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Record W4409918719 · doi:10.1016/j.aehs.2025.04.003

Effects of L-carnitine supplementation on markers of exercise-induced muscle damage in healthy adults: A systematic review and meta-analysis of randomized controlled trials

2025· review· en· W4409918719 on OpenAlexaff
Fatemeh Kazeminasab, Maryam Miraghajani, Saideh Ahmadinejad, Fatemeh Sharafifard, Randhall Bruce Carteri, Scott C. Forbes, Filipe J. Teixeira, Heitor O. Santos

Bibliographic record

VenueAdvanced Exercise and Health Science · 2025
Typereview
Languageen
FieldMedicine
TopicDiet and metabolism studies
Canadian institutionsBrandon University
Fundersnot available
KeywordsMeta-analysisRandomized controlled trialMedicineCarnitineMuscle damageInternal medicineSystematic reviewPhysical therapyMEDLINEBiologyBiochemistry

Abstract

fetched live from OpenAlex

L-carnitine supplementation is purported to attenuate exercise-induced muscle damage, however, individual studies revealed mixed results. Thus, we performed a systematic review and meta-analysis of randomized controlled trials to determine the pooled effects of L -carnitine supplementation on muscle soreness and indirect circulating biochemical markers of muscle damage (myoglobin, creatine kinase (CK), and lactate dehydrogenase (LDH)) in healthy adults. Searches were performed on PubMed, Scopus, and Web of Science for randomized controlled trials (RCTs) examining L -carnitine supplementation on muscle damage or related biomarkers. Meta-analyses were done to calculate the weighted mean difference (WMD) when sufficient data was available. A total of 14 RCTs, including 284 participants, were included. L -carnitine supplementation doses varied from 1 to 3 g/d, from a single dose administration to an 8-week chronic regimen. Pooled effects revealed that L -carnitine reduced muscle soreness at 24 h [WMD= -6.39, p = 0.001] and 48 h after exercise [WMD= -1.53, p = 0.03]. Myoglobin was reduced immediately [WMD= -11.55 ng/mL, p = 0.04] and 30–60 min after exercise [WMD= -41.09 ng/mL, p = 0.001], but not 24 h after exercise [WMD= -22.85 ng/mL, p = 0.07]. CK was reduced 2 h [WMD= -26.72 IU/L, p = 0.02] and 24 h after exercise [WMD= -48.72 IU/L, p = 0.006], with no significant changes immediately after exercise [WMD= -32.76 IU/L, p = 0.38]. A non-significant decrease in LDH [WMD= -25.66 IU/L, p = 0.14] was observed immediately after exercise. In conclusion, L -carnitine supplementation may reduce muscle soreness, myoglobin and CK post-exercise, in some instances. Further research is warranted to determine the effects of L -carnitine on exercise performance.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.019
metaresearch head score (Gemma)0.005
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Meta-epidemiology (broad)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.578
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0190.005
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0580.003
Bibliometrics0.0020.003
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.066
GPT teacher head0.438
Teacher spread0.371 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designSystematic review
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes1
Has abstractyes

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