The Muscle Carnosine Response to Beta-Alanine Supplementation: A Systematic Review With Bayesian Individual and Aggregate Data E-Max Model and Meta-Analysis

Beta-alanine (BA) supplementation increases muscle carnosine content (MCarn), and has many proven, and purported, ergogenic, and therapeutic benefits. Currently, many questions on the nature of the MCarn response to supplementation are open, and the response to these has considerable potential to en...

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Main Authors: Nathália Saffioti Rezende, Paul Swinton, Luana Farias de Oliveira, Rafael Pires da Silva, Vinicius da Eira Silva, Kleiner Nemezio, Guilherme Yamaguchi, Guilherme Giannini Artioli, Bruno Gualano, Bryan Saunders, Eimear Dolan
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-08-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fphys.2020.00913/full
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author Nathália Saffioti Rezende
Paul Swinton
Luana Farias de Oliveira
Rafael Pires da Silva
Vinicius da Eira Silva
Kleiner Nemezio
Guilherme Yamaguchi
Guilherme Giannini Artioli
Bruno Gualano
Bruno Gualano
Bryan Saunders
Eimear Dolan
author_facet Nathália Saffioti Rezende
Paul Swinton
Luana Farias de Oliveira
Rafael Pires da Silva
Vinicius da Eira Silva
Kleiner Nemezio
Guilherme Yamaguchi
Guilherme Giannini Artioli
Bruno Gualano
Bruno Gualano
Bryan Saunders
Eimear Dolan
author_sort Nathália Saffioti Rezende
collection DOAJ
description Beta-alanine (BA) supplementation increases muscle carnosine content (MCarn), and has many proven, and purported, ergogenic, and therapeutic benefits. Currently, many questions on the nature of the MCarn response to supplementation are open, and the response to these has considerable potential to enhance the efficacy and application of this supplementation strategy. To address these questions, we conducted a systematic review with Bayesian-based meta-analysis of all published aggregate data using a dose response (Emax) model. Meta-regression was used to consider the influence of potential moderators (including dose, sex, age, baseline MCarn, and analysis method used) on the primary outcome. The protocol was designed according to PRISMA guidelines and a three-step screening strategy was undertaken to identify studies that measured the MCarn response to BA supplementation. Additionally, we conducted an original analysis of all available individual data on the MCarn response to BA supplementation from studies conducted within our lab (n = 99). The Emax model indicated that human skeletal muscle has large capacity for non-linear MCarn accumulation, and that commonly used BA supplementation protocols may not come close to saturating muscle carnosine content. Neither baseline values, nor sex, appeared to influence subsequent response to supplementation. Analysis of individual data indicated that MCarn is relatively stable in the absence of intervention, and effectually all participants respond to BA supplementation (99.3% response [95%CrI: 96.2–100]).
