The effect of almond consumption on elements of endurance exercise performance in trained athletes
© Yi et al.; licensee BioMed Central Ltd. 2014
Received: 26 December 2013
Accepted: 30 April 2014
Published: 11 May 2014
Almonds are a healthy tree nut food with high nutrient density. Their consumption has been shown to ameliorate oxidative stress, inflammation, etc. The objective of the study was to examine the effect of almonds on elements of endurance exercise performance in trained athletes.
A 10-week crossover, placebo controlled study was conducted. Eight trained male cyclists and two triathletes were randomly assigned to consume 75 g/d whole almonds (ALM) or isocaloric cookies (COK) with equal subject number. They consumed the assigned food for 4 wks and then the alternate food for another 4 wks. They underwent 3 performance tests including 125-min steady status exercise (SS) and 20-min time trial (TT) on an indoor stationary trainer at the start of the study (BL) and at the end of each intervention phase. Venous blood was collected in the morning prior to the performance test for biochemical measurements and finger blood during the test for glucose determination. Carbohydrate and fat oxidation, energy expenditure, and oxygen use were calculated using respiratory gas analysis.
ALM increased cycling distance during TT by 1.7 km as compared BL (21.9 vs. 20.2 km, P = 0.053) and COK increased 0.6 km (20.8 vs. 20.2 km, P > 0.05). ALM, but not COK, led to higher CHO and lower fat oxidation and less oxygen consumption during TT than BL (P < 0.05), whereas there was no significant difference in heart rate among BL, ALM and COK. ALM maintained higher blood glucose level after TT than COK (P < 0.05). ALM had higher vitamin E and haemoglobin and lower serum free fatty acid (P < 0.05), slightly elevated serum arginine and nitric oxide and plasma insulin (P > 0.05) than BL, and a higher total antioxidant capacity than COK (P < 0.05).
Whole almonds improved cycling distance and the elements related to endurance performance more than isocaloric cookies in trained athletes as some nutrients in almonds may contribute to CHO reservation and utilization and effective oxygen utilization. The results suggest that almonds can be incorporated into diets of those who undertake exercise training for performance improvement.
Almonds (Prunus dulcis) are nutrient dense because they are an excellent source of α-tocopherol, riboflavin, magnesium, and manganese, and a good source of dietary fiber, protein, copper and phosphorus [1, 2]. Further, almonds are rich in arginine, a substrate for synthesis of the endothelial dilator, nitric oxide . Almonds are also a source of monounsaturated fats, containing over 9 g per oz (~28 g) . A diverse array of phenolic and polyphenolic compounds, predominantly including flavonoids, e.g., isorhamnetin-3-O-rutinoside and catechin, have been characterized in almonds . This nutrient profile plays an important role in human studies that showed almond consumption was linked to amelioration in biomarkers of oxidative stress [6, 7] and inflammation [8, 9] and enhancement in LDL resistance against oxidation , and improvement in dyslipidemia [11–15]. In July 2003, the U.S. Food and Drug Administration (FDA) approved a qualified health claim stating, “Scientific evidence suggests but does not prove that eating 1.5 ounces per day of most nuts, such as almonds, as part of a diet low in saturated fat and cholesterol may reduce the risk of heart disease.”
Intense, prolonged physical exertion is linked to an increased production of reactive oxygen species (ROS) via oxidative flux into the mitochondrial respiration chain, phagocytic respiratory bursts, and other sources . Such overproduction of ROS overwhelms antioxidant defense capacities, disturbs the balance of immune and endocrine systems, impairs exercise performance, and induces exercise fatigue [17, 18]. As almonds are a good source of unsaturated fatty acids, antioxidants and some micronutrients, they may help maintain and/or enhance exercise performance by modulating fuel utilization and strengthening antioxidant defenses. For example, quercetin [19–22] and arginine [23–27] present in almonds may help augment the training effectiveness on exercise performance by up-regulating mitochondrial biogenesis and oxygen sparing capacity and facilitating oxygen delivery to skeletal muscle, and decreasing ammonia liberation.
As of today, the effect of almond consumption on elements of exercise performance in trained athletes remains unknown. We hypothesized that almond consumption could improve exercise performance in trained endurance athletes. The main objective of the study was to investigate whether consumption of almonds would improve elements related to exercise performance as compared to isocaloric cookies in trained athletes participating in annual winter training.
