Beta Alanine Supplementation Improves Aerobic
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Beta-AlanineSupplementationImproves Aerobic andAnaerobic Indices ofPerformanceJacob M. Wilson, MS, CSCS,1 Gabriel J. Wilson, MS, CSCS,2 Michael C. Zourdos, MS, CSCS,1
Abbie E. Smith, MS, CSCS, CISSN,3 and Jeffery R. Stout, PhD, CSCS3
1Department of Nutrition, Food and Exercise Science, Florida State University, Tallahassee, Florida; 2Division ofNutritional Sciences, University of Illinois, Urbana, Illinois; and 3Department of Health and Exercise Science, Universityof Oklahoma, Norman, Oklahoma
S U M M A R Y
BETA-ALANINE SUPPLEMENTA-
TION HAS BEEN FOUND TO
INCREASE INTRAMUSCULAR
CARNOSINE, STRENGTH, POWER,
VOLUME PER TRAINING SESSION
AND A HOST OF OTHER INDICES
OF AEROBIC AND ANAEROBIC
CAPACITY. HOWEVER, THERE IS
A NEED TO SYNTHESIZE THIS
RESEARCH SO THAT THE ATHLETE
AND STRENGTH COACH ALIKE
CAN OPTIMALLY BENEFIT FROM
BETA-ALANINE SUPPLEMENTA-
TION. THE PURPOSE OF THIS RE-
VIEW IS TO PROVIDE AN ANALYSIS
OF STUDIES CONDUCTED ON
BETA-ALANINE. THE REVIEW WILL
COVER THE OPTIMAL DOSAGE OF
BETA-ALANINE; ITS USE IN RESIS-
TANCE TRAINING, INTERMITTENT,
AND ENDURANCE-BASED EXER-
CISES; AND WHEN COMBINED
WITH CREATINE IN TRAINED AND
UNTRAINED INDIVIDUALS.
The human body is endowedwith the capacity to adapt totraining such that it can
maintain low to moderately high con-tractions for extended periods. Forexample, the world record marathontime is 2:03:59 run by Haile Gebrse-lassie of Ethiopia. At the opposite endof the spectrum, strength and powerathletes can exert extreme torques andforces such that today a 1,000 lb backsquat is no longer unthinkable in theworld of powerlifting. In between theseextremes lie sports such as hockey,basketball, and speed skating, whichrequire brief intermittent bouts of high-intensity activity. Although the timeto fatigue differs among categories ofactivities, the end result of each aredeclines in force generating capacityand ultimately impairments in perfor-mance. While fatigue is characterizedby a decrease in energy stores (aden-osine triphosphate, phosphocreatine,and glycogenic substrates) and theintracellular accumulation of metabo-lites (adenosine diphosphate, inorganicphosphate, hydrogen ions [H+], andmagnesium), 2 primary mechanismsthought to underlie fatigue include theaccumulation of H+ ions and oxidativestress. An acute accumulation of H+
results in a decrease in intramuscularpH, which may contribute to fatigue in
some models of exercise. Chronically,intense training can stimulate oxidativestress, with both excess H+ and oxida-tive stress demonstrating to impairexcitation-contraction coupling (ECcoupling) processes, leading to repor-ted decrements in force.
An athletes’ ability to resist fatigue maydetermine the intensity and duration oftheir training and ultimately dictateperformance outcomes. Resistance tofatigue is thought to be limited, in part,by intramuscular concentrations ofcarnosine (29). Carnosine appears toenhance fatigue resistance by a con-glomeration of factors including anincreased physiological bufferingcapacity (22), decreased oxidative stress(18), and through the direct facilitationof EC coupling processes (2). Isolated
KEY WORDS :
beta-alanine; carnosine;contraction/physiology; musclestrength/physiology;muscle/skeletal physiology;beta-alanine administration anddosage pharmacokinetics; carnosinemetabolism; dietary supplement
Copyright � National Strength and Conditioning Association Strength and Conditioning Journal | www.nsca-lift.org 71
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skeletal muscle fiber studies suggestthat the EC coupling response and itsmaintenance over multiple bouts ofstimulation is optimized at a neutralpH (7.1) and degrades when tested atan acidic pH (e.g., 6.1) (22). Intramus-cular concentrations of lactate and H+
rise as individual’s reliance on glycol-ysis increases. Research, however, indi-cates that large amounts of lactate canaccumulate without impairing functionin the presence of carnosine, thussupporting its role as a physiologicalbuffer (24). In addition to its role asa buffer, carnosine has been demon-strated to lower oxidative damage tolipids and proteins, which theoreticallyshould delay fatigue induced lossesof contractile function (18). Finally,exposure of isolated muscle fibers tocarnosine may sensitize Ca++ releasechannels (ryanodine 1 receptors) tovarious stimuli such as caffeine andCa++ (2).
