Abstract
The purpose of the present study was to examine the effects of an acute dose of a multi-ingredient pre-workout supplement on 5-km running performance and subjective measures of fatigue. Twenty aerobically-trained, males (n = 10, mean ± SD = 80.8 ± 6.1 kg) and females (n = 10, 64.5 ± 6.6 kg) completed two 5-km running races for time in a double-blind, cross-over fashion. During the first session, subjects were randomly assigned to ingest the supplement or placebo 30 minutes prior to running a 5-km race. The supplement contained multiple ingredients including caffeine anhydrous (150 mg), beta alanine (1.6 g), and arginine alpha-ketoglutarate (AKG) (1.0 g). Subjects also completed a 5-point Likert scale (1 = low, 5 = high) questionnaire to determine feelings of fatigue immediately prior to ingesting the substance (baseline), 30 minutes post-ingestion (immediately pre-race), and 5 minutes post-race. For the second session, subjects ingested the opposite substance (supplement or placebo) and underwent the same testing procedures (including time of day) as the first session. The results indicated there was no significant (p > 0.05) difference in 5-km race time between the supplement (23.62 ± 2.08 min) and placebo (23.51 ± 1.97 min) conditions. For the feelings of fatigue, there were no significant condition × time interactions or main effects for condition, but there were main effects for time. These findings indicated that the pre-workout supplement provided no ergogenic effect on 5-km race time or subjective feelings of fatigue when administered on an acute basis in aerobically-trained individuals.
Keywords: Supplementation, thermogenic, caffeine
INTRODUCTION
A specialized category of dietary supplements known as “pre-workouts” have become a popular nutritional strategy within the fitness and sport performance communities (19). These supplements are designed for ingestion 30 to 60 minutes prior to an exercise session or athletic event with the purpose of enhancing metabolic, physiological, and psychological function (7). Typically, pre-workout supplements consist of multiple ingredients that are often manufactured into “proprietary blends” with their specific quantities not provided on the “supplement facts” label (26). The most common ingredients in pre-workout supplements include beta-alanine, caffeine, tyrosine, creatine, and arginine (26). Individually, many of these ingredients have been shown (1, 15, 44) to provide diverse ergogenic effects on performance and the inclusion of additional molecules (e.g. herbal extracts) may result in synergistic benefits. To this end, it has been suggested (7) that supplementation with pre-workouts may increase energy expenditure and substrate availability, enhance fatigue-resistance, and reduce perceived exertion.
The majority of previous investigations that have examined the effectiveness of pre-workout supplements have focused on measures of anaerobic performance. For example, the acute ingestion of pre-workouts has been shown to improve total resistance training volume (5, 9, 16, 24, 27), repetitions to failure for squat (22), leg press (9, 40) and bench press (7, 9, 27), as well as upper body peak and mean power (16), and bench press peak and mean velocity (29). In contrast, however, a number of other studies have shown no change in peak and mean power from the Wingate Anaerobic Test (17, 20), maximum push-ups or sit-ups completed in one minute (21), one repetition maximum bench press (6, 31), bench press throw (5), maximum voluntary contraction force during the squat (43) and isokinetic leg extension (5), vertical jump (7, 29, 31), or anaerobic running capacity and critical velocity (40). Collectively, the findings of these investigations (5–7, 9, 16, 17, 20, 21, 24, 27, 29, 31, 40, 43) suggest that acute supplementation with pre-workout may be more beneficial for sustaining repetitive movements associated with muscular endurance than improving measures of maximal effort anaerobic performance.
