Skip to main content
Top
Published in: European Journal of Applied Physiology 5-6/2005

01-12-2005 | Original Article

l-Carnitine and the recovery from exhaustive endurance exercise: a randomised, double-blind, placebo-controlled trial

Authors: Christoph Stuessi, Pierre Hofer, Christian Meier, Urs Boutellier

Published in: European Journal of Applied Physiology | Issue 5-6/2005

Login to get access

Abstract

We hypothesised that l-carnitine could accelerate recovery from exhaustive exercise since increased blood l-carnitine concentrations elicit a vasodilation in isolated animal vessels as well as in patients with peripheral vascular or coronary artery disease during exercise. Twelve subjects received either 2 g l-carnitine or a placebo in a study which was double-blind and crossover in design. Two hours after administration, the subjects performed a constant-load exercise test (CET1) cycling at their individual anaerobic threshold to exhaustion. Three hours later this test was repeated (CET2). After 4–14 days, each subject performed the same cycling tests after having taken the other substance. Exercise times of the 12 subjects were identical with l-carnitine (CET1: 21.3±5.7 min; CET2: 21.4±5.3 min) and placebo (CET1: 21.9±6.2 min; CET2: 20.4±4.8 min). Also, heart rate, oxygen consumption, respiratory exchange ratio, and blood lactate concentration were identical. In conclusion, 2 g of L-carnitine taken 2 h before a first of two constant-load exercise tests had no influence on the second tests performed 3 h after the first test compared with placebo.
Literature
go back to reference Bartels GL, Remme WJ, Holwerda KJ, Kruijssen DA (1996) Anti-ischaemic efficacy of l-propionylcarnitine—a promising novel metabolic approach to ischaemia? Eur Heart J 17:414–420PubMed Bartels GL, Remme WJ, Holwerda KJ, Kruijssen DA (1996) Anti-ischaemic efficacy of l-propionylcarnitine—a promising novel metabolic approach to ischaemia? Eur Heart J 17:414–420PubMed
go back to reference Bettini V, Aragno R, Bettini MB, Braggion G, Calore L, Concolato MT, Favaro P, Montin S (1990) Partecipazione del fattore endoteliale di rilasciamento negli effetti colinomimetici della carnitina in arterie isolate. Med Sport 43:153–160 Bettini V, Aragno R, Bettini MB, Braggion G, Calore L, Concolato MT, Favaro P, Montin S (1990) Partecipazione del fattore endoteliale di rilasciamento negli effetti colinomimetici della carnitina in arterie isolate. Med Sport 43:153–160
go back to reference Brass EP (2000) Supplemental carnitine and exercise. Am J Clin Nutr 72(Suppl):S618–S623 Brass EP (2000) Supplemental carnitine and exercise. Am J Clin Nutr 72(Suppl):S618–S623
go back to reference Brevetti G, Chiariello M, Ferulano G (1988) Increases in walking distance in patients with peripheral vascular disease treated with l-carnitine: a double-blind, cross-over study. Circulation 77:767–773PubMed Brevetti G, Chiariello M, Ferulano G (1988) Increases in walking distance in patients with peripheral vascular disease treated with l-carnitine: a double-blind, cross-over study. Circulation 77:767–773PubMed
go back to reference Brevetti G, Attisano T, Perna S, Rossini A, Policicchio A, Corsi M (1989) Effect of l-carnitine on the reactive hyperemia in patients affected by peripheral vascular disease: a double-blind, crossover study. Angiology 40:857–862PubMedCrossRef Brevetti G, Attisano T, Perna S, Rossini A, Policicchio A, Corsi M (1989) Effect of l-carnitine on the reactive hyperemia in patients affected by peripheral vascular disease: a double-blind, crossover study. Angiology 40:857–862PubMedCrossRef
