Pilot study: Effects of drinking hydrogen-rich water on muscle fatigue caused by acute exercise in elite athletes

Kosuke Aoki, Atsunori Nakao, Takako Adachi, Yasushi Matsui, Shumpei Miyakawa, Kosuke Aoki, Atsunori Nakao, Takako Adachi, Yasushi Matsui, Shumpei Miyakawa

Abstract

Background: Muscle contraction during short intervals of intense exercise causes oxidative stress, which can play a role in the development of overtraining symptoms, including increased fatigue, resulting in muscle microinjury or inflammation. Recently it has been said that hydrogen can function as antioxidant, so we investigated the effect of hydrogen-rich water (HW) on oxidative stress and muscle fatigue in response to acute exercise.

Methods: Ten male soccer players aged 20.9 ± 1.3 years old were subjected to exercise tests and blood sampling. Each subject was examined twice in a crossover double-blind manner; they were given either HW or placebo water (PW) for one week intervals. Subjects were requested to use a cycle ergometer at a 75 % maximal oxygen uptake (VO2) for 30 min, followed by measurement of peak torque and muscle activity throughout 100 repetitions of maximal isokinetic knee extension. Oxidative stress markers and creatine kinase in the peripheral blood were sequentially measured.

Results: Although acute exercise resulted in an increase in blood lactate levels in the subjects given PW, oral intake of HW prevented an elevation of blood lactate during heavy exercise. Peak torque of PW significantly decreased during maximal isokinetic knee extension, suggesting muscle fatigue, but peak torque of HW didn't decrease at early phase. There was no significant change in blood oxidative injury markers (d-ROMs and BAP) or creatine kinease after exercise.

Conclusion: Adequate hydration with hydrogen-rich water pre-exercise reduced blood lactate levels and improved exercise-induced decline of muscle function. Although further studies to elucidate the exact mechanisms and the benefits are needed to be confirmed in larger series of studies, these preliminary results may suggest that HW may be suitable hydration for athletes.

Figures

Figure 1
Figure 1
Sequential changes of blood lactate levels during exercise. Blood lactate levels in the athletes given PW significantly increased immediately after exercise compared to the levels at pre-exercise. HW significantly reduced blood lactate levels post exercise using bicycle ergometer. (*p < 0.05 vs. time 0. #p < 0.05 vs HW, N = 10).
Figure 2
Figure 2
(A) Changes in peak torque (PT) every 20 repetitions (rep = 1 frame) during 100 maximum isokinetic knee extensions. PT of the subjects treated with PW significantly decreased during the initial 40-60 contractions by approximately 20-25 % of the initial values, followed by a phase with little change. On the other hand, there was no statistical difference between Frame 1 and Frame 2 in HW, indicating that HW prevented the decreasing the peak torque during the first 2 Frames. HW, Hydrogen rich water; PW, Placebo water. (*p < 0.05 vs Frame 1, N = 10). (B) Changes in median frequency (MDF) every 20 repetitions (rep = 1 Frame) during 100 maximum isokinetic knee extensions. Although exercise significantly reduced MDF values during the first 2 Frames, there was no statistical difference between HW and PW in all Frames. HW, Hydrogen rich water; PW, Placebo water. (*p < 0.05 vs Frame 1, N = 10). (C) Changes in mean power frequency (MPF) every 20 repetitions (rep = 1 Frame) during 100 maximum isokinetic knee extensions. There was no statistical difference between HW and PW in all Frames. HW, Hydrogen rich water; PW, Placebo water. (*p < 0.05 vs Frame 1, N = 10).