A recent survey (25) on the common practices of pre-workout supplementation found the majority of users (n = 872) listed “resistance training” as their primary mode of exercise. It was also indicated, however, that over 16% of pre-workout users are primarily involved in aerobic training, group exercise classes, and recreational activities (e.g. hiking, biking, etc.) (25). Although there are limited data regarding the effectiveness of pre-workout supplements on aerobic exercise performance, it is possible that supplementation would be beneficial based on their typical ingredient profile (26). For example, Walsh et al. (47) examined the influence of a caffeine-based pre-workout supplement on time to exhaustion and subjective feelings during constant-intensity treadmill running. The authors (47) reported that compared to the placebo, the pre-workout supplement led to increased time to exhaustion (+12.5%) at 70% V̇O2max, while improving feelings of energy and focus. These findings may be attributable to caffeine, beta-alanine, and arginine found within the investigated product and many other pre-workouts that have been shown to delay the onset of fatigue and reduce feelings of exertion (4, 11, 15, 28, 30, 39, 41, 42, 48). Consistent with many pre-workouts on the market, however, the product of Walsh et al. (47) contained proprietary blends with the majority of ingredients (including caffeine) listed at unknown quantities. Walsh et al. (47) proposed the inclusion of these additional ingredients may enhance the stimulatory effect of caffeine and provide synergistic benefits. Given that a recent study (26) has illustrated the majority of pre-workout supplements contain ingredients at quantities lower than the demonstrated effective dose, the potential for synergistic mechanisms provide a plausible explanation for ergogenic findings. Caffeine, beta-alanine, and arginine and other ingredients (tyrosine, L-carnitine, green coffee bean extract, capsicum, Mucuna pruriens, and Coleus forskohlii) that are combined in a popular pre-workout supplement (Cellucor, Bryan, TX) also have purported physiological effects related to metabolism including increased energy expenditure, lipolysis, and the transportation and utilization of fatty acids. Based on these mechanisms, is it possible that this pre-workout supplement (Cellucor, Bryan, TX) would enhance performance in aerobic activities on an acute basis. Therefore, the purpose of the present study was to examine the influence of an acute dose of a multi-ingredient pre-workout supplement on 5,000-m running performance and subjective measures of fatigue in aerobically-trained individuals. Based on the findings of Walsh et al. (47), we hypothesized that the current product would result in improved 5,000-m race time while reducing overall feelings of exertion.
METHODS
Participants
Twenty aerobically-trained, college-aged males (n = 10, mean ± SD = 80.8 ± 6.1 kg) and females (n = 10, 64.5 ± 6.6 kg) who ran ≥ 24.1 km·wk−1 volunteered to participate in the current study. An a priori power analysis using G*Power 3.1 (Universität Düsseldorf, Germany) indicated a sample size of 19 was required to achieve power (1-β) of 0.80 with an effect size of 0.6 and alpha of 0.05. The subjects did not report or exhibit any of the following that could significantly affect the outcome of the study: 1) medical history of cardiovascular disease, chest pain, loss of balance due to dizziness, unconsciousness, bone or joint injury, taking medications for blood pressure or a heart condition, or any other reason why they should not participate in physical activity; 2) use of nutritional supplements; 3) habitual use of caffeine; or 4) participation in another clinical trial of an investigational product within the last 30 days. Subjects were asked to maintain their current dietary and exercise habits for the duration of the study but were encouraged to avoid strenuous workouts and alcohol 48 hours prior to each visit. In addition, the subjects were instructed to avoid caffeine for at least two weeks prior to the beginning of the study. The study adhered to the ethical policies set by the Editorial Board (32) and was approved by the University Institutional Review Board for Human Subjects (IRB Title: Effects of a multi-ingredient thermogenic pre-workout supplement on 5K running performance in college-aged males and females; Approval Date: October 18, 2016). All subjects completed a health history questionnaire and signed a written informed consent prior to any testing.
Protocol
Study Design: This study utilized a randomized, double-blind, placebo-controlled, within-subjects crossover design. The double-blind was completed by a third party not involved in the data analysis. Subjects were required to visit the laboratory on three occasions. The first visit was structured as an orientation session to familiarize the subjects with the testing procedures associated with the study. For the second visit, the subjects were randomly assigned (through computerized random number generator) to ingest one dose of the pre-workout supplement (Cellucor, Bryan, TX) or placebo 30 minutes prior to running a 5,000-m race as fast as possible. Subjects also completed a 5-point Likert scale questionnaire (1 = very low, 5 = very high) to determine feelings of fatigue, alertness, energy, and focus immediately prior to ingesting the supplement or placebo (baseline), 30 minutes post-ingestion (immediately pre-race), and five minutes post-race. For the third visit seven days later, the subjects ingested the opposite substance (supplement or placebo) and completed another 5,000-m race with the same testing procedures as the second visit. Two-day food logs were recorded prior to the second and third visits.
Supplementation Protocol: During the second and third visits, the subjects consumed one serving of the supplement (Cellucor, Bryan, TX) or placebo (Kraft Foods, Chicago, IL) with six ounces of water 30 minutes prior to the 5,000-m race in a double-blind manner. One serving of the supplement (Cellucor, Bryan, TX) contained beta alanine (1.6 g), arginine alpha-ketoglutarate (AKG) (1.0 g), a proprietary “energy” blend [371 mg of tyrosine, caffeine anhydrous (150 mg), and velvet bean (Mucuna pruriens) seed extract], a proprietary “ripped” blend [1.0 g of L-carnitine tartrate, green coffee bean extract, Capsimax® cayenne (Capsicum annuum) fruit extract, and Coleus forskohlii root extract], vitamin C (250 mg), niacin (30 mg), vitamin B6 (500 μg), folic acid (250 μg), vitamin B12 (35 μg), and calcium (16 mg). The placebo was non-caloric Crystal Light (Kraft Foods, Chicago, IL) and matched with the supplement for similar appearance, taste, and consistency.
