<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">FNS</journal-id><journal-title-group><journal-title>Food and Nutrition Sciences</journal-title></journal-title-group><issn pub-type="epub">2157-944X</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/fns.2016.77054</article-id><article-id pub-id-type="publisher-id">FNS-67360</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biomedical&amp;Life Sciences</subject></subj-group></article-categories><title-group><article-title>
 
 
  Administration of Tomato Juice or Aqueous Components of Tomato Reduces Fatigue Induced by Acute Treadmill Exercise
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Kei</surname><given-names>Mukuta</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Kazuyoshi</surname><given-names>Koizumi</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Eisuke</surname><given-names>F. Sato</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Keiichi</surname><given-names>Hiramoto</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Masao</surname><given-names>Hiwatari</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Satoshi</surname><given-names>Sunabori</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Hiroyuki</surname><given-names>Suganuma</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Innovation Division, KAGOME. Co. Ltd., Tochigi, Japan</addr-line></aff><aff id="aff3"><addr-line>Faculty of Pharmacological Science, Suzuka University of Medical Science, Mie, Japan</addr-line></aff><aff id="aff2"><addr-line>Department of Biochemistry and Molecular Pathology, Osaka City University Medical School, Osaka, Japan</addr-line></aff><aff id="aff4"><addr-line>Research Center of Clinical Medicine, International University of Health and Welfare, Tochigi, Japan</addr-line></aff><author-notes><corresp id="cor1">* E-mail:<email>Kei_Mukuta@kagome.co.jp(KM)</email>;</corresp></author-notes><pub-date pub-type="epub"><day>02</day><month>06</month><year>2016</year></pub-date><volume>07</volume><issue>07</issue><fpage>524</fpage><lpage>532</lpage><history><date date-type="received"><day>12</day>	<month>May</month>	<year>2016</year></date><date date-type="rev-recd"><day>accepted</day>	<month>11</month>	<year>June</year>	</date><date date-type="accepted"><day>15</day>	<month>June</month>	<year>2016</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  Physical exercise is a good means of enhancing and maintaining health. However, many people struggle to make exercise be a habit, in part because of the associated fatigue. The present study investigated the effects of tomato juice on fatigue induced by exercise in humans and mice. A study of 10 healthy men and women indicated that drinking tomato juice suppressed post-exercise increases in rated perceived exertion, a subjective fatigue indicator. In mice, a single administration of tomato juice significantly attenuated exercise-induced fatigue, as measured by locomotor activity and blood transforming growth factor β and corticosterone levels. The active substances in tomatoes, which were among the aqueous components as of tomato juice supernatant, showed the same anti-fatigue effects as whole tomato juice. Moreover, these effects were mimicked by water supplemented with the aqueous components (i.e., sugars, organic acids, and amino acids) and were likely exerted by two or more of these components. Our results suggest that consuming tomato juice prior to or during an exercise session can reduce post-exercise fatigue, which could encourage more individuals to incorporate a regular exercise regimen into their daily routine.
 
</p></abstract><kwd-group><kwd>Tomato</kwd><kwd> Exercise</kwd><kwd> Fatigue</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Regular exercise has many health-promoting benefits, including the maintenance of physical functions [<xref ref-type="bibr" rid="scirp.67360-ref1">1</xref>] and prevention of metabolic syndromes [<xref ref-type="bibr" rid="scirp.67360-ref2">2</xref>] and various types of disease [<xref ref-type="bibr" rid="scirp.67360-ref3">3</xref>] - [<xref ref-type="bibr" rid="scirp.67360-ref5">5</xref>] . The Japanese Ministry of Health, Labour, and Welfare recommends regular exercise (&gt;30 min at least twice a week). However, the percentage of people that habitually exercise is reportedly low: 33.8% in men and 27.2% in women according to a 2013 survey [<xref ref-type="bibr" rid="scirp.67360-ref6">6</xref>] . One reason for these low rates is the negative perception of exercise as an exhausting activity. It follows that more people would adopt the habit of regular exercise if exercise-induced fatigue could be reduced.</p><p>Fatigue is caused by specific factors in muscle cells (peripheral fatigue) and diminished activation of the central nervous system (central fatigue). Peripheral fatigue associated with the depletion of energy, accumulation of metabolites such as lactate, and oxidative stress [<xref ref-type="bibr" rid="scirp.67360-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.67360-ref8">8</xref>] . Although the mechanism of central fatigue is complex, it is thought to result from an increase in central serotonin (5-HT) level and inflammatory cytokine release from muscles [<xref ref-type="bibr" rid="scirp.67360-ref7">7</xref>] . Consumption of certain foods is an easy way to prevent both peripheral and central fatigue; for example, carbohydrates have been suggested to delay fatigue during prolonged exercise [<xref ref-type="bibr" rid="scirp.67360-ref9">9</xref>] [<xref ref-type="bibr" rid="scirp.67360-ref10">10</xref>] , and a mixture of specific branched-change amino acids (BCAAs; e.g., valine, leucine, and isoleucine) reportedly provides energy for muscles and inhibits central 5-HT release [<xref ref-type="bibr" rid="scirp.67360-ref11">11</xref>] [<xref ref-type="bibr" rid="scirp.67360-ref12">12</xref>] . Antioxidants such as vitamins C or E have also been shown to prevent oxidative stress and muscular fatigue [<xref ref-type="bibr" rid="scirp.67360-ref13">13</xref>] [<xref ref-type="bibr" rid="scirp.67360-ref14">14</xref>] .