Protandim and Runners By Nathalie Chevreau PhD, RD Sr Vice President of Research and Development Research Manuscript on the Effect of Protandim in runners by SL Uebershlag et al, University of Louisville, KY has been submitted to PLoS. Article Abstract: The purpose of this study was to determine if oral supplementation of Protandim® (a nutraceutical) for 90 days would improve 5-km running performance. A secondary objective was to measure serum superoxide dismutase (SOD), total glutathione (tGSH= GSH+GSSG), glutathione peroxidase (GPX) and thiobarbituric acid-reacting substances (TBARS) at rest and 10 minutes after the completion of the run before and after supplementation. In a doubleblind, randomized, placebo controlled trial, completed in Louisville, KY, USA, 38 runners [mean (SD) = 34 (7) yrs; BMI = 22 (2) kg/m2] received either 90 days of Protandim® [1 pill a day, n = 19)] or placebo (n = 19). Randomization was done in blocks of two, controlling for sex and 5-km baseline performance time. A 5-km race was performed at baseline and after 90 days of supplementation, with blood samples taken before and 10-min after each race. Fasting blood samples were acquired at baseline, after 30, 60, and 90 days of supplementation. Serum SOD, GSH, GPX and TBARS were assayed in an out-of-state lab. Running time was not altered by Protandim® or placebo [20.3 (2.1) minutes, with an -8 (33) seconds change in 5-km time regardless of group]. There was no change in tGSH, SOD, GPX or TBARS (at rest) after three months of Protandim® supplementation compared to placebo. However, in a subgroup ≥ 35 year of age, SOD increased by two fold in the Protandim® group after 90 days compared to only a 50% increase in the placebo group (p=0.038). The mean post-race change in TBARS (compared to pre-race) was not altered between groups, even after three months of supplementation. In conclusion, Protandim® did not (1) alter 5-km running time, (2) lower TBARS, or (3) raise antioxidant enzyme concentrations compared to placebo (with the exception of SOD in those ≥ 35 years old). The 5-km race did not induce oxidative stress as seen by unchanged mean TBARS, which remained within normal range. WHY? • Athletes are constantly looking for supplements that will give them improved performance. • With exercise comes changes within the oxidative, inflammatory and neuroendocrine systems that contribute to adaptation to the training stimulus. • Regular training has been shown to enhance the antioxidant defense mechanisms. • Overtraining may cause systemic oxidative stress. • Supplements that may further increase these antioxidant defense mechanisms could be of value to those athletes. The effect of Protandim® supplementation on athletic performance and oxidative blood markers in runners* Day 1 Fasting blood draw 5K run Day 30 Blood drawn 10 min after run completed Fasting blood draw Day 60 Fasting blood draw Day 90 Fasting blood draw Protandim 5K run Blood drawn 10 min after run completed 15 Runners Continued their exercise routine without overtraining 38 Runners Placebo • Mean age: 34 (15 over 35 years old) • 5K running time • Blood parameters: + Blood TBARs as a measure of oxidative stress + Blood SOD, Total Glutathione (GSH & GSSH), Glutathione Peroxidase (GPX) 19 Runners *University of Louisville distributed by lifevantage corporation 9785 S. Monroe Street, Sandy, UT 84070 USA • 1 (866) 460-7241 • lifevantage.com ©2016 LifeVantage Corporation • 16031501.06 Resting TBARs Resting Results: TBARs Results: TBARs (micromoles/L) Proprietary assay done at • Proprietary assay done at 3rd party Genova Diagnostics: commercial lab Normal range for TBARs; less than 10 µmoles/L • Normal range < 10 µmole/L • These healthy subjects These healthy subjects did did not have not have oxidative stress. oxidative stress (TBARs were within Their normal TBARs ranges) were within normal ranges Baseline Day 0 Day 30 Day 60 Day 90 Number of days post supplementation TBARs before and 10 minutes after completing the 5K run results: TBARs (µmoles/L) Pre-run 10 min Post run p value Baseline 8.1 8.4 0.22 Day 90 7.6 7.1 0.47 • The 5K run done by these