Biometrics of the training subjects
Participants (n = 10)
Cyclists (n = 8)
Triathletes (n = 2)
22.3 ± 1.6
23.2 ± 0.8
20.3 ± 0.6
180.6 ± 7.2
184.0 ± 2.0
172.7 ± 0.6
74.2 ± 7.7
77.5 ± 2.3
66.5 ± 0.5
70.3 ± 4.6
70.4 ± 5.6
70.2 ± 0.6
6.3 ± 1.6
7.2 ± 0.8
4.3 ± 0.6
The study was approved by the Ethical Board of National Institute of Sports Medicine (NISM) and was in compliance with the WMA Declaration of Helsinki. The study protocol was approved by the Review Board of NISM. All athletes signed the consent form before the study.
Study design, VO2max test and food consumption
The individual VO2max test was determined using an incremental workload (Watts) on a cycling ergometer (Lode Excalibur Sport, Groningen, Netherlands) 1 week prior to BL performance test. A 100-watt initial workload and 25-watt increment per minute were applied. Respiratory gas was measured using a Cortex MetaMax® 3B remote-controlled system (Cortex Biophysik, Germany), which provides a reliable gas exchange analysis based on the principle of breath-by-breath analysis [28, 29]. The system was calibrated with a calibration gas (5% CO2, 15% O2, BAL. N2) (Air Liquide Healthcare America Corporation, Plumsteadville, PA, USA) prior to the VO2max test and each performance test.
After the BL performance test, subjects began to consume raw whole almonds (75 g/d as described by Xiao et al. ) as 1.8 times the FDA’s claim considered to meet the athletes’ need for intensive training or isocaloric starch-based commercial cookies (90 g/d), which was split equally into three portions fed before three main meals. We chose cookies as the placebo because they are carbohydrate-containing convenient snacks beneficial to exercise training and commonly used by the subjects. Additionally, 90 g of isocaloric cookies have a similar weight but a very different nutritional profile as 75 g of almonds (Additional file 1). In consideration of the unknown effective dosage of almonds for athletes we did not use a lower feeding of almonds. We recognized that the subjects were also aware of almonds as a kind of healthy food, while they seldom had it as snacks due to relative high cost.
Almonds were generously provided by the Almond Board of California. Nutrition information for 75 g almonds and 90 g cookies are presented in Additional file 1.
Exercise performance test
Subjects stopped their regular training one day before performance test. They reported to testing room either at 8:30 am or 2:30 pm, 1.5 h after standard breakfast or lunch. Each subject used the same indoor stationary bicycle trainer in all 3 performance tests and followed the same testing protocol with the same settings (Additional file 2, a representative video). The same trainer was also used for their routine training. The test consisted of 10 min of warm-up at 30% VO2max, 115 min of steady-state (SS) cycling at 50-60% VO2max, 20 min of time trial (TT) at all-out effort following a 10-min relaxation (for collection of urine). Expired gas composition and temperature, HR, ambient temperature and humidity during whole TT were monitored using Cortex MetaMax® 3B System and Polar 725 heart rate monitor. Carbohydrate (CHO) and fat utilization was calculated based on the equation built in the software by selecting an assumed 15% total energy expenditure derived from protein.
The rating of perceived exertion (RPE) using the 6-20 Borg scale was surveyed at 20-min intervals throughout the test. The pre- and post-testing body mass (BM) with removal of their racing suit was checked using an electronic BM scale. Urine sample was collected during 10-min relax time of the performance test for volume determination. To ensure subjects were enthusiastic about the test and performed at their highest level, they were informed at the beginning of the test that a prize would be awarded to the winner cycling the longest distance during TT.
Blood samples collection and biochemical measurements
Venous blood was collected from anticubital arm vein into vacutainer tubes before the performance tests. Heparin plasma and serum were obtained after centrifugation at 3000 × g for 10 min. Samples were stored at -80°C until analyses. Finger blood was obtained via puncture for glucose determination at 0, 60, 125 and 155 min during the test.
