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<title>Effects of Citrulline Supplementation on Different Aerobic Exercise Performance Outcomes: A Systematic Review and Meta-Analysis</title>
<creator>Viribay, Aitor</creator>
<creator>Fernández-Landa, Julen</creator>
<creator>Castañeda-Babarro, Arkaitz</creator>
<creator>Collado, Pilar S.</creator>
<creator>Fernández-Lázaro, Diego</creator>
<creator>Mielgo Ayuso, Juan</creator>
<subject>Citrulline</subject>
<subject>Ergogenic aids</subject>
<subject>Physical performance</subject>
<subject>Nitric oxide</subject>
<subject>Aerobic</subject>
<subject>Endurance</subject>
<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.</description>
<date>2023-03-22</date>
<date>2023-03-22</date>
<date>2022-08</date>
<type>info:eu-repo/semantics/article</type>
<identifier>http://hdl.handle.net/10259/7580</identifier>
<identifier>10.3390/nu14173479</identifier>
<identifier>2072-6643</identifier>
<language>eng</language>
<relation>Nutrients. 2022, V. 14, n. 17, 3479</relation>
<relation>https://doi.org/10.3390/nu14173479</relation>
<rights>http://creativecommons.org/licenses/by/4.0/</rights>
<rights>info:eu-repo/semantics/openAccess</rights>
<rights>Atribución 4.0 Internacional</rights>
<publisher>MDPI</publisher>
</thesis></metadata></record></GetRecord></OAI-PMH>