PMID- 37401190 OWN - NLM STAT- MEDLINE DCOM- 20230731 LR - 20230815 IS - 1748-1716 (Electronic) IS - 1748-1708 (Linking) VI - 238 IP - 4 DP - 2023 Aug TI - Inter-individual variability in redox and performance responses after antioxidant supplementation: A randomized double blind crossover study. PG - e14017 LID - 10.1111/apha.14017 [doi] AB - AIM: We aimed to investigate the inter-individual variability in redox and physiological responses of antioxidant-deficient subjects after antioxidant supplementation. METHODS: Two hundred individuals were sorted by plasma vitamin C levels. A low vitamin C group (n = 22) and a control group (n = 22) were compared in terms of oxidative stress and performance. Subsequently, the low vitamin C group received for 30 days vitamin C (1 g) or placebo, in randomized, double-blind, crossover fashion, and the effects were examined through a mixed-effects model, while individual responses were calculated. RESULTS: The low vitamin C group exhibited lower vitamin C (-25 mumol/L; 95%CI[-31.7, -18.3]; p < 0.001), higher F(2) -isoprostanes (+17.1 pg/mL; 95%CI[6.5, 27.7]; p = 0.002), impaired VO(2max) (-8.2 mL/kg/min; 95%CI[-12.8, -3.6]; p < 0.001) and lower isometric peak torque (-41.5 Nm; 95%CI[-61.8, -21.2]; p < 0.001) compared to the control group. Regarding antioxidant supplementation, a significant treatment effect was found in vitamin C (+11.6 mumol/L; 95%CI[6.8, 17.1], p < 0.001), F(2) -isoprostanes (-13.7 pg/mL; 95%CI[-18.9, -8.4], p < 0.001), VO(2max) (+5.4 mL/kg/min; 95%CI[2.7, 8.2], p = 0.001) and isometric peak torque (+18.7; 95%CI[11.8, 25.7 Nm], p < 0.001). The standard deviation for individual responses (SDir) was greater than the smallest worthwhile change (SWC) for all variables indicating meaningful inter-individual variability. When a minimal clinically important difference (MCID) was set, inter-individual variability remained for VO(2max) , but not for isometric peak torque. CONCLUSION: The proportion of response was generally high after supplementation (82.9%-95.3%); however, a few participants did not benefit from the treatment. This underlines the potential need for personalized nutritional interventions in an exercise physiology context. CI - (c) 2023 The Authors. Acta Physiologica published by John Wiley & Sons Ltd on behalf of Scandinavian Physiological Society. FAU - Margaritelis, Nikos V AU - Margaritelis NV AUID- ORCID: 0000-0001-5119-427X AD - Department of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, Serres, Greece. FAU - Nastos, George G AU - Nastos GG AD - Department of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, Serres, Greece. FAU - Vasileiadou, Olga AU - Vasileiadou O AD - Department of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, Serres, Greece. FAU - Chatzinikolaou, Panagiotis N AU - Chatzinikolaou PN AD - Department of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, Serres, Greece. FAU - Theodorou, Anastasios A AU - Theodorou AA AD - Department of Life Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus. FAU - Paschalis, Vassilis AU - Paschalis V AD - School of Physical Education and Sport Science, National and Kapodistrian University of Athens, Athens, Greece. FAU - Vrabas, Ioannis S AU - Vrabas IS AD - Department of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, Serres, Greece. FAU - Kyparos, Antonios AU - Kyparos A AD - Department of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, Serres, Greece. FAU - Fatouros, Ioannis G AU - Fatouros IG AD - Department of Physical Education and Sport Sciences, University of Thessaly, Trikala, Greece. FAU - Nikolaidis, Michalis G AU - Nikolaidis MG AD - Department of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, Serres, Greece. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20230703 PL - England TA - Acta Physiol (Oxf) JT - Acta physiologica (Oxford, England) JID - 101262545 RN - 0 (Antioxidants) RN - PQ6CK8PD0R (Ascorbic Acid) RN - 0 (Vitamins) RN - 0 (Isoprostanes) SB - IM MH - Humans MH - *Antioxidants/pharmacology/metabolism MH - Cross-Over Studies MH - *Ascorbic Acid/pharmacology/therapeutic use MH - Oxidation-Reduction MH - Oxidative Stress MH - Vitamins/pharmacology MH - Double-Blind Method MH - Dietary Supplements MH - Isoprostanes/pharmacology OTO - NOTNLM OT - antioxidants OT - deficiency OT - inter-individual variability OT - oxidative stress OT - personalized OT - precision OT - vitamin C EDAT- 2023/07/04 06:42 MHDA- 2023/07/31 06:42 CRDT- 2023/07/04 02:43 PHST- 2023/06/14 00:00 [revised] PHST- 2023/02/13 00:00 [received] PHST- 2023/06/19 00:00 [accepted] PHST- 2023/07/31 06:42 [medline] PHST- 2023/07/04 06:42 [pubmed] PHST- 2023/07/04 02:43 [entrez] AID - 10.1111/apha.14017 [doi] PST - ppublish SO - Acta Physiol (Oxf). 2023 Aug;238(4):e14017. doi: 10.1111/apha.14017. Epub 2023 Jul 3.