Efetividade clínica da suplementação de BCAA, L-Carnitina, Creatina, Glutamina e HMB: Um mapa de evidências

  • Georgia Muccillo Dexheimer Biomédica, Doutorado em Biotecnologia pela Universidade do Vale do Taquari-Univates, Professora da Universidade do Vale do Taquari-Univates, Lajeado-RS, Brasil.
  • Felipe Frietto de Borba Graduando em Medicina, Universidade do Vale do Taquari-Univates, Lajeado-RS, Brasil.
  • Joao Pedro Corbellini Gnoatto Graduando em Medicina, Universidade do Vale do Taquari-Univates, Lajeado-RS, Brasil.
  • Thatiane Lopes Valentim Di Pasquale Ostolin Fisioterapeuta, Mestrado Interdisciplinar em Ciências da Saúde pela Universidade Federal de São Paulo-UNIFESP; Tutora no curso de especialização em Fisiologia do Exercício Aplicada à Clínica pela UNIFESP, Santos-SP, Brasil.
Palavras-chave: Suplementos nutricionais, Hipertrofia, Exercício físico, Força muscular, Qualidade de vida

Resumo

Introdução: A hipertrofia e manutenção do tecido muscular é uma busca constante em diferentes cenários populacionais. O treinamento físico e a nutrição são fundamentais para obter tais ganhos, incluindo a suplementação. Objetivo: avaliar os efeitos da suplementação com BCAA ou aminoácidos essenciais, Creatina, L-Carnitina, Glutamina e HMB no ganho de massa muscular, força e performance em diferentes condições e grupos populacionais. Materiais e métodos: busca de artigos nas bases de dados PubMed e Biblioteca Virtual em Saúde, incluindo artigos de revisão sistemática. Foram obtidos dados das intervenções realizadas, possíveis desfechos (massa muscular, força e performance) e dados da população. Resultados: Foram incluídos 48 artigos. A população avaliada foi composta predominantemente por adultos e idosos de ambos os sexos, abordando quadros de sarcopenia, doenças crônicas ou indivíduos hígidos. A intervenção com suplementação foi combinada ou isolada, sendo associada ou não com atividade física. Os desfechos foram ganho de massa muscular, força ou resistência/performance. Em relação ao aumento de massa muscular, foram identificadas 57 intervenções diferentes com 43 casos (75%) associados a efeito positivo ou potencialmente positivo. Ainda, 39 intervenções avaliaram força e resistência muscular, sendo que 29 apresentaram efeitos positivos ou potencialmente positivos (74%). Conclusão:  Definir efeitos, dose, combinação de suplementos é importante para cada grupo populacional. Destaca-se uma necessidade de melhor definição da população avaliada, através da análise do perfil inflamatório dos indivíduos, microbiota intestinal, taxa de metabolismo basal em repouso, força máxima e VO2 máximo, níveis hormonais, etnias, comorbidades, hábitos alimentares, histórico de atividade física, entre outros.

Referências

-Abramowitz, M. K.; Hall, C. B.; Amodu, A.; Sharma, D.; Androga, L.; Hawkins, M. Muscle mass, BMI, and mortality among adults in the United States: A population-based cohort study. PloS one. Vol. 13. Num. 4. 2018. p. e0194697. doi: 10.1371/journal.pone.0194697.

-Ahmadi, A. R.; Rayyani, E.; Bahreini, M.; Mansoori, A. The effect of glutamine supplementation on athletic performance, body composition, and immune function: A systematic review and a meta-analysis of clinical trials. Clinical nutrition. Vol. 38. Num. 3. 2019. p. 1076-1091. doi: 10.1016/j.clnu.2018.05.001.

-Bear, D. E.; Langan, A.; Dimidi, E.; Wandrag, L.; Harridge, S. D. R.; Hart, N.; Connolly, B.; Whelan, K. β-Hydroxy-β-methylbutyrate and its impact on skeletal muscle mass and physical function in clinical practice: a systematic review and meta-analysis. The American journal of clinical nutrition. Vol. 109. Num. 4. 2019. p. 1119-1132. doi: 10.1093/ajcn/nqy373.

