La resistencia especial en el fútbol

La finalidad de esta tesis es establecer un análisis de la metodología de entrenamiento de la resistencia especial en el futbolista. Su objetivo no está vinculado a realizar propuestas prácticas de entrenamiento, sino más bien, se tratará de abordar una posible justificación fisiológico - metabólica, a partir de la relevancia bioenergética de la creatina, en función de la creciente especialización que debe ir adquiriendo el proceso del entrenamiento deportivo a largo plazo, enfocado al logro de altos rendimientos deportivos. A partir del análisis de conceptos terminológicos de referencia, se asienta la idea general de este trabajo, es decir, la estructuración y desarrollo de la resistencia en los deportes de conjunto, como el fútbol. Los pilares de una adecuada planificación son el conocimiento y la aplicación de distintas leyes y principios del entrenamiento deportivo y su relación con los distintos medios y métodos de entrenamiento, como así también, los efectos de adaptación que provocan. Por lo tanto, a partir del análisis de los requerimientos morfológicos - funcionales de las competiciones de elite en fútbol, se pueden elaborar modelos que servirán de base y como objetivo final al cual debe ser orientado el proceso de entrenamiento. Es decir, que un entrenamiento multianual con miras a la formación de futbolistas de elite, debe respetar la especialización creciente de las cargas de entrenamiento, estableciendo una sucesión metodológica adecuada en función de los objetivos de cada etapa. En función de lo expuesto, se realiza un análisis que va desde la resistencia como capacidad física y su metodología de entrenamiento, recorriendo distintos conceptos y manifestaciones, pasando por el análisis de distintas zonas de intensidad o áreas funcionales, y desembocando en la metodología de entrenamiento intermitente de la resistencia o resistencia especial -en los deportes de conjunto-. Y es a partir de todo el análisis precedente que estamos en condiciones de abordar el entrenamiento específico en el fútbol, y más detalladamente la resistencia específica o intermitente que requiere este deporte. El entrenamiento intermitente puede ser considerado como una metodología cuyo énfasis es puesto en modificaciones que se producen a nivel muscular, por sobre factores centrales de rendimiento, presentándose como una variante óptima para el entrenamiento de la resistencia muscular local y específica del futbolista. Básicamente, el entrenamiento intermitente actuaría sobre dos puntos centrales: la mejora del sistema shuttle de la CrP, y sobre la rapidez de entrega de oxígeno al inicio del ejercicio. Aquí aparece la importancia de la suplementación con Cr: que al aumentar las concentraciones del sustrato, y junto con el entrenamiento, que mejora las reacciones enzimáticas implicadas, potenciaría las mejoras buscadas con este tipo de metodología. Queda por determinar cual es el preciso mecanismo de acción por el cual la recuperación de los fosfatos altamente energéticos se produce: si por biogénesis mitocondrial en las fibras reclutadas - generalmente FT -; o mediante el sistema de proteínas transportadoras de Cr - destacando la importancia de las ST - o por algún otro mecanismo no conocido. Su descubrimiento permitiría direccionar más precisamente el entrenamiento deportivo.

