Condition
Aerobic Exercise Performance
Aerobic exercise performance is how well your body sustains endurance activity, which depends on delivering oxygen to muscles, using energy efficiently, and holding off fatigue. Among supplements, caffeine has the strongest evidence, and studies found aerobic measures improved, with moderate-sized effects; rhodiola and sodium bicarbonate showed similar gains. Rhodiola's evidence is moderate and sodium bicarbonate's studies were small, one involving only 22 people, so the results are best seen as early.
Sources: PMID 30926628; PMID 21120518
- Supplements studied
- 53
- Graded outcomes
- 52
- Trials
- 95
- People studied
- 15,408
Evidence by supplement
- Strong
- Moderate
- Limited
- Very limited
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics Moderate Improvement | Improves (the measure goes up) | Moderate effect | 4 studies | 799 people | ||
Studies that measured aerobic exercise metrics | ||||||
| Agility Small Improvement | Improves (the measure goes up) | Small effect | 206 people | |||
| Anaerobic Capacity | Improves (the measure goes up) | 5 studies | 298 people | |||
Studies that measured anaerobic capacity
| ||||||
| Blood Lactate (Exercise) | Changes; see studies | 4 studies | 416 people | |||
| Heart Rate | Changes; see studies | 4 studies | 414 people | |||
| Rating of Perceived Exertion | Improves (the measure goes up) | 3 studies | 294 people | |||
| Jump Height | Improves (the measure goes up) | 1 study | 145 people | |||
| Muscular Endurance | Improves (the measure goes up) | 1 study | 627 people | |||
| Blood glucose | Changes; see studies | 450 people | ||||
| Breathing Rate | Changes; see studies | 146 people | ||||
| Exercise Capacity | Improves (the measure goes up) | 352 people | ||||
| Oxygen Uptake | Improves (the measure goes up) | 406 people | ||||
| Respiratory Exchange Ratio | Improves (the measure goes up) | 362 people | ||||
| Sprint Performance Metrics | Improves (the measure goes up) | 396 people | ||||
| Strength | Improves (the measure goes up) | 904 people | ||||
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Hydration Maintenance During Prolonged Exercise Multiple human trials and systematic reviews demonstrate that electrolyte-containing beverages help maintain plasma volume and hydration status during prolonged exercise (>60 minutes), particularly compared to plain water. Benefits are most pronounced during exercise lasting >3 hours where sweat losses are substantial. | Improves (the measure goes up) | Moderate effect | 6 studies | 800 people | ||
Studies that measured hydration maintenance during prolonged exercise | ||||||
| Endurance Exercise Performance Preservation Systematic reviews find minimal evidence that electrolytes directly improve endurance performance. However, multiple human trials show that by maintaining hydration and blood volume during prolonged exercise (>3 hours), electrolyte replacement indirectly prevents performance decline. The effect is most relevant for marathons, triathlons, and ultra-endurance events. | Improves (the measure goes up) | Small effect | 5 studies | 600 people | ||
Studies that measured endurance exercise performance preservation | ||||||
Green Tea Extract
- Fat Oxidation
- Heart Rate: improves
- Oxygen Uptake: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Fat Oxidation Mixed effect | 5 studies | 31 people | ||||
Studies that measured fat oxidation
| ||||||
| Heart Rate | Improves (the measure goes down) | 1 study | 19 people | |||
Studies that measured heart rate | ||||||
| Oxygen Uptake | Improves (the measure goes up) | 38 people | ||||
Branched-Chain Amino Acids
- Aerobic Exercise Metrics: improves
- Blood glucose
- Fat Oxidation: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics Small Improvement | Improves (the measure goes up) | Small effect | 3 studies | 235 people | ||
Studies that measured aerobic exercise metrics
| ||||||
| Blood glucose No effect | NoneNo effect | 7 people | ||||
| Fat Oxidation | Improves (the measure goes up) | 1 study | 7 people | |||
Studies that measured fat oxidation | ||||||
| Blood Lactate (Exercise) | Changes; see studies | 7 people | ||||
| Fatigue Symptoms | Changes; see studies | 218 people | ||||
| Ketone Bodies | Improves (the measure goes up) | 7 people | ||||
Ashwagandha
- Aerobic Exercise Metrics: improves
- Oxygen Uptake: improves
- Blood glucose: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics Moderate Improvement | Improves (the measure goes up) | Moderate effect | 1 study | 226 people | ||
Studies that measured aerobic exercise metrics | ||||||
| Oxygen Uptake | Improves (the measure goes up) | 2 studies | 85 people | |||
