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Table 3 Performance outcomes and training adaptations in long-term (> 10 day) MIPS studies

From: Multi-ingredient pre-workout supplements, safety implications, and performance outcomes: a brief review

Study

Subjects

Design

Supplement Ingredients

(Sorted by order listed on Supplement Facts label)

Timing

Training Protocol

Performance Testing Protocol

Results (d or RE)

Ref #

Stout et al. 2008

38 sedentary males and females

Double-blind, placebo controlled, resistance and endurance training study

Prop. Blend: (1810 mg)

Taurine

Guarana extract

Green tea leaf extract

Caffeine

Glucuronolactone

Ginger

15 min prior to exercise or ad libitum on off days

10 weeks of resistance and endurance training based on ACSM guidelines

Body composition, VO2peak, TTE3

↓ FM (NA)

↑ VO2peak (NA)

↑ TTE (NA)

[62]

Hoffman et al. 2010

19 recreationally-active males and females

Randomized, Double-blind, placebo-controlled supplementation study.

Acetyl-L-carnitine (500 mg)

L-tyrosine (500 mg)

Α-glycerophosphocholine (150 mg)

Choline bitartrate (125 mg)

Caffeine (60 mg)

Phosphatidylserine (50 mg)

10 min prior to testing. Timing not specified on off days.

NA

Choice Reaction Time Test before and after the following:

WAnT, Maximum Pushup Repetitions Completed in one Minute, Maximum Situp Repetitions Completed in one Minute1

↔ Reaction Time

↔ Peak Power

↔ Mean Power

↔ Pushups Completed

↔ Sit-ups Completed

[36]

Shelmadine et al. 2009

18 non-resistance trained males

Double-blind, placebo controlled, resistance training study

a Prop. Blend 1: (5350 mg)

L-Leucine

L-nor-Valine

L-Valine

L-Isoleucine

Prop. Blend 2: (10,952 mg)

Methyl Hydroxy Chalcone Polymer

Creatine

Arginine Glutamine

Ariginine

Citrulline Malate

Prop. Blend 3: (229 mg)

L-Tyrosine

Caffeine

30 min prior to exercise or immediately upon waking on off days3

28-days of resistance training (4 sessions/week; upper/lower body split)

DEXA, muscle biopsies, BP & LP 1RM3

↑ FFM (d = 0.24)

↑ Relative BP 1RM (d = 0.23)

↔ Relative LP 1RM

[53]

Schmitz et al. 2010

20 resistance trained males

Double-blind resistance training study using comparator control

c Prop. Blend 1:

Whey protein (7 g)

L-Leucine (4 g)

L-Isoleucine

L-Valine

Prop. Blend 2:

Creatine (4 g)

Prop. Blend 3:

Taurine

L-alanyl-L-glutamine

Magnesium glycyl glutamine

*Comparator matched for carbohydrate, whey, and creatine

Begin 10–15 min prior to exercise and complete before end of session. No supplement on off days.

9 weeks of periodized resistance training (4 sessions/week; upper/lower body split)

DEXA, BP 1RM, 3 sets of RTF at pretesting body weight3

↑ BP 1RM (RE = 106.5)

↑ RTF (RE = 131.8)

↓ FM (RE = 87.1)

↑ FFM (RE = 102.1)

[51]

Smith et al. 2010

24 recreationally trained males

Single-blind, placebo controlled, HIIT training study

Prop. Blend: (2100 mg)

Cordyceps sinensis

Arginine

Creatine

Citrulline

Taurine

Leucine

Valine

Isoleucine

Caffeine

Whey protein

30 min prior to exercise/testing. Nothing on off days.

3 weeks of HIIT interval training (3 sessions/week)

BodPod, VO2max followed by four sprints to exhaustion1

↑ Training volume (NA)

↔ FFM

↔ VO2max, critical velocity

[63]

Spillane et al. 2011

19 non-resistance trained males

Double-blind, placebo controlled, resistance training study

a Prop. Blend 1: (5350 mg)

L-Leucine

L-nor-Valine

L-Valine

L-Isoleucine

Prop. Blend 2: (10,952 mg)

Methyl Hydroxy Chalcone Polymer

Creatine

Arginine Glutamine

Ariginine

Citrulline Malate

Prop. Blend 3: (229 mg)

L-Tyrosine

Caffeine

*Subjects also consumed a post-workout supplement

30 min prior (pre) and within 30 min of end of exercise (post). Immediately upon waking on off days (post).