</p><p>Tomato (Solanum lycopersicum) is one of the most widely consumed vegetables worldwide and contains many beneficial components, including sugars, amino acids, minerals, vitamins, and the antioxidant lycopene [<xref ref-type="bibr" rid="scirp.67360-ref14">14</xref>] . As such, tomato can be expected to reduce fatigue via multiple mechanisms. We investigated this possibility in the present study by evaluating the anti-fatigue effects of tomato juice in humans and mice following exercise.</p></sec><sec id="s2"><title>2. Materials and Methods</title><sec id="s2_1"><title>2.1. Materials</title><p>Commercially available tomato juice (KAGOME Co., Ltd., Tochigi, Japan) and mineral water (House Foods Corp., Osaka, Japan) were used in the human study; the nutritional information is shown in <xref ref-type="table" rid="table1">Table 1</xref>. For the animal study, tomato paste (Tat Gida Sanayi AS, Istanbul, Turkey) was used to prepare tomato juice and tomato juice supernatant (hereafter referred to as supernatant) samples. Tomato juice was prepared by diluting tomato paste with distilled water to a final degree Brix of 5.3―which was the same as that of the tomato juice used in the human study―followed by centrifugation at 1660 &#215;g for 10 min at 4˚C to separate the serum fraction. The supernatant sample was prepared by adding the same weight of distilled water as that of the centrifuged sediment to the serum to obtain a final degree Brix of 3.9. The composition of the mixed solution of sugars, organic acids (OAs), and amino acids (AAs) was determined by high-performance liquid chromatography, and is shown in <xref ref-type="table" rid="table2">Table 2</xref>.</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Nutritional composition of experimental beverage for human study</title></caption><table><tbody><thead><tr><th align="center" valign="middle" ></th><th align="center" valign="middle" >Tomato juice</th><th align="center" valign="middle" >Water</th></tr></thead><tr><td align="center" valign="middle" >Energy (kcal)</td><td align="center" valign="middle" >68</td><td align="center" valign="middle" >0</td></tr><tr><td align="center" valign="middle" >Protein (g)</td><td align="center" valign="middle" >2.2</td><td align="center" valign="middle" >0</td></tr><tr><td align="center" valign="middle" >Fat (g)</td><td align="center" valign="middle" >0</td><td align="center" valign="middle" >0</td></tr><tr><td align="center" valign="middle" >Total carbohydrate (g)</td><td align="center" valign="middle" >14</td><td align="center" valign="middle" >0</td></tr><tr><td align="center" valign="middle" >Dietary fiber (g)</td><td align="center" valign="middle" >2.2</td><td align="center" valign="middle" >-</td></tr><tr><td align="center" valign="middle" >Sodium, Na (mg)</td><td align="center" valign="middle" >2~36</td><td align="center" valign="middle" >6.1</td></tr><tr><td align="center" valign="middle" >Calcium, Ca (mg)</td><td align="center" valign="middle" >22</td><td align="center" valign="middle" >9.0</td></tr><tr><td align="center" valign="middle" >Potassium, K (mg)</td><td align="center" valign="middle" >920</td><td align="center" valign="middle" >0.14</td></tr><tr><td align="center" valign="middle" >Lycopene (mg)</td><td align="center" valign="middle" >34</td><td align="center" valign="middle" >-</td></tr><tr><td align="center" valign="middle" >β-carotene (mg)</td><td align="center" valign="middle" >2.4</td><td align="center" valign="middle" >-</td></tr><tr><td align="center" valign="middle" >Vitamin A (μg)</td><td align="center" valign="middle" >172</td><td align="center" valign="middle" >-</td></tr></tbody></table></table-wrap><p>-: not measured.</p><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> Nutritional composition of experimental beverages for the animal study</title></caption><table><tbody><thead><tr><th align="center" valign="middle" ></th><th align="center" valign="middle" ></th><th align="center" valign="middle" >Sugar</th><th align="center" valign="middle" >OA</th><th align="center" valign="middle" >EAA</th><th align="center" valign="middle" >NEAA</th><th align="center" valign="middle" >EAA ＋ NEAA</th><th align="center" valign="middle" >ALL</th></tr></thead><tr><td align="center" valign="middle" >Sugars</td><td align="center" valign="middle" >Glucose</td><td align="center" valign="middle" >0.957</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >0.957</td></tr><tr><td align="center" valign="middle" >(g/100g)</td><td align="center" valign="middle" >Fructose</td><td align="center" valign="middle" >1.256</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >1.256</td></tr><tr><td align="center" valign="middle" >Organic acids</td><td align="center" valign="middle" >Citric acid</td><td align="center" valign="middle" ></td><td align="center" valign="middle" >0.431</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >0.431</td></tr><tr><td align="center" valign="middle" >(g/100g)</td><td align="center" valign="middle" >Malic acid</td><td align="center" valign="middle" ></td><td align="center" valign="middle" >0.044</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >0.044</td></tr><tr><td align="center" valign="middle" >Amino acids</td><td align="center" valign="middle" >Thr</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >6.654</td><td align="center" valign="middle" ></td><td align="center" valign="middle" >6.654</td><td align="center" valign="middle" >6.654</td></tr><tr><td align="center" valign="middle" >(mg/100g)</td><td align="center" valign="middle" >Val</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >3.812</td><td align="center" valign="middle" ></td><td align="center" valign="middle" >3.812</td><td align="center" valign="middle" >3.812</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >Met</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >1.467</td><td align="center" valign="middle" ></td><td align="center" valign="middle" >1.467</td><td align="center" valign="middle" >1.467</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >Ile</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >2.319</td><td align="center" valign="middle" ></td><td align="center" valign="middle" >2.319</td><td