Write your message
Volume 12, Issue 1 (6-2022)                   cmja 2022, 12(1): 56-69 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Irani M, Afroundeh R, Birar A. Effect of 8 Weeks of Resistance Training Combined With Pomegranate Extract Supplementation on Resting Metabolic Rate, Hypertrophy, and Muscle Strength of Inactive Male College Students. cmja 2022; 12 (1) :56-69
URL: http://cmja.arakmu.ac.ir/article-1-841-en.html
1- Department of Exercise Physiology, Faculty of Education and Phychology, University of Mohaghegh Ardabili, Ardabil, Iran.
2- Department of Exercise Physiology, Faculty of Education and Phychology, University of Mohaghegh Ardabili, Ardabil, Iran. , afroundeh@gmail.com
Full-Text [PDF 5869 kb]   (706 Downloads)     |   Abstract (HTML)  (2340 Views)
Full-Text:   (1238 Views)
Introduction
High body weight, which is the result of increased body fat percentage due to inactivity, is associated with a variety of chronic diseases such as cardiovascular diseases, diabetes, cancer, and even death. Therefore, the use of appropriate strategies to reduce body weight and body fat percentage is of great importance. Exercise is one of the best ways for weight loss, which is done alone or in combination with a dietary regime. The use of supplements along with exercise can have more benefits. 
The positive effects of pomegranate are attributed to the high concentration of nitrate and polyphenolic compounds. Consumption of pomegranate extract along with endurance training can improve blood flow, increase resting metabolism, and reduce weight. However, the effect of its consumption along with resistance training on body composition and weight control has not been studied. In resistance training, the phosphagen system and anaerobic glycolysis have a greater contribution in energy production and the resources depleted during training are recycled at the time of resting. Therefore, it is possible that increased blood flow by consuming pomegranate extract can increase oxygen debt, a part of which is spent on phosphagen recycling and lactate excretion. On the other hand, the muscle protein synthesis is improved by delivering more essential amino acids to the muscle; consumption of pomegranate extract can help it by improving blood flow. Considering this hypothesis, this study aims to investigate the effect of 8 weeks of resistance training with pomegranate extract supplementation on resting metabolic rate, hypertrophy, and muscle strength of inactive male college students. 
Methods 
In this quasi-experimental study, 42 inactive male college students participated voluntarily after signing a written informed consent from. They were randomly divided into four groups: resistance training (n=11), resistance training + supplementation (n=11), supplementation (n=10) and control (n=10). The resistance training program was performed for 8 weeks, three sessions per week and included two movements for the upper body (barbell chest press and barbell shoulder press) and two movements for the lower body (leg extension and leg press with machine). The subjects in the resistance training + supplementation group and the supplementation group consumed 100 mL of pomegranate extract half an hour before the start of training sessions, while the control group did not participate in training. Body fat percentage of the subjects was calculated by measuring the thickness of subcutaneous fat in chest, abdomen and hip using a Caliper (LB RH159 Harpenden Skinfold, England) with an accuracy of 0.2 mm and based on Jackson & Pollock equation. For measuring the muscular hypertrophy (hip circumference), the distance from the large prominent point of the femur to the medial epicondyle of the femur was measured in standing position. Then, the midpoint of this distance was determined. The hip circumference was measured horizontally from this point. The maximum strength in lower body muscles and resting metabolic rate were also measured. Data analysis was performed using one-way analysis of variance with least significant difference post hoc test and paired t-test considering a significance level of P≤0.05. 
Results 
The results showed that the rate of muscle hypertrophy (hip circumference) increased significantly after 8 weeks of resistance training alone and resistance training plus pomegranate supplementation, which was higher in the supplementation training + supplementation group (P=0.001). The maximum strength in lower body muscles also increased significantly after intervention in two groups of resistance training and resistance training + supplementation (P=0.001). Body fat percentage decreased significantly in the resistance training + supplementation group (P=0.03). The anti-obesity mechanism of pomegranate extract includes inhibition of pancreatic lipase enzyme activity, suppression and prevention of energy intake, and having antioxidant effects. Another possible reason for reduction of the body fat percentage is the increase in hormones. Elevated catecholamines especially epinephrine is an important feature of resistance training which causes lipolysis and is primarily responsible for the release of free fatty acids from adipose tissue. 
