Cited by 62Muscle metabolism and nutritionSports Performance and TrainingBiochemical effects in animals

Oral Branched-Chain Amino Acids Supplementation in Athletes: A Systematic Review

Open access
Martinho, Diogo V., Nobari, Hadi, Faria, Ana, Field, Adam, Duarte, Daniel, Sarmento, Hugo·2022·Nutrients

Abstract

Branched-chain amino acids (BCAAs) are oxidized in the muscle and result in stimulating anabolic signals—which in return may optimize performance, body composition and recovery. Meanwhile, among athletes, the evidence about BCAA supplementation is not clear. The aim of this study was to review the effects of BCAAs in athletic populations. The research was conducted in three databases: Web of Science (all databases), PubMed and Scopus. The inclusion criteria involved participants classified both as athletes and people who train regularly, and who were orally supplemented with BCAAs. The risk of bias was individually assessed for each study using the revised Cochrane risk of bias tool for randomized trials (RoB 2.0). From the 2298 records found, 24 studies met the inclusion criteria. Although BCAAs tended to activate anabolic signals, the benefits on performance and body composition were negligible. On the other hand, studies that included resistance participants showed that BCAAs attenuated muscle soreness after exercise, while in endurance sports the findings were inconsistent. The protocols of BCAA supplements differed considerably between studies. Moreover, most of the studies did not report the total protein intake across the day and, consequently, the benefits of BCAAs should be interpreted with caution.

AI snapshot

Written from the paper’s full text.

TL;DR

This systematic review of 24 studies found that oral BCAA supplementation in athletes had negligible effects on performance and body composition, despite tending to activate anabolic signals. Benefits for muscle soreness/recovery were modality-dependent, with attenuation mainly in resistance exercise and inconsistent findings in endurance sports.

Key findings

  • From 2298 records, 24 studies met inclusion criteria; BCAAs had trivial effects on performance outputs and negligible effects on body composition (e.g., comparable body weight changes after 7 days; negligible lean tissue and fat mass effects).
  • In resistance participants, BCAA supplementation attenuated muscle soreness after exercise, and two studies reported attenuated performance decrements; in endurance sports, recovery/soreness findings were inconclusive (e.g., RPE and mental fatigue reduced in seven endurance cyclists, no RPE differences in 50 marathon runners, lower soreness in 16 distance runners).
  • One 8-week hypocaloric resistance-training study reported BCAA increased upper-body strength (15.1 ± 2.2 kg) and lower-body strength (7.1 ± 1.6 kg), while the CHO group had negligible upper-body changes (4.8 ± 1.8 kg); a 10-week study in 18 cyclists found a group vs. time interaction for peak power and a higher BCAAs:tryptophan ratio with 20% and 4% increases in peak and mean power outputs, respectively.
  • BCAA intake caused substantial improvement in the BCAAs:tryptophan ratio and immune response; hormonal changes indicated a favored anabolic response (cortisol decreased after exercise, testosterone tended to rise in resistance-training participants). Most studies did not report total daily protein intake.

Methods

  • Systematic review following PRISMA and Cochrane guidance; databases Web of Science (all databases), PubMed, and Scopus were searched on 11 February 2022. Inclusion criteria: athletes or regular trainers, oral BCAA ingestion, outcomes on performance/body composition/recovery/biochemical/hormonal/molecular signaling, control or placebo, and pre- to post-test changes.
  • 2298 records were identified; 649 duplicates were removed; 86 full texts were assessed; 24 studies were included. Data were extracted by two authors, and outcomes were categorized as performance, body composition, muscle soreness, recovery, and biochemical/hormonal/molecular indicators.
  • Risk of bias was assessed individually with the revised Cochrane risk of bias tool for randomized trials (RoB 2.0) by two independent reviewers, with disagreements resolved by a third.

Limitations

  • Stated in the paper: grey literature was not included; most original studies did not report total protein intake, especially per kilogram of body mass, so BCAA benefits should be interpreted cautiously; supplementation protocols varied widely in timing and quantity.
  • Stated in the paper: risk-of-bias concerns included unclear randomization details, possible deviations from intended interventions in seven studies, and higher risk in outcome measurement in five studies.
  • Evident from the text: several included studies had small samples (e.g., 7 endurance cyclists, 16 distance runners, 18 cyclists), and endurance findings were inconsistent, limiting generalizability.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.3390/nu14194002

Cites

Statistics

Nothing to recompute.