align="center" valign="middle" >2.319</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >Leu</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >1.899</td><td align="center" valign="middle" ></td><td align="center" valign="middle" >1.899</td><td align="center" valign="middle" >1.899</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >Phe</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >3.549</td><td align="center" valign="middle" ></td><td align="center" valign="middle" >3.549</td><td align="center" valign="middle" >3.549</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >Lys</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >3.318</td><td align="center" valign="middle" ></td><td align="center" valign="middle" >3.318</td><td align="center" valign="middle" >3.318</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >His</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >2.801</td><td align="center" valign="middle" ></td><td align="center" valign="middle" >2.801</td><td align="center" valign="middle" >2.801</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >Asp</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >56.757</td><td align="center" valign="middle" >56.757</td><td align="center" valign="middle" >56.757</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >Ser</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >6.668</td><td align="center" valign="middle" >6.668</td><td align="center" valign="middle" >6.668</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >Asn</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >24.986</td><td align="center" valign="middle" >24.986</td><td align="center" valign="middle" >24.986</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >Glu</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >160.706</td><td align="center" valign="middle" >160.706</td><td align="center" valign="middle" >160.706</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >Gly</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >1.219</td><td align="center" valign="middle" >1.219</td><td align="center" valign="middle" >1.219</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >Ala</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >12.709</td><td align="center" valign="middle" >12.709</td><td align="center" valign="middle" >12.709</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >Tyr</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >9.032</td><td align="center" valign="middle" >9.032</td><td align="center" valign="middle" >9.032</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >Arg</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >1.852</td><td align="center" valign="middle" >1.852</td><td align="center" valign="middle" >1.852</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >Pro</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >0.904</td><td align="center" valign="middle" >0.904</td><td align="center" valign="middle" >0.904</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >g-ABA</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >24.731</td><td align="center" valign="middle" >24.731</td><td align="center" valign="middle" >24.731</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >a-ABA</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >6.982</td><td align="center" valign="middle" >6.982</td><td align="center" valign="middle" >6.982</td></tr><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >Taurine</td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" ></td><td align="center" valign="middle" >3.034</td><td align="center" valign="middle" >3.034</td><td align="center" valign="middle" >3.034</td></tr></tbody></table></table-wrap><p>OA: organic acid; ALL: EAA + NAA + OA; EAA: essential amino acid; NAA: nonessential amino acid; g-ABA: 4-Aminobutanoic acid; a-ABA: 2- Aminobutanoic acid.</p></sec><sec id="s2_2"><title>2.2. Human Study</title><p>Ten healthy volunteers (eight men and two women ranging in age from 24 to 29) participated in a 2-day experiment to assess the effect of a single dose of tomato juice on post-exercise fatigue, with water serving as a control. The day before the each test day, subjects fasted overnight after 9 p.m. Experiments were carried out in the morning and subjects were prohibited from consuming any foods or drinks except for those being tested. Subjects wore the same clothes on each test day. There were two 30-min exercise sessions on a cycle ergometer, with a 60-min rest interval between sessions. Before the experiment, the pedal load for each subject was set so that heart rate was maintained at 130 beat per minute when pedaling at 50 revolutions per minute. Subjects were asked to drink 320 g of tomato juice or the same weight of mineral water immediately after the first exercise session. The experimental procedure is outlined in <xref ref-type="fig" rid="fig1">Figure 1</xref>. Rated perceived exertion (RPE)was recorded immediately after each exercise session according to the 15-point Borg scale, which ranges from 6 (very, very light) to 20 (very, very heavy) [<xref ref-type="bibr" rid="scirp.67360-ref15">15</xref>] . The study protocol was approved by the Human Research Ethics Committee of International University of Health and Welfare Hospital in accordance with the Helsinki Declaration. Prior to participation, the subjects understood and agreed with the purpose of the study and provided informed consent.</p><fig id="fig1"  position="float"><label><xref ref-type="fig" rid="fig1">Figure 1</xref></label><caption><title> Experimental design of human study</title></caption><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-2701907x7.png"/></fig></sec><sec id="s2_3"><title>2.3. Animal Experiments</title><p>Male imprinting control region mice (9 weeks old) (Japan SLC, Hamamatsu, Japan) were used for experiments in accordance with the animal care regulations of Osaka City University Medical School. Mice were housed in rooms on a 12:12-h light/dark cycle with free access to aCE2 laboratory diet (CLEA Japan, Tokyo, Japan) and sterile water.