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Published in: European Journal of Nutrition 3/2018

Open Access 01-04-2018 | Original Contribution

A low-dose, 6-week bovine colostrum supplementation maintains performance and attenuates inflammatory indices following a Loughborough Intermittent Shuttle Test in soccer players

Authors: Yiannis Kotsis, Anastasia Mikellidi, Cleopatra Aresti, Eleni Persia, Aristomenis Sotiropoulos, Demosthenes B. Panagiotakos, Smaragdi Antonopoulou, Tzortzis Nomikos

Published in: European Journal of Nutrition | Issue 3/2018

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Abstract

Purpose

The aim of the study was to investigate the effect of a 6-week, low-dose bovine colostrum (BC) supplementation on exercise-induced muscle damage (EIMD) and performance decline in soccer players following the Loughborough Intermittent Shuttle Test (LIST) during a competitive season period.

Methods

In a double-blind, randomized, placebo-controlled design, two groups of soccer players were allocated to a 3.2 g/day of whey protein (WP, N = 8) or BC (N = 10) and performed a pre- and a post-supplementation LIST. Maximum isometric voluntary contraction, squat jump (SQJ), countermovement jump, muscle soreness, blood cell counts, creatine kinase (CK), C-reactive protein (CRP) and interleukin-6 (IL-6) were monitored for 2, 24, 48, 72 h post-LIST.

Results

LIST induced transient increases in leukocytes, granulocytes, CK, muscle soreness, CRP, IL-6 and declines in lymphocytes and performance indices. Supplementation resulted in a faster recovery of SQJ, CK and CRP compared to pre-supplementation kinetics (trial × time: p = 0.001, 0.056, 0.014, respectively) and lower incremental area under the curve (iAUC) for IL-6, only in the BC group [pre-: 31.1 (6.78–46.9), post-: 14.0 (−0.16 to 23.5) pg h/ml, p = 0.034]. Direct comparison of the two groups after supplementation demonstrated higher iAUC of SQJ [WP: −195.2 (−229.0 to (−52.5)), BC: −15.8 (−93.2 to 16.8) cm h, p = 0.034], a trend for lower iAUC of CK in the BC group [WP: 18,785 (4651–41,357), BC: 8842 (4807–14,802) U h/L, p = 0.081] and a significant intervention × time interaction for CRP (p = 0.038) in favor of BC.