Claims the paper makes

0 of 38 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    Most included studies did not report total protein intake across the day.

    “Moreover, most of the studies did not report the total protein intake across the day and, consequently, the benefits of BCAAs should be interpreted with caution.”
    Quote in the paperSubstantial claim
  • Findingnone given

    BCAAs tended to activate anabolic signals.

    “Although BCAAs tended to activate anabolic signals, the benefits on performance and body composition were negligible.”
    Quote in the paperSubstantial claim
  • Findingcitation

    BCAA intake caused a substantial improvement in the BCAAs:tryptophan ratio.

    “The main findings of these extracted studies reveal that BCAA intake caused a substantial improvement in BCAAs:tryptophan ratio [21,27] and immune response [27,38,39].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [21] Blomstrand, 1997, Influence of ingesting a solution of branched-chain amino acids on perceived exertion during exercise, Acta Physiol. Scand. source

      Not checked in the free run.

    • cites [27] Kephart, 2016, Ten weeks of branched-chain amino acid supplementation improves select performance and immunological variables in trained cyclists, Amino Acids source

      Not checked in the free run.

  • Findingcitation

    In 18 cyclists, long-term BCAA supplementation over 10 weeks produced a group vs. time interaction for peak power in the BCAA group.

    “A separate study examining the effects of long-term BCAA supplementation over 10 weeks in 18 cyclists, found a group vs. time interaction for peak power in the BCAA group [27].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [27] Kephart, 2016, Ten weeks of branched-chain amino acid supplementation improves select performance and immunological variables in trained cyclists, Amino Acids source

      Not checked in the free run.

  • Findingcitation

    Ratings of perceived exertion and mental fatigue were significantly reduced in the BCAA group among seven endurance cyclists.

    “Ratings of perceived exertion and mental fatigue were significantly reduced in the BCAA group among seven endurance cyclists [21]”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [21] Blomstrand, 1997, Influence of ingesting a solution of branched-chain amino acids on perceived exertion during exercise, Acta Physiol. Scand. source

      Not checked in the free run.

  • Classified as probably not a substantial claim. 6
  • May combine two claims. 6
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    From 2298 records found, 24 studies met the inclusion criteria.

    “From the 2298 records found, 24 studies met the inclusion criteria.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingcitation

    In a study of participants on a hypocaloric diet with heavy resistance training across 8 weeks, BCAA supplementation significantly increased upper and lower body strength, while the CHO group had negligible changes in upper body strength.

    “The authors found that BCAA supplementation increased upper (15.1 ± 2.2 kg) and lower body strength (7.1 ± 1.6 kg), significantly, while the CHO group demonstrated negligible changes in upper body strength (4.8 ± 1.8 kg).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [26] Dudgeon, 2016, In a single-blind, matched group design: Branched-chain amino acid supplementation and resistance training maintains lean body mass during a caloric restricted diet, J. Int. Soc. Sports Nutr. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationcitation

    The role of carbohydrates on performance is crucial.

    “By inference, the role of carbohydrates on performance is crucial [45].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [45] Jeukendrup, A., and Gleeson, M. (2018). Sport Nutrition, Human Kinetics. [3rd ed.].

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    Two independent authors screened titles and abstracts, and disagreements were resolved by a third author until consensus.

    “Two independent authors (DVM/HS) screened the title and abstracts. The remaining manuscripts were assessed to check whether the eligibility criteria were met. Where disagreements occurred, a third author (AF) was consulted and debate ensued until a consensus was achieved.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    Two independent observers completed the RoB 2.0 assessment and disagreements were solved by a third reviewer.

    “Two independent observers completed the revised Cochrane risk of bias tool for randomized trials (DVM/HS) and possible disagreements were solved by a third reviewer (AF).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    It is plausible that the increase in BCAAs:tryptophan ratio reduced serotonin production and fatigue and subsequently improved performance.