La resistencia especial en el fútbol

La finalidad de esta tesis es establecer un análisis de la metodología de entrenamiento de la resistencia especial en el futbolista. Su objetivo no está vinculado a realizar propuestas prácticas de entrenamiento, sino más bien, se tratará de abordar una posible justificación fisiológico - metabólica, a partir de la relevancia bioenergética de la creatina, en función de la creciente especialización que debe ir adquiriendo el proceso del entrenamiento deportivo a largo plazo, enfocado al logro de altos rendimientos deportivos. A partir del análisis de conceptos terminológicos de referencia, se asienta la idea general de este trabajo, es decir, la estructuración y desarrollo de la resistencia en los deportes de conjunto, como el fútbol. Los pilares de una adecuada planificación son el conocimiento y la aplicación de distintas leyes y principios del entrenamiento deportivo y su relación con los distintos medios y métodos de entrenamiento, como así también, los efectos de adaptación que provocan. Por lo tanto, a partir del análisis de los requerimientos morfológicos - funcionales de las competiciones de elite en fútbol, se pueden elaborar modelos que servirán de base y como objetivo final al cual debe ser orientado el proceso de entrenamiento. Es decir, que un entrenamiento multianual con miras a la formación de futbolistas de elite, debe respetar la especialización creciente de las cargas de entrenamiento, estableciendo una sucesión metodológica adecuada en función de los objetivos de cada etapa. En función de lo expuesto, se realiza un análisis que va desde la resistencia como capacidad física y su metodología de entrenamiento, recorriendo distintos conceptos y manifestaciones, pasando por el análisis de distintas zonas de intensidad o áreas funcionales, y desembocando en la metodología de entrenamiento intermitente de la resistencia o resistencia especial -en los deportes de conjunto-. Y es a partir de todo el análisis precedente que estamos en condiciones de abordar el entrenamiento específico en el fútbol, y más detalladamente la resistencia específica o intermitente que requiere este deporte. El entrenamiento intermitente puede ser considerado como una metodología cuyo énfasis es puesto en modificaciones que se producen a nivel muscular, por sobre factores centrales de rendimiento, presentándose como una variante óptima para el entrenamiento de la resistencia muscular local y específica del futbolista. Básicamente, el entrenamiento intermitente actuaría sobre dos puntos centrales: la mejora del sistema shuttle de la CrP, y sobre la rapidez de entrega de oxígeno al inicio del ejercicio. Aquí aparece la importancia de la suplementación con Cr: que al aumentar las concentraciones del sustrato, y junto con el entrenamiento, que mejora las reacciones enzimáticas implicadas, potenciaría las mejoras buscadas con este tipo de metodología. Queda por determinar cual es el preciso mecanismo de acción por el cual la recuperación de los fosfatos altamente energéticos se produce: si por biogénesis mitocondrial en las fibras reclutadas - generalmente FT -; o mediante el sistema de proteínas transportadoras de Cr - destacando la importancia de las ST - o por algún otro mecanismo no conocido. Su descubrimiento permitiría direccionar más precisamente el entrenamiento deportivo.

La resistencia especial en el fútbol

La finalidad de esta tesis es establecer un análisis de la metodología de entrenamiento de la resistencia especial en el futbolista. Su objetivo no está vinculado a realizar propuestas prácticas de entrenamiento, sino más bien, se tratará de abordar una posible justificación fisiológico - metabólica, a partir de la relevancia bioenergética de la creatina, en función de la creciente especialización que debe ir adquiriendo el proceso del entrenamiento deportivo a largo plazo, enfocado al logro de altos rendimientos deportivos. A partir del análisis de conceptos terminológicos de referencia, se asienta la idea general de este trabajo, es decir, la estructuración y desarrollo de la resistencia en los deportes de conjunto, como el fútbol. Los pilares de una adecuada planificación son el conocimiento y la aplicación de distintas leyes y principios del entrenamiento deportivo y su relación con los distintos medios y métodos de entrenamiento, como así también, los efectos de adaptación que provocan. Por lo tanto, a partir del análisis de los requerimientos morfológicos - funcionales de las competiciones de elite en fútbol, se pueden elaborar modelos que servirán de base y como objetivo final al cual debe ser orientado el proceso de entrenamiento. Es decir, que un entrenamiento multianual con miras a la formación de futbolistas de elite, debe respetar la especialización creciente de las cargas de entrenamiento, estableciendo una sucesión metodológica adecuada en función de los objetivos de cada etapa. En función de lo expuesto, se realiza un análisis que va desde la resistencia como capacidad física y su metodología de entrenamiento, recorriendo distintos conceptos y manifestaciones, pasando por el análisis de distintas zonas de intensidad o áreas funcionales, y desembocando en la metodología de entrenamiento intermitente de la resistencia o resistencia especial -en los deportes de conjunto-. Y es a partir de todo el análisis precedente que estamos en condiciones de abordar el entrenamiento específico en el fútbol, y más detalladamente la resistencia específica o intermitente que requiere este deporte. El entrenamiento intermitente puede ser considerado como una metodología cuyo énfasis es puesto en modificaciones que se producen a nivel muscular, por sobre factores centrales de rendimiento, presentándose como una variante óptima para el entrenamiento de la resistencia muscular local y específica del futbolista. Básicamente, el entrenamiento intermitente actuaría sobre dos puntos centrales: la mejora del sistema shuttle de la CrP, y sobre la rapidez de entrega de oxígeno al inicio del ejercicio. Aquí aparece la importancia de la suplementación con Cr: que al aumentar las concentraciones del sustrato, y junto con el entrenamiento, que mejora las reacciones enzimáticas implicadas, potenciaría las mejoras buscadas con este tipo de metodología. Queda por determinar cual es el preciso mecanismo de acción por el cual la recuperación de los fosfatos altamente energéticos se produce: si por biogénesis mitocondrial en las fibras reclutadas - generalmente FT -; o mediante el sistema de proteínas transportadoras de Cr - destacando la importancia de las ST - o por algún otro mecanismo no conocido. Su descubrimiento permitiría direccionar más precisamente el entrenamiento deportivo.

