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Dr. Grey AI

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

53 supplements

Caffeine: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

Moderate Improvement

Improves (the measure goes up)Moderate effect4 studies799 people

Studies that measured aerobic exercise metrics

and 1 more on the Caffeine page

Agility

Small Improvement

Improves (the measure goes up)Small effect206 people
Anaerobic CapacityImproves (the measure goes up)5 studies298 people
Blood Lactate (Exercise)Changes; see studies4 studies416 people

Studies that measured blood lactate (exercise)

and 1 more on the Caffeine page

Heart RateChanges; see studies4 studies414 people
Rating of Perceived ExertionImproves (the measure goes up)3 studies294 people
Jump HeightImproves (the measure goes up)1 study145 people
Muscular EnduranceImproves (the measure goes up)1 study627 people
Blood glucoseChanges; see studies450 people
Breathing RateChanges; see studies146 people
Exercise CapacityImproves (the measure goes up)352 people
Oxygen UptakeImproves (the measure goes up)406 people
Respiratory Exchange RatioImproves (the measure goes up)362 people
Sprint Performance MetricsImproves (the measure goes up)396 people
StrengthImproves (the measure goes up)904 people

Electrolytes: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies 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 effect6 studies800 people

Studies that measured hydration maintenance during prolonged exercise

and 3 more on the Electrolytes page

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 effect5 studies600 people

Studies that measured endurance exercise performance preservation

and 2 more on the Electrolytes page

Green Tea Extract

  • Fat Oxidation
  • Heart Rate: improves
  • Oxygen Uptake: improves
Green Tea Extract: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Fat Oxidation

Mixed effect

5 studies31 people
Heart RateImproves (the measure goes down)1 study19 people

Studies that measured heart rate

Oxygen UptakeImproves (the measure goes up)38 people

Branched-Chain Amino Acids

  • Aerobic Exercise Metrics: improves
  • Blood glucose
  • Fat Oxidation: improves
Branched-Chain Amino Acids: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

Small Improvement

Improves (the measure goes up)Small effect3 studies235 people
Blood glucose

No effect

NoneNo effect7 people
Fat OxidationImproves (the measure goes up)1 study7 people
Blood Lactate (Exercise)Changes; see studies7 people
Fatigue SymptomsChanges; see studies218 people
Ketone BodiesImproves (the measure goes up)7 people

Ashwagandha

  • Aerobic Exercise Metrics: improves
  • Oxygen Uptake: improves
  • Blood glucose: improves
Ashwagandha: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

Moderate Improvement

Improves (the measure goes up)Moderate effect1 study226 people

Studies that measured aerobic exercise metrics

Oxygen UptakeImproves (the measure goes up)2 studies85 people
Blood glucoseImproves (the measure goes down)1 study40 people

Studies that measured blood glucose

Red Blood Cell CountImproves (the measure goes up)1 study40 people
White Blood Cell CountImproves (the measure goes up)1 study40 people

Studies that measured white blood cell count

Anaerobic CapacityImproves (the measure goes up)40 people
Body FatImproves (the measure goes down)40 people
Exercise CapacityImproves (the measure goes up)40 people
Fat OxidationImproves (the measure goes up)45 people
HematocritImproves (the measure goes up)40 people
HemoglobinImproves (the measure goes up)40 people
Muscle MassImproves (the measure goes up)40 people
Muscle SorenessImproves (the measure goes down)40 people
Power OutputImproves (the measure goes up)80 people
StrengthImproves (the measure goes up)198 people
UreaImproves (the measure goes up)40 people
vLDL-CImproves (the measure goes down)40 people
WeightImproves (the measure goes down)40 people

Taurine

  • Aerobic Exercise Metrics: improves
  • Anaerobic Capacity
  • Exercise Capacity: improves
Taurine: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

Small Improvement

Improves (the measure goes up)Small effect1 study308 people

Studies that measured aerobic exercise metrics

Anaerobic Capacity

No effect

NoneNo effect308 people
Exercise CapacityImproves (the measure goes up)1 study116 people
Muscular EnduranceImproves (the measure goes up)308 people
Power OutputImproves (the measure goes up)308 people

