title: Rutoside and Hydrolytic Enzymes Do Not Attenuate Marathon-Induced Inflammation.
abstract: Vigorous and prolonged exercise such as marathon running increases inflammatory markers and the risk of upper respiratory illness (URI) in athletes. Nutritional supplements are being tested as countermeasures of exercise-induced inflammation and immune dysfunction.
  
  
  
  In this prospective randomized, double-blind, placebo-controlled phase I trial, healthy male runners (N = 138, age 42 ± 11 yr) were supplemented with rutoside (600-1200 mg·d) and hydrolytic enzymes (540-1080 mg·d bromelain, 288-576 mg·d trypsin) (WOB) or placebo (PL) for 1 wk before and 2 wk after the Munich Marathon 2013. Blood samples were collected 5 wk prerace and immediately, 24 h, and 72 h postrace and analyzed for inflammation biomarkers (interleukins [IL] 6 and 10, high-sensitivity C-reactive protein, and leukocytes). URI rates, assessed by the Wisconsin Upper Respiratory Symptom Survey, were compared between the study groups during the 2-wk period after the marathon race. URI was defined if the Wisconsin Upper Respiratory Symptom Survey score was equal or greater than seven, representing either one severe symptom or seven mild symptoms.
  
  
  
  Immediately postrace, the increase of IL-6 was not significantly different between the WOB and the PL groups (median [interquartile range]: WOB, 33.8 [22.5-58.8] ng·L; PL, 35.6 [24.8-61.29] ng·L; P = 0.758). No significant group differences were observed for increases of IL-10, high-sensitivity C-reactive protein, or leukocytes pre- to postrace (all P > 0.05). From race day until 2 wk after the marathon race, the percentage of individuals with at least one URI did not significantly differ between the groups (WOB, 50.0%; PL, 51.5%; P = 0.859).
  
  
  
  Supplementation with rutoside and hydrolytic enzymes before and after a marathon race did not attenuate postrace inflammation or decrease URI incidence in nonelite male marathon runners.
authors.affiliation: 1Department of Prevention, Rehabilitation and Sports Medicine, Klinikum rechts der Isar, Technische Universitaet Muenchen, Munich, GERMANY; 2Institute for Medical Statistics and Epidemiology, Klinikum rechts der Isar, Technische Universitaet Muenchen, Munich, GERMANY; 3Institute for Laboratory Medicine, Deutsches Herzzentrum Muenchen der Technischen Universitaet Muenchen, Munich, GERMANY; 4Human Performance Laboratory, Appalachian State University and the North Carolina Research Campus, Kannapolis, NC; 5DZHK (German Centre for Cardiovascular Research), Munich Heart Alliance, Munich, GERMANY; and 6Else Kröner-Fresenius-Zentrum, Klinikum rechts der Isar der Technischen Universität München, Munich, GERMANY.
authors.forename: Viola
authors.initials: V
authors.lastname: Grabs
authors.forename: Anna
authors.initials: A
authors.lastname: Kersten
authors.forename: Bernhard
authors.initials: B
authors.lastname: Haller
authors.forename: Siegmund
authors.initials: S
authors.lastname: Braun
authors.forename: David C
authors.initials: DC
authors.lastname: Nieman
authors.forename: Martin
authors.initials: M
authors.lastname: Halle
authors.forename: Johannes
authors.initials: J
authors.lastname: Scherr
mesh_terms: D000328:Adult; D001963:Bromelains / Q000008:administration & dosage* / Q000009:adverse effects; D002097:C-Reactive Protein / Q000378:metabolism; D019587:Dietary Supplements / Q000009:adverse effects; D004311:Double-Blind Method; D006801:Humans; D007249:Inflammation / Q000097:blood / Q000517:prevention & control*; D016753:Interleukin-10 / Q000097:blood; D015850:Interleukin-6 / Q000097:blood; D007958:Leukocyte Count; D007962:Leukocytes / Q000378:metabolism; D008297:Male; D010807:Physical Endurance / Q000276:immunology / Q000502:physiology*; D011446:Prospective Studies; D012141:Respiratory Tract Infections / Q000097:blood / Q000517:prevention & control; D012420:Running / Q000502:physiology*; D012431:Rutin / Q000008:administration & dosage* / Q000009:adverse effects; D014357:Trypsin / Q000008:administration & dosage* / Q000009:adverse effects
chemical_list: D015850:Interleukin-6; D016753:Interleukin-10; D012431:Rutin; D001963:Bromelains; D002097:C-Reactive Protein; D014357:Trypsin