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The main aim of this study is to compare the effects of L-Citrulline vs. Citrulline-malate on neuromuscular performance (maximal dynamic strength and maximal endurance strength) in resistance-trained adults.
Nitric oxide (NO) is a ubiquitous gaseous molecule that plays a critical role in the regulation of cardiovascular function and in the signaling of multiple cellular processes. Specifically, NO could reduce the oxygen cost of exercise and adenosine triphosphate (ATP) in the production of muscle contractile force, improving calcium handling, glucose uptake and mitochondrial efficiency in muscle fibers. Therefore, it has been suggested that increasing the availability of NO through the oral intake of food and nutritional supplements may be useful to delay the onset of fatigue and improve performance in high-intensity efforts.
L-citrulline is a nonessential amino acid involved in the urea cycle that acts as an endogenous precursor of L-arginine, being a more efficient alternative to L-arginine to increase the plasma concentration of L-arginine through the nitric oxide synthase (NOS) pathway.
On the other hand, citrulline malate is an organic salt of L-citrulline and malate which has been shown to exert a small but significant ergogenic effect in different high-intensity efforts compared to a placebo. However, no study to date has compared L-citrulline VS. citrulline malate to assess whether there is an additive effect from malate to exercise performance.
50 resistance-trained adults (50% women) will be randomized into three conditions (L-citrulline, citrulline-malate and placebo conditions) with 48 hours of separation between conditions. 48h previous to the randomization the participants will perform a familiarization to avoid the learning effects.
Each evaluation day will conform to the following tests:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental: L-Citrulline | Experimental | 5 g of L-citruline + 5 g of additives. The dose to be administered is that recommended on the labeling and nutritional information of the product, which has been produced under GMP procedures and approved by the EFSA (Lifepro®). |
|
| Experimental: Citrulline-malate | Experimental | 8g of citrulline-malate + 2 g of additives. The dose to be administered is that recommended on the labeling and nutritional information of the products which has been produced under GMP procedures and approved by the EFSA (Lifepro®). |
|
| Placebo | Placebo Comparator | 10g of maltodextrin plus additives (Lifepro®). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| L-citrulline | Dietary Supplement | 5 g of L-citruline + 5 g of additives |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Maximal endurance strength | Maximal endurance strength of lower- and upper-body (squat and bench press exercises) | 1 hour |
| Measure | Description | Time Frame |
|---|---|---|
| Maximal dynamic strength | Maximal dynamic strength of lower- and upper-body (squat and bench press exercises) | 1 hour |
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Inclusion Criteria:
Exclusion Criteria:
antihypertensive, lipid lowering, acid uric lowering, glucose lowering, beta blockers or any drug that under the investigator's judged could influence the results.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jonatan Ruiz Ruiz | Granada | 18011 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39662304 | Derived | Martin-Olmedo JJ, Miras-Moreno S, Cuadra-Montes K, Garcia-Ramos A, Ruiz JR, Jurado-Fasoli L. Malate or Not? Acute Effects of L-Citrulline Versus Citrulline Malate on Neuromuscular Performance in Young, Trained Adults: A Randomized, Double-Blind, Placebo-Controlled Crossover Trial. Int J Sport Nutr Exerc Metab. 2024 Dec 11;35(2):89-98. doi: 10.1123/ijsnem.2024-0006. Print 2025 Mar 1. |
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| ID | Term |
|---|---|
| D002956 | Citrulline |
| C071162 | citrulline malate |
| ID | Term |
|---|---|
| D000599 | Amino Acids, Diamino |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
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| Citrulline-malate |
| Dietary Supplement |
8g of citrulline-malate + 2 g of additives |
|
| Placebo | Dietary Supplement | 10g of maltodextrine |
|