Free fatty acid (FFA), pyruvic acid (PA), and total antioxidant capacity (TAOC) in plasma were determined using commercial kits (Randox Laboratories Ltd, Crumlin, UK), and an auto-biochemical analyzer (Hitachi, Tokyo, Japan). Plasma VE, malondialdehyde (MDA) and arginine levels, xanthine oxidase (XOD) and glutathione peroxidase (GPx) and superoxide dismutase (SOD) and creatine kinase (CK) activities, and blood urea nitrogen (BUN) and nitric oxide (NO) were measured using spectrophotometric kits (Jiancheng Bioengineering Institute, Nanjing, China). Serum insulin (Ins) and cortisol (Cor) concentrations were measured using radioimmunoassay kit (Jiuding Diagnostic, Tianjin, China). Blood glucose (BG) was determined using handheld blood glucose analyzer (One Touch, LifeScan, Inc. Milpitas, CA).
Diet and dietary record
All subjects lived in a winter training camp and dined in the same canteen throughout the study, and were advised by a registered dietician to follow a diet with 60% total calories from CHO, 15% from protein, and 25% from fat for 2 days before each performance test. Generally subjects had a typical Chinese breakfast consisting of one chicken egg, two servings of steamed breads or noodles, deep-fried dough sticks, rice congee, bean milk, some meat, some vegetables and appetizers, and lunch and dinner consisting of meat, steamed rice, steamed breads, noodles, soup, milk, fruit and vegetables, etc.
To assess dietary intake throughout the study, a 2-day food record was conducted at week 2, 4, 8, and 10. Chinese food database (issued by Chinese Society of Nutrition) was used for nutritional analysis (Additional file 3). During the regular training, subjects were allowed to drink 6% CHO-electrolytes-vitamins (without VE) beverage (Competitor, Beijing, China) with an average amount of 1500 ml/d. Ten minutes prior to the performance test, subjects checked their BM after emptying bladder, and ingested 2.0% CHO-electrolytes-vitamins (without VE) beverage at 6 mL/kg BM for the pre-testing hydration, 2.5 mL/kg/15 min during SS. No beverage was provided during TT. Subjects did not take any other dietary supplements throughout the study.
Exercise training regimen
Basically, all subjects had their road cycling training together, whereas two triathletes had their run and swim training in the same training site throughout the study. Briefly, based on their training plan, subjects trained 5-6 days a week with incremental increase in training amount and intensity throughout the study. Detailed content of daily and weekly training was made by coaches on each weekend. The typical daily cycling training regimen consisted of 60-200 km (even 220-250 km) road endurance cycling, 2-3 km*N (N = 2-8) timing sprint cycling on the flat road and sloping fields. Exercise intensity was monitored by HR. Eight cyclists had a weekly road cycling distance of 2840 km and 3110 km during two phases, respectively (Additional file 4). Two triathletes had an average 380-km of road cycling weekly during two phases.
Limitation of the present study
Blood biochemistries pre-performance tests
3.9 ± 0.15
3.2 ± 0.5
3.2 ± 0.3
13.3 ± 0.4
13.1 ± 0.9
12.4 ± 1.0
16.1 ± 0.5
12.8 ± 1.0*
16.3 ± 0.9#
0.41 ± 0.01
0.45 ± 0.05
0.43 ± 0.05
58.7 ± 1.4
61.2 ± 1.4
59.5 ± 1.4
19.8 ± 1.8
25.6 ± 1.7
28.7 ± 2.5*
Training, recovery and oxygen-carrying capacity
224.2 ± 32.9
354.7 ± 62.9
288.3 ± 81.1
6.5 ± 0.5
7.3 ± 0. 7
6.6 ± 0.6
136.6 ± 2.5
143.2 ± 3.7
145.7 ± 2.7*
Carbohydrate and lipid metabolism production
5.6 ± 0.2
5.3 ± 0.3
5.4 ± 0.2
0.42 ± 0.05
0.44 ± 0.07
0.44 ± 0.07
0.22 ± 0.04
0.16 ± 0.03
0.11 ± 0.01*
0.073 ± 0.005
0.089 ± 0.011
0.113 ± 0.031
99.6 ± 10.6
113.1 ± 15.3
136.0 ± 18.1
5.5 ± 0.9
5.3 ± 1.6
9.4 ± 2.3
20.3 ± 0.9
22.3 ± 2.3
22.0 ± 1.7
According to the balanced crossover design we combined the data of the same treatment in two phases for statistical analysis.
