Abstract
Objective: Cordyceps sinensis (CS) is a popular natural Chinese herbal medicine for invigoration, health preservation and reducing fatigue. Its natural substance has been prepared as a fermentation product of a specific strain of Cordyceps sinensis (Cs-4). Our objective was to assess the effect of Cs-4 on the exercise capacity of the healthy elderly people in a randomized, double-blind, placebo-controlled trial.Methods: Thirty-seven healthy, elderly Chinese subjects were randomly assigned to receive either Cs-4 (3 g/ day) or identical placebo capsules. Their exercise performance was tested before and after 6 weeks of treatment with a symptom-limited, incremental work rate protocol on a cycle ergometer. Maximum oxygen uptake (VO2max) was measured using a metabolic chart. Anaerobic thresholds (VO2θ) were identified by two observers using plots of both VCO2 vs VO2 and VE/VO2 vs time.Results: After taking Cs-4 for 6 weeks, VO2max (1.88 ±0.13 to 2.00 ±0.14 L/min;P = 0.050) and VO2θ (1.15 ±0.07 to 1.30 ±0.09 L/min;P = 0.012) were significantly increased, whereas after placebo application they were unchanged.Conclusion: These findings support the belief held in China that Cs-4 could improve oxygen uptake or aerobic capacity and ventilation function and resistance to fatigue of elderly people in exercise.
Similar content being viewed by others
References
Zhu JS, GM Halpern, K Jones. The scientific rediscov-ery of an ancient Chinese herbal medicine: Cordyceps sinensis (Part I). J Alternative Complementary Med 1998;4(3): 289–303.
Zhu JS, GM Halpern, K Jones. The scientific rediscov-ery of an ancient Chinese herbal medicine: Cordyceps sinensis (Part II). J Alternative Complementary Med 1998;4(4): 429–457.
Jiang JC, Gao SF. Summary of treatment of 37 chronic renal dysfunction patients with Jinshuibao (Cs-4). J Ad-ministration TCM 1995;5: 23–24.
Wang WQ. Observations of effects of Jinshuibao (Cs-4) on Superoxide dismutase activity in patients with chronic obstructive pulmonary diseases (COPD). J Administra-tion TCM 1995; 5: 24.
Zhang ZJ, Huang WQ, Liao SZ. Clinical and laboratory studies of Jinshuibao (Cs-4) in scavenging oxygen free radicals in elderly senescent patients with deficiency syn-drome. J Administration TCM 1995;5: 14–18.
Dai GW, Bao TT, Xu CF, et al. Enhanced hepatic ener-gy state in mice using after administration of a fermenta-tion product of Cordyceps Cs-4. Med Sci Sports Exercise 1999;31(5): S120.
Chen DG. Effects of Jinshuibao (Cs-4) capsule on quality of life of patients with chronic heart failure. J Adminis-tration TCM 1995;5: 40–43.
Lei ML, Wang JP. Jinshuibao (Cs-4) capsule as auxiliary treatment for acute stage pulmonary heart disease: Anal-ysis of therapeutic effect of 50 clinical cases. J Adminis-tration TCM 1995; 5: 28–29.
Jones N, E Campbell. Clinical exercise testing. Philadelphia: W. B. Saunders, 1982: 249.
Cooper C, W Beaver, D Cooper, et al. Factors affecting the components of the alveolar CO2 output-O2 uptake re-lationship during incremental exercise in man. Exp Physi-ol 1992;77: 51–64.
Wasserman K, W Stringer, R Casaburi, et al. Determi-nation of the anaerobic threshold by gas exchange: bio-chemical considerations, methodology and physiological effects. Z Kardiol 1994;83: 1–12.
Kiho T, J Hui, A Yamane, et al. Polysaccharides in fun-gi. X X XI. Hypoglycemic activity and chemical proper-ties of a polysaccharide from the cultural mycelium of Cordyceps sinensis. Biol Pharm Bull 1993; 16: 1291–1293.
Kiho T, A Yamane, J Hui, et al. Polysaccharides in fun-gi. X X X VI. Hypoglycemic activity of a polysaccharide (CS-F30) from the cultural mycelium of Cordyceps sinen-sis and its effect on glucose metabolism in mouse liver. Biol Pharm Bull 1996;19: 294–296.
Ohmori T, K Tamura, S Tsuru, et al. Antitumor activi-ty of protein-bound polysaccharide from Cordyceps in mice. Japan J Cancer Res 1986;77: 1258–1263.
Zheng F, Tian J, Li LS. Therapeutic effects and mecha-nisms investigation of Cordyceps sinensis in treatment of nephrotoxic acute renal failure. Chin J Integr Tradit West Med 1992:12(5): 288–291.
Bao TT. Further study of pharmacological functions of Jinshuibao (Cs-4). J Administration TCM (Suppl) 1995)5: 6.
Lou YQ, Liao XM, Lu YC. Cardiovascular pharmaco-logical studies of ethanol extracts of Cordyceps mycelia and Cordyceps fermentation solution. Chin Herbal Med 1986;17(5): 17–21.
Xu R, Peng X. Effects of Cordyceps sinensis on natural killer activity and formation of Lewis lung carcinoma col-onies. Bull Hunan Med College 198; 13: 107–111.
Chen SZ, Chu JZ. NMR and IR studies on the character-ization of cordycepin and 2-deoxyadenosine. Chin J Anti-biotics 1996;21: 9–12.
Yu DQ, Feng XZ, Liu GT, et al. Cordyceps sinensis. In: Advanced Study for Chinese Herbal Medicine. Institute of Material Medica ed. Beijing: Beijing Medical University and Chinese Peking Union Medical University Press, 1995: 91–113.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Yi, X., Xi-zhen, H. & Jia-shi, Z. Randomized double-blind placebo-controlled clinical trial and assessment of fermentation product of Cordyceps sinensis (Cs-4) in enhancing aerobic capacity and respiratory function of the healthy elderly volunteers. Chin. J. Integr. Med. 10, 187–192 (2004). https://doi.org/10.1007/BF02836405
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02836405