EGCG Influence on Catecholamine Metabolism Clinical Trial
Official title:
The Polyphenol Epigallocatechin Gallate Lowers Circulating Catecholamine Concentrations and Alters Lipid Metabolism During Graded Exercise in Man.
The aim of this study was to explore the impact of acute ingestion of the polyphenol epigallocatechin galate (EGCG) on catecholamine, catecholamine metabolite, systemic metabolic and cardio-vascular variables across a range of exercise intensities during graded cycle exercise in man.
Written informed consent was obtained from all subjects and all subjects completed the
AHA/ACSM health screening questionnaire to ascertain their health status and to show their
eligibility to partake in this study.
In a randomized, placebo-controlled, single blind, cross-over design study participants
completed two trials after acute consumption of either EGCG or a placebo (PLAC) supplement
after an overnight fast. After a two-hour monitoring period following ingestion participants
performed a continuous graded cycle exercise test to volitional exhaustion. There was at
least a 7-day washout period between trials.
Participants were randomly assigned to either the intervention or placebo trial. After an
overnight fast participants arrived to the laboratory and were observed ingesting two
capsules each of EGCG (minimum 94% EGCG <0.1% caffeine) from a commercially available brand
(TEAVIGO™; TAIYO GmbH, 1450 mg) or a placebo (1450 mg Corn Flour). Capsules were weighed and
sorted to within ±5%. The supplement was consumed in two size 00 vegetarian gelatin capsules
alongside a standardized amount of distilled water (200ml).
Experimental Protocol Prior to participation in the experimental trials participants were
familiarized with the laboratory equipment and the test procedures. On the morning of the
test participants reported to the Exercise Physiology Laboratory following an 8-10 hour fast
where standard measures of the participants' body mass, (weighting scales; Seca 770 Digital
Scales, Seca Ltd, Birmingham, UK) height (stadiometer; Holtain Stadiometer, Holtain Ltd,
Cymrych, Wales) and body fat percentage using bioelectrical impedance analysis (Bodystat
Quadscan 4000, Bodystat Ltd, Isle of Man, UK) whilst wearing minimal clothing, were taken.
Participants were then seated for a 10-minute period while a cannula was inserted into an
antecubital vein. This was connected to a three-way stopcock for the repeated collection of
venous blood at rest and during the exercise test. Saline (2-3 ml) was infused regularly
keep the cannula patent. After a 10-minute rest period a venous blood sample (7 ml) was
collected into a lithium-heparinised vacutainer. In addition, baseline measures of heart
rate (Polar RS800CX), and a 10-minute sample of respiratory gas (Jaeger Vyuntus CPX, Erich
Jaeger GmbH,CareFusion Hoechbegh, Germany) were also taken at this time. Expired air was
measured for the fractional concentration of oxygen (FEO2%) and carbon dioxide (FECO2%) and
for the volume of air (SentrySuite Software, Erich Jaeger GmbH,CareFusion Hoechbegh,
Germany) expired during the period to allow for determination of volumes of O2 utilization
and CO2 production. These data were used for determination of oxidative energy expenditure
using principles of indirect calorimetry (Frayn 1983; Jeukendrup & Wallis, 2005).
Following collection of resting parameters participants were rested in a semi-reclined
position for two hours. Thereafter, after a 5-minute transition period, participants mounted
a cycle ergometer (Lode Excalibur Sport Ergometer, Lode BV Groningen, The Netherlands) to
perform a graded exercise test. Participants were instructed to cycle between 60-70 rpm at
an initial power output of 60 Watts (W) with an increase in 30 W every 3 minutes. Verbal
encouragement was provided to the participant throughout. Heart rate was measured constantly
throughout the exercise test in real-time via a telemetry chest strap and wireless receiver
(Polar RS800CX) alongside respiratory gas measurements. Two and a half minutes into each
stage, a rating of perceived exertion (RPE) was taken from the participant (Borg, 1982) and
a venous blood sample taken. The test continued until volitional exhaustion which was
defined by the following criteria 1) cadence dropping below 50 rpm, 2) heart rate within 10
beats of age-predicted maximum, 3) levelling off of VO2 though workload had increased. At
this point cardio-respiratory variables were recorded and a final blood sample was taken at
exhaustion.
Participants were given a food and physical activity diaries to complete in the 72 hours
prior to the first experimental trial. Participants were also instructed to avoid alcohol,
foods with high polyphenols content and additional green tea consumption during this period.
Participants were also instructed not to perform any physical activity in the 24h period
immediately prior to the exercise trial.
Blood Analyses Venous blood samples were analysed immediately for lactate and glucose levels
(Biosen C-Line, EKF Diagnostics). Thereafter, the remainder of the sample was centrifuged
(Heraeus Megafuge 8, Thermo Scientific) for 10 minutes at 3,000 rpm) with ~3ml of plasma
extracted into individual 1ml microcentrifuge tubes and frozen immediately (-80°C) for later
analysis of metanephrine, normetanephrine and catecholamine (adrenaline and noradrenaline)
concentrations using commercially available enzyme linked absorbent assays (ELISA, Eagle
Biosciences Inc, Nashua, New Hampshire, USA). Blood points selected for use with the assay
kits were, baseline (REST), two hours post ingestion at rest (POST-ING) and during exercise
at highest lipid oxidation rate (FATpeak), lactate threshold (LT) and at peak rate of oxygen
consumption (VO2peak) for each individual were analysed. Lactate threshold was calculated
using Lactate-E software (Newell et al, 2007).
The data was analysed using the Statistical Package for the Social Sciences software
(Version 22, SPSS, inc). Data was reported as means±SD with P0.05 accepted. All variables
were examined using paired t-tests for comparison of experimental trial differences.
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