Review of Herbal Supplement Intake and Aerobic Physical Activities in Overweight Individuals: Effects of Green Tea on Fat Metabolism
Subject Areas : Nutrition
Daniel Tarmast
1
*
,
Mahnaz Beigi
2
,
Tahereh Bagherpour
3
1 - Department of Physical Education and Sport Sciences, Faculty of Humanities, Parand Branch, Parand, Tehran, Iran
2 - Department of Sport Sciences, Damghan Branch, Islamic Azad University, Damghan, Semnan, Iran
3 - Department of Sport Sciences, Damghan Branch, Islamic Azad University, Damghan, Semnan, Iran
Keywords: Aerobic Physical Activities, Exercise, Fat Metabolism, Green Tea, Herbal Supplement, Obesity, Overweight,
Abstract :
This review investigates the synergistic effects of aerobic physical activity and green tea supplementation on fat metabolism, particularly in overweight or obese adults. Several studies have shown that green tea can significantly improve thermogenesis and fat oxidation. This condition is because it contains many bioactive compounds, including caffeine and catechins. These effects are further exacerbated when combined with aerobic activities such as cycling, jogging, and swimming, which are commonly recognized for their ability to enhance cardiovascular health and increase energy expenditure. The current study delves into recent research on the interaction of green tea, particularly its catechin epigallocatechin gallate, with the body's metabolic processes. Green tea increases fat availability during exercise and prolongs fat decomposition by inhibiting enzymes such as catechol-O-methyltransferase. Additionally, caffeine enhances energy expenditure, which facilitates the prolonged oxidation of fat following exercise. Studies suggest that individuals who consume green tea before moderate-intensity aerobic exercise experience significantly enhanced fat burning compared to exercise alone. This combination offers a comprehensive, natural alternative to pharmacological interventions for weight management, promoting both fat loss and improved metabolic health. The potential cardiovascular protection, reduced inflammation, and enhanced insulin sensitivity of green tea are reviewed in relation to its broader health benefits. Furthermore, it investigates the implications for athletes, suggesting that green tea can boost endurance by optimizing fat utilization during extended aerobic activities. In conclusion, this review emphasizes the potential of integrating aerobic exercise with green tea supplementation as a successful approach to facilitating sustainable weight management, improving overall health, and enhancing fat metabolism.
Afzal M, Safer AM, Menon M (2015) Green tea polyphenols and their potential role in health and disease. Inflammopharmacology. 23(4), 151-161. https://doi.org/10.1007/s10787-015-0236-1
Al-Jawaldeh A, Abbass MMS (2022) Unhealthy dietary habits and obesity: The major risk factors beyond non-communicable diseases in the Eastern Mediterranean region. Frontiers in Nutrition. 9, 817808. https://doi.org/10. 3389/fnut.2022.817808
Al-Salafe R, Irshad M, Abdulghani H (2014) Does green tea help to fight against obesity? An overview of the epidemiological reports. Austin Journal of Clinical Medicine. 1(3), 1011. https://austinpublishinggroup.com /clinical-medicine/fulltext/ajcm-v1-id1011.php
Alinia-Ahandani E, Alizadeh-Terepoei Z, Boghozian A (2019) Positive role of green tea as an anti-cancer biomedical source in Iran northern. American Journal of Biomedical Science & Research. 5(1), 15-18. https://doi.org/ 10.34297/AJBSR.2019.05.000870
Amozadeh H, Shabani R, Nazari M (2018) The effect of aerobic training and green tea supplementation on cardio metabolic risk factors in overweight and obese females: A randomized trial. International Journal of Endocrinology and Metabolism. 16(4), e60738. https://doi.org/10.5812/ijem.60738
Aziz T, Hussain N, Hameed Z, Lin L (2024) Elucidating the role of diet in maintaining gut health to reduce the risk of obesity, cardiovascular and other age-related inflammatory diseases: Recent challenges and future recommendations. Gut Microbes. 16(1), 2297864. https://doi.org/10. 1080/19490976.2023.2297864
Bashir I, Qureshi IH (2023) A systematic literature review on personal financial well-being: The link to key sustainable development goals 2030. FIIB Business Review. 12(1), 31-48. https://doi.org/10.1177/23197145221106862
Bellicha A, van Baak MA, Battista F, Beaulieu K, Blundell JE, Busetto L, Ermolao A (2021) Effect of exercise training on weight loss, body composition changes, and weight maintenance in adults with overweight or obesity: An overview of 12 systematic reviews and 149 studies. Obesity Reviews. 22, e13256. https://doi.org/10.1111/obr.13256
Braschi A, Lo Presti R, Abrignani MG, Abrignani V, Traina M (2023) Effects of green tea catechins and exercise training on body composition parameters. International Journal of Food Sciences and Nutrition. 74(1), 3-21. https://doi.org/10.1080/09637486.2022.2150152
