Systematic Physical Exercise and Spirulina maxima Supplementation Improve Body Composition, Cardiorespiratory Fitness, and Blood Lipid Profile: Correlations of a Randomized Double-Blind Controlled Trial

Impact of a 12-week High-Intensity Interval Training With Spirulina Supplementation on Insulin Resistance-Mediated by Apo-A, -B, and -J in Men With Obesity HIIT With Spirulina on Apolipoproteins

Obesity is a significant public health issue associated with an elevated risk of chronic diseases. Discovering appropriate exercise interventions combined with beneficial herbal supplements has always been investigated. Hence, our study aimed to assess the impact of 12 weeks of high-intensity interval training (HIIT) and spirulina supplementation on the apolipoproteins, insulin resistance, and body composition of men with obesity. Forty-four men with obesity (height: 168.42 ± 2.63 cm, body mass: 93.24 ± 2.23 kg; BMI: 32.89 ± 1.23 kg/m2; age: 25-40 years) were divided into four groups: control group (CG, n = 11), spirulina group (SG, n = 11), high-intensity interval training group (HIITG, n = 11), and SG + HIIT group (n = 11). The intervention involved the daily administration of either spirulina or a placebo and HIIT three times a week for the training groups. Anthropometric indices, HOMA-IR, insulin, and apolipoproteins (Apo-A, Apo-B, and Apo-J) were measured before and after the 12-week intervention. Post-intervention analysis indicated differences between the CG and the three interventional groups for percent body fat (%BF), insulin, HOMA-IR, and apolipoproteins levels (p < 0.05). Spirulina supplementation with HIIT increased Apo-A while causing decreases in Apo-B and Apo-J levels and improved body composition (weight, %fat), BMI, and HOMA-IR (p < 0.05). It can be concluded that the combined intervention of high-intensity interval training (HIIT) and spirulina supplementation has a significant impact on mitigating obesity, managing weight, and reducing the risk of cardiovascular diseases.

Impact of Spirulina Supplementation on Obesity, Hypertension, Hyperglycemia, and Hyperlipidemia: A Systematic Review

Aims: This systematic review evaluates how Spirulina supplementation impacts human metabolic syndrome. This review encompasses a broad spectrum of Spirulina supplementation studies, including variations in dosage, trial duration, participants, and the subsequent effects on human metabolic syndrome. Methods: The method involves searching for articles from the Scopus and PubMed databases (up to 2023) to identify relevant studies on Spirulina supplementation. The journal database related to the study was examined using the systematic review approach. Results: Out of 527 articles related to Spirulina supplementation, 13 articles were determined to be suitable for human clinical studies. The treatment is performed at 20 mg to 6 g within 17-360 days. Spirulina contains macro- and micronutrients, vitamins, and minerals that are beneficial for health, as well as several bioactives that play a role in improving metabolic syndrome. This seaweed pigment can reduce obesity, body mass index (BMI), hypertension, hyperglycemia, and dyslipidemia. Its tripeptides lower blood pressure while gamma linoleic acid and glycolipids improve lipid profile. The findings show that Spirulina supplementation improves human metabolic syndrome. It included obesity, hypertension, hyperglycemia, and hyperlipidemia. Conclusion: Spirulina supplementation in humans has a positive effect on metabolic syndrome. It is due to phycocyanin, L-isoleucyl-L-glutaminyl-L-proline (Ile-Gln-Pro), gamma-linolenic acid, and the glycolipid H-b2. However, the form of use, dosage, and treatment should be further researched to determine the right amount for each metabolic syndrome problem.

The Effect of Algae Supplementation on Anthropometric Indices in Adults: A GRADE-Assessed Systematic Review and Meta-Analysis of Randomized Controlled Trials

CONTEXT

Inconsistent results have been reported regarding the effects of different types of algae, such as Spirulina and Chlorella, on anthropometric indices.

OBJECTIVE

To conduct a meta-analysis to assess the efficacy of algae supplementation on anthropometric indices.

