logo
Volume 10, Issue 4 (2021)                   J Police Med 2021, 10(4) | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ebadi A, Siahkouhian M, Ebrahimi-Torkmani B. Effect of Short-term Glutamine Supplementation on Muscle Damage Indices and Pain after Extroverted resistance activity in Sedentary Young Men. J Police Med 2021; 10 (4)
URL: http://jpmed.ir/article-1-988-en.html
1- Department of Physical Education & Sport Science, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
2- Department of Physical Education & Sport Science, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran , Ebrahimi.ba96@yahoo.com
Full-Text [PDF 1032 kb]   (866 Downloads)     |   English Extended Abstract (HTML)  (1318 Views)
English Extended Abstract:   (401 Views)
ISSN: 2383-3483; Journal of Police Medicine. 2021;10(4):241-248
Journal of Police Medicine
ORIGINAL ARTICLE OPEN ACCESS

Effect of Short-term Glutamine Supplementation on Muscle Damage Indices and Pain after Eccentric Exercise in Sedentary Young Men

Akram Ebadi1 MSc, Marefat Siahkouhian1 PhD, Bahman Ebrahimi-Torkmani1* PhD
1 Department of Physical Education & Sport Science, Faculty of Educational Sciences & Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
ARTICLE INFO EXTENDED ABSTRACTEXTENDED ABSTRACT

How to cite this article:
Ebadi A, Siahkouhian M, Ebrahimi-Torkmani B. Effect of Short-term Glutamine Supplementation on Muscle Damage Indices and Pain after Eccentric Resistance Activity in Sedentary Young Men. J Police Med. 2021;10(4):241-48.
 