Discussion 
In the present study, no significant change in body fat percentage was observed in two groups of resistance training and pomegranate extract supplementation. The 8-week period might not be sufficient for the effect of training alone or pomegranate extract supplementation alone; perhaps a longer duration is needed. Moreover, no significant change was observed in resting metabolism of any study groups (P>0.05). An interesting result was that the amount of muscle hypertrophy was higher in the group that consumed pomegranate extract along with performing resistance training; as a result, the study hypothesis was confirmed. However, more laboratory studies are needed. According to the results of the present study, it can be concluded that the combination of resistance training with pomegranate extract supplementation increases the muscle strength and hypertrophy in young men.
Ethical Considerations
Compliance with ethical guidelines

This study was approved by the ethics committee of Ardabil University of Medical Sciences (Code: IR.ARUMS.REC.1398.054).
Funding
This article was extracted from a MA. thesis of first author in Department of Exercise Physiology, Faculty of Education and Phychology, University of Mohaghegh Ardabili, Ardabil.
Authors' contributions
All authors equally contributed to preparing this article.
Conflicts of interest
There is no conflict of interest.
Acknowledgements
The authors would like to thank the University of Mohaghegh Ardabili for the financial support and all students participated in the study for their cooperation.

 
References
  1. Carlson SA, Fulton JE, Pratt M, Yang Z, Adams EK. Inadequate physical activity and health care expenditures in the United States. Progress in Cardiovascular Diseases. 2015; 57(4):315-23. [DOI:10.1016/j.pcad.2014.08.002] [PMID] [PMCID]
  2. Piaggi P, Thearle MS, Krakoff J, Votruba SB. Higher daily energy expenditure and respiratory quotient, rather than fat-free mass, independently determine greater ad libitum overeating. The Journal of Clinical Endocrinology & Metabolism. 2015; 100(8):3011-20. [DOI:10.1210/jc.2015-2164] [PMID] [PMCID]
  3. Cercato C, Fonseca FA. Cardiovascular risk and obesity. Diabetology & Metabolic Syndrome. 2019; 11(1):1-5. [DOI:10.1186/s13098-019-0468-0] [PMID] [PMCID]
  4. Cantley NW, Lonnen K, Kyrou I, Tahrani AA, Kahal H. The association between overweight/obesity and double diabetes in adults with type 1 diabetes; a cross-sectional study. BMC Endocrine Disorders. 2021; 21(1):1-7. [DOI:10.1186/s12902-021-00851-1] [PMID] [PMCID]
  5. Avgerinos KI, Spyrou N, Mantzoros CS, Dalamaga M. Obesity and cancer risk: Emerging biological mechanisms and perspectives. Metabolism. 2019; 92:121-35. [DOI:10.1016/j.metabol.2018.11.001] [PMID]
  6. Abdelaal M, le Roux CW, Docherty NG. Morbidity and mortality associated with obesity. Annals of Translational Medicine. 2017; 5(7):161. [DOI:10.21037/atm.2017.03.107] [PMID] [PMCID]
  7. Paravidino VB, Mediano MF, Sichieri R. Physical Exercise, Energy Expenditure and Weight Loss: An Assumption not Always Observed in Practice. International Journal of Cardiovascular Sciences. 2021. [DOI:10.36660/ijcs.20200090]
  8. Soares MJ, Müller MJ. Resting energy expenditure and body composition: critical aspects for clinical nutrition. European Journal of Clinical Nutrition. 2018; 72(9):1208-14. [DOI:10.1038/s41430-018-0220-0] [PMID]