5,000-m Races: The 5,000-m races took place seven days apart on an indoor, temperature and humidity controlled, four-lane, 200-m track. Males and females completed separate races to promote competition and ensure that the track was not overly crowded. All subjects were verbally encouraged to complete the fastest time possible before and during the races. Laps on the track for each subject were counted by research assistants to ensure a total of 25 laps (25 laps × 200 meters per lap = 5,000 meters) were completed. Previous studies (12, 23) have shown high test-retest reliability measures in 5,000-m running time trials in competitive runners.
Likert Scale Questionnaire: Each subject completed a 5-point Likert scale questionnaire (1 = very low, 2 = low, 3 = average, 4 = high, 5 = very high) at three different time points during both the second and third visits. These three time points included: 1) immediately prior to ingesting the supplement or placebo (baseline), 2) 30 minutes post-ingestion (immediately pre-race), and 3) five minutes after they completed the race (post-race). The questionnaire included four questions in which the subjects were asked to rate their: 1) energy level, 2) fatigue level, 3) feelings of alertness, and 4) feelings of focus for task (27).
Food Logs: Two-day dietary history was recorded prior to each testing session using a commercially available nutritional analysis program (MyFitnessPal, Inc.) (33) to assess differences in total caloric and macronutrient (carbohydrates, fat, and protein) intake and to ensure the outcomes of the study were not influenced by dietary intake.
Statistical Analysis
Race times were compared between the supplement and placebo conditions using a paired-samples t-test. Model assumptions for the paired-samples t-test were met as indicated by normal distribution (skewness: −0.22 ± 0.51; kurtosis: 1.36 ± 0.99) and no identification of outliers using the box plot method (< 3 IQR). Four separate two-way ANOVAs with repeated measures were used to compare the Likert scale questionnaire variables between the conditions (supplement vs. placebo) at the common time points (baseline, pre-race, post-race) (34). In addition, four separate paired-samples t-tests were used to compare differences in total caloric and macronutrient intake between conditions. An alpha of 0.05 was considered statistically significant for all comparisons.
RESULTS
For the dietary analyses, there were no significant differences between conditions for total caloric (p = 0.564; partial η2 = 0.020), carbohydrate (p = 0.506; partial η2 = 0.026), fat (p = 0.851; partial η2 = 0.002), and protein (p = 0.184; partial η2 = 0.101) intake (Table 1). Our results also indicated there was no significant (p = 0.392; partial η2 = 0.039) difference in 5-km race time between the supplement (23.62 ± 2.08 min) and placebo (23.51 ± 1.97 min) conditions (Figure 1). The two-way repeated measures ANOVAs for the psychological variables (energy, fatigue, alertness, and focus) indicated there were no significant condition × time interactions or main effects for condition, but there were main effects for time (Table 2).
Table 1.
Supplement | Placebo | p value | |
---|---|---|---|
Total calories (kcals·d−1) | 2043 ± 837 | 1964 ± 707 | 0.564 |
Carbohydrates (g·d−1) | 251 ± 101 | 236 ± 69 | 0.506 |
Fat (g·d−1) | 81 ± 41 | 79 ± 41 | 0.851 |
Protein (g·d−1) | 109 ± 63 | 95 ± 55 | 0.184 |
Note: There were no significant (p > 0.05) differences among conditions for kcals or macronutrients.
Table 2.
Variable | Supplement | Placebo |
---|---|---|
Energy | ||
Baseline | 3.0 ± 0.5 | 2.7 ± 0.7 |
30-min Post-Ingestion | 3.8 ± 0.7 | 3.3 ± 0.7 |
Post-Race | 2.8 ± 0.9 | 2.8 ± 1.0 |
Fatigue | ||
Baseline | 2.3 ± 0.8 | 2.4 ± 0.8 |
30-min Post-Ingestion | 2.3 ± 0.7 | 2.5 ± 0.7 |
Post-Race | 3.3 ± 1.0 | 3.3 ± 1.1 |
Alertness | ||
Baseline | 3.1 ± 0.7 | 3.2 ± 0.6 |
30-min Post-Ingestion | 3.9 ± 0.6 | 3.5 ± 0.6 |
Post-Race | 3.7 ± 0.8 | 3.5 ± 0.8 |
Focus | ||
Baseline | 3.5 ± 0.6 | 3.3 ± 0.6 |
30-min Post-Ingestion | 3.9 ± 0.7 | 3.5 ± 0.6 |
Post-Race | 3.4 ± 0.9 | 3.6 ± 1.0 |
Note: There were no significant (p > 0.05) condition x time interactions or main effects for condition for energy, fatigue, alertness, and focus. Likert scale (1 = very low, 3 = average, 5 = very high).