DATA SOURCES

A comprehensive systematic search was conducted to find relevant articles published from January 1990 to January 2024.

DATA EXTRACTION

Randomized controlled trials (RCTs) comparing algae supplementation with a placebo or control group were included. The risk of bias and certainty of the evidence were evaluated using the Cochrane risk-of-bias tool and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology, respectively. The random-effects model was used to find the Weighted mean differences (WMDs) for each outcome.

DATA ANALYSIS

Of 9079 distinct articles in the initial screening, 61 clinical trials were included in this meta-analysis. Algae supplementation resulted in lower body mass index (WMD, -0.27 kg/m2 (95% CI, -0.42 to -0.13); GRADE rating, low), body weight (WMD: -0.78 kg [-1.18 to -0.38]; GRADE rating, low), waist circumference (WMD, -0.68 cm [-1.27 to -0.10]; GRADE rating, very low), kilograms of body fat (WMD, -0.65 kg [-1.13 to -0.17]; GRADE rating, low), and body fat percentage (WMD, -0.9% [-1.62 to -0.17]; GRADE rating, very low) compared with placebo or controls. Nevertheless, the statistically significant effects of algae supplementation on hip circumference (WMD, -0.20 cm [-0.73 to 0.32]; GRADE rating, moderate), waist to hip ratio (WMD, -0.01 [-0.01 to 0.00]; GRADE rating, moderate), and lean body mass (WMD, -0.30 kg [-0.62 to 0.02]; GRADE rating, moderate) were not observed.

CONCLUSIONS

Overall, the findings of this meta-analysis indicate supplementation with algae may exert beneficial effects on anthropometric indices. However, due to between-studies heterogeneity and very low to low levels of GRADE for significant outcomes, the results should be interpreted with caution.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO registration no. CRD42024522923.

Chlorella Supplementation Reduces Blood Lactate Concentration and Increases O2 Pulse during Submaximal and Maximal Cycling in Young Healthy Adults

Chlorella supplementation is reported to improve V˙O2max following extended supplementation periods (~3 weeks). However, there is little research on its impact over submaximal exercise intensities and following shorter supplementation regimens. This study aimed to investigate the efficacy of 6 g/day 2-day chlorella supplementation on exercise performance in healthy young adults. Twenty young healthy adults (Males = 16, Females = 4) (Age 22 ± 6 years, V˙O2max 42.7 ± 9.6 mL/(kg·min)) were recruited for this double-blinded, randomised cross-over study. Participants ingested 6 g/day of chlorella or a placebo for 2 days, with a one-week washout period between trials. Exercise testing consisted of a 20 min submaximal cycle at 40% of their work rate max (WRmax) (watts), followed by an incremental V˙O2max test. Lactate (mmol/L), heart rate (b/min), oxygen consumption (mL/(kg·min)), O2 pulse (mL/beat), respiratory exchange ratio (RER), and WRmax were compared across conditions. Following chlorella supplementation, blood lactate levels were significantly lower (p < 0.05) during submaximal exercise (3.05 ± 0.92 mmol/L vs. 2.67 ± 0.79 mmol/L) and following V˙O2max tests (12.79 ± 2.61 mmol/L vs. 11.56 ± 3.43 mmol/L). The O2 pulse was significantly higher (p < 0.05) following chlorella supplementation during submaximal (12.6 ± 3.5 mL/beat vs. 13.1 ± 3.5 mL/beat) and maximal exercise intensity (16.7 ± 4.6 mL/beat vs. 17.2 ± 4.5 mL/beat). No differences existed between conditions for oxygen consumption, RER, V˙O2max, or WRmax. A total of 2 days of 6 g/day chlorella supplementation appears to lower the blood lactate response and increase O2 pulse during both submaximal and maximal intensity exercise but did not lead to any improvements in V˙O2max.