</p><p>For the first experiment, animals were divided into four groups of five mice each. The control group was administered 0.3 ml of water 60 min before the experiment but did not participate in the exercise session; the water and tomato juice groups were administered 0.3 ml of water or tomato juice, respectively, 60 min before exercise; and the supernatant group was administered 0.3 ml of supernatant 60 min before exercise. For the second experiment, animals were divided into eight groups of six mice each. The control group was administered 0.3 ml of water and did not participate in the exercise session; the water group was administered 0.3 ml of water 60 min before exercise; and the sugar, OA, essential (E)AA, nonessential (N)AA, EAA + NAA, and ALL (EAA + NAA + OA) groups were administered 0.3 ml of the appropriate solutions (<xref ref-type="table" rid="table2">Table 2</xref>) 60 min before exercise. The experimental procedure is shown in <xref ref-type="fig" rid="fig2">Figure 2</xref>. Experimental samples were intragastrically administered using an animal-feeding needle.</p><p>In both experiments, animals walked on a treadmill set at an upward incline of 10˚ (Osaka Bioscience, Osaka, Japan) with the speed incrementally increased from 0 to 25 m/min over a 10-min period to allow them to habituate to the device. This was carried out 3 or more days before the experiment. On the day of the experiment, each animal was orally administered 0.3 ml of test solution 60 min before exercise, after which they were forced to run on the treadmill for 60 min. The speed of the treadmill was incrementally increased from 0 to 25 m/min in the first 10 min and maintained at 25 m/min for the next 50 min. Locomotor activity was measured immediately after the exercise session by placing the mice in a separate cage and monitoring their movement using a video camera placed above the cage. Spontaneous locomotor activity was calculated using the SMART video-tracking system (Panlab S.L., Barcelona, Spain). At 6 h after exercise, blood samples (1 ml) were obtained from the heart using a syringe filled with heparin and were centrifuged at 10,000 &#215; g for 10 min at 4˚C to obtain plasma samples. Plasma levels of corticosterone and transforming growth factor (TGF)-β1 were analyzed by enzyme-linked immunoassay (ELISA) using commercially available kits (AssayMax Corticosterone ELISA Kit, catalog no. EC3001-1; Assaypro, St. Charles, MO, USA and TGF-β1 Emax ImmunoAssay System, catalog no. G7590; Promega, Madison, WI, USA) according to the manufacturer’s instructions.</p></sec><sec id="s2_4"><title>2.4. Statistics</title><p>Values are shown as mean &#177; SD. Differences between two groups were assessed with the Wilcoxon signed-rank test in the human study and by one-way analysis of variance followed by the Tukey-Kramer post hoc test for experiments with mice. Results were considered statistically significant at P &lt; 0.05.</p></sec></sec><sec id="s3"><title>3. Results</title><sec id="s3_1"><title>3.1. Subjective Perception of Fatigue after Exercise in Humans</title><p>In human experiments, mean RPE scores were significantly higher after the 2nd than after the 1st exercise session when subjects ingested water immediately after the 1stsession. On the other hand, the difference in RPE score between the 1st and 2nd exercise sessions was diminished by drinking tomato juice soon after the 1st session.</p><fig id="fig2"  position="float"><label><xref ref-type="fig" rid="fig2">Figure 2</xref></label><caption><title> Experimental design for the animal study</title></caption><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-2701907x8.png"/></fig><p>Scores after the 2nd session were lower in subjects drinking tomato juice as compared to water (P = 0.075; <xref ref-type="fig" rid="fig3">Figure 3</xref>).</p></sec><sec id="s3_2"><title>3.2. Effects of Tomato Juice or Supernatant on Locomotor Activity and Plasma Levels of Corticosterone and TGF-β</title><p>The effect of tomato juice or supernatant on fatigue following acute treadmill exercise in mice was determined by analyzing locomotor activity, which reflects the degree of fatigue [<xref ref-type="bibr" rid="scirp.67360-ref16">16</xref>] . Locomotor activity was markedly decreased in the water as compared to the nonexercise control group. Administration of tomato juice suppressed this decrease in activity, while a more potent effect was observed in mice that consumed supernatant (<xref ref-type="fig" rid="fig4">Figure 4</xref>(a)). Blood levels of corticosterone and TGF-β were increased in the water group, but these were suppressed by tomato juice or supernatant (<xref ref-type="fig" rid="fig4">Figure 4</xref>(b) and <xref ref-type="fig" rid="fig4">Figure 4</xref>(c)).</p></sec><sec id="s3_3"><title>3.3. Aqueous Components in Tomato Contributing to the Alleviation of Post-Exercise Fatigue</title><p>In order to identify the specific active ingredients contributing to the alleviation of post-exercise fatigue, we examined the effect of tomato-derived components on locomotor activity and plasma levels of corticosterone and TGF-β. Locomotor activity was found to decrease in the water, sugar, OA, EAA, NEAA, NAA, and EAA + NAA groups as compared to that in the nonexercise control group; however, the ALL group showed the same activity level as control animals (<xref ref-type="fig" rid="fig5">Figure 5</xref>(a)). Similar trends were observed for blood levels of corticosterone and TGF-β, with the exercise-induce increase in levels suppressed only in the ALL group (<xref ref-type="fig" rid="fig5">Figure 5</xref>(b) and <xref ref-type="fig" rid="fig5">Figure 5</xref>(c)).</p></sec></sec><sec id="s4"><title>4. Discussion</title><p>In the human experiment, ingestion of tomato juice attenuated the subjective feeling of fatigue following exercise, which was corroborated in a mouse models in which fatigue was assessed by locomotor activity and blood marker levels. This suggests that the result in humans was not a placebo effect, but reflected physiological changes induced by components of tomato juice. The same effects were observed in mice using tomato juice supernatant containing few water-insoluble components as well as a water solution composed of the same aqueous components (sugars, OAs, and AAs) as the supernatant.