Sodium Bicarbonate

  • Aerobic Exercise Metrics: improves
  • Serum Bicarbonate: improves
  • Power Output: improves
Sodium Bicarbonate: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

Small Improvement

Improves (the measure goes up)Small effect22 people
Serum BicarbonateImproves (the measure goes up)26 studies215 people
Power OutputImproves (the measure goes up)6 studies10 people

Studies that measured power output

and 3 more on the Sodium Bicarbonate page

Blood AcidityChanges; see studies4 studies215 people
Rating of Perceived ExertionImproves (the measure goes up)4 studies6 people
Blood Lactate (Exercise)Changes; see studies2 studies215 people
Fat OxidationImproves (the measure goes up)1 study6 people
Heart RateImproves (the measure goes down)6 people
Oxygen UptakeImproves (the measure goes up)215 people

Nitrate

  • Aerobic Exercise Metrics: improves
  • Blood Lactate (Exercise)
  • Exercise Capacity: improves
Nitrate: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

Small Improvement

Improves (the measure goes up)Small effect20 people
Blood Lactate (Exercise)

No effect

NoneNo effect848 people
Exercise CapacityImproves (the measure goes up)5 studies604 people
Heart RateImproves (the measure goes down)2 studies11 people
Oxygen Cost of ExerciseImproves (the measure goes up)2 studies1,563 people
Peak power output (PPO)Improves (the measure goes up)1 study383 people
Power OutputImproves (the measure goes up)1 study1,062 people
Rating of Perceived ExertionImproves (the measure goes up)1 study974 people
Maximal isometric voluntary contractionImproves (the measure goes up)383 people
Oxygen UptakeImproves (the measure goes up)286 people

Rhodiola Rosea

  • Aerobic Exercise Metrics: improves
  • Depression Symptoms: improves
  • Cortisol: improves
Rhodiola Rosea: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

Small Improvement

Improves (the measure goes up)Small effect668 people
Depression SymptomsImproves (the measure goes down)4 studies18 people
CortisolImproves (the measure goes down)3 studies44 people
C-Reactive Protein (CRP)Improves (the measure goes down)1 study668 people

Studies that measured c-reactive protein (crp)

Total Antioxidant Capacity (TAC)Improves (the measure goes up)1 study668 people
WeightImproves (the measure goes down)1 study12 people
AlertnessImproves (the measure goes up)26 people
Anti-Oxidant Enzyme ProfileImproves (the measure goes up)26 people
Blood Lactate (Exercise)Changes; see studies668 people
Creatine KinaseChanges; see studies668 people
Fatigue SymptomsImproves (the measure goes down)30 people
Growth HormoneImproves (the measure goes up)26 people
Heart RateImproves (the measure goes down)44 people
Interleukin 6Improves (the measure goes down)668 people
Oxidative Stress BiomarkersImproves (the measure goes down)668 people
Power OutputImproves (the measure goes up)38 people
Rating of Perceived ExertionImproves (the measure goes up)18 people
Reaction TimeImproves (the measure goes up)38 people
Superoxide Dismutase ActivityImproves (the measure goes up)668 people
TestosteroneImproves (the measure goes up)26 people
Vigor/ActivityImproves (the measure goes up)18 people

Mitoquinone mesylate

  • Aerobic Exercise Performance: improves
Mitoquinone mesylate: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies 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 effect4 studies42 people

Tetraselmis Chuii

  • Aerobic Exercise Performance: improves
Tetraselmis Chuii: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies 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 effect3 studies50 people

Studies that measured aerobic exercise performance

Panax Ginseng (Korean Ginseng)

  • Blood Lactate (Exercise): improves
  • Oxygen Uptake: improves
  • Body Fat: improves
Panax Ginseng (Korean Ginseng): outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood Lactate (Exercise)

Small Decrease

Improves (the measure goes down)Small effect2 studies36 people

Studies that measured blood lactate (exercise)

Oxygen UptakeImproves (the measure goes up)2 studies105 people
Body FatImproves (the measure goes down)41 people
Exercise CapacityImproves (the measure goes up)28 people
Heart RateImproves (the measure goes down)105 people
Rating of Perceived ExertionImproves (the measure goes up)36 people
Respiratory Exchange RatioImproves (the measure goes up)36 people
WeightImproves (the measure goes down)41 people

