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Background  Recent research has indicated that pomegranate extract (POMx) may improve performance during aerobic exercise by enhancing the matching of vascular oxygen (O 2 ) provision to muscular requirements. POMx is rich in ellagitannin polyphenols and nitrates (NO 3   − ), which are both associated with improvements in blood flow and O 2  delivery. Primarily, this study aimed to determine whether POMx improves performance in a cycling time trial to exhaustion at 100%VO 2max  (TTE100%) in highly-trained cyclists. In addition, we investigated if the O 2  cost (VO 2 ) of submaximal exercise was lower with POMx, and whether any changes were greater at high altitude where O 2  delivery is impaired.    Methods  Eight cyclists exercised at three submaximal intensities before completing a TTE100% at sea-level (SEA) and at 1657 m of altitude (ALT), with pre-exercise consumption of 1000 mg of POMx or a placebo (PLAC) in a randomized, double-blind, crossover design. Data were analysed using a three way (treatment x altitude x intensity) or two-way (treatment x altitude) repeated measures ANOVA with a Fisher’s LSD post-hoc analysis. Significance was set at  p  ≤ 0.05. The effect size of significant interactions was calculated using Cohen’s d.    Results  TTE100% performance was reduced in ALT but was not influenced by POMx ( p  > 0.05). Plasma NO 3   −  were 10.3 μmol greater with POMx vs. PLAC (95% CI, 0.8, 19.7, F   1,7  = 7.83,  p  < 0.04). VO 2  measured at five minutes into the TTE100% was significantly increased in ALTPOMx vs. ALTPLAC (+3.8 ml.min −1 kg −1 , 95% CI, −5.7, 9.5, F 1,7  = 29.2,  p  = 0.001, ES = 0.6) but unchanged in SEAPOMx vs. SEAPLAC ( p  > 0.05). Submaximal VO 2  values were not affected by POMx ( p  ≥ 0.05).    Conclusions  The restoration of SEA VO 2  values at ALT is likely driven by the high polyphenol content of POMx, which is proposed to improve nitric oxide bioavailability. Despite an increase in VO 2 , no change in exercise performance occurred and therefore this study does not support the use of POMx as an ergogenic supplement.

journal of the international society of sports nutrition

The effect of acute pomegranate extract supplementation on oxygen uptake in highly-trained cyclists during high-intensity exercise in a high altitude environment