Conclusions

Post-exercise EIMD may be reduced and performance better maintained by a low dose of BC administration following LIST in soccer players.
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Literature
1.
2.
go back to reference Rampinini E, Sassi A, Azzalin A, Castagna C, Menaspa P, Carlomagno D, Impellizzeri FM (2010) Physiological determinants of Yo-Yo intermittent recovery tests in male soccer players. Eur J Appl Physiol 108:401–409. doi:10.1007/s00421-009-1221-4 CrossRef Rampinini E, Sassi A, Azzalin A, Castagna C, Menaspa P, Carlomagno D, Impellizzeri FM (2010) Physiological determinants of Yo-Yo intermittent recovery tests in male soccer players. Eur J Appl Physiol 108:401–409. doi:10.​1007/​s00421-009-1221-4 CrossRef
3.
go back to reference Mohr M, Draganidis D, Chatzinikolaou A, Barbero-Álvarez JC, Castagna C, Douroudos I, Avloniti A, Margeli A, Papassotiriou I, Flouris AD, Jamurtas AZ, Krustrup P, Fatouros IG (2016) Muscle damage, inflammatory, immune and performance responses to three football games in 1 week in competitive male players. Eur J Appl Physiol 116:179–193. doi:10.1007/s00421-015-3245-2 CrossRef Mohr M, Draganidis D, Chatzinikolaou A, Barbero-Álvarez JC, Castagna C, Douroudos I, Avloniti A, Margeli A, Papassotiriou I, Flouris AD, Jamurtas AZ, Krustrup P, Fatouros IG (2016) Muscle damage, inflammatory, immune and performance responses to three football games in 1 week in competitive male players. Eur J Appl Physiol 116:179–193. doi:10.​1007/​s00421-015-3245-2 CrossRef
4.
go back to reference Carling C, Gregson W, McCall A, Moreira A, Wong del P, Bradley PS (2015) Match running performance during fixture congestion in elite soccer: research issues and future directions. Sports Med 45:605–613. doi:10.1007/s40279-015-0313-z CrossRef Carling C, Gregson W, McCall A, Moreira A, Wong del P, Bradley PS (2015) Match running performance during fixture congestion in elite soccer: research issues and future directions. Sports Med 45:605–613. doi:10.​1007/​s40279-015-0313-z CrossRef
6.
go back to reference Cox G, Mujika I, Tumilty D, Burke L (2002) Acute creatine supplementation and performance during a field test simulating match play in elite female soccer players. Int J Sport Nutr Exerc Metab 12:33–46CrossRef Cox G, Mujika I, Tumilty D, Burke L (2002) Acute creatine supplementation and performance during a field test simulating match play in elite female soccer players. Int J Sport Nutr Exerc Metab 12:33–46CrossRef
7.
go back to reference Bailey DM, Williams C, Betts JA, Thompson D, Hurst TL (2011) Oxidative stress, inflammation and recovery of muscle function after damaging exercise: effect of 6-week mixed antioxidant supplementation. Eur J Appl Physiol 111:925–936. doi:10.1007/s00421-010-1718-x CrossRef Bailey DM, Williams C, Betts JA, Thompson D, Hurst TL (2011) Oxidative stress, inflammation and recovery of muscle function after damaging exercise: effect of 6-week mixed antioxidant supplementation. Eur J Appl Physiol 111:925–936. doi:10.​1007/​s00421-010-1718-x CrossRef
8.
go back to reference Tauler P, Ferrer MD, Sureda A, Pujol P, Drobnic F, Tur JA, Pons A (2008) Supplementation with an antioxidant cocktail containing coenzyme Q prevents plasma oxidative damage induced by soccer. Eur J Appl Physiol 104:777–785. doi:10.1007/s00421-008-0831-6 CrossRef Tauler P, Ferrer MD, Sureda A, Pujol P, Drobnic F, Tur JA, Pons A (2008) Supplementation with an antioxidant cocktail containing coenzyme Q prevents plasma oxidative damage induced by soccer. Eur J Appl Physiol 104:777–785. doi:10.​1007/​s00421-008-0831-6 CrossRef
9.
go back to reference Djordjevic B, Baralic I, Kotur-Stevuljevic J, Stefanovic A, Ivanisevic J, Radivojevic N, Andjelkovic M, Dikic N (2012) Effect of astaxanthin supplementation on muscle damage and oxidative stress markers in elite young soccer players. J Sports Med Phys Fit 52:382–392 Djordjevic B, Baralic I, Kotur-Stevuljevic J, Stefanovic A, Ivanisevic J, Radivojevic N, Andjelkovic M, Dikic N (2012) Effect of astaxanthin supplementation on muscle damage and oxidative stress markers in elite young soccer players. J Sports Med Phys Fit 52:382–392