References

    1. Djordjevic D, Cubrilo D, Macura M, Barudzic N, Djuric D, Jakovljevic V. The influence of training status on oxidative stress in young male handball players. Mol Cell Biochem. 2011;351(1–2):251–259.
    1. Tanskanen M, Atalay M, Uusitalo A. Altered oxidative stress in overtrained athletes. J Sports Sci. 2010;28(3):309–317. doi: 10.1080/02640410903473844.
    1. Jackson MJ. Muscle damage during exercise: possible role of free radicals and protective effect of vitamin E. Proc Nutr Soc. 1987;46(1):77–80. doi: 10.1079/PNS19870010.
    1. Tiidus PM. Radical species in inflammation and overtraining. Can J Physiol Pharmacol. 1998;76(5):533–538. doi: 10.1139/y98-047.
    1. Palazzetti S, Rousseau AS, Richard MJ, Favier A, Margaritis I. Antioxidant supplementation preserves antioxidant response in physical training and low antioxidant intake. Br J Nutr. 2004;91(1):91–100. doi: 10.1079/BJN20031027.
    1. Margaritis I, Palazzetti S, Rousseau AS, Richard MJ, Favier A. Antioxidant supplementation and tapering exercise improve exercise-induced antioxidant response. J Am Coll Nutr. 2003;22(2):147–156.
    1. Huang CS, Kawamura T, Toyoda Y, Nakao A. Recent advances in hydrogen research as a therapeutic medical gas. Free Radic Res. 2010;44(9):971–982. doi: 10.3109/10715762.2010.500328.
    1. Ohta S, Nakao A, Ohno K. The 2011 Medical Molecular Hydrogen Symposium: An inaugural symposium of the journal Medical Gas Research. Med Gas Res. 2011;1(1):10. doi: 10.1186/2045-9912-1-10.
    1. Nakao A, Toyoda Y, Sharma P, Evans M, Guthrie N. Effectiveness of hydrogen rich water on antioxidant status of subjects with potential metabolic syndrome-an open label pilot study. J Clin Biochem Nutr. 2010;46(2):140–149. doi: 10.3164/jcbn.09-100.
    1. Kajiyama S, Hasegawa G, Asano M, Hosoda H, Fukui M, Nakamura N, Kitawaki J, Imai S, Nakano K, Ohta M. et al.Supplementation of hydrogen-rich water improves lipid and glucose metabolism in patients with type 2 diabetes or impaired glucose tolerance. Nutr Res. 2008;28(3):137–143. doi: 10.1016/j.nutres.2008.01.008.
    1. Kang KM, Kang YN, Choi IB, Gu Y, Kawamura T, Toyoda Y, Nakao A. Effects of drinking hydrogen-rich water on the quality of life of patients treated with radiotherapy for liver tumors. Med Gas Res. 2011;1(1):11. doi: 10.1186/2045-9912-1-11.
    1. Ohsawa I, Ishikawa M, Takahashi K, Watanabe M, Nishimaki K, Yamagata K, Katsura K, Katayama Y, Asoh S, Ohta S. Hydrogen acts as a therapeutic antioxidant by selectively reducing cytotoxic oxygen radicals. Nat Med. 2007;13(6):688–694. doi: 10.1038/nm1577.
    1. Kawamura T, Huang CS, Peng X, Masutani K, Shigemura N, Billiar TR, Okumura M, Toyoda Y, Nakao A. The effect of donor treatment with hydrogen on lung allograft function in rats. Surgery. 2011;150(2):240–249. doi: 10.1016/j.surg.2011.05.019.
    1. Buchholz BM, Masutani K, Kawamura T, Peng X, Toyoda Y, Billiar TR, Bauer AJ, Nakao A. Hydrogen-enriched preservation protects the isogeneic intestinal graft and amends recipient gastric function during transplantation. Transplantation. 2011;92(9):985–992.
    1. Howley ET, Bassett DR, Welch HG. Criteria for maximal oxygen uptake: review and commentary. Med Sci Sports Exerc. 1995;27(9):1292–1301.
    1. Larsson B, Karlsson S, Eriksson M, Gerdle B. Test-retest reliability of EMG and peak torque during repetitive maximum concentric knee extensions. J Electromyogr Kinesiol. 2003;13(3):281–287. doi: 10.1016/S1050-6411(03)00022-1.
    1. Gerdle B, Elert J. The temporal occurrence of the mean power frequency shift of the electromyogram during maximum prolonged dynamic and static working cycles. Int J Sports Med. 1994;15(Suppl 1):S32–S37.
    1. Sun G, Miyakawa S, Kinoshita H, Shiraki H, Mukai N, Takemura M, Kato H. Changes in Muscle Hardness and Electromyographic Response for Quadriceps Muscle during RepetitiveMaximal Isokinetic Knee Extension Exercise. Football Science. 2009;6:17–23.
    1. Horita T, Ishiko T. Relationships between muscle lactate accumulation and surface EMG activities during isokinetic contractions in man. Eur J Appl Physiol Occup Physiol. 1987;56(1):18–23. doi: 10.1007/BF00696370.
    1. Finaud J, Lac G, Filaire E. Oxidative stress : relationship with exercise and training. Sports Med. 2006;36(4):327–358. doi: 10.2165/00007256-200636040-00004.
    1. Bloomer RJ. Effect of exercise on oxidative stress biomarkers. Adv Clin Chem. 2008;46:1–50.
    1. Goldfarb AH. Nutritional antioxidants as therapeutic and preventive modalities in exercise-induced muscle damage. Can J Appl Physiol. 1999;24(3):249–266. doi: 10.1139/h99-021.
    1. Clarkson PM, Thompson HS. Antioxidants: what role do they play in physical activity and health? Am J Clin Nutr. 2000;72(2 Suppl):637S–646S.
    1. Brites FD, Evelson PA, Christiansen MG, Nicol MF, Basilico MJ, Wikinski RW, Llesuy SF. Soccer players under regular training show oxidative stress but an improved plasma antioxidant status. Clin Sci (Lond) 1999;96(4):381–385. doi: 10.1042/CS19980269.
    1. Ortenblad N, Madsen K, Djurhuus MS. Antioxidant status and lipid peroxidation after short-term maximal exercise in trained and untrained humans. Am J Physiol. 1997;272(4 Pt 2):R1258–R1263.
    1. Selamoglu S, Turgay F, Kayatekin BM, Gonenc S, Yslegen C. Aerobic and anaerobic training effects on the antioxidant enzymes of the blood. Acta Physiol Hung. 2000;87(3):267–273. doi: 10.1556/APhysiol.87.2000.3.5.
    1. Shimouchi A, Nose K, Yamaguchi M, Ishiguro H, Kondo T. Breath hydrogen produced by ingestion of commercial hydrogen water and milk. Biomark Insights. 2009;4:27–32.
    1. Westerblad H, Allen DG, Lannergren J. Muscle fatigue: lactic acid or inorganic phosphate the major cause? News Physiol Sci. 2002;17:17–21.
    1. Maughan RJ, Shirreffs SM. Development of hydration strategies to optimize performance for athletes in high-intensity sports and in sports with repeated intense efforts. Scand J Med Sci Sports. 2010;20(Suppl 2):59–69.

Source: PubMed

3
Prenumerera