Impact of Varying Doses of Amino Acids on Exercise, Muscular and Mental Performance

Study Overview
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Brief Summary
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A number of studies have shown that ingestion of crystalline amino acids, in particular branched chain amino acids (BCAA) can affect endurance performance, markers of muscle damage, and possibly mental focus. It seems that the longer and lower intensity events are affected more by consumption of BCAA. This study will test the hypothesis that BCAA availability limits central fatigue (the feeling of tiredness). While various aspects of performance have been tested no study to date has tested multiple exercise, muscular, and mental performance aspects in a single study. Thus, the overall purpose of this study is to determine whether an amino acid supplement changes the mental and physical response to prolonged exercise versus a placebo (carbohydrate drink). This nutritional supplement could be useful on two levels. Improved mental focus and endurance performance and decreased central fatigue and muscle soreness could be valuable for enhancing athlete performance. Similarly, decreased central fatigue and muscle soreness may increase the willingness of the general public to exercise which could translate into decreased health risks and increased health benefits.

Detailed Description
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Specific Purpose and Hypotheses In the current proposal we outline a study that will examine a comprehensive battery of tests to assess the efficacy of Amino Vital's Amino Acid (AA) formulation to improve physical and mental performance after exercise. We hypothesize: Ingestion of the Amino Acid (AA) formula will improve cognitive, motor, and physical performance on the post-exercise tasks in a hierarchical manner: 2AA > AA > placebo Blood concentrations of amino acids will be higher in the AA trials in a hierarchical manner: 2AA >AA > placebo Markers of muscle damage will be lower than placebo in a hierarchical manner: placebo > AA > 2AA Recruitment Methods and Process Recruitment methods will be passive. Participants will be made aware of the study through the use of Hamilton Health Science/Faculty of Health Sciences Research Ethics Board (HHS/FHS REB) approved posted flyers at McMaster University and will voluntarily initiate contact with the study team. A recruitment poster will also be submitted for posting on the McMaster Daily News webpage. Research Design and Methodology This study will use a double-blind repeated measures study design in which subjects will complete 7 sessions. The sessions consist of familiarization and the completion of three trials (placebo, AA, 2AA of AminoVital's formulation). Trials will be completed in a randomized, counterbalanced and blocked fashion such that with 12 subjects, 2 participants complete each trial order: ABC, ACB, BCA, BAC, CAB, CBA. In the first session, participants will be screened using a standard health questionnaire. Interested participants will sign a consent form. They will then undergo testing of maximal oxygen consumption (VO2peak) using a treadmill. Subjects will also familiarize themselves with the physical and mental performance tests: Stroop test, profile of mood states (POMS), isometric strength test and an isokinetic muscle fatigue test. Following this initial session, participants will complete 3 trials (placebo, AA or 2AA drink formula) in random order. On the first day of a trial, participants will arrive at the lab in the morning after a day of dietary control and a standardized breakfast including the treatment beverage. Prior to beginning exercise, participants will complete the physical and mental performance tests. A small catheter (flexible plastic tube) will be inserted into a forearm vein by Dr. Phillips or a medically trained and qualified member of the laboratory group; Dr. Tarnopolsky is responsible for the individuals inserting the venous catheters. The needle will be removed promptly after the insertion of each catheter; only the catheters will remain in their arms until the end of the trial. The catheter will be used for repeated blood sampling over the next six hours (see Figure 1). Additionally, breath samples will be taken at the same time as the blood samples. Following the performance tests, and prior to the start of exercise, a baseline blood sample will be drawn. Participants will then perform a bout of endurance exercise that consists of treadmill walking for 180 minutes at 40% of their peak VO2. Following the start of exercise, participants will consume a treatment beverage (or placebo) every 20 minutes after the start of exercise and continuing until 20 minutes after exercise (see Figure 1). Following the exercise bout, participants will repeat the physical and mental performance tests. On the second day of a trial, participants will arrive after having consumed a standard breakfast including the treatment beverage. They will complete the physical and mental performance tests and one blood sample (4 mL) will be taken. The trial day breakfast will consist of energy estimated for each subject based on the Harris-Benedict equation with an activity factor of 30%. The diet will be 55:30:15 in terms of percent energy from carbohydrate:fat:protein. Subjects will consume the same diet on the days prior to each exercise trial to control for pre-study calorie and carbohydrate/fat intake, which could affect substrate oxidation. Subjects will refrain from consumption of alcohol and caffeine on the day of the trial. Trials will take place at least 5d (but no more than 10d) apart and will commence at a time between  6-10am and will proceed according to the schematic timeline shown in figure 1. The testing time for subjects will remain consistent throughout the study. We also believe that it is prudent for subjects to consume a fixed and constant volume of water (500 ml with breakfast) during all trials to prevent dehydration and to allow subjects to complete the exercise in safe manner. Data Analyses/Statistics All data will be analyzed using a repeated measures two-way analysis of variance with time as a within factor and dose as a between factor. Significant ANOVA effects will be further scrutinized using Tukey's test as a post-hoc procedure. Where significant correlation of one variable with another exists, an analysis of covariance may also be performed. Significance will be accepted at P<0.05. Instrumentation Sample analysis will be carried out using a microplate reader/ELISA for creatine kinase (CK), C-reactive protein (CRP), lactate dehydrogenase (LDH) and myoglobin, glucose and lactate auto-analyzers, High Performance Liquid Chromatography (HPLC) for amino acids as well as a metabolic cart gas analyzer to analyze breath samples.