All results are expressed as mean ± SE except when specified elsewhere. Two-way ANOVA was performed to analyze the differences among groups. Significance was analyzed using post hoc least significant difference (LSD) test. All statistical analyses were performed using SPSS 13.0 software. Differences were considered significant at P < 0.05.
Rate of perceived exertion
Ambient temperature and humidity, and expired gas temperature
Mean ambient temperature during the performance test at BL was about ~1.3°C higher than COK and ALM (26.9 ± 0.4 vs 25.6 ± 0.3 and 25.6 ± 0.2°C, P < 0.05). The humidity during the performance test at BL was higher than COK and ALM (68.5 ± 1.4 vs 53.2 ± 2.0 and 52.7 ± 1.4%, P < 0.05). Mean expired gas temperature during the performance test at BL was 0.6°C higher than COK and ALM (BL vs COK and ALM: 32.6 ± 0.1 vs 32.0 ± 0.1 and 32.1 ± 0.1°C, P < 0.05).
Change in BM post-performance tests
73.9 ± 2.6
72.6 ± 2.6&
1.3 ± 0.2
74.7 ± 2.1
72.7 ± 2.1&
2.0 ± 0.2*
74.9 ± 2.4
72.8 ± 2.4&
2.1 ± 0.2*
Physiological indicators and gas exchange analysis
Among the biomarkers reflecting subjects’ antioxidant status, TAOC in COK was decreased, while ALM’s level, which was higher than that in COK, was not changed as compared to BL. ALM, not COK, had a higher blood VE than BL (Table 2). Other indicators were not significantly changed (Table 2).
The indicators of training and recovery, CK and BUN, were not affected by the interventions. Hb in ALM was higher than BL (Table 2).
Serum FFA, but not BG and PA in ALM, which are indicative of carbohydrate and fat metabolic production, were lower than BL (Table 2).
Some metabolism-regulating factors like arginine, NO and Ins, were not different among BL, COK and ALM, whereas ALM had slightly higher levels than COK (Table 2).
The dietary intakes of energy, carbohydrate, total fat (including saturated and mono- and multi-unsaturated fatty acids), protein, total VE and arginine were not different between COK and ALM (Additional file 3).
The present study showed that 4-week consumption of both 75 g/d whole almonds and isocaloric cookies during the winter training season improved cycling distance of time trial and elements of exercise performance relative to BL, with a greater change in the ALM, even though BL’s performance was likely partially affected by relatively high ambient temperature and humidity.
The data suggests that a few notable nutrients/compounds abundant in almonds might improve the effectiveness of the training in a synergistic way via modulating CHO reservation/utilization (by improving glucose transport into skeletal muscle and glycogen synthesis [36, 37]), antioxidant capacity [6, 7], oxygen transportation/utilization and metabolism regulation [19–26] through slightly raised arginine, insulin, and NO, and statistically increased VE, TAOC and Hb level (Table 2) without greatly affecting fluid balance (Table 3).
In general, training elevates fat-derived energy contribution to an endurance competition . A continuous supply of fatty acids is crucial to athletes participating in distance/endurance competition at moderate intensity, whereas CHO serves as the main fuel during an intense exercise, especially during sprint of a competition [36, 39]. Thus, CHO preloading and loading prior to or during a race are essential strategies for athletes participating in an endurance competition . Statistically, our study showed that there were no differences in VO2, CHO and fat oxidation during TT between COK and ALM. However ALM had lower VO2 and higher CHO oxidation and lower fat oxidation than BL while ALM did not change HR and EE as compared to BL (Figure 3). It should be noted that ALM (not COK) had lower oxygen consumption during TT (Figure 3), lower blood FFA and higher blood glucose at the end of exercise than BL (Figure 5, Table 2), suggesting almonds might help athletes to mobilize more previously reserved CHO, instead of breaking down fat as an energy source during training and the intense exercise . A higher Hb level in ALM might also help athletes transport more oxygen to skeletal muscles during exercise.