</p><p>Lycopene is a red lipophilic pigment found in tomatoes that is a potent, natural singlet-oxygen quencher. However, lycopene and most other lipophilic components were present in low amounts in the tomato juice supernatant (e.g., the lycopene content of the supernatant was only one-fifth that of tomato juice). Hence, the effect of tomato juice was largely attributable to the water-soluble substances in tomatoes. Indeed, supernatant suppressed the exercise-induced decline in locomotor activity to a greater extent than whole tomato juice. This may be explained by the inhibition of nutrient absorption by dietary fiber [<xref ref-type="bibr" rid="scirp.67360-ref17">17</xref>] [<xref ref-type="bibr" rid="scirp.67360-ref18">18</xref>] , which could weaken the anti-fatigue effect.</p><p>In mice, only the mixed solution containing all major aqueous components of tomato (sugars, OAs, and AAs) abrogated the post-exercise decrease in locomotor activity and increase in blood markers of fatigue, indicating that anti-fatigue effects of tomato were due not to a single component but to a combination of two or more. A mixture of amino acids―especially EAAs―is known to reduce fatigue, with BCAAs contributing significantly to this phenomenon. During endurance exercise, BCAAs act as a major energy source after the depletion of carbohydrates, and increased oxidation of BCAAs triggers a gradual decrease in tricarboxylic acid cycle intermediates, resulting in fatigue [<xref ref-type="bibr" rid="scirp.67360-ref19">19</xref>] [<xref ref-type="bibr" rid="scirp.67360-ref20">20</xref>] . BCAAs are also thought to influence central fatigue, which may be me-</p><fig id="fig3"  position="float"><label><xref ref-type="fig" rid="fig3">Figure 3</xref></label><caption><title> Changes in RPE after each exercise session. Values are expressed as mean &#177; SD. <sup>*</sup>P &lt; 0.05 vs. 1st exercise session (Wilcoxon signed-rank test)</title></caption><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-2701907x9.png"/></fig><fig-group id="fig4"><label><xref ref-type="fig" rid="fig4">Figure 4</xref></label><caption><title> Changes in locomotor activity (a), blood corticosterone level (b), and blood TGF-β level (c) after exercise. Values are expressed as mean &#177; SD. Different superscript letters indicate a statistically significant difference (one-way ANOVA, post-hoc Tukey test; P &lt; 0.05). Sup: tomato juice supernatant.</title></caption><fig id ="fig4_1"><label> (b)</label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-2701907x10.png"/></fig></fig-group><fig-group id="fig5"><label><xref ref-type="fig" rid="fig5">Figure 5</xref></label><caption><title> Changes in locomotor activity (a), blood corticosterone level (b), and blood TGF-β level (c) after exercise. Values are expressed as mean &#177; SD. Different superscript letters indicate a statistically significant difference (one-way ANOVA, post-hoc Tukey test, P &lt; 0.05). ALL: sugar + OA + EAA + NEAA; EAA: essential amino acid; NAA: nonessential amino acid; OA: Organic acid.</title></caption><fig id ="fig5_1"><label> (b)</label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-2701907x11.png"/></fig></fig-group><p>diated by 5-HT. Brain 5-HT synthesis is stimulated in response to increased delivery to the brain of blood-borne tryptophan (Trp), an amino acid precursor of 5-HT. Trp shares the same blood-brain barrier transport mechanism as BCAAs; thus, brain 5-HT synthesis is induced by increases in the free-Trp/BCAA ratio [<xref ref-type="bibr" rid="scirp.67360-ref21">21</xref>] . Some studies have shown that BCAA supplementation reduces central fatigue via inhibition of brain 5-HT synthesis resulting from a decrease in blood free-Trp/BCAA ratio [<xref ref-type="bibr" rid="scirp.67360-ref22">22</xref>] [<xref ref-type="bibr" rid="scirp.67360-ref23">23</xref>] . Sugars also tend to reduce fatigue to a greater extent than water. Carbohydrates in the form of muscle and liver glycogen and blood glucose are the primary source of energy during exercise; one reason for declines in exercise performance is the depletion of muscle glycogen levels. Furthermore, hypoglycemia can occur during prolonged exercise, which can contribute to fatigue by limiting the supply of energy to working muscles. This can be countered by carbohydrate supplementation, which effectively improves endurance [<xref ref-type="bibr" rid="scirp.67360-ref9">9</xref>] [<xref ref-type="bibr" rid="scirp.67360-ref10">10</xref>] . In contrast, OAs had no effect of indicators of fatigue. Based on these findings, we speculate that EAAs or sugars are the components of tomato juice that are responsible for the observed anti-fatigue effects. However, the amounts were much lower than those reported to reduce fatigue [<xref ref-type="bibr" rid="scirp.67360-ref9">9</xref>] - [<xref ref-type="bibr" rid="scirp.67360-ref12">12</xref>] , giving rise to the possibility of synergistic effects or the contribution of other unidentified substances.</p><p>In addition to locomotor activity, blood TGF-β1 and corticosterone levels were measured as fatigue markers. TGF-β1is an anti-inflammatory cytokine that is up regulated during physical exercise [<xref ref-type="bibr" rid="scirp.67360-ref24">24</xref>] [<xref ref-type="bibr" rid="scirp.67360-ref25">25</xref>] , possibly to restrict inflammatory responses to skeletal muscle damage caused by exercise [<xref ref-type="bibr" rid="scirp.67360-ref26">26</xref>] . Moreover, peripheral TGF-β1 levels are higher in patients with chronic fatigue syndrome than in healthy subjects [<xref ref-type="bibr" rid="scirp.67360-ref27">27</xref>] [<xref ref-type="bibr" rid="scirp.67360-ref28">28</xref>] . On the other hand, corticosterone in rodents and cortisol in humans are glucocorticoid hormones that are secreted from the adrenal cortex via hypothalamic-pituitary-adrenal axis activation in response to psychological and physical stress [<xref ref-type="bibr" rid="scirp.67360-ref29">29</xref>] [<xref ref-type="bibr" rid="scirp.67360-ref30">30</xref>] , including energy exhaustion. Glucocorticoids maintain blood glucose levels by stimulating the release of AAs from muscle and promoting gluconeogenesis is and mobilization of fat stores [<xref ref-type="bibr" rid="scirp.67360-ref31">31</xref>] - [<xref ref-type="bibr" rid="scirp.67360-ref33">33</xref>] . Corticosterone is also a peripheral marker of central 5-HT activity [<xref ref-type="bibr" rid="scirp.67360-ref34">34</xref>] [<xref ref-type="bibr" rid="scirp.67360-ref35">35</xref>] . In our experiments, changes in TGF-β1 and corticosterone levels were correlated with decreased locomotor activity, providing evidence that these molecules are markers of fatigue. Taken together, our results indicate that TGF-β1 and corticosterone cause post-exercise fatigue via mechanisms involving peripheral muscle inflammation, peripheral energy exertion, and the central 5-HT system.