The Effect of an Orange Peel Extract on Exercise Performance

Study Overview
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Brief Summary
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Rationale: Numerous studies have shown the positive effect of a healthy diet and regular moderate exercise. Although, exercise has also been correlated with an increase in reactive oxygen species (ROS) production and a higher incidence of injury. ROS production seems to induce muscle damage, which reduces muscle performance and induces fatigue. Increasing muscle recovery could be an effective way to increase exercise performance. Several food ingredients have been of growing interest due to their specific functioning on the human body. Citrus flavonoids are abundantly available in citrus fruits. Prior studies show a positive effect of citrus flavonoids on endothelial function, by promoting vasodilation. In addition it has a positive effect on the nitric oxide (NO) synthesis, a known compound in regulating endothelial response. This capacity of citrus flavonoids could be useful in stimulating performance and recovery after exercise. Additionally, the ability of scavenging ROS could reduce muscle damage caused by exercise induced oxidative damage. Objective: Determine the 4-week effect of daily citrus flavonoid supplementation on exercise recovery and performance. Study design: Randomized, double-blind, placebo-controlled study with parallel design, in which 40 subjects engage in three exercise sessions. The sessions will be subdivided into a pre-test and test 1 and 2. Between test 1 and 2, participants receive daily for 4 weeks citrus flavonoid supplement or a placebo. Each day, subjects should consume 2 capsules each morning, containing in total 500 mg of citrus flavonoids or 500 mg placebo. Study population: The subjects will be healthy normal weight trained males, with an age of 18 - 25. Additionally, subjects are non-smokers and free of a medication. Intervention: Participants will be randomly placed in either the citrus flavonoid or placebo group. Participants will be instructed to ingest 2 capsules each morning for 4 consecutive weeks. Each capsule equals to 250 mg of citrus flavonoids or cellulose in case of the placebo treatment. Main study parameters/endpoints: The main study parameter is the average amount of work load produced during the 10-minute time trail test. In addition, oxygen per minute will be determined as well as the heart rate. Finally, for each test, the subjective rating of perceived exertion (RPE) will be determined during the pre-test and test 1 and 2 by using a Borg scale.

Official Title
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Establishing the Effect of Long-term Orange Peel Extract Supplementation on Exercise Performance and Recovery

Conditions
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Exercise Recovery and Endurance

Intervention / Treatment
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* Dietary Supplement: Citrus flavonoid
* Dietary Supplement: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Trained participants, defined as engaging at least 3 times a week in moderate to high physical activity for a minimum of 30 minutes Non-smoking, defined as no smoking for the last 6 months Participants are capable and willing to give written informed consent voluntarily after receiving detailed information from the researchers Exclusion Criteria: Cardiovascular complications Extreme BMI (i.e. lower than 18 or higher than 30) Use of medication Use of antioxidants, minerals and vitamin supplements available in pharmacies, drugstores, food markets or in alternative medicine Abuse of products; alcohol (> 20 alcoholic consumptions per week) and drugs Administration of investigational drugs or participation in any scientific intervention study which may interfere with this study (to be decided by the principle investigator) in the 180 days prior to the study Failure to comply prohibited intake of hesperidin containing food products during study period. A list with forbidden food products will be provided to participant History of any side effects towards the intake of flavonoids or citrus fruits

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 25 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

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Citrus flavonoid<br>Citrus peel extract containing >90% flavonoids | Dietary Supplement: Citrus flavonoid<br>* Daily dose of 500mg divided over two capsules<br>|
| Placebo Comparator: Placebo<br>Identical looking placebo | Dietary Supplement: Placebo<br>* Daily dose of 500mg divided over two capsules<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Average force output (Watts) in endurance cycling exercise after pre-exhaustive exercise | Average force output is measured through a cycle ergometer | 4 week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maximum oxygen uptake (ml/kg/min) in endurance cycling exercise after pre-exhaustive exercise | Maximum oxygen uptake is measured through an oxygen mask | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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performance, recovery