regional runners did not produce oxidative stress. TBARs remained within normal ranges in both groups. • Regular training has clearly allowed both groups to adapt to the exercise stimulus and enhance their antioxidant defense mechanisms. • No difference in 5K run time between groups. RESTING RESULTS: RestingSOD SOD Results: Resting TBARs Results: • Proprietary assay done at 3rd party Proprietary assay done Proprietary assay done at commercial lab at Genova Diagnostics: Genova Diagnostics: • Normal range 5,275 to 16,662 U/g Hb Normal range for TBARs; Normal range 5,275 to less than 10 µmoles/L • 16,662 RegularU/g training Hg has clearly enhanced Hb the antioxidant defense mechanisms in Regular training has These healthy subjects did both groups (shown byclearly the upward slope not have oxidative stress.enhanced the antioxidant of the green line) Their TBARs were within defense mechanisms in normal ranges • The data at day 57 exhibit an odd dip TBARs (micromoles/L) both groups Baseline Day 0 Day 30 Day 60 Day 90 Number of days post supplementation for both groups leading us to believe Something happened at that there were technical issues at the Genova Labs when they lab when the blood assays were run analyzed Day 60 samples. See the green line distributed by lifevantage corporation 9785 S. Monroe Street, Sandy, UT 84070 USA • 1 (866) 460-7241 • lifevantage.com ©2016 LifeVantage Corporation • 16031501.06 Resting Total Glutathione Results: • Proprietary assay done at 3rd party commercial lab • Normal range > 669 µmole/L • Total glutathione did not change (shown by the flat green line) Resting Glutathione Peroxidase (GPX) Results: • Proprietary assay done at 3rd party commercial lab • Normal range 20 to 38 U/g Hb • Both groups increased GPX with regular training (shown by the upward slope of the green line) distributed by lifevantage corporation 9785 S. Monroe Street, Sandy, UT 84070 USA • 1 (866) 460-7241 • lifevantage.com ©2016 LifeVantage Corporation • 16031501.06 In Subjects 35 and older When we look at the subgroup of participants who were 35 years of age and older, a clear trend emerges revealing a significant benefit of Protandim on anti-oxidant reserves. Resting (Pre-Run) SOD Change 16250 (Day 90 - Day 0) SOD (U/g Hb) (Day 90 – Day 0) SOD (Day 90 - Day 0) SOD (U/g Hb) (Day 90 – Day 0) SOD 16250 13000 13000 P=0.03 9750 6500 3250 0 Post Run SOD Change Placebo Protandim P=0.05 9750 6500 3250 0 Placebo Protandim The change of resting blood SOD levels between baseline and 90 days was significantly higher (200%) in the group who took Protandim compared to only a 50% increase for those who received the placebo. Furthermore, post-run SOD change was also significantly higher in the Protandim group than in placebo group. In Subjects 35 and Older Post Run Total Glutathione Change (Day (Day 90 - Day tGSH0)(µmole/L) 90 –0)Day GSH 225 Similarly, regular training and a vigorous run contributed to increasing total blood glutathione levels by 27 units from baseline in the placebo group. Protandim further increased the tGSH reserve by 174 units. 180 135 P=0.09 90 45 0 Placebo Protandim distributed by lifevantage corporation 9785 S. Monroe Street, Sandy, UT 84070 USA • 1 (866) 460-7241 • lifevantage.com ©2016 LifeVantage Corporation • 16031501.06 What do we Learn from this study? • Regular training without overtraining enhances antioxidant defense mechanisms (SOD, GPX). • Protandim supplementation further enhances antioxidant defenses especially in those 35 years and older at rest and after an all out 5K run. • Protandim supplementation helped prevent depletion of antioxidant enzyme reserves after a shorter bout of strenuous exercise. This preservation of antioxidant enzyme reserves could potentially help the recovery of individuals engaging in longer bouts of strenuous exercise. • Enhancement of antioxidant defense mechanisms - first time shown in a double placebo control study. distributed by lifevantage corporation 9785 S. Monroe Street, Sandy, UT 84070 USA • 1 (866) 460-7241 • lifevantage.com ©2016 LifeVantage Corporation • 16031501.06
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