L-arginine, the natural precursor of NO, may stimulate insulin secretion , decrease oxygen consumption [23, 25] and ammonia liberation  during exercise and regulate vascular dilation [43, 44]. A clinical trial showed that a combined arginine and antioxidant supplement improved exercise performance in the elderly . Insulin facilitates glucose transfer to skeletal muscle tissues and subsequent glycogen synthesis [42, 45, 46]. Our results suggest that almond consumption may contribute to an improvement in cycling performance- related elements via the effect of arginine on insulin secretion and muscle glycogen synthesis without enhancing insulin sensitivity via down-regulated insulin levels noted in patients with diabetes [14, 47, 48]. Unsatisfactorily, we did not observe a statistical difference in blood arginine and NO (Table 2) because daily arginine intake from almonds (about 2 g excluding that from the diet) provided ~100 mg/kg BM which was less than that administered in other’s studies [25, 27]; athletes had a larger need and utilization (metabolism) of arginine due to intensive exercise; there was a large inter-individual variation; arginine may work with other almond nutrients in a synergistic or additive manner.
Several studies had shown that quercetin alone or plus antioxidants improved mitochondrial biogenesis, VO2max, and exercise capacity [19–22]. Therefore, the effect of quercetin on mitochondrial biogenesis and oxygen consumption might also be linked to almond consumption in this study.
Human studies demonstrated that almond consumption increases circulating α-tocopherol concentration in a dose-dependent manner [4, 12], decreases biomarkers of oxidative stress in smokers and hypercholesterlemic patients [1, 49]. Phenolics in almonds have shown to exert antioxidant action against reactive radicals in humans [6, 7]. Thus, a diverse array of phenolic and polyphenolic compounds in almonds might contribute to improving antioxidant capacity in the athletes. Even though ALM (not COK) had a higher blood VE than BL and higher TAOC than COK, we did not find other significant changes related to the antioxidant effects of almond consumption in trained athletes. It is worth noting that the antioxidant effect by almonds was not a predominant factor in improving the elements associated with endurance performance in trained athletes due to their good adaptation to intensive training. Further, one of benefits exerted by almonds might be attributed to decreased inflammation markers (not determined in the study) .
The study showed that almond consumption at 75 g/d for 4 weeks improved time trial distance and the elements related to endurance performance more than did isocaloric cookie consumption in trained Chinese cyclists and triathletes during winter season training when compared to those at the beginning of the training season. Some nutrients/compounds present in almonds like arginine and quercetin might contribute to reserving and using more CHO and enhancing more effective oxygen utilization. Our study suggests that almonds can be incorporated into diets of those who are undertaking exercise training for performance improvement.
The study was supported by the Almond Board of California. The authors thank the coaches and physicians for the Chinese Bayi Cycling and Triathlon Team for their support on training and performance test arrangement and dietary information collection.
- Chen CY, Lapsley K, Blumberg J: A nutrition and health perspective on almonds. J Sci Food Agric. 2006, 86: 2245-2250. 10.1002/jsfa.2659.View ArticleGoogle Scholar
- Kornsteiner M, Wagner K-H, Elmadfa I: Tocopherols and total phenolics in 10 different nut types. Food Chem. 2006, 98: 381-387. 10.1016/j.foodchem.2005.07.033.View ArticleGoogle Scholar
