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www.ijmbs.org ISSN:1947-489X
IbnosinaJournalofMedicineandBiomedicalSciences(2010) 79
ARTICLE
Efcacy of Spirulina Supplementation on Isometric Strength and Iso-
metric Endurance of Quadriceps in Trained and Untrained Individu-
als – a comparative study
Sandhu J.S*, Bhardwaj Dheera, Shenoy Shweta
DepartmentofSportsMedicineandPhysiotherapy,GuruNanakDevUniversity,Amritsar-143005,Punjab,India.
Abstract
Objective: To determine the efcacy of spirulina
supplementation in enhancing isometric muscle strength
andenduranceintrainedanduntrainedhumanbeings.
Design:Placebocontrolled,differentsubjectexperimental.
Setting: University level athletes and college students of
GuruNanakDevUniversity,Amritsar,India.
Subjects: Forty healthy subjects (20 trained and 20
untrained)participatedinthestudyandweredividedinto4
groups,supplementeduntrained(n=10),placebountrained
(n=10), supplemented trained (n=10), placebo trained
(n=10).Subjectsinbothsupplementedgroupsvolunteered
to take spirulina for 8 weeks in addition to their normal
diet.Subjects in the placebogroupsservedascontroland
weregivencapsuleslledwithour.
Outcomemeasures:Peak force, average force and fatigue
index of dominant quadriceps muscle were measured
beforeand after 8week of supplementation.Values were
comparedwithinandbetweenthegroups.
Results: The results show that spirulina supplementation
is effective with time in increasing peak force (p<0.01),
averageforce(p<0.01)anddecreasingfatigueindex(p<0.01)
on paired t-test. Signicant group and supplementation
effects were also found with ANOVA analysis for peak
andaverageforce.Howevernosignicanteffects(p>0.05)
werefoundbetweenthegroupswithANOVAindecreasing
fatigueindex.
Conclusion:Spirulinafor8weeksiseffectiveinincreasing
the isometric muscle strength and isometric muscle
endurance. Spirulina supplementation with training was
foundtobebetterthanthespirulinaonlyandtrainingonly
inincreasingmusclestrengthbutnogroupwasfoundtobe
betterinincreasingmuscularendurance.
Key words: Spirulina–MuscleStrength–Fatigue–Sports
Nutrition
Introduction
Spirulina,microscopic bluegreenalgaehavebeenknown
*Correspondingauthor:J.S.SandhuEmail:jssandhu2000@yahoo.com
Published:01March2010
IbnosinaJournalofMedicineandBiomedicalSciences2010,2(2):79-86
Received:03October2009
Accepted:17December2009
Thisarticleisavailablefrom:http://www.ijmbs.org
ThisisanOpenAccessarticledistributedunderthetermsoftheCreativeCommonsAttribution3.0License
whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited.
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J.S.Sandhuetal EfcacyofSpirulina
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80
to be consumed since ancient times as a nutritional
supplementasithasveryhighproteincontent(70p.100of
drymatter)(1).InIndia,athleteshavebeeneatingSpirulina
whiletrainingfor track andeldevents (2). The Chinese
andCubanOlympicteamsarealsoknowntoeatspirulina
daily during their training and competition (3). These
suggest some strength or exercise performance related
effectsofspirulinasupplementationinhumans.
Ithas been foundto be excellent foodfor rapid recovery
inchildren from malnutrition related diseases in Mexico,
Togo,Romania,China,Rwanda,Zaire,India,Ukraine,and
Belarus(4).ManyNationalprogramshavebeenundertaken
tocuremalnourishmentwithspirulinainIndianandAfrican
subcontinent(5).
Spirulinaisunicellular,lamentous,helicoidalshapedgreen
algaewithlengthof0.2-0.3mm.It’sspecialadvantageover
othernaturalfoodisthatitcontains65-70%proteinondry
weightbasiswhich is higher thananyother natural food,
14% carbohydrates (Ramnose, Glucane, Phosphorolated
Cyclitols, Glucosamine, Muramic acid, Glycogen), 6%
lipids(Palmiticacid, Linoleic acid,Gammalinoleic acid,
Alpha linolenic acid, Beta carotene), all eight essential
amino acids (Isoleucine, Leucine, Lysine, Methionine,
Phenylalanine, Threonine, Tryptophane, Valine), several
vitamins and trace minerals like Ni, Cu, Fe, Ca, Co etc
(4,6).