| Blood glucose | Improves (the measure goes down) | 1 study | 40 people | |||
Studies that measured blood glucose | ||||||
| Red Blood Cell Count | Improves (the measure goes up) | 1 study | 40 people | |||
Studies that measured red blood cell count | ||||||
| White Blood Cell Count | Improves (the measure goes up) | 1 study | 40 people | |||
Studies that measured white blood cell count | ||||||
| Anaerobic Capacity | Improves (the measure goes up) | 40 people | ||||
| Body Fat | Improves (the measure goes down) | 40 people | ||||
| Exercise Capacity | Improves (the measure goes up) | 40 people | ||||
| Fat Oxidation | Improves (the measure goes up) | 45 people | ||||
| Hematocrit | Improves (the measure goes up) | 40 people | ||||
| Hemoglobin | Improves (the measure goes up) | 40 people | ||||
| Muscle Mass | Improves (the measure goes up) | 40 people | ||||
| Muscle Soreness | Improves (the measure goes down) | 40 people | ||||
| Power Output | Improves (the measure goes up) | 80 people | ||||
| Strength | Improves (the measure goes up) | 198 people | ||||
| Urea | Improves (the measure goes up) | 40 people | ||||
| vLDL-C | Improves (the measure goes down) | 40 people | ||||
| Weight | Improves (the measure goes down) | 40 people | ||||
Taurine
- Aerobic Exercise Metrics: improves
- Anaerobic Capacity
- Exercise Capacity: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics Small Improvement | Improves (the measure goes up) | Small effect | 1 study | 308 people | ||
Studies that measured aerobic exercise metrics | ||||||
| Anaerobic Capacity No effect | NoneNo effect | 308 people | ||||
| Exercise Capacity | Improves (the measure goes up) | 1 study | 116 people | |||
Studies that measured exercise capacity | ||||||
| Muscular Endurance | Improves (the measure goes up) | 308 people | ||||
| Power Output | Improves (the measure goes up) | 308 people | ||||
Sodium Bicarbonate
- Aerobic Exercise Metrics: improves
- Serum Bicarbonate: improves
- Power Output: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics Small Improvement | Improves (the measure goes up) | Small effect | 22 people | |||
| Serum Bicarbonate | Improves (the measure goes up) | 26 studies | 215 people | |||
| Power Output | Improves (the measure goes up) | 6 studies | 10 people | |||
| Blood Acidity | Changes; see studies | 4 studies | 215 people | |||
Studies that measured blood acidity | ||||||
| Rating of Perceived Exertion | Improves (the measure goes up) | 4 studies | 6 people | |||
Studies that measured rating of perceived exertion
| ||||||
| Blood Lactate (Exercise) | Changes; see studies | 2 studies | 215 people | |||
| Fat Oxidation | Improves (the measure goes up) | 1 study | 6 people | |||
| Heart Rate | Improves (the measure goes down) | 6 people | ||||
| Oxygen Uptake | Improves (the measure goes up) | 215 people | ||||
Nitrate
- Aerobic Exercise Metrics: improves
- Blood Lactate (Exercise)
- Exercise Capacity: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics Small Improvement | Improves (the measure goes up) | Small effect | 20 people | |||
| Blood Lactate (Exercise) No effect | NoneNo effect | 848 people | ||||
| Exercise Capacity | Improves (the measure goes up) | 5 studies | 604 people | |||
Studies that measured exercise capacity
| ||||||
| Heart Rate | Improves (the measure goes down) | 2 studies | 11 people | |||
Studies that measured heart rate | ||||||
| Oxygen Cost of Exercise | Improves (the measure goes up) | 2 studies | 1,563 people | |||
Studies that measured oxygen cost of exercise | ||||||
| Peak power output (PPO) | Improves (the measure goes up) | 1 study | 383 people | |||
| Power Output | Improves (the measure goes up) | 1 study | 1,062 people | |||
| Rating of Perceived Exertion | Improves (the measure goes up) | 1 study | 974 people | |||
| Maximal isometric voluntary contraction | Improves (the measure goes up) | 383 people | ||||
| Oxygen Uptake | Improves (the measure goes up) | 286 people | ||||
Rhodiola Rosea
- Aerobic Exercise Metrics: improves
- Depression Symptoms: improves
- Cortisol: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics Small Improvement | Improves (the measure goes up) | Small effect | 668 people | |||
| Depression Symptoms | Improves (the measure goes down) | 4 studies | 18 people | |||
Studies that measured depression symptoms
| ||||||
| Cortisol | Improves (the measure goes down) | 3 studies | 44 people | |||
Studies that measured cortisol
| ||||||
| C-Reactive Protein (CRP) | Improves (the measure goes down) | 1 study | 668 people | |||
Studies that measured c-reactive protein (crp) | ||||||
| Total Antioxidant Capacity (TAC) | Improves (the measure goes up) | 1 study | 668 people | |||
Studies that measured total antioxidant capacity (tac) | ||||||
