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Effect of Cordyceps Supplementation Timing on Physiological Responses and Aerobic Adaptation in Athletes (CORD-RECOV)

21. srpna 2026 aktualizováno: Bayu Agung Pramono, Surabaya State University

Optimization of Athlete Recovery: Effects of Cordyceps Supplementation Timing on Inflammatory Response, Oxidative Stress, Muscle Damage, and Aerobic Adaptation Following Acute and Chronic Exercise Training

Athletes frequently perform high-intensity exercise to improve physical performance and aerobic capacity. However, such training can induce exercise-induced muscle damage, oxidative stress, and inflammatory responses that may delay recovery and compromise subsequent training adaptations. Optimizing recovery strategies is therefore essential to maintain performance, reduce injury risk, and support long-term athletic development.

Cordyceps is a medicinal mushroom that contains several bioactive compounds, including cordycepin and polysaccharides, which have demonstrated antioxidant, anti-inflammatory, and immunomodulatory properties. Although previous studies have reported beneficial effects of Cordyceps supplementation on exercise performance and physiological function, limited evidence exists regarding the optimal timing of supplementation relative to exercise.

This study aims to investigate the effects of different Cordyceps supplementation timing strategies on physiological responses and aerobic adaptation following acute and chronic exercise training. Participants will be assigned to receive Cordyceps supplementation before exercise, after exercise, or placebo. The study will evaluate biomarkers of inflammation (IL-6), oxidative stress (MDA), muscle damage (CK), aerobic capacity (VO2max), and neuromuscular performance assessed using countermovement jump (CMJ) testing.

The findings of this study are expected to provide evidence-based recommendations regarding nutritional recovery strategies and supplementation timing to optimize recovery and training adaptation in athletes and physically active individuals.

Přehled studie

Detailní popis

Background

Recovery is a fundamental component of the training process because physiological adaptation occurs not only during exercise but also during the recovery period following exercise-induced stress. High-intensity exercise is widely used to improve athletic performance and aerobic capacity; however, it is also associated with increased physiological stress, including exercise-induced muscle damage (EIMD), oxidative stress, and inflammatory responses. Excessive accumulation of these responses may impair recovery, reduce training quality, increase injury risk, and contribute to non-functional overreaching or overtraining.

Exercise-induced physiological stress is commonly characterized by elevations in inflammatory biomarkers such as interleukin-6 (IL-6), muscle damage markers such as creatine kinase (CK), and oxidative stress markers such as malondialdehyde (MDA). Conversely, appropriate recovery interventions may facilitate restoration of physiological homeostasis and support positive training adaptations, including improvements in aerobic capacity.

Cordyceps is a medicinal fungus that contains several biologically active compounds, including cordycepin, polysaccharides, nucleosides, sterols, and phenolic compounds. Experimental and clinical studies have demonstrated antioxidant, anti-inflammatory, and immunomodulatory properties of Cordyceps. These mechanisms suggest that Cordyceps supplementation may help attenuate exercise-induced physiological stress while supporting recovery and adaptation processes.

Despite increasing interest in Cordyceps supplementation among athletes, evidence regarding the influence of supplementation timing remains limited. Most previous studies have focused primarily on supplementation efficacy without specifically evaluating whether administration before exercise or after exercise produces differential physiological effects. Understanding the role of supplementation timing may contribute to the development of more effective recovery strategies in sports science.

Objectives

The primary objective of this study is to evaluate the effects of Cordyceps supplementation timing on exercise-induced physiological responses and aerobic adaptation following acute and chronic exercise training.

Specific objectives include:

  1. To compare the effects of pre-exercise and post-exercise Cordyceps supplementation on inflammatory response, muscle damage, and oxidative stress following acute exercise.
  2. To compare the effects of pre-exercise and post-exercise Cordyceps supplementation on inflammatory response, muscle damage, oxidative stress, and aerobic capacity following chronic exercise training.
  3. To compare physiological responses among pre-exercise supplementation, post-exercise supplementation, and placebo groups.
  4. To evaluate the interaction between supplementation timing and exercise exposure on selected physiological biomarkers.
  5. To investigate the relationship between changes in oxidative stress, muscle damage, and aerobic adaptation.

Study Rationale

The scientific rationale of this study is based on the hypothesis that the timing of nutrient delivery may influence physiological responses to exercise. Supplementation administered before exercise may enhance physiological preparedness and reduce exercise-induced stress, whereas supplementation administered after exercise may facilitate recovery and tissue regeneration processes. Identifying the optimal timing strategy may improve recovery efficiency and maximize training adaptation.

Study Outcomes

The study will evaluate biomarkers associated with inflammation, oxidative stress, and muscle damage, including IL-6, MDA, and CK. Aerobic adaptation will be assessed through maximal oxygen uptake (VO2max). In addition to biochemical markers and aerobic capacity, neuromuscular performance will be assessed using countermovement jump (CMJ) testing performed on a validated VALD system. CMJ variables will be used to evaluate lower-body power output and neuromuscular recovery status following acute and chronic exercise exposure.