</p></sec><sec id="s5"><title>5. Conclusion</title><p>We find that ingestion of tomato juice prior to exercise attenuate exercise-induced fatigue. Tomato contains many components that could prevent fatigue via synergistic and/or additive effects. This is a typical example of the benefits of a crude food containing a cocktail of nutrients. These findings are especially important given that excessive intake of refined foods have been shown to have negative effects on human health [<xref ref-type="bibr" rid="scirp.67360-ref36">36</xref>] [<xref ref-type="bibr" rid="scirp.67360-ref37">37</xref>] . Future studies will aim to identify the effective components of tomato juice and clarify their mechanisms of action.</p></sec><sec id="s6"><title>Cite this paper</title><p>Kei Mukuta,Kazuyoshi Koizumi,Eisuke F. Sato,Keiichi Hiramoto,Masao Hiwatari,Satoshi Sunabori,Hiroyuki Suganuma, (2016) Administration of Tomato Juice or Aqueous Components of Tomato Reduces Fatigue Induced by Acute Treadmill Exercise. Food and Nutrition Sciences,07,524-532. doi: 10.4236/fns.2016.77054</p></sec><sec id="s7"><title>NOTES</title></sec></body><back><ref-list><title>References</title><ref id="scirp.67360-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Manini, T.M. and Pahor, M. (2009) Physical Activity and Maintaining Physical Function in Older Adults. British Journal of Sports Medicine, 43, 28-31. http://dx.doi.org/10.1136/bjsm.2008.053736</mixed-citation></ref><ref id="scirp.67360-ref2"><label>2</label><mixed-citation publication-type="other" xlink:type="simple">Golbidi, S., Mesdaghinia, A. and Laher, I. (2012) Exercise in the Metabolic Syndrome. Oxidative Medicine and Cellular Longevity, 2012, Article ID: 349710. http://dx.doi.org/10.1155/2012/349710</mixed-citation></ref><ref id="scirp.67360-ref3"><label>3</label><mixed-citation publication-type="other" xlink:type="simple">Metkus Jr., T.S., Baughman, K.L. and Thompson, P.D. (2010) Exercise Prescription and Primary Prevention of Cardiovascular Disease. Circulation, 121, 2601-2604. http://dx.doi.org/10.1161/CIRCULATIONAHA.109.903377</mixed-citation></ref><ref id="scirp.67360-ref4"><label>4</label><mixed-citation publication-type="other" xlink:type="simple">Liang, K.Y., Mintun, M.A., Fagan, A.M., Goate, A.M., Bugg, J.M., Holtzman, D.M., Morris, J.C. and Head, D. (2010) Exercise and Alzheimer’s Disease Biomarkers in Cognitively Normal Older Adults. Annals of Neurology, 68, 311-318.  
http://dx.doi.org/10.1002/ana.22096</mixed-citation></ref><ref id="scirp.67360-ref5"><label>5</label><mixed-citation publication-type="other" xlink:type="simple">Ahlskog, J.E. (2011) Does Vigorous Exercise Have a Neuroprotective Effect in Parkinson Disease? Neurology, 77, 288-294. http://dx.doi.org/10.1212/WNL.0b013e318225ab66</mixed-citation></ref><ref id="scirp.67360-ref6"><label>6</label><mixed-citation publication-type="other" xlink:type="simple">Japanese Ministry of Health, Labour and Welfare (2014) National Health and Nutrition Examination Survey.  
http://www.mhlw.go.jp/stf/houdou/0000067890.html</mixed-citation></ref><ref id="scirp.67360-ref7"><label>7</label><mixed-citation publication-type="other" xlink:type="simple">Finsterer, J. (2012) Biomarkers of Peripheral Muscle Fatigue during Exercise. BMC Musculoskeletal Disorders, 13, 218. http://dx.doi.org/10.1186/1471-2474-13-218</mixed-citation></ref><ref id="scirp.67360-ref8"><label>8</label><mixed-citation publication-type="other" xlink:type="simple">Ament, W. and Verkerke, G.J. (2009) Exercise and Fatigue. Sports Medicine, 39, 389-422.  
http://dx.doi.org/10.2165/00007256-200939050-00005</mixed-citation></ref><ref id="scirp.67360-ref9"><label>9</label><mixed-citation publication-type="other" xlink:type="simple">Coyle, E.F. and Coggan, A.R. (1984) Effectiveness of Carbohydrate Feeding in Delaying Fatigue during Prolonged Exercise. Sports Medicine, 1, 446-458. http://dx.doi.org/10.2165/00007256-198401060-00004</mixed-citation></ref><ref id="scirp.67360-ref10"><label>10</label><mixed-citation publication-type="other" xlink:type="simple">Jeukendrup, A.E. (2004) Carbohydrate Intake during Exercise and Performance. Nutrition, 20, 669-677.  
http://dx.doi.org/10.1016/j.nut.2004.04.017</mixed-citation></ref><ref id="scirp.67360-ref11"><label>11</label><mixed-citation publication-type="other" xlink:type="simple">Ohtani, M., Sugita, M. and Maruyama, K. (2006) Amino Acid Mixture Improves Training Efficiency in Athletes. Journal of Nutrition, 136, 538S-543S.</mixed-citation></ref><ref id="scirp.67360-ref12"><label>12</label><mixed-citation publication-type="other" xlink:type="simple">Shimomura, Y., Yamamoto, Y., Bajotto, G., Sato, J., Murakami, T., Shimomura, N., Kobayashi, H. and Mawatari, K. (2006) Nutraceutical Effects of Branched-Chain Amino Acids on Skeletal Muscle. Journal of Nutrition, 136, 529S-532S.</mixed-citation></ref><ref id="scirp.67360-ref13"><label>13</label><mixed-citation publication-type="other" xlink:type="simple">Powers, S.K. and Jackson, M.J. (2008) Exercise-Induced Oxidative Stress: Cellular Mechanisms and Impact on Muscle Force Production. Physiological Reviews, 88, 1243-1276. http://dx.doi.org/10.1152/physrev.00031.2007</mixed-citation></ref><ref id="scirp.67360-ref14"><label>14</label><mixed-citation publication-type="other" xlink:type="simple">Davies, J.N. and Hobson, G.E. (1981) The Constituents of Tomato Fruit—The Influence of Environment, Nutrition, and Genotype. CRC Critical Reviews in Food Science and Nutrition, 15, 205-280.  
