Effects of drinking hydrogen-rich water on muscle fatigue in elite athletesScientific Research

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

 

Abstract

Background

Muscle contractions during short periods of intense exercise can lead to oxidative stress, which may play a role in the development of symptoms of overtraining, including increased fatigue, resulting in muscle microdamage or inflammation. Recently, hydrogen has been said to act as an antioxidant, so we investigated the effects of hydrogen-enriched water (HW) on acute exercise-induced oxidative stress and muscle fatigue.

Methods

Ten male soccer players aged 20.9 ± 1.3 years underwent stress testing and blood sampling. Each subject was examined twice in a crossover, double-blind fashion; they received either hard water or placebo (PW) water every other week. Subjects were asked to use a bicycle ergometer with a maximal oxygen uptake (VO2) of 75 minutes for 30 minutes, followed by measurement of maximum torque and muscle activity for 100 maximal isokinetic knee extension. Oxidative stress markers and creatine kinase were sequentially measured in peripheral blood.

Results

Although acute exercise resulted in increased blood lactate levels in subjects given PW, oral HW prevented the increase in blood lactate during vigorous exercise. During maximal isokinetic knee extension, PW peak torque decreased significantly, indicating muscle fatigue, but HW peak torque did not decrease early. There were no significant changes in blood markers of oxidative damage (d-ROMs and BAP) or creatine kinase after exercise.

Conclusion

Adequate hydration with hydrogen-rich water before exercise reduces blood lactate levels and improves exercise-induced decline in muscle function. Although further research is needed to elucidate the exact mechanisms and confirm their benefits in a larger series of studies, these preliminary results may suggest that HW may be an appropriate hydration option for athletes.

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.

    Article CAS PubMed Google Scholar

  2. Tanskanen M, Atalay M, Uusitalo A: Altered oxidative stress in overtrained athletes. J Sports Sci. 2010, 28 (3): 309-317. 10.1080/02640410903473844.

    Article PubMed Google Scholar

  3. 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. 10.1079/PNS19870010.

    Article CAS PubMed Google Scholar

  4. Tiidus PM: Radical species in inflammation and overtraining. Can J Physiol Pharmacol. 1998, 76 (5): 533-538. 10.1139/y98-047.

    Article CAS PubMed Google Scholar

  5. 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. 10.1079/BJN20031027.

    Article CAS PubMed Google Scholar

  6. 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.

    Article CAS PubMed Google Scholar

  7. 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. 10.3109/10715762.2010.500328.

    Article CAS PubMed Google Scholar

  8. 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): 10-10.1186/2045-9912-1-10.

    PubMed Central Article PubMed Google Scholar

  9. 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. 10.3164/jcbn.09-100.

    PubMed Central Article PubMed Google Scholar

  10. 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. 10.1016/j.nutres.2008.01.008.

    Article CAS PubMed Google Scholar

  11. 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): 11-10.1186/2045-9912-1-11.

    PubMed Central Article PubMed Google Scholar

  12. 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. 10.1038/nm1577.

    Article CAS PubMed Google Scholar

  13. 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. 10.1016/j.surg.2011.05.019.

    Article PubMed Google Scholar

  14. 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.

    CAS PubMed Google Scholar

  15. Howley ET, Bassett DR, Welch HG: Criteria for maximal oxygen uptake: review and commentary. Med Sci Sports Exerc. 1995, 27 (9): 1292-1301.

    Article CAS PubMed Google Scholar

  16. 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. 10.1016/S1050-6411(03)00022-1.

    Article CAS PubMed Google Scholar

  17. 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.

    Article PubMed Google Scholar

  18. 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.

    Google Scholar

  19. 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. 10.1007/BF00696370.

    Article CAS PubMed Google Scholar

  20. Finaud J, Lac G, Filaire E: Oxidative stress : relationship with exercise and training. Sports Med. 2006, 36 (4): 327-358. 10.2165/00007256-200636040-00004.

    Article PubMed Google Scholar

  21. Bloomer RJ: Effect of exercise on oxidative stress biomarkers. Adv Clin Chem. 2008, 46: 1-50.

    Article CAS PubMed Google Scholar

  22. Goldfarb AH: Nutritional antioxidants as therapeutic and preventive modalities in exercise-induced muscle damage. Can J Appl Physiol. 1999, 24 (3): 249-266. 10.1139/h99-021.

    Article CAS PubMed Google Scholar

  23. 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.

    CAS PubMed Google Scholar

  24. 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. 10.1042/CS19980269.

    Article CAS Google Scholar

  25. 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.

    CAS PubMed Google Scholar

  26. 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. 10.1556/APhysiol.87.2000.3.5.

    Article CAS PubMed Google Scholar

  27. 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.

    PubMed Central CAS PubMed Google Scholar

  28. Westerblad H, Allen DG, Lannergren J: Muscle fatigue: lactic acid or inorganic phosphate the major cause?. News Physiol Sci. 2002, 17: 17-21.

    CAS PubMed Google Scholar

  29. 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.