    “It is plausible to suggest that the increase in BCAAs:tryptophan ratio reduced the production of serotonin and fatigue and, subsequently, performance improved.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductcitation

    The review was conducted according to PRISMA guidelines and Cochrane instructions.

    “The current review was conducted according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines [16] and Cochrane instructions [17].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [16] Page, 2021, PRISMA 2020 explanation and elaboration: Updated guidance and exemplars for reporting systematic reviews, BMJ source

      Not checked in the free run.

    • cites [17] Higgins, J.P., Thomas, J., Chandler, J., Cumpston, M., Li, T., Page, M.J., and Welch, V.A. (2019). Cochrane Handbook for Systematic Reviews of Interventions, John Wiley & Sons. source

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    When consumed during prolonged exercise, BCAAs increase the BCAAs:tryptophan ratio, confirming the central fatigue hypothesis.

    “When consuming during prolonged exercise, BCAAs showed an increase in the BCAAs:tryptophan ratio, confirming the central fatigue hypothesis [49].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [49] Newsholme, 2006, Branched-chain amino acids and central fatigue, J. Nutr. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Risk of bias was individually assessed for each study using the revised Cochrane risk of bias tool for randomized trials (RoB 2.0).

    “The risk of bias was individually assessed for each study using the revised Cochrane risk of bias tool for randomized trials (RoB 2.0).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [22] Sterne, 2019, RoB 2: A revised tool for assessing risk of bias in randomised trials, BMJ

      Not checked in the free run.

9 of 9
  • The paper relies on this without support.

    The effects of BCAA supplementation had previously been examined in non-sport participants or in samples combining athletes and active participants, leaving a need for a systematic review in athletes.

    “The effects of BCAA supplementation were previously examined in non-sport participants or combining samples of athletes and active participants. Therefore, a systematic review about the impact of BCAAs among athletes is needed.”
1 of 1

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Five higher-risk studies claimed but four cited

    Minor

    The fourth-domain assessment says five studies had a higher risk of bias but identifies only four studies in its accompanying citations.

  • Body-composition study list omits a study named later

    Minor

    The study-characteristics section lists only studies [25] and [26] as examining body composition, whereas the individual-results section also names study [27].

2 of 2

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References 46 · Cited by 62

Research works printed but not linked: 3

  1. Koba, 2005, Effect of A Branched-chain Amino Acids Supplementation on Muscle Soreness during Intensive Training Program: 229: Board# 136: 11:00 AM–12:30 PM, Med. Sci. Sports Exerc., 37, S43
  2. Stipanuk, M.H., and Claudill, M.A. (2013). Biochemical, Physiological, and Molecular Aspects of Human Nutrition, Saunders.
  3. Atashak, 2014, Hormonal responses to acute resistance exercise after branched-chain amino acids supplementation, Int. Med. J., 22, 1

Authors
Martinho, D. V., Nobari, H., Faria, A., Field, A., Duarte, D., & Sarmento, H.
Affiliations
  • Universidade Politécnica de Coimbra (PT)
  • Department of Physiology, Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain
  • University of Huddersfield (GB)
  • N2i—Polytechnic Institute of Maia, 4475-690 Maia, Portugal
  • University of Coimbra (PT)
Corresponding author
Martinho, Diogo V.
Venue
Nutrients
Publisher
MDPI AG
Published
2022-09-27
Volume
14
Issue
19
Pages
4002
ISSN
2072-6643 (ISSN-L)
OpenAlex
W4297547857
Cited by
62
References
46
Citations by year
2026: 14 · 2025: 25 · 2024: 17 · 2023: 6
Type
dissertation
Language
en
Open access
Locations
  • Nutrients (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • e-space (Manchester Metropolitan University) (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
  • Health Sciences › Medicine › Physiology › Biochemical effects in animals
Keywords
branched-chain amino acids, BCAA supplementation, athletes, exercise performance, body composition, muscle soreness, resistance training, endurance training, anabolic signaling, recovery, protein intake
MeSH terms
Amino Acids, Branched-Chain, Humans, Exercise, Dietary Supplements, Athletes, Myalgia

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