Spirulina supplement and exercise training affect lipid droplets-related genes expression in visceral adipose tissue

Objective

Disruption of lipid droplets (LDs) is associated with many metabolic diseases. Spirulina, as a natural bioactive dietary supplement, along with exercise training, may improve lipid metabolism; however, their effects on LDs-regulated genes in visceral adipose tissue are still unclear. This study aimed to investigate the effects of six-week Spirulina supplementation along with exercise training on LDs regulating gene expression.

Materials and Methods

Fifty-six male Wistar rats were divided into six groups: saline (control), control+Spirulina (Spirulina), aerobic interval training (AIT), AIT+ Spirulina (AIT+Spirulina), resistance training and resistance+ Spirulina. The supplement groups consumed 500 mg/kg Spirulina five days per week. The training groups performed AIT (5 times per week) and resistance training (3 times per week) for 6 weeks. LDs regulating genes expression in visceral adipose tissue (Zw10, Bscl2, DFCP1, Rab18, Syntaxin 18, Acsl3, and Plin2) was analyzed by real-time PCR.

Results

Spirulina and exercise training had no significant effects on the gene expression of Syntaxin18 (p=0.69) and DFCP1 (p=0. 84), ACSL3 (p=0.98), or BSCL2 (p=0.58). In addition, Spirulina was found to significantly attenuate the expression of Plin2 (p=0.01) and Rab18 (p=0.01) genes compared to the control, AIT, and resistance training groups. However, Plin2 gene expression was higher in the resistance training than the AIT. Furthermore, Spirulina decreased ZW10 (p=0.03) gene expression in visceral adipose tissue compared to the control, AIT, and resistance training groups. Unexpectedly, Spirulina supplementation decreased the expression of these genes even more when taken without exercise training.

Conclusion

Spirulina supplementation and exercise training have significant effects on LDs-regulated genes in visceral adipose tissue.

Application of Arthrospira platensis for Medicinal Purposes and the Food Industry: A Review of the Literature

Arthrospira platensis is a filamentous cyanobacterium of the class Cyanophyceae and is the most cultivated photosynthetic prokaryote. It is used in the pharmaceutical sector, medicine and the food industry. It has a rich micro- and macro-element composition, containing proteins, lipids, carbohydrates, essential amino acids, polyunsaturated fatty acids, minerals and raw fibers. It is a commonly used ingredient in food products and nutritional supplements. The wide range of biologically active components determines its diverse pharmacological properties (antioxidant, antidiabetic, antimicrobial, antineoplastic, antitumor, anti-inflammatory, photoprotective, antiviral, etc.). This review summarizes research related to the taxonomy, distribution and chemical composition of Arthrospira platensis as well as its potential application in the food and pharmaceutical industries. Attention is drawn to its various medical applications as an antidiabetic and antiobesity agent, with hepatoprotective, antitumor, antimicrobial and antiviral effects as well as regulatory effects on neurodegenerative diseases.

Effect of a novel dietary supplement Khejri, and Spirulina supplementation on lipid profile in cricket players

Prosopis cineraria (Fabaceae) is known as Khejri in India or the golden tree of Indian deserts. It's potential as a dietary supplement in sports nutrition and its effect on regulating lipid profile has never been investigated. Spirulina (Arthrospira platensis) is a superfood with high nutritional value and is a popular supplement among athletes. In the current study, Spirulina and Khejri were used as supplements by cricket players to improve their physical fitness and lipid profile. Both supplements were given to individual groups and in combination to see the combined effect. The intervention period was 21 days, and supplements were given in 500 mg doses daily. Lipid profile assessments were done before and after the intervention period. 40 cricket players were divided into 4 groups: Group 1 (n = 10): Both supplements, Spirulina and Khejri, Group 2 (n = 10): Supplement Spirulina, Group 3 (n = 10): Supplement Khejri, and Group 4 (n = 10): Control. When experimental groups 1, 2 and 3 were compared to the control group 4, significant reduction was observed in triglyceride levels (Group1 vs. control: 141.53 ± 14.74 vs. 199.28 ± 27.24, p < 0.05; Group 2 vs. control: 137.5 ± 14 vs. 199.28 ± 27.24, p < 0.05; Group 3 vs. control: 135.32 ± 17.34 vs. 199.28 ± 27.24, p < 0.05) and significant reduction in cholesterol levels was found post-intervention after 21 days of supplementation (Group1 vs. control: 149.75 ± 7.08 vs. 207.86 ± 11.69, p < 0.001; Group 2 vs. control: 178.28 ± 9.43 vs. 207.86 ± 11.69, p < 0.05; Group 3 vs. control: 142.92 ± 10.01 vs. 207.86 ± 11.69, p < 0.001). Cholesterol and Triglyceride levels were significantly decreased pre- vs. post-intervention by Khejri and Spirulina supplements in cricket players.

