
PubMed: 35276997
DOI: 10.3390/nu14030638 -
Bioengineering (Basel, Switzerland) Dec 2023The use of machine learning (ML) in anaerobic digestion (AD) is growing in popularity and improves the interpretation of complex system parameters for better operation... (Review)
Review
The use of machine learning (ML) in anaerobic digestion (AD) is growing in popularity and improves the interpretation of complex system parameters for better operation and optimisation. This systematic literature review aims to explore how ML is currently employed in AD, with particular attention to the challenges of implementation and the benefits of integrating ML techniques. While both lab and industry-scale datasets have been used for model training, challenges arise from varied system designs and the different monitoring equipment used. Traditional machine-learning techniques, predominantly artificial neural networks (ANN), are the most commonly used but face difficulties in scalability and interpretability. Specifically, models trained on lab-scale data often struggle to generalize to full-scale, real-world operations due to the complexity and variability in bacterial communities and system operations. In practical scenarios, machine learning can be employed in real-time operations for predictive modelling, ensuring system stability is maintained, resulting in improved efficiency of both biogas production and waste treatment processes. Through reviewing the ML techniques employed in wider applied domains, potential future research opportunities in addressing these challenges have been identified.
PubMed: 38136001
DOI: 10.3390/bioengineering10121410 -
Journal of Environmental Management Oct 2022As food waste gets acknowledged as a global potential source of biomass, its valorization through anaerobic digestion becomes an attractive strategy. This work describes... (Review)
Review
As food waste gets acknowledged as a global potential source of biomass, its valorization through anaerobic digestion becomes an attractive strategy. This work describes the state-of-the-art on the valorization of food waste by anaerobic digestion and the optimization of the process. The methodology used was a bibliometric and systematic review of the optimization of the process from 66 articles selected. Bibliometric mapping allowed us to identify that, until now, most studies have been focused on the: i) anaerobic co-digestion strategy in order to stabilize the process, ii) interest in the generation of biofuels to replace non-renewable fuels, iii) study of metabolic processes for a better understanding of the system iv) reactor design optimization and others facilities to increase process efficiency. The systematic analysis showed that the operational parameters has been extensively studied to optimize the process. Therefore, co-digestion has been the main strategy to improve the process. In this sense, knowledge of the substrate and co-substrate is extremely important to operate the reactors. For methane production, the ideal operating conditions indicated were: pH of 7, solids content between 4.0 and 15%, C/N ratio of 25, hydraulic retention time from 25 to 40 days and alkalinity from 2850 to 2970.5mgCaCO/L. In addition, the ideal OLR will vary mainly according to operating temperature, number of reactor stages, and raw material characteristics. This review indicates trends and knowledge gaps that are important to guide new research on the anaerobic digestion of food waste, pointing out the potential advantages, optimization strategies, by-products of interest and challenges of the process. The results were used for the development of references of ideal operating conditions for energy production, being able to guide the design and operation of reactors.
Topics: Anaerobiosis; Bibliometrics; Biofuels; Bioreactors; Food; Methane; Refuse Disposal
PubMed: 35932740
DOI: 10.1016/j.jenvman.2022.115763 -
PloS One 2022To determine cardiorespiratory fitness and neuromuscular function of people with CFS and FMS compared to healthy individuals. (Meta-Analysis)
Meta-Analysis
Fibromyalgia and Chronic Fatigue Syndromes: A systematic review and meta-analysis of cardiorespiratory fitness and neuromuscular function compared with healthy individuals.
OBJECTIVE
To determine cardiorespiratory fitness and neuromuscular function of people with CFS and FMS compared to healthy individuals.
DESIGN
Systematic review and meta-analysis.
DATA SOURCES
PubMed, Medline, CINAHL, AMED, Cochrane Central Register of Controlled Trials (CENTRAL), and PEDro from inception to June 2022.
ELIGIBLE CRITERIA FOR SELECTING STUDIES
Studies were included if presenting baseline data on cardiorespiratory fitness and/or neuromuscular function from observational or interventional studies of patients diagnosed with FMS or CFS. Participants were aged 18 years or older, with results also provided for healthy controls. Risk of bias assessment was conducted using the Quality Assessment Tool for Quantitative Studies (EPHPP).
RESULTS
99 studies including 9853 participants (5808 patients; 4405 healthy controls) met our eligibility criteria. Random effects meta-analysis showed lower cardiorespiratory fitness (VO2max, anaerobic threshold, peak lactate) and neuromuscular function (MVC, fatigability, voluntary activation, muscle volume, muscle mass, rate of perceived exertion) in CFS and FMS compared to controls: all with moderate to high effect sizes.
DISCUSSION
Our results demonstrate lower cardiorespiratory fitness and muscle function in those living with FMS or CFS when compared to controls. There were indications of dysregulated neuro-muscular interactions including heightened perceptions of effort, reduced ability to activate the available musculature during exercise and reduced tolerance of exercise.
TRAIL REGISTRATION
PROSPERO registration number: (CRD42020184108).