10.
go back to reference Saunders B, Sale C, Harris RC, Sunderland C (2012) Effect of beta-alanine supplementation on repeated sprint performance during the Loughborough Intermittent Shuttle Test. Amino Acids 43:39–47. doi:10.1007/s00726-012-1268-0 CrossRef Saunders B, Sale C, Harris RC, Sunderland C (2012) Effect of beta-alanine supplementation on repeated sprint performance during the Loughborough Intermittent Shuttle Test. Amino Acids 43:39–47. doi:10.​1007/​s00726-012-1268-0 CrossRef
11.
go back to reference Martorell M, Capó X, Sureda A, Batle JM, Llompart I, Argelich E, Tur JA, Pons A (2014) Effect of DHA on plasma fatty acid availability and oxidative stress during training season and football exercise. Food Funct 5:1920–1931. doi:10.1039/c4fo00229f CrossRef Martorell M, Capó X, Sureda A, Batle JM, Llompart I, Argelich E, Tur JA, Pons A (2014) Effect of DHA on plasma fatty acid availability and oxidative stress during training season and football exercise. Food Funct 5:1920–1931. doi:10.​1039/​c4fo00229f CrossRef
12.
go back to reference Struff WG, Sprotte G (2007) Bovine colostrum as a biologic in clinical medicine: a review. Part I: biotechnological standards, pharmacodynamic and pharmacokinetic characteristics and principles of treatment. Int J Clin Pharmacol Ther 45:193–202CrossRef Struff WG, Sprotte G (2007) Bovine colostrum as a biologic in clinical medicine: a review. Part I: biotechnological standards, pharmacodynamic and pharmacokinetic characteristics and principles of treatment. Int J Clin Pharmacol Ther 45:193–202CrossRef
15.
go back to reference Antonio J, Sanders MS, Van Gammeren D (2001) The effects of bovine colostrum supplementation on body composition and exercise performance in active men and women. Nutrition 17:243–247CrossRef Antonio J, Sanders MS, Van Gammeren D (2001) The effects of bovine colostrum supplementation on body composition and exercise performance in active men and women. Nutrition 17:243–247CrossRef
16.
go back to reference Brinkworth GD, Buckley JD, Bourdon PC, Gulbin JP, David A (2002) Oral bovine colostrum supplementation enhances buffer capacity but not rowing performance in elite female rowers. Int J Sport Nutr Exerc Metab 12:349–365CrossRef Brinkworth GD, Buckley JD, Bourdon PC, Gulbin JP, David A (2002) Oral bovine colostrum supplementation enhances buffer capacity but not rowing performance in elite female rowers. Int J Sport Nutr Exerc Metab 12:349–365CrossRef
17.
go back to reference Marchbank T, Davison G, Oakes JR, Ghatei MA, Patterson M, Moyer MP, Playford RJ (2011) The nutriceutical bovine colostrum truncates the increase in gut permeability caused by heavy exercise in athletes. Am J Physiol Gastrointest Liver Physiol 300:G477–G384. doi:10.1152/ajpgi.00281.2010 CrossRef Marchbank T, Davison G, Oakes JR, Ghatei MA, Patterson M, Moyer MP, Playford RJ (2011) The nutriceutical bovine colostrum truncates the increase in gut permeability caused by heavy exercise in athletes. Am J Physiol Gastrointest Liver Physiol 300:G477–G384. doi:10.​1152/​ajpgi.​00281.​2010 CrossRef
18.
go back to reference Appukutty M, Radhakrishnan AK, Ramasamy K, Ramasamy R, Abdul Majeed AB, Noor MI, Safii NS, Koon PB, Chinna K, Haleagrahara N (2012) Colostrum supplementation protects against exercise-induced oxidative stress in skeletal muscle in mice. BMC Res Notes 5:649. doi:10.1186/1756-0500-5-649 CrossRef Appukutty M, Radhakrishnan AK, Ramasamy K, Ramasamy R, Abdul Majeed AB, Noor MI, Safii NS, Koon PB, Chinna K, Haleagrahara N (2012) Colostrum supplementation protects against exercise-induced oxidative stress in skeletal muscle in mice. BMC Res Notes 5:649. doi:10.​1186/​1756-0500-5-649 CrossRef
19.
