The effect of nitric oxide donors on improving the functional capabilities of the cardiovascular system and special training of representatives of power sports
DOI:
https://doi.org/10.32540/2071-1476-2024-1-159Keywords:
nitric oxide donors, L-arginine, strength loads, qualified weightlifters, special training, functional capabilities of the cardiovascular system, cardiac biomarkers, troponinsAbstract
Introduction. The analysis of the data available in the scientific and methodological literature supports the general opinion that nitric oxide makes the recovery process after intensive training more eficient, which helps prevent the growth of fatigue and the formation of overstrain processes in sports. At the same time, nitric oxide donors are considered to be excellent pre-workout means, and their use in any form – as pharmaceuticals or special dietary supplements for athletes – allows to significantly improve the quality of training and ensure an increase in the eficiency of the competitive period. However, these data mainly relate to athletes of cyclic sports events and train such a motor quality as endurance. Therefore, it seems relevant to investigate the impact of nitric oxide donors (antecedents or precursors) on the functional state of the heart in relation to special training status indices in strength sports events.
The objective of the study is to evaluate the safety and mediated effectiveness of using a pharmacological complex based on nitric oxide donors for the prevention and correction of cardiac dysfunction and special training status improvement in representatives of strength sports events.
Material, methods and organization of the study. The following complex methodology was applied, which included theoretical methods incorporating analysis and generalization of pedagogical and scientific-methodical literature, empirical methods, pedagogical experiment, mathematical and statistical methods envisaging calculations of significance of data differences between groups of athletes and correlation analysis of indices.
The preliminary evidence-based study of the safety of using a special dietary supplement “Arginine + Citrulline” (manufactured by Now Food, USA) was based on dynamic monitoring of the main laboratory indices of hematological and biochemical homeostasis, as well as changes in lactate content. At the next stage of the study, the level of cardiomarkers (cardiac troponins T and I) in the blood serum was determined, as well as indices of special training status in representatives of strength sports events (through the example of skilled weightlifters) were investigated by the method of V.M. Abalakov.
During the randomized, double-blind, placebo-controlled study, 24 skilled weightlifters were divided into the main (14 participants) and control (10 participants) groups by simple stratification method. Representatives of the main group used a special sports dietary supplement “Arginine + Citrulline”, in a daily dose of 2 capsules of 500 mg of active substance, whereas those of the control group – placebo (capsules with starch) for 30 days in the dynamics of the training process. Laboratory and pedagogical researches were carried out synchronously at the beginning and the end of the experiment which was conducted in dynamics of the general preparatory stage of the preparatory period. The same program of training was used by athletes of both groups.
Results of the study. The obtained data on the safety assessment of the use of a special dietary supplement proved the lack of changes in the values of standard laboratory hematological and biochemical parameters in the dynamics of the experiment. In addition, the results of the study indicate, firstly, the absence of the acid-base balance deterioration, for which changes in the lactate content towards accumulation are largely responsible, and, secondly, the absence of shifts in the trigger mechanism that “launches” the process of fatigue and is mediated by changes in the lactic acid content in the athlete’s body.
The findings show that the baseline content values of both cardiac troponins – cTnT and cTnI – before the study did not practically differ from those of healthy donors, thus indicating the lack of cardiac lesions in athletes during the standard training process. At the end of the 30-day monitoring period during intense physical loads peculiar to strength sports events in general and weightlifting in particular, a significant increase in the content of both cardiac troponins was observed in the control group compared to the data of donors and the results observed before the study. This is indicative of the changes in the integrity of myocardial cells under the influence of various metabolic changes in the dynamics of physical loads of high volume and intensity. As concerns the data of the main group of weightlifters, the positive effect of using the special sports dietary supplement “Arginine + Citrulline”, which provides increased coronary and improved heart tissue circulations, is quite evident. They are additionally protected by L-citrulline malate, which binds and removes toxic substances from myocardial cells that accumulate during regular weightlifting training sessions. Therefore, the data obtained prove conclusively the preventive effect of an ergogenic and restorative extra-training product.
Pedagogical testing of special physical training status indices in representatives of strength sports events. The data obtained indicate that the course use of a special dietary supplement simultaneously containing two nitric oxide donors has a positive effect on special training status parameters related to muscular and neuromuscular coordination. This is realized in such an index of weightlifters’ functional fitness as explosive power.
The results of the correlation analysis confirmed the authors’ assumption about a close relationship between the content of cardiac troponins and the results reflecting the special training status of weightlifters in terms of the height of the barbell lift in standing jump and snatch row and the time of these testing exercises performance. The improvement of special training status indices reflecting changes in explosive power has become a direct confirmation of the positive effect of the course application of a complex of nitric oxide donors and a detoxifier on the heart muscle structure. Thus, in the main group, the height of the barbell lift during the standing high jump and snatch row increased significantly by 31.43 % compared to the baseline data, and 12.89 %, respectively, along with a simultaneous decrease in the time of executing the control exercises by 18.87 % and 21.54 %, respectively.