Topics: Humans; Fibromyalgia; Cardiorespiratory Fitness; Fatigue Syndrome, Chronic; Exercise; Lactates
PubMed: 36264901
DOI: 10.1371/journal.pone.0276009 -
JAMA Network Open Jun 2023Preoperative high-intensity interval training (HIIT) is associated with improved cardiorespiratory fitness (CRF) and may improve surgical outcomes. (Meta-Analysis)
Meta-Analysis
Association of Preoperative High-Intensity Interval Training With Cardiorespiratory Fitness and Postoperative Outcomes Among Adults Undergoing Major Surgery: A Systematic Review and Meta-Analysis.
IMPORTANCE
Preoperative high-intensity interval training (HIIT) is associated with improved cardiorespiratory fitness (CRF) and may improve surgical outcomes.
OBJECTIVE
To summarize data from studies comparing the association of preoperative HIIT vs standard hospital care with preoperative CRF and postoperative outcomes.
DATA SOURCES
Data sources included Medline, Embase, Cochrane Central Register of Controlled Trials Library, and Scopus databases with no language constraints, including abstracts and articles published before May 2023.
STUDY SELECTION
The databases were searched for randomized clinical trials and prospective cohort studies with HIIT protocols in adult patients undergoing major surgery. Thirty-four of 589 screened studies met initial selection criteria.
DATA EXTRACTION AND SYNTHESIS
A meta-analysis was performed according to Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Data were extracted by multiple independent observers and pooled in a random-effects model.
MAIN OUTCOMES AND MEASURES
The primary outcome was change in CRF, as measured by either peak oxygen consumption (V̇o2 peak) or 6-Minute Walk Test (6MWT) distance. Secondary outcomes included postoperative complications; hospital length of stay (LOS); and changes in quality of life, anaerobic threshold, and peak power output.
RESULTS
Twelve eligible studies including 832 patients were identified. Pooled results indicated several positive associations for HIIT when compared with standard care either on CRF (V̇o2 peak, 6MWT, anaerobic threshold, or peak power output) or postoperative outcomes (complications, LOS, quality of life), although there was significant heterogeneity in study results. In 8 studies including 627 patients, there was moderate-quality evidence of significant improvement in V̇o2 peak (cumulative mean difference, 2.59 mL/kg/min; 95% CI, 1.52-3.65 mL/kg/min; P < .001). In 8 studies including 770 patients, there was moderate-quality evidence of a significant reduction in complications (odds ratio, 0.44; 95% CI, 0.32-0.60; P < .001). There was no evidence that HIIT differed from standard care in hospital LOS (cumulative mean difference, -3.06 days; 95% CI, -6.41 to 0.29 days; P = .07). The analysis showed a high degree of heterogeneity in study outcomes and an overall low risk of bias.
CONCLUSIONS AND RELEVANCE
The results of this meta-analysis suggest that preoperative HIIT may be beneficial for surgical populations through the improvement of exercise capacity and reduced postoperative complications. These findings support including HIIT in prehabilitation programs before major surgery. The high degree of heterogeneity in both exercise protocols and study results supports the need for further prospective, well-designed studies.
Topics: Humans; Adult; Cardiorespiratory Fitness; High-Intensity Interval Training; Prospective Studies; Quality of Life; Postoperative Complications
PubMed: 37389875
DOI: 10.1001/jamanetworkopen.2023.20527 -
International Journal of Colorectal... Nov 2022Accumulating evidence indicate that antibiotic use could induce microbiome dysbiosis, which was a critical driver to the onset and progression of colorectal cancer... (Meta-Analysis)
Meta-Analysis Review
PURPOSE
Accumulating evidence indicate that antibiotic use could induce microbiome dysbiosis, which was a critical driver to the onset and progression of colorectal cancer (CRC). But the relationship between antibiotics use and CRC was still disputed. Hence, we conducted this systematic review and meta-analysis to appraise and synthesize the present available evidence to clarify the association.
METHODS
PubMed, Embase, Web of Science, and Cochrane Library were systematically searched for relevant observational studies from inception to June 5, 2020. Pooled odds ratios (ORs) with 95% confidence intervals (CIs) were estimated to explore the association between antibiotics use and CRC using random-effects model. Subgroup analyses, sensitive analyses, and publication bias were conducted to assess the robust reliability of pooled results.
RESULTS
A total of 15 observational studies containing 5,164,138 patients were included in this meta-analysis. The pooled analysis indicated that the total antibiotic use was correlated with increased risk of CRC (OR, 1.11; 95% CI, 1.05-1.18). The subgroup analyses suggested that antibiotic use significantly elevated risk of colon cancer, but not rectal cancer. Furthermore, we found that penicillin, cephalosporin, anti-anaerobic, and anti-aerobic antibiotics increased the risk of CRC, in particular metronidazole but no significant associations were identified in macrolide, tetracycline, sulfonamides, nitrofurans, and quinolone use. The results of sensitive analyses and publication bias indicated the conclusions were robust.
