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    Thread: Glutamine

    1. #1
      Merc's Avatar
      Merc is offline Elite FG Resident
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      Description

      Glutamine is the most abundant amino acid in the body – comprising approximately half of the free amino acids in the blood and muscle. As a non-essential amino acid, glutamine can be produced in the body by conversion from another amino acid - glutamic acid (primarily by the skeletal muscle and liver. Glutamine’s main functions in the body include serving as a precursor in the synthesis of other amino acids and glucose for energy. Cells of the immune system, the small intestine and the kidney are the major consumers of glutamine.

      Claims

      Boosts immune system function
      Maintains muscle mass
      Prevents muscle catabolism (breakdown)
      Enhances glycogen storage
      Aids recovery from exercise

      Theory

      Intense exercise training results in a well-described drop in plasma glutamine levels. Chronically low glutamine levels have been implicated as a possible contributing factor in athletic overtraining syndrome as well as the transient immunosuppression and increased risk of infections that typically affects competitive athletes during intense training and competition. Under conditions of metabolic stress, the body’s need for glutamine may exceed its ability to produce adequate levels – meaning that a dietary source is required to prevent catabolism of skeletal muscle – the primary source of stored glutamine in the body.

      Scientific
      Support

      A significant body of scientific literature exists to support the
      beneficial effects of glutamine supplementation in maintaining muscle mass and immune system function in critically ill patients and in those recovering from extensive burns and major surgery. When plasma glutamine levels fall, skeletal muscles may enter a state of catabolism in which muscle protein is degraded to provide free glutamine for the rest of the body. Since skeletal muscle is the major source of glutamine (other than the diet), prolonged deficits in plasma glutamine can lead to a significant loss of skeletal muscle protein and muscle mass. Very little specific work has been done, however, to address the primary target population for the majority of commercially produced glutamine supplements on the market today – competitive athletes. In recent years, at least a half-dozen studies have been conducted on glutamine supplementation in athletes and a strong basis exists for the efficacy of glutamine supplements in athletic populations. For example, glutamine’s role in immune system support has been shown to prevent infections following intense bouts of physical activity – which tend to reduce plasma glutamine levels. Glutamine supplements have also been shown to play a role in counteracting the catabolic (muscle-wasting) effects of stress hormones such as cortisol, which are typically elevated by strenuous exercise. The function of glutamine in stimulating glycogen synthase, the enzyme which controls the synthesis and storage of glycogen fuel storage in muscles and liver, may provide a mechanism by which glutamine supplements promote enhanced fuel stores. Glutamine supplements cause a rapid rise in cellular glutamine levels and glutamine stores in muscle. Glutamine is also thought to increase cell volume, where it may stimulate the activity of enzymes in the liver and muscles involved in glycogen storage as well as those involved in anabolic activities such as protein synthesis. Glutamine supplements have also been hypothesized to increase levels of growth hormone, which may be expected to help stimulate protein synthesis and encourage gains in muscle mass and strength, but reliable evidence for this effect of glutamine supplements has not been demonstrated by clinical studies.

      Safety

      Glutamine supplements are well tolerated at levels up to at least 20 grams per day and intakes of as much as 40 grams per day should induce no significant adverse effects outside of mild gastrointestinal discomfort. As with any isolated amino acid supplement, consumption in divided 2-4 divided doses throughout the day should increase total body stores without posing significant absorption issues.

      Value

      Glutamine supplements are relatively inexpensive compared to other amino acid supplements. For anybody exposed to heightened levels of stress, such as those recovering from injury, surgery, or intense exercise, glutamine supplements represent an economical way to promote tissue repair, reduce muscle catabolism and help prevent infections.

      Dosage

      For the immune system support and anti-catabolic actions that are of interest to most athletes, recommended doses range from 1-10 grams.