Haskap Berry

  • Endurance Exercise Performance: improves
Haskap Berry: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies 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 effect2 studies30 people

Red Spinach Extract

  • Aerobic Exercise Performance: improves
Red Spinach Extract: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies 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 effect2 studies42 people

Ginger (Zingiber officinale)

  • Muscle Soreness: improves
  • Rating of Perceived Exertion: improves
Ginger (Zingiber officinale): outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Muscle Soreness

Small Improvement

Improves (the measure goes down)Small effect1 study25 people
Rating of Perceived ExertionImproves (the measure goes up)1 study25 people

Magnesium

  • Aerobic Exercise Metrics: improves
  • Blood glucose: improves
  • Muscle Oxygenation: improves
Magnesium: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

Moderate Improvement

Improves (the measure goes up)Moderate effect23 people
Blood glucoseImproves (the measure goes down)17 studies23 people
Muscle OxygenationImproves (the measure goes up)1 study23 people
InsulinChanges; see studies23 people

Capsaicin

  • Fat Oxidation: improves
  • Heart Rate: improves
  • Oxygen Uptake: improves
Capsaicin: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Fat Oxidation

Small Increase

Improves (the measure goes up)Small effect10 people
Heart RateImproves (the measure goes down)1 study10 people
Oxygen UptakeImproves (the measure goes up)10 people

Eleuthero

  • Blood glucose: improves
  • Rating of Perceived Exertion: improves
  • Fat Oxidation: improves
Eleuthero: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood glucose

Small Improvement

Improves (the measure goes down)Small effect9 people
Rating of Perceived ExertionImproves (the measure goes up)1 study9 people
Fat OxidationImproves (the measure goes up)9 people
Fatigue ResistanceImproves (the measure goes down)9 people

Astaxanthin

  • Aerobic Exercise Metrics: improves
  • Blood glucose: changes; see studies
  • Blood Lactate (Exercise): changes; see studies
Astaxanthin: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

Small Improvement

Improves (the measure goes up)Small effect53 people
Blood glucoseChanges; see studies1 study32 people
Blood Lactate (Exercise)Changes; see studies1 study53 people
Rating of Perceived ExertionImproves (the measure goes up)1 study32 people
Fat OxidationImproves (the measure goes up)21 people
Fatigue ResistanceChanges; see studies21 people
Free Fatty AcidsImproves (the measure goes up)32 people
Heart RateChanges; see studies32 people
InsulinChanges; see studies32 people
Oxygen Cost of ExerciseImproves (the measure goes up)32 people
Power OutputImproves (the measure goes up)21 people
Respiratory Exchange RatioImproves (the measure goes up)32 people

L-Carnitine

  • Aerobic Exercise Metrics
  • Blood Lactate (Exercise): changes; see studies
  • Power Output: improves
L-Carnitine: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect4 studies56 people
Blood Lactate (Exercise)Changes; see studies5 studies81 people
Power OutputImproves (the measure goes up)5 studies32 people
Fat OxidationImproves (the measure goes up)1 study5 people
Muscle Carnitine ContentImproves (the measure goes up)32 people

Vitamin C

  • Aerobic Exercise Metrics
  • Cortisol: improves
  • Oxidative Stress Biomarkers: improves
Vitamin C: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect2 studies68 people
CortisolImproves (the measure goes down)5 studies28 people
Oxidative Stress BiomarkersImproves (the measure goes down)5 studies35 people
Blood glucoseImproves (the measure goes down)3 studies28 people
Exercise-Induced OxidationChanges; see studies2 studies7 people
Uric AcidImproves (the measure goes down)2 studies28 people
Exercise AdaptationsImproves (the measure goes up)1 study15 people
Glycemic ControlImproves (the measure goes up)1 study21 people
Heart RateImproves (the measure goes down)1 study28 people
Interferon GammaImproves (the measure goes up)1 study28 people
Plasma Vitamin CImproves (the measure goes up)1 study28 people
Exercise-Induced Immune SuppressionImproves (the measure goes up)28 people
InsulinChanges; see studies28 people
Interleukin 10Improves (the measure goes up)28 people
Interleukin 2Improves (the measure goes up)28 people
Interleukin 6Improves (the measure goes down)28 people
Interleukin 8Changes; see studies28 people
Lymphocyte CountImproves (the measure goes up)28 people
Monocyte CountImproves (the measure goes up)28 people
Natural Killer Cell ContentImproves (the measure goes up)28 people
Neutrophil CountImproves (the measure goes up)28 people
Oxygen UptakeImproves (the measure goes up)15 people
Rating of Perceived ExertionImproves (the measure goes up)28 people