Conclusions. Thus, the existence of significant correlations confirms our hypothesis that the improvement of the heart functional state during strength loads with the use of nitric oxide donors due to blood circulation acceleration, which is more typical of cyclic loads (“endurance”), despite the predominantly anaerobic mechanism of energy supply of muscular activity of weightlifters, has a positive effect on the indices of their special training status. This substantiates the expediency and effectiveness of both the use of nitric oxide donors (precursors) in representatives of sports with a predominantly anaerobic character of energy supply of skeletal muscle contractile activity and the practicability of including developing aerobic microcycles in the training process in such cases.
References
Gunina LM, Ataman YuO, Belenichev IF, Voitenko VL, Nosach OV. Laboratornyi monitorynh i nutrytyvno-metabolichna pidtrymka protsesu pidhotovky sportsmeniv. Vydavnytstvo Sumskoho derzhavnoho universytetu, 2023. 661 p.
Moskalenko VF, Gulchii OP, Golubchikov MV, Ledoshchuk BO. Biostatystyka. Knyha Plius, 2009. 184 p.
Oleshko VG. Modeliuvannia protsesu pidhotovky ta vidbir sportsmeniv u sylovykh vydakh sportu. DMP “Polimed”, 2005. 251 p.
Behringer M, Montag J, Franz A, McCourt ML, Mester J, Nosaka KK. Exhaustive exercisea near death experience for skeletal muscle cells? Med. Hypotheses. 2014;83(6):758-65. https://doi.org/10.1016/j.mehy.2014.10.005
Bernat-Adell MD, Collado-Boira EJ, Moles-Julio P, Panizo-González N, Martínez-Navarro I, Hernando-Fuster B. Recovery of Inflammation, Cardiac, and Muscle Damage Biomarkers After Running a Marathon J. Strength Cond. Res. 2021;35(3):626-32. https://doi.org/10.1519/JSC.0000000000003167
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. Int. Soc. Sports Nutr. 2010;7(16). https://doi.org/10.1186/1550-2783-7-16.
Brooks GA, Osmond AD, Arevalo JA, Duong JJ, Curl CC, Moreno-Santillan DD, Leija RG. Lactate as a myokine and exerkine: drivers and signals of physiology and metabolism. J Appl Physiol (1985). 2023;134(3):529-48.
Bukvić F, Ivković A, Čičak H, Dukić L, Šimundić AM, Marijančević D, Pašalić D. The Association of Serum Calprotectin with Fitness Indicators and Biochemical Markers in High-Level Athletes: AContinuous Dynamic Monitoring during One Competitive Season. Sports (Basel). 2023;11(12):243. https://doi.org/10.3390/sports11120243.
Castiglione V, Aimo A, Vergaro G, Saccaro L, Passino C, Emdin M. Biomarkers for the diagnosis and management of heart failure. Heart Fail. Rev. 2022;27(2):625-43. https://doi.org/10.1007/s10741-021-10105-w
Collins J, Maughan RJ, Gleeson M, Bilsborough J, Jeukendrup A. et al. UEFA expert group statement on nutrition in elite football. Current evidence to inform practical recommendations and guide future research. Br. J. Sports Med. 2021;55(8):416. https://doi.org/10.1136/bjsports-2019-101961
Costache AD, Leon-Constantin MM, Roca M, Mataleru A, Anghel RC. et al. Cardiac Biomarkers in Sports Cardiology. J. Cardiovasc. Dev. Dis. 2022;9(12):453. https://doi.org/10.3390/jcdd9120453
d’Unienville NMA, Blake HT, Coates AM, Hill AM, Nelson MJ, Buckley JD. Effect of food sources of nitrate, polyphenols, L-arginine and L-citrulline on endurance exercise performance: a systematic review and meta-analysis of randomised controlled trials. J. Int. Soc. Sports Nutr., 2021;18(1):76. https://doi.org/10.1186/s12970-021-00472-y
Gianazza E, Brioschi M., Martinez Fernandez A., Casalnuovo F, Altomare A, Aldini G, Banfi C. Lipid Peroxidation in Atherosclerotic Cardiovascular Diseases. Antioxid. Redox Signal. 2021;34(1):49-98. https://doi.org/10.1089/ars.2019.7955.
