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(PDF) a Systematic Review on Β-hydroxy-β-methylbutyrate Free Acid Supplementation Suggests Improvements in Measures of Muscle Recovery, Performance, And Hypertrophy Following Resistance Training
(PDF) a Systematic Review on Β-hydroxy-β-methylbutyrate Free Acid Supplementation Suggests Improvements in Measures of Muscle Recovery, Performance, And Hypertrophy Following Resistance Training
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A systematic review on β-hydroxy-β-methylbutyrate free acid supplementation suggests improvements in measures of muscle recovery, performance, and
hypertrophy following resistance training
Vagner Ramon Rodrigues Silva Felipe Belozo Thayana O Micheletti Marcelo Conrado de Freitas
24.87 · University of Campinas 6.64 · University of Campinas 14.29 24.38 · Universidade do Oe
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N U T R I T I O N R E S E A R C H 4 5 ( 2 0 1 7 ) 1 –9
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Review Article
Abbreviations: ATP, adenosine triphosphate; CK, creatine kinase; CR3, complement receptor type 3; CRP, C-reactive protein; CWI, cold
water immersion; GH, growth hormone; HIIT, high-intensity interval training; HMB, β-hydroxy-β-metylbutyrate; HMB-Ca, β-hydroxy -β-
methylbutyrate calcium; HMB-FA, β-hydroxy-β-methylbutyrate free acid; IGF-1, insulin-like growth factor 1; MIP-1β, macrophage
inflammatory protein-1β; PWC FT, physical working capacity at the onset of neuromuscular fatigue threshold; TNF-α, tumor necrosis
factor α; V̇O2 peak, maximal oxygen consumption.
⁎ Corresponding author at: Department of Health Professions, Hofstra University, Hempstead, NY 11549, USA. Tel.: +1 516 463 5224.
E-mail address: Adam.Gonzalez@hofstra.edu (A.M. Gonzalez).
http://dx.doi.org/10.1016/j.nutres.2017.07.008
0271-5317/© 2017 Elsevier Inc. All rights reserved.
2 N U T R I T I O N R E S E A R C H 4 5 ( 2 0 1 7 ) 1 –9
Article Outline
1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
2. Approach. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
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2. Approach. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
3. Findings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
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3.1. HMB-FA supplementation on muscle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
3.1.1. Acute effects of HMB-FA supplementation on the resistance exercise–induced response and/ormuscle recovery . . . 0
3.2. HMB-FA supplementation effects on resistance training-induced muscular adaptation . . . . . . . . . . . . . . 0
3.3. HMB-FA supplementation effects on HIIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
4. Future directions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
5. Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
Fig. 1 – Simplistic overview of HMB-FA's proposed mechanisms of actions on biochemical pathways and muscle cells and
tissues. HMB-FA indicates β-hydroxy-β-methylbutyrate free acid; mTORC1, mammalian/mechanistic target of rapamycin
complex 1.
N U T R I T I O N R E S E A R C H 4 5 ( 2 0 1 7 ) 1 –9 3
can be accessed in PROSPERO by the code CRD42016038761. men (Table 2). Two studies investigated the effects of HMB-FA
We included only randomized, double-blinded, placebo-controlled supplementation on high-intensity interval training (HIIT) in
trials investigating the effects of HMB-FA supplementation in recreationally active men and women (Table 3). The primary
conjunction with resistance exercise in humans. The search intervention strategy involved administration of 3 g of HMB-
was conducted using Medline and Google Scholar databases to FA per day. These studies are compiled with details in Tables
identify all relevant articles. Search terms included beta-hydroxy- 1-3 and discussed in this review.
beta-methylbutyrate, HMB free acid, exercise, resistance exercise, strength
training, and HMB supplementation. Studies included were English- 3.1. HMB-FA supplementation on muscle
Fig. 2 – PRISMA diagram for the search and selection process of articles considered in this review. PRISMA indicates Preferred
Reporting Items for Systematic Reviews and Meta-Analyses.