- Sabaté J, Haddad E, Tanzman JS, Jambazian P, Rajaram S: Serum lipid response to the graduated enrichment of a Step I diet with almonds: a randomized feeding trial. Am J Clin Nutr. 2003, 77: 1379-1384.PubMedGoogle Scholar
- Maguire LS, O’Sullivan SM, Galvin K, O’Connor TP, O’Brien NM: Fatty acid profile, tocopherol, squalene and phytosterol content of walnuts, almonds, peanuts, hazelnuts and the macadamia nut. Int J Food Sci Nutr. 2004, 55: 171-178. 10.1080/09637480410001725175.View ArticlePubMedGoogle Scholar
- Milbury PE, Chen CY, Dolnikowski GG, Blumberg JB: Determination of flavonoids and phenolics and their distribution in almonds. J Agric Food Chem. 2006, 54: 5027-5033. 10.1021/jf0603937.View ArticlePubMedGoogle Scholar
- Chen CY, Blumberg JB: In vitro activity of almond skin polyphenols for scavenging free radicals and inducing quinone reductase. J Agric Food Chem. 2008, 56: 4427-4434. 10.1021/jf800061z.View ArticlePubMedGoogle Scholar
- Jenkins DJ, Kendall CW, Marchie A, Josse AR, Nguyen TH, Faulkner DA, Lapsley KG, Blumberg J: Almonds reduce biomarkers of lipid peroxidation in older hyperlipidemic subjects. J Nutr. 2008, 138: 908-913.PubMedGoogle Scholar
- Rajaram S, Connell KM, Sabaté J: Effect of almond-enriched high-monounsaturated fat diet on selected markers of inflammation: a randomised, controlled, crossover study. Br J Nutr. 2010, 103: 907-912. 10.1017/S0007114509992480.View ArticlePubMedGoogle Scholar
- Mandalari G, Bisignano C, Genovese T, Mazzon E, Wickham MS, Paterniti I, Cuzzocrea S: Natural almond skin reduced oxidative stress and inflammation in an experimental model of inflammatory bowel disease. Int Immunopharmacol. 2011, 11: 915-924. 10.1016/j.intimp.2011.02.003.View ArticlePubMedGoogle Scholar
- Chen CY, Milbury PE, Lapsley K, Blumberg JB: Flavonoids from almond skins are bioavailable and act synergistically with vitamins C and E to enhance hamster and human LDL resistance to oxidation. J Nutr. 2005, 135: 1366-1373.PubMedGoogle Scholar
- Jenkins DJ, Kendall CW, Marchie A, Parker TL, Connelly PW, Qian W, Haight JS, Faulkner D, Vidgen E, Lapsley KG, Spiller GA: Dose response of almonds on coronary heart disease risk factors: blood lipids, oxidized low-density lipoproteins, lipoprotein(a), homocysteine, and pulmonary nitric oxide: a randomized, controlled, crossover trial. Circulation. 2002, 106: 1327-1332. 10.1161/01.CIR.0000028421.91733.20.View ArticlePubMedGoogle Scholar
- Jambazian PR, Haddad E, Rajaram S, Tanzman J, Sabaté J: Almonds in the diet simultaneously improve plasma alpha-tocopherol concentrations and reduce plasma lipids. J Am Diet Assoc. 2005, 105: 449-454. 10.1016/j.jada.2004.12.002.View ArticlePubMedGoogle Scholar
- Lovejoy JC, Most MM, Lefevre M, Greenway FL, Food JC: Effect of diets enriched in almonds on insulin action and serum lipids in adults with normal glucose tolerance or type 2 diabetes. Am J Clin Nutr. 2002, 76: 1000-1006.PubMedGoogle Scholar
- Li SC, Liu YH, Liu JF, Chang WH, Chen CM, Chen CY: Almond consumption improved glycemic control and lipid profiles in patients with type 2 diabetes mellitus. Metabolism. 2011, 60: 474-479. 10.1016/j.metabol.2010.04.009.View ArticlePubMedGoogle Scholar
- Jenkins DJ, Kendall CWC, Josse AR, Salvatore S, Brighenti F, Augustin LS, Ellis PR, Vidgen E, Rao AV: Almonds decrease postprandial glycemia, insulinemia, and oxidative damage in healthy individuals. J Nutr. 2006, 136: 2987-2992.PubMedGoogle Scholar
- Finaud J, Lac G, Filaire E: Oxidative stress: relationship with exercise and training. Sports Med. 2006, 36: 327-358. 10.2165/00007256-200636040-00004.View ArticlePubMedGoogle Scholar