Gonzalez AM., Townsend JR, Pinzone AG, Hoffman JR. Supplementation with Nitric Oxide Precursors for Strength Performance: A Review of the Current Literature. Nutrients. 2023;15(3):660. https://doi.org/10.3390/nu15030660
Gough LA, Sparks SA, McNaughton LR, Higgins MF, Newbury JW, Trexler E et al. A critical review of citrulline malate supplementation and exercise performance. Eur. J. Appl. Physiol. 2021;121(12):3283-95. https://doi.org/10.1007/s00421-021-04774-6
Gunina Larisa, Orlovas Aleksandras, Kazys Milašius Hazut N, Rapps K, Kristt DA, Susswein AJ, Weller A Nitric oxide and L-arginine regulate feeding in satiated rats. Appetite. 2019;132:44-54. https://doi.org/10.1016/j.appet.2018.09.023
Heaps CL, Mattox ML, Kelly KA, Meininger CJ, Parker JL. Exercise training increases basal tone in arterioles distal to chronic coronary occlusion. Am. J. Physiol. Heart Circ. Physiol. 2006;290(3):128-35. https://doi.org/10.1152/ajpheart.00973.2005
Juguilon C, Wang Z, Wang Y, Enrick M, Jamaiyar A. et al. Mechanism of the switch from NO to H2O2 in endothelium-dependent vasodilation in diabetes. Basic. Res. Cardiol. 2022;117(1):2. https://doi.org/10.1007/s00395-022-00910-1
Kim KH, Jia Z, Snyder M, Chen J, Qiu J, Oprescu SN et al. PRMT5 links lipid metabolism to contractile function of skeletal muscles. EMBO Rep. 2023;24(8):e57306. https://doi.org/10.15252/embr.202357306
Kozina ZhL, Sobko IN, Vilvickitsi VA, Xiaofei Wang, Borovsky SV, Timko EN, et al. Method of integral development of speed-power qualities and accuracy of throws at young basketball players 12-13 years. Health, sport, rehabilitation, 2018;2:39-51.
Le Goff C, Farré Segura J, Dufour P, Kaux JF, Cavalier E. Intense sport practices and cardiac biomarkers. Clin. Biochem. 2020;79:1-8. https://doi.org/10.1016/j.clinbiochem.2020.02.008.
Lee S, Choi Y, Jeong E, Park J, Kim J, Tanaka M, Choi J. Physiological significance of elevated levels of lactate by exercise training in the brain and body. J. Biosci. Bioeng. 2023;135(3):167-75. https://doi.org/10.1016/j.jbiosc.2022.12.001
Muggeridge DJ, Howe CC, Spendiff O, Pedlar C, James PE, Easton C. A single dose of beetroot juice enhances cycling performance in simulated altitude. Med. Sci. Sports Exerc., 2014;46(1):143-50. https://doi.org/10.1249/MSS.0b013e3182a1dc51
Natori S, Hasebe N, Jin YT, Matsusaka T, Ido A, et al. Inhaled nitric oxide modifies left ventricular diastolic stress in the presence of vasoactive agents in heart failure. Am. J. Respir. Crit. Care Med. 2003;167(6):895-901. https://doi.org/10.1164/rccm.200201-057OC
Papadopoulou SK. Increasing Muscle Mass in Elders through Diet and Exercise: A Literature Review of Recent RCTs. Foods. 2023:12(6):1218. https://doi.org/10.3390/foods12061218
Park HY, Kim SW, Seo J, Jung YP, Kim H, Kim AJ. Dietary Arginine and Citrulline Supplements for Cardiovascular Health and Athletic Performance: A Narrative Review. Nutrients. 2023;15(5):1268. https://doi.org/10.3390/nu15051268
Radak Z, Naito H, Taylor AW, Goto S. Nitric oxide: is it the cause of muscle soreness? Nitric. Oxide.
Solanki K, Rajpoot S, Bezsonov EE, Orekhov AN, Saluja R, Wary A, et al. The expanding roles of neuronal nitric oxide synthase (NOS1). Peer J. 2022;10:e13651. https://doi.org/10.7717/peerj.13651.
Sonkodi B, Berkes I, Koltai E. Have We Looked in the Wrong Direction for More Than 100 Years? Delayed Onset Muscle Soreness Is, in Fact, Neural Microdamage Rather Than Muscle Damage. Antioxidants (Basel). 2020;9(3):212. https://doi.org/10.3390/an-tiox9030212.
Toyota E, Goto M, Nakamoto H, Ebata J, Tachibana H, Hiramatsu O, et al. Endothelium-de-rived nitric oxide enhances the effect of intraaortic balloon pumping on diastolic coronary flow. Ann. Thorac. Surg. 1999;67(5):1254-61. https://doi.org/10.1016/s0003-4975(99)00156-3
Uehara EU, Shida Bde S, de Brito CA. Role of nitric oxide in immune responses against vi-ruses: beyond microbicidal activity. Inflamm. Res. 2015;64(11):845-52. https://doi.org/10.1007/s00011-015-0857-2
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright of the published papers and grant to the publisher the non-exclusive right to publish the article, to be cited as its original publisher in case of reuse, and to distribute it in all forms and media. Articles will be distributed under the Creative Commons Attribution 4.0 International (CC BY 4.0) licence.
Authors can enter the separate, additional contractual arrangements for non-exclusive distribution of the published paper (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.