| Weight | Improves (the measure goes down) | 1 study | 12 people | |||
| Alertness | Improves (the measure goes up) | 26 people | ||||
| Anti-Oxidant Enzyme Profile | Improves (the measure goes up) | 26 people | ||||
| Blood Lactate (Exercise) | Changes; see studies | 668 people | ||||
| Creatine Kinase | Changes; see studies | 668 people | ||||
| Fatigue Symptoms | Improves (the measure goes down) | 30 people | ||||
| Growth Hormone | Improves (the measure goes up) | 26 people | ||||
| Heart Rate | Improves (the measure goes down) | 44 people | ||||
| Interleukin 6 | Improves (the measure goes down) | 668 people | ||||
| Oxidative Stress Biomarkers | Improves (the measure goes down) | 668 people | ||||
| Power Output | Improves (the measure goes up) | 38 people | ||||
| Rating of Perceived Exertion | Improves (the measure goes up) | 18 people | ||||
| Reaction Time | Improves (the measure goes up) | 38 people | ||||
| Superoxide Dismutase Activity | Improves (the measure goes up) | 668 people | ||||
| Testosterone | Improves (the measure goes up) | 26 people | ||||
| Vigor/Activity | Improves (the measure goes up) | 18 people | ||||
Mitoquinone mesylate
- Aerobic Exercise Performance: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Performance Two small RCTs in middle-aged men found MitoQ (20 mg/day) improved exercise performance. Broome et al. (2021) reported a 1.3% improvement in 8 km cycling time trial completion with 4.4% higher average power in 19 trained cyclists. Broome et al. (2022) found greater training-induced peak power improvements in 23 untrained men, though VO2peak gains were comparable to placebo. | Improves (the measure goes up) | Small effect | 4 studies | 42 people | ||
Studies that measured aerobic exercise performance
| ||||||
Tetraselmis Chuii
- Aerobic Exercise Performance: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Performance A double-blind trial in 32 amateur soccer players found 200 mg/day for 30 days increased VO2max and oxygen pulse with decreased heart rate. A separate randomized crossover RCT confirmed increased VO2peak at 25 mg/day for 14 days in healthy adults. | Improves (the measure goes up) | Small effect | 3 studies | 50 people | ||
Studies that measured aerobic exercise performance
| ||||||
Panax Ginseng (Korean Ginseng)
- Blood Lactate (Exercise): improves
- Oxygen Uptake: improves
- Body Fat: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood Lactate (Exercise) Small Decrease | Improves (the measure goes down) | Small effect | 2 studies | 36 people | ||
Studies that measured blood lactate (exercise) | ||||||
| Oxygen Uptake | Improves (the measure goes up) | 2 studies | 105 people | |||
| Body Fat | Improves (the measure goes down) | 41 people | ||||
| Exercise Capacity | Improves (the measure goes up) | 28 people | ||||
| Heart Rate | Improves (the measure goes down) | 105 people | ||||
| Rating of Perceived Exertion | Improves (the measure goes up) | 36 people | ||||
| Respiratory Exchange Ratio | Improves (the measure goes up) | 36 people | ||||
| Weight | Improves (the measure goes down) | 41 people | ||||
Haskap Berry
- Endurance Exercise Performance: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Endurance Exercise Performance A double-blind placebo-controlled RCT in 30 male recreational runners found haskap berry supplementation improved 5 km time trial performance by ~21 seconds (>2% improvement) and increased time to exhaustion by 20 seconds during a VO2peak test. Proposed mechanism involves improved vascular function and exercise-induced oxidative stress management. | Improves (the measure goes up) | Small effect | 2 studies | 30 people |
Red Spinach Extract
- Aerobic Exercise Performance: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Performance In a double-blind crossover RCT (n=17), 7 days of 1g red spinach extract improved 4-km cycling time trial completion time, average power, and speed vs placebo. A separate crossover trial (n=14) found RSE significantly increased VO2 at ventilatory threshold (+6.1%). A 15-day supplementation study (n=11) found ~19% greater time-to-exhaustion during high-intensity exercise with RSE vs placebo. | Improves (the measure goes up) | Small effect | 2 studies | 42 people |
Ginger (Zingiber officinale)
- Muscle Soreness: improves
- Rating of Perceived Exertion: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Muscle Soreness Small Improvement | Improves (the measure goes down) | Small effect | 1 study | 25 people | ||
| Rating of Perceived Exertion | Improves (the measure goes up) | 1 study | 25 people |
Magnesium
- Aerobic Exercise Metrics: improves
- Blood glucose: improves