Potential Significance

This study is expected to generate novel evidence regarding the role of Cordyceps supplementation timing in athletic recovery and adaptation. The findings may support the development of evidence-based nutritional strategies for athletes, coaches, sports scientists, and healthcare professionals. Furthermore, the study may contribute to a better understanding of the relationship between oxidative stress, inflammation, muscle damage, and aerobic adaptation during exercise training.

Typ studie

Intervenční

Zápis (Aktuální)

30

Fáze

  • Nelze použít

Kontakty a umístění

Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.

Studijní místa

    • Jawa Timur - East Java
      • Surabaya, Jawa Timur - East Java, Indonésie, 60213
        • Faculty of Sport and Health Sciences

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

  • Dospělý

Přijímá zdravé dobrovolníky

Ano

Popis

Inclusion Criteria:

  • Male participants aged 19-21 years.
  • Students enrolled in the Sport Coaching Education Program (Pendidikan Kepelatihan Olahraga).
  • Apparently healthy and free from known cardiovascular, metabolic, respiratory, neuromuscular, or musculoskeletal disorders that could affect participation in exercise training.
  • Regularly participate in physical exercise at least three times per week during the previous three months.
  • Willing to comply with all study procedures, exercise protocols, supplementation schedules, and assessment sessions.
  • Provide written informed consent before participation.

Exclusion Criteria:

  • Current injury or musculoskeletal condition that limits participation in exercise training.
  • History of cardiovascular disease, uncontrolled hypertension, diabetes mellitus, respiratory disease, or other medical conditions that may increase exercise-related risk.
  • Use of antioxidant supplements, herbal supplements, ergogenic aids, or anti-inflammatory medications within four weeks prior to study enrollment.
  • Known allergy or hypersensitivity to Cordyceps or any component of the study supplements.
  • Smoking or excessive alcohol consumption during the study period.
  • Failure to comply with supplementation or exercise protocols.
  • Participation in another research study during the study period.
  • Participants presenting acute infection, fever, or inflammatory conditions within two weeks prior to baseline assessment.

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

  • Primární účel: Léčba
  • Přidělení: Randomizované
  • Intervenční model: Paralelní přiřazení
  • Maskování: Trojnásobný

Zbraně a zásahy

Skupina účastníků / Arm
Intervence / Léčba
Experimentální: Pre-Exercise Cordyceps
Participants receive Cordyceps supplementation twice prior to exercise sessions, with administration occurring approximately 11 hours and 1 hour before exercise. This intervention is designed to evaluate the effects of pre-exercise supplementation timing on inflammatory response, oxidative stress, muscle damage, neuromuscular performance, and aerobic adaptation following acute and chronic exercise training.
Participants in the pre-exercise group received 200 mg of a 10:1 Cordyceps sinensis CS-4 extract per administration (equivalent to 2,000 mg of raw Cordyceps material), with two capsules administered approximately 11 hours and 1 hour before each exercise session. Supplementation was provided three times per week for 4 weeks. The intervention is designed to evaluate the effects of pre-exercise supplementation timing on inflammatory response (IL-6), oxidative stress (MDA), muscle damage (CK), countermovement jump (CMJ) performance, and aerobic adaptation (VO2max).
Ostatní jména:
  • cordyceps
Experimentální: Post-Exercise Cordyceps
Participants receive Cordyceps supplementation immediately after completion of each exercise session. This intervention is designed to evaluate the effects of post-exercise supplementation timing on physiological recovery, neuromuscular performance, and aerobic adaptation following acute and chronic exercise training.
Participants in the post-exercise group received 200 mg of a 10:1 Cordyceps sinensis CS-4 extract (equivalent to 2,000 mg of raw Cordyceps material; two capsules) immediately after each exercise session, three times per week for 4 weeks. The intervention is designed to evaluate the effects of post-exercise supplementation timing on inflammatory response (IL-6), oxidative stress (MDA), muscle damage (CK), countermovement jump (CMJ) performance, and aerobic adaptation (VO2max).
Ostatní jména:
  • Cordyceps
Komparátor placeba: Placebo
Participants receive placebo capsules matched in appearance and administration schedule to the Cordyceps supplementation groups. The placebo group serves as the control condition for comparison of physiological and performance outcomes.
Participants received two placebo capsules immediately after each exercise session, three times per week for 4 weeks. The placebo capsules contained the same excipient base without Cordyceps sinensis extract and were identical to the active capsules in appearance, size, packaging, and administration procedure to maintain blinding. and serves as the control condition for comparison of physiological and performance outcomes.