go back to reference Nicholas CW, Nuttall FE, Williams C (2000) The Loughborough Intermittent Shuttle Test: a field test that simulates the activity pattern of soccer. J Sports Sci 18:97–104CrossRef Nicholas CW, Nuttall FE, Williams C (2000) The Loughborough Intermittent Shuttle Test: a field test that simulates the activity pattern of soccer. J Sports Sci 18:97–104CrossRef
20.
go back to reference Thompson D, Nicholas CW, Williams C (1999) Muscular soreness following prolonged intermittent high-intensity shuttle running. J Sports Sci 17:387–395CrossRef Thompson D, Nicholas CW, Williams C (1999) Muscular soreness following prolonged intermittent high-intensity shuttle running. J Sports Sci 17:387–395CrossRef
21.
go back to reference Detopoulou P, Nomikos T, Fragopoulou E, Panagiotakos DB, Pitsavos C, Stefanadis C, Antonopoulou S (2009) Lipoprotein-associated phospholipase A2 (Lp-PLA2) activity, platelet-activating factor acetylhydrolase (PAF-AH) in leukocytes and body composition in healthy adults. Lipids Health Dis 8:19. doi:10.1186/1476-511X-8-19 CrossRef Detopoulou P, Nomikos T, Fragopoulou E, Panagiotakos DB, Pitsavos C, Stefanadis C, Antonopoulou S (2009) Lipoprotein-associated phospholipase A2 (Lp-PLA2) activity, platelet-activating factor acetylhydrolase (PAF-AH) in leukocytes and body composition in healthy adults. Lipids Health Dis 8:19. doi:10.​1186/​1476-511X-8-19 CrossRef
22.
go back to reference Bosco C, Ito A, Komi PV, Luhtanen P, Rahkila P, Rusko H, Viitasalo JT (1982) Neuromuscular function and mechanical efficiency of human leg extensor muscles during jumping exercises. Acta Physiol Scand 114:543–550CrossRef Bosco C, Ito A, Komi PV, Luhtanen P, Rahkila P, Rusko H, Viitasalo JT (1982) Neuromuscular function and mechanical efficiency of human leg extensor muscles during jumping exercises. Acta Physiol Scand 114:543–550CrossRef
23.
go back to reference Andrade-Souza VA, Bertuzzi R, de Araujo GG, Bishop D, Lima-Silva AE (2005) Effects of isolated or combined carbohydrate and caffeine supplementation between 2 daily training sessions on soccer performance. Appl Physiol Nutr Metab 40:457–463. doi:10.1139/apnm-2014-0268 CrossRef Andrade-Souza VA, Bertuzzi R, de Araujo GG, Bishop D, Lima-Silva AE (2005) Effects of isolated or combined carbohydrate and caffeine supplementation between 2 daily training sessions on soccer performance. Appl Physiol Nutr Metab 40:457–463. doi:10.​1139/​apnm-2014-0268 CrossRef
24.
go back to reference Erith S, Williams C, Stevenson E, Chamberlain S, Crews P, Rushbury I (2006) The effect of high carbohydrate meals with different glycemic indices on recovery of performance during prolonged intermittent high-intensity shuttle running. Int J Sport Nutr Exerc Metab 16:393–404CrossRef Erith S, Williams C, Stevenson E, Chamberlain S, Crews P, Rushbury I (2006) The effect of high carbohydrate meals with different glycemic indices on recovery of performance during prolonged intermittent high-intensity shuttle running. Int J Sport Nutr Exerc Metab 16:393–404CrossRef
26.
go back to reference Naclerio F, Larumbe-Zabala E, Cooper R, Allgrove J, Earnest CP (2015) A multi-ingredient containing carbohydrate, proteins L-glutamine and L-carnitine attenuates fatigue perception with no effect on performance, muscle damage or immunity in soccer players. PLoS One 10:e0125188. doi:10.1371/journal.pone.0125188 CrossRef Naclerio F, Larumbe-Zabala E, Cooper R, Allgrove J, Earnest CP (2015) A multi-ingredient containing carbohydrate, proteins L-glutamine and L-carnitine attenuates fatigue perception with no effect on performance, muscle damage or immunity in soccer players. PLoS One 10:e0125188. doi:10.​1371/​journal.​pone.​0125188 CrossRef
27.
go back to reference Kuipers H, van Breda E, Verlaan G, Smeets R (2002) Effects of oral bovine colostrum supplementation on serum insulin-like growth factor-I levels. Nutrition 18:566–567CrossRef Kuipers H, van Breda E, Verlaan G, Smeets R (2002) Effects of oral bovine colostrum supplementation on serum insulin-like growth factor-I levels. Nutrition 18:566–567CrossRef
28.