go back to reference Cherchi A, Lai C, Angelino F (1985) Effects of l-carnitine on exercise tolerance in chronic stable angina A multicenter, double-blind, randomised, placebo-controlled crossover study. Int J Clin Pharmacol Ther Toxicol 23:569–572PubMed Cherchi A, Lai C, Angelino F (1985) Effects of l-carnitine on exercise tolerance in chronic stable angina A multicenter, double-blind, randomised, placebo-controlled crossover study. Int J Clin Pharmacol Ther Toxicol 23:569–572PubMed
go back to reference Colombani P, Wenk C, Kunz I, Kraehenbuehl S, Kuhnt M, Arnold M, Frey-Rindova P, Frey W, Langhans W (1996) Effects of l-carnitine supplementation on physical performance and energy metabolism of endurance-trained athletes: a double-blind crossover field study. Eur J Appl Physiol 73:434–439CrossRef Colombani P, Wenk C, Kunz I, Kraehenbuehl S, Kuhnt M, Arnold M, Frey-Rindova P, Frey W, Langhans W (1996) Effects of l-carnitine supplementation on physical performance and energy metabolism of endurance-trained athletes: a double-blind crossover field study. Eur J Appl Physiol 73:434–439CrossRef
go back to reference Dauber JM, VanBenthuysen KM, McMurthy JF, Wheeler GS, Lenefsky EJ, Horwitz LD, Neil JV (1990) Functional coronary microvascular injury evident as increased permeability due to brief ischemia and reperfusion. Circ Res 66:986–998PubMed Dauber JM, VanBenthuysen KM, McMurthy JF, Wheeler GS, Lenefsky EJ, Horwitz LD, Neil JV (1990) Functional coronary microvascular injury evident as increased permeability due to brief ischemia and reperfusion. Circ Res 66:986–998PubMed
go back to reference Fujiwara M, Nakano T, Tamoto S, Yamada Y, Fukai M, Takada K, Aschida H, Shimada T, Ishihara T, Seki I (1991) Effect of l-carnitine in patients with ischemic heart disease. J Cardiol 21:493–504PubMed Fujiwara M, Nakano T, Tamoto S, Yamada Y, Fukai M, Takada K, Aschida H, Shimada T, Ishihara T, Seki I (1991) Effect of l-carnitine in patients with ischemic heart disease. J Cardiol 21:493–504PubMed
go back to reference Giamberardino MA, Dragani L, Valente R, DiLisa F, Saggini R, Vecchiet L (1996) Effects of prolonged l-carnitine administration on delayed muscle pain and CK release after eccentric effort. Int J Sports Med 17:320–324PubMedCrossRef Giamberardino MA, Dragani L, Valente R, DiLisa F, Saggini R, Vecchiet L (1996) Effects of prolonged l-carnitine administration on delayed muscle pain and CK release after eccentric effort. Int J Sports Med 17:320–324PubMedCrossRef
go back to reference Harper P, Elwin C-E, Cederblad G (1988) Pharmacokinetics of bolus intravenous and oral doses of l-carnitine in healthy subjects. Eur J Clin Pharmacol 35:69–75PubMedCrossRef Harper P, Elwin C-E, Cederblad G (1988) Pharmacokinetics of bolus intravenous and oral doses of l-carnitine in healthy subjects. Eur J Clin Pharmacol 35:69–75PubMedCrossRef
go back to reference Hülsmann WC, Dubelaar ML (1992) Carnitine requirement of vascular endothelial and smooth muscle cells in imminent ischemia. Mol Cell Biochem 116:125–129PubMedCrossRef Hülsmann WC, Dubelaar ML (1992) Carnitine requirement of vascular endothelial and smooth muscle cells in imminent ischemia. Mol Cell Biochem 116:125–129PubMedCrossRef
go back to reference Karlic H, Lohninger A (2004) Supplementation of l-carnitine in athletes: does it make sense? Nutrition 20:709–715PubMedCrossRef Karlic H, Lohninger A (2004) Supplementation of l-carnitine in athletes: does it make sense? Nutrition 20:709–715PubMedCrossRef