Effect of short-term creatine supplementation on markers of skeletal muscle damage after strenuous contractile activity

The protective effect of short-term creatine supplementation (CrS) upon markers of strenuous contractile activity-induced damage in human and rat skeletal muscles was investigated. Eight Ironman triathletes were randomized into the placebo (Pl; n = 4) and creatine-supplemented (CrS; n = 4) groups. Five days prior to the Ironman competition, the CrS group received creatine monohydrate (20 g day(-1)) plus maltodextrin (50 g) divided in two equal doses. The Pl group received maltodextrin (50 g day(-1)) only. The effect of CrS (5 g day(-1)/kg body weight for 5 days) was also evaluated in a protocol of strenuous contractile activity induced by electrical stimulation in rats. Blood samples were collected before and 36 and 60 h after the competition and were used to determine plasma activities of creatine kinase (CK), lactate dehydrogenase (LDH), aldolase (ALD), glutamic oxaloacetic acid transaminase (GOT), glutamic pyruvic acid transaminase (GPT), and C-reactive protein (CRP) level. In rats, plasma activities of CK and LDH, muscle vascular permeability (MVP) using Evans blue dye, muscle force and fatigue were evaluated. Activities of CK, ALD, LDH, GOT, GTP, and levels of CRP were increased in the Pl group after the competition as compared to basal values. CrS decreased plasma activities of CK, LDH, and ALD, and prevented the rise of GOT and GPT plasma activities. In rats, CrS delayed the fatigue, preserved the force, and prevented the rise of LDH and CK plasma activities and MVP in the gastrocnemius muscle. CrS presented a protective effect on muscle injury induced by strenuous contractile activities.

Creatine supplementation spares muscle glycogen during high intensity intermittent exercise in rats

Background: The effects of creatine (CR) supplementation on glycogen content are still debatable. Thus, due to the current lack of clarity, we investigated the effects of CR supplementation on muscle glycogen content after high intensity intermittent exercise in rats. Methods: First, the animals were submitted to a high intensity intermittent maximal swimming exercise protocol to ensure that CR-supplementation was able to delay fatigue ( experiment 1). Then, the CR-mediated glycogen sparing effect was examined using a high intensity intermittent sub-maximal exercise test ( fixed number of bouts; six bouts of 30-second duration interspersed by two-minute rest interval) ( experiment 2). For both experiments, male Wistar rats were given either CR supplementation or placebo (Pl) for 5 days. Results: As expected, CR-supplemented animals were able to exercise for a significant higher number of bouts than Pl. Experiment 2 revealed a higher gastrocnemius glycogen content for the CR vs. the Pl group (33.59%). Additionally, CR animals presented lower blood lactate concentrations throughout the intermittent exercise bouts compared to Pl. No difference was found between groups in soleus glycogen content. Conclusion: The major finding of this study is that CR supplementation was able to spare muscle glycogen during a high intensity intermittent exercise in rats.