-Blue, M. N.; Tinsley, G. M.; Ryan, E. D.; Smith-Ryan, A. E. Validity of body-composition methods across racial and ethnic populations. Advances in Nutrition. Vol. 12. Num. 5. 2021. p. 1854-1862. doi: 10.1093/advances/nmab016.

-Braha, A.; Albai, A.; Timar, B.; Negru, Ș.; Sorin, S.; Roman, D.; Popovici, D. Nutritional Interventions to Improve Cachexia Outcomes in Cancer-A Systematic Review. Medicina. Vol. 58. Num. 7. 2022. p. 966. doi: 10.3390/medicina58070966.

-Branch, J.D. Effect of creatine supplementation on body composition and performance: a meta-analysis. International journal of sport nutrition and exercise metabolism. Vol. 13. Num. 2. 2003. p. 198-226. doi: 10.1123/ijsnem.13.2.198

-Cheng, H.; Kong, J.; Underwood, C.; Petocz, P.; Hirani, V.; Dawson, B.; O'Leary, F. Systematic review and meta-analysis of the effect of protein and amino acid supplements in older adults with acute or chronic conditions. British Journal of Nutrition. Vol. 119. Num. 5. 2018. p. 527-542. doi: 10.1017/S0007114517003816.

-Chilibeck, P. D.; Kaviani, M.; Candow, D. G.; Zello, G. A. Effect of creatine supplementation during resistance training on lean tissue mass and muscular strength in older adults: a meta-analysis. Open access journal of sports medicine. 2017. p. 213-226. doi: 10.2147/OAJSM.S123529.

-Deane, C. S.; Wilkinson, D. J.; Phillips, B. E.; Smith, K.; Etheridge, T.; Atherton, P. J. “Nutraceuticals” in relation to human skeletal muscle and exercise. American Journal of Physiology-Endocrinology and Metabolism. Vol. 312. Num. 4, p. E282-E299. 2017. doi: 10.1152/ajpendo.00230.2016

-Delpino, F. M.; Figueiredo, L. M.; Forbes, S. C.; Candow, D. G.; Santos, H. O. The Influence of Age, Sex, and Type of Exercise on the Efficacy of Creatine Supplementation on Lean Body Mass: A Systematic Review and Meta-analysis of Randomized Clinical Trials. Nutrition. 2022. p. 111791. doi: 10.1016/j.nut.2022.11179.

-Din, U. S. U.; Brook, M. S.; Selby, A.; Quinlan, J.; Boereboom, C.; Abdulla, H.; Franchi, M.; Narici, M. V.; Phillips, B. E.; Williams, J. W.; Rathmacher, J. A.; Wilkinson, D. J.; Atherton, P. J.; Smith, K. A double-blind placebo-controlled trial into the impacts of HMB supplementation and exercise on free-living muscle protein synthesis, muscle mass and function, in older adults. Clinical Nutrition. Vol. 38. Num. 5. 2019. p. 2071-2078. doi: 10.1016/j.clnu.2018.09.025.

-Distefano, G.; Goodpaster, B. H. Effects of exercise and aging on skeletal muscle. Cold Spring Harbor perspectives in medicine. Vol. 8. Num. 3. 2018. p. a029785, 2018. doi: 10.1101/cshperspect.a029785

-Dudgeon, W. D.; Kelley, E. P.; Scheett, T. P. In a single-blind, matched group design: branched-chain amino acid supplementation and resistance training maintains lean body mass during a caloric restricted diet. Journal of the International Society of Sports Nutrition. Vol. 13. Num. 1. 2016. p. 1. doi: 10.1186/s12970-015-0112-9

-Engelen, M. P. K. J.; Deutz, N. E. P. Is HMB an effective anabolic agent to improve outcome in older diseased populations?. Current opinion in clinical nutrition and metabolic care. Vol. 21. Num. 3. 2018. p. 207. doi: 10.1097/MCO.0000000000000459.