    Article PubMed Google Scholar

Download references


DOI: 10.1186

Published on: 20121204


Authors:

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

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

 

Abstract

Background

Muscle contractions during short periods of intense exercise can lead to oxidative stress, which may play a role in the development of symptoms of overtraining, including increased fatigue, resulting in muscle microdamage or inflammation. Recently, hydrogen has been said to act as an antioxidant, so we investigated the effects of hydrogen-enriched water (HW) on acute exercise-induced oxidative stress and muscle fatigue.

Methods

Ten male soccer players aged 20.9 ± 1.3 years underwent stress testing and blood sampling. Each subject was examined twice in a crossover, double-blind fashion; they received either hard water or placebo (PW) water every other week. Subjects were asked to use a bicycle ergometer with a maximal oxygen uptake (VO2) of 75 minutes for 30 minutes, followed by measurement of maximum torque and muscle activity for 100 maximal isokinetic knee extension. Oxidative stress markers and creatine kinase were sequentially measured in peripheral blood.

Results

Although acute exercise resulted in increased blood lactate levels in subjects given PW, oral HW prevented the increase in blood lactate during vigorous exercise. During maximal isokinetic knee extension, PW peak torque decreased significantly, indicating muscle fatigue, but HW peak torque did not decrease early. There were no significant changes in blood markers of oxidative damage (d-ROMs and BAP) or creatine kinase after exercise.

Conclusion

Adequate hydration with hydrogen-rich water before exercise reduces blood lactate levels and improves exercise-induced decline in muscle function. Although further research is needed to elucidate the exact mechanisms and confirm their benefits in a larger series of studies, these preliminary results may suggest that HW may be an appropriate hydration option for athletes.

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.

    Article CAS PubMed Google Scholar

  2. Tanskanen M, Atalay M, Uusitalo A: Altered oxidative stress in overtrained athletes. J Sports Sci. 2010, 28 (3): 309-317. 10.1080/02640410903473844.

    Article PubMed Google Scholar

  3. 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. 10.1079/PNS19870010.

    Article CAS PubMed Google Scholar

  4. Tiidus PM: Radical species in inflammation and overtraining. Can J Physiol Pharmacol. 1998, 76 (5): 533-538. 10.1139/y98-047.

    Article CAS PubMed Google Scholar

  5. 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. 10.1079/BJN20031027.

    Article CAS PubMed Google Scholar

  6. 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.

    Article CAS PubMed Google Scholar

  7. 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. 10.3109/10715762.2010.500328.

    Article CAS PubMed Google Scholar

  8. 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): 10-10.1186/2045-9912-1-10.

    PubMed Central Article PubMed Google Scholar

  9. 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. 10.3164/jcbn.09-100.

    PubMed Central Article PubMed Google Scholar

  10. 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. 10.1016/j.nutres.2008.01.008.

    Article CAS PubMed Google Scholar

  11. 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): 11-10.1186/2045-9912-1-11.

    PubMed Central Article PubMed Google Scholar

  12. 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. 10.1038/nm1577.

    Article CAS PubMed Google Scholar

  13. 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. 10.1016/j.surg.2011.05.019.

    Article PubMed Google Scholar

  14. 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.

    CAS PubMed Google Scholar

  15. Howley ET, Bassett DR, Welch HG: Criteria for maximal oxygen uptake: review and commentary. Med Sci Sports Exerc. 1995, 27 (9): 1292-1301.

    Article CAS PubMed Google Scholar

  16. 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. 10.1016/S1050-6411(03)00022-1.

    Article CAS PubMed Google Scholar

  17. 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.

    Article PubMed Google Scholar

  18. 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.

    Google Scholar

  19. 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. 10.1007/BF00696370.

    Article CAS PubMed Google Scholar

  20. Finaud J, Lac G, Filaire E: Oxidative stress : relationship with exercise and training. Sports Med. 2006, 36 (4): 327-358. 10.2165/00007256-200636040-00004.

    Article PubMed Google Scholar

  21. Bloomer RJ: Effect of exercise on oxidative stress biomarkers. Adv Clin Chem. 2008, 46: 1-50.

    Article CAS PubMed Google Scholar

  22. Goldfarb AH: Nutritional antioxidants as therapeutic and preventive modalities in exercise-induced muscle damage. Can J Appl Physiol. 1999, 24 (3): 249-266. 10.1139/h99-021.

    Article CAS PubMed Google Scholar

  23. 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.

    CAS PubMed Google Scholar

  24. 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. 10.1042/CS19980269.

    Article CAS Google Scholar

  25. 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.

    CAS PubMed Google Scholar

  26. 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. 10.1556/APhysiol.87.2000.3.5.

    Article CAS PubMed Google Scholar

  27. 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.

    PubMed Central CAS PubMed Google Scholar

  28. Westerblad H, Allen DG, Lannergren J: Muscle fatigue: lactic acid or inorganic phosphate the major cause?. News Physiol Sci. 2002, 17: 17-21.

    CAS PubMed Google Scholar

  29. 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.

    Article PubMed Google Scholar

Download references

References