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Bella YF, Cupido SRS, Inacio PAQ, Sobral MLP, Vieira RP. Pre-Workout Supplements and Their Effects on Cardiovascular Health: An Integrative Review. J Cardiovasc Dev Dis 2025; 12:112. [PMID: 40278171 DOI: 10.3390/jcdd12040112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2024] [Revised: 03/05/2025] [Accepted: 03/10/2025] [Indexed: 04/26/2025] Open
Abstract
INTRODUCTION Dietary supplements have become a popular aid for improving training performance. Pre-workout supplements contain a mixture of ingredients used to boost physical performance, with some components having been associated with the promotion of cardiovascular health. However, there is insufficient scientific literature on the effects of pre-workout supplements, and the studies often have conflicting results. OBJECTIVE The aim of this review was to analyze the impact of multi-ingredient pre-workout supplements on cardiovascular health, in order to identify the main adverse effects and the roles of the most common substances in these supplements. METHODOLOGY A systematic search was carried out in the Web of Science and PubMed databases by three independent researchers between January 2010 and August 2024. The inclusion criteria were available articles published in English. Articles that did not evaluate cardiovascular outcomes and the use of pre-workout supplements were excluded. RESULTS The 24 studies analyzed demonstrated an overall increase in supplement intake. Pre-workout supplements were associated with improved physical performance and possible cardiovascular changes, with these effects being classified as adverse or cardioprotective. This discrepancy in the results may be due to the different dosages and populations investigated (including active and non-active participants, and healthy participants or those with a history of cardiovascular diseases), as well as other factors that correlate with deleterious cardiac conditions. CONCLUSIONS Multi-ingredient pre-workout supplements may offer physical and cardiovascular benefits, including increased energy, focus, endurance, and strength during exercise, as well as having potential positive impacts on blood pressure and triglyceride, low-density lipoprotein (LDL), and homocysteine levels. However, due to the conflicting results of the analyzed studies, additional studies are necessary to fill in the knowledge gaps and establish clearer guidelines for the safe and effective use of these supplements.
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Affiliation(s)
- Yanesko Fernandes Bella
- Department of Medicine, School of Medicine, University Center of the Americas (FAM), São Paulo 01304-001, SP, Brazil
| | | | - Pedro Augusto Querido Inacio
- Laboratory of Pulmonary and Exercise Immunology (LABPEI), Evangelical University of Goias (Unievangelica), Anápolis 75083-515, GO, Brazil
| | - Marcelo Luiz Peixoto Sobral
- Department of Cardiovascular and Thoracic Surgery, Heart Institute, University of São Paulo (USP), São Paulo 05508-220, SP, Brazil
| | - Rodolfo P Vieira
- Laboratory of Pulmonary and Exercise Immunology (LABPEI), Evangelical University of Goias (Unievangelica), Anápolis 75083-515, GO, Brazil
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Florez CM, Prather J, Miller D, Vargas A, Soto B, Harrison A, Tinsley G, Taylor L. The Effects of Two Servings of a Thermogenic Supplement on Metabolism, Hemodynamic Variables, and Mood State Outcomes in Young Overweight Adults. Cureus 2024; 16:e54484. [PMID: 38516475 PMCID: PMC10954375 DOI: 10.7759/cureus.54484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/19/2024] [Indexed: 03/23/2024] Open
Abstract
Introduction We examined if acute ingestion of a novel thermogenic supplement influences resting energy expenditure (REE), mood, and hemodynamic function. Methods Forty-six adults completed this randomized, placebo-controlled, double-blind, crossover study. Participants underwent two conditions: placebo (PL) and treatment (TX) containing 300 mg of caffeine and 3 g of acetyl-L-carnitine. REE, systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and mood states were assessed at baseline and 30, 60, and 120 minutes post-ingestion. Data were analyzed using repeated measures analysis of variance. Results A significant condition-by-time interaction was observed for REE. At the 30-, 60-, and 120-minute post-ingestion timepoints, REE was 202 ± 26, 238 ± 40, and 209 ± 29 kcal/d greater in the TX condition compared to PL. No significant differences were observed for SBP and HR but a significant interaction indicated that DBP was elevated at 30 minutes in the TX vs. PL, though values remained within normal ranges. Significant interactions were observed for perceived alertness, concentration, energy, and focus, with increases in TX. Conclusion These data provide evidence that acute consumption of the thermogenic dietary supplement OxyShred (EHPlabs, Salt Lake City, Utah, USA) stimulates increases in REE that are sustained for ≥ two hours, along with increasing perceived alertness, concentration, energy, and focus. Changes in hemodynamic function are minimal and within normal ranges.