Carnosine is synthesized by carnosinesynthase from the amino acids beta-alanine and histidine. Plasma andintramuscular concentrations of histi-dine are high relative to its Michaelis–Menten constant (Km) with carnosinesynthase (Km = 0.0168 mM), whereasbeta-alanine concentration is lowerand has a much higher Km forcarnosine synthase (Km = 1.0–2.3 mM)(14,23). This low Km demonstratesa smaller amount of beta-alanineavailability than needed for carnosinesynthesis. Moreover, it has been dem-onstrated that supplementing with anisomolar concentration of carnosine(i.e., equal amounts of histidine andbeta-alanine) is no more effective atincreasing carnosine levels than beta-alanine supplementation alone (9). Forthis reason, beta-alanine is thought tobe limiting to carnosine synthesis. Assuch, a number of recent studies haveinvestigated the effects of beta-alaninesupplementation on intramuscular car-nosine concentrations and changes inexercise performance (8–10). Intrigu-ingly, beta-alanine supplementationhas been found to increase intramus-cular carnosine levels (8–10), strength(11–13), power (30), volume per
training session (11–13), and a host ofother indices of aerobic and anaerobiccapacity (31). However, there is a needto synthesize this research so that theathlete and strength coach alike canoptimally benefit from beta-alaninesupplementation. The purpose of thisreview is to provide an analysis ofstudies conducted on beta-alanine. Thereview will cover the optimal dosage ofbeta-alanine and its use in resistancetraining, intermittent, and endurance-based exercises in trained and untrainedindividuals. An additional section isprovided to discuss the possible rolethat creatine may have in augmentingthe effects of beta-alanine.
OPTIMIZING THE DOSE ANDFREQUENCY OF BETA-ALANINE
Thus far, human research has beenlimited to a range of 1.6–6.4 gram dosesof beta-alanine daily for 28 days(9,10). Within this range, the aminoacid appears to increase intramuscularcarnosine concentrations in dose-dependent fashion. For example, 3.2and 6.4 grams of beta-alanine per dayincreased the carnosine content of thevastus lateralis by 42 and 61%, respec-tively (9,10). In the latter, it wasestimated that the total muscle buffer-ing capacity of carnosine would haveincreased from 9 to 14%. Whenfractionated into fiber types, carnosineincreased buffering capacity from 6.4and 11.2 to 10 and 18% in type I and IImuscle fibers, respectively. Changes inintramuscular carnosine are also timedependent, demonstrated by elevationsin carnosine concentrations of activemalesby58and80%at4and10weeksofbeta-alanine (3.2–6.4 g/kg/d) supple-mentation, respectively.
The daily dose of beta-alanine appearsto be limited by the flushing symptomsexperienced by its users. This wasillustrated by Harris et al. (9) whofound that a single 3.2 gram bolus ofbeta-alanine resulted in a flushing sen-sation characterized by a skin-deep,prickly, irritating reaction, which radi-ated from the ears, scalp, upper trunk,and finally, the base of the spine (i.e.,paresthesia). Although lower in sever-ity, these symptoms were still present
at half the dosage but were only mildand experienced by 25% of participantsat 0.8-g servings. The flushing effectfrom beta-alanine supplementation isbecause of the release of histidine,to form carnosine. This is a similarresponse to a release of histaminesduring an allergic reaction; althoughthe effect is not toxic and does notaffect everyone, it is uncomfortable. Forthis reason, scientists have adminis-tered beta-alanine in frequent (every 3hours) and small boluses (0.8 g) overthe duration of the day until the desireddose is reached (8–10). Three-hourspacing between dosing was chosenbecause beta-alanine returns to base-line levels after this time. More recently,a controlled release formula has beenadministered at 1.6 grams 4 times perday for 4 week to reduce flushingsymptoms. At this high dose, no symp-toms of paresthesia were reported (31).
