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Adenosine Triphosphate Sodium

Also known as: ATP Sodium salt, ATP, oral ATP supplementation, PEAK ATP, Adenosine Triphosphate Sodium

Overview

Adenosine Triphosphate (ATP) is a fundamental nucleotide serving as the primary energy currency within all living cells, naturally synthesized in mitochondria. Adenosine Triphosphate Sodium is a stabilized form of ATP used in oral dietary supplements. It is primarily utilized as an ergogenic aid to enhance anaerobic exercise performance, particularly maximal muscle strength and power, in resistance-trained individuals. The goal of oral ATP supplementation is to increase extracellular ATP availability, which is believed to improve muscle function and recovery. Research on oral ATP supplementation, particularly at a dose of 400 mg daily, has reached a moderate level of maturity, with recent systematic reviews and meta-analyses providing high-quality evidence from double-blind, randomized controlled trials.

Benefits

Oral ATP supplementation at 400 mg daily has been shown to significantly improve maximal muscle strength in resistance-trained men. A meta-analysis of five RCTs reported a mean increase of approximately +8.13 kg in maximal muscle strength compared to placebo (95% CI: 3.36–12.90 kg, p < 0.001). This benefit is statistically significant and likely clinically meaningful for athletes and active individuals. The effects have been observed with both acute (single dose 30 minutes to 24 hours before exercise) and chronic supplementation (up to 12 weeks). While strength gains are robust, no significant improvements have been found in maximum repetitions or maximum anaerobic power. Some studies indicate a reduction in perceived exertion during exercise at doses of 100 mg and 400 mg ATP. The benefits are primarily demonstrated in healthy, resistance-trained adult men, and the evidence quality is high, stemming from well-designed RCTs and meta-analyses.

How it works

ATP functions as both an energy source and a crucial signaling molecule within the body. Oral ATP supplementation is thought to increase extracellular ATP concentrations, which can lead to several physiological benefits during exercise. These benefits are mediated by ATP's interaction with purinergic receptors (P2 receptors), which are involved in processes like vasodilation and muscle function. By enhancing extracellular ATP, the supplement may improve blood flow, muscle oxygenation, and nutrient delivery to working muscles. This improved metabolic environment supports energy metabolism and can contribute to reduced fatigue perception, ultimately enhancing muscular performance. Although oral ATP is rapidly metabolized, its supplementation appears to increase extracellular ATP or its metabolites, which are believed to mediate the observed ergogenic effects.

Side effects

Oral ATP supplementation at doses up to 400 mg daily has been found to be safe in healthy adults, with no serious adverse events reported in clinical trials. No common (>5%), uncommon (1-5%), or rare (<1%) side effects have been reported in the reviewed literature. Furthermore, no significant drug interactions have been identified. However, contraindications are not yet well-defined, and caution is advised for individuals with pre-existing cardiovascular or metabolic disorders due to ATP’s known vasoactive properties. It is important to note that most studies have been conducted on healthy, resistance-trained men, meaning the safety profile in other populations, such as women, the elderly, or individuals with various clinical conditions, requires further dedicated research.

Dosage

The most studied and effective dosage for oral ATP supplementation is 400 mg per day. While some benefits have been observed within groups at approximately 225 mg/day, 400 mg/day is required for significant improvements compared to placebo. This dose has been studied safely for up to 12 weeks, and data for higher doses are currently insufficient to establish safety or efficacy. ATP can be taken either acutely (30 minutes to 24 hours before exercise) or as part of a chronic daily supplementation regimen, with both approaches demonstrating effectiveness. The sodium salt form is commonly used, with branded products like PEAK ATP being well-researched. Oral ATP is rapidly metabolized, and timing relative to exercise may influence its efficacy, though specific cofactors for absorption are not identified.

FAQs

Is oral ATP supplementation safe?

Yes, 400 mg daily is safe in healthy adults, with no reported adverse effects in clinical trials, according to systematic reviews and meta-analyses.

How soon before exercise should ATP be taken?

Acute supplementation 30 minutes to 24 hours before exercise has shown benefits, but chronic daily use is also effective for strength gains.

Will ATP improve endurance?

Evidence primarily supports improvements in maximal muscle strength, but not in maximum repetitions or anaerobic power, which are more related to endurance.

Is ATP a stimulant?

No, ATP is not a stimulant. It acts through its role in energy metabolism and as a signaling molecule, rather than directly stimulating the central nervous system.

Can ATP reduce exercise fatigue?

Some evidence suggests that ATP supplementation can reduce perceived exertion during exercise at certain doses, potentially contributing to reduced fatigue.

Research Sources

  • https://pubmed.ncbi.nlm.nih.gov/38535745/ – This systematic review and meta-analysis of 5 RCTs involving 121 resistance-trained men found that oral ATP supplementation (400 mg/day) significantly increased maximal muscle strength by an average of 8.13 kg compared to placebo, with high-quality evidence. No significant effects were observed on repetitions or anaerobic power. The study highlighted the need for more diverse populations in future research.
  • https://www.frontiersin.org/journals/sports-and-active-living/articles/10.3389/fspor.2021.780459/full – This dose-response RCT, part of the larger meta-analysis, indicated that 400 mg of ATP increased repetitions in the first set by 13% and reduced perceived exertion during exercise. Lower doses were found to be less effective. The study, while well-controlled, had limitations due to its small sample size and some non-statistically significant outcomes.
  • https://nutraceuticalbusinessreview.com/ATP-supplementation-enhances-anaerobic-performance – This article summarizes findings consistent with the meta-analysis, confirming the safety and efficacy of 400 mg ATP for enhancing strength gains in resistance-trained individuals. It reiterates that no adverse effects were reported, supporting the overall positive safety profile of the supplement.
  • https://www.nutraingredients-usa.com/Article/2024/04/16/meta-analysis-supports-atp-s-ergogenic-potential-for-resistance-trained-men/ – This article provides a summary of the meta-analysis findings, emphasizing the ergogenic potential of ATP for resistance-trained men. It reinforces the conclusion that 400 mg/day of ATP safely enhances maximal muscle strength, based on high-quality, peer-reviewed research.

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