The effects of short-term alpha-ketoisocaproic acid supplementation on exercise performance: a randomized controlled trial
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This study examined the efficacy of short-term alpha-ketoisocaproic acid (KIC) monotherapy supplementation immediately prior to moderate- and high-intensity single bout exercise performance.
Thirteen resistance trained men (22.8 ± 2.5 years; 81.6 ± 12.6 kg) participated in a prospective, randomized, double blind, placebo controlled crossover experiment. Each subject completed one familiarization and four experimental trials with either 1.5 g or 9.0 g of either KIC or isocaloric placebo control (CONT), following an overnight fast. During the experimental trials, subjects consumed the supplement regimen and then completed leg and chest press repetitions to failure and 30 s of repeated maximal vertical jumping (VJ) on a force plate.
In this treatment regimen, no significant differences (p > 0.05) were observed between dosages or conditions for leg press (low CONT = 19.8 ± 0.4 SEM, low KIC = 21.0 ± 0.5, high CONT = 20.1 ± 0.3, high KIC = 22.4 ± 0.6) or chest press (low CONT = 18.1 ± 0.2, low KIC = 18.5 ± 0.3, high CONT = 17.8 ± 0.3, high KIC = 18.0 ± 0.3) repetitions to failure. Additionally, no significant differences were observed for peak or mean VJ performance (low CONT = 34.6 ± 2.2 cm and 28.6 ± 1.8 cm; low KIC = 35.6 ± 2.0 cm and 29.4 ± 1.6 cm; high CONT = 35.7 ± 2.1 cm and 29.4 ± 1.7 cm; high KIC = 34.8 ± 2.3 cm and 28.3 ± 1.7 cm), respectively.
Based on our results, we conclude that acute KIC ingestion by itself with no other ergogenic supplement, immediately prior to exercise, did not alter moderate- nor high-intensity single-bout exercise performance in young resistance-trained males. This study addressed single-dose single-bout performance events; the efficacy of KIC monotherapy supplementation on repeated high-intensity exercise bouts and long-term exercise training remains unknown.
KeywordsExercise Performance Vertical Jump Maple Syrup Urine Disease Vertical Jump Height Vertical Jump Test
More than 70% of athletes report using nutritional supplements to improve health and/or sports performance,  however, few supplements have shown ergogenic potential under controlled experimental conditions . Alpha-ketoisocaproic acid (KIC), the ketoacid of leucine, has been shown to enhance high intensity exercise performance when consumed in combination with glycine and L-arginine (GAKIC) [6, 26], and reduce exercise induced muscle damage and preserve skeletal muscle force production when ingested with β-hydroxy-β-methylbutyrate (HMB)  However, the possibility that lone KIC supplementation augments exercise performance has not been previously explored.
With moderate- and high-intensity exercise, factors such as total energy supply or local muscle fatigue may limit maximal anaerobic power  through reduced force output in skeletal muscle . Theoretically, supplemental KIC may enhance exercise performance by 1) promoting total muscle energy supply, [5, 11, 28] 2) attenuating NH3 accumulation, [15, 21] 3) and/or reducing exercise induced muscle damage . For example, KIC administration is purported to spare glucose utilization by skeletal muscle, possibly by inhibiting glycogen deposition and/or the pyruvate dehydrogenase enzyme complex in skeletal muscle [5, 7]. Further, the liver is capable of converting KIC to ketone bodies [11, 28], thus increasing the potential energy supply during exercise . Additionally, KIC is readily aminated to leucine, via leucine dehydrogenase and/or branched chain amino acid transferase at the expense of NH3, in a variety of tissues including skeletal muscle, [14, 15, 21] which may ultimately decrease fatigue and preserve skeletal muscle force production during intense exercise .
Although KIC supplementation has the potential to augment moderate- and high-intensity exercise performance, an effective dosage of KIC has not been determined. We have previously reported that serum KIC concentrations increase 150–300% following ingestion of 1.5 g–9.0 g KIC . Therefore, the purpose of this study was to test the efficacy of supplementing both a low (1.5 g) and high (9.0 g) dosage of KIC immediately prior to single bout exercise performance. We hypothesized that supplemental KIC would improve both moderate- and high-intensity muscle performance, compared to placebo, and that a higher dose would have more pronounced results than a lower dose of KIC.
Thirteen males (22.8 ± 2.5 years; 81.6 ± 12.6 kg; 16.7% body fat) volunteered from the general University population. The number of participants exceeded that indicated by an a priori power analysis (β = 0.80, α = 0.05). To be included, subjects must have participated in upper and lower body resistance training a minimum of three days week-1 for the previous two months and been accustomed to one-repetition maximum (1RM) testing. Subjects were excluded if they were a competitive athlete, had taken any supplement intended to improve muscle performance during the previous month, or self-reported a diagnosis of diabetes mellitus, aminoacidurias, maple syrup urine disease, renal failure, muscle wasting, hypertension, abdominal radiotherapy, intestinal resection, or acute illness. All study participants signed a written informed consent, approved by the University Institutional Review Board.
In our study, no more than two trials were performed per week, with a minimum of 72 hours separating sessions. Participants were instructed to continue their normal resistance-training program; however, a minimum of 48 hours layoff from resistance exercise was required prior to each experimental trial. No additional attempt was made to control outside activity other than to request they perform their normal daily activities. Additionally, each experimental trial was conducted following a 10-hour overnight fast to account for the possible influence of energy intake on exercise performance.