PUNTO ÓPTIMO CARDIORRESPIRATORIO, COMPOSICION CORPORAL Y MEDIDAS BIOQUÍMICAS: UN ESTUDIO CON GEMELOS

El propósito de este estudio fue investigar la relación de la composición corporal y las variables bioquímicas con el POC, así como observar la tendencia de la heredabilidad. Estudio transversal con gemelos monocigóticos y dicigóticos adultos. Para obtener los valores del POC, la prueba de ejercicio cardiopulmonar fue realizada se realizó un protocolo con sobre cinta rodante. Para la composición corporal, se utilizaron laabsorciometríade energía dual y la antropometría. Para las inferencias, se realizaron la concordancia de Spearman y la prueba de hipótesisMann-Whitney.Los resultados mostraron que lasvariables de composición corporal no se correlacionaron significativamente con el punto óptimo cardiorrespiratorio. El Punto Óptimo Cardiorrespiratorio y las variables bioquímicas en general demostraron una mayor tendencia a ser influenciados por factores ambientales. El comportamiento de las variables de composición corporal demostró una mayor influencia de la heredabilidad.

Effects of 8 Weeks of High-Intensity Interval Training and Spirulina Supplementation on Immunoglobin Levels, Cardio-Respiratory Fitness, and Body Composition of Overweight and Obese Women

Simple Summary

Overweight and obese, like other forms of malnutrition, have been shown to affect immune function through changing immunoglobin or cardio-respiratory fitness levels and cell-mediated immune responses. Although calorie restriction and exercise are the most common therapies for obesity or overweight, it is unclear what kind of supplementation these people should take or how much exercise they should perform. Hence, in this study, we examined the effect of 8 weeks of high-intensity interval training (HIIT) with spirulina supplementation on the humoral immunity, cardio-respiratory fitness, and body composition of overweight and obese women. The results demonstrated that spirulina supplementation with HIIT not only decreased fat free mass but also boosted immunoglobin-A, which plays an important role in the immune system.

Abstract

Our study examined the effect of 8 weeks of high-intensity interval training (HIIT) and spirulina supplementation on the humoral immunity, cardio-respiratory fitness, and body composition of overweight and obese women. Thirty sedentary women (height: 161.7 ± 2.8 cm, body mass: 75.8 ± 8.4 kg, body mass index [BMI]: 28.8 ± 2.5 kg/m², age: 25.1 ± 6.7 years) were divided into three groups: placebo with HIIT group, spirulina group (SG), or combined group (CG). Exercise groups performed HIIT for 8 weeks, with three sessions per week and four to seven repetitions in each session of 30 s running and 30 s walking; the intensity was established at 90% of the maximum heart rate. Supplementation groups received 6 g of spirulina powder per day. Fasting blood samples were collected before and after 8 weeks to determine the concentrations of immunoglobulins (IgA and IgG). There was a significant group-by-time interaction for fat free mass (FFM; p = 0.001, f = 8.52, ηp² = 0.39) and IgA (p = 0.036, f = 3.86, ηp² = 0.22). The post hoc analysis revealed that CG reduced FFM significantly (p = 0.012, g = −0.55) after training. CG and SG showed significantly greater IgA concentrations after 8 weeks (p = 0.02, g = 0.70 and p = 0.001, g = 0.34, respectively). We conclude that spirulina supplementation with HIIT affects the body composition (lower FFM) but also boosts IgA, which plays an important role in the immune system.

