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临床试验/NCT04277364
NCT04277364Unknown不适用

Effects of Phosphatidic Acid Supplementation on Strength and Hypertrophic Responses to Strength Training

University of Sao Paulo2 个研究点 分布在 1 个国家目标入组 45 人开始时间: 2020年8月17日最近更新:
适应症

试验速览

阶段
不适用
入组人数
45
试验地点
2
主要终点
Compare muscle hypertrophy responses

研究概览

简要总结

There are indications that phosphatidic acid (PA) supplementation is capable of enhancing gains in strength and muscle mass in response to strength training, although the literature is still incipient and controversial. Given the possible benefits in terms of maintenance and increased skeletal muscle mass, which still need confirmation, this study aims to examine the effectiveness of PA supplementation in two different doses in increasing skeletal muscle mass and strength in adult men undergoing to 8 weeks of strength training. For this, about 45 men will be randomly allocated to one of three treatments at a ratio of 1:1:1: PA 750mg per day, PA 375mg per day, or placebo (cornstarch, 750mg per day). All participants will undergo a 8-week strength training program, 3 times a week, totaling 24 sessions, which will begin with the start of supplementation. Individuals will be assessed for maximum dynamic strength of upper and lower limbs, resistance to dynamic strength of upper and lower limbs, body composition, muscle cross-sectional area and food consumption. Samples of venous blood will also be collected to determine the concentration of creatine kinase (CK), lactate dehydrogenase (LDH), testosterone, insulin-like growth factor type 1 (IGF-1), growth hormone (GH) and cortisol. These evaluations will be carried out before (PRE) and after (POST) the period of supplementation and training. Additional blood samples will be taken 48 hours after the first and last training sessions, for specific determination of blood muscle damage markers: CK and LDH.

详细描述

There are indications that phosphatidic acid (PA) supplementation is capable of enhancing gains in strength and muscle mass in response to strength training, although the literature is still incipient and controversial. The present study will adopt a randomized, double-blind, parallel group and placebo-controlled design, with the objective of evaluating the effectiveness of chronic phosphatidic acid supplementation in gaining maximum dynamic muscle strength, body composition and muscle cross-sectional area in trained adult individuals submitted to a strength training program.

About 45 men will be randomly allocated to one of the three treatments, in the proportion 1: 1: 1: PA 750mg per day, PA 375 per day, or placebo (corn starch, 750 per day), for 8 weeks. The allocation of participants to the experimental groups will be randomized using software (www.random.org). In addition to the pairing, the groups will be equalized by the maximum dynamic force (sum of the upper and lower limb loads) of the participants at the PRE moment. For randomization, proportional distribution between groups and equalization by maximum force, participants will be recruited in blocks of 6 or 9 participants, which will be ranked based on their maximum strength, with these procedures being carried out within each block. Random sequences of numbers 1, 2 and 3, representing the treatments PA high dose, PA low dose and placebo, will be randomly distributed to each three participants within each block, respecting the ranking by maximum force.

All participants will be submitted to a 8-week strength training program, 3 times a week, totaling 24 sessions, which will start at the beginning of supplementation. The training will follow the daily wavy periodization model.In this model, the weekly training sessions are called A, B and C, with the total volume changed at each session, as follows: in sessions A, participants will do 3 sets of each exercise, in sessions B, 4 sets of each exercise and, in sessions C, again 3 sets of each exercise. Participants will perform the following exercises: bench press, 45º leg-press, pulley pull, squat on the guided bar and leg extension in the extension chair. The interval between sets will be 60 seconds and, between exercises, 90 seconds. The loads will be individually adjusted for each series, in such a way that the participants are able to perform between 8 and 12 maximum repetitions (until the concentric failure or until the participant cannot maintain an adequate pattern of movement).

Before and after treatments, participants will be evaluated for the following parameters: body composition, maximum dynamic strength of upper limbs (1RM supine) and lower limbs (1RM leg-press), dynamic strength resistance of upper and lower limbs, cross-sectional area of the vastus lateralis and rectus femoris muscles via ultrasound.The following blood parameters will also be evaluated: CK, LDH, free testosterone, IGF-1, GH and cortisol through immunoenzymatic, colorimetric enzymatic or fluorimetric enzymatic assays. Additional blood collections will be performed 48 hours after the first and last sessions training for specific determination of blood muscle damage markers: CK and LDH.

The assessment of maximum strength will be performed on leg-press equipment, for the lower limbs, and supine, for the upper limbs. The tests for assessing maximum dynamic strength (1RM) will follow methods proposed by the American Society for Exercise Physiology (Brown & Weir, 2001). The evaluation of dynamic strength endurance will be performed in leg-press and bench press exercises where the volunteers must perform repetitions until fatigue with a load equivalent to 70% of 1RM, which will be previously determined in the maximum strength test. Participants will have to perform the maximum number of repetitions until reaching the concentric failure. Each individual will perform 3 sets with an interval of 2 minutes between them.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 35 Years(Adult)
性别
Male
接受健康志愿者

入选标准

  • 6 months of continuous strength training, with a minimum weekly volume of 3 hours of training
  • Minimum dynamic maximum strength index of 1.1 times the body weight for bench press and 2.5 times the body weight for leg press
  • Consume> 1.7g of protein per kilo of body weight in their diets
  • Keeping body weight stable in the 3 months prior to the study

排除标准

  • History of use of anabolic-androgenic steroids
  • Use of dietary supplements that may affect strength or muscle mass in the last 3 months before the study
  • Presence of infectious disease in the last 4 weeks prior to the study
  • Chronic use of drugs that can potentially affect the variables that will be assessed
  • Any condition that prevents the performance of maximum strength tests or strength training

结局指标

主要结局

Compare muscle hypertrophy responses

时间窗: 8 weeks

The architecture of the vastus lateralis and rectus femoris muscles will be evaluated with a B-mode ultrasound, with a linear vector transducer and a frequency of 7.5 MHz (Samsung, Sonaance R3).For this, the volunteers will be placed in the supine position with legs extended. An experienced researcher will delimit, with semi-permanent ink, the point on which the measurements will be taken. The skin will then be marked transversely (angle of 90 with the lateral epicondyle of the tibia) every 2 cm for measurements. The transducer, aligned perpendicular to the muscle, will be moved from a central position to a lateral position along the pre-established boundaries. The contact pressure will be kept minimal and stable during each measurement. Finally, the images obtained will be assembled in such a way that the cross-sectional area of the vast side is established, which will be subsequently evaluated by the Madena 3.2.1 free-use image digitization software.

Compare muscle strength responses

时间窗: 8 weeks

Assessments of the maximum dynamic strength and the dynamic strength resistance of the upper and lower limbs will be performed before and after treatment. The evaluation of the maximum dynamic strength will be performed on leg-press equipment, for the lower limbs, and bench press, for the upper limbs. The tests for assessing maximum dynamic strength (1RM) will follow methods proposed by the American Society for Exercise Physiology (Brown \& Weir, 2001). After determining the 1-RM, the test will be repeated 5 days later to confirm the maximum loads. The tests will be repeated as many times as necessary until the difference between charges is less than 5%. The evaluation of dynamic strength endurance will be performed in leg-press and bench press exercises where the volunteers must perform repetitions until fatigue with a load equivalent to 70% of 1RM. Participants will have to perform the maximum number of repetitions until reaching the concentric failure.

次要结局

  • Assess effects on body composition(8 weeks)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Bruno Gualano

Associate Professor

University of Sao Paulo

研究点 (2)

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