Exogenous Ketones

  • Aerobic Exercise Metrics
Exogenous Ketones: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect2 studies228 people

Iron

  • Aerobic Exercise Metrics
  • Exercise Capacity: improves
Iron: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect2 studies14 people
Exercise CapacityImproves (the measure goes up)1 study235 people

Vitamin E

  • Aerobic Exercise Metrics
  • Oxidative Stress Biomarkers: improves
  • Blood Lactate (Exercise): changes; see studies
Vitamin E: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect2 studies68 people
Oxidative Stress BiomarkersImproves (the measure goes down)3 studies68 people
Blood Lactate (Exercise)Changes; see studies30 people
CortisolImproves (the measure goes down)38 people
Heart RateImproves (the measure goes down)30 people
HomocysteineImproves (the measure goes down)38 people
Muscle DamageChanges; see studies30 people

Colostrum

  • Aerobic Exercise Metrics
  • Weight: improves
  • IGF-1: improves
Colostrum: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect2 studies137 people
WeightImproves (the measure goes down)5 studies108 people
IGF-1Improves (the measure goes up)2 studies58 people
Oxygen UptakeImproves (the measure goes up)2 studies117 people
Heart RateImproves (the measure goes down)1 study60 people
Intestinal PermeabilityImproves (the measure goes up)1 study30 people
Muscle MassImproves (the measure goes up)1 study48 people
Anaerobic CapacityImproves (the measure goes up)28 people
Blood Lactate (Exercise)Changes; see studies30 people
Body FatImproves (the measure goes down)48 people
Fat OxidationImproves (the measure goes up)30 people
Lactate ThresholdImproves (the measure goes up)60 people
Muscular EnduranceImproves (the measure goes up)20 people
Power OutputImproves (the measure goes up)77 people
Ventilatory ThresholdImproves (the measure goes up)29 people

Creatine

  • Aerobic Exercise Metrics
  • Power Output: improves
  • Weight: improves
Creatine: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect2 studies106 people
Power OutputImproves (the measure goes up)44 studies18 people
WeightImproves (the measure goes down)10 studies73 people
Oxygen UptakeImproves (the measure goes up)2 studies55 people
Fatigue ResistanceImproves (the measure goes down)55 people

Cordyceps

  • Aerobic Exercise Metrics
  • Oxygen Uptake: improves
Cordyceps: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect1 study22 people
Oxygen UptakeImproves (the measure goes up)1 study22 people

Velvet Antler

  • Aerobic Exercise Metrics
  • Testosterone: improves
  • Erythropoietin: improves
Velvet Antler: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect1 study38 people
TestosteroneImproves (the measure goes up)1 study38 people
ErythropoietinImproves (the measure goes up)38 people
IGF-1Improves (the measure goes up)38 people
Muscle MassImproves (the measure goes up)38 people
Power OutputImproves (the measure goes up)38 people
Red Blood Cell CountImproves (the measure goes up)38 people

Spirulina

  • Aerobic Exercise Metrics
  • Body Fat: improves
  • Muscular Endurance: improves
Spirulina: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect1 study100 people
Body FatImproves (the measure goes down)2 studies52 people
Muscular EnduranceImproves (the measure goes up)1 study9 people
Oxidative Stress BiomarkersImproves (the measure goes down)1 study9 people
Oxygen Cost of ExerciseImproves (the measure goes up)1 study11 people
Power OutputImproves (the measure goes up)1 study19 people
Treg CellsImproves (the measure goes up)1 study19 people
WeightImproves (the measure goes down)1 study52 people
Blood Lactate (Exercise)Changes; see studies19 people
CD8 LymphocytesImproves (the measure goes up)19 people
CognitionImproves (the measure goes up)18 people
Fat OxidationImproves (the measure goes up)9 people
Heart RateImproves (the measure goes down)63 people
HemoglobinImproves (the measure goes up)11 people
Natural Killer Cell ContentImproves (the measure goes up)19 people
Oxygen UptakeImproves (the measure goes up)63 people
Respiratory Exchange RatioImproves (the measure goes up)11 people
Stress Signs and SymptomsImproves (the measure goes down)18 people
T Cell CountImproves (the measure goes up)19 people

