Skip to main content
Top
Published in: Journal of the International Society of Sports Nutrition 1/2017

Open Access 01-12-2017 | Research article

The effect of acute pomegranate extract supplementation on oxygen uptake in highly-trained cyclists during high-intensity exercise in a high altitude environment

Authors: Emma May Crum, Ahmad Munir Che Muhamed, Matthew Barnes, Stephen Robert Stannard

Published in: Journal of the International Society of Sports Nutrition | Issue 1/2017

Login to get access

Abstract

Background

Recent research has indicated that pomegranate extract (POMx) may improve performance during aerobic exercise by enhancing the matching of vascular oxygen (O2) provision to muscular requirements. POMx is rich in ellagitannin polyphenols and nitrates (NO3 ), which are both associated with improvements in blood flow and O2 delivery. Primarily, this study aimed to determine whether POMx improves performance in a cycling time trial to exhaustion at 100%VO2max (TTE100%) in highly-trained cyclists. In addition, we investigated if the O2 cost (VO2) of submaximal exercise was lower with POMx, and whether any changes were greater at high altitude where O2 delivery is impaired.

Methods

Eight cyclists exercised at three submaximal intensities before completing a TTE100% at sea-level (SEA) and at 1657 m of altitude (ALT), with pre-exercise consumption of 1000 mg of POMx or a placebo (PLAC) in a randomized, double-blind, crossover design. Data were analysed using a three way (treatment x altitude x intensity) or two-way (treatment x altitude) repeated measures ANOVA with a Fisher’s LSD post-hoc analysis. Significance was set at p ≤ 0.05. The effect size of significant interactions was calculated using Cohen’s d.

Results

TTE100% performance was reduced in ALT but was not influenced by POMx (p > 0.05). Plasma NO3 were 10.3 μmol greater with POMx vs. PLAC (95% CI, 0.8, 19.7,F 1,7 = 7.83, p < 0.04). VO2 measured at five minutes into the TTE100% was significantly increased in ALTPOMx vs. ALTPLAC (+3.8 ml.min−1kg−1, 95% CI, −5.7, 9.5, F1,7 = 29.2, p = 0.001, ES = 0.6) but unchanged in SEAPOMx vs. SEAPLAC (p > 0.05). Submaximal VO2 values were not affected by POMx (p ≥ 0.05).