28 days of resistance training (4 sessions/week)

DEXA, BP & LP 1RM, muscle biopsies3

↓ FM (d = − 0.08)

↑ FFM (d = 0.17)

↑ Myofibrillar protein mass (d = 0.32)

↑ Upper (d = 0.57), lower-body (d = 0.62) relative strength

[54]

Ormsbee et al. 2012

24 resistance trained males

Double-blind, placebo controlled, resistance training study

b Prop. Blend 1: (9660 mg)

Casein Protein

Whey Protein

BCAAs

L-arginine

Prop. Blend 2: (4890 mg)

Creatine

Citrulline Malate

Arginine

Prop. Blend 3: (3170 mg)

β-alanine

Creatine

Prop. Blend 4: (376 mg)

Caffeine

*Subjects also consumed a post-workout supplement

15 min prior to exercise (pre) and immediately after end of exercise (post). Ad libitum on off days (post).

6 weeks of split resistance training (3 sessions/week)

DEXA, BP & LP 1RM, Isokinetic strength testing, WAnT2

↑ FFM (d = 0.18)

↔ Peak power

↔ BP 1RM

↔ LP 1RM

[55]

Willems et al. 2012

16 resistance trained males

Double-blind, placebo controlled, training study

Whey protein (30 g)

Creatine (5.1 g)

Glutamine (5.1 g)

HMB (1.5 g)

One dose in the morning and another within 15 min of exercise end. Similar time on off days.

2, 6-week blocks of progressive resistance training (4 sessions/week)

BP, LP, & lateral pull 1-RM and RTF at 80% 1RM, peak isokinetic torque measured via a dynamometer, MVC3

↑ BP RTF* (d = 1.2)

↑ Lateral pull RTF* (d = 1.3)

↔ 1RM*

↔ MVC, peak concentric strength*

[58]

Lowery et al. 2013

20 resistance trained males

Double-blind, placebo controlled, resistance training study

Prop. Blend 1: (2800 mg)

Creatine

β-alanine

Prop. Blend 2: (1600 mg)

L-Taurine

BCAAs

Alanyl-glutamine

Prop. Blend 3: (620 mg)

Glucuronolactone

Caffeine

Prop. Blend 4: (500 mg)

Natural nitrates

Quercetin (67 mg)

30 min prior and 3 servings throughout the day on off days.

8 weeks of split focused resistance training (3sessions/week)

DEXA, BP & LP 1RM, ultrasonography3

↑ FFM (RE = 104.1)

↑ Quadriceps muscle thickness (RE = 108.0)

↑ BP 1RM (NA)

↔ LP 1RM

[52]

Ormsbee et al. 2013

24 resistance trained males

Double-blind, Placebo-controlled, resistance training study

b Prop. Blend 1: (9660 mg)

Casein Protein

Whey Protein

BCAAs

L-arginine

Prop. Blend 2: (4890 mg)

Creatine

Citrulline Malate

Arginine

Prop. Blend 3: (3170 mg)

β-alanine

Creatine

Prop. Blend 4: (376 mg)

Caffeine

*Subjects also consumed a post-workout supplement

15 min prior (pre) and immediately after exercise (post). Ad libitum on off days (post).

6 weeks of periodized resistance training (3 sessions/week)

DEXA, POMS3

↑ FFM (d = 0.22)

↔ FM

↔ POMS

[65]

Kedia et al. 2014

43 resistance trained males and females

Double-blind resistance training study using comparator control

Prop. Blend 1: (4580 mg)

Creatine

Betaine

Citrulline

Dendrobium extract

Caffeine

*Comparator product matched for energy and caffeine content

30 min prior to exercise and with breakfast on off days.

6 weeks of periodized resistance training (4 sessions/week; upper/lower body split)

DEXA, BP 1RM, VAS of energy & concentration3

↑ Energy & concentration (NA)

↔ FFM

↔ FM

↔ BP 1RM

[3]

Kendall et al. 2014

17 recreationally trained males

Double-blind, placebo controlled 4-week supplementation study

BCAAs (6 g)

Creatine (5 g)

β-alanine (4 g)

Citrulline (1.5 g)

Caffeine (300 mg)

20 min prior to exercise and ad libitum on off days.

NA

Skinfolds (Brozek equation), VO2max, BP & LP 1-RM, RTF at 75% 1RM3

↑ VT (% of VO2max) (d = 1.21)

↑ LP 1RM (d = 0.45)

↓ Relative VO2max (d = − 0.52)

[57]

Spillane et al. 2014

24 resistance trained males

Double-blind, resistance training study using comparator control

c Prop. Blend 1:

Whey protein (7 g)

L-Leucine (4 g)

L-Isoleucine

L-Valine

Prop. Blend 2:

Creatine (4 g)

Prop. Blend 3:

Taurine

L-alanyl-L-glutamine

Magnesium glycyl glutamine

*Comparator matched for maltodextrose, whey protein, and creatine monohydrate

½ dose consumed 15 min prior to exercise, other ½ dose consumed at start of exercise. Nothing on off days.

