- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT07664345
Effect of Cordyceps Supplementation Timing on Physiological Responses and Aerobic Adaptation in Athletes (CORD-RECOV)
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.
Descripción general del estudio
Estado
Condiciones
Descripción detallada
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:
- To compare the effects of pre-exercise and post-exercise Cordyceps supplementation on inflammatory response, muscle damage, and oxidative stress following acute exercise.
- 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.
- To compare physiological responses among pre-exercise supplementation, post-exercise supplementation, and placebo groups.
- To evaluate the interaction between supplementation timing and exercise exposure on selected physiological biomarkers.
- 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.
Tipo de estudio
Inscripción (Actual)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
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Jawa Timur - East Java
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Surabaya, Jawa Timur - East Java, Indonesia, 60213
- Faculty of Sport and Health Sciences
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
Acepta Voluntarios Saludables
Descripción
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.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Triple
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Experimental: 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.
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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).
Otros nombres:
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Experimental: 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.
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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).
Otros nombres:
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Comparador de placebos: 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.
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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.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Interleukin-6 (IL-6)
Periodo de tiempo: 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.
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Serum interleukin-6 (IL-6) concentration measured as a biomarker of exercise-induced inflammatory response following acute and chronic exercise training.
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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.
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Creatine Kinase (CK)
Periodo de tiempo: 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.
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Serum creatine kinase (CK) concentration measured as a biomarker of exercise-induced muscle damage following acute and chronic exercise training.
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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.
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Malondialdehyde (MDA)
Periodo de tiempo: 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.
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Serum malondialdehyde (MDA) concentration measured as a biomarker of oxidative stress following acute and chronic exercise training.
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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.
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Maximal Oxygen Uptake (VO2max)
Periodo de tiempo: Baseline and after 4 weeks of chronic exercise training.
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Maximal oxygen uptake (VO2max) assessed as an indicator of aerobic capacity and chronic training adaptation.
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Baseline and after 4 weeks of chronic exercise training.
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Countermovement Jump (CMJ) Performance
Periodo de tiempo: 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.
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Countermovement jump performance assessed using the VALD ForceDecks system as an indicator of neuromuscular function and recovery following acute and chronic exercise training.
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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.
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Colaboradores e Investigadores
Patrocinador
Investigadores
- Silla de estudio: Nining W Kusnanik, Dr., Surabaya State University
- Director de estudio: Agus Hariyanto, Dr., Surabaya State University
Publicaciones y enlaces útiles
Publicaciones Generales
- Peake, J. M. (2019). ScienceDirect Recovery after exercise : what is the current state of play ? Current Opinion in Psychology, 10, 17-26. https://doi.org/10.1016/j.cophys.2019.03.007
- Choi E, Oh J, Sung GH. Beneficial Effect of Cordyceps militaris on Exercise Performance via Promoting Cellular Energy Production. Mycobiology. 2020 Nov 9;48(6):512-517. doi: 10.1080/12298093.2020.1831135.
- Dewi L, Liao YC, Jean WH, Huang KC, Huang CY, Chen LK, Nicholls A, Lai LF, Kuo CH. Cordyceps sinensis accelerates stem cell recruitment to human skeletal muscle after exercise. Food Funct. 2024 Apr 22;15(8):4010-4020. doi: 10.1039/d3fo03770c.
- Hirsch KR, Smith-Ryan AE, Roelofs EJ, Trexler ET, Mock MG. Cordyceps militaris Improves Tolerance to High-Intensity Exercise After Acute and Chronic Supplementation. J Diet Suppl. 2017 Jan 2;14(1):42-53. doi: 10.1080/19390211.2016.1203386. Epub 2016 Jul 13.
Enlaces Útiles
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- B/41816/UN38.16/TU.00.02/202
- UNESA-S3IK-2026-01 (Otro identificador: Universitas Negeri Surabaya)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Descripción del plan IPD
Marco de tiempo para compartir IPD
Criterios de acceso compartido de IPD
Tipo de información de apoyo para compartir IPD
- PROTOCOLO DE ESTUDIO
- SAVIA
Datos del estudio/Documentos
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Protocolo de estudio
Identificador de información: PROTOCOL-2026Comentarios de información: The study protocol will be available upon reasonable request to the principal investigator following publication of the primary and secondary study results.
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Plan de Análisis Estadístico
Identificador de información: SAP-2026Comentarios de información: The statistical analysis plan will be available upon reasonable request to qualified researchers following publication of the primary and secondary study results
Información sobre medicamentos y dispositivos, documentos del estudio
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