INTRODUCTION
Muscle injury caused by sport activities is accompanied with muscle function destruction, delayed contusion and muscular proteins increase in blood flow [1]. Creatine kinase (CK), lactate dehydrogenase (LDH), and myoglobin are biochemical indicators of muscles' cells destruction. The secretion of these enzymes is caused by intense muscle tension due to contraction, which leads to injury [2]. … [3]. Muscle injury caused by sports activities has been studied in the last few decades and its causes have been extensively studied in various journals [4-6]. In this regard, during the seven-month training period, 42% of rangers suffered at least one muscle injury, Zareei et al reported. [7]. ... [8-15]. Some studies have reported that glutamine supplementation may be beneficial for athletes [11]. Moeini et al have reported that short-term supplementation of creatine, glutamine, and CGT prevents muscle injury caused by intense sports activities [16]. Glutamine, as a fuel source for the immune system, can also reduce the intensity of inflammatory responses and as a result, it reduces the indicators of plasma muscle injury [17]. Habibi et al reported that short-term glutamine supplementation reduced CK in athletes but had no significant effect on C reactive protein [18]. On the other hand, Rahmaninia et al have reported that glutamine supplementation has no significant effect on creatinine kinase [19]. Considering that combat readiness is the main concern of all armed forces and previous studies have reported a high prevalence of muscle injuries in military and training courses [20, 21], so the purpose of the present study was to evaluate the effect of glutamine supplementation on muscle injury indices and perceived pain intensity following extroverted exercise in inactive male students.
RESEARCH TYPE
This study is a quasi-experimental study with repeated measures.
RESEARCH SOCIETY, PLACE, AND TIME
This research was performed in 2017-2018. The statistical population of this research was among all inactive male students of Mohaghegh Ardebili University who had not participated in regular sports activities during the three years leading up to the study.
SAMPLING METHOD & NUMBER
Sample content was estimated by using the average comparison formula of the two independent groups, taking into account 1-a=0.95 and 1- β=0.8 and with a power of 80% for two groups of 20 people [22] which were divided into two supplement nodes (n=10) and placebo (n=10) by limited randomization method.
USED DEVICES & MATERIALS
One hour before the practical tests, the subjects were given 0.1 g of glutamine supplement (supplement nodes) and starch (placebo nodes) in combination with 300 ml of water [23]. Muscle injury and delayed muscle contusion and bruising in the lower torso muscles were performed using knee flexion movements with weights equivalent to 70% of a maximum repetition. Subjects started warming up in two-octet shifts with sub-maximal repetitions, then in three shifts of 15 with 70% of one maximum repetition, they performed knee flexion movement. Subjects were asked, with the help of the researcher, to gently stretch the quadriceps muscle and report the number that best describes their pain and bruising. This measurement was performed in three basic levels, 24 hours and 48 hours after extroverted exercise. An Analog visual pain scale diagram was used for this purpose. On this scale, a 10 cm graduated horizontal line is drawn, with a score of 10 for the most severe pain and a score of zero for the most painless. In Iran, the reliability of this scale has been confirmed with a correlation coefficient of r = 0.88 [24, 25]. ... [26]. To measure the level of creatine kinase and lactate dehydrogenase in the subjects, 5 cc of blood was taken from the brachial vein of the subjects by the laboratory science expert before training, 24 and 48 hours after training..
ETHICAL PERMISSIONS
The study was approved by the Department of Physical Education and Sports Sciences of Mohaghegh Ardabili University with the code of ethics IR.SSRI.REC.1400.1243. The objectives of the research and the work process were explained to all participants and the individuals entered the study consciously after signing the testimonial.
STATISTICAL ANALYSIS
Independent T-test was used to compare the results of the two groups in different time stages and to compare the changes of each variable in different stages of measurement and determine the effect of glutamine supplementation on the variables, repeated measures analysis of variance was used and if significant, Bonferroni post hoc test was used to determine the differences between different sampling stages. All calculations were performed using SPSS 22 statistical software at the significance level of p <0.05..
FINDING BY TEXT
In this study, 10 samples with mean age of 25.33±0.85 years in the placebo group and 10 samples with a mean age of 24.82±0.50 years in the supplement group were studied. Independent T-test showed that there was no significant difference between the subjects' anthropometry indices in baseline (p <0.05; Table 1). The results of repeated measures analysis of variance and Bonferroni post hoc test showed that there was a significant difference between stages of measurement in the perceived pain intensity variable in the placebo group; perceived pain intensity increased significantly compared to baseline in 24 hours (p = 0.008) and 48 hours (p = 0.046) after exercise in the placebo group, while in the supplement group, no significant change in pain intensity was observed in different stages of measurement. Also, the difference between the two groups was significant at 24 and 48 hours after exercise (p <0.05; Tables 2 and 3). Mean creatine kinase and lactate dehydrogenase indices increased 24 and 48 hours after exercise in both groups compared to baseline but this increase was not statistically significant (p <0.05).
MAIN COMPARISON TO THE SIMILAR STUDIES
… [27]. According to the findings of the present study, Najarzadeh et al Reported that short-term use of glutamine supplementation did not have a significant effect on muscle injury indices but reduced muscle pain at 24 and 48 hours after extroverted resistance activity [16]. Qomi et al also reported that glutamine supplementation did not have a significant effect on muscle creatine kinase after extrovert resistance activity [16, 28]. On the other hand, some researchers have reported that glutamine consumption has a significant effect on muscle injury indices and reduces these indices after exercise [29, 30]. In this regard, Rouhi et al have reported that seven days of glutamine supplementation has significantly reduced the indicators of muscle damage and oxidative stress [29]. The reasons for the differences in the findings of this study include the effective concentration of the drug, the number of days taken, the type of exercise, and the level of physical fitness of the participants.
Glutamine supplementation also reduced the perception of muscle pain in the supplement group at 24 and 48 hours after extroverted resistance training, which is consistent with the results of research by Najarzadeh et al. as well as Cruzat [16, 17]. In another study, Biniaz et al. reported that glutamine supplementation significantly reduced creatinine kinase and muscle pain in people with diabetes 72 hours after exercise [19]. Research in this area has reported that glutamine supplementation in both men and women reduces pain after 72 hours of exercise [19]. … [31-34].
SUGGESTIONS
Additional studies are suggested to determine the effect of protein synthesis and antioxidant capacity. It is also suggested that future researches measure the levels of pre-inflammatory cytokines. It seems that this amount of supplementation in the number of days and the effective concentration of daily medication is not enough to show the positive effects of this amino acid and should be taken in larger amounts or over more days.
LIMITATIONS
Some of the limitations of the present study were the lack of full access to the subjects and their lack of control over nutrition, lack of control over the amount of sleep, rest and motivation, and mental state of the subjects.
CONCLUSIONS
Although glutamine supplementation did not prevent elevated levels of creatine kinase and lactate dehydrogenase enzymes and did not actually reduce muscle damage, glutamine supplementation can be effective in reducing pain after muscle injury.
CLINICAL & PRACTICAL TIPS IN POLICE MEDICINE
Due to the importance of physical fitness among police forces and draftees, the results of this study can be useful in preventing delayed muscle contusion and reducing muscle injuries after participating in strenuous exercise. In order to reduce the pain as a result of military exercises, it is recommended to avoid overtraining in the first month of training exercises in addition to taking glutamine supplements.
ACKNOWLEDGMENTS
All those who somehow cooperated sincerely with the researchers in conducting this research and also subjects of this study are hereby thanked and appreciated.
CONFLICT OF INTEREST
The authors of the article hereby state that there is no conflict of interest in the present study.
FUNDING SOURCES
The present study had no financial support.
TABLES & CHARTS
Show attached file.
*Correspondence:
Address: Department of Physical Education & Sport Science, University of Mohaghegh Ardabili, Daneshgah Street, Ardabil, Iran.
Postal Code: 56199-11367
Tel: +98453150500
Fax : -
Mail: ebrahimi.ba96@yahoo.com