go back to reference Leeder J DC, van Someren KA, Gaze D, Jewell A, Deshmukh NI, Shah I, Barker J, Howatson G (2014) Recovery and adaptation from repeated intermittent-sprint exercise. Int J Sports Physiol Perform 9:489–496. doi:10.1123/ijspp.2012-0316 CrossRef Leeder J DC, van Someren KA, Gaze D, Jewell A, Deshmukh NI, Shah I, Barker J, Howatson G (2014) Recovery and adaptation from repeated intermittent-sprint exercise. Int J Sports Physiol Perform 9:489–496. doi:10.​1123/​ijspp.​2012-0316 CrossRef
29.
go back to reference Magalhães J, Rebelo A, Oliveira E, Silva JR, Marques F, Ascensão A (2010) Impact of Loughborough Intermittent Shuttle Test versus soccer match on physiological, biochemical and neuromuscular parameters. Eur J Appl Physiol 108:39–48. doi:10.1007/s00421-009-1161-z CrossRef Magalhães J, Rebelo A, Oliveira E, Silva JR, Marques F, Ascensão A (2010) Impact of Loughborough Intermittent Shuttle Test versus soccer match on physiological, biochemical and neuromuscular parameters. Eur J Appl Physiol 108:39–48. doi:10.​1007/​s00421-009-1161-z CrossRef
30.
go back to reference Draganidis D, Chatzinikolaou A, Avloniti A, Barbero-Álvarez JC, Mohr M, Malliou P, Gourgoulis V, Deli CK, Douroudos II, Margonis K, Gioftsidou A, Flouris AD, Jamurtas AZ, Koutedakis Y, Fatouros IG (2015) Recovery kinetics of knee flexor and extensor strength after a football match. PLoS One 10:e0128072. doi:10.1371/journal.pone.0128072 CrossRef Draganidis D, Chatzinikolaou A, Avloniti A, Barbero-Álvarez JC, Mohr M, Malliou P, Gourgoulis V, Deli CK, Douroudos II, Margonis K, Gioftsidou A, Flouris AD, Jamurtas AZ, Koutedakis Y, Fatouros IG (2015) Recovery kinetics of knee flexor and extensor strength after a football match. PLoS One 10:e0128072. doi:10.​1371/​journal.​pone.​0128072 CrossRef
33.
go back to reference Ferrer MD, Tauler P, Sureda A, Pujol P, Drobnic F, Tur JA, Pons A (2009) A soccer match’s ability to enhance lymphocyte capability to produce ROS and induce oxidative damage. Int J Sport Nutr Exerc Metab 19:243–258CrossRef Ferrer MD, Tauler P, Sureda A, Pujol P, Drobnic F, Tur JA, Pons A (2009) A soccer match’s ability to enhance lymphocyte capability to produce ROS and induce oxidative damage. Int J Sport Nutr Exerc Metab 19:243–258CrossRef
35.
go back to reference Ispirlidis I, Fatouros IG, Jamurtas AZ, Nikolaidis MG, Michailidis I, Douroudos I, Margonis K, Chatzinikolaou A, Kalistratos E, Katrabasas I, Alexiou V, Taxildaris K (2008) Time-course of changes in inflammatory and performance responses following a soccer game. Clin J Sport Med 18:423–431. doi:10.1097/JSM.0b013e3181818e0b CrossRef Ispirlidis I, Fatouros IG, Jamurtas AZ, Nikolaidis MG, Michailidis I, Douroudos I, Margonis K, Chatzinikolaou A, Kalistratos E, Katrabasas I, Alexiou V, Taxildaris K (2008) Time-course of changes in inflammatory and performance responses following a soccer game. Clin J Sport Med 18:423–431. doi:10.​1097/​JSM.​0b013e3181818e0b​ CrossRef
36.
go back to reference Souglis A, Bogdanis GC, Giannopoulou I, Papadopoulos Ch, Apostolidis N (2015) Comparison of inflammatory responses and muscle damage indices following a soccer, basketball, volleyball and handball game at an elite competitive level. Res Sports Med 23:59–72. doi:10.1080/15438627.2014.975814 CrossRef Souglis A, Bogdanis GC, Giannopoulou I, Papadopoulos Ch, Apostolidis N (2015) Comparison of inflammatory responses and muscle damage indices following a soccer, basketball, volleyball and handball game at an elite competitive level. Res Sports Med 23:59–72. doi:10.​1080/​15438627.​2014.​975814 CrossRef
37.
go back to reference Thompson D, Williams C, Kingsley M, Nicholas CW, Lakomy HK, McArdle F, Jackson MJ (2001) Muscle soreness and damage parameters after prolonged intermittent shuttle-running following acute vitamin C supplementation. Int J Sports Med 22(1):68–75CrossRef Thompson D, Williams C, Kingsley M, Nicholas CW, Lakomy HK, McArdle F, Jackson MJ (2001) Muscle soreness and damage parameters after prolonged intermittent shuttle-running following acute vitamin C supplementation. Int J Sports Med 22(1):68–75CrossRef