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spelling doaj.art-3d6a0ac6c67646dca182db9905bf12342022-12-21T19:16:16ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2020-08-011110.3389/fphys.2020.00913564524The Muscle Carnosine Response to Beta-Alanine Supplementation: A Systematic Review With Bayesian Individual and Aggregate Data E-Max Model and Meta-AnalysisNathália Saffioti Rezende0Paul Swinton1Luana Farias de Oliveira2Rafael Pires da Silva3Vinicius da Eira Silva4Kleiner Nemezio5Guilherme Yamaguchi6Guilherme Giannini Artioli7Bruno Gualano8Bruno Gualano9Bryan Saunders10Eimear Dolan11Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Rheumatology Division, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, BrazilSchool of Health Sciences, Robert Gordon University, Aberdeen, United KingdomApplied Physiology and Nutrition Research Group, School of Physical Education and Sport, Rheumatology Division, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, BrazilApplied Physiology and Nutrition Research Group, School of Physical Education and Sport, Rheumatology Division, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, BrazilApplied Physiology and Nutrition Research Group, School of Physical Education and Sport, Rheumatology Division, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, BrazilApplied Physiology and Nutrition Research Group, School of Physical Education and Sport, Rheumatology Division, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, BrazilApplied Physiology and Nutrition Research Group, School of Physical Education and Sport, Rheumatology Division, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, BrazilApplied Physiology and Nutrition Research Group, School of Physical Education and Sport, Rheumatology Division, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, BrazilApplied Physiology and Nutrition Research Group, School of Physical Education and Sport, Rheumatology Division, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, BrazilFood Research Center, University of São Paulo, São Paulo, BrazilApplied Physiology and Nutrition Research Group, School of Physical Education and Sport, Rheumatology Division, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, BrazilApplied Physiology and Nutrition Research Group, School of Physical Education and Sport, Rheumatology Division, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, BrazilBeta-alanine (BA) supplementation increases muscle carnosine content (MCarn), and has many proven, and purported, ergogenic, and therapeutic benefits. Currently, many questions on the nature of the MCarn response to supplementation are open, and the response to these has considerable potential to enhance the efficacy and application of this supplementation strategy. To address these questions, we conducted a systematic review with Bayesian-based meta-analysis of all published aggregate data using a dose response (Emax) model. Meta-regression was used to consider the influence of potential moderators (including dose, sex, age, baseline MCarn, and analysis method used) on the primary outcome. The protocol was designed according to PRISMA guidelines and a three-step screening strategy was undertaken to identify studies that measured the MCarn response to BA supplementation. Additionally, we conducted an original analysis of all available individual data on the MCarn response to BA supplementation from studies conducted within our lab (n = 99). The Emax model indicated that human skeletal muscle has large capacity for non-linear MCarn accumulation, and that commonly used BA supplementation protocols may not come close to saturating muscle carnosine content. Neither baseline values, nor sex, appeared to influence subsequent response to supplementation. Analysis of individual data indicated that MCarn is relatively stable in the absence of intervention, and effectually all participants respond to BA supplementation (99.3% response [95%CrI: 96.2–100]).https://www.frontiersin.org/article/10.3389/fphys.2020.00913/fullnutritionphysiologymetabolismsupplementmeta-analysishistidine containing dipeptides
spellingShingle Nathália Saffioti Rezende
Paul Swinton
Luana Farias de Oliveira
Rafael Pires da Silva
Vinicius da Eira Silva
Kleiner Nemezio
Guilherme Yamaguchi
Guilherme Giannini Artioli
Bruno Gualano
Bruno Gualano
Bryan Saunders
Eimear Dolan
The Muscle Carnosine Response to Beta-Alanine Supplementation: A Systematic Review With Bayesian Individual and Aggregate Data E-Max Model and Meta-Analysis
Frontiers in Physiology
nutrition
physiology
metabolism
supplement
meta-analysis
histidine containing dipeptides
title The Muscle Carnosine Response to Beta-Alanine Supplementation: A Systematic Review With Bayesian Individual and Aggregate Data E-Max Model and Meta-Analysis
title_full The Muscle Carnosine Response to Beta-Alanine Supplementation: A Systematic Review With Bayesian Individual and Aggregate Data E-Max Model and Meta-Analysis
title_fullStr The Muscle Carnosine Response to Beta-Alanine Supplementation: A Systematic Review With Bayesian Individual and Aggregate Data E-Max Model and Meta-Analysis
title_full_unstemmed The Muscle Carnosine Response to Beta-Alanine Supplementation: A Systematic Review With Bayesian Individual and Aggregate Data E-Max Model and Meta-Analysis
title_short The Muscle Carnosine Response to Beta-Alanine Supplementation: A Systematic Review With Bayesian Individual and Aggregate Data E-Max Model and Meta-Analysis
title_sort muscle carnosine response to beta alanine supplementation a systematic review with bayesian individual and aggregate data e max model and meta analysis
topic nutrition
physiology
metabolism
supplement
meta-analysis
histidine containing dipeptides
url https://www.frontiersin.org/article/10.3389/fphys.2020.00913/full
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