 
Article History:
Received: 09/02/2021
Accepted: 17/07/2021
ePublished: 07/10/2021

 
10.30505/10.4.241
    REFERENCES
  1. Street B, Byrne C, Eston R. Glutamine supplementation in recovery from eccentric exercise attenuates strength loss and muscle soreness. J Exerc Sci Fit. 2011;9(2):116-22. https://doi.org/10.1016/S1728-869X(12)60007-0
  2. Asjodi F, Arazi H, Samarin SF. Comparing the effects of dietary supplementation with carbohydrate and whey protein at two ratios on muscle damage indices after eccentric resistance exercise. Iran J Nutri Sci Food Tech. 2013;7(4):83-92.
  3. Shenkman B, Litvinova K, Gasnikova N, Tarakin P, Chistiakov I, Lemesheva I, et al. Creatine as a metabolic controller of skeletal muscles structure and function in strength exercises in humans. The cellular mechanisms. Ross Fiziol Zh Im I M Sechenova. 2006;92(1):100-12.
  4. Howatson G, Van Someren KA. The prevention and treatment of exercise-induced muscle damage. Sports Med. 2008;38(6):483-503. https://doi.org/10.2165/00007256-200838060-00004 PMid:18489195
  5. Clarkson PM, Hubal MJ. Exercise-induced muscle damage in humans. Am J phys Med Rehabil. 2002;81(11):S52-S69.
  6. Owens DJ, Twist C, Cobley JN, Howatson G, Close GL. Exercise-induced muscle damage: What is it, what causes it and what are the nutritional solutions? EJSS. 2019;19(1):71-85. https://doi.org/10.1080/17461391.2018.1505957 PMid:30110239
  7. Zarei M. Predicting Lower Extremity Injury in Iranian Army Rangers using Functional Performance Tests. J Mil Med. 2018;19(6):607-15. [Persian]
  8. Bloomer RJ. The role of nutritional supplements in the prevention and treatment of resistance exercise-induced skeletal muscle injury. Sports Med. 2007;37(6):519-32. https://doi.org/10.2165/00007256-200737060-00005 PMid:17503877
  9. Cheung K, Hume PA, Maxwell L. Delayed onset muscle soreness. Sports medicine. 2003;33(2):145-64. https://doi.org/10.2165/00007256-200333020-00005 PMid:12617692
  10. Coqueiro AY, Rogero MM, Tirapegui J. Glutamine as an anti-fatigue amino acid in sports nutrition. Nutrients. 2019;11(4):863. https://doi.org/10.3390/nu11040863 PMid:30999561 PMCid:PMC6520936
  11. Antonio J, Street C. Glutamine: a potentially useful supplement for athletes. Can J Appl Physiol. 1999;24(1):1-14. https://doi.org/10.1139/h99-001 PMid:9916176
  12. Coqueiro AY, Raizel R, Bonvini A, Hypólito T, Godois AdM, Pereira JRR, et al. Effects of glutamine and alanine supplementation on central fatigue markers in rats submitted to resistance training. Nutrients. 2018;10(2):119. https://doi.org/10.3390/nu10020119 PMid:29370091 PMCid:PMC5852695
  13. Smith RJ. Glutamine metabolism and its physiologic importance. JPEN. 1990;14:40S-4S. https://doi.org/10.1177/014860719001400402 PMid:2205730
  14. Khorshidi-Hosseini M, Nakhostin-Roohi B. Effect of glutamine and maltodextrin acute supplementation on anaerobic power. Asian J Sport Med 2013; 4(2):131. https://doi.org/10.5812/asjsm.34495 PMid:23802055 PMCid:PMC3690733
  15. Fan Y-p, Yu J-c, Kang W-m, Zhang Q. Effects of glutamine supplementation on patients undergoing abdominal surgery. Chin Med Sci J. 2009;24(1):55-9. https://doi.org/10.1016/S1001-9294(09)60060-2
  16. Najarzadeh A, Atarod H, Mozaffari-Khosravi H, Dehghani A, Asjodi F. The effect of single portion glutamine supplement consumption on injury indices of muscle after eccentric resistance exercise. AMUJ. 2015;18(97):9-17. [Persian]
  17. Cruzat VF, Rogero MM, Tirapegui J. Effects of supplementation with free glutamine and the dipeptide alanyl‐glutamine on parameters of muscle damage and inflammation in rats submitted to prolonged exercise. Cell Biochem Funct. 2010;28(1):24-30.  https://doi.org/10.1002/cbf.1611 PMid:19885855
