Evidence map›Paper›PMID 25526969›Full record

Trial reportEuropean journal of nutrition2016

Low vitamin C values are linked with decreased physical performance and increased oxidative stress: reversal by vitamin C supplementation.

Vassilis Paschalis, Anastasios A Theodorou, Antonios Kyparos, Konstantina Dipla, Andreas Zafeiridis, George Panayiotou, Ioannis S Vrabas, Michalis G Nikolaidis

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03121222 (N-acetylcysteine Supplementation in Individuals With Low Glutathione Levels), which is not on this map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03121222 phase2completednot on this map

N-acetylcysteine Supplementation in Individuals With Low Glutathione Levels: the Effects on Physical Performance and Redox Homeostasis

TypeinterventionalSponsorAristotle University Of ThessalonikiRan2015 to 2016Enrolled36ConditionsGlutathione Metabolism AnemiasArmsN-acetylcysteine, Lactose
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. A Hot Water Extract ofNutrients · 2022
    Trial
  3. Trial
  4. Trial
  5. Hot Water Extract ofNutrients · 2019
    Trial
  6. Trial
  7. Trial
  8. Review
  9. Eccentric Exercise and Muscle Damage: An Introductory Guide.Journal of functional morphology and kinesiology · 2026
    Review
  10. Review
  11. Sex differences in nutrient gaps among active adults.Journal of nutritional science · 2026
    Article
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Frontiers in nutrition · 2024
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Vassilis PaschalisSchool of Physical Education and Sport Science, University of Thessaly, 42100, Karies, Trikala, Greece.
Anastasios A TheodorouDepartment of Health Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus.
Antonios KyparosSchool of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, 62110, Agios Ioannis, Serres, Greece.
Konstantina DiplaSchool of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, 62110, Agios Ioannis, Serres, Greece.
Andreas ZafeiridisSchool of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, 62110, Agios Ioannis, Serres, Greece.
George PanayiotouDepartment of Health Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus.
Ioannis S VrabasSchool of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, 62110, Agios Ioannis, Serres, Greece.
Michalis G NikolaidisSchool of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, 62110, Agios Ioannis, Serres, Greece. nikolaidis@auth.gr.
Aristotle University of Thessaloniki · GREuropean University Cyprus · CY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIt has been suggested that part of the failure of antioxidant supplementation to reduce oxidative stress and promote health is that it has been administered in humans with normal levels of antioxidants.

methodsTo test this hypothesis, we screened 100 males for vitamin C baseline values in blood. Subsequently, the 10 individuals with the lowest and the 10 with the highest vitamin C values were assigned in two groups. Using a placebo-controlled crossover design, the 20 selected subjects performed aerobic exercise to exhaustion (oxidant stimulus) before and after vitamin C supplementation for 30 days.

resultsThe low vitamin C group had lower VO2max values than the high vitamin C group. Vitamin C supplementation in this group marginally increased VO2max. Baseline concentration of F2-isoprostanes and protein carbonyls was higher in the low vitamin C group compared to the high vitamin C group. Vitamin C supplementation decreased the baseline concentration of F2-isoprostanes and protein carbonyls in both groups, yet the decrease was greater in the low vitamin C group. Before vitamin C supplementation, F2-isoprostanes and protein carbonyls were increased to a greater extent after exercise in the high vitamin C group compared to the low vitamin C group. Interestingly, after vitamin C supplementation, this difference was narrowed.

conclusionWe show for the first time that low vitamin C concentration is linked with decreased physical performance and increased oxidative stress and that vitamin C supplementation decreases oxidative stress and might increase exercise performance only in those with low initial concentration of vitamin C.

Indexed as

Dietary SupplementsExerciseAntioxidantsAscorbic AcidBiomarkersCross-Over StudiesDietary CarbohydratesDietary FatsDietary ProteinsDouble-Blind MethodEnergy IntakeF2-IsoprostanesHumansMaleOxidative StressOxygen ConsumptionAntioxidantsAscorbic AcidBiomarkersDietary CarbohydratesDietary FatsDietary ProteinsF2-IsoprostanesAntioxidantsExerciseOxidative stressPhysical performanceSupplementation

Identifiers

PMID25526969
OpenAlexW2124472634

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.