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Affiliation(s)
| | - Jessica Prather
- Human Performance Lab, University of Mary Hardin-Baylor, Belton, USA
| | - Dylon Miller
- Human Performance Lab, University of Mary Hardin-Baylor, Belton, USA
| | - Amie Vargas
- Human Performance Lab, University of Mary Hardin-Baylor, Belton, USA
| | - Bella Soto
- Human Performance Lab, University of Mary Hardin-Baylor, Belton, USA
| | - Abby Harrison
- Human Performance Lab, University of Mary Hardin-Baylor, Belton, USA
| | - Grant Tinsley
- Kinesiology & Sport Management, Texas Tech University, Lubbock, USA
| | - Lem Taylor
- Physiology and Nutrition, University of Mary Hardin-Baylor, Belton, USA
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Effects of Multi-Ingredient Pre-Workout Supplement and Caffeine on Bench Press Performance: A Single-Blind Cross-Over Study. Nutrients 2022; 14:nu14091750. [PMID: 35565718 PMCID: PMC9105861 DOI: 10.3390/nu14091750] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Revised: 04/20/2022] [Accepted: 04/21/2022] [Indexed: 02/06/2023] Open
Abstract
The problem addressed in this study is the appropriateness of using different pre-training supplementation strategies and their ability to improve training performance and psychological measures. The aim of the study is the evaluation of the effectiveness of a multi-ingredient pre-workout supplement (MIPS) containing beta-alanine, L-citrulline malate, arginine alpha-ketoglutarate, L-taurine, L-tyrosine and caffeine compared to an exact dosage of anhydrous caffeine in bench press strength endurance, feeling scale (FS), felt arousal scale (FAS) and session rating of perceived exertion (sRPE). A group of fifteen resistance-trained males, weighing 83.92 ± 8.95 kg and having an average of 5.6 ± 3.38 years of training experience, tested their bench press 10 repetition maximum (79.01 ± 12.13). In a cross-over manner, they participated in two sessions where they were blinded to the order of supplementation they were given: either a MIPS including caffeine or caffeine alone. They completed the bench press strength endurance test with pre- and post-training psychological assessments containing FS, FAS and sRPE. Bench press repetition volume was greater after anhydrous caffeine than MIPS supplementation with no difference in psychological measures. These results indicate that MIPS supplementation is less ergogenic and cost effective than caffeine alone.
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Collado-Mateo D, Lavín-Pérez AM, Merellano-Navarro E, Coso JD. Effect of Acute Caffeine Intake on the Fat Oxidation Rate during Exercise: A Systematic Review and Meta-Analysis. Nutrients 2020; 12:nu12123603. [PMID: 33255240 PMCID: PMC7760526 DOI: 10.3390/nu12123603] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Revised: 11/17/2020] [Accepted: 11/20/2020] [Indexed: 12/30/2022] Open
Abstract
A number of previous investigations have been designed to determine the effect of acute caffeine intake on the rate of fat oxidation during exercise. However, these investigations have shown contradictory results due to the differences in the exercise protocols used or the co-ingestion of caffeine with other substances. Hence, to date, there is no consensus about the effect of caffeine on fat oxidation during exercise. The purpose of this study was to conduct a systematic review followed by a meta-analysis to establish the effect of acute intake of caffeine (ranging from 2 to 7 mg/kg of body mass) on the rate of fat oxidation during exercise. A total of 19 studies published between 1978 and 2020 were included, all of which employed crossover experimental designs in which the ingestion of caffeine was compared to a placebo. Studies were selected if the exercise intensity was consistent in the caffeine and placebo trials and if these were preceded by a fasting protocol. A subsequent meta-analysis was performed using the random effects model to calculate the standardized mean difference (SMD). The meta-analysis revealed that caffeine significantly (p = 0.008) increased the fat oxidation rate (SMD = 0.73; 95% CI = 0.19 to 1.27). This increment was consistent with a significant (p = 0.04) reduction of the respiratory exchange ratio (SMD = -0.33; 95% CI = -0.65 to -0.01) and a significant (p = 0.049) increase in the oxygen uptake (SMD = 0.23; 95% CI = 0.01 to 0.44). The results also showed that there was a dose-response effect of caffeine on the fat oxidation rate, indicating that more than 3.0 mg/kg is necessary to obtain a statistically significant effect of this stimulant on fat oxidation during exercise. Additionally, the ability of caffeine to enhance fat oxidation during exercise was higher in sedentary or untrained individuals than in trained and recreational athletes. In conclusion, pre-exercise intake of a moderate dose of caffeine may effectively increase fat utilization during aerobic exercise of submaximal intensity performed after a fasting period. However, the fitness level of the participant may modulate the magnitude of the effect of caffeine on fat oxidation during exercise.