go back to reference Lagioia R, Scrutinio D, Mangini SG, Ricci A, Mastropasqua F, Valentini G, Ramunni G, Fila GT, Rizzon P (1992) Propionyl-l-carnitine: a new compound in the metabolic approach to the treatment of effort angina. Int J Cardiol 34:167–172PubMedCrossRef Lagioia R, Scrutinio D, Mangini SG, Ricci A, Mastropasqua F, Valentini G, Ramunni G, Fila GT, Rizzon P (1992) Propionyl-l-carnitine: a new compound in the metabolic approach to the treatment of effort angina. Int J Cardiol 34:167–172PubMedCrossRef
go back to reference Rizza V, Lorefice R, Rizza N, Calabrese V (1992) Pharmacokinetics of l-carnitine in human subjects. In: Ferrari R, Sherwood SDWG (eds) l-Carnitine and its role in medicine: From function to therapy. Academic, London, pp 63–77 Rizza V, Lorefice R, Rizza N, Calabrese V (1992) Pharmacokinetics of l-carnitine in human subjects. In: Ferrari R, Sherwood SDWG (eds) l-Carnitine and its role in medicine: From function to therapy. Academic, London, pp 63–77
go back to reference Signorelli SS, Malaponte G, di Pino L, Digrandi D, Pennisi G, Mazzarino MC (2001) Effects of ischaemic stress on leukocyte activation processes in patients with chronic peripheral occlusive arterial disease: role of l-propionyl carnitine administration. Pharmacol Res 44:305–309PubMedCrossRef Signorelli SS, Malaponte G, di Pino L, Digrandi D, Pennisi G, Mazzarino MC (2001) Effects of ischaemic stress on leukocyte activation processes in patients with chronic peripheral occlusive arterial disease: role of l-propionyl carnitine administration. Pharmacol Res 44:305–309PubMedCrossRef
go back to reference Tsao PS, Lefer AM (1990) Time course and mechanism of endothelial dysfunction in isolated ischemic- and hypoxic-perfused rat hearts. Am J Physiol 259:H1660–H1666PubMed Tsao PS, Lefer AM (1990) Time course and mechanism of endothelial dysfunction in isolated ischemic- and hypoxic-perfused rat hearts. Am J Physiol 259:H1660–H1666PubMed
go back to reference VanHall G, Saris WHM, Wagenmakers AJM (1998) Effect of carbohydrate supplementation on plasma glutamine during prolonged exercise and recovery. Int J Sports Med 19:82–86CrossRef VanHall G, Saris WHM, Wagenmakers AJM (1998) Effect of carbohydrate supplementation on plasma glutamine during prolonged exercise and recovery. Int J Sports Med 19:82–86CrossRef
go back to reference Volek JS, Kraemer WJ, Rubin MR, Gómez AL, Ratamess NA, Gaynor P (2002) l-carnitine l-tartrate supplementation favorably affects markers of recovery from exercise stress. Am J Physiol Endocrinol Metab 282:E474–E482PubMed Volek JS, Kraemer WJ, Rubin MR, Gómez AL, Ratamess NA, Gaynor P (2002) l-carnitine l-tartrate supplementation favorably affects markers of recovery from exercise stress. Am J Physiol Endocrinol Metab 282:E474–E482PubMed
go back to reference Wächter S, Vogt M, Kreis R, Boesch C, Bigler P, Hoppeler H, Krähenbühl S (2002) Long-term administration of l-carnitine to humans: effect on skeletal muscle carnitine content and physical performance. Clin Chim Acta 318:51–61PubMedCrossRef Wächter S, Vogt M, Kreis R, Boesch C, Bigler P, Hoppeler H, Krähenbühl S (2002) Long-term administration of l-carnitine to humans: effect on skeletal muscle carnitine content and physical performance. Clin Chim Acta 318:51–61PubMedCrossRef
Metadata
Title
l-Carnitine and the recovery from exhaustive endurance exercise: a randomised, double-blind, placebo-controlled trial
Authors
Christoph Stuessi
Pierre Hofer
Christian Meier
Urs Boutellier
Publication date
01-12-2005
Publisher
Springer-Verlag
Published in
European Journal of Applied Physiology / Issue 5-6/2005
Print ISSN: 1439-6319
Electronic ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-005-0020-9

Other articles of this Issue 5-6/2005

European Journal of Applied Physiology 5-6/2005 Go to the issue