According to previous evaluations, spirulina seems to
be a good alimentary protein source for human subjects.
Spirulina supplementation has shown to increase the
proteinsynthesisratesinsoleusaswellasmyosincontent
ingastrocnemiusmuscleofrats(7).
Initially the interest in spirulina focused on its nutritive
value, more recently, some preclinical testing suggests it
hasseveraltherapeuticpropertiessuchasanti-inammatory
andantioxidant(8).Spirulinasupplementationhasshown
preventiveeffectsonskeletalmuscledamageunderexercise-
induced oxidative stress (9). It is evident that muscular
exercise promotes production of free radicals, which are
responsible for exercise-induced protein oxidation and
contributetomusclefatigue(10).Thisoxidativestresshas
beenobserved both afterexhaustive aerobic aswell after
isometric exercises (11). However, spirulina’s effects in
increasingmuscularstrengthanddelayingmuscularfatigue
owingtoitshighproteincontentandantioxidantpotential
in normal healthy subjects have not been documented.
Previousclinicalstudiesonspirulinasupplementationhave
used dosage ranging from 0.5gms to 10gms for various
therapeutic purposes. We intended to study the effects of
spirulinasupplementationonmuscularstrengthandfatigue
at the minimal therapeutic dose of 2gm/day for 8 weeks
(12).
Performance in sports and in any physical task depends
upon neuromuscular, psychological, environmental and
nutritionalfactors.Propernutritionprovidesfuelforbiologic
work and essential elements for repairing existing cells
and synthesizing new tissues, forming the foundation for
physicaland muscularperformance. Muscle performance
referstothecapacityofmuscletodowork.Keyelements
ofmuscleperformancearestrengthandendurance.Muscle
strengthreferstotheabilityofcontractiletissuetoproduce
tensionandaresultantforcebasedondemandsplacedupon
themuscle.Muscleenduranceistheabilityofamuscleto
contract repeatedly against a load, generate and sustain
tension,andresistfatigueoveranextendedperiodoftime
(13).
Theuseofnutritionalsupplementsinsportiswidespread.
Nutritionalergogenicaidsareaimedprimarilyatenhancing
performance.Athletesregularlyconsumethesesupplements
to increase resistance to infection and improve general
health. This is important in reducing the interruptions to
trainingduetominorillnessandinfection.Alsonutritional
supplementsaim at increasing lean body mass ormuscle
mass by stimulation of protein synthesis and at reducing
bodyfatcontent (14).Thisprovokedustocheckwhether
spirulina due to its high protein content and antioxidant
potentialcanbeusedasanutritionalsupplementtocombat
thestressofexerciseonmuscleandenhancethemuscular
performance by increasing the muscular strength and
endurance.
Materials and Methods
A different subject experimental design for inter group
andintragroupcomparisonwasused.Atotalof40trained
and untrained male and female subjects volunteered in
ourstudy.Theterm‘trained’wasusedtorefertoathletes
who have been consistently involved in university level
competition.This group included subjectsparticipatingin
boxingandshotputthrowingforatleast3years.Theterm
‘untrained’was used to refer to subjects not involved in
anykindofsportingactivityduringthelast1yearorduring
thestudyperiod.
Subjects wereinformedofthe possiblerisksandbenets
ofparticipationbeforesigningtheconsent.Thestudywas
approvedfromtheInstitutionalMedicalEthicsCommittee
of Guru Nanak Dev University, Amritsar who further
approvedthe protocols therein. 20 untrained subjects (10
males,10females)withmeanage(25.2±3.5),meanweight
(60±7.8), mean height (165.5±9.8) were selected and
randomlydivided into 2groups- Supplemented untrained
(groupI)andPlacebountrained(groupII)
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IbnosinaJournalofMedicineandBiomedicalSciences(2010) 81
20 trained subjects (12 males, 8 females) with mean age
(24.4±3.4),mean weight(68±6.3),meanheight (170±8.8)
were selected and randomly divided into 2 groups-
Supplemented trained (group III) and Placebo trained
(groupIV).