  9. Bellicha A, van Baak MA, Battista F, Beaulieu K, Blundell JE, Busetto L, Carraça EV, Dicker D, Encantado J, Ermolao A, Farpour-Lambert N. Effect of exercise training on weight loss, body composition changes, and weight maintenance in adults with overweight or obesity: An overview of 12 systematic reviews and 149 studies. Obesity Reviews. 2021; 22:e13256. [DOI:10.1111/obr.13256]
  10. Aristizabal JC, Freidenreich DJ, Volk BM, Kupchak BR, Saenz C, Maresh CM, Kraemer WJ, Volek JS. Effect of resistance training on resting metabolic rate and its estimation by a dual-energy X-ray absorptiometry metabolic map. European Journal of Clinical Nutrition. 2015; 69(7):831-6.[DOI:10.1038/ejcn.2014.216] [PMID]
  11. Lopez P, Radaelli R, Taaffe DR, Newton RU, Galvão DA, Trajano GS, et al. Resistance training load effects on muscle hypertrophy and strength gain: Systematic review and network meta-analysis. Medicine and Science in Sports and Exercise. 2021; 53(6):1206. [DOI:10.1249/MSS.0000000000002585] [PMID] [PMCID]
  12. Adams LS, Zhang Y, Seeram NP, Heber D, Chen S. Pomegranate ellagitannin–derived compounds exhibit antiproliferative and antiaromatase activity in breast cancer cells in vitro. Cancer Prevention Research. 2010; 3(1):108-13. [DOI:10.1158/1940-6207.CAPR-08-0225] [PMID] [PMCID]
  13. Lavoro A, Falzone L, Gattuso G, Salemi R, Cultrera G, Leone GM, Scandurra G, Candido S, Libra M. Pomegranate: A promising avenue against the most common chronic diseases and their associated risk factors. International Journal of Functional Nutrition. 2021; 2(2):1-2. [DOI:10.3892/ijfn.2021.16]
  14. Roelofs EJ, Smith-Ryan AE, Trexler ET, Hirsch KR, Mock MG. Effects of pomegranate extract on blood flow and vessel diameter after high-intensity exercise in young, healthy adults. European Journal of Sport science. 2017; 17(3):317-25. [DOI:10.1080/17461391.2016.1230892] [PMID] [PMCID]
  15. Ammar A, Bailey SJ, Chtourou H, Trabelsi K, Turki M, Hökelmann A, Souissi N. Effects of pomegranate supplementation on exercise performance and post-exercise recovery in healthy adults: a systematic review. British Journal of Nutrition. 2018; 120(11):1201-16. [DOI:10.1017/S0007114518002696] [PMID]
  16. Trexler ET, Smith-Ryan AE, Melvin MN, Roelofs EJ, Wingfield HL. Effects of pomegranate extract on blood flow and running time to exhaustion. Applied Physiology, Nutrition, and Metabolism. 2014; 39(9):1038-42. [DOI:10.1139/apnm-2014-0137] [PMID] [PMCID]
  17. Irani M, Afroundeh R, Bolboli L, Seifiskishahr F. [The effect of 8 weeks power interval training with pomegranate extract consumption on body composition and some related factors in inactive male students (Persian)]. Knowledge and Health. 14(4):2-11. https://www.sid.ir/en/Journal/ViewPaper.aspx?ID=903915
  18. Vianna JM, Lima JP, Saavedra FJ, Reis VM. Aerobic and anaerobic energy during resistance exercise at 80% 1RM. Journal of Human Kinetics. 2011; 29:69. [DOI:10.2478/v10078-011-0061-6] [PMID] [PMCID]
  19. João GA, Almeida GP, Tavares LD, Kalva-Filho CA, Junior NC, Pontes FL, et al. Acute behavior of oxygen consumption, lactate concentrations, and energy expenditure during resistance training: Comparisons among three intensities. Frontiers in Sports and Active Living. 2021; 3. [DOI:10.3389/fspor.2021.797604] [PMID] [PMCID]