D-Ribose

  • Aerobic Exercise Metrics
  • Power Output: improves
  • ATP Regeneration: improves
D-Ribose: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect1 study31 people
Power OutputImproves (the measure goes up)3 studies26 people
ATP RegenerationImproves (the measure goes up)2 studies8 people
Blood glucoseImproves (the measure goes down)1 study26 people
Blood Urea NitrogenImproves (the measure goes up)26 people
Creatine KinaseChanges; see studies26 people
Cycling PerformanceImproves (the measure goes up)8 people
Rating of Perceived ExertionImproves (the measure goes up)26 people

Black Ginger

  • Aerobic Exercise Metrics
  • Power Output
  • Rating of Perceived Exertion: improves
Black Ginger: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect1 study17 people
Power Output

No effect

NoneNo effect17 people
Rating of Perceived ExertionImproves (the measure goes up)17 people

Citrulline

  • Aerobic Exercise Metrics
  • Blood Lactate (Exercise): changes; see studies
  • Heart Rate: improves
Citrulline: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect1 study101 people
Blood Lactate (Exercise)Changes; see studies6 studies27 people
Heart RateImproves (the measure goes down)4 studies37 people
Power OutputImproves (the measure goes up)3 studies64 people
Muscular EnduranceImproves (the measure goes up)2 studies22 people
InsulinChanges; see studies1 study17 people
Plasma ArginineImproves (the measure goes up)1 study22 people
Rating of Perceived ExertionImproves (the measure goes up)1 study20 people
Blood glucoseImproves (the measure goes down)27 people
Fatigue SymptomsImproves (the measure goes down)17 people
Muscle OxygenationImproves (the measure goes up)10 people

Fish Oil

  • Body Fat
  • Oxygen Cost of Exercise: improves
  • Oxygen Uptake: improves
Fish Oil: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Body Fat

No effect

NoneNo effect34 people
Oxygen Cost of ExerciseImproves (the measure goes up)1 study26 people
Oxygen UptakeImproves (the measure goes up)34 people
Power OutputImproves (the measure goes up)26 people

Coenzyme Q10

  • Aerobic Exercise Metrics
  • Oxidative Stress Biomarkers: improves
  • Power Output: improves
Coenzyme Q10: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect15 people
Oxidative Stress BiomarkersImproves (the measure goes down)9 studies15 people
Power OutputImproves (the measure goes up)1 study15 people
Anaerobic CapacityImproves (the measure goes up)15 people
Heart RateImproves (the measure goes down)15 people
Lactate ThresholdImproves (the measure goes up)15 people
Rating of Perceived ExertionImproves (the measure goes up)15 people

L-Tyrosine

  • Adrenocorticotropic Hormone
  • Heart Rate: improves
  • Rating of Perceived Exertion: improves
L-Tyrosine: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Adrenocorticotropic Hormone

No effect

NoneNo effect20 people
Heart RateImproves (the measure goes down)5 studies9 people
Rating of Perceived ExertionImproves (the measure goes up)3 studies9 people
Blood glucoseImproves (the measure goes down)1 study29 people
Aerobic Exercise MetricsImproves (the measure goes up)29 people
Blood Lactate (Exercise)Changes; see studies29 people
CortisolImproves (the measure goes down)20 people
Fatigue SymptomsImproves (the measure goes down)20 people
Free Fatty AcidsImproves (the measure goes up)9 people
Muscular EnduranceImproves (the measure goes up)20 people
Oxygen UptakeImproves (the measure goes up)9 people
StrengthImproves (the measure goes up)20 people