- Powers SK, Jackson MJ: Exercise-induced oxidative stress: cellular mechanisms and impact on muscle force production. Physiol Rev. 2008, 88: 1243-1276. 10.1152/physrev.00031.2007.PubMed CentralView ArticlePubMedGoogle Scholar
- Reid MB: Free radicals and muscle fatigue: Of ROS, canaries, and the IOC. Free Radic Biol Med. 2008, 44: 169-179. 10.1016/j.freeradbiomed.2007.03.002.View ArticlePubMedGoogle Scholar
- Davis JM, Murphy EA, Carmichael MD, Davis B: Quercetin increases brain and muscle mitochondrial biosynthesis and exercise tolerance. Am J Physiol Regul Integr Comp. 2009, 296: R1071-R1077. 10.1152/ajpregu.90925.2008.View ArticleGoogle Scholar
- Davis JM, CarlsteTT CJ, Chen S, Carmichael MD, Murphy EA: The dietary flavonoid quercetin increases VO2max and endurance capacity. Int J Sport Nutr Exerc Metab. 2010, 20: 56-62.PubMedGoogle Scholar
- MacRae HSH, Mefferd KM: Dietary antioxidant supplementation combined with quercetin improves cycling time trial performance. Int J Sport Nutr Exer Metab. 2006, 16: 405-419.Google Scholar
- Nieman DC, Williams AS, Shanely RA, Jin F, McAnulty SR, Triplett NT, Austin MD, Henson DA: Quercetin’s influence on exercise performance and muscle mitochondrial biogenesis. Med Sci Sports Exerc. 2010, 42: 338-345.View ArticlePubMedGoogle Scholar
- Campbell BI, Bounty PML, Roberts M: The ergogenic potential of arginine. J Int Soc Sports Nutr. 2004, 1: 35-38. 10.1186/1550-2783-1-2-35.PubMed CentralView ArticlePubMedGoogle Scholar
- Doutreleau S, Rouyer O, Di Marco P, Lonsdorfer E, Richard R, Piquard F, Geny B: L-arginine supplementation improves exercise capacity after a heart transplant. Am J Clin Nutr. 2010, 91: 1261-1267. 10.3945/ajcn.2009.27881.View ArticlePubMedGoogle Scholar
- Bailey SJ, Winyard PG, Vanhatalo A, Blackwell JR, DiMenna FJ, Wilkerson DP, Jones AM: Acute L-arginine supplementation reduces the O2 cost of moderate-intensity exercise and enhances high-intensity exercise tolerance. J Appl Physiol. 2010, 109: 1394-1403. 10.1152/japplphysiol.00503.2010.View ArticlePubMedGoogle Scholar
- Chen S, Kim W, Henning SM, Carpenter CL, Li Z: Arginine and antioxidant supplement on performance in elderly male cyclists: a randomized controlled trial. J Int Soc Sports Nutr. 2010, 7: 13-10.1186/1550-2783-7-13.PubMed CentralView ArticlePubMedGoogle Scholar
- Gonçalves LC, Bessa A, Freitas-Dias R, Luzes R, Werneck-de-Castro JP, Bassini A, Cameron LC: A sportomics strategy to analyze the ability of arginine to modulate both ammonia and lymphocyte levels in blood after high-intensity exercise. J Int Soc Sports Nutr. 2012, 9: 30-10.1186/1550-2783-9-30.PubMed CentralView ArticlePubMedGoogle Scholar
- Meyer T, Georg T, Becker C, Kindermann W: Reliability of gas exchange measurements from two different spiroergometry systems. Int J Sports Med. 2001, 22: 593-597. 10.1055/s-2001-18523.View ArticlePubMedGoogle Scholar
- Schulz H, Helle S, Heck H: The validity of the telemetric system CORTEX X1 in the ventilatory and gas exchange measurement during exercise. Int J Sports Med. 1997, 18: 454-457.View ArticlePubMedGoogle Scholar
- Ying X, Jun-bo W, Shao-fang Y: Study on effect of nut rich in monounsaturated fatty acid on serum lipids in hyperlipidemia patients. Chin Publ Health. 2002, 18: 931-932.Google Scholar
- Leonard SW, Paterson E, Atkinson JK, Ramakrishnan R, Cross CE, Traber MG: Studies in humans using deuterium-labeled α- and γ-tocopherol demonstrate faster plasma g-tocopherol disappearance and greater g-metabolite production. Free Radic Biol Med. 2005, 38: 857-866. 10.1016/j.freeradbiomed.2004.12.001.View ArticlePubMedGoogle Scholar
