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Effects of NR Supplementation on Metabolic Flexibility in Zone 2 Training

Temporal and Dose-response Effects of Nicotinamide Riboside Supplementation on Metabolic Flexibility During Zone 2 Training in Adults: a Double-blinded, Randomized, Controlled, Crossover Trial

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07344636
Enrollment
16
Registered
2026-01-15
Start date
2026-01-06
Completion date
2027-07-01
Last updated
2026-03-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Adult Subjects

Brief summary

Zone 2 training, a low-intensity endurance exercise performed at approximately 66-80% of VO₂max or near the first ventilatory threshold, has gained popularity for improving aerobic capacity, fat metabolism, and mitochondrial efficiency. It preserves glycogen stores and delays fatigue, making it an essential training method for both athletes and recreational exercisers. Nicotinamide adenine dinucleotide (NAD) is a vital metabolite that regulates cellular energy metabolism and redox homeostasis. It participates in oxidative reactions within the tricarboxylic acid cycle and electron transport chain, sustaining ATP synthesis and mitochondrial efficiency. Exercise influences multiple pathways of NAD metabolism, altering the NAD⁺/NADH ratio and thereby affecting energy production and fatigue resistance. Studies have shown that both aerobic exercise and NAD precursor supplementation (e.g., nicotinamide riboside \[NR\]) can elevate body NAD levels and enhance mitochondrial function, though findings remain inconsistent due to variations in dosage and participants' characteristics. This study aims to investigate how acute NR supplementation interacts with Zone 2 cycling training in adults. Specifically, it examines the temporal and dose-dependent effects of NR supplementation on metabolic flexibility and exercise performance. The results may clarify the potential synergistic benefits of combining NAD supplementation with low-intensity endurance training to improve aerobic adaptability.

Interventions

DIETARY_SUPPLEMENTNicotinamide Riboside (NR)

600 mg NR

Sponsors

ZHANG Jiaqi
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes

Inclusion criteria

* Over 18 years old * BMI \<30 kg/m2

Exclusion criteria

* Present of health conditions that contraindicate participation in exercise training, such as a history of cardiovascular disease, cancer, or musculoskeletal disorders * Currently taking vitamin B supplements and/or NAD precursors * Taking medication that may affect the test results

Design outcomes

Primary

MeasureTime frame
Substrate utilization (CHO and fat oxidation rate)From enrollment to the end of treatment at 4 weeks

Secondary

MeasureTime frameDescription
Oxygen consumptionFrom enrollment to the end of treatment at 4 weeks
Heart rateFrom enrollment to the end of treatment at 4 weeks
Blood glucose concentrationFrom enrollment to the end of treatment at 4 weeks
Blood lactate concentrationFrom enrollment to the end of treatment at 4 weeks
Peak power outputFrom enrollment to the end of treatment at 4 weeks
Mean power outputFrom enrollment to the end of treatment at 4 weeks
Rating of perceived exertionFrom enrollment to the end of treatment at 4 weeks
Muscle pain scaleFrom enrollment to the end of treatment at 4 weeksMuscle pain scale is a 5-point likert scale ranging from "1- Not at all" to "5- Extreme", with higher value indicating muscle pain.
Muscle fatigue scaleFrom enrollment to the end of treatment at 4 weeksMuscle fatigue scale is a 5-point likert scale ranging from "1- Not at all" to "5- Extreme", with higher value indicating muscle fatigue.

Countries

China

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 19, 2026