-Fernández-Landa, J.; Calleja-González, J.; León-Guereño, P.; Caballero-García, A.; Córdova, A.; Mielgo-Ayuso, J. Effect of the combination of creatine monohydrate plus HMB supplementation on sports performance, body composition, markers of muscle damage and hormone status: A systematic review. Nutrients. Vol. 11. Num. 10. 2019. p. 2528. doi: 10.3390/nu11102528.

-Fernández-Landa, J.; Fernández-Lázaro, D.; Calleja-González, J.; Caballero-García, A.; Córdova Martínez, A.; León-Guereño, P.; Mielgo-Ayuso, J. Effect of ten weeks of creatine monohydrate plus HMB supplementation on athletic performance tests in elite male endurance athletes. Nutrients. Vol. 12. Num. 1. 2020. p. 193. doi: 10.3390/nu12010193.

-Forbes, S. C.; Candow, D. G.; Ferreira, L. H. B.; Souza-Junior, T. P. Effects of creatine supplementation on properties of muscle, bone, and brain function in older adults: A narrative review. Journal of Dietary Supplements. Vol. 19. Num. 3. 2022. p. 318-335. doi: 10.1080/19390211.2021.1877232.

-Forbes, S. C.; Candow, D. G.; Ostojic, S. M.; Roberts, M. D.; Chilibeck, P. D. Meta-analysis examining the importance of creatine ingestion strategies on lean tissue mass and strength in older adults. Nutrients. Vol. 13. Num. 6. 2021. p. 1912. doi: 10.3390/nu13061912.

-Fouré, A.; Bendahan, D. Is branched-chain amino acids supplementation an efficient nutritional strategy to alleviate skeletal muscle damage? A systematic review. Nutrients. Vol. 9. Num. 10. 2017. p. 1047. doi: 10.3390/nu9101047.

-Francaux, M.; Deldicque, L. Exercise and the control of muscle mass in human. Pflügers Archiv-European Journal of Physiology. Vol. 471. 2019. p. 397-411. doi: 10.1007/s00424-018-2217-x.

-Grgic, J.; Schoenfeld, B. J.; Latella, C. Resistance training frequency and skeletal muscle hypertrophy: A review of available evidence. Journal of science and medicine in sport. Vol. 22. Num. 3. 2019. p. 361-370. doi: 10.1016/j.jsams.2018.09.223.

-Gualano, B.; Acquesta, F. M.; Ugrinowitsch, C.; Tricoli, V.; Serrão, J. C.; Lancha Junior, A.H. Efeitos da suplementação de creatina sobre força e hipertrofia muscular: atualizações. Revista Brasileira de Medicina do Esporte. Vol. 16. 2010. p. 219-223. doi: 10.1590/S1517-86922010000300013.

-Harris, R. C.; Nevill, M.; Harris, D. B.; Fallowfield, J. L.; Bogdanis, G. C.; Wise, J. A. Absorption of creatine supplied as a drink, in meat or in solid form. Journal of sports sciences. Vol. 20. Num. 2. 2002. p. 147-151. doi: 10.1080/026404102317200855.

-Hector, A. J.; Marcotte, G. R.; Churchward-Venne, T.A.; Murphy, C. H.; Breen, L.; Allmen, M. V.; Baker, S. K.; Phillips S. M. Whey protein supplementation preserves postprandial myofibrillar protein synthesis during short-term energy restriction in overweight and obese adults. The Journal of nutrition. Vol. 145. Num. 2. 2015. p. 246-252. doi: 10.3945/jn.114.200832

-Heymsfield, S. B.; Peterson, C. M.; Thomas, D. M.; Heo, M. S.; Schuna Junior, J. M. Why are there race/ethnic differences in adult body mass index–adiposity relationships? A quantitative critical review. Obesity reviews. Vol. 17. Num. 3. 2016. p. 262-275. doi: 10.1111/obr.12358

-Holeček, M. Beta‐hydroxy‐beta‐methylbutyrate supplementation and skeletal muscle in healthy and muscle‐wasting conditions. Journal of cachexia, sarcopenia and muscle. Vol. 8. Num. 4. 2017. p. 529-541. doi: 10.1002/jcsm.12208