DISCUSSION
The findings of the present investigation indicated that ingestion of the current pre-workout supplement had no effect on 5,000-m race time performance or subjective feelings of fatigue. The majority of previous studies that have examined the influence of acute supplementation with pre-workouts have shown beneficial effects for anaerobic performance, but there are limited data concerning the efficacy in aerobic measures. Walsh et al. (47), however, examined the acute effects of a pre-workout supplement on constant-intensity treadmill running to volitional exhaustion. The authors (47) reported that the pre-workout supplement increased the time to exhaustion (+12.5%) at 70% V̇O2max, and improved subjective feelings of energy and focus during the work bout. Based on these findings, we hypothesized that acute ingestion of pre-workout would result in improved 5,000-m run time. It is possible that the discrepancy in results between the present study and those of Walsh et al. (47) can be explained by differences in subject training level, intensity of the exercise bouts, or ingredient profile of the pre-workout supplement. Although both groups of subjects were defined as “recreationally active”, our sample had a minimum running requirement of >24.1 km·wk−1. In addition, the classic work of Daniels and colleagues (10) suggested that 5,000-m race pace in a motivated athlete is maintained at a higher intensity (i.e. > 90% V̇O2max) than the intensity (70% V̇O2max) of Walsh et al. (47). The inclusion of proprietary blends in the both supplements also makes comparisons difficult, even though the some of the same ingredients (caffeine, beta-alanine, and arginine) were utilized. Consistent with the present findings, Collins et al. (9) reported no improvement in 4,000-m cycling time trials in recreationally-active males and females following acute supplementation with a pre-workout containing caffeine (200 mg), beta-alanine (2.1 g), and arginine (1.3 g). Collectively, the results of the current study as well as those of Walsh et al. (47) and Collins et al. (9) indicated that pre-workout supplementation may be beneficial for aerobic exercise at a constant-intensity to volitional fatigue, but not for time trials of pre-determined distances. The present findings, however, should be considered in light of the study limitations that included running indoors and under artificial conditions that may not be consistent with recreational or competitive 5,000-m races with larger entry numbers and spectators. In addition, the present study did not examine blood or urine markers of ingredient metabolites or conduct any third-party testing of the supplement contents.
The current pre-workout supplement contained a total of nine ingredients (excluding vitamins and minerals) with six of these ingredients included in proprietary blends at undisclosed quantities. The three ingredients with the quantity provided were caffeine (150 mg), beta-alanine (1.6 g), and arginine (1.0 g). Each of these ingredients possess physiological mechanisms that have been shown to improve a number of measures associated with aerobic performance (1, 15, 44). For example, caffeine is a mild central nervous system stimulant that primarily functions as an ergogenic aid by blocking adenosine receptors, thereby increasing feelings of energy and alertness (15). Acute caffeine supplementation of 5 mg·kg−1 has also been shown to increase free fatty acid mobilization and time to exhaustion at 80% V̇O2max (41), and improve mental effort as well as cognitive function during high intensity exercise (13). Other beneficial effects of caffeine (6 mg·kg−1) on exercise performance include increased release of β-endorphins during two hours of cycle ergometry at 65% V̇O2max (30). The findings of these studies (30, 41) demonstrated that caffeine can be an effective ergogenic aid on metabolic, physiological, and psychological factors when administered in acute doses of 5–6 mg·kg−1. In the current supplement, however, the absolute caffeine content was 150 mg. This translated to average relative doses of 1.9 and 2.3 mg·kg−1 in our sample of males (n = 10; 80.8 ± 6.1 kg) and females (n = 10; 64.5 ± 6.6 kg), respectively. Therefore, it is likely that the caffeine content (150 mg) included in the present pre-workout supplement was too low to have any measurable effect on 5,000-meter race time or subjective feelings of fatigue, focus, alertness, or energy. In support, O’Rourke and colleagues (35) demonstrated that acute supplementation with 5 mg·kg−1 of caffeine significantly improved 5,000-m race time in both recreational (1.0%) and well-trained (1.1%) runners.