Umckaloabo

  • Aerobic Exercise Metrics
  • Immunoglobulin A: improves
  • Exercise-Induced Immune Suppression: improves
Umckaloabo: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect25 people
Immunoglobulin AImproves (the measure goes up)1 study25 people
Exercise-Induced Immune SuppressionImproves (the measure goes up)25 people

Conjugated Linoleic Acid

  • Blood glucose
  • Body Fat: improves
Conjugated Linoleic Acid: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood glucose

No effect

NoneNo effect44 people
Body FatImproves (the measure goes down)7 studies44 people

Theanine

  • Aerobic Exercise Metrics
  • Interleukin 4: improves
  • Blood Lactate (Exercise): changes; see studies
Theanine: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect20 people
Interleukin 4Improves (the measure goes up)1 study20 people
Blood Lactate (Exercise)Changes; see studies20 people
Interferon GammaImproves (the measure goes up)20 people
Interleukin 10Improves (the measure goes up)20 people
Interleukin 2Improves (the measure goes up)20 people
Lymphocyte CountImproves (the measure goes up)20 people
Natural Killer Cell ContentImproves (the measure goes up)20 people
Power OutputImproves (the measure goes up)20 people
Total Antioxidant Capacity (TAC)Improves (the measure goes up)20 people
Treg CellsImproves (the measure goes up)20 people
White Blood Cell CountImproves (the measure goes up)20 people

Echinacea

  • Aerobic Exercise Metrics
  • Hemoglobin: improves
  • Erythropoietin: improves
Echinacea: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect107 people
HemoglobinImproves (the measure goes up)1 study107 people
ErythropoietinImproves (the measure goes up)107 people
HematocritImproves (the measure goes up)107 people

Whey Protein

  • Heart Rate
  • Weight: improves
  • Peak power output (PPO): improves
Whey Protein: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Heart Rate

No effect

NoneNo effect48 people
WeightImproves (the measure goes down)4 studies40 people
Peak power output (PPO)Improves (the measure goes up)48 people
Power OutputImproves (the measure goes up)84 people
Rating of Perceived ExertionImproves (the measure goes up)66 people
Respiratory Exchange RatioImproves (the measure goes up)48 people

Tart Cherry Juice

  • Aerobic Exercise Metrics
  • Nitric Oxide: improves
  • Anaerobic Capacity: improves
Tart Cherry Juice: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect10 people
Nitric OxideImproves (the measure goes up)1 study10 people
Anaerobic CapacityImproves (the measure goes up)10 people
Blood Lactate (Exercise)Changes; see studies10 people
Oxygen UptakeImproves (the measure goes up)10 people
Power OutputImproves (the measure goes up)10 people
Vascular FunctionImproves (the measure goes up)10 people

Beta-Alanine

  • Aerobic Exercise Metrics
  • Muscular Endurance: improves
  • Anaerobic Exercise Performance: improves
Beta-Alanine: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise Metrics

No effect

NoneNo effect115 people
Muscular EnduranceImproves (the measure goes up)5 studies39 people
Anaerobic Exercise PerformanceImproves (the measure goes up)3 studies1,461 people
Oxygen UptakeImproves (the measure goes up)1 study39 people
Blood Lactate (Exercise)Changes; see studies109 people
Fatigue SymptomsChanges; see studies22 people
Heart RateChanges; see studies39 people
Rating of Perceived ExertionImproves (the measure goes up)48 people

Cocoa Extract

  • Adrenocorticotropic Hormone
  • Oxidative Stress Biomarkers: improves
  • Fat Oxidation: improves
Cocoa Extract: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Adrenocorticotropic Hormone

No effect

NoneNo effect20 people
Oxidative Stress BiomarkersImproves (the measure goes down)2 studies28 people
Fat OxidationImproves (the measure goes up)1 study20 people
Aerobic Exercise MetricsImproves (the measure goes up)28 people
CortisolImproves (the measure goes down)20 people
Exercise-Induced OxidationChanges; see studies20 people
GlucagonChanges; see studies20 people
Heart RateImproves (the measure goes down)20 people
InsulinChanges; see studies20 people
Interleukin 10Improves (the measure goes up)20 people
Interleukin 6Improves (the measure goes down)20 people
Neutrophil CountImproves (the measure goes up)20 people
Plasma Vitamin EImproves (the measure goes up)28 people
Rating of Perceived ExertionImproves (the measure goes up)20 people