During the first laboratory visit, anthropometric measurements (body mass and body composition) were collected. Body mass was measured on a calibrated medical scale. Body composition was determined using the 7-site skinfold method . Additionally, a 1RM was performed on leg press and chest press exercise machines (Med-X Corporation, Ocala, FL) according to standard protocol . The 1RM results were used to individualize load assignments for subsequent leg press and chest press tests at 50% 1RM. Following 1RM testing, subjects performed three familiarization tests, a 1) 50% 1RM leg press test, 2) 50% 1RM chest press test, and 3) 30 s repeated maximal vertical jump (VJ) test on a triaxial force plate (Bertec Corporation, Columbus, OH).
During experimental trials, subjects performed the 50% 1RM leg press and chest press test, with pre-determined loads, and the 30 s repeated VJ test. Each test was separated by five minutes to offset the possible impact of fatigue on performance results [20, 24]. Continuous verbal encouragement was given during all performance testing. A description of each test follows.
50% 1RM Tests
For the 50% 1RM test, participants performed chest press and leg press repetitions to failure at a speed of 15 repetitions min-1, to the cadence of a metronome . The number of repetitions completed for each test was used for statistical analyses.
30 s Repeated Vertical Jump Test
A standardized warm-up of five maximal jumps followed by a 1-minute rest period preceded VJ testing. For the VJ test, subjects were instructed to jump as high as possible for 30 seconds with self-selected jumping form, while minimizing ground contact . Ground reaction force was recorded using the DATAPAC 2000 analog data acquisition, processing, and analysis system (Run Technologies, Laguana Hills, CA). Peak and mean VJ height, total work,  and work decrement  were used for statistical analyses.
Ketoisocaproic acid and placebo (isocaloric sucrose) were packed in identical 500 mg gelatin capsules and a blinding code was placed on each supplement. Supplement capsules for each treatment dose were consumed all at once with sugar-free sweetened and flavored water.
The SPSS 11.0 statistical package was used for all statistical analyses. Separate 2 (condition) × 2 (dose) repeated measures ANOVAs were run to determine differences in the outcome measures (total number of repetitions for the 50% 1RM tests and peak VJ height, mean VJ height, total work, and work decrement for the 30 s VJ test) in this investigation. An alpha level of p ≤ 0.05 was selected as the criteria for statistical significance.
During the study, two subjects reported gastrointestinal distress during both the high dose sucrose placebo and high dose KIC trials. The performance of these two subjects was analyzed separately and appeared consistent with the remaining subjects. Separate data analyses were performed with and without (n = 11) these subjects and the outcomes were consistent; therefore, the data from all subjects (n = 13) was used for statistical analyses. No further side-effects were reported for either dose of KIC or placebo.
50% 1RM Tests
30 s Vertical Jump Test
We designed our study to determine the efficacy of consuming either a low (1.5 g) or high (9.0 g) dose of KIC immediately prior to moderate- and high-intensity single bout exercise performance. Contrary to our hypothesis, KIC ingestion did not improve exercise performance, at either dose. Although there are no published reports documenting the efficacy of lone KIC supplementation on moderate- or high-intensity exercise performance, previous studies have shown that 3.2 g KIC given in combination with 6.0 g glycine and 2.0 g L-arginine (GAKIC) enhanced high-intensity exercise performance [6, 26].
The inconsistency of our findings with previous GAKIC studies [6, 26] may, be due in-part to the differences in exercise protocols. For example, Buford and Koch  observed a delay in fatigue between repeated high-intensity 10 s maximal cycling bouts, performed after GAKIC ingestion. Additionally, Stevens et al.  reported that GAKIC enhanced isokinetic peak torque and total work, and delayed both intra- and inter-set fatigue during a repeated 35-repetitions (90° sec-1) maximal isokinetic knee extension protocol. Further, van Someren et al.  reported that KIC + HMB reduced skeletal muscle damage following repeated bouts of resistance exercise. In contrast to previous studies, [6, 26, 27] we examined the efficacy of administering lone KIC prior to single bouts of exercise and observed no alterations in exercise performance attributable to KIC. Our results suggest that repeated high-intensity exercise bouts may be necessary for the prospective ergogenic effects of KIC to become apparent, as KIC potentially 1) reduces skeletal muscle NH3 concentrations,  2) alters anaerobic energetics, [5, 28] and/or 3) attenuates exercise induced muscle damage . Future research evaluating the effects of KIC administration prior to repeated high-intensity exercise bouts may assist in delineating the ergogenic potential of KIC.
Alternatively, our results may suggest that the previously reported ergogenic effects of GAKIC are due to the inclusion of glycine and/or L-arginine in the GAKIC formulation. Diets supplemented with 1% glycine and 2% L-arginine have been shown to increase intramuscular creatine phosphate concentrations in laboratory animals , although, these results have not been verified in humans. Additionally, orally ingested L-arginine has been shown to improve exercise performance in cardiovascular disease patients [17, 23], possibly by upregulating nitric oxide dependent skeletal muscle vasodilation . Schaefer and Piquard  have also reported that a 3 g arginine infusion reduced both blood lactate and NH3 peak concentrations during cardiovascular exercise, suggesting that L-arginine has the potential to augment exercise performance in healthy individuals. To our knowledge, no previous research has compared the metabolic responses to KIC, glycine, and/or L-arginine supplementation prior to high-intensity exercise.
In theory, short-term KIC supplementation may acutely enhance exercise performance through a variety of mechanisms. However, our results demonstrate that ingestion of either a low (1.5 g) or high (9.0 g) dose of monotherapy KIC prior to exercise does not alter moderate- or high-intensity exercise performance. The efficacy of KIC monotherapy supplementation prior to repeated high-intensity exercise bouts and long-term exercise training remains unknown.
The authors thank the subjects who participated in this study, which was funded by the University of Florida.
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