SPORCULARDA EGZERSİZ SONRASI GECİKMİŞ KAS AĞRISI (DOMS) VE BESLENME MÜDAHALELERİ

Year 2022, , 101 - 115, 15.04.2022

Gözde Şentürk , Pınar Göbel

https://doi.org/10.17155/omuspd.985513

Cited By: 1

Abstract

Egzersiz sonrası gecikmiş kas ağrısı, akut kas ağrısına nazaran egzersizden sonraki ilk 24 saat içinde hissedilen, 1 ve 3 gün arasında pik yapan etkisi 5-7 gün sonra tamamen azalan bir ağrı türüdür. Gecikmiş kas ağrısına yönelik ilgi ve araştırmalar giderek artmaktadır. Gecikmiş kas ağrısı üzerinde farklı oluşum mekanizmaları bulunmakla birlikte oluşum mekanizmaları tam olarak açıklanamamıştır. Beslenme müdahaleleri gecikmiş kas ağrısını azaltmanın önleyici ve/veya tedavi edici yollarından biridir. Çalışmalar beslenme müdahalelerinin gecikmiş kas ağrısını azaltabileceğini bildirmiştir. Pek çok çalışma kafein, omega-3 yağ asitleri, taurin, polifenoller ve kurkuminin gecikmiş kas ağrısı üzerindeki etkisini bildirmiştir. Antioksidanlar, L-karnitin, BCAA, allisin gibi takviyeler ile yapılan küçük müdahalelerden ise tutarlı veriler bildirilmemiştir. Gecikmiş kas ağrısı sporcular üzerinde daha çok çalışmaya ihtiyaç duyulan bir alandır. Hasarın ciddiyeti, bireysel tepki,
kullanılan doz- cevap ilişkisi, alım süresi ve etkilendikleri belirteçler gibi daha çok faktör dikkate alınarak bu faktörlerin incelendiği daha çok çalışmaya ihtiyaç vardır. Bu derlemenin amacı gecikmiş kas ağrısının tedavisi ve önlenmesinde etkili olabileceği düşünülen beslenme müdahalelerine değinmek ve gecikmiş kas ağrısı ile beslenme arasındaki ilişkiyi ele almaktır.

Keywords

beslenme, doms, gecikmiş kas ağrısı

DELAYED MUSCLE SORENESS (DOMS) AND NUTRITIONAL INTERVENTIONS AFTER EXERCISE IN ATHLETES

Abstract

Delayed post-exercise muscle pain is a type of pain that is felt within the first 24 hours after exercise, peaks between 1 and 3 days, compared to acute muscle pain, and its effect decreases completely after 5-7 days. There is increasing interest and research into delayed muscle pain. Although there are different formation mechanisms on delayed muscle pain, the formation mechanisms have not been fully explained. Nutritional interventions are one of the preventive and/or therapeutic ways to reduce delayed muscle soreness. Studies have reported that nutritional interventions can reduce delayed muscle soreness. Many studies have reported the effect of caffeine, omega-3 fatty acids, taurine, polyphenols, and curcumin on delayed muscle soreness. Consistent data have not been reported from minor interventions with supplements such as antioxidants, L-carnitine, BCAA, allicin. Delayed muscle soreness is an area that needs more study in athletes. There is a need for more studies examining these factors by considering more factors such as the severity of the damage, individual response, the dose-response relationship used, the duration of intake and the markers they are affected by. The aim of this review is to address nutritional interventions that are thought to be effective in the treatment and prevention of delayed muscle pain and to discuss the relationship between delayed muscle pain and nutrition. 