In summary, within the range of doses(1.6–6.4 grams) tested thus far, beta-alanine appears to increase intramuscularcarnosine levels in a dose-dependentfashion and in a 28-day loading phase.However, because of flushing effects,a single serving is generally limited to0.8 grams, administered every 3 hoursuntil the desired dose is reached.
BETA-ALANINE FOR RESISTANCETRAINING ATHLETES
Resistance training exercise is thedirect tool of the powerlifter, weight-lifter, and bodybuilder, as well as anindirect means of increasing perfor-mance in nearly every sport. Generally,repetitions for strength/power andhypertrophy are thought to lie withinthe 1–5 and 8–12 ranges, respectively(20). The former is primarily reliant onimmediate phosphagen (ATP-CP) en-ergy production for contraction,whereas the latter causes the individualto depend primarily on glycolyticenergy production. Although beta-alanine supplementation during 4–10weeks of resistance training has re-sulted in an increase in training volumeand strength, it appears to be opti-mized under moderately high repeti-tion ranges (8–12% or 70–85% 1repetition maximum), which use short
VOLUME 32 | NUMBER 1 | FEBRUARY 201072
Beta-Alanine Supplementation
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rest periods (30–90 seconds) (11,12).To illustrate, 30 days of beta-alaninesupplementation (4.8 g/day) in experi-enced resistance-trained men placed ona moderately high–intensity trainingregimen, with short rest periods (1.5minutes), led to a 22% increase in totaltraining volume per workout. Further-more, Hoffman et al. (12) demonstratedsignificant increases in training volumefor 4 sets (6–8 repetitions [reps]) forbench press with individuals supple-menting with beta-alanine. In contrast,a more recent 10-week long studyusing a higher intensity level of training(e.g., 5 3 5 on squats and bench pressexercises) with longer rest periods(2–5 minutes) resulted in no significantchanges in any indices of strength orlean body mass (LBM) (15). Possibleexplanations for these results were thelonger rest periods (2–5 minutes) andlimited resistance training experience inthis group of athletes.
It has been suggested that greatertraining volume resulting from beta-alanine supplementation may augmentendocrine responses. However, nochanges in endocrine responses bothat rest and after resistance trainingexercise have been found for growthhormone, testosterone, blood lactate,cortisol, IGF-1, or sex hormone–binding globulin (11,13).
Thus far beta-alanine alone has had notled to significant changes in LBM(12,13,15). It is possible that this out-come may be attributed to an inadequatetraining stimulus or length of time overwhich studies have been conducted. Forexample, Hoffman et al. (13) found thatneither control or beta-alanine groupswere able to increase LBM after 4 weeksof training in experienced weightlifters.In such cases, a long duration periodizedstrength routine may be necessary toaccurately examine the effects of beta-alanine on LBM.
BETA-ALANINE FOR BRIEFINTERMITTENT/INTERVALTRAINING EXERCISE
Brief, intermittent, high-intensity exer-cise is generally characterized bymaximal work outputs within a 30-to 120-second time frame. This type of
exercise results in the accumulation oflarge amounts of lactate, H+, and othermetabolites and thus theoretically maybe positively influenced with beta-alanine supplementation. In a recentstudy, active males were asked to cycleat 110% of their mean power outputobtained during the final 60 seconds ofan incremental cycling test to exhaus-tion (10). Mean cycling time to exhaus-tion was 156 seconds pretest andincreased by 12 and 16% after 4 and10 weeks of supplementation. Intrigu-ingly, these changes paralleled theincrease seen in intramuscular carno-sine concentrations, which rose by 58to 80% at weeks 4 and 10, respectively.Likewise, trained sprint athletes sup-plementing with 4.8 grams of beta-alanine daily increased average torqueduring the final 2 sets of 5 maximal setsof 30 isokinetic contractions (5). How-ever, 400-m sprint time was not in-creased, suggesting that this event maynot be limited by H+ buffering capacityin highly trained sprinters. Moreover,recent literature suggests compoundedimprovements when combining beta-alanine supplementation and high-in-tensity interval training on enduranceperformance ( _VO2max), time to ex-haustion during a graded exercise test,and total work done at supramaximalworkloads (110%) (24). Furthermore,this training-supplementing strategymay foster an environment for greatertraining volume at moderate and highintensities, possibly leading to consid-erable physiological adaptations.