Involvement of Opioid System and TRPM8/TRPA1 Channels in the Antinociceptive Effect of Spirulina platensis

Spirulina platensis is a "super-food" and has attracted researchers' attention due to its anti-inflammatory, antioxidant, and analgesic properties. Herein, we investigated the antinociceptive effects of Spirulina in different rodent behavior models of inflammatory pain. Male Swiss mice were treated with Spirulina (3-300 mg/kg, p.o.), indomethacin (10 mg/kg, p.o.), or vehicle (0.9% NaCl 10 mL/kg). Behavioral tests were performed with administration of acetic acid (0.6%, i.p.), formalin 2.7% (formaldehyde 1%, i.pl.), menthol (1.2 µmol/paw, i.pl.), cinnamaldehyde (10 nmol/paw, i.pl.), capsaicin (1.6 µg/paw, i.pl.), glutamate (20 µmol/paw, i.pl.), or naloxone (1 mg/kg, i.p.). The animals were also exposed to the rotarod and open field test to determine possible effects of Spirulina on locomotion and motor coordination. The quantitative phytochemical assays exhibited that Spirulina contains significant concentrations of total phenols and flavonoid contents, as well as it showed a powerful antioxidant effect with the highest scavenging activity. Oral administration of Spirulina completely inhibited the abdominal contortions induced by acetic acid (ED₅₀ = 20.51 mg/kg). Spirulina treatment showed significant inhibition of formalin-induced nociceptive behavior during the inflammatory phase, and the opioid-selective antagonist markedly blocked this effect. Furthermore, our data indicate that the mechanisms underlying Spirulina analgesia appear to be related to its ability to modulate TRMP8 and TRPA1, but not by TRPV1 or glutamatergic system. Spirulina represents an orally active and safe natural analgesic that exhibits great therapeutic potential for managing inflammatory pain disorders.

Impact of Spirulina maxima Intake and Exercise (SIE) on Metabolic and Fitness Parameters in Sedentary Older Adults with Excessive Body Mass: Study Protocol of a Randomized Controlled Trial

Life expectancy has increased unprecedentedly in recent decades, benefiting the longevity of the world's population. The most frequent pathological conditions presented in this age group include excessive body fat, frailty, and hypercholesterolemia. These pathological characteristics condition general health and autonomy in adults to carry out their usual activities. In this sense, the search for a healthy lifestyle is necessary, consisting in a healthy diet that includes supplementation with nutraceuticals and the daily practice of physical activity. This study protocol aims to evaluate the independent and synergistic effect of 12 weeks of Spirulina maxima intake (5 g/day), with or without an exercise program on metabolic and fitness parameters of 52 sedentary older adults with excessive body mass in a double-blind, randomized, crossover, controlled trial design. The main findings from this trial will provide novel evidence for future interventions designed for the elderly population and the result will be disseminated through peer-reviewed journals and international meetings. ClinicalTrials.gov identification number: NCT04658875 (Effect of Spirulina maxima and Exercise on General Fitness and Blood Lipids in Older Adults).

A Novel Promising Frontier for Human Health: The Beneficial Effects of Nutraceuticals in Cardiovascular Diseases

Cardiovascular diseases (CVDs) such as hypertension, atherosclerosis, myocardial infarction, and diabetes are a significant public health problem worldwide. Although several novel pharmacological treatments to reduce the progression of CVDs have been discovered during the last 20 years, the better way to contain the onset of CVDs remains prevention. In this regard, nutraceuticals seem to own a great potential in maintaining human health, exerting important protective cardiovascular effects. In the last years, there has been increased focus on identifying natural compounds with cardiovascular health-promoting effects and also to characterize the molecular mechanisms involved. Although many review articles have focused on the individual natural compound impact on cardiovascular diseases, the aim of this manuscript was to examine the role of the most studied nutraceuticals, such as resveratrol, cocoa, quercetin, curcumin, brassica, berberine and Spirulina platensis, on different CVDs.