Selective Decrease of Components of the Creatine Kinase System and ATP Synthase Complex in Chronic Chagas Disease Cardiomyopathy

Background: Chronic Chagas disease cardiomyopathy (CCC) is an inflammatory dilated cardiomyopathy with a worse prognosis than other cardiomyopathies. CCC occurs in 30 % of individuals infected with Trypanosoma cruzi, endemic in Latin America. Heart failure is associated with impaired energy metabolism, which may be correlated to contractile dysfunction. We thus analyzed the myocardial gene and protein expression, as well as activity, of key mitochondrial enzymes related to ATP production, in myocardial samples of end-stage CCC, idiopathic dilated (IDC) and ischemic (IC) cardiomyopathies. Methodology/Principal Findings: Myocardium homogenates from CCC (N = 5), IC (N = 5) and IDC (N = 5) patients, as well as from heart donors (N = 5) were analyzed for protein and mRNA expression of mitochondrial creatine kinase (CKMit) and muscular creatine kinase (CKM) and ATP synthase subunits aplha and beta by immunoblotting and by real-time RT-PCR. Total myocardial CK activity was also assessed. Protein levels of CKM and CK activity were reduced in all three cardiomyopathy groups. However, total CK activity, as well as ATP synthase alpha chain protein levels, were significantly lower in CCC samples than IC and IDC samples. CCC myocardium displayed selective reduction of protein levels and activity of enzymes crucial for maintaining cytoplasmic ATP levels. Conclusions/Significance: The selective impairment of the CK system may be associated to the loss of inotropic reserve observed in CCC. Reduction of ATP synthase alpha levels is consistent with a decrease in myocardial ATP generation through oxidative phosphorylation. Together, these results suggest that the energetic deficit is more intense in the myocardium of CCC patients than in the other tested dilated cardiomyopathies.

Effects of high-dose creatine supplementation on kidney and liver responses in sedentary and exercised rats

This study evaluated the effects of high-dose of short-term creatine supplementation (5g.kg(-1). day(-1) to 1 week) and long-term creatine supplementation (1g.kg(-1). day(-1) to 4-8 weeks) on kidney and liver structure and function of sedentary and exercised Wistar rats ( Exercise sessions consisted of swimming at 80% of maximal work load supported during 5 days per week with daily sessions of 60 minutes throughout the duration of the supplementation). Seventy-two animals ( 245 +/- 5g) were divided into four groups (n = 18): control diet Sedentary ( SED), Creatine diet Sedentary (CRE), control diet Exercised (EXE), and Creatine diet Exercised (EXECRE). Histological and blood biochemical studies were performed after one, four, and eight weeks of creatine supplementation and exercise ( n = 6). No differences were found when comparing SED, EXE and EXECRE groups for kidney and liver structure and function at one, four and eight weeks. However, the CRE group showed higher levels of creatinine (1.1 +/- 0.2 vs. 0.4 +/- 0.1 mg.dl(-1); p < 0.05), and urea ( 37 +/- 3 vs. 19 +/- 1 mg. dl(-1); p < 0.05) when compared with all others groups at four and eight weeks. At eight weeks, the CRE group presented increased levels of ALT (41 +/- 7 vs. 23 +/- 7 U.L(-1); p < 0.05), AST (89 +/- 6 vs. 62 +/- 5 U. L(-1); p < 0.05), GGT (8.0 +/- 0.9 vs. 3.9 +/- 1.0 U. L(-1); p < 0.05), and AP (125 +/- 10 vs. 69 +/- 9 U. L(-1); p < 0.05) also when compared with all others groups. Moreover, the CRE group demonstrated some structural alterations indicating renal and hepatic damage at four and eight weeks, respectively. These results suggest that long-term creatine supplementation (up to 4-8 weeks) may adversely affect kidney and liver structure and function of sedentary but not of exercised rats.