-Holland, B. M.; Roberts, B. M.; Krieger, J. W.; Schoenfeld, B. J. Does HMB enhance body composition in athletes? A systematic review and meta-analysis. Journal of Strength and Conditioning Research. Vol. 36. Num. 2. 2022. p. 585-592. doi: 10.1519/JSC.0000000000003461

-Ismaiel, A.; Bucsa, C.; Farcas, A.; Leucuta, D. C.; Popa, S. L.; Dumitrascu, D. L. Effects of branched-chain amino acids on parameters evaluating sarcopenia in liver cirrhosis: systematic review and meta-analysis. Frontiers in Nutrition. Vol. 9. 2022. p. 9. doi: 10.3389/fnut.2022.749969

-Jakubowski, J. S.; Nunes, E. A.; Teixeira, F. J.; Vescio, V.; Morton, R. W.; Banfield, L.; Phillips, S. M. Supplementation with the leucine metabolite β-hydroxy-β-methylbutyrate (HMB) does not improve resistance exercise-induced changes in body composition or strength in young subjects: a systematic review and meta-analysis. Nutrients. Vol. 12. Num. 5. 2020 p. 1523. doi: 10.3390/nu12051523

-Jówko, E.; Ostaszewski, P.; Jank, M.; Sacharuk, J.; Zieniewicz, A.; Wilczak, J.; Nissen, S. Creatine and β-hydroxy-β-methylbutyrate (HMB) additively increase lean body mass and muscle strength during a weight-training program. Nutrition. Vol. 17. Num. 7-8. 2001. p. 558-566. doi: 10.1016/s0899-9007(01)00540-8

-Khemtong, C.; Kuo, C. H.; Chen, C. Y.; Jaime, S. J.; Condello, G. Does branched-chain amino acids (BCAAs) supplementation attenuate muscle damage markers and soreness after resistance exercise in trained males? A meta-analysis of randomized controlled trials. Nutrients. Vol. 13, Num. 6. p. 1880. 2021. doi: 10.3390/nu13061880

-Koeth, R. A.; Lam-Galvez, B.R.; Kirsop, J.; Wang, Z.; Levison, B. S.; Gu, X.; Copeland, M. F.; Bartlett, D.; Cody, D. B.; Dai, H. J.; Culley, M. K.; Li, X. S.; Fu, X.; Wu, Y.; Li, L.; DiDonato, J. A.; Tang, W. H. W.; Garcia-Garcia, J. C.; Hazen, S. L. l-Carnitine in omnivorous diets induces an atherogenic gut microbial pathway in humans. The Journal of clinical investigation. Vol. 129. Num. 1. 2019. p. 373-387. doi: 10.1172/JCI94601

-Komar, B.; Schwingshackl, L.; Hoffmann, G. Effects of leucine-rich protein supplements on anthropometric parameter and muscle strength in the elderly: a systematic review and meta-analysis. The journal of nutrition, health & aging. Vol. 19. 2015 p. 437-446. doi: 10.1007/s12603-014-0559-4

-Kreider, R. B.; Kalman, D. S.; Antonio, J.; Ziegenfuss, T. N.; Wildman, R.; Collins, R.; Candow, D. G.; Kleiner, S. M.; Almada, A. L.; Lopez, H. L. International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicine. Journal of the International Society of Sports Nutrition. Vol. 14. Num. 1. 2017. p. 18. doi: 10.1186/s12970-017-0173-z

-Krzywkowski, K.; Petersen, E. W.; Ostrowski, K.; Link-Amster, H.; Boza, J.; Halkjaer-Kristensen, J.; Pedersen, B. K. Effect of glutamine and protein supplementation on exercise-induced decreases in salivary IgA. Journal of Applied Physiology. Vol. 91. Num. 2. 2001 p. 832-838. doi: 10.1152/jappl.2001.91.2.832

-Lear, S. A.; Kohli, S.; Bondy, G. P.; Tchernof, A.; Sniderman, A. D. Ethnic variation in fat and lean body mass and the association with insulin resistance. The Journal of Clinical Endocrinology & Metabolism. Vol. 94. Num. 12. 2009. p. 4696-4702. doi: 10.1210/jc.2009-1030

