Peschek 2014.
Methods | Randomised controlled trial (cross‐over design) Separated by a 21‐day washout |
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Participants | Setting: laboratory, USA n = 8 well‐trained male runners and triathletes age range 18 to 44 years Inclusion/exclusion criteria Inclusion criteria ‐ currently training for at least 6 or more hours per week Exclusion criteria ‐ lower body extremity injury in the past 6 months and/or were currently taking chronic or daily doses of anti‐inflammatory medication or nutritional supplements. Participants who had a history of a recent illness were also excluded from the study. |
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Interventions |
Intervention 240 mL serving of carbohydrate protein beverage plus natural cocoa (350 mg flavanols) Placebo Placebo cocoa‐based (processed with alkali) carbohydrate protein beverage (0 mg of flavanols) Duration Beverage consumed 1 and 2 hours into recovery after downhill running and primary and secondary outcomes measured for up to 2 days after exercise |
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Outcomes |
PRIMARY Delayed onset muscle soreness at the legs (10‐point visual analogue scale: 0 is "no pain at all" and 10 is "unbearable pain") SECONDARY Muscle tenderness using a force algometer (Wagner Pain Test Model FPK Algometer) Muscle function ‐ Quadricep Extension Performance ‐ 5 km running time trial |
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Exercise type | Downhill running protocol at a ‐10% grade for 30 minutes at a speed equal to 70% of VO2 max | |
Sources of funding | Chocolate milk was provided by Darigold Co. | |
Notes | Drinks were 240 mL per serving and consumed 1 hour post‐exercise and 2 hours post‐exercise. Authors were contacted on 18 February 2016 to request data for delayed onset muscle soreness, maximal voluntary isometric contraction and 5 km time trial but did not respond |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomised using a computer program |
Allocation concealment (selection bias) | Low risk | Unmarked bottles |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Single‐blind design thus personnel were not blinded |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Participants were blinded |
Incomplete outcome data (attrition bias) All outcomes | Low risk | All participants completed the study without any adverse effects |
Selective reporting (reporting bias) | High risk | All outcomes reported at all time points Adverse effects of antioxidant supplementation were not reported |
Other bias | Low risk | Participants were instructed to consume a similar diet during the period of testing and replicate diet during both trials. Participants were instructed to refrain from taking anti‐inflammatory medication. |