  20. Jackson AS, Pollock ML. Generalized equations for predicting body density of men. British Journal of Nutrition. 1978; 40(3):497-504. [DOI:10.1079/BJN19780152] [PMID]
  21. Delsoglio M, Achamrah N, Berger MM, Pichard C. Indirect calorimetry in clinical practice. Journal of Clinical Medicine. 2019; 8(9):1387. [DOI:10.3390/jcm8091387] [PMID] [PMCID]
  22. Housh DJ, Housh TJ, Weir JP, Weir LL, Johnson GO, Stout JR. Anthropometric estimation of thigh muscle cross-sectional area. Medicine & Science in Sports & Exercise. 1995; 27(5):784-91. [DOI:10.1249/00005768-199505000-00023] [PMID]
  23. Bishop PA. Measurement and Evaluation: In Physical Activity Applications. Routledge; 2017. [DOI:10.4324/9781351199711]
  24. Hamarsland H, Moen H, Skaar OJ, Jorang PW, Rødahl HS, Rønnestad BR. Equal-Volume Strength Training With Different Training Frequencies Induces Similar Muscle Hypertrophy And Strength Improvement In Trained Participants. Frontiers in Physiology. 2022:2374. [DOI:10.3389/fphys.2021.789403] [PMID] [PMCID]
  25. Duchateau J, Stragier S, Baudry S, Carpentier A. Strength Training: In search of optimal strategies to maximize neuromuscular performance. Exercise and Sport Sciences Reviews. 2021; 49(1):2-14 [DOI:10.1249/JES.0000000000000234] [PMID]
  26. Hughes DC, Ellefsen S, Baar K. Adaptations to endurance and strength training. Cold Spring Harbor perspectives in medicine. 2018; 8(6):a029769. [DOI:10.1101/cshperspect.a029769] [PMID] [PMCID]
  27. Trombold JR, Reinfeld AS, Casler JR, Coyle EF. The effect of pomegranate juice supplementation on strength and soreness after eccentric exercise. The Journal of Strength & Conditioning Research. 2011; 25(7):1782-8. [DOI:10.1519/JSC.0b013e318220d992] [PMID]
  28. Crum EM, Che Muhamed AM, Barnes M, Stannard SR. The effect of acute pomegranate extract supplementation on oxygen uptake in highly-trained cyclists during high-intensity exercise in a high altitude environment. Journal of the International Society of Sports Nutrition. 2017; 14(1):14. [DOI:10.1186/s12970-017-0172-0] [PMID] [PMCID]
  29. Reggiani C, Schiaffino S. Muscle hypertrophy and muscle strength: dependent or independent variables? A provocative review. European Journal of Translational Myology. 2020; 30(3):9311. [DOI:10.4081/ejtm.2020.9311]
  30. Al-Muammar MN, Khan F. Obesity: the preventive role of the pomegranate (Punica granatum). Nutrition. 2012; 28(6):595-604.[DOI:10.1016/j.nut.2011.11.013] [PMID]
  31. Benavente C, León J, Feriche B, Schoenfeld BJ, Bonitch-Góngora J, Almeida F, Pérez-Regalado S, Padial P. Hormonal and inflammatory responses to hypertrophy-oriented resistance training at acute moderate altitude. International Journal of Environmental Research and Public Health. 2021; 18(8):4233.[DOI:10.3390/ijerph18084233] [PMID] [PMCID]
  32. Lei F, Zhang XN, Wang W, Xing DM, Xie WD, Su H, Du LJ. Evidence of anti-obesity effects of the pomegranate leaf extract in high-fat diet induced obese mice. International journal of obesity. 2007; 31(6):1023-9. [DOI:10.1038/sj.ijo.0803502] [PMID]
Type of Study: Research | Subject: Physiology

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Complementary Medicine Journal

Designed & Developed by : Yektaweb