BETA-ALANINESUPPLEMENTATION FORENDURANCE EXERCISE
Endurance exercise is limited by max-imal aerobic capacity ( _VO2max), econ-omy, and the percentage of an athlete’s_VO2max that can be maintained fora given race (3). The final factor islargely dependent on lactate threshold(LT). LT is thought to lead to a non-linear increase in ventilation (ventila-tory threshold [VT]) and the onset ofneuromuscular fatigue. Stout et al. (26–28) have investigated the effects ofbeta-alanine supplementation ona number of variables underlying
aerobic capacity and neuromuscularfatigue. These researchers found that28 days of beta-alanine supplementa-tion (3.2 g/d) in untrained malesresulted in a 16% increase in physicalworking capacity at neuromuscularfatigue in a continuous cycling bout.Similarly, untrained females increasedphysical working capacity at neuro-muscular fatigue by 13%, with con-comitant elevations in VT (14%) andcycling time to exhaustion (2.5%).These results suggest that beta-alaninesupplementation alone may allow en-durance athletes to perform at a higherpercentage of their maximal aerobiccapacity before experiencing fatigue.
THE ADDITION OF CREATINE TOBETA-ALANINE
Creatine supplementation has beendemonstrated to decrease blood lacticacid accumulation during high-inten-sity and submaximal exercises (1,21).The rationale is based on augmentedphosphocreatine (PCr) concentrationslowering the reliance on glycolysisduring intermittent exercise, therebylowering lactate accumulation. More-over, there is recent data using animalmodels suggesting that creatine mayincrease intramuscular carnosine levels,perhaps by acting as a free radicalscavenger and sparing carnosine fromthis process (4). Because the adminis-tration of creatine may facilitate themaintenance of muscle pH duringexercise, researchers have postulatedthat it may support beta-alaninesupplementation.
In this context, Zoeller et al. (31) foundthat beta-alanine and creatine alonewere able to increase 1–2 indices ofaerobic capacity, whereas the combi-nation of the 2 increased 5 of 8 indices.These included an increase in LT andVT (5.7–8%), power at LT and VT (9–10.5%), and _VO2peak at VT (7.8%).
The combined effects of beta-alanineand creatine have extended to theresistance training domain. Alone,beta-alanine has been able to increasetraining volume and strength, withoutany effects on LBM (11). It is intriguingto note that when combined with
Strength and Conditioning Journal | www.nsca-lift.org 73
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Table
Experimentalresu
ltswithbeta-alaninesu
pplementation
Authors
Participants
Dosage/duration
Bioch
emistry
Perform
ance
Bodyco
mposition
De
rave
et
al.
(5)
15
mal
en
atio
nal
leve
l4
00
-msp
rin
t–tr
ain
ed
ath
lete
s(a
ge
=2
4y)
4.8
gB
Ao
rP
dai
lyfo
r4
wk
Car
no
sin
ein
cre
ase
db
y4
7an
d3
7%
inso
leu
san
dg
astr
ocn
em
ius,
resp
ect
ive
ly
Kn
ee
ext
en
sio
nto
rqu
eim
pro
ved
4–
6%
inn
inth
and
fift
hb
ou
to
f3
0m
axim
alkn
ee
ext
en
sio
ns.