      References

      1. Alvestrand A, Bergstrom J, Furst P, Germanis G, Widstam U. Effect of essential amino acid supplementation on muscle and plasma free amino acids in chronic uremia. Kidney Int. 1978 Oct;14(4):323-9. 2. Aoki TT, Brennan MF, Fitzpatrick GF, Knight DC. Leucine meal increases glutamine and total nitrogen release from forearm muscle. J Clin Invest. 1981 Dec;68(6):1522-8. 3. Aoki TT. Metabolic adaptations to starvation, semistarvation, and carbohydrate restriction. Prog Clin Biol Res. 1981;67:161-77. 4. Bonau RA, Jeevanandam M, Moldawer L, Blackburn GL, Daly JM. Muscle amino acid flux in patients receiving branched-chain amino acid solutions after surgery. Surgery. 1987 Apr;101(4):400-7. 5. Calder PC, Yaqoob P. Glutamine and the immune system. Amino Acids. 1999;17(3):227-41. 6. Carli F, Webster J, Ramachandra V, Pearson M, Read M, Ford GC, McArthur S, Preedy VR, Halliday D. Aspects of protein metabolism after elective surgery in patients receiving constant nutritional support. Clin Sci (Colch). 1990 Jun;78(6):621-8. 7. Castell LM, Newsholme EA. The effects of oral glutamine supplementation on athletes after prolonged, exhaustive exercise. Nutrition. 1997 Jul-Aug;13(7-8):738-42. 8. Elia M, Folmer P, Schlatmann A, Goren A, Austin S. Amino acid metabolism in muscle and in the whole body of man before and after ingestion of a single mixed meal. Am J Clin Nutr. 1989 Jun;49(6):1203-10. 9. Giesecke K, Magnusson I, Ahlberg M, Hagenfeldt L, Wahren J. Protein and amino acid metabolism during early starvation as reflected by excretion of urea and methylhistidines. Metabolism. 1989 Dec;38(12):1196-200. 10. Gleeson M, Bishop NC. Elite athlete immunology: importance of nutrition. Int J Sports Med. 2000 May;21 Suppl 1:S44-50. 11. Greenhaff PL, Gleeson M, Maughan RJ. The effects of diet on muscle pH and metabolism during high intensity exercise. Eur J Appl Physiol Occup Physiol. 1988;57(5):531-9. 12. Haymond MW, Strobel KE, DeVivo DC. Muscle wasting and carbohydrate homeostasis in Duchenne muscular dystrophy. Neurology. 1978 Dec;28(12):1224-31. 13. Lundeberg S, Belfrage M, Wernerman J, von der Decken A, Thunell S, Vinnars E. Growth hormone improves muscle protein metabolism and whole body nitrogen economy in man during a hyponitrogenous diet. Metabolism. 1991 Mar;40(3):315-22. 14. McKenzie DC. Markers of excessive exercise. Can J Appl Physiol. 1999 Feb;24(1):66-73. 15. Newsholme EA, Calder PC. The proposed role of glutamine in some cells of the immune system and speculative consequences for the whole animal. Nutrition. 1997 Jul-Aug;13(7-8):728-30. 16. Nieman DC. Exercise immunology: future directions for research related to athletes, nutrition, and the elderly. Int J Sports Med. 2000 May;21 Suppl 1:S61-8. 17. Ruderman NB, Berger M. The formation of glutamine and alanine in skeletal muscle. J Biol Chem. 1974 Sep 10;249(17):5500-6. 18. Ruderman NB. Muscle amino acid metabolism and gluconeogenesis. Annu Rev Med. 1975;26:245-58. 19. Russell DM, Walker PM, Leiter LA, Sima AA, Tanner WK, Mickle DA, Whitwell J, Marliss EB, Jeejeebhoy KN. Metabolic and structural changes in skeletal muscle during hypocaloric dieting. Am J Clin Nutr. 1984 Apr;39(4):503-13. 20. Schedl HP, Maughan RJ, Gisolfi CV. Intestinal absorption during rest and exercise: implications for formulating an oral rehydration solution (ORS). Proceedings of a roundtable discussion. April 21-22, 1993. Med Sci Sports Exerc. 1994 Mar;26(3):267-80. 21. Shephard RJ, Shek PN. Heavy exercise, nutrition and immune function: is there a connection? Int J Sports Med. 1995 Nov;16(8):491-7. 22. Shephard RJ, Shek PN. Immunological hazards from nutritional imbalance in athletes. Exerc Immunol Rev. 1998;4:22-48. 23. Smith DJ, Norris SR. Changes in glutamine and glutamate concentrations for tracking training tolerance. Med Sci Sports Exerc. 2000 Mar;32(3):684-9. 24. Walsh NP, Blannin AK, Robson PJ, Gleeson M. Glutamine, exercise and immune function. Links and possible mechanisms. Sports Med. 1998 Sep;26(3):177-91. 25. Young LS, Bye R, Scheltinga M, Ziegler TR, Jacobs DO, Wilmore DW. Patients receiving glutamine-supplemented intravenous feedings report an improvement in mood. JPEN J Parenter Enteral Nutr. 1993 Sep-Oct;17(5):422-7. 26. Zanker CL, Swaine IL, Castell LM, Newsholme EA. Responses of plasma glutamine, free tryptophan and branched-chain amino acids to prolonged exercise after a regime designed to reduce muscle glycogen. Eur J Appl Physiol Occup Physiol. 1997;75(6):543-8.
      Last edited by Merc; 02-02-2008 at 10:17 AM.

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