Beta-alanine is the most prevalent ingredient included in pre-workout supplements (26) and has been shown to increase intramuscular carnosine levels (18), reduce lactate concentration during aerobic performance (37), attenuate exercise-induced metabolic acidosis (2), improve time to exhaustion during graded exercise (39, 42), and boost cognitive function (46). It has been well-established that supplementation with beta-alanine, however, requires chronic doses of 4–6 g·d−1 typically for 2–4 weeks to achieve these benefits (3). Thus, the inclusion of beta-alanine in the current supplement would likely not contribute to any acute effect and also contains an insufficient dose (1.6 g) to be effective if administered long-term.
Arginine is a semi-essential amino acid that serves as the biological precursor for nitric oxide synthesis (1). This mechanism has been shown to promote blood flow to skeletal muscle (36), thereby increasing the delivery of oxygen and other nutrients while reducing metabolite production (38). Although acute supplementation with arginine has significant effects in the elderly and diseased populations (8, 36), there are conflicting data in healthy individuals. For example, it has been demonstrated that an acute dose of arginine can reduce the oxygen cost of moderate-intensity exercise and improve time to exhaustion during severe-intensity exercise in healthy samples (4), whereas other studies (14, 45) have shown no effects. Similar to caffeine and beta-alanine, the amount of arginine (1.0 g) in the current pre-workout supplement is well below the clinically-supported recommended dose (1) of at least 3–6 g for improving performance. Therefore, the absolute doses for the three main ingredients (caffeine, 150 mg; beta-alanine, 1.6 g; and arginine, 1.0 g) with listed quantities appear to be insufficient for eliciting ergogenic benefits associated with 5,000-m running performance or general feelings of exertion.
A recent study by Jagim et al. (26) has highlighted concern over the common practice of supplement companies under-dosing many of the ingredients in pre-workouts or including these ingredients in “proprietary blends” at undisclosed quantities. Out of the 100 best-selling pre-workout supplements on the market, the prevalence of these products containing at least the minimum ergogenic levels was only above 50% for caffeine (77%) with lower rates for beta-alanine (1.4%), arginine (4.0%), creatine (29.0%), and citrulline (37.5%). In addition, 58 out of these 100 products contained at least one proprietary blend with the quantities of 64% of all ingredients not provided. As suggested by Jagim et al. (26), pre-workout supplements with proprietary blends should be a concern for consumers due to the lack of necessary information to make decisions about efficacy and safety. The absence of any performance benefit in the present study supports this suggestion (26) and indicates that pre-workout supplement users should consider avoiding products with proprietary blends or ingest the desired ingredients at the known amounts individually to achieve the intended responses.
In summary, the results of the present study demonstrated that the acute single-dose ingestion of a multi-ingredient pre-workout supplement had no effect on 5,000 m run times or subjective measures of fatigue, energy, focus or alertness in an aerobically-trained population. It is likely that these findings could be attributed to the insufficient dosage of the three ingredients (caffeine, beta-alanine, and arginine) not included in the proprietary blends that were provided at quantities lower than the minimum ergogenic levels. Thus, these findings do not support the use of the current pre-workout supplement for improving 5,000-m running performance or associated subjective feelings of exertion on an acute single-dose basis. Future studies should examine the efficacy of individual ingredients common to pre-workout supplements on the metabolic, physiological, and psychological factors related to aerobic performance.
REFERENCES
- 1.Alvares TS, Meirelles CM, Bhambhani YN, Paschoalin VM, Gomes PS. L-Arginine as a potential ergogenic aid in healthy subjects. Sports Med. 2011;41(3):233–248. doi: 10.2165/11538590-000000000-00000. [DOI] [PubMed] [Google Scholar]