Table1:Physicalcharacteristicofthetestedindividuals
Characteristic Untrained Trained
Age (year) 25.2±3.5 24.4±3.4
Weight (kg) 60±7.8 68±6.3
Height (cm) 165.5±9.8 170±8.8
Trained subjects were found to have greater weight and
heightcomparedtotheuntrainedmaybeduetothetraining
effects.
Experimentaltrainedsubjectscontinuedwiththeirregular
training sessions which involved predominantly strength
training (exercise machines and resistance bands) and
conditioningforthesportinvolvedforaverage5hrs/dayfor
8weeks.
Inclusioncriteriaforthestudyrequireduntrainedsubjects
not participating in any sporting activity, not having any
history of lower limb injury and not taking any dietary
supplementfor past6months.Exclusioncriteriaincluded
anyhistoryoflowerlimborbackinjuryorsurgery,taking
anykindofmedicationordietarysupplement.
Inclusion criteria for trained subjects included regular
participation in university level sporting activity and
involvedinresistancetrainingforatleast3years,nohistory
oflowerlimbinjuryandnottakinganykindofproteinor
dietary supplement. Exclusion criteria were same as for
untrained.Allsubjectswhoparticipatedinthisstudywere
universityhostelresidentssohadthesametypeofdietary
intake.
Testing Protocol
Instructions to subjects were given prior to the testing
protocol. Subjects were asked not to consume coffee,
tea, heavy meal or other stimulants within 2-3 hours of
testing.All were asked to refrain from strenuous activity
orexertionalphysicalworkatleast24hoursbeforetesting.
TheHUR1*5340LegExtension/Curlcomputercontrolled
instrument (HUR, Finland) was used for evaluating the
isometricanglespecic peak torque.Eachsubject visited
the laboratory before the start of the actual study and
performed 2 maximum voluntary isometric contraction
with10secondand60secondholdwitharestperiodof2
minuteinbetweenthetwocontractions,todeterminepeak
force(PF),averageforce(AVF)andfatigueindex(FI)of
the quadriceps muscle of the dominant leg measured at
optimal standardized angle of knee joint (for which the
quadricepsmuscleappliesmaximaltorquei.e.60°ofknee
exion;0°meansfullkneeextension)(15).
Isometric Strength Measurement
The torque (Newton–metre) was measured at 10 sec.
isometricholdat60° knee exion for quadricepsinboth
groups.Itwas normalized to force(Newton)by dividing
torquebyleverarmlength.
Force(Newton)=
Torque(Nm)
LeverArmLength(m)
Peakforce(N)andAverageforce(N)(averageforceof4
quarters(1quarter=2.5sec)for10secwascalculated)from
peaktorque(Nm)andAveragetorque(Nm)respectively.
Isometric endurance measurement
After 2 min rest with no activity,fatigue index (FI) was
calculated as a measure of isometric endurance with the
sameseatpositionandkneeangleasabove.Isometrichold
of60secwasperformed,tocalculateisometricendurance.
Torquein1stsec(T1)and torque at 60th sec (T60) were
observed.TorqueT1andT60wasnormalizedtoforceF1
and F60 respectively. Fatigue Index designed by Milner
andBrown(16)wascalculatedusingtheformula;
Fatigue–index=
F1–F60
x100(%)
F1
No visual or verbal feedback was given during the test
session to the subject so that no external stimuli were
institutedexceptforthesubject’sownmaximaleffortand
hold.
Experiment Protocol
The study utilized a placebo controlled different subject
experimentaldesignwithsupplementedandplacebotrials
completedinarandomorderin8weeks.Thepre-protocol
measurement of isometric strength and endurance were
done.Thesubjectsassignedtosupplementedgroup (both
trained and untrained) consumed organic Spirulina (by
Parry Nutraceuticals, Tamil Nadu, India, USDA - NOP
certied)incapsularform(500mgeach)inadditiontotheir
normaldiet.Eachsubjectwasaskedtotake2capsulesin
themorningand in evening andnotto alter their regular
eatinghabitsduringthestudyperiod,thustotaldosageof
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2gmsperdayfor8weeks.Thedosegivenwastheminimal
therapeutic dose (12). The subjects assigned to placebo
group (both trained and untrained) consumed empty
capsules lled with our.At the end of supplementation
periodallsubjectswereagaintestedforanychangeinpeak
force,averageforceandfatigueindex.