- Muscle Oxygenation: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics Moderate Improvement | Improves (the measure goes up) | Moderate effect | 23 people | |||
| Blood glucose | Improves (the measure goes down) | 17 studies | 23 people | |||
| Muscle Oxygenation | Improves (the measure goes up) | 1 study | 23 people | |||
| Insulin | Changes; see studies | 23 people |
Capsaicin
- Fat Oxidation: improves
- Heart Rate: improves
- Oxygen Uptake: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Fat Oxidation Small Increase | Improves (the measure goes up) | Small effect | 10 people | |||
| Heart Rate | Improves (the measure goes down) | 1 study | 10 people | |||
| Oxygen Uptake | Improves (the measure goes up) | 10 people |
Eleuthero
- Blood glucose: improves
- Rating of Perceived Exertion: improves
- Fat Oxidation: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood glucose Small Improvement | Improves (the measure goes down) | Small effect | 9 people | |||
| Rating of Perceived Exertion | Improves (the measure goes up) | 1 study | 9 people | |||
| Fat Oxidation | Improves (the measure goes up) | 9 people | ||||
| Fatigue Resistance | Improves (the measure goes down) | 9 people |
Astaxanthin
- Aerobic Exercise Metrics: improves
- Blood glucose: changes; see studies
- Blood Lactate (Exercise): changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics Small Improvement | Improves (the measure goes up) | Small effect | 53 people | |||
| Blood glucose | Changes; see studies | 1 study | 32 people | |||
| Blood Lactate (Exercise) | Changes; see studies | 1 study | 53 people | |||
| Rating of Perceived Exertion | Improves (the measure goes up) | 1 study | 32 people | |||
| Fat Oxidation | Improves (the measure goes up) | 21 people | ||||
| Fatigue Resistance | Changes; see studies | 21 people | ||||
| Free Fatty Acids | Improves (the measure goes up) | 32 people | ||||
| Heart Rate | Changes; see studies | 32 people | ||||
| Insulin | Changes; see studies | 32 people | ||||
| Oxygen Cost of Exercise | Improves (the measure goes up) | 32 people | ||||
| Power Output | Improves (the measure goes up) | 21 people | ||||
| Respiratory Exchange Ratio | Improves (the measure goes up) | 32 people |
L-Carnitine
- Aerobic Exercise Metrics
- Blood Lactate (Exercise): changes; see studies
- Power Output: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 4 studies | 56 people | |||
| Blood Lactate (Exercise) | Changes; see studies | 5 studies | 81 people | |||
| Power Output | Improves (the measure goes up) | 5 studies | 32 people | |||
| Fat Oxidation | Improves (the measure goes up) | 1 study | 5 people | |||
| Muscle Carnitine Content | Improves (the measure goes up) | 32 people |
Vitamin C
- Aerobic Exercise Metrics
- Cortisol: improves
- Oxidative Stress Biomarkers: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 2 studies | 68 people | |||
| Cortisol | Improves (the measure goes down) | 5 studies | 28 people | |||
| Oxidative Stress Biomarkers | Improves (the measure goes down) | 5 studies | 35 people | |||
| Blood glucose | Improves (the measure goes down) | 3 studies | 28 people | |||
| Exercise-Induced Oxidation | Changes; see studies | 2 studies | 7 people | |||
| Uric Acid | Improves (the measure goes down) | 2 studies | 28 people | |||
| Exercise Adaptations | Improves (the measure goes up) | 1 study | 15 people | |||
| Glycemic Control | Improves (the measure goes up) | 1 study | 21 people | |||
| Heart Rate | Improves (the measure goes down) | 1 study | 28 people | |||
| Interferon Gamma | Improves (the measure goes up) | 1 study | 28 people | |||
| Plasma Vitamin C | Improves (the measure goes up) | 1 study | 28 people | |||
| Exercise-Induced Immune Suppression | Improves (the measure goes up) | 28 people | ||||
| Insulin | Changes; see studies | 28 people | ||||
| Interleukin 10 | Improves (the measure goes up) | 28 people | ||||
| Interleukin 2 | Improves (the measure goes up) | 28 people | ||||
| Interleukin 6 | Improves (the measure goes down) | 28 people | ||||
| Interleukin 8 | Changes; see studies | 28 people | ||||
| Lymphocyte Count | Improves (the measure goes up) | 28 people | ||||
| Monocyte Count | Improves (the measure goes up) | 28 people | ||||
| Natural Killer Cell Content | Improves (the measure goes up) | 28 people | ||||
| Neutrophil Count | Improves (the measure goes up) | 28 people | ||||
| Oxygen Uptake | Improves (the measure goes up) | 15 people | ||||
| Rating of Perceived Exertion | Improves (the measure goes up) | 28 people |
Exogenous Ketones
- Aerobic Exercise Metrics
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 2 studies | 228 people |
Iron
- Aerobic Exercise Metrics
- Exercise Capacity: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 2 studies | 14 people | |||
