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. 2022 Sep 23;19(19):12021.
doi: 10.3390/ijerph191912021.

Effectiveness of Nitrate Intake on Recovery from Exercise-Related Fatigue: A Systematic Review

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Effectiveness of Nitrate Intake on Recovery from Exercise-Related Fatigue: A Systematic Review

José M Gamonales et al. Int J Environ Res Public Health. .

Abstract

Background: Recovery between efforts is critical to achieving optimal physical and sports performance. In this sense, many nutritional supplements that have been proven to improve recovery and physical and physiological performance are widely used. Supplements such as nitrates (NO3-), including organic foods such as beets, promote muscle recovery and relieve fatigue. This study aimed to comprehensively summarise the available literature on the effect of NO3- consumption on exercise-related fatigue and muscle damage.

Methods: A systematic search was carried out based on the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) using electronic databases (e.g., PubMed, Scopus, and Web of Science). From a total of 1634 studies identified, 15 studies were included in this review.

Results: Based on the review, NO3- intake provokes physiological and metabolic responses that could potentially boost exercise-related recovery. NO3- could improve recovery indicators related to strength, pain, inflammation, and muscle damage.

Conclusions: Despite the relative proven effectiveness of NO3- on recovery after aerobic and anaerobic efforts, based on the heterogeneity of the procedures (e.g., dosage, chronic vs. acute intake, participants' characteristics, variables and outcomes), it could be premature to suggest its extended use in sports.

Keywords: anaerobic; beetroot; performance; supplement; training.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

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Figure 1
Flowchart of the identification, selection, and discrimination of articles.

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References

    1. Martínez-Guardado I., Rojas-Valverde D., Gutiérrez-Vargas R., Ugalde Ramírez A., Gutiérrez-Vargas J.C., Sánchez-Ureña B. Intermittent Pneumatic Compression and Cold Water Immersion Effects on Physiological and Perceptual Recovery During Multi-Sports International Championship. J. Funct. Morphol. Kinesiol. 2020;5:45. doi: 10.3390/jfmk5030045. - DOI - PMC - PubMed
    1. Peake J.M. Recovery after Exercise: What Is the Current State of Play? Curr. Opin. Physiol. 2019;10:17–26. doi: 10.1016/j.cophys.2019.03.007. - DOI
    1. Rawson E.S., Miles M.P., Larson-Meyer D.E. Dietary Supplements for Health, Adaptation, and Recovery in Athletes. Int. J. Sport Nutr. Exerc. Metab. 2018;28:188–199. doi: 10.1123/ijsnem.2017-0340. - DOI - PubMed
    1. Bongiovanni T., Genovesi F., Nemmer M., Carling C., Alberti G., Howatson G. Nutritional Interventions for Reducing the Signs and Symptoms of Exercise-Induced Muscle Damage and Accelerate Recovery in Athletes: Current Knowledge, Practical Application and Future Perspectives. Eur. J. Appl. Physiol. 2020;120:1965–1996. doi: 10.1007/s00421-020-04432-3. - DOI - PubMed
    1. Ammar A., Bailey S.J., Chtourou H., Trabelsi K., Turki M., Hökelmann A., Souissi N. Effects of Pomegranate Supplementation on Exercise Performance and Post-Exercise Recovery in Healthy Adults: A Systematic Review. Br. J. Nutr. 2018;120:1201–1216. doi: 10.1017/S0007114518002696. - DOI - PubMed

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