-Lehmkuhl, M.; Malone, M.; Justice, B.; Trone, G.; Pistilli, E.; Vinci, D.; Haff, E. E.; Kilgore, J. L.; Haff, G. G. The effects of 8 weeks of creatine monohydrate and glutamine supplementation on body composition and performance measures. The Journal of Strength & Conditioning Research. Vol. 17. Num. 3. 2003 p. 425-438. doi: 10.1519/1533-4287(2003)017<0425:teowoc>2.0.co;2

-Lim, C.; Nunes, E. A.; Currier, B. S.; McLeod, J. C.; Thomas, A. C. Q.; Phillips, S. M. An Evidence-Based Narrative Review of Mechanisms of Resistance Exercise-Induced Human Skeletal Muscle Hypertrophy. Medicine and Science in Sports and Exercise. Vol. 54. Num. 9. 2022. p. 1546. doi: 10.1249/MSS.0000000000002929

-Lim, J. J.; Zurinah, W. N. W.; Mouly, V.; Norwahidah, A. K. Tocotrienol-rich fraction (TRF) treatment promotes proliferation capacity of stress-induced premature senescence myoblasts and modulates the renewal of satellite cells: microarray analysis. Oxidative medicine and cellular longevity. Vol. 2019. 2019. doi: 10.1155/2019/9141343

-Lin, Z.; Zhao, A.; He, J. Effect of β-hydroxy-β-methylbutyrate (HMB) on the Muscle Strength in the Elderly Population: A Meta-Analysis. Frontiers in Nutrition. p. 1359. 2022. doi: 10.3389/fnut.2022.914866

-Martínez-Arnau, F. M.; Fonfría-Vivas, R.; Cauli, O. Beneficial effects of leucine supplementation on criteria for sarcopenia: a systematic review. Nutrients. Vol. 11. Num. 10. 2019. p. 2504. doi: 10.3390/nu11102504

-Matsuzawa, R.; Yamamoto, S.; Suzuki, Y.; Abe, Y.; Harada, M.; Shimoda, T.; Imamura, K.; Yamabe, S.; Ito, H.; Yoshikoshi, S.; Imai, H.; Onoe, H.; Matsunaga, A.; Tamaki, A. The effects of amino acid/protein supplementation in patients undergoing hemodialysis: a systematic review and meta-analysis of randomized controlled trials. Clinical nutrition ESPEN. Vol. 44. 2021. p. 114-121. doi: 10.1016/j.clnesp.2021.04.027

-Meyer, H.; Wienke, A.; Surov, A. CT-defined low-skeletal muscle mass as a prognostic marker for survival in prostate cancer: a systematic review and meta-analysis. In: Urologic Oncology: Seminars and Original Investigations. 2022. p. 103. e9-103. e16. doi: 10.1016/j.urolonc.2021.08.009

-Mitchell, W.K.; Williams, J.; Atherton, P.; Larvin, M.; Lund, J.; Narcici, M. Sarcopenia, dynapenia, and the impact of advancing age on human skeletal muscle size and strength; a quantitative review. Frontiers in physiology. Vol. 3. 2012. p. 260. doi: 10.3389/fphys.2012.00260

-Mohammadi, H.; Djalali, M.; Daneshpazhooh, M.; Honarvar, N.M.; Chams-Davatchi, C.; Sepandar, F.; Javanbakht, M.H. Effects of L-carnitine supplementation on biomarkers of oxidative stress, antioxidant capacity and lipid profile, in patients with pemphigus vulgaris: a randomized, double-blind, placebo-controlled trial. European Journal of Clinical Nutrition. Vol. 72. Num. 1. 2018 p. 99-104.

-Nichols, S.; McGregor, G.; Al-Mohammad, A.; Ali, A.N.; Tew, G.; O’Doherty, A.F. The effect of protein and essential amino acid supplementation on muscle strength and performance in patients with chronic heart failure: a systematic review. European Journal of Nutrition. Vol. 59. Num. 5. 2020. p. 1785-1801.