Conclusions

The restoration of SEA VO2 values at ALT is likely driven by the high polyphenol content of POMx, which is proposed to improve nitric oxide bioavailability. Despite an increase in VO2, no change in exercise performance occurred and therefore this study does not support the use of POMx as an ergogenic supplement.
Literature
1.
go back to reference Ismail T, Sestili P, Akhtar S. Pomegranate peel and fruit extracts. a review of potential anti-inflammatory and anti-infective effects. J Ethnopharmacol. 2012;143:397–405.CrossRefPubMed Ismail T, Sestili P, Akhtar S. Pomegranate peel and fruit extracts. a review of potential anti-inflammatory and anti-infective effects. J Ethnopharmacol. 2012;143:397–405.CrossRefPubMed
2.
go back to reference Adams LS, Zhang Y, Seeram NP, Heber D, Chen S. Pomegranate ellagitannin–derived compounds exhibit antiproliferative and antiaromatase activity in breast cancer cells in vitro. Cancer Prev Res. 2010;3:108–13.CrossRef Adams LS, Zhang Y, Seeram NP, Heber D, Chen S. Pomegranate ellagitannin–derived compounds exhibit antiproliferative and antiaromatase activity in breast cancer cells in vitro. Cancer Prev Res. 2010;3:108–13.CrossRef
3.
go back to reference Aviram M, Rosenblat M, Gaitini D, Nitecki S, Hoffman A, Dornfeld L, Volkova N, Presser D, Attias J, Liker H. Pomegranate juice consumption for 3 years by patients with carotid artery stenosis reduces common carotid intima-media thickness, blood pressure and LDL oxidation. Clin Nutr. 2004;23:423–33.CrossRefPubMed Aviram M, Rosenblat M, Gaitini D, Nitecki S, Hoffman A, Dornfeld L, Volkova N, Presser D, Attias J, Liker H. Pomegranate juice consumption for 3 years by patients with carotid artery stenosis reduces common carotid intima-media thickness, blood pressure and LDL oxidation. Clin Nutr. 2004;23:423–33.CrossRefPubMed
4.
go back to reference Shukla M, Gupta K, Rasheed Z, Khan KA, Haqqi TM. Consumption of hydrolyzable tannins-rich pomegranate extract suppresses inflammation and joint damage in rheumatoid arthritis. Nutrition. 2008;24:733–43.CrossRefPubMedPubMedCentral Shukla M, Gupta K, Rasheed Z, Khan KA, Haqqi TM. Consumption of hydrolyzable tannins-rich pomegranate extract suppresses inflammation and joint damage in rheumatoid arthritis. Nutrition. 2008;24:733–43.CrossRefPubMedPubMedCentral
5.
go back to reference Sergent T, Piront N, Meurice J, Toussaint O, Schneider Y-J. Anti-inflammatory effects of dietary phenolic compounds in an in vitro model of inflamed human intestinal epithelium. Chem Biol Interact. 2010;188:659–67.CrossRefPubMed Sergent T, Piront N, Meurice J, Toussaint O, Schneider Y-J. Anti-inflammatory effects of dietary phenolic compounds in an in vitro model of inflamed human intestinal epithelium. Chem Biol Interact. 2010;188:659–67.CrossRefPubMed
6.
go back to reference Roelofs EJ, Smith-Ryan AE, Trexler ET, Hirsch KR, Mock MG. Effects of pomegranate extract on blood flow and vessel diameter after high-intensity exercise in young, healthy adults. Eur J Sport Sci. 2016;17:1–9. Roelofs EJ, Smith-Ryan AE, Trexler ET, Hirsch KR, Mock MG. Effects of pomegranate extract on blood flow and vessel diameter after high-intensity exercise in young, healthy adults. Eur J Sport Sci. 2016;17:1–9.
7.
go back to reference Trexler ET, Smith-Ryan AE, Melvin MN, Roelofs EJ, Wingfield HL. The effects of pomegranate extract on blood flow and running time to exhaustion. Appl Physiol Nutr Metab. 2014;39:1038.CrossRefPubMedPubMedCentral Trexler ET, Smith-Ryan AE, Melvin MN, Roelofs EJ, Wingfield HL. The effects of pomegranate extract on blood flow and running time to exhaustion. Appl Physiol Nutr Metab. 2014;39:1038.CrossRefPubMedPubMedCentral
8.
go back to reference Bravo L. Polyphenols: chemistry, dietary sources, metabolism, and nutritional significance. Nutr Rev. 1998;56:317–33.CrossRefPubMed Bravo L. Polyphenols: chemistry, dietary sources, metabolism, and nutritional significance. Nutr Rev. 1998;56:317–33.CrossRefPubMed