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... Similarly, a meta-analysis performed to test the effects of HMB on body composition and strength of trained and
competitive athletes found no beneficial effects of HMB supplementation [11]. However, Silva et al., [24] , examining
only HMB-free acid (HMB-FA), concluded that HMB-FA ingestion for 12 weeks enhanced resistance training-induced
increases in total body mass and fat-free mass and fat mass loss. Also, the authors concluded that HMB-FA ingestion
promoted higher gains of strength and better performance in high-intensity assessments such as the Wingate, and
vertical jump test [24]. ...
... However, Silva et al., [24], examining only HMB-free acid (HMB-FA), concluded that HMB-FA ingestion for 12 weeks
enhanced resistance training-induced increases in total body mass and fat-free mass and fat mass loss. Also, the
authors concluded that HMB-FA ingestion promoted higher gains of strength and better performance in high-intensity
assessments such as the Wingate, and vertical jump test [24] . Recently, Fernandez-Landa et al., [25] conducted a
systematic review including only studies using the combination of HMB and creatine and concluded that HMB might
have some potential effects on body composition. ...
... In addition, Shirato et al. [43] were not able to find any significant effect of adding only HMB (3 g) to a~37 g/day of
whey protein supplement on the recovery from eccentric exercise. This is relevant because one of the main statements
used during the prescription of HMB is based on its potential effects on accelerating skeletal muscle recovery after
resistance exercise sessions [24] . In contrast, Nissen et al. [2] showed a higher increase in lean body mass and
strength when HMB was added to a nutritional supplement containing 37 g of milk protein. ...
β-hydroxy-β-methylbutyrate (HMB) Does Not Improve Resistance Exercise-Induced Changes In Body Composition: A
Systematic-review And Meta-analysis: 1698 Board #292 May 28 9:30 AM - 11:00 AM
Article Full-text available
Jul 2020 · MED SCI SPORT EXER
Everson Araujo Nunes · Josie S. Jakubowski · Filipe J. Teixeira · Stuart M Phillips
View
... Similarly, a meta-analysis performed to test the effects of HMB on body composition and strength of trained and
competitive athletes found no beneficial effects of HMB supplementation [11]. However, Silva et al., [24] , examining
only HMB-free acid (HMB-FA), concluded that HMB-FA ingestion for 12 weeks enhanced resistance training-induced
increases in total body mass and fat-free mass and fat mass loss. Also, the authors concluded that HMB-FA ingestion
promoted higher gains of strength and better performance in high-intensity assessments such as the Wingate, and
vertical jump test [24]. ...
... However, Silva et al., [24], examining only HMB-free acid (HMB-FA), concluded that HMB-FA ingestion for 12 weeks
enhanced resistance training-induced increases in total body mass and fat-free mass and fat mass loss. Also, the
authors concluded that HMB-FA ingestion promoted higher gains of strength and better performance in high-intensity
assessments such as the Wingate, and vertical jump test [24] . Recently, Fernandez-Landa et al., [25] conducted a
systematic review including only studies using the combination of HMB and creatine and concluded that HMB might
have some potential effects on body composition. ...
... In addition, Shirato et al. [43] were not able to find any significant effect of adding only HMB (3 g) to a~37 g/day of
whey protein supplement on the recovery from eccentric exercise. This is relevant because one of the main statements
used during the prescription of HMB is based on its potential effects on accelerating skeletal muscle recovery after
resistance exercise sessions [24] . In contrast, Nissen et al. [2] showed a higher increase in lean body mass and
strength when HMB was added to a nutritional supplement containing 37 g of milk protein. ...
Supplementation with the Leucine Metabolite β-hydroxy-β-methylbutyrate (HMB) does not Improve Resistance Exercise-
Induced Changes in Body Composition or Strength in Young Subjects: A Systematic Review and Meta-Analysis
Article Full-text available
May 2020
Josephine S. Jakubowski · Everson Araujo Nunes · Filipe J. Teixeira · Stuart M Phillips
... By contrast, Wu et al. (43) found HMB significantly enhanced muscle mass without significantly influencing fat mass
(FM) in both sedentary and resistance training older adults. Recently, Silva et al. (34) conducted a systematic review of
the literature on HMB in its free acid form. The authors concluded HMB may be effective in increasing lean body mass
(BM) and muscle hypertrophy when used in conjunction with a resistance training program (34). ...