Statistical Analysis
DatawasstatisticallyanalyzedusingtheStatisticalPackage
for Social Sciences (SPSS)/14.0. (Copyright© SPSS Inc)
.Resultsis expressedas mean ± standard deviation (SD).
ApairedStudent’stwasusedforthestatisticalanalysisto
comparethe mean differencebetween pre- and post-tests
withingroup. Intergroupcomparisonshavebeenmadeby
ANOVA.
Results
Table2showscomparisonbetweenthemeanvaluesbefore
and after supplementation by paired t-test analysis. Peak
force (t=5.83, p<0.01), average force (t=6.67, p<0.01)
and fatigue index (t=6.03, p<0.01) showed signicant
differencein supplemented trainedgroupbeforeandafter
supplementation.Signicantdifferenceswerealsofoundin
thesupplementeduntrainedsubjectsforpeakforce(t=6.29,
p<0.01),average force (t=5.73, p<0.01)andfatigueindex
(t=9.92, p<0.01) before and after supplementation. No
signicantdifference was foundfor any parameterin the
placebogroupsbeforeandaftersupplementation.
Pre supplementation values were compared by ANOVA.
Theresults (table3) showed that the pre- values ofpeak
force differ signicantly (F=3.599, p<0.05) between the
groups.OnapplyingPostHocMultipleScheffeRangeTest
signicant difference was found in trained and untrained
groups. No statistically signicant difference was found
between trained and untrained groups for average force
(F=2.612,p>0.05)andfatigueindex(F=0.587,p>0.05).
Thereissignicantdifferenceseenforparameterspeakforce
and average force when compared between groups after
supplementation.ANOVAfollowed by Post HocMultiple
Scheffe Range Test after completion of supplementation
yielded(F = 5.622,p < 0.01)group III to be statistically
mostsignicant(p<0.01)inenhancingpeakforcefollowed
by group I (p<0.05) when compared to placebo groups.
This implies spirulina supplementation with training was
betterthanonlytrainingoronlyspirulinagroup.
Similarlysignicantdifferenceinaverageforce(F=4.815,
p<0.01) was found with ANOVA. On applying multiple
scheffe,groupIIIwasfoundtobemostsignicantbut no
signicantdifferencewasfoundinanyoftheothergroup.
Fatigueindexwasfoundtobestatisticallyinsignicant(F=
2.086,P>0.05)inbetweenthegroupswithANOVA.
Discussion
The present study was undertaken with the objective of
evaluatingtheeffectsofSpirulinaonexerciseperformance.
Peak force, average force and fatigue index have been
Table2-Comparisonsofeffectofspirulinasupplementationonpeakforce,averageforce,andfatigueindexofdominantquadricepsmuscleinsupplementedand
placebotrainedanduntrainedgroups.Valuesareshownasmeanvalueswithstandarddeviation
Peakforce(inNewton) Averageforce(inNewton) Fatigueindex
Pre Post t Pre Post t pre post t
Supplemented
Trained 326.50
±72.74
398.40
±84.77 5.83** 268.80
±65.53
337.40
±77.40 6.67** 34.60
±13.50
25.57
±12.32 6.03**
Untrained 231.30
±41.14
302.30
±59.15 6.29** 198.40
±43.68
266.80
±61.18 5.73** 41.05
±17.94
31.93
±17.43 9.92**
Placebo
Trained 295.40
±69.88
293.10
±62.20 0.451 252
±60.19
255.7
±56.42 0.818 36.34
±15.19
36.27
±15.43 0.221
Untrained 286.50
±74.86
283.10
±75.53 0.678 230.
±65.87
229.8
±68.29 0.047 43.06
±18.16
42.83
±17.84 0.641
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IbnosinaJournalofMedicineandBiomedicalSciences(2010) 83
measuredintrainedanduntrainedindividualsasameasure
ofmuscularperformance.