  18. Neghad A, Seiavoshy H, Samavatisharif M. The effect of an exhaustive exercise and glutamine supplementation on LDH, CPK and CPR indexes in non-athlete women students. Int J Sport Sci. 2015; 2(3):47-52. [Persian] https://doi.org/10.2139/ssrn.2796078
  19. Biniaz SA, Nikbakht H, Natanzi HA. The Effect of Glutamine Supplementation on Delayed Onset Muscle Soreness and Skin Temperature in Untrained Elderly Male People with Type 2 Diabetes. IJDO. 2018;10(3):121-9.
  20. Army Dot. Prevention and control of musculoskeletal injuries associated with physical training. Technical Bulletin Medical 592 (TB MED 592). 2011.
  21. Zarei M, Rahemi M. Military physical training-related injuries: A review of epidemiology and risk factor and prevention strategy studies. EBNESINA. 2015;17(2):52-64. [Persian]
  22. Verma J, Verma P. Determining Sample Size and Power in Research Studies: Springer; 2020. https://doi.org/10.1007/978-981-15-5204-5
  23. Greenwood M, Cooke MB, Ziegenfuss T, Kalman DS, Antonio J. Nutritional supplements in sports and exercise: Springer; 2015. https://doi.org/10.1007/978-3-319-18230-8
  24. Mendelson G, Selwood T. Measurement of chronic pain: a correlation study of verbal and nonverbal scales. Pain. 1983;16(2):218. https://doi.org/10.1016/0304-3959(83)90231-2
  25. Rezvani Amin M, Siratinayer M, Abadi A, Moradyan T. Correlation between visual analogue scale and short form of McGill questionnaire in patients with chronic low back pain. QUMSJ. 2011;5(1):31-4. [Persian]
  26. LaRoche DP. Response To Eccentric Exercise Following Four Weeks Of Flexibility Training: 2432 1: 0 PM–1: 15 PM. MSSE. 2005;37(5):S466. https://doi.org/10.1249/00005768-200505001-02432
  27. Cleak M, Eston R. Delayed onset muscle soreness: mechanisms and management. J Sports Sci. 1992;10(4):325-41. https://doi.org/10.1080/02640419208729932 PMid:1518094
  28. Kordı N, Samadı M, Hasan GM, Salehpour S. The Effects of Using Glutamine Supplementation in 3 Days on Indices of Muscle Damage after Leg Press Eccentric Resistance. J Med Council Iran. 2019; 36(2)101-6.
  29. Nakhostin-Roohi B, Javanamani R, Zardoost N, Ramazanzadeh R. Influence of glutamine supplementation on muscle damage and oxidative stress indices following 14km running. HMJ. 2016;20(5):323-31.
  30. Mohtadinia J, Hozoori M, Babaei H, Arefhosseini S, Kooshavar H, Sabour S. Effects of carnitine with and without glutamine supplementation on markers of muscle damage and muscle soreness among football players: a randomized controlled clinical trial. GMJ. 2014;3(4):207-15. [Persian]
  31. Zondi P, van Rensburg DJ, Grant CC, van Rensburg AJ. Delayed onset muscle soreness: No pain, no gain? The truth behind this adage. SAFP. 2015;57(3):29-33.
  32. Wischmeyer PE. Glutamine: role in critical illness and ongoing clinical trials. Current opinion in gastroenterology. 2008;24(2):190-7. https://doi.org/10.1097/MOG.0b013e3282f4db94 PMid:18301270
  33. Mauras N, Xing D, Fox LA, Englert K, Darmaun D. Effects of glutamine on glycemic control during and after exercise in adolescents with type 1 diabetes: a pilot study. Diabetes care. 2010;33(9):1951-3. https://doi.org/10.2337/dc10-0275 PMid:20585005 PMCid:PMC2928340
  34. Soares-Caldeira LF, de Paula Ramos S. Effects of Light-Emitting Diode Therapy on Muscle Hypertrophy, Gene Expression, Performance, Damage, and Delayed-Onset Muscle Soreness: A Case–Control Study With a Pair of Identical Twins. AJPMR. 2018;97(1):e1-e2. https://doi.org/10.1097/PHM.0000000000000789 PMid:28665818

Article Type: Original Research | Subject: Police Related Trauma
Received: 2021/02/9 | Accepted: 2021/07/17 | Published: 2021/10/2

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.