Effects of creatine supplementation on renal function: a randomized, double-blind, placebo-controlled clinical trial

Creatine (CR) supplementation is commonly used by athletes. However, its effects on renal function remain controversial. The aim of this study was to evaluate the effects of creatine supplementation on renal function in healthy sedentary males (18-35 years old) submitted to exercise training. A randomized, double-blind, placebo-controlled trial was performed. Subjects (n = 18) were randomly allocated to receive treatment with either creatine (CR) (similar to 10 g day(-1) over 3 months) or placebo (PL) (dextrose). All subjects undertook moderate intensity aerobic training, in three 40-min sessions per week, during 3 months. Serum creatinine, serum and urinary sodium and potassium were determined at baseline and at the end of the study. Cystatin C was assessed prior to training (PRE), after 4 (POST 4) and 12 weeks (POST 12). Cystatin C levels (mg L-1) (PRE CR: 0.82 +/- 0.09; PL: 0.88 +/- 0.07 vs. POST 12 CR: 0.71 +/- 0.06; PL: 0.75 +/- 0.09, P = 0.0001) were decreased over time, suggesting an increase in glomerular filtration rate. Serum creatinine decreased with training in PL but was unchanged with training in CR. No significant differences were observed within or between groups in other parameters investigated. The decrease in cystatin C indicates that high-dose creatine supplementation over 3 months does not provoke any renal dysfunction in healthy males undergoing aerobic training. In addition, the results suggest that moderate aerobic training per se may improve renal function.

Effects of creatine supplementation on glucose tolerance and insulin sensitivity in sedentary healthy males undergoing aerobic training

Recent findings have indicated that creatine supplementation may affect glucose metabolism. This study aimed to examine the effects of creatine supplementation, combined with aerobic training, on glucose tolerance in sedentary healthy male. Subjects (n = 22) were randomly divided in two groups and were allocated to receive treatment with either creatine (CT) (similar to 10g .day over three months) or placebo (PT) (dextrose). Administration of treatments was double blind. Both groups underwent moderate aerobic training. An oral glucose tolerance test (OGTT) was performed and both fasting plasma insulin and the homeostasis model assessment (HOMA) index were assessed at the start, and after four, eight and twelve weeks. CT demonstrated significant decrease in OGTT area under the curve compared to PT (P = 0.034). There were no differences between groups or over time in fasting insulin or HOMA. The results suggest that creatine supplementation, combined with aerobic training, can improve glucose tolerance but does not affect insulin sensitivity, and may warrant further investigation with diabetic subjects.

Effect of oral creatine supplementation on near-maximal strength and repeated sets of high-intensity bench press exercise

This study examined the effects of 26 days of oral creatine monohydrate (Cr) supplementation on near-maximal muscular strength, high-intensity bench press performance, and body composition. Eighteen male powerlifters with at least 2 years resistance training experience took part in this 28-day experiment. Pre and postmeasurements (Days 1 and 28) were taken of near-maximal muscular strength, body mass, and % body fat. There were two periods of supplementation Days 2 to 6 and Days 7 to 27. ANOVA and t-tests revealed that Cr supplementation significantly increased body mass and lean body mass with no changes in % body fat. Significant increases in 3-RM strength occurred in both groups, both absolute and relative to body mass; the increases were greater in the Cr group. The change in total repetitions also increased significantly with Cr supplementation both in absolute terms and relative to body mass, while no significant change was seen in the placebo (P) group. Creatine supplementation caused significant changes in the number of BP reps in Sets 1, 4, and 5. No changes occurred in the P group. It appears that 26 days of Cr supplementation significantly improves muscular strength and repeated near-maximal BP performance, and induces changes in body composition.