http://dx.doi.org/10.1080/10408398109527317</mixed-citation></ref><ref id="scirp.67360-ref15"><label>15</label><mixed-citation publication-type="other" xlink:type="simple">Borg, G.A. (1982) Psychophysical Bases of Perceived Exertion. Medicine &amp; Science in Sports &amp; Exercise, 14, 377-381.  
http://dx.doi.org/10.1249/00005768-198205000-00012</mixed-citation></ref><ref id="scirp.67360-ref16"><label>16</label><mixed-citation publication-type="other" xlink:type="simple">Inoue, K., Yamazaki, H., Manabe, Y., Fukuda, C., Hanai, K. and Fushiki, T. (1999) Transforming Growth Factor-Beta Activated during Exercise in Brain Depresses Spontaneous Motor Activity of Animals. Relevance to Central Fatigue. Brain Research, 846, 145-153. http://dx.doi.org/10.1016/S0006-8993(99)01966-6</mixed-citation></ref><ref id="scirp.67360-ref17"><label>17</label><mixed-citation publication-type="other" xlink:type="simple">Jenkins, D.J., Wolever, T.M., Leeds, A.R., Gassull, M.A., Haisman, P., Dilawari, J., Goff, D.V., Metz, G.L. and Alberti, K.G. (1978) Dietary Fibres, Fibre Analogues, and Glucose Tolerance: Importance of Viscosity. BMJ, 1, 1392-1394.  
http://dx.doi.org/10.1136/bmj.1.6124.1392</mixed-citation></ref><ref id="scirp.67360-ref18"><label>18</label><mixed-citation publication-type="other" xlink:type="simple">Bolton, R.P., Heaton, K.W. and Burroughs, L.F. (1981) The Role of Dietary Fiber in Satiety, Glucose, and Insulin: Studies with Fruit and Fruit Juice. The American Journal of Clinical Nutrition, 34, 211-217.</mixed-citation></ref><ref id="scirp.67360-ref19"><label>19</label><mixed-citation publication-type="other" xlink:type="simple">Koo, G., Woo, J., Kang, S. and Shin, K.O. (2014) Effects of Supplementation with BCAA and L-Glutamine on Blood Fatigue Factors and Cytokines in Juvenile Athletes Submitted to Maximal Intensity Rowing Performance. Journal of Physical Therapy Science, 26, 1241-1246. http://dx.doi.org/10.1589/jpts.26.1241</mixed-citation></ref><ref id="scirp.67360-ref20"><label>20</label><mixed-citation publication-type="other" xlink:type="simple">Wagenmakers, A.J., Coakley, J.H. and Edwards, R.H. (1990) Metabolism of Branched-Chain Amino Acids and Ammonia during Exercise: Clues from McArdle’s Disease. International Journal of Sports Medicine, 11, S101-S113. 
http://dx.doi.org/10.1055/s-2007-1024861</mixed-citation></ref><ref id="scirp.67360-ref21"><label>21</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Davis</surname><given-names> J.M. </given-names></name>,<etal>et al</etal>. (<year>1996</year>)<article-title>Carbohydrates, Branched-Chain Amino Acids and Endurance: The Central Fatigue Hypothesis</article-title><source> International Journal of Sport Nutrition</source><volume> 5</volume>,<fpage> S29</fpage>-<lpage>S38</lpage>.<pub-id pub-id-type="doi"></pub-id></mixed-citation></ref><ref id="scirp.67360-ref22"><label>22</label><mixed-citation publication-type="other" xlink:type="simple">Newsholme, E.A. and Blomstrand, E. (2006) Branched-Chain Amino Acids and Central Fatigue. Journal of Nutrition, 136, 274S-276S.</mixed-citation></ref><ref id="scirp.67360-ref23"><label>23</label><mixed-citation publication-type="other" xlink:type="simple">Mittleman, K.D., Ricci, M.R. and Bailey, S.P. (1998) Branched-Chain Amino Acids Prolong Exercise during Heat Stress in Men and Women. Medicine &amp; Science in Sports &amp; Exercise, 30, 83-91.  
http://dx.doi.org/10.1097/00005768-199801000-00012</mixed-citation></ref><ref id="scirp.67360-ref24"><label>24</label><mixed-citation publication-type="other" xlink:type="simple">Perry, C., Pick, M., Bdolach, N., Hazan-Halevi, I., Kay, S., Berr, I., Reches, A., Harishanu, Y. and Grisaru, D. (2013) Endurance Exercise Diverts the Balance between Th17 Cells and Regulatory T Cells. PLoS ONE, 8, e74722. 