-Nunes, E. A.; Colenso-Semple, L.; McKellar, S.R.; Yau, T.; Ali, M.U.; Fitzpatrick-Lewis, D.; Sherifali, D.; Gaudichon, C.; Tomé, D.; Atherton, P.J.; Robles, M.C.; Naranjo-Modad, S.; Braun, M.; Landi, F.; Phillips, S.M. Systematic review and meta‐analysis of protein intake to support muscle mass and function in healthy adults. Journal of cachexia, sarcopenia and muscle. Vol. 13. Num. 2. 2022 p. 795-810. doi: 10.1002/jcsm.12922

-Nunes, J.P.; Grgic, J.; Cunha, P.M.; Ribeiro, A.S.; Schoenfeld, B.J.; Salles, B.F.; Cyrino, E.S. What influence does resistance exercise order have on muscular strength gains and muscle hypertrophy? A systematic review and meta-analysis. European journal of sport science. Vol. 21. Num. 2. 2020. p. 149-157. doi: 10.1080/17461391.2020.1733672

-Oktaviana, J.; Zanker, J.; Vogrin, S.; Duque, G. The effect of β-hydroxy-β-methylbutyrate (HMB) on sarcopenia and functional frailty in older persons: a systematic review. The journal of nutrition, health & aging. Vol. 23. 2019. p. 145-150. doi: 10.1007/s12603-018-1153-y

-Ooi, P.H.; Gilmour, S.M.; Yap, J.; Mager, D.R. Effects of branched chain amino acid supplementation on patient care outcomes in adults and children with liver cirrhosis: A systematic review. Clinical nutrition ESPEN. Vol. 28. 2018. p. 41-51. doi: 10.1016/j.clnesp.2018.07.012

-Ouzzani, M.; Hammady, H.; Fedorowicv, Z.; Elmagarmid, A. Rayyan-a web and mobile app for systematic reviews. Systematic reviews. Vol. 5. 2016 p. 1-10.

-Park, S.Y.; Kwon, O.S.; Andtbacka, R.H.I.; Hyngstrom, J.R.; Reese, V.; Murphy, M.P.; Richardson, R.S. Age‐related endothelial dysfunction in human skeletal muscle feed arteries: the role of free radicals derived from mitochondria in the vasculature. Acta Physiologica. Vol. 222. Num. 1. 2018. p. e12893 doi: 10.1111/apha.12893

-Pereira, A.Z.; Uezima, C.B.; Zanella, M.T.; Prado, R.R.D.; Gonzalez, M.C.; Zheng, J.; Heymsfield, S.B. Muscle echogenicity and changes related to age and body mass index. Journal of Parenteral and Enteral Nutrition. Vol. 45. Num. 7. 2021. p. 1591-1596. doi: 10.1002/jpen.2030

-Phillips, S.M.; Lau, K.J.; D’Souza, A.C.; Nunes, E.A. An umbrella review of systematic reviews of β‐hydroxy‐β‐methyl butyrate supplementation in ageing and clinical practice. Journal of Cachexia, Sarcopenia and Muscle. Vol. 13. Num. 5. 2022. p. 2265-2275, doi: 10.1002/jcsm.13030

-Prado, C.M.; Orsso, C.E.; Pereira, S.L.; Atherton, P.J.; Deutz, N.E.P. Effects of β‐hydroxy β‐methylbutyrate (HMB) supplementation on muscle mass, function, and other outcomes in patients with cancer: a systematic review. Journal of Cachexia, Sarcopenia and Muscle. Vol. 13. Num. 3. 2022. p. 1623-1641. doi: 10.1002/jcsm.12952

-Ringseis, R.; Keller, J.; Eder, K. Mechanisms underlying the anti-wasting effect of L-carnitine supplementation under pathologic conditions: evidence from experimental and clinical studies. European journal of nutrition. Vol. 52. 2013. p. 1421-1442. doi: 10.1007/s00394-013-0511-0

-Rinninella, E.; Cintoni, M.; Raoul, P.; Pozzo, C.; Strippoli, A.; Bria, E.; Mele, M. C. Muscle mass, assessed at diagnosis by L3-CT scan as a prognostic marker of clinical outcomes in patients with gastric cancer: a systematic review and meta-analysis. Clinical Nutrition. Vol. 39. Num. 7. 2020. p. 2045-2054. doi:10.1016/j.clnu.2019.10.021