9.
go back to reference Seeram NP, Aviram M, Zhang Y, Henning SM, Feng L, Dreher M, Heber D. Comparison of antioxidant potency of commonly consumed polyphenol-rich beverages in the United States. J Agri Food Chem. 2008;56:1415–22.CrossRef Seeram NP, Aviram M, Zhang Y, Henning SM, Feng L, Dreher M, Heber D. Comparison of antioxidant potency of commonly consumed polyphenol-rich beverages in the United States. J Agri Food Chem. 2008;56:1415–22.CrossRef
10.
go back to reference Seeram NP, Lee R, Heber D. Bioavailability of ellagic acid in human plasma after consumption of ellagitannins from pomegranate (Punica granatum L.) juice. Clin Chim Acta. 2004;348:63–8.CrossRefPubMed Seeram NP, Lee R, Heber D. Bioavailability of ellagic acid in human plasma after consumption of ellagitannins from pomegranate (Punica granatum L.) juice. Clin Chim Acta. 2004;348:63–8.CrossRefPubMed
11.
go back to reference Barona J, Aristizabal JC, Blesso CN, Volek JS, Fernandez ML. Grape polyphenols reduce blood pressure and increase flow-mediated vasodilation in men with metabolic syndrome. J Nutr. 2012;142:1626–32.CrossRefPubMed Barona J, Aristizabal JC, Blesso CN, Volek JS, Fernandez ML. Grape polyphenols reduce blood pressure and increase flow-mediated vasodilation in men with metabolic syndrome. J Nutr. 2012;142:1626–32.CrossRefPubMed
12.
go back to reference Labonté K, Couillard C, Motard-Bélanger A, Paradis M-E, Couture P, Lamarche B. Acute effects of polyphenols from cranberries and grape seeds on endothelial function and performance in elite athletes. Sports. 2013;1:55–68.CrossRef Labonté K, Couillard C, Motard-Bélanger A, Paradis M-E, Couture P, Lamarche B. Acute effects of polyphenols from cranberries and grape seeds on endothelial function and performance in elite athletes. Sports. 2013;1:55–68.CrossRef
13.
14.
15.
go back to reference Peri L, Pietraforte D, Scorza G, Napolitano A, Fogliano V, Minetti M. Apples increase nitric oxide production by human saliva at the acidic pH of the stomach: a new biological function for polyphenols with a catechol group? Free Radic Biol Med. 2005;39:668–81.CrossRefPubMed Peri L, Pietraforte D, Scorza G, Napolitano A, Fogliano V, Minetti M. Apples increase nitric oxide production by human saliva at the acidic pH of the stomach: a new biological function for polyphenols with a catechol group? Free Radic Biol Med. 2005;39:668–81.CrossRefPubMed
16.
go back to reference Gago B, Lundberg JO, Barbosa RM, Laranjinha J. Red wine-dependent reduction of nitrite to nitric oxide in the stomach. Free Radic Biol Med. 2007;43:1233–42.CrossRefPubMed Gago B, Lundberg JO, Barbosa RM, Laranjinha J. Red wine-dependent reduction of nitrite to nitric oxide in the stomach. Free Radic Biol Med. 2007;43:1233–42.CrossRefPubMed
17.
go back to reference Ignarro LJ, Byrns RE, Sumi D, de Nigris F, Napoli C. Pomegranate juice protects nitric oxide against oxidative destruction and enhances the biological actions of nitric oxide. Nitric Oxide. 2006;15:93–102.CrossRefPubMed Ignarro LJ, Byrns RE, Sumi D, de Nigris F, Napoli C. Pomegranate juice protects nitric oxide against oxidative destruction and enhances the biological actions of nitric oxide. Nitric Oxide. 2006;15:93–102.CrossRefPubMed
18.
go back to reference Bailey SJ, Winyard P, Vanhatalo A, Blackwell JR, DiMenna FJ, Wilkerson DP, Tarr J, Benjamin N, Jones AM. Dietary nitrate supplementation reduces the O2 cost of low-intensity exercise and enhances tolerance to high-intensity exercise in humans. J Appl Physiol. 2009;107:1144–55.CrossRefPubMed Bailey SJ, Winyard P, Vanhatalo A, Blackwell JR, DiMenna FJ, Wilkerson DP, Tarr J, Benjamin N, Jones AM. Dietary nitrate supplementation reduces the O2 cost of low-intensity exercise and enhances tolerance to high-intensity exercise in humans. J Appl Physiol. 2009;107:1144–55.CrossRefPubMed