... Recently, Silva et al. (34) conducted a systematic review of the literature on HMB in its free acid form. The authors
concluded HMB may be effective in increasing lean body mass (BM) and muscle hypertrophy when used in conjunction
with a resistance training program (34) . ...
... A recent study similar in design to that of Wilson et al. (42) found no significant differences in lean BM between twice
daily supplementation of HMB (1.5 g) and whey (25 g) compared with leucine (1.5 g) and whey (25 g) in resistance-
trained men (15). The results of our meta-analysis found a small positive effect of HMB on FFM, which appears
consistent with previous research on HMB (34, 43). The primary limitation of this meta-analysis was the relatively small
number of studies meeting inclusion criteria, which limited statistical power. ...
Does HMB Enhance Body Composition in Athletes? A Systematic Review and Meta-analysis
Article
Dec 2019 · J STRENGTH COND RES
Brett M. Holland · Brandon M Roberts · James Krieger · Brad J Schoenfeld
... In addition, acceptable supplementation could increase performance by helping athletes to recover from previous
efforts [2] or by developing substrates or pathways of specific energy use for the actual sport capacities [3,4]. There are
l l t dt t l [5] th h th l t f b t t h
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several supplements used to promote muscle recovery [5] through the replacement of energy substrates, such as
creatine
Download full-textmonohydrate
PDF (CrM) [6]Read
or β-hydroxy
full-text β-methylbutyrateDownload
(HMB) [7,citation
8] , among others [9]. ...Copy link
... HMB, a metabolite from leucine, which is one of the three essential branched-chain amino acids, is another
supplement the has been widely studied [7, 8] . This ergogenic aid improves endurance capacity [18][19][20], enhances
mitochondrial biogenesis by activation of gamma co-activator 1-alpha α (PGC-1α), thus promoting higher fat oxidation
[21]. ...
Effect of Ten Weeks of Creatine Monohydrate Plus HMB Supplementation on Athletic Performance Tests in Elite Male
Endurance Athletes
Article Full-text available
Jan 2020
Julen Fernández-Landa · Diego Fernández Lázaro · Julio Calleja Gonzalez · Juan Mielgo-Ayuso
... For more than a decade, athletes have been regularly using HMB supplementation, expecting to improve athletic
performance, especially muscle growth and body fat oxidation, decrease muscle tissue degradation, and improve
aerobic fitness (Asadi et al., 2017;Arazi et al., 2015; Silva et al., 2017; Wilson et al., 2014). Apart from that, some authors
still indicate that HMB requires more research confirming its effectiveness as an ergogenic aid (Kreider et al.,
1999;Thomson et al., 2009;Vulcan et al., 2012). ...
... The basic form of HMB which has been used in research was the calcium salt HMB-Ca (Jówko et al., 2001;Kreider et
al., 1999;Nissen et al., 1996). Recently, a new more effective form free acid HMB-FA formula has been developed and
intensively studied (Asadi et al., 2017; Silva et al., 2017; Teixeira et al., 2019). ...
Mechanism of Action and the Effect of Beta-Hydroxy-Beta- Methylbutyrate (HMB) Supplementation on Different Types of
Physical Performance -A Systematic Review
Article Full-text available
Aug 2019 · J HUM KINET
Piotr Kaczka · Malgorzata Magdalena Michalczyk · Rafał Jastrząb · Katarzyna Kubicka
... Furthermore, since IF programs necessitate prolonged periods without amino acid-induced stimulation of muscle
protein synthesis and suppression of muscle protein breakdown (13), it has been questioned whether modification of
fasting periods to allow ingestion of amino acids or their metabolites may be beneficial for lean mass maintenance or
accretion during IF (14). Due to its ability to influence muscle protein balance (15), the leucine metabolite β-hydroxy β-
methylbutyrate (HMB) has been hypothesized to exert favorable effects on skeletal muscle in exercising and/or energy-
restricted individuals (16)(17) (18) . However, this has not been sufficiently examined in the context of IF. ...
... The branched-chain amino acid leucine is known to stimulate protein synthesis through the mechanistic target of
rapamycin (mTOR) signaling pathway and produces metabolites that may modulate its physiological effects (14,57,58).