Effect of creatine supplementation on measured glomerular filtration rate in postmenopausal women

We aimed to investigate whether creatine supplementation affects the measured glomerular filtration rate in postmenopausal women (age, 58 +/- 3 years). Subjects were randomly assigned to receive either creatine (20 g(.)day(-1) for 1 week and 5 g(.)day(-1) thereafter) or a placebo. Kidney function was assessed at baseline and after 12 weeks. [(51)Cr] EDTA clearance remained unchanged (CR-PRE: 86.16 +/- 14.36 mL(.)min(-1) per 1.73 m(2), POST: 87.25 +/- 17.60 mL(.)min(-1) per 1.73 m(2); PL-PRE: 85.15 +/- 8.54 mL(.)min(-1) per 1.73 m(2), POST: 87.18 +/- 9.64 mL(.)min(-1) per 1.73 m(2); p = 0.81). Thus, we concluded that creatine supplementation does not affect glomerular filtration rate in postmenopausal women.

Creatine supplementation does not impair kidney function in type 2 diabetic patients: a randomized, double-blind, placebo-controlled, clinical trial

Creatine supplementation may have a therapeutic role in diabetes, but it is uncertain whether this supplement is safe for kidney function. The aim of this study was to investigate the effects of creatine supplementation on kidney function in type 2 diabetic patients. A randomized, double-blind, placebo-controlled trial was performed. The patients were randomly allocated to receive either creatine or placebo for 12 weeks. All the patients underwent exercise training throughout the trial. Subjects were assessed at baseline and after the intervention. Blood samples and 24-h urine samples were obtained for kidney function assessments. Additionally, (51)Cr-EDTA clearance was performed. To ensure the compliance with creatine intake, we also assessed muscle phosphorylcreatine content. The creatine group presented higher muscle phosphorylcreatine content when compared to placebo group (CR Pre 44 +/- A 10, Post 70 +/- A 18 mmol/kg/wt; PL Pre 52 +/- A 13, Post 46 +/- A 13 mmol/kg/wt; p = 0.03; estimated difference between means 23.6; 95% confidence interval 1.42-45.8). No significant differences were observed for (51)Cr-EDTA clearance (CR Pre 90.4 +/- A 16.9, Post 96.1 +/- A 15.0 mL/min/1.73 m(2); PL Pre 97.9 +/- A 21.6, Post 96.4 +/- A 26.8 mL/min/1.73 m(2); p = 0.58; estimated difference between means -0.3; 95% confidence interval -24.9 to 24.2). Creatinine clearance, serum and urinary urea, electrolytes, proteinuria, and albuminuria were unchanged. CR supplementation does not affect kidney function in type 2 diabetic patients, opening a window of opportunities to explore its promising therapeutic role in this population. ClinicalTrials.gov registration number: NCT00992043.

Creatine in Type 2 Diabetes: A Randomized, Double-Blind, Placebo-Controlled Trial