- Graefe EU, Wittig J, Mueller S, Riethling AK, Uehleke B, Drewelow B, Pforte H, Jacobasch G, Derendorf H, Beit M: Pharmacokinetics and bioavailability of quercetin glycosides in humans. J Clin Pharmacol. 2001, 41: 492-499. 10.1177/00912700122010366.View ArticlePubMedGoogle Scholar
- Lamson DW, Brignall MS: Antioxidants and cancer, part 3: Quercetin. Altern Med Rev. 2000, 5: 196-208.PubMedGoogle Scholar
- Manach C, Williamson G, Morand C, Scalbert A, Rémésy C: Bioavailability and bioefficacy of polyphenols in humans. I. Review of 97 bioavailability studies. Am J Clin Nutr. 2005, 81 (suppl): 230S-242S.PubMedGoogle Scholar
- Böger RH, Bode-Böger SM: The clinical pharmacology of L-arginine. Annu Rev Pharmacol Toxicol. 2001, 41: 79-99. 10.1146/annurev.pharmtox.41.1.79.View ArticlePubMedGoogle Scholar
- Thomas EJ, Richter EA: Regulation of glucose and glycogen metabolism during and after exercise. J Physiol. 2012, 590 (Pt 5): 1069-1076.Google Scholar
- Rodriguez NR, Di Marco NM, Langley S, American Dietetic Association: American College of Sports Medicine position stand. Nutrition and Athletic Performance. Med Sci Sports Exerc. 2009, 41: 709-731. 10.1249/MSS.0b013e31890eb86.View ArticlePubMedGoogle Scholar
- Bergman BC, Butterfield GE, Wolfel EE, Casazza GA, Lopaschuk GD, Brooks GA: Evaluation of exercise and training on muscle lipid metabolism. Am J Physiol. 1999, 276 (1 Pt 1): E106-E117.PubMedGoogle Scholar
- Ivy JL: Role of carbohydrate in physical activity. Clin Sports Med. 1999, 18: 469-484. 10.1016/S0278-5919(05)70162-9.View ArticlePubMedGoogle Scholar
- Dumke CL, McBride JM, Nieman DC, Gowin WD, Utter AC, McAnulty SR: Effect of duration and exogenous carbohydrate on gross efficiency during cycling. J Strength Cond Res. 2007, 21: 1214-1219.PubMedGoogle Scholar
- Hawley JA, Burke LM, Phillips SM, Spriet LL: Nutritional modulation of training-induced skeletal muscle adaptations. J Appl Physiol. 2011, 110: 834-845. 10.1152/japplphysiol.00949.2010.View ArticlePubMedGoogle Scholar
- Burke ER: Optimal Muscle Performance and Recovery. 2003, New York: Avery, 91-99.Google Scholar
- Valko M, Leibfritz D, Moncol J, Cronin MT, Mazur M, Telser J: Free radicals and antioxidants in normal physiological functions and human disease. Int J Biochem Cell Biol. 2007, 39: 44-84. 10.1016/j.biocel.2006.07.001.View ArticlePubMedGoogle Scholar
- Guzik TJ, Korbut R, Adamek-Guzik T: Nitric oxide and superoxide in inflammation and immune regulation. J Physiol Pharmacol. 2003, 54: 469-487.PubMedGoogle Scholar
- Illario M, Monaco S, Cavallo AL, Esposito I, Formisano P, D’Andrea L, Cipolletta E, Trimarco B, Fenzi G, Rossi G, Vitale M: Calcium-calmodulin-dependent kinase II (CaMKII) mediates insulin-stimulated proliferation and glucose uptake. Cell Signal. 2005, 21: 786-792.View ArticleGoogle Scholar
- Khan AH, Pessin JE: Insulin regulation of glucose uptake: a complex interplay of intracellular signalling pathways. Diabetologia. 2002, 45: 1475-1483. 10.1007/s00125-002-0974-7.View ArticlePubMedGoogle Scholar
- Wien M, Bleich D, Raghuwanshi M, Gould-Forgerite S, Gomes J, Monahan-Couch L, Oda K: Almond consumption and cardiovascular risk factors in adults with prediabetes. J Am Coll Nutr. 2010, 29: 189-197. 10.1080/07315724.2010.10719833.View ArticlePubMedGoogle Scholar
- Cohen AE, Johnston CS: Almond ingestion at mealtime reduces postprandial glycemia and chronic ingestion reduces hemoglobin A(1c) in individuals with well-controlled type 2 diabetes mellitus. Metabolism. 2011, 60: 1312-1317. 10.1016/j.metabol.2011.01.017.View ArticlePubMedGoogle Scholar
- Li N, Jia X, Chen CY, Blumberg JB, Song Y, Zhang W, Zhang X, Ma G, Chen J: Almond consumption reduces oxidative DNA damage and lipid peroxidation in male smokers. J Nutr. 2007, 137: 2717-2722.PubMedGoogle Scholar
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