Spirulina, blue green algae have been widely used as
a nutritional supplement all over the world. It has high
proteincontent(over60%)andcontainsallessentialamino
acids.Besidesthis it is also arichsourceofvitaminsand
antioxidants.
Many studies have proven the antioxidant and disease
modifying potential of spirulina and its effectiveness in
various oxidative stress or free radical induced diseases
(8,22-24). However its effect in delaying the muscular
fatigue which incur due to this free radical production
duringexerciseandinincreasingmuscularstrengthdueto
highproteincontenthavenotbeenstudied.
SpirulinahashighproteincontentaswellhighPER(protein
efciencyratio)of87%andaNPU(netproteinutilization)
of 92% when compared to 100% values for casein (17).
This implies that about 92% of dietary nitrogen (amino
acids) supplied has been converted to proteins. Amino
acids play an important role in regulating muscle protein
synthesisand this modulation may beaffected by dietary
proteinqualityandquantity.Fabricioetal foundincreased
Table 3: Comparison of peak force, average force and fatigue index in between the groups before and after
supplementation by ANOVA
SumofSquares df MeanSquare F Sig.
Peak Force
(pre-
supplementation)
BetweenGroups 47163.275 3 15721.092 3.599 .023*
WithinGroups 157271.500 36 4368.653
Total
204434.775 39
Peak Force (post-
supplementation)
BetweenGroups 85426.675 3 28475.558 5.622 .003**
WithinGroups 182352.300 36 5065.342
Total 267778.975 39
Average Force (pre-
supplementation)
BetweenGroups 27748.400 3 9249.467 2.612 .066
WithinGroups 127492.000 36 3541.444
Total 155240.400 39
Average
Force (post-
supplementation)
BetweenGroups 63500.075 3 21166.692 4.815 .006*
WithinGroups 158249.700 36 4395.825
Total
221749.775 39
Fatigue Index (pre-
supplementation)
BetweenGroups 468.961 3 156.320 .587 .628
WithinGroups 9588.333 36 266.343
Total 10057.294 39
Fatigue Index (post-
supplementation)
BetweenGroups 1583.816 3 527.939 2.086 .119
WithinGroups 9111.284 36 253.091
Total 10695.100 39
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84
skeletalmuscleproteinandincreasedproteinsynthesisrate
inmuscleofgrowingratswithspirulinaingestion(7).We
studieditsimplicationinenhancingthemusclestrengthdue
toenhancedmuscleproteinandfoundincreaseinmuscular
strengthafter8weeksofspirulinasupplementation.
Peak force and average force exerted by dominant
quadricepsmuscleweremeasuredasmeasuresofmuscular
strength.
Huczel et al (25) compared the strength trained and the
untrained subjects and concluded that muscular strength
was enhanced in women engaged in a training program
designed primarily to increase muscular strength and
hypertrophy, but fatigability is not affected. We found
similarresultsinourstudy.Thevaluesofalltheparameters
before supplementation (pre-values) were analyzed by
ANOVAtest.Theresultsshowedthattheprevaluesofpeak
forcediffersignicantlybetweenthetrainedanduntrained
groups (F=3.599, p<0.05). This is because the trained
groupsshowed high peak forcevalues than the untrained
groups due to the training effect. Similarly the trained
group also showed better values before supplementation
for the average force than the untrained groups but the
result was not statistically signicant (F=2.612, p>0.05).
Thefatigueindexasusedinourstudyinvolvedtheuseof
asustained isometriccontractionfor60sec, didnotshow
any signicant difference (F=0.587, p>0.05) between the
strengthtrainedanduntrained.
The pre and post values of peak force exerted showed
signicantincrease(p<0.01,table2)inboththesupplemented
groupsbypairedt-testanalysis.Meanvalueincreasedfrom
326to398Ninsupplementedtrainedandfrom231to302
Ninsupplementeduntrained.Nosignicantdifferencewas
foundin any of the placebo group. Signicantdifference
wasfoundinpostvaluesofpeakforcebyANOVAanalysis.
On applying multiple scheffe, signicant difference was
found between the supplemented trained and placebo
trained groups and between the supplemented trained
andsupplementeduntrainedgroup.Thisimpliesspirulina
supplementationwithtrainingisbetterthanonlyspirulina
ingestionoronlytraininginenhancingpeakforce.