19.
go back to reference Wylie LJ, Kelly J, Bailey SJ, Blackwell JR, Skiba PF, Winyard PG, Jeukendrup AE, Vanhatalo A, Jones AM. Beetroot juice and exercise: pharmacodynamic and dose-response relationships. J Appl Physiol. 2013;115:325–36.CrossRefPubMed Wylie LJ, Kelly J, Bailey SJ, Blackwell JR, Skiba PF, Winyard PG, Jeukendrup AE, Vanhatalo A, Jones AM. Beetroot juice and exercise: pharmacodynamic and dose-response relationships. J Appl Physiol. 2013;115:325–36.CrossRefPubMed
20.
go back to reference Breese BC, McNarry MA, Marwood S, Blackwell JR, Bailey SJ, Jones AM. Beetroot juice supplementation speeds O2 uptake kinetics and improves exercise tolerance during severe-intensity exercise initiated from an elevated metabolic rate. Am J Physiol Regul Integr Comp Physiol. 2013;305:R1441–50.CrossRefPubMed Breese BC, McNarry MA, Marwood S, Blackwell JR, Bailey SJ, Jones AM. Beetroot juice supplementation speeds O2 uptake kinetics and improves exercise tolerance during severe-intensity exercise initiated from an elevated metabolic rate. Am J Physiol Regul Integr Comp Physiol. 2013;305:R1441–50.CrossRefPubMed
21.
go back to reference Bailey SJ, Fulford J, Vanhatalo A, Winyard PG, Blackwell JR, DiMenna FJ, Wilkerson DP, Benjamin N, Jones AM. Dietary nitrate supplementation enhances muscle contractile efficiency during knee-extensor exercise in humans. J Appl Physiol. 2010;109:135–48.CrossRefPubMed Bailey SJ, Fulford J, Vanhatalo A, Winyard PG, Blackwell JR, DiMenna FJ, Wilkerson DP, Benjamin N, Jones AM. Dietary nitrate supplementation enhances muscle contractile efficiency during knee-extensor exercise in humans. J Appl Physiol. 2010;109:135–48.CrossRefPubMed
22.
go back to reference Lansley KE, Winyard PG, Fulford J, Vanhatalo A, Bailey SJ, Blackwell JR, DiMenna FJ, Gilchrist M, Benjamin N, Jones AM. Dietary nitrate supplementation reduces the O2 cost of walking and running: a placebo-controlled study. J Appl Physiol. 2011;110:591–600.CrossRefPubMed Lansley KE, Winyard PG, Fulford J, Vanhatalo A, Bailey SJ, Blackwell JR, DiMenna FJ, Gilchrist M, Benjamin N, Jones AM. Dietary nitrate supplementation reduces the O2 cost of walking and running: a placebo-controlled study. J Appl Physiol. 2011;110:591–600.CrossRefPubMed
23.
go back to reference Porcelli S, Ramaglia M, Bellistri G, Pavei G, Pugliese L, Montorsi M, Rasica L, Marzorati M. Aerobic fitness affects the exercise performance responses to nitrate supplementation. Med Sci Sports Exerc. 2015;47:1643–51.CrossRefPubMed Porcelli S, Ramaglia M, Bellistri G, Pavei G, Pugliese L, Montorsi M, Rasica L, Marzorati M. Aerobic fitness affects the exercise performance responses to nitrate supplementation. Med Sci Sports Exerc. 2015;47:1643–51.CrossRefPubMed
24.
go back to reference Peacock O, Tjonna AE, James P, Wisloff U, Welde B, Bohlke N, Smith A, Stokes K, Cook C, Sandbakk O. Dietary nitrate does not enhance running performance in elite cross-country skiers. Med Sci Sports Exerc. 2012;44:2213–9.CrossRefPubMed Peacock O, Tjonna AE, James P, Wisloff U, Welde B, Bohlke N, Smith A, Stokes K, Cook C, Sandbakk O. Dietary nitrate does not enhance running performance in elite cross-country skiers. Med Sci Sports Exerc. 2012;44:2213–9.CrossRefPubMed
25.
go back to reference Wilkerson DP, Hayward GM, Bailey SJ, Vanhatalo A, Blackwell JR, Jones AM. Influence of acute dietary nitrate supplementation on 50 mile time trial performance in well-trained cyclists. Eur J Appl Physiol. 2012;112:4127–34.CrossRefPubMed Wilkerson DP, Hayward GM, Bailey SJ, Vanhatalo A, Blackwell JR, Jones AM. Influence of acute dietary nitrate supplementation on 50 mile time trial performance in well-trained cyclists. Eur J Appl Physiol. 2012;112:4127–34.CrossRefPubMed