http://dx.doi.org/10.1371/journal.pone.0074722</mixed-citation></ref><ref id="scirp.67360-ref25"><label>25</label><mixed-citation publication-type="other" xlink:type="simple">Hamada, K., Vannier, E., Sacheck, J.M., Witsell, A.L. and Roubenoff, R. (2005) Senescence of Human Skeletal Muscle Impairs the Local Inflammatory Cytokine Response to Acute Eccentric Exercise. The FASEB Journal, 19, 264-266.</mixed-citation></ref><ref id="scirp.67360-ref26"><label>26</label><mixed-citation publication-type="other" xlink:type="simple">Terra, R., da Silva, S.A.G., Pinto, V.S. and Dutram, P.M.L. (2012) Effect of Exercise on the Immune System: Response, Adaptation and Cell Signaling. Revista Brasileira de Medicina do Esporte, 18, 208-214.  
http://dx.doi.org/10.1590/S1517-86922012000300015</mixed-citation></ref><ref id="scirp.67360-ref27"><label>27</label><mixed-citation publication-type="other" xlink:type="simple">Patarca-Montero, R., Mark, T., Fletcher, M.A. and Klimas, N.G. (2000) Immunology of Chronic Fatigue Syndrome. Journal of Chronic Fatigue Syndrome, 6, 69-107. http://dx.doi.org/10.1300/J092v06n03_06</mixed-citation></ref><ref id="scirp.67360-ref28"><label>28</label><mixed-citation publication-type="other" xlink:type="simple">Chao, C.C., Janoff, E.N., Hu, S.X., Thomas, K., Gallagher, M., Tsang, M. and Peterson, P.K. (1991) Altered Cytokine Release in Peripheral Blood Mononuclear Cell Cultures from Patients with the Chronic Fatigue Syndrome. Cytokine, 3, 292-298. http://dx.doi.org/10.1016/1043-4666(91)90497-2</mixed-citation></ref><ref id="scirp.67360-ref29"><label>29</label><mixed-citation publication-type="other" xlink:type="simple">Hill, E.E., Zack, E., Battaglini, C., Viru, M., Viru, A. and Hackney, A.C. (2008) Exercise and Circulating Cortisol Levels: The Intensity Threshold Effect. Journal of Endocrinological Investigation, 31,587-591.  
http://dx.doi.org/10.1007/BF03345606</mixed-citation></ref><ref id="scirp.67360-ref30"><label>30</label><mixed-citation publication-type="other" xlink:type="simple">Coleman, M.A., Garland Jr., T., Marler, C.A., Newton, S.S., Swallow, J.G. and Carter, P.A. (1998) Glucocorticoid Response to Forced Exercise in Laboratory House Mice (Mus domesticus). Physiology &amp; Behavior, 63, 279-285. 
http://dx.doi.org/10.1016/S0031-9384(97)00441-1</mixed-citation></ref><ref id="scirp.67360-ref31"><label>31</label><mixed-citation publication-type="other" xlink:type="simple">Shephard, R.J. and Sidney, K.H. (1975) Effects of Exercise on Plasma Growth Hormone and Cortisol Levels in Human Subjects. Exercise &amp; Sport Sciences Reviews, 3, 1-30. http://dx.doi.org/10.1249/00003677-197500030-00004</mixed-citation></ref><ref id="scirp.67360-ref32"><label>32</label><mixed-citation publication-type="other" xlink:type="simple">Terjung, R. (1979) Endocrine Response to Exercise. Exercise &amp; Sport Sciences Reviews, 7, 153-180. 
http://dx.doi.org/10.1249/00003677-197900070-00007</mixed-citation></ref><ref id="scirp.67360-ref33"><label>33</label><mixed-citation publication-type="other" xlink:type="simple">Tharp, G.D. (1975) The Role of Glucocorticoids in Exercise. Medicine &amp; Science in Sports, 7, 6-11.  
http://dx.doi.org/10.1249/00005768-197500710-00003</mixed-citation></ref><ref id="scirp.67360-ref34"><label>34</label><mixed-citation publication-type="other" xlink:type="simple">Strachan, A.T., Leiper, J.B. and Maughan, R.J. (2004) Paroxetine Administration to Influence Human Exercise Capacity, Perceived Effort or Hormone Responses during Prolonged Exercise in a Warm Environment. Experimental Physiology, 89, 657-664. http://dx.doi.org/10.1113/expphysiol.2004.027839</mixed-citation></ref><ref id="scirp.67360-ref35"><label>35</label><mixed-citation publication-type="book" xlink:type="simple">Van de Kar, L.D. (1997) 5-HT Receptors Involved in the Regulation of Hormone Secretion. In: Baumgarten, H.G. and G&amp;oumlthert, M., Eds., Serotonergic Neurons and 5-HT Receptors in the CNS, Volume 129 of Handbook of Experimental Pharmacology, Springer-Verlag, Berlin, 537-562.</mixed-citation></ref><ref id="scirp.67360-ref36"><label>36</label><mixed-citation publication-type="other" xlink:type="simple">Isbrucker, R.A. and Burdock, G.A. (2006) Risk and Safety Assessment on the Consumption of Licorice Root (Glycyrrhiza sp.), Its Extract and Powder as a Food Ingredient, with Emphasis on the Pharmacology and Toxicology of Glycyrrhizin. Regulatory Toxicology and Pharmacology, 46, 167-192. http://dx.doi.org/10.1016/j.yrtph.2006.06.002</mixed-citation></ref><ref id="scirp.67360-ref37"><label>37</label><mixed-citation publication-type="other" xlink:type="simple">Schmidt, M., Schmitz, H.J., Baumgart, A., Guédon, D., Netsch, M.I., Kreuter, M.H., Schmidlin, C.B. and Schrenk, D. (2005) Toxicity of Green Tea Extracts and Their Constituents in Rat Hepatocytes in Primary Culture. Food and Chemical Toxicology, 43, 307-314. http://dx.doi.org/10.1016/j.fct.2004.11.001</mixed-citation></ref></ref-list></back></article>