Impact of L-citrulline supplementation and whole-body vibration training on arterial stiffness and leg muscle function in obese postmenopausal women with high blood pressure

Exp Gerontol. 2015 Mar:63:35-40. doi: 10.1016/j.exger.2015.01.046. Epub 2015 Jan 28.

Abstract

Aging is associated with increased arterial stiffness (pulse wave velocity, PWV) and muscle strength/mass loss. Exercise training alone is not always effective to improve PWV and lean mass (LM) in older women. To investigate the independent and combined effects of whole-body vibration training (WBVT) and L-citrulline supplementation on PWV and muscle function in women, forty-one postmenopausal women aged 58 ± 3 years and body mass index (34 ± 2 kg/m(2)) were randomly assigned to the following groups: WBVT, L-citrulline, and WBVT + L-citrulline for 8 weeks. WBVT consisted of four leg exercises three times weekly. Aortic (cfPWV) and leg (faPWV) PWV, leg LM index, leg strength, and body fat percentage (BF%) were measured before and after the interventions. WBVT + L-citrulline decreased cfPWV (-0.91 ± 0.21 m/s, P < 0.01) compared to both groups. All interventions decreased faPWV (P < 0.05) similarly. Leg LM index increased (2.7 ± 0.5%, P < 0.001) after WBVT + L-citrulline compared with L-citrulline. Both WBVT interventions increased leg strength (~37%, P < 0.001) compared to L-citrulline while decreased BF% (~2.0%, P < 0.01). Reductions in cfPWV were correlated with increases in leg LM index (r = -0.63, P < 0.05). Our findings suggest that leg muscle strength and arterial stiffness can be improved after WBVT, but its combination with L-citrulline supplementation enhanced benefits on aortic stiffness and leg LM. Therefore, WBVT + L-citrulline could be an intervention for improving arterial stiffness and leg muscle function in obese postmenopausal women with prehypertension or hypertension, thereby reducing their cardiovascular and disability risk.

Keywords: Arterial stiffness; Body fat; Lean mass; Muscle strength; Vibration exercise; l-Citrulline.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aging
  • Body Mass Index
  • Citrulline / therapeutic use*
  • Dietary Supplements
  • Exercise Therapy / methods*
  • Female
  • Humans
  • Hypertension / physiopathology*
  • Leg / physiology
  • Middle Aged
  • Muscle Strength / drug effects*
  • Obesity / physiopathology*
  • Postmenopause
  • Pulse Wave Analysis
  • Vascular Stiffness / drug effects*
  • Vibration

Substances

  • Citrulline