No
chan
ge
inis
om
etr
ice
nd
ura
nce
and
40
0-m
race
tim
e
NR
Hill e
tal
.(1
0)
25
ph
ysic
ally
acti
vem
ale
colle
ge
stu
de
nts
(ag
e=
25
–2
9y)
6.4
gB
Ao
rP
dai
lyfo
r4
–1
0w
kM
usc
leca
rno
sin
ein
cre
ase
d5
8–
80
%af
ter
4–
10
wk,
resp
ect
ive
ly
Tota
lw
ork
do
ne
on
bic
ycle
incr
eas
ed
by
10
–1
3%
afte
r4
–1
0w
k,re
spe
ctiv
ely
No
chan
ge
inb
od
ym
ass
Ho
ffm
ane
tal
.(1
1)
33
mal
eco
lleg
efo
otb
all
pla
yers
10
.5g
cre
atin
ed
aily
or
3.2
go
fB
A,
or
Pfo
r1
0w
k,w
hile
pe
rfo
rman
cere
sist
ance
trai
nin
g4
dw
ee
kly
Cre
atin
ein
cre
ase
dre
stin
gte
sto
ste
ron
eb
y2
0%
;n
oo
the
rch
ang
es
inIG
F-1
,g
row
thh
orm
on
e,o
rse
xh
orm
on
e–
bin
din
gg
lob
ulin
we
reo
bse
rve
d
Gre
ate
rst
ren
gth
gai
ns
wit
he
ith
er
cre
atin
eo
rcr
eat
ine
+B
Ath
anp
lace
bo
.A
dd
itio
no
fB
Ain
cre
ase
dtr
ain
ing
volu
me
and
de
laye
dfa
tig
ue
BA
+cr
eat
ine
resu
lte
din
gre
ate
rin
cre
ase
inLB
M(+
1.7
4kg
)th
ancr
eat
ine
or
pla
ceb
o.
No
dif
fere
nce
sin
fat
mas
s
Ho
ffm
ane
tal
.(1
2)
8e
xpe
rie
nce
dre
sist
ance
-tra
ine
dm
ale
s(a
ge
=2
0y)
4.8
gB
Ad
aily
or
Pfo
r4
wk
No
dif
fere
nce
sin
gro
wth
ho
rmo
ne,
test
ost
ero
ne,
blo
od
lact
ate
,o
rco
rtis
ol
22
%in
cre
ase
into
tal
nu
mb
er
of
rep
eti
tio
ns’
po
stve
rsu
sp
resu
pp
lem
en
tati
on
wit
hB
Ao
n6
sets
of
squ
ats
at7
0%
1R
M.
2%
incr
eas
ein
pe
akp
ow
er,
10
%in
cre
ase
inm
ean
po
we
r.N
od
iffe
ren
ces
in,
1R
Msq
uat
,o
rb
od
ym
ass
No
dif
fere
nce
sin
bo
dy
mas
s
Ho
ffm
ane
tal
.(1
3)
26
colle
gia
tem
ale
foo
tbal
lp
laye
rs(a
ge
=2
0y)
4.5
go
fB
Ad
aily
or
P3
wk
be
fore
and
9d
into
foo
tbal
ltr
ain
ing
cam
p
NR
No
dif
fere
nce
sin
pe
akp
ow
er,
me
anp
ow
er,
or
tota
lw
ork
on
Win
gat
ete
st.
No
dif
fere
nce
sin
squ
ato
rb
en
chtr
ain
ing
inte
nsi
ty;
No
dif
fere
nce
sin
pe
rce
pti
on
of
sore
ne
sso
rp
ract
ice
inte
nsi
tyb
ut
15
%d
ecr
eas
ein
pe
rce
pti
on
of
fati
gu
e
NR
Ke
nd
rick
et
al.
(15
)2
6ac
tive
mal
eV
ietn
ame
sesp
ort
ssc
ien
cest
ud
en
ts(a
ge
=2
2y)
.N
ore
sist
ance
trai
nin
ge
xpe
rie
nce
6.4
gB
Ao
rP
dai
lyd
uri
ng
10
wk
of
resi
stan
cetr
ain
ing
13
%in
cre
ase
inm
usc
leca
rno
sin
ew
ith
BA
;n
och
ang
ew
ith
resi
stan
cetr
ain
ing
alo
ne
No
gro
up
dif
fere
nce
sin
forc
eo
rst
ren
gth
pro
du
ctio
nN
og
rou
pd
iffe
ren
ces
inb
od
ym
ass
or
%b
od
yfa
t
VOLUME 32 | NUMBER 1 | FEBRUARY 201074
Beta-Alanine Supplementation
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Table
(continued)
Authors
Participants
Dosage/duration
Bioch
emistry
Perform
ance
Bodyco
mposition
Ke
nd
rick
et
al.