-Romanello, V.; Sandri, M. The connection between the dynamic remodeling of the mitochondrial network and the regulation of muscle mass. Cellular and Molecular Life Sciences. Vol. 78. Num. 4. 2021. p. 1305-1328. doi: 10.1007/s00018-020-03662-0

-ROSES. Reporting standards for Systematic Evidence Syntheses. 2020. Disponível em: <https://estech.shinyapps.io/roses_flowchart/>. Acessado em 09/05/2023.

-Ryan, A.M.; Sullivan, E.S. Impact of musculoskeletal degradation on cancer outcomes and strategies for management in clinical practice. Proceedings of the Nutrition Society. Vol. 80. Num. 1. 2021. p. 73-91. doi: 10.1017/S0029665120007855

-Samimi, M.; Jamilian, M.; Ebrahimi, F. A.; Rahimi, M.; Tajbakhsh, B.; Asemi, Z. Oral carnitine supplementation reduces body weight and insulin resistance in women with polycystic ovary syndrome: a randomized, double‐blind, placebo‐controlled trial. Clinical endocrinology. Vol. 84. Num. 6. 2016. p. 851-857. doi: 10.1111/cen.13003

-Sanchez-Martinez, J.; Santos-Lozano, A.; Garcia-Hermoso, A.; Sadarangani, K. P.; Cristi-Montero, C. Effects of beta-hydroxy-beta-methylbutyrate supplementation on strength and body composition in trained and competitive athletes: A meta-analysis of randomized controlled trials. Journal of Science and Medicine in Sport. Vol. 21. Num. 7. 2018. p. 727-735. doi: 10.1016/j.jsams.2017.11.003

-Sartori, R.; Romanello, V.; Sandri, M. Mechanisms of muscle atrophy and hypertrophy: Implications in health and disease. Nature communications. Vol. 12. Num. 1. 2021. p. 330. doi: 10.1038/s41467-020-20123-1

-Santos, E. E. P.; Araújo, R. C.; Candow, D. G.; Forbes, S. C.; Guijo, J. A.; Almeida Santana, C. C.; Prado, W. L. D.; Botero, J. P. Efficacy of creatine supplementation combined with resistance training on muscle strength and muscle mass in older females: a systematic review and meta-analysis. Nutrients. Vol. 13. Núm. 11. p. 3757. 2022. doi: 10.3390/nu13113757.

-Sawaki, K.; Takaoka, I.; Sakuraba, K.; Suzuki, Y. Effects of distance running and subsequent intake of glutamine rich peptide on biomedical parameters of male Japanese athletes. Nutrition research. Vol. 24. Num. 1. 2004 p. 59-71. doi: 10.1016/j.nutres.2003.09.008

-Sawicka, A. K.; Renzi, G.; Olek, R. A. The bright and the dark sides of L-carnitine supplementation: a systematic review. Journal of the International Society of Sports Nutrition. Vol. 17. Num. 1. 2020. p. 49. doi: 10.1186/s12970-020-00377-2

-Schoenfeld, B. J.; Ogborn, D.; Krieger, J. W. Effects of resistance training frequency on measures of muscle hypertrophy: a systematic review and meta-analysis. Sports medicine. Vol. 46. Num. 11. 2016. p. 1689-1697. doi: 10.1007/s40279-016-0543-8

-Schveitzer, M. C.; Abdala, C. V. M.; Portella, C. F. S.; Ghelman, R. Traditional, complementary, and integrative medicine evidence map: a methodology to an overflowing field of data and noise. Revista Panamericana de Salud Pública. Vol. 45. 2021. p. e48. doi: https://doi.org/10.26633/RPSP.2021.48

-Shea, B. J.; Reeves, B.C.; Wells, G.; Thuku, M.; Hamel, C.; Moran, J.; Henry, D.A. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. bmj. Vol. 358. 2017. doi: https://doi.org/10.1136/bmj.j4008

