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. 2024 May 10;15:1395437. doi: 10.3389/fimmu.2024.1395437

Table 2.

Clinical applications of colostrum on athletes.

Target group Dose & duration Study Design  Effect Reference
Athletes 20 g BC/day
Total: 8 weeks
Randomized controlled and double-blind, placebo-controlled study design.
Placebo: Whey protein (20g/day in powder form)
Achieved a lean mass gain of +1.49 kg, indicating the potential for increased lean mass in active individuals. (10)
Sprinters and jumpers 125ml BC/day, 8 days of strength and speed training, 13 days apart. Randomized, double-blind, crossover study design.
Placebo: Whey protein (125 ml/day in liquid form)
Increased IGF-I levels in athletes (≈ +5 nmol/l in BC group, ≈ -4 nmol/l in placebo), promoting muscle growth and anabolic effects. (33)
35 elite field hockey players 60 g BC/day
Total: 8 weeks
Double-blind, randomized, placebo-controlled study design.
Placebo: Whey protein (60g/day in powder form)
Enhanced elite field hockey players’ sprint and jump performance. Colostrum supplementation may enhance sprint performance by 2.3% more than whey supplementation. (34)
51 athletes 60 g BC/day
Total: 8 weeks
Randomized, double-blind, placebo-controlled parallel study design.
Placebo: Whey protein (60g/day in powder form)
Vertical jump (7370 to 7237 W) and cycle power (1400 to 1311 W) was higher in the BC by 1.5% and 2.3% respectively  (35)
42 cyclists 20g BC + 40g whey protein, or 60g BC or WPC (placebo). 8 weeks. Randomized, double-blind, placebo-controlled study design.
Placebo: Whey protein concentration (60g/day in powder form)
The cyclists improved their performance ride time by 134 (20g) and 158 (60g) seconds, when compared to the placebo group which is 37 seconds.  (36)
29 highly trained road cyclists 60 g/day
Total: 8 week
Double-blind and placebo-controlled study design.
Placebo: Whey protein (10g/day in powder form)
Enhanced recovery, potentially increasing performance by up to 5.2% after 8 weeks. (37)
13 elite rowers 60 g BC/day
Total: 9 weeks
Randomized, double-blind, placebo-controlled study design.
Placebo: Whey protein (10g/day in powder form)
Improved blood buffer capacity (BC group ≈ 40, compared to placebo ≈ 33, in slykes unit), but did not enhance performance significantly. (38)
16 athletes 500 mg BC/day
Total: 20 days
Double-blind and placebo-controlled study design.
Placebo: Whey protein (500mg/day in powder form)
%75 of the BC group (6) showed reduced intestinal permeability. Meanwhile 62.5% of the placebo group (5) experienced infections. (39)
25 soccer players 3.2 g BC/day
Total: 6 weeks
Double-blind, randomized, placebo-controlled study design.
Placebo: Whey protein (3.2g/day in capsule form)
Enhanced recovery after intense exercise, affecting biochemical parameters. (40)
12 individuals 20 g BC/day
Total: 14 days
Double-blind, placebo-controlled, crossover study design.
Placebo: Isoenergetic and isomacronutrient milk protein concentrate (20g/day in powder form)
Placebo group showed higher increase in cell damage marker (I-FABP) than BC group, 194% to 134%. (41)
12 athletes 20 g BC/day
Total: 14 days
Double-blind, placebo-controlled, crossover study design.
Placebo: Isoenergetic and isomacronutrient milk protein concentrate (20g/day in powder form)
Placebo group showed higher Intestinal permeability increase (2.5-fold) when compared to BC group 80%)
Reduced exercise-induced intestinal permeability and enhanced performance while preventing heat stroke.
(42)
20 athletes 20 g BC/day
Total: 4 weeks
Randomized, double-blind, parallel study design.
Placebo: Isoenergetic and isomacronutrient milk protein concentrate (20g/day in powder form)
BC supplementation demonstrated significant effects on exercise-induced changes in innate immunity compared to the placebo group. Four-week BC supplementation countered exercise-induced immunosuppression, enhancing host defense. (43)
35 distance runners 10 g BC/day
Total: 12 weeks
Randomized, double-blind, placebo-controlled study design.
Placebo: Maltodextrin blend with skim milk (250ml/day in liquid form)
Increased s-IgA levels (79%) , potentially reducing infections in athletes. (44)
8 healthy individuals 60 microgram/kg
Total: 2-4h (Has repeated 6 months later)
Crossover, randomized, double-blind study design. Improved heart function, increased stroke volume (14%), and cardiac output (18%) while minimally affecting heart rate and blood pressure. (45)