(16
)1
4p
hys
ical
acti
vem
ale
Vie
tnam
ese
ph
ysic
ale
du
cati
on
stu
de
nts
(ag
e=
22
y)
6.4
go
fB
Ao
rP
dai
lyd
uri
ng
4w
ko
fis
oki
ne
tic
trai
nin
go
fth
eri
gh
tle
g;
wit
han
un
trai
ne
dco
ntr
ol
of
the
left
leg
52
%in
cre
ase
inm
usc
leca
rno
sin
efo
rtr
ain
ed
+su
pp
lem
en
ted
;2
8%
incr
eas
ein
un
trai
ne
dle
g+
sup
ple
me
nte
d.
Ho
we
ver,
dif
fere
nce
be
twe
en
leg
sn
ot
sig
nifi
can
t
NR
NR
Ke
rnan
dR
ob
inso
n(1
7)
22
Div
isio
nII
colle
gia
tew
rest
lers
;1
5co
lleg
iate
foo
tbal
lp
laye
rs
4g
BA
or
PL
for
8w
kN
RW
rest
lers
=n
osi
gn
ifica
nt
imp
rove
me
nts
wit
hB
Asu
pp
lem
en
tati
on
;Fo
otb
all
pla
yers
=si
gn
ifica
ntl
yfa
ste
r3
00
-msh
utt
leru
nti
me
;si
gn
ifica
ntl
ylo
ng
er
fle
xed
arm
han
g
Wre
stle
rs=
lost
BW
bu
tsi
gn
ifica
ntl
yin
cre
ase
LBM
wit
hB
A(P
Llo
stLB
M).
Foo
tbal
l=
2.1
lbin
cre
ase
inLB
Mco
mp
are
dw
ith
1.1
lbfo
rP
L
Smit
he
tal
.(2
4)
46
recr
eat
ion
ally
acti
ve(1
–4
tim
es
exe
rcis
ew
ee
kly)
me
n(a
ge
=2
2y)
Un
trai
ne
d/
un
sup
ple
me
nte
dco
ntr
ol
or
6.4
go
fB
Ad
aily
or
pla
ceb
ow
hile
pe
rfo
rmin
gb
icyc
lein
terv
als
for
3w
kfo
r6
wk
NR
Inte
rval
trai
ne
dd
ela
yed
ne
uro
mu
scu
lar
fati
gu
ean
din
cre
ase
dn
eu
rom
usc
ula
re
ffici
en
cy.
No
sup
ple
me
nta
le
ffe
ct
NR
Smit
he
tal
.(2
4)
46
recr
eat
ion
ally
acti
vem
en
(ag
e=
22
y)P
lace
bo
3.0
gin
cre
ase
to6
.0g
BA
dai
lyco
mb
ine
dw
ith
6w
ee
ksH
IIT
NR
Sig
nifi
can
tin
cre
ase
in_ V
O2m
axan
dT
TE
No
chan
ge
in%
bo
dy
fat;
Sig
nifi
can
tin
cre
ase
inLB
Mfo
rth
eB
Ag
rou
po
nly
Sto
ut
et
al.
(25
)5
1u
ntr
ain
ed
me
n(a
ge
=2
4y)
Pla
ceb
o,
3.2
go
fB
A,
10
.5g
/dC
rM,
or
bo
thB
A+
CrM
NR
16
%d
ecr
eas
ein
ne
uro
mu
scu
lar
fati
gu
ed
uri
ng
con
tin
uo
us
bik
ing
wit
hB
Asu
pp
lem
en
tati
on
.N
oad
dit
ive
eff
ect
wit
hC
rM
NR
Sto
ut
et
al.
(26
)2
2u
ntr
ain
ed
fem
ale
s(a
ge
=2
6–
29
y)6
.4g
/do
fB
Ao
rp
lace
bo
for
4w
kN
RB
Are
sult
ed
in1
4%
incr
eas
ein
VT,
12
.5%
de
lay
inn
eu
rom
usc
ula
rfa
tig
ue,
2.5
%d
ecr
eas
ed
tim
eto
exh
aust
ion
.N
od
iffe
ren
cein
max
imal
oxy
ge
nco
nsu
mp
tio
n
No
sig
nifi
can
tch
ang
es
inb
od
ym
ass
(co
nti
nu
ed
)
Strength and Conditioning Journal | www.nsca-lift.org 75
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creatine, this supplement has resultedin greater increases in strength, trainingvolume, and LBM, compared withboth a creatine only and placeboconditions (11).