CONCLUSION
The findings showed that antibiotics use may be associated with the onset of CRC. Policy-makers and clinicians should adequately assess possible benefits and harms of antibiotics use, especially in some high-risk populations. Also, for high-risk patients with previous antibiotics use, it was suggested to perform early colonoscopy screening to find or even eliminate early-stage CRC.
Topics: Humans; Anti-Bacterial Agents; Reproducibility of Results; Colorectal Neoplasms; Colonoscopy; Colonic Neoplasms; Observational Studies as Topic
PubMed: 36329204
DOI: 10.1007/s00384-022-04276-7 -
Revista Espanola de Quimioterapia :... Apr 2023The objective of this study was to perform a systematic review of the characteristics, causative microorganisms and outcome of brain abscesses caused by anaerobic...
The objective of this study was to perform a systematic review of the characteristics, causative microorganisms and outcome of brain abscesses caused by anaerobic bacteria over the past 25 years. We reviewed studies on brain abscesses which included infection due to anaerobic microorganisms published between 1998 and 2022. We excluded reports with polymicrobial infections (more than 2 anaerobic bacteria isolated) and those that do not provide enough information to make comparisons, the reports with only one case of brain abscess due to anaerobes, as well as those focused on an only anaerobic bacterium. Also, we have excluded the cases in pediatric population. We searched the scientific literature through the Cochrane Library, EMBASE and PubMed/MEDLINE databases for studies of this condition. We finally included 28 studies with 6,167 patients, of which 715 (11.5%) were cases caused by anaerobic bacteria. There was a male predominance (70%) and mean age of 40.3 years. Most infections were monomicrobial (59.4%). The most common anaerobic microorganisms isolated were Bacteroides spp (43.4%) and Gram-positive anaerobic cocci (35.1%). Cases of brain abscesses caused by anaerobic bacteria were most frequent in Asia and Europe. The source of infection most frequent was otogenic in 84.6% followed by a neurosurgery procedure infection in 23% of patients. The main symptom observed was headache in 95.6% of patients followed by fever (69.5%). Surgical treatment was performed in 48 % of patients and the percentage of patients in whom antibiotic treatment was applied range 88.8% to 100%. The main limitation of this review is the non-inclusion of studies published before of 1998 in which MALDI-TOF MS system had not been introduced in the majority of laboratories for routine identification. The patient rate with isolation of anaerobic bacteria in brain abscesses is low, but these data could be underestimated mainly due to the fastidious nature of these microorganisms and the difficulties in the identification of some anaerobes.
Topics: Humans; Male; Child; Adult; Female; Anaerobiosis; Base Composition; Phylogeny; RNA, Ribosomal, 16S; Sequence Analysis, DNA; Brain Abscess; Bacteria, Anaerobic; Gram-Positive Cocci
PubMed: 36733997
DOI: 10.37201/req/114.2022 -
Chronobiology International Mar 2022Numerous functional measures related to anaerobic performance display daily variation. The diversity of tests and protocols used to assess anaerobic performance related... (Review)
Review
Numerous functional measures related to anaerobic performance display daily variation. The diversity of tests and protocols used to assess anaerobic performance related to diurnal effects and the lack of a standardized approach have hindered agreement in the literature. Therefore, the aim of the present study was to investigate and systematically review the evidence relating to time-of-day differences in anaerobic performance measures. The entire content of PubMed (MEDLINE), Scopus, SPORTDiscus® ( EBSCOhost) and Web of Science and multiple electronic libraries were searched. Only experimental research studies conducted in male adult participants aged ≥ 18 yrs before May 2021 were included. Studies assessing tests related to anaerobic capacity or anaerobic power between a minimum of two time-points during the day (morning evening) were deemed eligible. The primary search revealed that a total of 55 out of 145 articles were considered eligible and subsequently included. Thirty-nine studies assessed anaerobic power and twenty-five anaerobic capacity using different modes of exercise and test protocols. Forty-eight studies found several of their performance variables to display time-of-day effects, with higher values in the evening than the morning, while seven studies did not find any time-of-day significance in any variables which were assessed. The magnitude of difference is dependent on the modality and the exercise protocol used. Performance measures for anaerobic power found jump tests displayed 2.7 to 12.3% differences, force velocity tests ~8% differences, sprint tests 2.7 to 11.3% differences and 5-m multiple shuttle run tests 3.7 to 13.1% differences in favour of the evening. Performance measures for anaerobic capacity found Wingate test to display 1.8 to 11.7% differences and repeated sprint tests to display 3.4 to 10.2% differences. The only test not to display time-of-day differences was the running based anaerobic sprint test (RAST). Time-of-day variations in anaerobic performance has previously been partially explained by higher core-body and/or muscle temperature and better muscle contractile properties in the afternoon, although recent findings suggest that differences in methodology, motivation/arousal, habitual training times and chronotypes could provide additional explanations. There is a clear demand for a rigorous, standardised approach to be adopted by future investigations which control factors that specifically relate to investigations of time-of-day.
Topics: Adult; Anaerobiosis; Circadian Rhythm; Exercise; Exercise Test; Humans; Male; Motivation
PubMed: 34978950
DOI: 10.1080/07420528.2021.1994585