Keywords

doms, delayed muscle soreness, nutrition

References

• Amalraj, A., Divya, C., Gopi, S. (2020) The Effects of bioavailable curcumin (Cureit) on delayed onset muscle soreness induced by eccentric continuous exercise: a randomized, placebo-controlled, double-blind clinical study. J Med Food. 23, 545-53. doi: 10.1089/jmf.2019.4533
• Araz, A. A. A., & Asan, A. A. (2011). Görsel analog ölçeği ve duygu kafesi: kültürümüze uyarlama çalışması. Türk Psikolojileri Yazıları, 14(27), 1-13.
• Armstrong, R.B. (1984). Mechanisms of exercise-induced delayed onset muscular soreness: A brief review. Medicine and Science in Sports and Exercise, 16, 529-38.
• Asmussen, E. (1956). Observations on experimental muscle soreness. Ada Rheumatologica Scandinavica, 2, 109-116. doi: 10.3109/rhe1.1956.2.issue-1-4.12
• Benson, L., & Mushtaq, S. (2015). Dietary supplementation with n-3 fatty acids (n-3 FA) for 4 weeks reduces post-exercise fatigue and delayed onset muscle soreness (DOMS) in trained male athletes. Proceedings of the Nutrition Society, 74(OCE5). doi: 10.1017/S0029665115003274
• Cleak, M. J., & Eston, R. G. (1992). Delayed onset muscle soreness: mechanisms and management. Journal of sports sciences, 10(4), 325-341. doi: 10.1080/02640419208729932
• Cockburn, E., Hayes, P. R., French, D. N., Stevenson, E., & St Clair Gibson, A. (2008). Acute milk-based protein–CHO supplementation attenuates exercise-induced muscle damage. Applied physiology, nutrition, and metabolism, 33(4), 775-783.
• Connolly, D. A., Sayers, S. P., & McHugh, M. P. (2003). Treatment and prevention of delayed onset muscle soreness. Journal of strength and conditioning research, 17(1), 197-208.
• Connolly, D. A. J., Lauzon, C., Agnew, J., Dunn, M., & Reed, B. (2006). The effects of vitamin C supplementation on symptoms of delayed onset muscle soreness. Journal of sports medicine and physical fitness, 46(3), 462.
• De Oliveira, D. C., Rosa, F. T., Simões-Ambrósio, L., Jordao, A. A., & Deminice, R. (2019). Antioxidant vitamin supplementation prevents oxidative stress but does not enhance performance in young football athletes. Nutrition, 63, 29-35. doi: 10.1016/j.nut.2019.01.007
• Dokumacı, B., & Atabek, H. Ç. (2016). Gecikmiş Kas Ağrısı ve Oluşum Mekanizmaları: Oksidatif Stres ile İlişkisi. Turkiye Klinikleri J Sports Sci, 8(1), 22-34. doi: 10.5336/sportsci.2015-48189
• Flakoll, P. J., Judy, T., Flinn, K., Carr, C., & Flinn, S. (2004). Postexercise protein supplementation improves health and muscle soreness during basic military training in Marine recruits. Journal of Applied Physiology, 96(3), 951-956. doi: 10.1152/japplphysiol.00811.2003
• Garthe, I., & Ramsbottom, R. (2020). Elite athletes, a rationale for the use of dietary supplements: a practical approach. PharmaNutrition, 100234. doi: 10.1016/j.phanu.2020.100234
• Harahap, N. S., & Siregar, N. S. (2021, March). Effect Stretching and Recovery on Delayed Onset Muscle Soreness (DOMS) After Exercise. In Journal of Physics: Conference Series (Vol. 1811, No. 1, p. 012113). IOP Publishing.
• Harnett, J. E., Pyne, D. B., McKune, A. J., Penm, J., & Pumpa, K. L. (2020). Probiotic supplementation elicits favourable changes in muscle soreness and sleep quality in rugby players. Journal of science and medicine in sport. doi: 10.1016/j.jsams.2020.08.005
• Heiss, R., Lutter, C., Freiwald, J., Hoppe, M. W., Grim, C., Poettgen, K., & Hotfiel, T. (2019). Advances in delayed-onset muscle soreness (DOMS)–part II: treatment and prevention. Sportverletzung· Sportschaden, 33(01), 21-29. doi: 10.1055/a-0810-3516
• Jouris KB, McDaniel JL, Weiss EP. (2011). The effect of omega-3 fatty acid sup¬plementation on the inflammatory response to eccentric strength ex¬ercise. J Sports Sci Medicine, 10:432-438.
• Kaminski, M., & Boal, R. (1992). An effect of ascorbic acid on delayed-onset muscle soreness. Pain, 50(3), 317-321. doi: 10.1016/0304-3959(92)90037-C
• Kawanishi, N., Kato, K., Takahashi, M., Mizokami, T., Otsuka, Y., Imaizumi, A., et al. (2013). Curcumin attenuates oxidative stress following downhill running-induced muscle damage. Biochem Biophys Res Commun 441(3), 573-8. doi: 10.1016/j.bbrc.2013.10.119
• Kim, J., & Lee, J. (2014). A review of nutritional intervention on delayed onset muscle soreness. Part I. Journal of exercise rehabilitation, 10(6), 349. doi: 10.12965/jer.140179
• Lenn, J., Uhl, T, Mattacola, C.L., Boissonneault, G., Yates, J.S., Ibrahim, W., & Bruckner, G. A. (2002). The effects of fish oil and isoflavones on delayed onset muscle soreness. Medicine and Science in Sports and Exercise, 34(10), 1605-1613. doi: 10.1249/01.MSS.0000031099.08661.90
• Lewis, P. B., Ruby, D., & Bush-Joseph, C. A. (2012). Muscle soreness and delayed-onset muscle soreness. Clinics in sports medicine, 31(2), 255-262. doi: 10.1016/j.csm.2011.09.009
