Michailidis 2013.
Methods | Randomised, double‐blind (cross‐over design) 6 weeks washout period |
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Participants | Setting: laboratory, Greece n = 10 male recreationally active Mean age 23.5 (SD 2.5) years Inclusion/exclusion criteria Participants were recreationally trained, as evidenced by their maximal oxygen consumption (O2max) level (> 45 mL · kg−1 · min−1); had been engaged in systematic exercise ≥ 3 times/week for ≥ 12 months, and were non‐smokers. Participants abstained from any vigorous physical activity and the consumption of caffeine, alcohol or performance‐enhancing or antioxidant supplements and medications before (6 months) and during the exercise trials. Exclusion criteria included a known NAC intolerance or allergy, a recent febrile illness and history of muscle lesion and lower limb trauma. |
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Interventions |
Intervention 20 mg NAC/kg per day was administered orally (Uni‐Pharma) in 3 daily dosages. NAC was dissolved in a 500 mL drink that contained water (375 mL), a sugar‐free cordial (125 mL) and a 2 g low‐calorie glucose/dextrose powder to improve palatability Placebo Placebo solution was formulated to be identical to the NAC solution, except for the NAC content Duration Supplement consumed immediately after muscle‐damaging exercise and for 8 days post‐exercise |
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Outcomes |
PRIMARY Delayed onset of muscle soreness (delayed onset muscle soreness) was determined by palpation of the muscle belly and the distal region of the vastus medialis, vastus lateralis and rectus femoris after a squat. Perceived soreness was rated on a scale ranging from 1 (normal) to 10 (very, very sore). SECONDARY Maximal knee extensor eccentric peak torque at 60°/second on an isokinetic dynamometer (Isoforce) |
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Exercise type | 300 eccentric unilateral repetitions (20 sets, 15 repetitions/set, 30‐second rest between sets) with the quadriceps muscle group at a speed of 30°/second on an Isoforce (TUR Gmbh) isokinetic dynamometer | |
Sources of funding | Manuscript states: "Supported by departmental funding, a grant received by Bodosakis Foundation (Greece) for instrument purchase, and grant funding (CE‐80739). APR was supported by a National Health and Medical Research Council Career Development Award, Australia." | |
Notes | Authors were contacted on 7 February 2017 to request data for delayed onset muscle soreness and maximal voluntary isometric contraction but did not respond | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | No details in manuscript Authors were contacted on 7 February 2017 but did not respond |
Allocation concealment (selection bias) | Unclear risk | No details in manuscript Authors were contacted on 7 February 2017 but did not respond |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Manuscript states the design was double‐blind |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Double‐blind |
Incomplete outcome data (attrition bias) All outcomes | High risk | Protocol states 20 individuals were enrolled and 12 completed. Manuscript states that 10 males completed the study. |
Selective reporting (reporting bias) | Low risk | Published protocol available (ClinicalTrials.gov identifier: NCT01778309) All data reported at all time points Manuscript states: "Participants reported no adverse side effects attributed to NAC consumption" |
Other bias | Unclear risk | 5‐day diet recalls (1 recall/day) were completed before each trial and standardised between trials No information on NSAIDs |