26.
go back to reference Bescós R, Rodríguez FA, Iglesias X, Ferrer MD, Iborra E, Pons A. Acute administration of inorganic nitrate reduces VO2peak in endurance athletes. Med Sci Sports Exerc. 2011;43:1979–86.CrossRefPubMed Bescós R, Rodríguez FA, Iglesias X, Ferrer MD, Iborra E, Pons A. Acute administration of inorganic nitrate reduces VO2peak in endurance athletes. Med Sci Sports Exerc. 2011;43:1979–86.CrossRefPubMed
27.
go back to reference Cermak NM, Gibala MJ, van Loon LJ. Nitrate supplementation’s improvement of 10-km time-trial performance in trained cyclists. Int J Sport Nutr Exerc Metab. 2012;22:64–71.CrossRefPubMed Cermak NM, Gibala MJ, van Loon LJ. Nitrate supplementation’s improvement of 10-km time-trial performance in trained cyclists. Int J Sport Nutr Exerc Metab. 2012;22:64–71.CrossRefPubMed
28.
go back to reference Arnold JT, Oliver SJ, Lewis-Jones TM, Wylie LJ, Macdonald JH. Beetroot juice does not enhance altitude running performance in well-trained athletes. Appl Physiol Nutr Metab. 2015;40:1–6.CrossRef Arnold JT, Oliver SJ, Lewis-Jones TM, Wylie LJ, Macdonald JH. Beetroot juice does not enhance altitude running performance in well-trained athletes. Appl Physiol Nutr Metab. 2015;40:1–6.CrossRef
29.
go back to reference MacLeod K, Nugent S, Barr S, Koehle M, Sporer B, MacInnis M. Acute beetroot juice supplementation does not improve cycling performance in normoxia or moderate hypoxia. Int J Sport Nutr Exerc Metab. 2015;25:359–66.CrossRefPubMed MacLeod K, Nugent S, Barr S, Koehle M, Sporer B, MacInnis M. Acute beetroot juice supplementation does not improve cycling performance in normoxia or moderate hypoxia. Int J Sport Nutr Exerc Metab. 2015;25:359–66.CrossRefPubMed
30.
go back to reference Masschelein E, Van Thienen R, Wang X, Van Schepdael A, Thomis M, Hespel P. Dietary nitrate improves muscle but not cerebral oxygenation status during exercise in hypoxia. J Appl Physiol. 2012;113:736–45.CrossRefPubMed Masschelein E, Van Thienen R, Wang X, Van Schepdael A, Thomis M, Hespel P. Dietary nitrate improves muscle but not cerebral oxygenation status during exercise in hypoxia. J Appl Physiol. 2012;113:736–45.CrossRefPubMed
31.
go back to reference Kelly J, Vanhatalo A, Bailey SJ, Wylie LJ, Tucker C, List S, Winyard PG, Jones AM. Dietary nitrate supplementation: effects on plasma nitrite and pulmonary O2 uptake dynamics during exercise in hypoxia and normoxia. Am J Physiol Regul Integr Comp Physiol. 2014;307:R920–30.CrossRefPubMed Kelly J, Vanhatalo A, Bailey SJ, Wylie LJ, Tucker C, List S, Winyard PG, Jones AM. Dietary nitrate supplementation: effects on plasma nitrite and pulmonary O2 uptake dynamics during exercise in hypoxia and normoxia. Am J Physiol Regul Integr Comp Physiol. 2014;307:R920–30.CrossRefPubMed
32.
go back to reference Trinity JD, Pahnke MD, Trombold JR, Coyle EF. Impact of polyphenol antioxidants on cycling performance and cardiovascular function. Nutrients. 2014;6:1273–92.CrossRefPubMedPubMedCentral Trinity JD, Pahnke MD, Trombold JR, Coyle EF. Impact of polyphenol antioxidants on cycling performance and cardiovascular function. Nutrients. 2014;6:1273–92.CrossRefPubMedPubMedCentral
33.
go back to reference Govoni M, Jansson EÅ, Weitzberg E, Lundberg JO. The increase in plasma nitrite after a dietary nitrate load is markedly attenuated by an antibacterial mouthwash. Nitric Oxide. 2008;19:333–7.CrossRefPubMed Govoni M, Jansson EÅ, Weitzberg E, Lundberg JO. The increase in plasma nitrite after a dietary nitrate load is markedly attenuated by an antibacterial mouthwash. Nitric Oxide. 2008;19:333–7.CrossRefPubMed
34.
go back to reference Borg G. Borg’s perceived exertion and pain scales. Champaign: Human Kinetics; 1998. Borg G. Borg’s perceived exertion and pain scales. Champaign: Human Kinetics; 1998.
35.