| Exercise Capacity | Improves (the measure goes up) | 1 study | 235 people |
Vitamin E
- Aerobic Exercise Metrics
- Oxidative Stress Biomarkers: improves
- Blood Lactate (Exercise): changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 2 studies | 68 people | |||
| Oxidative Stress Biomarkers | Improves (the measure goes down) | 3 studies | 68 people | |||
| Blood Lactate (Exercise) | Changes; see studies | 30 people | ||||
| Cortisol | Improves (the measure goes down) | 38 people | ||||
| Heart Rate | Improves (the measure goes down) | 30 people | ||||
| Homocysteine | Improves (the measure goes down) | 38 people | ||||
| Muscle Damage | Changes; see studies | 30 people |
Colostrum
- Aerobic Exercise Metrics
- Weight: improves
- IGF-1: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 2 studies | 137 people | |||
| Weight | Improves (the measure goes down) | 5 studies | 108 people | |||
| IGF-1 | Improves (the measure goes up) | 2 studies | 58 people | |||
| Oxygen Uptake | Improves (the measure goes up) | 2 studies | 117 people | |||
| Heart Rate | Improves (the measure goes down) | 1 study | 60 people | |||
| Intestinal Permeability | Improves (the measure goes up) | 1 study | 30 people | |||
| Muscle Mass | Improves (the measure goes up) | 1 study | 48 people | |||
| Anaerobic Capacity | Improves (the measure goes up) | 28 people | ||||
| Blood Lactate (Exercise) | Changes; see studies | 30 people | ||||
| Body Fat | Improves (the measure goes down) | 48 people | ||||
| Fat Oxidation | Improves (the measure goes up) | 30 people | ||||
| Lactate Threshold | Improves (the measure goes up) | 60 people | ||||
| Muscular Endurance | Improves (the measure goes up) | 20 people | ||||
| Power Output | Improves (the measure goes up) | 77 people | ||||
| Ventilatory Threshold | Improves (the measure goes up) | 29 people |
Creatine
- Aerobic Exercise Metrics
- Power Output: improves
- Weight: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 2 studies | 106 people | |||
| Power Output | Improves (the measure goes up) | 44 studies | 18 people | |||
| Weight | Improves (the measure goes down) | 10 studies | 73 people | |||
| Oxygen Uptake | Improves (the measure goes up) | 2 studies | 55 people | |||
| Fatigue Resistance | Improves (the measure goes down) | 55 people |
Cordyceps
- Aerobic Exercise Metrics
- Oxygen Uptake: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 1 study | 22 people | |||
| Oxygen Uptake | Improves (the measure goes up) | 1 study | 22 people |
Velvet Antler
- Aerobic Exercise Metrics
- Testosterone: improves
- Erythropoietin: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 1 study | 38 people | |||
| Testosterone | Improves (the measure goes up) | 1 study | 38 people | |||
| Erythropoietin | Improves (the measure goes up) | 38 people | ||||
| IGF-1 | Improves (the measure goes up) | 38 people | ||||
| Muscle Mass | Improves (the measure goes up) | 38 people | ||||
| Power Output | Improves (the measure goes up) | 38 people | ||||
| Red Blood Cell Count | Improves (the measure goes up) | 38 people |
Spirulina
- Aerobic Exercise Metrics
- Body Fat: improves
- Muscular Endurance: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 1 study | 100 people | |||
| Body Fat | Improves (the measure goes down) | 2 studies | 52 people | |||
| Muscular Endurance | Improves (the measure goes up) | 1 study | 9 people | |||
| Oxidative Stress Biomarkers | Improves (the measure goes down) | 1 study | 9 people | |||
| Oxygen Cost of Exercise | Improves (the measure goes up) | 1 study | 11 people | |||
| Power Output | Improves (the measure goes up) | 1 study | 19 people | |||
| Treg Cells | Improves (the measure goes up) | 1 study | 19 people | |||
| Weight | Improves (the measure goes down) | 1 study | 52 people | |||
| Blood Lactate (Exercise) | Changes; see studies | 19 people | ||||
| CD8 Lymphocytes | Improves (the measure goes up) | 19 people | ||||
| Cognition | Improves (the measure goes up) | 18 people | ||||
| Fat Oxidation | Improves (the measure goes up) | 9 people | ||||
| Heart Rate | Improves (the measure goes down) | 63 people | ||||
| Hemoglobin | Improves (the measure goes up) | 11 people | ||||
| Natural Killer Cell Content | Improves (the measure goes up) | 19 people | ||||
| Oxygen Uptake | Improves (the measure goes up) | 63 people | ||||
| Respiratory Exchange Ratio | Improves (the measure goes up) | 11 people | ||||
| Stress Signs and Symptoms | Improves (the measure goes down) | 18 people | ||||
| T Cell Count | Improves (the measure goes up) | 19 people |
D-Ribose
- Aerobic Exercise Metrics
- Power Output: improves
- ATP Regeneration: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 1 study | 31 people | |||
