2018
DOI: 10.1136/bjsports-2018-099599
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Antioxidants for preventing and reducing muscle soreness after exercise: a Cochrane systematic review

Abstract: There is moderate to low-quality evidence that high-dose antioxidant supplementation does not result in a clinically relevant reduction of muscle soreness after exercise of up to 6 hours or at 24, 48, 72 and 96 hours after exercise. There is no evidence available on subjective recovery and only limited evidence on the adverse effects of taking antioxidant supplements.

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Cited by 30 publications
(29 citation statements)
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“…This may be particularly relevant to the heavy training loads of many high-performance athletes, as well as the competition recovery in multievents in track-and-field athletics or the programs of middledistance runners with heats and finals across several events at major competition. Other anti-inflammatory nutrients include flavonoids such as quercetin and green tea extract, plus fish oil, each of which may have a beneficial effect on delayed onset muscle soreness (Ranchordas et al, 2018). Consumption of highly colored vegetables/fruit is often advised; this advice is appropriate for elite athletes (previously mentioned), as these flavonoids (including blueberries, blackcurrants, and cherries) have a beneficial effect on exercise-induced inflammation, muscle damage, and illness (Bermon et al, 2017).…”
Section: Therapeutic Nutritional Supplements and Prophylactic Aidsmentioning
confidence: 99%
“…This may be particularly relevant to the heavy training loads of many high-performance athletes, as well as the competition recovery in multievents in track-and-field athletics or the programs of middledistance runners with heats and finals across several events at major competition. Other anti-inflammatory nutrients include flavonoids such as quercetin and green tea extract, plus fish oil, each of which may have a beneficial effect on delayed onset muscle soreness (Ranchordas et al, 2018). Consumption of highly colored vegetables/fruit is often advised; this advice is appropriate for elite athletes (previously mentioned), as these flavonoids (including blueberries, blackcurrants, and cherries) have a beneficial effect on exercise-induced inflammation, muscle damage, and illness (Bermon et al, 2017).…”
Section: Therapeutic Nutritional Supplements and Prophylactic Aidsmentioning
confidence: 99%
“…The intake of polyphenols, a component of phytochemicals, has resulted in controversial findings, and their use cannot be fully supported [80]. A systematic review (50 randomized, placebo-controlled trials were included) evaluated the effects of antioxidant supplements for preventing and reducing the severity and duration of DOMS [89]. The authors concluded that there is moderate to low-quality evidence that high dose antioxidant supplementation does result in a clinically relevant reduction in muscle soreness after exercise at up to 6 hrs or at 24, 48, 72 and 96 hrs after exercise [89].…”
Section: The Role Of Oral Medications and Nutritionmentioning
confidence: 99%
“…A systematic review (50 randomized, placebo-controlled trials were included) evaluated the effects of antioxidant supplements for preventing and reducing the severity and duration of DOMS [89]. The authors concluded that there is moderate to low-quality evidence that high dose antioxidant supplementation does result in a clinically relevant reduction in muscle soreness after exercise at up to 6 hrs or at 24, 48, 72 and 96 hrs after exercise [89]. Controversially, Lynn et al reported in a recently published study a small to moderate increase in exercise-induced DOMS and c-reactive protein after the consumption of polyphenol rich bilberry juice in 21 recreationally trained runners completing a half-marathon [81].…”
Section: The Role Of Oral Medications and Nutritionmentioning
confidence: 99%
“…This may induce further inflammation and oxidative stress, leading to secondary muscle damage. In these orchestrated sequences of events, some factors seem to play important roles in muscle regeneration and remodeling 8-10 . When the excess mechanical and biochemical stress produced at the time of exercise overcome the antioxidant and anti-inflammatory capacity of the body, there will be sustained inflammation and oxidative stress, which ultimately lead to muscle injury, fatigue, and DOMS 10 .…”
Section: Introductionmentioning
confidence: 99%
“…In these orchestrated sequences of events, some factors seem to play important roles in muscle regeneration and remodeling 8-10 . When the excess mechanical and biochemical stress produced at the time of exercise overcome the antioxidant and anti-inflammatory capacity of the body, there will be sustained inflammation and oxidative stress, which ultimately lead to muscle injury, fatigue, and DOMS 10 . Given these facts, a natural product with known anti-inflammatory and antioxidant activity with a good record of accomplishment of safety may provide a better intervention to DOMS.…”
Section: Introductionmentioning
confidence: 99%