The general information of the subjects is summarized in Table 1. This study was approved by the Ethics Committee of the Medical Faculty

of the University of Ulm (Ulm, Germany). Table 1 Basic data of the study subjects (mean ± SD)* Group n Age (years) Body mass (kg) Height (cm) BMI (kg/m²) Control 12 25.2 ± 6.4 75.9 ± 8.3 179.1 ± 4.9 23.7 ± 2.9 AKG 9 26.7 ± 4.8 81.6 ± 12.7 178.3 ± 8.1 25.6 ± 2.5 BCKA 12 25.1 ± 6.8 78.6 ± 7.5 181.1 ± 4.8 23.9 ± 1.9 BMI: Body mass index = body mass (kg) / (body height Selleck HM781-36B in meters)²; AKG: α-keto glutarate; BCKA: Branched-chain keto acids. * No significant difference between the AICAR datasheet groups. Study design and protocol The basic design of this study was a double blind, randomized, placebo-controlled trial. After recruitment, the subjects were randomized into the three groups. Observations were made before and after the training as well as after the recovery. Blood samples were collected 1 week after nutritional supplementation (for medical monitoring). The diet of the subjects was not manipulated but was well documented and analyzed with the software package BAY 80-6946 datasheet PRODI (Freiburg,

Germany) [26]. The details are described as follows (Figure 1). Figure 1 Study protocol. After receipt of the informed consent from the subjects, measurements of study parameters were performed at time point 1, 2 and 3. After approximately 1 week of α-keto acid supplement (KAS), blood samples were collected for medical monitoring. Physical training The goal of the physical training was to challenge energy metabolism by achieving an “over-reaching” training

level [27]. Two parts of physical training were included in each training session: a 30 minute endurance run followed by 3 x 3 minute sprints (maximum speed of the subjects, heart rate ≥ 95% of the maximum on treadmill test). The intensity of the endurance training was set according to the heart rate at the individual anaerobic threshold (IAT) [4] as determined by a treadmill test (see below). The training program was four weeks long with five sessions Megestrol Acetate each week, under supervision. The training was carefully documented and training time was calculated. After the training phase, the subjects underwent a one-week recovery. During the recovery phase, no exercise was enforced except for daily life activities. Supplement of α-keto acids According to the randomization, the subjects took one of the following supplement mixes in granules (~ 2 mm in diameter). The materials for KAS were kindly donated by Evonik Rexim SAS (France) and were packed in small bags containing the individual daily dose for each subject. KAS was orally (with water) given each day over the period from training to the end of the recovery week (5 weeks). The subjects were instructed to take KAS within the time interval two hours before and two hours after training or 16:00 – 20:00 hours on the non-training days.