| Power Output | Improves (the measure goes up) | 3 studies | 26 people | |||
| ATP Regeneration | Improves (the measure goes up) | 2 studies | 8 people | |||
| Blood glucose | Improves (the measure goes down) | 1 study | 26 people | |||
| Blood Urea Nitrogen | Improves (the measure goes up) | 26 people | ||||
| Creatine Kinase | Changes; see studies | 26 people | ||||
| Cycling Performance | Improves (the measure goes up) | 8 people | ||||
| Rating of Perceived Exertion | Improves (the measure goes up) | 26 people |
Black Ginger
- Aerobic Exercise Metrics
- Power Output
- Rating of Perceived Exertion: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 1 study | 17 people | |||
| Power Output No effect | NoneNo effect | 17 people | ||||
| Rating of Perceived Exertion | Improves (the measure goes up) | 17 people |
Citrulline
- Aerobic Exercise Metrics
- Blood Lactate (Exercise): changes; see studies
- Heart Rate: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 1 study | 101 people | |||
| Blood Lactate (Exercise) | Changes; see studies | 6 studies | 27 people | |||
| Heart Rate | Improves (the measure goes down) | 4 studies | 37 people | |||
| Power Output | Improves (the measure goes up) | 3 studies | 64 people | |||
| Muscular Endurance | Improves (the measure goes up) | 2 studies | 22 people | |||
| Insulin | Changes; see studies | 1 study | 17 people | |||
| Plasma Arginine | Improves (the measure goes up) | 1 study | 22 people | |||
| Rating of Perceived Exertion | Improves (the measure goes up) | 1 study | 20 people | |||
| Blood glucose | Improves (the measure goes down) | 27 people | ||||
| Fatigue Symptoms | Improves (the measure goes down) | 17 people | ||||
| Muscle Oxygenation | Improves (the measure goes up) | 10 people |
Fish Oil
- Body Fat
- Oxygen Cost of Exercise: improves
- Oxygen Uptake: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Body Fat No effect | NoneNo effect | 34 people | ||||
| Oxygen Cost of Exercise | Improves (the measure goes up) | 1 study | 26 people | |||
| Oxygen Uptake | Improves (the measure goes up) | 34 people | ||||
| Power Output | Improves (the measure goes up) | 26 people |
Coenzyme Q10
- Aerobic Exercise Metrics
- Oxidative Stress Biomarkers: improves
- Power Output: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 15 people | ||||
| Oxidative Stress Biomarkers | Improves (the measure goes down) | 9 studies | 15 people | |||
| Power Output | Improves (the measure goes up) | 1 study | 15 people | |||
| Anaerobic Capacity | Improves (the measure goes up) | 15 people | ||||
| Heart Rate | Improves (the measure goes down) | 15 people | ||||
| Lactate Threshold | Improves (the measure goes up) | 15 people | ||||
| Rating of Perceived Exertion | Improves (the measure goes up) | 15 people |
L-Tyrosine
- Adrenocorticotropic Hormone
- Heart Rate: improves
- Rating of Perceived Exertion: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Adrenocorticotropic Hormone No effect | NoneNo effect | 20 people | ||||
| Heart Rate | Improves (the measure goes down) | 5 studies | 9 people | |||
| Rating of Perceived Exertion | Improves (the measure goes up) | 3 studies | 9 people | |||
| Blood glucose | Improves (the measure goes down) | 1 study | 29 people | |||
| Aerobic Exercise Metrics | Improves (the measure goes up) | 29 people | ||||
| Blood Lactate (Exercise) | Changes; see studies | 29 people | ||||
| Cortisol | Improves (the measure goes down) | 20 people | ||||
| Fatigue Symptoms | Improves (the measure goes down) | 20 people | ||||
| Free Fatty Acids | Improves (the measure goes up) | 9 people | ||||
| Muscular Endurance | Improves (the measure goes up) | 20 people | ||||
| Oxygen Uptake | Improves (the measure goes up) | 9 people | ||||
| Strength | Improves (the measure goes up) | 20 people |
Umckaloabo
- Aerobic Exercise Metrics
- Immunoglobulin A: improves
- Exercise-Induced Immune Suppression: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 25 people | ||||
| Immunoglobulin A | Improves (the measure goes up) | 1 study | 25 people | |||
| Exercise-Induced Immune Suppression | Improves (the measure goes up) | 25 people |
Conjugated Linoleic Acid
- Blood glucose
- Body Fat: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood glucose No effect | NoneNo effect | 44 people | ||||
| Body Fat | Improves (the measure goes down) | 7 studies | 44 people |
Theanine
- Aerobic Exercise Metrics
- Interleukin 4: improves
- Blood Lactate (Exercise): changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 20 people | ||||
| Interleukin 4 | Improves (the measure goes up) | 1 study | 20 people | |||
| Blood Lactate (Exercise) | Changes; see studies | 20 people | ||||
