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<dc:title>Effects of Citrulline Supplementation on Different Aerobic Exercise Performance Outcomes: A Systematic Review and Meta-Analysis</dc:title>
<dc:creator>Viribay, Aitor</dc:creator>
<dc:creator>Fernández-Landa, Julen</dc:creator>
<dc:creator>Castañeda-Babarro, Arkaitz</dc:creator>
<dc:creator>Collado, Pilar S.</dc:creator>
<dc:creator>Fernández-Lázaro, Diego</dc:creator>
<dc:creator>Mielgo Ayuso, Juan</dc:creator>
<dc:subject>Citrulline</dc:subject>
<dc:subject>Ergogenic aids</dc:subject>
<dc:subject>Physical performance</dc:subject>
<dc:subject>Nitric oxide</dc:subject>
<dc:subject>Aerobic</dc:subject>
<dc:subject>Endurance</dc:subject>
<dc:subject>Fisiología</dc:subject>
<dc:subject>Physiology</dc:subject>
<dc:description>Supplementation with Citrulline (Cit) has been shown to have a positive impact on aerobic&#xd;
exercise performance and related outcomes such as lactate, oxygen uptake (VO2&#xd;
) kinetics, and the rate&#xd;
of perceived exertion (RPE), probably due to its relationship to endogenous nitric oxide production.&#xd;
However, current research has shown this to be controversial. The main objective of this systematic&#xd;
review and meta-analysis was to analyze and assess the effects of Cit supplementation on aerobic&#xd;
exercise performance and related outcomes, as well as to show the most suitable doses and timing&#xd;
of ingestion. A structured literature search was carried out by the PRISMA® (Preferred Reporting&#xd;
Items for Systematic Reviews and Meta-Analyses) and PICOS guidelines in the following databases:&#xd;
Pubmed/Medline, Scopus, and Web of Science (WOS). A total of 10 studies were included in the&#xd;
analysis, all of which exclusively compared the effects of Cit supplementation with those of a placebo&#xd;
group on aerobic performance, lactate, VO2&#xd;
, and the RPE. Those articles that used other supplements&#xd;
and measured other outcomes were excluded. The meta-analysis was carried out using Hedges’ g&#xd;
random effects model and pooled standardized mean differences (SMD). The results showed no&#xd;
positive effects of Cit supplementation on aerobic performance (pooled SMD = 0.15; 95% CI (−0.02 to&#xd;
0.32); I&#xd;
2&#xd;
, 0%; p = 0.08), the RPE (pooled SMD = −0.03; 95% CI (−0.43 to 0.38); I&#xd;
2&#xd;
, 49%; p = 0.9), VO2&#xd;
kinetics (pooled SMD = 0.01; 95% CI (−0.16 to 0.17); I&#xd;
2&#xd;
, 0%; p = 0.94), and lactate (pooled SMD = 0.25;&#xd;
95% CI (−0.10 to 0.59); I&#xd;
2&#xd;
, 0%; p = 0.16). In conclusion, Cit supplementation did not prove to have&#xd;
any benefits for aerobic exercise performance and related outcomes. Where chronic protocols seemed&#xd;
to show a positive tendency, more studies in the field are needed to better understand the effects.</dc:description>
<dc:date>2023-03-22T08:46:35Z</dc:date>
<dc:date>2023-03-22T08:46:35Z</dc:date>
<dc:date>2022-08</dc:date>
<dc:type>info:eu-repo/semantics/article</dc:type>
<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
<dc:identifier>http://hdl.handle.net/10259/7580</dc:identifier>
<dc:identifier>10.3390/nu14173479</dc:identifier>
<dc:identifier>2072-6643</dc:identifier>
<dc:language>eng</dc:language>
<dc:relation>Nutrients. 2022, V. 14, n. 17, 3479</dc:relation>
<dc:relation>https://doi.org/10.3390/nu14173479</dc:relation>
<dc:rights>Atribución 4.0 Internacional</dc:rights>
<dc:rights>http://creativecommons.org/licenses/by/4.0/</dc:rights>
<dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
<dc:format>application/pdf</dc:format>
<dc:publisher>MDPI</dc:publisher>
<europeana:object>https://riubu.ubu.es/bitstream/10259/7580/4/Viribay-nutrients_2022.pdf.jpg</europeana:object>
<europeana:provider>Hispana</europeana:provider>
<europeana:type>TEXT</europeana:type>
<europeana:rights>http://creativecommons.org/licenses/by/4.0/</europeana:rights>
<europeana:dataProvider>RIUBU. Repositorio Institucional de la Universidad de Burgos</europeana:dataProvider>
<europeana:isShownAt>http://hdl.handle.net/10259/7580</europeana:isShownAt>
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