go back to reference Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Lawrence Erlbaum; 1988. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Lawrence Erlbaum; 1988.
36.
go back to reference Trombold JR, Reinfeld AS, Casler JR, Coyle EF. The effect of pomegranate juice supplementation on strength and soreness after eccentric exercise. J Strength Cond Res. 2011;25:1782–8.CrossRefPubMed Trombold JR, Reinfeld AS, Casler JR, Coyle EF. The effect of pomegranate juice supplementation on strength and soreness after eccentric exercise. J Strength Cond Res. 2011;25:1782–8.CrossRefPubMed
37.
go back to reference Machin DR, Christmas KM, Chou T-H, Hill SC, Van Pelt DW, Trombold JR, Coyle EF. Effects of differing dosages of pomegranate juice supplementation after eccentric exercise. Physiology J. 2014;2014:1–7. Machin DR, Christmas KM, Chou T-H, Hill SC, Van Pelt DW, Trombold JR, Coyle EF. Effects of differing dosages of pomegranate juice supplementation after eccentric exercise. Physiology J. 2014;2014:1–7.
38.
go back to reference Nyakayiru J, Jonvik KL, Pinckaers PJ, Senden J, Van Loon LJ, Verdijk LB. No effect of acute and 6-day nitrate supplementation on VO2 and time-trial performance in highly-trained cyclists. Int J Sport Nutr Exerc Metab. 2016;27:1–25. Nyakayiru J, Jonvik KL, Pinckaers PJ, Senden J, Van Loon LJ, Verdijk LB. No effect of acute and 6-day nitrate supplementation on VO2 and time-trial performance in highly-trained cyclists. Int J Sport Nutr Exerc Metab. 2016;27:1–25.
39.
go back to reference Boorsma RK, Whitfield J, Spriet LL. Beetroot juice supplementation does not improve performance of elite 1500-m runners. Med Sci Sports Exerc. 2014;46:2326–34.CrossRefPubMed Boorsma RK, Whitfield J, Spriet LL. Beetroot juice supplementation does not improve performance of elite 1500-m runners. Med Sci Sports Exerc. 2014;46:2326–34.CrossRefPubMed
40.
go back to reference Kazimierczak R, Hallmann E, Lipowski J, Drela N, Kowalik A, Püssa T, Matt D, Luik A, Gozdowski D, Rembiałkowska E. Beetroot (Beta vulgaris L.) and naturally fermented beetroot juices from organic and conventional production: metabolomics, antioxidant levels and anticancer activity. J Sci Food Agr. 2014;94:2618–29.CrossRef Kazimierczak R, Hallmann E, Lipowski J, Drela N, Kowalik A, Püssa T, Matt D, Luik A, Gozdowski D, Rembiałkowska E. Beetroot (Beta vulgaris L.) and naturally fermented beetroot juices from organic and conventional production: metabolomics, antioxidant levels and anticancer activity. J Sci Food Agr. 2014;94:2618–29.CrossRef
41.
go back to reference McAnulty SR, McAnulty LS, Nieman DC, Quindry JC, Hosick PA, Hudson MH, Still L, Henson DA, Milne GL, Morrow JD. Chronic quercetin ingestion and exercise-induced oxidative damage and inflammation. Appl Physiol Nutr Metab. 2008;33:254–62.CrossRefPubMed McAnulty SR, McAnulty LS, Nieman DC, Quindry JC, Hosick PA, Hudson MH, Still L, Henson DA, Milne GL, Morrow JD. Chronic quercetin ingestion and exercise-induced oxidative damage and inflammation. Appl Physiol Nutr Metab. 2008;33:254–62.CrossRefPubMed
42.
go back to reference Quindry JC, McAnulty SR, Hudson MB, Hosick P, Dumke C, McAnulty LS, Henson D, Morrow JD, Nieman D. Oral quercetin supplementation and blood oxidative capacity in response to ultramarathon competition. Int J Sport Nutr Exerc Metab. 2008;18:601.CrossRefPubMed Quindry JC, McAnulty SR, Hudson MB, Hosick P, Dumke C, McAnulty LS, Henson D, Morrow JD, Nieman D. Oral quercetin supplementation and blood oxidative capacity in response to ultramarathon competition. Int J Sport Nutr Exerc Metab. 2008;18:601.CrossRefPubMed
43.
go back to reference Larsen F, Weitzberg E, Lundberg J, Ekblom B. Effects of dietary nitrate on oxygen cost during exercise. Acta Physiol. 2007;191:59–66.CrossRef Larsen F, Weitzberg E, Lundberg J, Ekblom B. Effects of dietary nitrate on oxygen cost during exercise. Acta Physiol. 2007;191:59–66.CrossRef