38.
go back to reference Jówko E, Sacharuk J, Balasinska B, Wilczak J, Charmas M, Ostaszewski P, Charmas R (2012) Effect of a single dose of green tea polyphenols on the blood markers of exercise-induced oxidative stress in soccer players. Int J Sport Nutr Exerc Metab 22:486–496CrossRef Jówko E, Sacharuk J, Balasinska B, Wilczak J, Charmas M, Ostaszewski P, Charmas R (2012) Effect of a single dose of green tea polyphenols on the blood markers of exercise-induced oxidative stress in soccer players. Int J Sport Nutr Exerc Metab 22:486–496CrossRef
39.
go back to reference Rathe M, Müller K, Sangild PT, Husby S (2014) Clinical applications of bovine colostrum therapy: a systematic review. Nutr Rev 72:237–254. doi:10.1111/nure CrossRef Rathe M, Müller K, Sangild PT, Husby S (2014) Clinical applications of bovine colostrum therapy: a systematic review. Nutr Rev 72:237–254. doi:10.​1111/​nure CrossRef
40.
go back to reference Davison G, Diment BC (2010) Bovine colostrum supplementation attenuates the decrease of salivary lysozyme and enhances the recovery of neutrophil function after prolonged exercise. Br J Nutr 103:1425–1432. doi:10.1017/S0007114509993503 CrossRef Davison G, Diment BC (2010) Bovine colostrum supplementation attenuates the decrease of salivary lysozyme and enhances the recovery of neutrophil function after prolonged exercise. Br J Nutr 103:1425–1432. doi:10.​1017/​S000711450999350​3 CrossRef
41.
go back to reference Crooks CV, Wall CR, Cross ML, Rutherfurd-Markwick KJ (2006) The effect of bovine colostrum supplementation on salivary IgA in distance runners. Int J Sport Nutr Exerc Metab 16:47–64 Crooks CV, Wall CR, Cross ML, Rutherfurd-Markwick KJ (2006) The effect of bovine colostrum supplementation on salivary IgA in distance runners. Int J Sport Nutr Exerc Metab 16:47–64
42.
go back to reference Shing CM, Jenkins DG, Stevenson L, Coombes JS (2006) The influence of bovine colostrum supplementation on exercise performance in highly trained cyclists. Br J Sports Med 40:797–801CrossRef Shing CM, Jenkins DG, Stevenson L, Coombes JS (2006) The influence of bovine colostrum supplementation on exercise performance in highly trained cyclists. Br J Sports Med 40:797–801CrossRef
43.
go back to reference Mero A, Nykänen T, Keinänen O, Knuutinen J, Lahti K, Alen M, Rasi S, Leppäluoto J (2005) Protein metabolism and strength performance after bovine colostrum supplementation. Amino Acids 28:327–335CrossRef Mero A, Nykänen T, Keinänen O, Knuutinen J, Lahti K, Alen M, Rasi S, Leppäluoto J (2005) Protein metabolism and strength performance after bovine colostrum supplementation. Amino Acids 28:327–335CrossRef
44.
go back to reference Shimomura Y, Yamamoto Y, Bajotto G, Sato J, Murakami T, Shimomura N, Kobayashi H, Mawatari K (2006) Nutraceutical effects of branched-chain amino acids on skeletal muscle. J Nutr 136:529S–532S Shimomura Y, Yamamoto Y, Bajotto G, Sato J, Murakami T, Shimomura N, Kobayashi H, Mawatari K (2006) Nutraceutical effects of branched-chain amino acids on skeletal muscle. J Nutr 136:529S–532S
45.
go back to reference Byrne C, Eston R (2002) Maximal-intensity isometric and dynamic exercise performance after eccentric muscle actions. J Sports Sci 20:951–959CrossRef Byrne C, Eston R (2002) Maximal-intensity isometric and dynamic exercise performance after eccentric muscle actions. J Sports Sci 20:951–959CrossRef
Metadata
Title
A low-dose, 6-week bovine colostrum supplementation maintains performance and attenuates inflammatory indices following a Loughborough Intermittent Shuttle Test in soccer players
Authors
Yiannis Kotsis
Anastasia Mikellidi
Cleopatra Aresti
Eleni Persia
Aristomenis Sotiropoulos
Demosthenes B. Panagiotakos
Smaragdi Antonopoulou
Tzortzis Nomikos
Publication date
01-04-2018
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Nutrition / Issue 3/2018
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-017-1401-7

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