- 2.Baguet A, Koppo K, Pottier A, Derave W. β-Alanine supplementation reduces acidosis but not oxygen uptake response during high-intensity cycling exercise. Eur J appl Physiol. 2010;108(3):495–503. doi: 10.1007/s00421-009-1225-0. [DOI] [PubMed] [Google Scholar]
- 3.Baguet A, Reyngoudt H, Pottier A, Everaert I, Callens S, Achten E, Derave W. Carnosine loading and washout in human skeletal muscles. J Appl Physiol. 2009;106(3):837–842. doi: 10.1152/japplphysiol.91357.2008. [DOI] [PubMed] [Google Scholar]
- 4.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(5):1394–1403. doi: 10.1152/japplphysiol.00503.2010. [DOI] [PubMed] [Google Scholar]
- 5.Bergstrom HC, Byrd MT, Wallace BJ, Clasey JL. Examination of a multi-ingredient preworkout supplement on total volume of resistance exercise and subsequent strength and power performance. J Strength Cond Res. 2018;32(6):1479–1490. doi: 10.1519/JSC.0000000000002480. [DOI] [PubMed] [Google Scholar]
- 6.Bloomer RJ, Farney TM, Trepanowski JF, McCarthy CG, Canale RE, Schilling BK. Comparison of pre-workout nitric oxide stimulating dietary supplements on skeletal muscle oxygen saturation, blood nitrate/nitrite, lipid peroxidation, and upper body exercise performance in resistance trained men. J Inter Soc Sports Nutr. 2010;7:16. doi: 10.1186/1550-2783-7-16. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Cameron M, Camic CL, Doberstein S, Erickson JL, Jagim AR. The acute effects of a multi-ingredient pre-workout supplement on resting energy expenditure and exercise performance in recreationally active females. J Inter Soc Sports Nutr. 2018;15:1. doi: 10.1186/s12970-017-0206-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Ceremuzynski L, Chamiec T, Herbaczynska-Cedro K. Effect of supplemental oral L-arginine on exercise capacity in patients with stable angina pectoris. Am J Cardiol. 1997;80(3):331–333. doi: 10.1016/s0002-9149(97)00354-8. [DOI] [PubMed] [Google Scholar]
- 9.Collins PB, Earnest CP, Dalton RL, Sowinski RJ, Grubic TJ, Favot CJ, Coletta AM, Rasmussen C, Greenwood M, Kreider RB. Short-term effects of a ready-to-drink pre-workout beverage on exercise performance and recovery. Nutrients. 2017;9(8):823. doi: 10.3390/nu9080823. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Daniels J, Gilbert J. Oxygen power: performance tables for distance runners. Tempe, Ariz: J. Daniels, J. Gilbert; 1979. [Google Scholar]
- 11.Demura S, Yamada T, Terasawa N. Effect of coffee ingestion on physiological responses and ratings of perceived exertion during submaximal endurance exercise. Percept Mot Skills. 2007;105(3_suppl):1109–1116. doi: 10.2466/pms.105.4.1109-1116. [DOI] [PubMed] [Google Scholar]
- 12.Driller M, Brophy-Williams N, Walker A. The reliability of a 5km run test on a motorized treadmill. Meas Phys Educ Exerc Sci. 2017;21(3):121–126. [Google Scholar]
- 13.Duncan MJ, Dobell AP, Caygill CL, Eyre E, Tallis J. The effect of acute caffeine ingestion on upper body anaerobic exercise and cognitive performance. Eur J Sport Sci. 2019;19(1):103–111. doi: 10.1080/17461391.2018.1508505. [DOI] [PubMed] [Google Scholar]
- 14.Forbes SC, Bell GJ. The acute effects of a low and high dose of oral L-arginine supplementation in young active males at rest. Appl Physiol Nutr Metab. 2011;36(3):405–411. doi: 10.1139/h11-035. [DOI] [PubMed] [Google Scholar]
- 15.Goldstein ER, Ziegenfuss T, Kalman D, Kreider R, Campbell B, Wilborn C, Taylor L, Willoughby D, Stout J, Graves BS, Wildman R, Ivy JL, Spano M, Smith AE, Antonio J. International society of sports nutrition position stand: caffeine and performance. J Inter Soc Sports Nutr. 2010;7(1):5. doi: 10.1186/1550-2783-7-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Gonzalez AM, Walsh AL, Ratamess NA, Kang J, Hoffman JR. Effect of a pre-workout energy supplement on acute multi-joint resistance exercise. J Sports Sci Med. 2011;10(2):261–6. [PMC free article] [PubMed] [Google Scholar]
- 17.Hahn CJ, Jagim AR, Camic CL, Andre MJ. Acute effects of a caffeine-containing supplement on anaerobic power and subjective measurements of fatigue in recreationally active men. J Strength Cond Res. 2018;32(4):1029–1035. doi: 10.1519/JSC.0000000000002442. [DOI] [PubMed] [Google Scholar]