-Snijders, T.; Aussieker, T.; Holwerda, A.; Parise, G.; Van loon, L.J.C.; Verdijk, L.B. The concept of skeletal muscle memory: Evidence from animal and human studies. Acta Physiologica. Vol. 229. Num. 3. 2020 p. e13465. doi: 10.1111/apha.13465

-Stares, A.; Bains, M. The additive effects of creatine supplementation and exercise training in an aging population: a systematic review of randomized controlled trials. Journal of Geriatric Physical Therapy. Vol. 43. Num. 2. 2019 p. 99-112. doi: 10.1519/JPT.0000000000000222

-Surov A.; Pech M.; Gessner, D.; Mikusko, M.; Fischer, T.; Alter, M.; Wienke, A. Low skeletal muscle mass is a predictor of treatment related toxicity in oncologic patients. A meta-analysis. Clinical Nutrition. Vol. 40. Num. 10. 2021 p. 5298-5310. doi: 10.1016/j.clnu.2021.08.023

-Thoma A.; Akter-Miah, T.; Reade, R. L.; Lightfoot, A. P. Targeting reactive oxygen species (ROS) to combat the age-related loss of muscle mass and function. Biogerontology. Vol. 21. 2020. p. 475-484. doi: 10.1007/s10522-020-09883-x

-Tieland, M.; Franssen, R.; Dullemeijer, C.; Van Dronkelaar, C.; Kyung Kim, H.; Ispoglou, T.; Zhu, K.; Prince, R.L.; Van Loon, L.J.C.; Groot L. C. P. G. M. The Impact of dietary protein or amino acid supplementation on muscle mass and strength in elderly people. Vol. 21. Num. 9. 2017. p. 994-1001. doi: 10.1007/s12603-017-0896-1.

-Vybornaya, K. V.; Sokolov, A. I.; Kobelkova, I. V.; Lavrienko, S.V.; Klochkova, S. V.; Nikityuk, D. B. Basal metabolic rate as an integral indicator of metabolism intensity. Voprosy pitaniia. Vol. 86. Num. 5. 2017. p. 5-10. doi: 10.24411/0042-8833-2017-00069.

-Welch, A. A.; Jennings, A.; Kelaiditi, E.; Skinner, J.; Steves, C. J. Cross-sectional associations between dietary antioxidant vitamins C, E and carotenoid intakes and sarcopenic indices in women aged 18-79 years. Calcified Tissue International. Vol. 106. 2019. p. 331-342. doi: 10.1007/s00223-019-00641-x

-Wilkinson, D. J.; Piasecki M.; Atherton, P. J. The age-related loss of skeletal muscle mass and function: Measurement and physiology of muscle fibre atrophy and muscle fibre loss in humans. Ageing research reviews. Vol. 47. 2018. p. 123-132. doi: 10.1016/j.arr.2018.07.005

-WHO. World Health Organization. Invisible numbers: the true extent of noncommunicable diseases and what to do about them. 2022.

-Xu, Z. R.; Tan, Z. J.; Zhang, Q.; Gui, Q. F.; Yang, Y.M. Clinical effectiveness of protein and amino acid supplementation on building muscle mass in elderly people: a meta-analysis. PloS one. Vol. 9. Num. 9. 2014. p. e109141. doi: 10.1371/journal.pone.0109141

-Zhou, J.; Liao, Z.; Jia, J.; Chen, J. L.; Xiao, Q. The effects of resveratrol feeding and exercise training on the skeletal muscle function and transcriptome of aged rats. PeerJ. Vol. 7. p. e7199. 2019. doi: 10.7717/peerj.7199

Publicado
2024-02-22
Como Citar
Dexheimer, G. M., Borba, F. F. de, Gnoatto, J. P. C., & Ostolin, T. L. V. D. P. (2024). Efetividade clínica da suplementação de BCAA, L-Carnitina, Creatina, Glutamina e HMB: Um mapa de evidências. RBNE - Revista Brasileira De Nutrição Esportiva, 18(108), 111-134. Recuperado de https://www.rbne.com.br/index.php/rbne/article/view/2250
Seção
Artigos Científicos - Revisão