Official Title
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Impact of Varying Doses of Amino Acids on Exercise, Muscular and Mental Performance

Conditions
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Psychological Phenomena: Central Fatigue

Intervention / Treatment
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* Dietary Supplement: AminoVital Amino Acid formulation
* Dietary Supplement: Amino Vital Amino Acid formulation
* Dietary Supplement: Amino Vital Amino Acid formulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male Aged 18 to 30 years old Non-obese (body mass index ≤ 30 kg/m2) Non-smoker Healthy (see exclusion criteria below) Exclusion Criteria: Any acute or chronic illness, cardiac, pulmonary, liver, or kidney abnormalities, uncontrolled hypertension, insulin- or non-insulin dependent diabetes or other metabolic disorders - all ascertained through medical history screening questionnaire. Arthritic conditions Individuals who cannot refrain from consuming any alcoholic beverages during the study Individuals who chronically consume any analgesic or anti-inflammatory drug(s), prescription or non-prescription A history of neuromuscular problems Individuals on any medications known to affect protein metabolism (i.e. corticosteroids, non-steroidal anti-inflammatories, or prescription-strength acne medications)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 30 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: Carbohydrate Placebo<br> | Dietary Supplement: AminoVital Amino Acid formulation<br>* Contains minerals, vitamin C, flavour and sweetener.<br>|
| Active Comparator: Single Dose<br>The Amino Vital Focus Zone is a dietary supplement of amino acid mixture, which also contains some minerals, vitamin C, flavour, and sweetener, and its appearance is clear to slightly opaque powder. The Amino Vital Focus Zone contains the five kind of amino acid (L-Leucine, L-Isoleucine, L-Valine, L-Arginine, and L-Glutamine), Citric acid, Vitamin C, some mineral, and sweetener. Powdered treatments will be dissolved in water and administered orally. This treatment will contain 0.96 g of amino acids. | Dietary Supplement: Amino Vital Amino Acid formulation<br>* Contains minerals, vitamin C, flavour and sweetener and an amino acid mixture (2.4g of AA as: leucine, isoleucine, valine, arginine and glutamine).<br>|
| Active Comparator: Double Dose<br>The Amino Vital Focus Zone is a dietary supplement of amino acid mixture, which also contains some minerals, vitamin C, flavour, and sweetener, and its appearance is clear to slightly opaque powder. The Amino Vital Focus Zone contains the five kind of amino acid (L-Leucine, L-Isoleucine, L-Valine, L-Arginine, and L-Glutamine), Citric acid, Vitamin C, some mineral, and sweetener. Powdered treatments will be dissolved in water and administered orally. This treatment will contain 1.92 g of amino acids. | Dietary Supplement: Amino Vital Amino Acid formulation<br>* Contains minerals, vitamin C, flavour and sweetener and a double dose of the amino acid mixture (4.8 g of AA as: leucine, isoleucine, valine, arginine and glutamine).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Isometric strength test | Measured on a Biodex leg extension machine. Subjects performed a 5 second voluntary maximal isometric contraction and peak torque was measured. | Two Months | 
| Stroop Test | The Stroop test is a neuropsychological test to discern the subject's reaction time and cognitive processing speed. Subjects completed four subtasks in this test consisting of vocalizing the colour of boxes; random words; congruent word and colour; and incongruent word and colour. | Two months | 
| Wing-Kristofferson Two-Model Test | Subjects will tap their index finger to the beat of a metronome for 10 seconds (synchronization). The metronome will be stopped and the subject will continue tapping for 20 seconds (continuation). | Two months | 
| Muscle Damage Markers | Measurement of serum concentrations of creatine kinase (CK), lactate dehydrogenase (LDH), myoglobin, C-reactive protein (CRP). | Two months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Blood Glucose and Lactate | Blood glucose was measured by glucose meter from a blood plasma sample. Blood lactate was measured from blood samples aliquoted into perchloric acid. The same is then neutralized and an assay kit is used to measure the lactate concentration. | Two months | 
| Plasma amino acid concentrations | Using high-performance liquid chromatography, branched chain amino acid concentrations were measured from plasma samples. | Two months | 
| Rating of Perceived Exertion | Using the Borg Scale, subjects were asked to rate their perceived exertion or how hard they felt they were working on a scale from 6 to 20. | Two months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Branched Chain Amino Acids, Mental Performance, Muscular Performance, Central Fatigue Theory