GUALANO, B., V. DE. SALLES PAINNELI, H. ROSCHEL, G. G. ARTIOLI, M. NEVES JR, A. L. DE SA PINTO, M. E. DA SILVA, M. R. CUNHA, M. C. G. OTADUY, C. DA COSTA LEITE, J. C. FERREIRA, R. M. PEREIRA, P. C. BRUM, E. BONFA, and A. H. LANCHA JR. Creatine in Type 2 Diabetes: A Randomized, Double-Blind, Placebo-Controlled Trial. Med. Sci. Sports Exerc., Vol. 43, No. 5, pp. 770-778, 2011. Creatine supplementation improves glucose tolerance in healthy subjects. Purposes: The aim was to investigate whether creatine supplementation has a beneficial effect on glycemic control of type 2 diabetic patients undergoing exercise training. Methods: A 12-wk randomized, double-blind, placebo-controlled trial was performed. The patients were allocated to receive either creatine (CR) (5 g.d(-1)) or placebo (PL) and were enrolled in an exercise training program. The primary outcome was glycosylated hemoglobin (Hb(A1c)). Secondary outcomes included the area under the curve of glucose, insulin, and C-peptide and insulin sensitivity indexes. Physical capacity, lipid profile, and GLUT-4 protein expression and translocation were also assessed. Results: Twenty-five subjects were analyzed (CR: n = 13; PL: n = 12). Hb(A1c) was significantly reduced in the creatine group when compared with the placebo group (CR: PRE = 7.4 +/- 0.7, POST = 6.4 +/- 0.4; PL: PRE = 7.5 +/- 0.6, POST = 7.6 +/- 0.7; P = 0.004; difference = -1.1%, 95% confidence interval = -1.9% to -0.4%). The delta area under the curve of glucose concentration was significantly lower in the CR group than in the PL group (CR = -7790 +/- 4600, PL = 2008 +/- 7614; P = 0.05). The CR group also presented decreased glycemia at times 0, 30, and 60 min during a meal tolerance test and increased GLUT-4 translocation. Insulin and C-peptide concentrations, surrogates of insulin sensitivity, physical capacity, lipid profile, and adverse effects were comparable between the groups. Conclusions: Creatine supplementation combined with an exercise program improves glycemic control in type 2 diabetic patients. The underlying mechanism seems to be related to an increase in GLUT-4 recruitment to the sarcolemma.

Beneficial Effect of Creatine Supplementation in Knee Osteoarthritis

NEVES JR., M., B. GUALANO, H. ROSCHEL, R. FULLER, F. B. BENATTI, A. L. DE SA PINTO, F. R. LIMA, R. M. PEREIRA, A. H. LANCHA JR., E. BONFA. Beneficial Effect of Creatine Supplementation in Knee Osteoarthritis. Med. Sci. Sports Exerc., Vol. 43, No. 8, pp. 1538-1543, 2011. Introduction: The aim of this study was to investigate the efficacy of creatine (CR) supplementation combined with strengthening exercises in knee osteoarthritis (OA). Methods: A randomized, double-blind, placebo-controlled trial was performed. Postmenopausal women with knee OA were allocated to receive either CR (20 g.d(-1) for 1 wk and 5 g.d(-1) thereafter) or placebo (PL) and were enrolled in a lower limb resistance training program. They were assessed at baseline (PRE) and after 12 wk (POST). The primary outcome was the physical function as measured by the timed-stands test. Secondary outcomes included lean mass, quality of life, pain, stiffness, and muscle strength. Results: Physical function was significantly improved only in the CR group (P = 0.006). In addition, a significant between-group difference was observed (CR: PRE = 15.7 +/- 1.4, POST = 18.1 +/- 1.8; PL: PRE = 15.0 +/- 1.8, POST = 15.2 +/- 1.2; P = 0.004). The CR group also presented improvements in physical function and stiffness subscales as evaluated by the Western Ontario and McMaster Universities Osteoarthritis Index (P = 0.005 and P = 0.024, respectively), whereas the PL group did not show any significant changes in these parameters (P > 0.05). In addition, only the CR group presented a significant improvement in lower limb lean mass (P = 0.04) as well as in quality of life (P = 0.01). Both CR and PL groups demonstrated significant reductions in pain (P G 0.05). Similarly, a main effect for time revealed an increase in leg-press one-repetition maximum (P = 0.005) with no significant differences between groups (P = 0.81). Conclusions: CR supplementation improves physical function, lower limb lean mass, and quality of life in postmenopausal women with knee OA undergoing strengthening exercises.