| Interferon Gamma | Improves (the measure goes up) | 20 people | ||||
| Interleukin 10 | Improves (the measure goes up) | 20 people | ||||
| Interleukin 2 | Improves (the measure goes up) | 20 people | ||||
| Lymphocyte Count | Improves (the measure goes up) | 20 people | ||||
| Natural Killer Cell Content | Improves (the measure goes up) | 20 people | ||||
| Power Output | Improves (the measure goes up) | 20 people | ||||
| Total Antioxidant Capacity (TAC) | Improves (the measure goes up) | 20 people | ||||
| Treg Cells | Improves (the measure goes up) | 20 people | ||||
| White Blood Cell Count | Improves (the measure goes up) | 20 people |
Echinacea
- Aerobic Exercise Metrics
- Hemoglobin: improves
- Erythropoietin: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 107 people | ||||
| Hemoglobin | Improves (the measure goes up) | 1 study | 107 people | |||
| Erythropoietin | Improves (the measure goes up) | 107 people | ||||
| Hematocrit | Improves (the measure goes up) | 107 people |
Whey Protein
- Heart Rate
- Weight: improves
- Peak power output (PPO): improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Heart Rate No effect | NoneNo effect | 48 people | ||||
| Weight | Improves (the measure goes down) | 4 studies | 40 people | |||
| Peak power output (PPO) | Improves (the measure goes up) | 48 people | ||||
| Power Output | Improves (the measure goes up) | 84 people | ||||
| Rating of Perceived Exertion | Improves (the measure goes up) | 66 people | ||||
| Respiratory Exchange Ratio | Improves (the measure goes up) | 48 people |
Tart Cherry Juice
- Aerobic Exercise Metrics
- Nitric Oxide: improves
- Anaerobic Capacity: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 10 people | ||||
| Nitric Oxide | Improves (the measure goes up) | 1 study | 10 people | |||
| Anaerobic Capacity | Improves (the measure goes up) | 10 people | ||||
| Blood Lactate (Exercise) | Changes; see studies | 10 people | ||||
| Oxygen Uptake | Improves (the measure goes up) | 10 people | ||||
| Power Output | Improves (the measure goes up) | 10 people | ||||
| Vascular Function | Improves (the measure goes up) | 10 people |
Beta-Alanine
- Aerobic Exercise Metrics
- Muscular Endurance: improves
- Anaerobic Exercise Performance: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics No effect | NoneNo effect | 115 people | ||||
| Muscular Endurance | Improves (the measure goes up) | 5 studies | 39 people | |||
| Anaerobic Exercise Performance | Improves (the measure goes up) | 3 studies | 1,461 people | |||
| Oxygen Uptake | Improves (the measure goes up) | 1 study | 39 people | |||
| Blood Lactate (Exercise) | Changes; see studies | 109 people | ||||
| Fatigue Symptoms | Changes; see studies | 22 people | ||||
| Heart Rate | Changes; see studies | 39 people | ||||
| Rating of Perceived Exertion | Improves (the measure goes up) | 48 people |
Cocoa Extract
- Adrenocorticotropic Hormone
- Oxidative Stress Biomarkers: improves
- Fat Oxidation: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Adrenocorticotropic Hormone No effect | NoneNo effect | 20 people | ||||
| Oxidative Stress Biomarkers | Improves (the measure goes down) | 2 studies | 28 people | |||
| Fat Oxidation | Improves (the measure goes up) | 1 study | 20 people | |||
| Aerobic Exercise Metrics | Improves (the measure goes up) | 28 people | ||||
| Cortisol | Improves (the measure goes down) | 20 people | ||||
| Exercise-Induced Oxidation | Changes; see studies | 20 people | ||||
| Glucagon | Changes; see studies | 20 people | ||||
| Heart Rate | Improves (the measure goes down) | 20 people | ||||
| Insulin | Changes; see studies | 20 people | ||||
| Interleukin 10 | Improves (the measure goes up) | 20 people | ||||
| Interleukin 6 | Improves (the measure goes down) | 20 people | ||||
| Neutrophil Count | Improves (the measure goes up) | 20 people | ||||
| Plasma Vitamin E | Improves (the measure goes up) | 28 people | ||||
| Rating of Perceived Exertion | Improves (the measure goes up) | 20 people |
Terminalia Arjuna
- Anaerobic Capacity
- Power Output: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Anaerobic Capacity No effect | NoneNo effect | 40 people | ||||
| Power Output | Improves (the measure goes up) | 40 people |
Phenylethylamine
- Exercise-Induced Euphoria: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Exercise-Induced Euphoria Endogenous PEA levels increase during exercise and are mechanistically implicated in the 'runner's high' phenomenon via catecholamine release. Some pre-workout supplements include PEA, but no clinical trials demonstrate that oral PEA supplementation enhances exercise performance or mood during exercise, as the fundamental oral bioavailability limitation (rapid MAO-B destruction) remains unaddressed. | Improves (the measure goes up) | Small effect |