35 healthy individuals 60 g BC/day
Total: 8 weeks
Double-blind, placebo-controlled, parallel study design.
Placebo: Whey protein (60g/day in powder form)
The BC group has experienced a significant increase in arm circumference (2.3%) and cross-sectional area (4.2%) compared to whey protein (WP), primarily due to a 5.5% increase in skin and subcutaneous fat (SSF). (46)
28 soccer players 3.2 g BC/day
Total: 6 months
Double-blind, placebo-controlled crossover study design.
Placebo: Milk (3.2g/day in powder form)
BC supplementation significantly increased immunoglobulin G (IgG) by up to 94% and reduced inflammatory markers (IL-10, TNF-α) after exercise compared to placebo.  (47)
27 basketball players 3.2 g BC/day
Total: 24 weeks
Randomized, parallel, placebo-controlled study design.
Placebo: Milk (3.2g/day in capsule form)
There were no notable impacts on the dynamics of immune system function indicators. (48)
9 athletes No dose information
Total: 10 days
Crossover, double-blind and placebo-controlled study design.
Placebo: Skim milk(25g/day in powder form)
When compared to skim milk powder, it did not alter any post-exercise immune variables. (49)
20 trained athletes 3.2 g BC/day
Total: 6 months
Randomized, parallel, placebo-controlled study design.
Placebo: Milk (3.2g/day in capsule form)
BC supplementation significantly reduced oxidative stress markers (TBARS) compared to placebo (p<0.01).  (50)
8 healthy individuals 10 g placebo +37.5 g Zinc
10 g placebo + 10 g BC
37.5 g Zinc + 10 g BC
10 g placebo + 10 g placebo
Total: 14 days
Double-blind, placebo-controlled crossover study design.
Placebo: Isoenergetic and isomacronutrient milk-protein
Concentrate (10g/day + 10g/day in capsule form)
Zinc carnosine (ZnC) and colostrum supplementation effectively mitigated the exercise-induced 3-fold increase in gut permeability by 70%.  (51)
10 healthy individuals 20 g BC/day
Total: 14 days
Randomized, counterbalanced, placebo-controlled study design.
Placebo: Isocaloric and isomacronutrient 63% skim milk, 37% milk protein (20g/day in powder form)
Protected enterocytes in moderate temperatures but not in extreme heat. (52)
18 healthy individuals 20 g BC/day
Total: 14 days
Double-blind, placebo-controlled, randomized, crossover study design.
Placebo: Isoenergetic and isomacronutrient milk protein concentrate (20g/day in powder form)
Reduced markers of exercise-induced intestinal damage compared to a placebo (191% Placebo to 101% BC).
Lactulose/rhamnose ratio were significantly lower in BC group, as representing the intestinal barrier integrity/permeability (148% to 243%)
(2)
7 trained individuals 1.7 g BC/day
Total: 7 days
Double-blind, randomized, placebo-controlled crossover study design.
Placebo: Corn flour (1.7g/day in powder form)
BC supplementation has no effect on highly trained endurance athletes or untrained individuals (53)
Adult individuals 20 g BC/day
Total: 14 days
First study: Randomized, double-blind, placebo-controlled study design.
Second study: Cohort and observational.
Placebo: Maltodextrin (20g/day in powder form)
Significant increase in serum IGF-1 (17%) and saliva IgA (33%)  (1)
10 highly-trained cyclists 10 g BC/day
Total: 8 weeks
Randomized and controlled study design.
Placebo: Whey protein (10g/day in powder form)
Improved cycling performance through the maintenance of testosterone levels and modulation of autonomic activity. (3)
Healthy individuals 5 different trials Retrospective study design. Reduction in upper respiratory tract symptoms (URS) in exercising adults (URS days 44%, URS episodes 38%) (4)
31 Healthy individuals 20 g BC/day
Total: 58 days
Double-blind, randomized, placebo-controlled study design.
Placebo: isoenergetic/isomacronutrient skimmed milk powder and milk protein concentrate (20g/day in powder form)
Enhanced immunity and greater skinfold thickness response in BC group (0.22-0.42 to 0.06-0.16)  (54)
40 Healthy individuals 60 g BC/day
Total: 8 weeks
Randomized, double-blind, parallel study design. The colostrum group increased leg press strength from 121 kg to 145 kg (a 19.8% increase), while the whey protein group increased from 143 kg to 151 kg (a 5.6% increase). This represents a 2.8% greater increase for the colostrum group compared to the whey protein group (p = .026). (55)