- 18.Harris RC, Tallon MJ, Dunnett M, Boobis L, Coakley J, Kim HJ, Fallowfield JL, Hill CA, Sale C, Wise JA. The absorption of orally supplied β-alanine and its effect on muscle carnosine synthesis in human vastus lateralis. Amino acids. 2006;30(3):279–289. doi: 10.1007/s00726-006-0299-9. [DOI] [PubMed] [Google Scholar]
- 19.Harty PS, Zabriskie HA, Erickson JL, Molling PE, Kerksick CM, Jagim AR. Multi-ingredient pre-workout supplements, safety implications, and performance outcomes: a brief review. J Inter Soc Sports Nutr. 2018;15(1):41. doi: 10.1186/s12970-018-0247-6. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Hoffman JR, Kang J, Ratamess NA, Hoffman MW, Tranchina CP, Faigenbaum AD. Examination of a preexercise, high energy supplement on exercise performance. J Inter Soc Sports Nutr. 2009;6:2. doi: 10.1186/1550-2783-6-2. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Hoffman JR, Ratamess NA, Gonzalez A, Beller NA, Hoffman MW, Olson M, Purpura M, Jäger R. The effects of acute and prolonged CRAM supplementation on reaction time and subjective measures of focus and alertness in healthy college students. J Inter Soc Sports Nutr. 2010;7:39. doi: 10.1186/1550-2783-7-39. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Hoffman JR, Ratamess NA, Ross R, Shanklin M, Kang J, Faigenbaum AD. Effect of a pre-exercise energy supplement on the acute hormonal response to resistance exercise. J Strength Cond Res. 2008;22(3):874–882. doi: 10.1519/JSC.0b013e31816d5db6. [DOI] [PubMed] [Google Scholar]
- 23.Hurst P, Board L. Reproducibility of outdoor 5 km running time-trial in a competitive environment. Br J Sports Med. 2013;47:e4. [Google Scholar]
- 24.Jacobs PL. The acute effects of a commercial pre workout product, wodFuel®, on performance of a crossfit exercise series, the Cindy. J Inter Soc Sports Nutr. 2014;11(1):P21. [Google Scholar]
- 25.Jagim AR, Camic CL, Harty PS. Common habits, adverse events, and opinions regarding pre-workout supplement use among regular consumers. Nutrients. 2019;11(4):855. doi: 10.3390/nu11040855. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26.Jagim AR, Harty PS, Camic CL. Common ingredient profiles of multi-ingredient pre-workout supplements. Nutrients. 2019;11(2):254. doi: 10.3390/nu11020254. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Jagim AR, Jones MT, Wright GA, St Antoine C, Kovacs A, Oliver JM. The acute effects of multi-ingredient preworkout ingestion on strength performance, lower body power, and anaerobic capacity. J Int Soc Sports Nutr. 2016;13:11. doi: 10.1186/s12970-016-0122-2. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Kalmar JM, Cafarelli E. Effects of caffeine on neuromuscular function. J Appl Physiol. 1999;87(2):801–808. doi: 10.1152/jappl.1999.87.2.801. [DOI] [PubMed] [Google Scholar]
- 29.Lane M, Byrd M. Effects of pre-workout supplements on power maintenance in lower body and upper body tasks. J Funct Morphol Kinesiol. 2018;3(1):11. doi: 10.3390/jfmk4020018. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.Laurent D, Schneider KE, Prusaczyk WK, Franklin C, Vogel SM, Krssak M, Petersen KF, Goforth HW, Shulman GI. Effects of caffeine on muscle glycogen utilization and the neuroendocrine axis during exercise. J Clin Endocrinol Metab. 2000;85(6):2170–2175. doi: 10.1210/jcem.85.6.6655. [DOI] [PubMed] [Google Scholar]
- 31.Martinez N, Campbell B, Franek M, Buchanan L, Colquhoun R. The effect of acute pre-workout supplementation on power and strength performance. J Inter Soc Sports Nutr. 2016;13:29. doi: 10.1186/s12970-016-0138-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Navalta JW, Stone WJ, Lyons S. Ethical issues relating to scientific discovery in exercise science. Int J Ex Sci. 2019;12(1):1–8. [PMC free article] [PubMed] [Google Scholar]
- 33.Nelson A, Camic CL, Foster C, Zajac B, Hoecherl K, Erickson J, Jagim AR. Supplementation with a multi-ingredient pre-workout supplement does not augment resistance training adaptations in females. Int J Ex Sci. 2019;12(2):187–202. [PMC free article] [PubMed] [Google Scholar]
- 34.Norman G. Likert scales, levels of measurement and the “laws” of statistics. Adv Health Sci Educ Theory Pract. 2010;15(5):625–632. doi: 10.1007/s10459-010-9222-y. [DOI] [PubMed] [Google Scholar]