In summary, it appears that theaddition of creatine to beta-alanine, inboth aerobic and resistance exercisetrainings, may provide greater benefitsthan with separate supplementation ofeach. More research is needed to showwhether these effects are synergistic orsimply additive.
BETA-ALANINESUPPLEMENTATION—MODERATORVARIABLES (AGE, SEX, ANDTRAINING EXPERIENCE)
The majority of studies using beta-alanine supplementation have beenconducted in young (age = 20–29years) males. We were only able tolocate one study in young untrainedwomen. Similar to young men, womenwho supplemented with beta-alanineimproved their gains in LT, VT,neuromuscular fatigue, and time toexhaustion (27).
Age, however, does appear to moder-ate the effects of beta-alanine. Whilemen and women have demonstrated12–15% increases in work capacity atneuromuscular fatigue (26,27), elderlymen and women demonstrate nearlydouble the increase (28%) (28). Accord-ing to Stout et al. (28), this may reflectlower starting levels of intramuscularcarnosine (45% lower) relative toyoung individuals.
A final variable is training experience.Sprinters and bodybuilders have dem-onstrated higher carnosine concentra-tions than endurance athletes anduntrained individuals (19,30), yet re-search has established that 4–10 weeksof resistance and/or interval training isnot effective for augmenting carnosinelevels (15,16). Although training alonehas failed to induce significant in-creases in carnosine levels, combiningbeta-alanine supplementation withtraining has stimulated a 2-fold in-crease in carnosine levels, comparedwith beta-alanine supplementationalone (6,8). Notably, the change in
Table
(continued)
Authors
Participants
Dosage/duration
Bioch
emistry
Perform
ance
Bodyco
mposition
Sto
ut
et
al.
(27
)2
6m
ale
and
fem
ale
eld
erl
yp
eo
ple
(ag
e=
72
y)2
.4g
of
BA
dai
lyfo
r9
0d
.P
erf
orm
ed
dis
con
tin
uo
us
cycl
ee
rgo
me
ter
test
pre
and
po
stsu
pp
lem
en
tati
on
NR
28
.6%
imp
rove
me
nt
inp
hys
ical
wo
rkin
gca
pac
ity
atth
efa
tig
ue
thre
sho
ld
NR
Zo
elle
re
tal
.(3
0)
55
un
trai
ne
dm
en
(ag
e=
25
y)1
0.5
g/d
Cr,
3.2
g/d
BA
,b
oth
Cr+
BA
,o
rp
lace
bo
NR
Cr
imp
rove
d2
of
8m
eas
ure
so
fca
rdio
vasc
ula
rfi
tne
ss;
BA
on
ly1
.C
r+
BA
imp
rove
d5
of
8;
spe
cifi
cally
,vd
oto
2m
axat
LTan
dV
Tb
y5
.7–
8%
,re
spe
ctiv
ely
;p
ow
er
atLT
and
VT
by
9–
10
.5%
,re
spe
ctiv
ely
._ V
O2p
eak
atV
Tb
y7
.8%
.N
oe
ffe
cto
n_ V
O2p
eak
ato
rb
elo
wLT
or
TT
E
NR
Stat
isti
csre
po
rte
dar
em
ean
san
dp
erc
en
tch
ang
es.
Dif
fere
nce
sar
ere
po
rte
dw
ith
ing
rou
p.
BA
=b
eta
-ala
nin
e;B
W=
bo
dy
we
igh
t;C
r=
cre
atin
e;C
rM=
cre
atin
em
on
oh
ydra
te;H
IIT=
hig
h-i
nte
nsi
tyin
terv
altr
ain
ing
;IG
F=
insu
lin-l
ike
gro
wth
fact
or;
LBM
=le
anb
od
ym
ass;
LT=
lact
ate
thre
sho
ld;
NR
=n
ot
rep
ort
ed
;P
=p
lace
bo
;R
M=
rep
eti
tio
nm
axim
um
;T
TE
=ti
me
toe
xhau
stio
n;
VT
=ve
nti
lato
ryth
resh
old
.