• Mallard, A. R., Briskey, D., Richards, BExSSc. A., Rao, A. (2020). Curcumin improves delayed onset muscle soreness and postexercise lactate accumulation. J Diet Suppl. 1-12. doi: 10.1080/19390211.2020.1796885
• McLeay, Y., Barnes, M. J., Mundel, T., Hurst, S. M, Hurst, R. D., Stannard, S.R. (2012). Effect of New Zealand blueberry consumption on recovery from eccentric exercise-induced muscle damage. J Int Soc Sports Nutr 9, 19.
• Meamarbashi, A., & Rajabi, A. (2015). Preventive effects of 10-day supplementation with saffron and indomethacin on the delayed-onset muscle soreness. Clinical Journal of Sport Medicine, 25(2), 105-112. doi: 10.1097/JSM.0000000000000113
• Nakhostin-Roohi, B., Nasirvand Moradlou, A., Mahmoodi Hamidabad, S., & Ghanivand, B. (2016). The effect of curcumin supplementation on selected markers of delayed onset muscle soreness (DOMS). Annals of Applied Sport Science, 4(2), 25-31. doi: 10.18869/acadpub.aassjournal.4.2.25
• Newham, D.J., McPhail, G., Mills, K.R. and Edwards, R.H.T. (1983b). Ultrastructural changes after concentric and eccentric contractions of human muscle. Journal of Neurological Science, 61, 109-122. doi: 10.1016/0022-510X(83)90058-8
• Nicol, M., L., Rowlands, D., S., Fazakerly, R., Kellett, J. (2015). Curcumin supplementation likely attenuates delayed onset muscle soreness (DOMS). Springer Link, 115:1769-1777.
• Papanikolaou, K., Veskoukis, A. S., Draganidis, D., Baloyiannis, I., Deli, C. K., Poulios, A., ... & Fatouros, I. G. (2020). Redox-Dependent Regulation of Satellite Cells Following Aseptic Muscle Trauma: Implications for Sports Performance and Nutrition. Free Radical Biology and Medicine. doi: 10.1016/j.freeradbiomed.2020.10.001
• Rhim, H. C., Kim, S., Park, J., & Jang, K. M. (2020). Effect of citrulline on post-exercise rating of perceived exertion, muscle soreness, and blood lactate levels: A systematic review and meta-analysis. Journal of Sport and Health Science. doi: 10.1016/j.jshs.2020.02.003
• Sela U, Ganor S, Hecht I, Brill A, Miron T, Rabinkov A, Wilchek M, Mire¬lman D, Lider O, Hershkoviz R. (2004). Allicin inhibits SDF-1α-induced T cell interactions with fibronectin and endothelial cells by down-regulating cytoskeleton rearrangement, Pyk-2 phosphorylation and VLA-4 ex¬pression. Immunology, 111:391-399. doi: 10.1111/j.0019-2805.2004.01841.x
• Shafat, A., Butler, P., Jensen, R. L., & Donnelly, A. E. (2004). Effects of dietary supplementation with vitamins C and E on muscle function during and after eccentric contractions in humans. European journal of applied physiology, 93(1-2), 196-202.
• Shimomura, Y., Inaguma, A., Watanabe, S., Yamamoto, Y., Muramatsu, Y., Bajotto, G., ... & Mawatari, K. (2010). Branched-chain amino acid supplementation before squat exercise and delayed-onset muscle soreness. International journal of sport nutrition and exercise metabolism, 20(3), 236-244. doi: 10.1123/ijsnem.20.3.236
• Silva, V. R., Belozo, F. L., Micheletti, T. O., Conrado, M., Stout, J. R., Pimentel, G. D., & Gonzalez, A. M. (2017). β-hydroxy-β-methylbutyrate free acid supplementation may improve recovery and muscle adaptations after resistance training: a systematic review. Nutrition Research, 45, 1-9. doi: 10.1016/j.nutres.2017.07.008
• Son EW, Mo SJ, Rhee DK, Pyo S. (2006). Inhibition of ICAM-1 expression by gar¬lic component, allicin, in gamma-irradiated human vascular endothe¬lial cells via downregulation of the JNK signaling pathway. Int Immu¬nopharmacol, 6:1788-1795. doi: 10.1016/j.intimp.2006.07.021
• Street, B., Byrne, C., & Eston, R. (2011). Glutamine supplementation in recovery from eccentric exercise attenuates strength loss and muscle soreness. Journal of Exercise Science & Fitness, 9(2), 116-122. doi: 10.1016/S1728-869X(12)60007-0
• Tartibian B., Maleki BH, Abbasi, A. (2009) The effects of ingestion of omega-3 fatty acids on perceived pain and external symptoms of delayed onset muscle soreness in untrained men. Clin J Sport Med, 19:115-119. doi: 10.1097/JSM.0b013e31819b51b3
• Trombold, J. R., Barnes, J. N., Critchley, L., Coyle, E. F. (2010). Ellagitannin consumption improves strength recovery 2-3 d after eccentric exercise. Med Sci Sports Exerc 42, 493-498. doi: 10.1249/MSS.0b013e3181b64edd
• Tsuchiya, Y., Ueda, H., Yanagimoto, K., Kato, A., & Ochi, E. (2021). 4-week eicosapentaenoic acid-rich fish oil supplementation partially protects muscular damage following eccentric contractions. Journal of the International Society of Sports Nutrition, 18(1), 1-10.
• Yoon, W. Y., Lee, K., & Kim, J. (2020). Curcumin supplementation and delayed onset muscle soreness (DOMS): effects, mechanisms, and practical considerations. Physical Activity and Nutrition, 24(3), 39. doi: 10.20463/pan.2020.0020