Terminalia Arjuna

  • Anaerobic Capacity
  • Power Output: improves
Terminalia Arjuna: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Anaerobic Capacity

No effect

NoneNo effect40 people
Power OutputImproves (the measure goes up)40 people

Phenylethylamine

  • Exercise-Induced Euphoria: improves
Phenylethylamine: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies 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
ZMA: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies 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 effect50 people

Bitter orange

  • Carbohydrate Oxidation: improves
Bitter orange: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Carbohydrate OxidationImproves (the measure goes up)6 studies66 people

Cannabis

  • Heart Rate: improves
  • Aerobic Exercise Metrics: worsens
  • Lung Function: improves
Cannabis: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Heart RateImproves (the measure goes down)4 studies32 people
Aerobic Exercise Metrics

Small Detriment

Worsens (the measure goes down)Small effect1 study32 people
Lung FunctionImproves (the measure goes up)1 study12 people
Blood FlowImproves (the measure goes up)20 people
Oxygen UptakeImproves (the measure goes up)12 people
Power OutputImproves (the measure goes up)20 people

Tongkat Ali

  • Strength: improves
  • Aerobic Exercise Metrics: worsens
  • Body Fat: changes; see studies
Tongkat Ali: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
StrengthImproves (the measure goes up)2 studies45 people
Aerobic Exercise Metrics

Small Detriment

Worsens (the measure goes down)Small effect45 people
Body FatChanges; see studies45 people
Waist circumferenceChanges; see studies45 people

Glutamine

  • Ammonia: changes; see studies
Glutamine: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
AmmoniaChanges; see studies1 study15 people

Nicotinamide Mononucleotide

  • Anaerobic Capacity: improves
Nicotinamide Mononucleotide: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Anaerobic CapacityImproves (the measure goes up)1 study1 person

Resveratrol

  • Aerobic Exercise Metrics: improves
Resveratrol: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise MetricsImproves (the measure goes up)1 study43 people

Pyruvate

  • Aerobic Exercise Metrics: improves
Pyruvate: outcomes studied for Aerobic Exercise Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aerobic Exercise MetricsImproves (the measure goes up)1 study7 people

Key findings

  • Aerobic Exercise MetricsCaffeineImproves (the measure goes up)
  • Hydration Maintenance During Prolonged ExerciseElectrolytesImproves (the measure goes up)
  • Fat OxidationGreen Tea Extract

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

See the full protocol

Shop the evidence-backed picks

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The supplements graded A or B for Aerobic Exercise Performance. Each opens third-party tested products for that supplement.

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  • Grade B
  • Grade B
  • Grade B
  • Grade B
  • Grade B

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Studies cited

9 studies from PubMed

  1. Potential ergogenic activity of grape juice in runnersAppl Physiol Nutr Metab · PMID 26288392
  2. A single dose of purple grape juice improves physical performance and antioxidant activity in runners: a randomized, crossover, double-blind, placebo studyEur J Nutr · PMID 31732851
  3. Effect of blueberry ingestion on natural killer cell counts, oxidative stress, and inflammation prior to and after 2.5 h of runningAppl Physiol Nutr Metab · PMID 22111516
  4. Response of VO(2max) to dark chocolate consumption in healthy subjects: A systematic review and meta-analysis of randomized controlled trials.Physiol Rep · PMID 40000922
  5. Effects of protein supplementation on body composition, physiological adaptations, and performance during endurance training: a systematic review and meta-analysis.Front Nutr · PMID 40851900
  6. Impact of a 6-week non-energy-restricted ketogenic diet on physical fitness, body composition and biochemical parameters in healthy adultsNutr Metab · PMID 28239404
  7. 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.J Therm Biol · PMID 34503795
  8. Can molecular hydrogen supplementation reduce exercise-induced oxidative stress in healthy adults? A systematic review and meta-analysis.Front Nutr · PMID 38590828
  9. Glycogen supercompensation in skeletal muscle after cycling or running followed by a high carbohydrate intake the following days: a systematic review and meta-analysis.Front Physiol · PMID 40901614