- 35.O’Rourke MP, O’Brien BJ, Knez WL, Paton CD. Caffeine has a small effect on 5-km running performance of well-trained and recreational runners. J Sci Med Sport. 2008;11(2):231–233. doi: 10.1016/j.jsams.2006.12.118. [DOI] [PubMed] [Google Scholar]
- 36.Rector TS, Bank AJ, Mullen KA, Tschumperlin LK, Sih R, Pillai K, Kubo SH. Randomized, double-blind, placebo-controlled study of supplemental oral L-arginine in patients with heart failure. Circulation. 1996;93(12):2135–2141. doi: 10.1161/01.cir.93.12.2135. [DOI] [PubMed] [Google Scholar]
- 37.Santana JO, de Freitas MC, Dos Santos DM, Rossi FE, Lira FS, Rosa-Neto JC, Caperuto EC. Beta-alanine supplementation improved 10-km running time trial in physically active adults. Front Physiol. 2018;9:1105. doi: 10.3389/fphys.2018.01105. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38.Schaefer A, Piquard F, Geny B, Doutreleau S, Lampert E, Mettauer B, Lonsdorfer J. L-arginine reduces exercise-induced increase in plasma lactate and ammonia. Int J Sports Med. 2002;23(06):403–407. doi: 10.1055/s-2002-33743. [DOI] [PubMed] [Google Scholar]
- 39.Smith AE, Moon JR, Kendall KL, Graef JL, Lockwood CM, Walter AA, Beck TW, Cramer JT, Stout JR. The effects of beta-alanine supplementation and high-intensity interval training on neuromuscular fatigue and muscle function. Eur J Appl Physiol. 2009;105(3):357. doi: 10.1007/s00421-008-0911-7. [DOI] [PubMed] [Google Scholar]
- 40.Spradley BD, Crowley KR, Tai CY, Kendall KL, Fukuda DH, Esposito EN, Moon SE, Moon JR. Ingesting a preworkout supplement containing caffeine, B-vitamins, amino acids, creatine, and beta-alanine before exercise delays fatigue while improving reaction time and muscular endurance. Nutr Metab. 2012;9:28. doi: 10.1186/1743-7075-9-28. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41.Spriet LL, MacLean DA, Dyck DJ, Hultman E, Cederblad G, Graham TE. Caffeine ingestion and muscle metabolism during prolonged exercise in humans. Am J Physiol Endocrinol Metab. 1992;262(6):E891–E898. doi: 10.1152/ajpendo.1992.262.6.E891. [DOI] [PubMed] [Google Scholar]
- 42.Stout JR, Cramer JT, Mielke M, O’kroy J, Torok DJ, Zoeller RF. Effects of twenty-eight days of beta-alanine and creatine monohydrate supplementation on the physical working capacity at neuromuscular fatigue threshold. J Strength Cond Res. 2006;20(4):928–931. doi: 10.1519/R-19655.1. [DOI] [PubMed] [Google Scholar]
- 43.Tinsley GM, Hamm MA, Hurtado AK, Cross AG, Pineda JG, Martin AY, Uribe VA, Palmer TB. Effects of two pre-workout supplements on concentric and eccentric force production during lower body resistance exercise in males and females: a counterbalanced, double-blind, placebo-controlled trial. J Inter Soc Sports Nutr. 2017;14:46. doi: 10.1186/s12970-017-0203-x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 44.Trexler ET, Smith-Ryan AE, Stout JR, Hoffman JR, Wilborn CD, Sale C, Kreider RB, Jäger R, Earnest CP, Bannock L, Campbell B, Kalman D, Ziegenfuss TN, Antonio J. International society of sports nutrition position stand: Beta-Alanine. J Inter Soc Sports Nutr. 2015;12:30. doi: 10.1186/s12970-015-0090-y. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 45.Vanhatalo A, Bailey SJ, DiMenna FJ, Blackwell JR, Wallis GA, Jones AM. No effect of acute l-arginine supplementation on O 2 cost or exercise tolerance. Eur J Appl Physiol. 2013;113(7):1805–1819. doi: 10.1007/s00421-013-2593-z. [DOI] [PubMed] [Google Scholar]
- 46.Voss MW, Sutterer M, Weng TB, Burzynska AZ, Fanning J, Salerno E, Gothe NP, Ehlers DK, McAuley E, Kramer AF. Nutritional supplementation boosts aerobic exercise effects on functional brain systems. J Appl Physiol. 2018;126(1):77–87. doi: 10.1152/japplphysiol.00917.2017. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 47.Walsh AL, Gonzalez AM, Ratamess NA, Kang J, Hoffman JR. Improved time to exhaustion following ingestion of the energy drink Amino Impact™. J Inter Soc Sports Nutr. 2010;7(1):14. doi: 10.1186/1550-2783-7-14. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48.Zak RB, Camic CL, Hill EC, Monaghan MM, Kovacs AJ, Wright GA. Acute effects of an arginine-based supplement on neuromuscular, ventilatory, and metabolic fatigue thresholds during cycle ergometry. Appl Physiol Nutr Metab. 2014;40(4):379–385. doi: 10.1139/apnm-2014-0379. [DOI] [PubMed] [Google Scholar]