VOLUME 32 | NUMBER 1 | FEBRUARY 201076
Beta-Alanine Supplementation
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intramuscular carnosine levels withbeta-alanine supplementation appearsto be similar between trained and rela-tively untrained individuals (5,10,15),illustrating the practicality in bothpopulations. However, it is difficult toquantify differences in the effectivenessof beta-alanine between trained anduntrained individuals because no directcomparisons have been made.
Moreover, outcome measures havediffered between trained and untrainedsubjects across the current body of liter-ature. What is known is that supplemen-tation has been demonstrated efficaciousregardless of training status (Table).
PRACTICAL APPLICATIONS
The goal of supplementation withbeta-alanine is to increase musclecarnosine levels and ultimately aug-ment performance. Carnosine isthought to be a powerful hydrogenion buffer, thereby delaying the onsetof fatigue. Twelve studies reported inthis review investigated the effects ofbeta-alanine on muscle carnosine andvarious parameters of performance(Table). Supplementation ranging from3 to 6.5 g of beta-alanine daily, dividedinto 0.8–1.6 g doses, for 4–10 weeks hasirrefutably augmented carnosine levelsby 30–80% (8–10,15).
For athletes, we recommend a doseof 6.4 g daily, divided into four 1.6-gdoses throughout day. Dosing shouldbe spaced in a minimum of 3-hourintervals so as to avoid negativeflushing effects. It may also be wise topyramid the dosage, starting fromlower (3.2 g/d) during the first week,to moderate (4.8 g/d) during thesecond week, to higher (6.4 g/d) theremainder of the supplemental period(9). For the athlete looking to enhanceperformance during an event, it shouldbe realized that intramuscular carno-sine concentrations increase over time(e.g., from 4 to 10 weeks). Thus, werecommend a minimum of 4 weeksand optimally triple this time beforea competition (10). More so, it hasrecently been shown that carnosinelevels remain elevated for up to 9weeks devoid of supplementation (7).
Beta-alanine supplementation appearsto be optimized when lactate pro-duction is greatest. Therefore, resis-tance training athletes will most likelyexperience the greatest increases involume and strength in a moderatelyhigh–intensity (8–12 reps or 60–85%repetition maximum) (11–13) as op-posed to very high–intensity (1–5 repsor 85–100% 1 repetition maximum)(15) training regimen. Similarly, in-termittent or interval training athleteswill experience greater gains whenperforming over 30–90 seconds (e.g.,hockey shift) than when performing the100-m dash. We predict that enduranceathletes will benefit greatly when per-forming closer to their LT. It is alsoimportant to note that these effects maybe magnified with increasing age (28).Finally, beta-alanine combined withcreatine may augment performance toa greater extent than when adminis-tered separately (11,26,31), most likelyas a result of a decreased accumulationof H+ ions during submaximal andmaximal intensity exercises.
For scientists, we suggest that theresearch continues to diversify its sub-ject population and perform longerexperiments to ascertain if beta-alaninewith or without endurance and/orresistance training results in changesin body composition, strength, andfunctionality across age spans overa period of months to years. Further-more, a sound research design imple-menting a double-blind, placebo-controlled, repeated measures designcomparing between-group differenceswill be most valuable to the researchcommunity.
JacobM.Wilson
is a PhD candidateand conductsresearch in theDepartment ofNutrition, Food,and Exercise Scien-ces at Florida StateUniversity and is
president of abcbodybuilding.com.
Gabriel J.
Wilson is adoctoral student inthe Division ofNutritional Scien-ces at the Univer-sity of Illinois and
is vice president of abcbodybuilding.com.
Michael C.
Zourdos is adoctoral studentand conductsresearch in theDepartment ofNutrition, Food,and Exercise
Sciences at Florida State University.
Abbie E. Smith
is a doctoralcandidate in theMetabolic andBody CompositionLaboratory at theUniversity ofOklahoma in theDepartment ofHealth andExercise Science.
Jeffery R. Stout
is currently anassociate professorand director of theMetabolic andBody CompositionLaboratories inthe Departmentof Health and
Exercise Science at the University ofOklahoma.
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VOLUME 32 | NUMBER 1 | FEBRUARY 201078
Beta-Alanine Supplementation