Artioli · Medicine and science in sports and exercise 2010 · narrative review · n=?

Role of beta-alanine supplementation on muscle carnosine and exercise performance.

Cited 226 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review without systematic search or meta-analysis

PubMed 20479615 · doi:10.1249/MSS.0b013e3181c74e38 · record verified 2026-08-29

What was done

Narrative review evaluating published research on carnosine and beta-alanine metabolism, skeletal muscle buffering capacity, exercise performance across various modalities, and adverse effects.

What was found

The abstract reports no quantitative values or effect sizes. It describes beta-alanine as the rate-limiting precursor for muscle carnosine synthesis and notes that supplementation increases muscle buffering capacity. Supplementation was reported to improve performance in multiple high-intensity bouts and single bouts lasting longer than 60 seconds, delay neuromuscular fatigue, and enhance anaerobic threshold and time to exhaustion. It did not improve maximal strength or VO2max. Paresthesia was observed with single doses exceeding 800 mg but was prevented by controlled-release or divided dosing.

Why it matters

This review outlines how beta-alanine enhances intramuscular pH regulation, clarifying that benefits are primarily concentrated in high-intensity tasks lasting over one minute rather than maximal strength or aerobic capacity.

Limits

As a narrative review, it lacks a systematic search protocol, risk-of-bias assessment, and meta-analytic pooling. The abstract provides no specific study counts, participant sample sizes, or numerical effect estimates.

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