Due to its ability to stimulate muscle protein synthesis and attenuate muscle proteolysis (15), it has been hypothesized
that the leucine metabolite HMB may exert favorable effects on body composition and performance in exercising and/or
energyrestricted individuals (16)(17) (18) . However, previous investigations of supplemental HMB in active populations
have produced mixed results, and a recent meta-analysis in athletes revealed no definitive advantages for body
composition or muscular performance (20). ...
... Much of the research to date regarding HMB's effects on strength and hypertrophy has been performed with the
administration of HMB-Ca; however, HMB in its free acid form (HMB-FA) has recently shown to provide improved plasma
bioavailability (42,43). The greater absorption rate, peak plasma concentration, and clearance rate observed after HMB-
FA supplementation has been purported to result in greater intramuscular HMB bioavailability and thus provide a
superior stimulus on muscle protein metabolism, exercise recovery, and muscular adaptations (113) . Nevertheless,
despite observed differences in bioavailability, HMB-Ca has recently shown to provide a comparable effect on
stimulating muscle protein synthesis and suppressing muscle protein breakdown compared with HMB-FA (134). ...
Emerging Nutritional Supplements for Strength and Hypertrophy: An Update of the Current Literature
Article Full-text available
Apr 2020 · Strength Condit J
Adam Gonzalez · David Church · Jeremy R Townsend · Reza Bagheri
... Indeed, a recent systematic review [221] has shown that the association of HMB plus resistance training enhances
training-induced muscle mass and strength, attenuates markers of muscle damage, and improves markers of aerobic
fitness. However, in another systematic review, the additional effect of HMB plus exercise was found only in one out of
three randomized controlled trials for muscle mass and no additional effect was demonstrated for muscle strength and
performance [218]. ...
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Efficacy
Download of Nutritional
full-text PDF Interventions as Stand-Alone
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citation Management
Copy link of
Sarcopenia
Article Full-text available
Aug 2019
Sarah Damanti · Domenico Azzolino · Carlotta Roncaglione · Matteo Cesari
... Some studies show the benefit of HMB (24,25), while other studies found that HMB has no effect on muscle
metabolism (26,27). A number of systematic reviews and meta-analyses examined on the effectiveness of HMB on
muscle mass in various populations including trained individuals, untrained individuals and healthy older adults
(8,17,18, 28) . The outcomes of those reviews may not be reflective of the benefit of HMB in older population with
sarcopenia or frailty syndrome. ...
The Effect of β-Hydroxy-β-Methylbutyrate (HMB) on Sarcopenia and Functional Frailty in Older Persons: A Systematic
Review
Article
Dec 2018 · J NUTR HEALTH AGING
J. Oktaviana · Jesse Zanker · Sara Vogrin · Gustavo Duque
... We propose that our results are a valuable contribution to this field and further align with other recent findings
(Jakubowski et al., 2018) and are in broad agreement with previous reviews (Rowlands & Thomson, 2009;Sanchez-
Martinez et al., 2017) showing a lack of marked effect of HMB on hypertrophy. Our results do, however, differ from
previously reported extraordinary results (Kraemer et al., 2009;Lowery et al., 2016;Wilson et al., 2014) which have led
more recent reviews to recommend HMB as an effective strategy to enhance FFM gains (Kerksick et al., 2018; Silva et
al., 2017) . Kraemer et al. (2009) observed that recreationally active individuals supplemented with HMB-Ca gained ∼9.3
kg FFM and decreased their FM by ∼4.9% over 12 weeks. ...
No effect of HMB or α-HICA supplementation on training-induced changes in body composition No effect of HMB or α-HICA
supplementation on training-induced changes in body composition
Article
Dec 2018 · EUR J SPORT SCI
Filipe J. Teixeira · Catarina N. Matias · Cristina Monteiro · Stuart M Phillips
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Conference Paper
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INFLUENCE OF MENSTRUAL CYCLE ON MUSCLE FUNCTION AND JUMP PERFORMANCE: IRONFEMME PROJECT
July 2018full-text PDF
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Nuria Romero-Parra
NTRODUCTION: Female exhibit changes during menstrual cycle that may affect different sport performance variables. The decrease in
performance of counter movement jump (CMJ) has been related with muscle damage and loss of muscle function after strength
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