6 weeks of periodized resistance training (4 sessions/week; upper/lower split)

DEXA, BP, LP, & knee extension 1RM, BP & LP RTF at 75% 1-RM, muscle biopsies3

↔ Body Composition

↔ 1RM

↔ RTF

[61]

Kreipke et al. 2015

27 resistance trained males

Double-blind, placebo controlled, resistance training study

BCAA (2500 mg)

β-alanine (1020 mg)

Long jack root (250 mg)

20 min prior and 2 h after exercise. With breakfast and lunch on off days.

4 weeks of progressive resistance training (4 sessions/week)

DEXA, squat, BP, deadlight 1RM, POMS3

↑ BP 1RM (d = 0.05)

↑ Total weight lifted (d = 0.15)

↑ Relative deadlift strength (FFM: d = 0.11; Total Mass: d = 0.08)

[59]

Ormsbee et al. 2015

20 trained male runners

Double-blind, placebo controlled, 4-week supplementation study

b Prop. Blend 1: (9660 mg)

Casein Protein

Whey Protein

BCAAs

L-arginine

Prop. Blend 2: (4890 mg)

Creatine

Citrulline Malate

Arginine

Prop. Blend 3: (3170 mg)

β -alanine

Creatine

Prop. Blend 4: (376 mg)

Caffeine

30 min prior to exercise or immediately upon waking on off days.

NA

Skinfolds, perceived soreness VAS, ROM, vertical jump, isokinetic and isometric strength using isokinetic dynamometer, VO2max, before and after a single bout of downhill running1

↔ Isometric and isokinetic strength

↔ Flexibility

↔ Power

↔ Perceived soreness

[56]

Köhne et al. 2016

8 trained female runners

Double-blind, placebo controlled, 28-day supplementation study

b Prop. Blend 1: (9660 mg)

Casein Protein

Whey Protein

BCAAs

L-arginine

Prop. Blend 2: (4890 mg)

Creatine

Citrulline Malate

Arginine

Prop. Blend 3: (3170 mg)

β-alanine

Creatine

Prop. Blend 4: (376 mg)

Caffeine

*Subjects also consumed a post-workout supplement

30 min prior to exercise or immediately upon waking on off days.

NA

VO2max (before and after supplementation), muscle pain perception, muscle damage markers, squat jump power, hamstring flexibility, and limb circumferences (before and after a single bout of downhill running after 28 days of supplementation)1

↔ Hamstring flexibility

↔ Squat jump power

↔ Limb circumference

[64]

Jung et al. 2017

80 resistance trained males

Double-blind, placebo controlled, resistance training study

Supplement 1:

β-alanine (3000 mg)

Creatine (2000 mg)

L-arginine (2000 mg)

N-Acetyl-L-tyrosine (300 mg)

Caffeine (284 mg)

Mucana pruitiens extract (15 mg)

Supplement 2:

Supplement 1 + Citrus aurantium extract (20 mg)

15–30 min prior to exercise or with breakfast on off days.

8 weeks of resistance training (4 sessions/week; upper/lower body split)

Cognitive function, readiness to perform, BP & LP 1RM, Wingate anaerobic cycling test3

↔ 1RM leg & bench press

↔ Power

↔ Readiness to perform

↑ Stroop Test Performance (d = 0.12–0.16)

[60]

Zabriskie et al. 2017

19 recreationally active females

Double blind, placebo controlled, resistance training study

Prop. Blend 1: (5700 mg)

β-alanine

L-tyrosine

L-glycine

L-carnitine

Beet root

Hawthorn berry powder

Caffeine

30 min prior to exercise or after breakfast on off days.

7 weeks of periodized resistance training

BodPod, RMR2

↔ FM

↔ FFM

↔ RMR

[66]

  1. ↑ = MIPS was significantly greater (p < 0.05) than control; ↓ = MIPS was significantly less (p < 0.05) than control; ↔ = No significant difference (p > 0.05) was observed between MIPS and control; 1RM 1 repetition maximum, %BF body fat percentage, BP Bench press, d Effect Size, DEXA dual x-ray energy absorptiometry, FFM fat-free mass, FM fat mass, RE Relative Effects, RTF repetitions to fatigue, LP Leg press, mg milligram, mcg microgram, POMS Profile of Mood States, ROM range of motion, TTE time to exhaustion, VO2max maximal oxygen consumption, VT Ventilatory Threshold, WAnT Wingate anaerobic cycle test
  2. aStudies used an identical MIPS containing whey protein, caffeine, BCAAs, creatine, β-alanine, and L-arginine
  3. bStudies used a later formulation of the same brand name MIPS as a containing whey protein, caffeine, BCAAs, creatine, β-alanine, and L-arginine
  4. cStudies used an identical MIPS containing carbohydrate, whey, creatine, BCAAs and L-taurine
  5. 1Testing performed with acute MIPS supplementation
  6. 2Testing performed without acute MIPS supplementation
  7. 3Presence of MIPS during testing not explicitly reported
  8. *analysis performed using Cohen’s d effect sizes