The pre and post values of average force exerted also
showed signicant increase (p<0.01, table 2) in both the
supplementedgroupsbypairedt-testanalysis.Meanvalue
increasedfrom 268to337N insupplementedtrainedand
from198to266Ninsupplementeduntrained.Signicant
difference was found in post values of average force by
ANOVAanalysis.Onapplyingmultiplescheffe,signicant
difference was only found in between supplemented
trained and placebo trained. This implies that spirulina
supplementation is better with training in enhancing
average force compared to only training but is equally
effectivewithouttraining.
Huang et al (3) found that spirulina supplementation
decreased free radicals and increased soleus superoxide
dismutase activities signicantly in rats after exhaustive
exercise. Hsueh kuan et al (9) also found that 3 week
spirulina supplementation decreased activity of creatine
kinase and LDH, which are indicators of skeletal muscle
damageinresponsetoexercise.Itiswelldocumentedthat
muscularexercisepromotestheproductionoffreeradicals
andotherreactiveoxygenspeciesintheworkingmuscledue
toincreaseinoxygenconsumptionintissuesandthefailure
toremove freeradicalscouldlead tooxidativedamageof
cellularbiomolecules(18). These reactiveoxygenspecies
areresponsibleforexercise-inducedproteinoxidationand
contribute to muscle fatigue (9). These muscle-derived
ROS primarily act on myobrillar proteins to inhibit
calcium sensitivity and depress force (19). Free radicals
formedduringchronicexercisemayexceedtheprotective
capacityoftheantioxidantdefensesystem,therebymaking
themusclemoreimmunetofatigueandinjury.
In our study, the pre and post values of fatigue index
measuredaspercentagefallinmaximalforceoveraperiod
of60secbydominantquadricepsmuscleshowedsignicant
change(p<0.01, table2)inboththe supplementedgroups
bypairedt-test.Meanvaluedecreasedfrom34.6to25.5in
supplementedtrainedandfrom41to31.9insupplemented
untrained. Decrease in fatigue index implies increase in
muscular endurance. No signicant difference was found
onANOVA analysis in between the groups. This implies
human supplementation with spirulina has the effect of
increasingmuscularendurance,butthereisnosignicant
differenceasfarastraininglevelsareconcerned.
Adverse Reaction
No level of any adverse effects has been found with the
dosage we used (2gm/day) after 8 weeks of spirulina
supplementationinanyofthesubject.Thisisinaccordance
with studies done in animals where no body or organ
toxicityhasbeenreportedforacute,sub-acuteandchronic
toxicity(20).Salazaretal(21)alsoconcludedthatspirulina
uptohighfeedinglevelsdidnotproduceadverseeffectsin
miceaftersubchronictreatmentof13weeks.
Thisstudyshowsthatspirulinasupplementationiseffective
inenhancingthemuscularperformanceandcanbeusedas
anutritionalsupplement.Spirulinaisanaturalfoodother
thanarticial concentratedcompounds.Iftaking spirulina
has the effect on exercise related advantage, it could
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IbnosinaJournalofMedicineandBiomedicalSciences(2010) 85
probably decrease the side effect and dependence, which
usuallyappearwithlong-termuseofarticialconcentrated
compoundsonhumanbody.
Limitations of study
Thesamplesizewassmall(n=40)andlimitedtoanarrow
range(20-30years).Otherlimitationsofthestudymaybe
that only isometric force could be studied. Psychological
and motivational component of the subject during the
testingof maximal voluntary isometric contraction might
haveaffectedtheoutcomeofthestudy.
Conclusions
Summarizingtheresultsofourstudyweconcludesignicant
group(trainedvsuntrained)andsupplementation(spirulina
vsplacebo)effects for theisometricmusclestrengthafter
spirulina supplementation. Spirulina with training is
effectiveinincreasingmuscle strengththanonlyspirulina
oronlytraining.Itisalsoeffectivewithtimeinenhancing
muscular endurance but no signicant group effect was
found. So it can be used as a nutritional supplement by
athletesandnon-athletesinenhancingmusclestrengthand
endurance.
Conict of Interest:Nonedeclared
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