Review Article

Essential Amino Acids and Exercise Tolerance in Elderly Muscle-Depleted Subjects with Chronic Diseases: A Rehabilitation without Rehabilitation?

Table 2

Changes in exercise variables observed after EAA supplementation in subjects with chronic heart failure or chronic obstructive pulmonary disease.

Exercise variablesDiseaseTreatment durationChanges (% pretreatment)
PlaceboEAAs

Mechanical work
 6 min WT (meters)CHF12 weeksn.d.+12 [9]
CHF8 weeks+4+22 [8]
 Cycle ergometer (watts)CHF8 weeks+3.5+18.7 [8]
CHF4 weeks+4+23 [7]
 Steps (number/day)COPD12 weeks−7.8+78.6 [10]
Metabolic variables during cycling
 (a) Aerobic metabolism:CHF8 weeks
 VO2 peak (mL/Kg/min)+0.08+10.4 [7, 8]
 (b) Anaerobic metabolism:CHF4 weeks
 VO2 recovery time (mL/Kg/min)
  (i) At 30% postpeak decline−14−58 [7]
  (ii) At 50% postpeak decline−1−49 [7]
Resting plasma lactate (μmol/L)CHF8 weeks+15−25 [8]
COPD12 weeks+13−23 [10]
Resting insulin resistance (HOMA index)CHF8 weeks+6.5−16 [8]

WT: walking test; VO2: oxygen uptake; CHF: chronic heart failure; COPD: chronic obstructive pulmonary disease; n.d.: not determined.