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Interleukin-6 (IL-6)
Časové okno: Baseline, 1 hour, 24 hours, and 48 hours following acute exercise; baseline and after 4 weeks of chronic exercise training with measurements obtained at 1 hour, 24 hours, and 48 hours following the final training session.
Serum interleukin-6 (IL-6) concentration measured as a biomarker of exercise-induced inflammatory response following acute and chronic exercise training.
Baseline, 1 hour, 24 hours, and 48 hours following acute exercise; baseline and after 4 weeks of chronic exercise training with measurements obtained at 1 hour, 24 hours, and 48 hours following the final training session.
Creatine Kinase (CK)
Časové okno: Baseline, 1 hour, 24 hours, and 48 hours following acute exercise; baseline and after 4 weeks of chronic exercise training with measurements obtained at 1 hour, 24 hours, and 48 hours following the final training session.
Serum creatine kinase (CK) concentration measured as a biomarker of exercise-induced muscle damage following acute and chronic exercise training.
Baseline, 1 hour, 24 hours, and 48 hours following acute exercise; baseline and after 4 weeks of chronic exercise training with measurements obtained at 1 hour, 24 hours, and 48 hours following the final training session.
Malondialdehyde (MDA)
Časové okno: Baseline, 1 hour, 24 hours, and 48 hours following acute exercise; baseline and after 4 weeks of chronic exercise training with measurements obtained at 1 hour, 24 hours, and 48 hours following the final training session.
Serum malondialdehyde (MDA) concentration measured as a biomarker of oxidative stress following acute and chronic exercise training.
Baseline, 1 hour, 24 hours, and 48 hours following acute exercise; baseline and after 4 weeks of chronic exercise training with measurements obtained at 1 hour, 24 hours, and 48 hours following the final training session.
Maximal Oxygen Uptake (VO2max)
Časové okno: Baseline and after 4 weeks of chronic exercise training.
Maximal oxygen uptake (VO2max) assessed as an indicator of aerobic capacity and chronic training adaptation.
Baseline and after 4 weeks of chronic exercise training.

Sekundární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Countermovement Jump (CMJ) Performance
Časové okno: Baseline, 1 hour, 24 hours, and 48 hours following acute exercise; baseline and after 4 weeks of chronic exercise training with measurements obtained at 1 hour, 24 hours, and 48 hours following the final training session.
Countermovement jump performance assessed using the VALD ForceDecks system as an indicator of neuromuscular function and recovery following acute and chronic exercise training.
Baseline, 1 hour, 24 hours, and 48 hours following acute exercise; baseline and after 4 weeks of chronic exercise training with measurements obtained at 1 hour, 24 hours, and 48 hours following the final training session.

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Vyšetřovatelé

  • Studijní židle: Nining W Kusnanik, Dr., Surabaya State University
  • Ředitel studie: Agus Hariyanto, Dr., Surabaya State University

Publikace a užitečné odkazy

Osoba odpovědná za zadávání informací o studiu tyto publikace poskytuje dobrovolně. Mohou se týkat čehokoli, co souvisí se studiem.

Užitečné odkazy

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia (Aktuální)

9. června 2026

Primární dokončení (Aktuální)

1. srpna 2026

Dokončení studie (Aktuální)

10. srpna 2026

Termíny zápisu do studia

První předloženo

17. června 2026

První předloženo, které splnilo kritéria kontroly kvality

17. června 2026

První zveřejněno (Aktuální)

24. června 2026

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Aktuální)

25. srpna 2026

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

21. srpna 2026

Naposledy ověřeno

1. srpna 2026

Více informací

Termíny související s touto studií

Další identifikační čísla studie

  • B/41816/UN38.16/TU.00.02/202
  • UNESA-S3IK-2026-01 (Jiný identifikátor: Universitas Negeri Surabaya)

Plán pro data jednotlivých účastníků (IPD)

Plánujete sdílet data jednotlivých účastníků (IPD)?

ANO

Popis plánu IPD

Individual participant data (IPD) that underlie the results reported in publications, after de-identification, will be made available to qualified researchers upon reasonable request. Data sharing will be permitted for scientifically sound research purposes following publication of the primary study results. Requests for access to the data will be reviewed by the principal investigator and must comply with institutional and ethical requirements. Supporting documents, including the study protocol and statistical analysis plan, may also be made available upon request.

Časový rámec sdílení IPD

Individual participant data (IPD), study protocol, and statistical analysis plan will be available beginning after publication of the primary and secondary study results and will remain available for 5 years thereafter.

Kritéria přístupu pro sdílení IPD

De-identified individual participant data (IPD), study protocol, and statistical analysis plan will be available to qualified researchers upon reasonable request. Access requests must include a scientifically sound research proposal and the intended use of the data. Requests will be reviewed by the principal investigator to ensure compliance with ethical, legal, and institutional requirements. Approved researchers will be granted access to the relevant data and supporting documents through direct communication with the principal investigator and, when appropriate, under a data-sharing agreement.

Typ podpůrných informací pro sdílení IPD

  • PROTOKOL STUDY
  • MÍZA

Studijní data/dokumenty

  1. Protokol studie
    Identifikátor informace: PROTOCOL-2026
    Komentáře k informacím: The study protocol will be available upon reasonable request to the principal investigator following publication of the primary and secondary study results.
  2. Plán statistické analýzy
    Identifikátor informace: SAP-2026
    Komentáře k informacím: The statistical analysis plan will be available upon reasonable request to qualified researchers following publication of the primary and secondary study results

Informace o lécích a zařízeních, studijní dokumenty

Studuje lékový produkt regulovaný americkým FDA

Ne

Studuje produkt zařízení regulovaný americkým úřadem FDA

Ne

Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .

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