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Affiliation(s)
- Daniel Collado-Mateo
- Centre for Sport Studies, Rey Juan Carlos University, 28043 Fuenlabrada, Spain; (D.C.-M.); (A.M.L.-P.)
| | - Ana Myriam Lavín-Pérez
- Centre for Sport Studies, Rey Juan Carlos University, 28043 Fuenlabrada, Spain; (D.C.-M.); (A.M.L.-P.)
- GO fit LAB, Ingesport, 28003 Madrid, Spain
| | | | - Juan Del Coso
- Centre for Sport Studies, Rey Juan Carlos University, 28043 Fuenlabrada, Spain; (D.C.-M.); (A.M.L.-P.)
- Correspondence:
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Lutsch DJ, Camic CL, Jagim AR, Stefan RR, Cox BJ, Tauber RN, Henert SE. Effects of a Multi-Ingredient Preworkout Supplement Versus Caffeine on Energy Expenditure and Feelings of Fatigue during Low-Intensity Treadmill Exercise in College-Aged Males. Sports (Basel) 2020; 8:sports8100132. [PMID: 32992830 PMCID: PMC7600984 DOI: 10.3390/sports8100132] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 09/18/2020] [Accepted: 09/23/2020] [Indexed: 11/27/2022] Open
Abstract
The primary purpose of this study was to examine the acute effects of a multi-ingredient (i.e., caffeine, green tea extract, Yohimbe extract, capsicum annum, coleus extract, L-carnitine, beta-alanine, tyrosine) preworkout supplement versus a dose of caffeine (6 mg·kg−1) on energy expenditure during low-intensity exercise. The effects of these treatments on substrate utilization, gas exchange, and psychological factors were also investigated. Twelve males (mean ± SD: age = 22.8 ± 2.4 years) completed three bouts of 60 min of treadmill exercise on separate days after consuming a preworkout supplement, 6 mg·kg−1 of caffeine, or placebo in a randomized fashion. The preworkout and caffeine supplements resulted in significantly greater energy expenditure (p < 0.001, p = 0.006, respectively), V˙O2 (p < 0.001, p = 0.007, respectively), V˙CO2 (p = 0.006, p = 0.049, respectively), and V˙E (p < 0.001, p = 0.007, respectively) compared to placebo (collapsed across condition). There were no differences among conditions, however, for rates of fat or carbohydrate oxidation or respiratory exchange ratio. In addition, the preworkout supplement increased feelings of alertness (p = 0.015) and focus (p = 0.005) 30-min postingestion and decreased feelings of fatigue (p = 0.014) during exercise compared to placebo. Thus, the preworkout supplement increased energy expenditure and measures of gas exchange to the same extent as 6 mg·kg−1 of caffeine with concomitant increased feelings of alertness and focus and decreased feelings of fatigue.
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Affiliation(s)
- Daniel J. Lutsch
- Department of Kinesiology and Physical Education, Northern Illinois University, DeKalb, IL 60115, USA; (D.J.L.); (R.R.S.); (B.J.C.); (R.N.T.); (S.E.H.)
| | - Clayton L. Camic
- Department of Kinesiology and Physical Education, Northern Illinois University, DeKalb, IL 60115, USA; (D.J.L.); (R.R.S.); (B.J.C.); (R.N.T.); (S.E.H.)
- Correspondence: ; Tel.: +1-815-753-3415
| | - Andrew R. Jagim
- Sports Medicine, Mayo Clinic Health System, Onalaska, WI 54650, USA;
| | - Riley R. Stefan
- Department of Kinesiology and Physical Education, Northern Illinois University, DeKalb, IL 60115, USA; (D.J.L.); (R.R.S.); (B.J.C.); (R.N.T.); (S.E.H.)
| | - Brandon J. Cox
- Department of Kinesiology and Physical Education, Northern Illinois University, DeKalb, IL 60115, USA; (D.J.L.); (R.R.S.); (B.J.C.); (R.N.T.); (S.E.H.)
| | - Rachel N. Tauber
- Department of Kinesiology and Physical Education, Northern Illinois University, DeKalb, IL 60115, USA; (D.J.L.); (R.R.S.); (B.J.C.); (R.N.T.); (S.E.H.)
| | - Shaine E. Henert
- Department of Kinesiology and Physical Education, Northern Illinois University, DeKalb, IL 60115, USA; (D.J.L.); (R.R.S.); (B.J.C.); (R.N.T.); (S.E.H.)
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