ZMA
- Aerobic Exercise Performance: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Performance Independent studies in trained athletes have found no significant improvement in aerobic exercise performance metrics with ZMA supplementation when participants had adequate baseline zinc and magnesium levels. Any performance benefits observed in other trials are attributed to correcting pre-existing mineral deficiencies rather than a pharmacological effect of the ZMA formulation itself. | Improves (the measure goes up) | Small effect | 50 people |
Bitter orange
- Carbohydrate Oxidation: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Carbohydrate Oxidation | Improves (the measure goes up) | 6 studies | 66 people |
Cannabis
- Heart Rate: improves
- Aerobic Exercise Metrics: worsens
- Lung Function: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Heart Rate | Improves (the measure goes down) | 4 studies | 32 people | |||
| Aerobic Exercise Metrics Small Detriment | Worsens (the measure goes down) | Small effect | 1 study | 32 people | ||
| Lung Function | Improves (the measure goes up) | 1 study | 12 people | |||
| Blood Flow | Improves (the measure goes up) | 20 people | ||||
| Oxygen Uptake | Improves (the measure goes up) | 12 people | ||||
| Power Output | Improves (the measure goes up) | 20 people |
Tongkat Ali
- Strength: improves
- Aerobic Exercise Metrics: worsens
- Body Fat: changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Strength | Improves (the measure goes up) | 2 studies | 45 people | |||
| Aerobic Exercise Metrics Small Detriment | Worsens (the measure goes down) | Small effect | 45 people | |||
| Body Fat | Changes; see studies | 45 people | ||||
| Waist circumference | Changes; see studies | 45 people |
Glutamine
- Ammonia: changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Ammonia | Changes; see studies | 1 study | 15 people |
Nicotinamide Mononucleotide
- Anaerobic Capacity: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Anaerobic Capacity | Improves (the measure goes up) | 1 study | 1 person |
Resveratrol
- Aerobic Exercise Metrics: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics | Improves (the measure goes up) | 1 study | 43 people |
Pyruvate
- Aerobic Exercise Metrics: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aerobic Exercise Metrics | Improves (the measure goes up) | 1 study | 7 people |
Key findings
- Aerobic Exercise MetricsImproves (the measure goes up)
- Hydration Maintenance During Prolonged ExerciseImproves (the measure goes up)
- Fat Oxidation
The Aerobic Exercise Performance (Endurance) protocol
2 primary supplements · 4 supporting supplements
- Caffeine3–6 mg/kg body weight 30–60 min before exercise
- Beetroot Juice (Nitrate)300–600 mg nitrate (500 ml beetroot juice) 2–3 hours before exercise
Shop the evidence-backed picks
The collection holds the supplements we grade A or B for its theme, in third-party tested products where the catalog has them. It opens in our Fullscript store. You can look through it without signing in; Fullscript asks for a free account to order.
Or shop one supplement
The supplements graded A or B for Aerobic Exercise Performance. Each opens third-party tested products for that supplement.
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Studies cited
9 studies from PubMed
- Potential ergogenic activity of grape juice in runners
- A single dose of purple grape juice improves physical performance and antioxidant activity in runners: a randomized, crossover, double-blind, placebo study
- Effect of blueberry ingestion on natural killer cell counts, oxidative stress, and inflammation prior to and after 2.5 h of running
- Response of VO(2max) to dark chocolate consumption in healthy subjects: A systematic review and meta-analysis of randomized controlled trials.
- Effects of protein supplementation on body composition, physiological adaptations, and performance during endurance training: a systematic review and meta-analysis.
- Impact of a 6-week non-energy-restricted ketogenic diet on physical fitness, body composition and biochemical parameters in healthy adults
- 3-Week passive acclimation to extreme environmental heat (100± 3 °C) in dry sauna increases physical and physiological performance among young semi-professional football players.
- Can molecular hydrogen supplementation reduce exercise-induced oxidative stress in healthy adults? A systematic review and meta-analysis.
- Glycogen supercompensation in skeletal muscle after cycling or running followed by a high carbohydrate intake the following days: a systematic review and meta-analysis.