44.
go back to reference Casey DP, Madery BD, Curry TB, Eisenach JH, Wilkins BW, Joyner MJ. Nitric oxide contributes to the augmented vasodilatation during hypoxic exercise. J Physiol. 2010;588:373–85.CrossRefPubMed Casey DP, Madery BD, Curry TB, Eisenach JH, Wilkins BW, Joyner MJ. Nitric oxide contributes to the augmented vasodilatation during hypoxic exercise. J Physiol. 2010;588:373–85.CrossRefPubMed
45.
go back to reference McConell GK, Bradley SJ, Stephens TJ, Canny BJ, Kingwell BA, Lee-Young RS. Skeletal muscle nNOSμ protein content is increased by exercise training in humans. Am J Physiol Regul Integr Comp Physiol. 2007;293:R821–8.CrossRefPubMed McConell GK, Bradley SJ, Stephens TJ, Canny BJ, Kingwell BA, Lee-Young RS. Skeletal muscle nNOSμ protein content is increased by exercise training in humans. Am J Physiol Regul Integr Comp Physiol. 2007;293:R821–8.CrossRefPubMed
46.
go back to reference Vassalle C, Lubrano V, Domenici C, L’abbate A. Influence of chronic aerobic exercise on microcirculatory flow and nitric oxide in humans. Int Journal Sports Med. 2003;24:30–5.CrossRef Vassalle C, Lubrano V, Domenici C, L’abbate A. Influence of chronic aerobic exercise on microcirculatory flow and nitric oxide in humans. Int Journal Sports Med. 2003;24:30–5.CrossRef
47.
go back to reference Jensen L, Bangsbo J, Hellsten Y. Effect of high intensity training on capillarization and presence of angiogenic factors in human skeletal muscle. J Physiol. 2004;557:571–82.CrossRefPubMedPubMedCentral Jensen L, Bangsbo J, Hellsten Y. Effect of high intensity training on capillarization and presence of angiogenic factors in human skeletal muscle. J Physiol. 2004;557:571–82.CrossRefPubMedPubMedCentral
48.
go back to reference Ferguson SK, Hirai DM, Copp SW, Holdsworth CT, Allen JD, Jones AM, Musch TI, Poole DC. Effects of nitrate supplementation via beetroot juice on contracting rat skeletal muscle microvascular oxygen pressure dynamics. Respir Physiol Neurobiol. 2013;187:250–5.CrossRefPubMedPubMedCentral Ferguson SK, Hirai DM, Copp SW, Holdsworth CT, Allen JD, Jones AM, Musch TI, Poole DC. Effects of nitrate supplementation via beetroot juice on contracting rat skeletal muscle microvascular oxygen pressure dynamics. Respir Physiol Neurobiol. 2013;187:250–5.CrossRefPubMedPubMedCentral
49.
go back to reference Holloszy JO, Coyle EF. Adaptations of skeletal muscle to endurance exercise and their metabolic consequences. J Appl Physiol. 1984;56:831–8.PubMed Holloszy JO, Coyle EF. Adaptations of skeletal muscle to endurance exercise and their metabolic consequences. J Appl Physiol. 1984;56:831–8.PubMed
50.
go back to reference Vanhatalo A, Fulford J, Bailey SJ, Blackwell JR, Winyard PG, Jones AM. Dietary nitrate reduces muscle metabolic perturbation and improves exercise tolerance in hypoxia. J Physiol. 2011;589:5517–28.CrossRefPubMedPubMedCentral Vanhatalo A, Fulford J, Bailey SJ, Blackwell JR, Winyard PG, Jones AM. Dietary nitrate reduces muscle metabolic perturbation and improves exercise tolerance in hypoxia. J Physiol. 2011;589:5517–28.CrossRefPubMedPubMedCentral
52.
go back to reference Wilber RL. Application of altitude/hypoxic training by elite athletes. J Hum Sport Exerc. 2011;6:271–86.CrossRef Wilber RL. Application of altitude/hypoxic training by elite athletes. J Hum Sport Exerc. 2011;6:271–86.CrossRef
Metadata
Title
The effect of acute pomegranate extract supplementation on oxygen uptake in highly-trained cyclists during high-intensity exercise in a high altitude environment
Authors
Emma May Crum
Ahmad Munir Che Muhamed
Matthew Barnes
Stephen Robert Stannard
Publication date
01-12-2017
Publisher
BioMed Central
DOI
https://doi.org/10.1186/s12970-017-0172-0

Other articles of this Issue 1/2017

Journal of the International Society of Sports Nutrition 1/2017 Go to the issue