Cerbin-Koczorowska M, Waszyk-Nowaczyk M, Bakun P, Goslinski T, Koczorowski T (2021) Current view on green tea catechins formulations, their interactions with selected drugs, and prospective applications for various health conditions. Applied Sciences. 11(11), 4905. https://doi.org/ 10.3390/app11114905
Chen D, Wang CY, Lambert JD, Ai N, Welsh WJ, Yang CS (2005) Inhibition of human liver catechol-O-methyltransferase by tea catechins and their metabolites: structure-activity relationship and molecular-modeling studies. Biochemical Pharmacology. 69(10), 1523-1531. https://doi.org/10.1016/j.bcp.2005.01.024
Deng S, Zhang G, Olayemi Aluko O, Mo Z, Mao J, Zhang H, Liu H (2022) Bitter and astringent substances in green tea: composition, human perception mechanisms, evaluation methods and factors influencing their formation. Food Research International. 157, 111262. https://doi.org/10.1016/j.foodres.2022.111262
Dinh TC, Thi Phuong TN, Minh LB, Minh Thuc VT, Bac ND, Van Tien N, Chu DT (2019) The effects of green tea on lipid metabolism and its potential applications for obesity and related metabolic disorders - an existing update. Diabetes Metabolic Syndrome. 13(2), 1667-1673. https://doi.org/10.1016/j.dsx.2019.03.021
Esmaeelpanah E, Razavi BM, Hosseinzadeh H (2021) Green tea and metabolic syndrome: a 10-year research update review. Iranian Journal of Basic Medical Sciences. 24(9), 1159-1172. https://doi.org/10.22038/IJBMS.2021.52980.11943
Fatemi MJ, Nikoomaram B, Rahimi AA, Talayi D, Taghavi S, Ghavami Y (2014) Effect of green tea on the second-degree burn wounds in rats. Indian Journal of Plastic Surgery. 47(3), 370-374. https://doi.org/10.4103/0970-0358. 146593
Gahreman D, Wang R, Boutcher Y, Boutcher S (2015) Green tea, intermittent sprinting exercise, and fat oxidation. Nutrients. 7(7), 5646-5663. https://doi.org/ 10.3390/ nu7075245
Gahreman DE, Boutcher YN, Bustamante S, Boutcher SH (2016) The combined effect of green tea and acute interval sprinting exercise on fat oxidation of trained and untrained males. Journal of Exercise Nutrition & Biochemistry. 20(1), 1-8. https://doi.org/10. 20463/jenb. 2016.03.20.1.1
Ghasemi E, Afzalpour ME, Nayebifar S (2020) Combined high-intensity interval training and green tea supplementation enhance metabolic and antioxidant status in response to acute exercise in overweight women. The Journal of Physiological Sciences. 70(1), 31. https://doi.org/10.1186/s12576-020-00756-z
Goldner DM, do Nascimento FH, Masini JC (2024) A green liquid chromatography method for simultaneous quantification of caffeine and its three major metabolites in urine, drinks, and herbal products. Separation Science Plus. 7(8), e202400098. https://doi.org/10.1002 /sscp.202400098
Guest NS, VanDusseldorp TA, Nelson MT, Grgic J, Schoenfeld BJ, Jenkins NDM, Campbell BI (2021) International society of sports nutrition position stand: caffeine and exercise performance. Journal of the International Society of Sports Nutrition. 18(1), 1. https://doi.org/10.1186/s12970-020-00383-4
Heshmati A, Mehri F, Karami-Momtaz J, Khaneghah AM (2020) The concentration and health risk of potentially toxic elements in black and green tea—both bagged and loose-leaf. Quality Assurance and Safety of Crops & Foods. 12(3), 140-150. https://doi.org/10.15586/qas.v12i3.761
Hinojosa-Nogueira D, Perez-Burillo S, Pastoriza de la Cueva S, Rufian-Henares JA (2021) Green and white teas as health-promoting foods. Food Function. 12(9), 3799-3819. https://doi.org/10.1039/d1fo00261a
Hodgson AB, Randell RK, Jeukendrup AE (2013) The effect of green tea extract on fat oxidation at rest and during exercise: evidence of efficacy and proposed mechanisms. Advances in Nutrition. 4(2), 129-140. https://doi.org/10.3945/an.112.003269
Ichinose T, Nomura S, Someya Y, Akimoto S, Tachiyashiki K, Imaizumi K (2011) Effect of endurance training supplemented with green tea extract on substrate metabolism during exercise in humans. Scandinavian Journal of Medicine & Science in Sports. 21(4), 598-605. https://doi.org/10.1111/j.1600-0838. 2009.01077.x
Im H, Lee J, Kim K, Son Y, Lee YH (2022) Anti-obesity effects of heat-transformed green tea extract through the activation of adipose tissue thermogenesis. Nutrition & Metabolism. 19(1), 14. https://doi.org/10. 1186/s12986-022-00648-6
Jacob E, Moura A, Avery A (2024) A systematic review of physical activity and nutritional interventions for the management of normal weight and overweight obesity. Nutrition, Metabolism and Cardiovascular Diseases. https://doi.org/10.1016/j.numecd.2024.08.001
Jagim AR, Harty PS, Tinsley GM, Kerksick CM, Gonzalez AM, Kreider RB, Stout JR (2023) International society of sports nutrition position stand: energy drinks and energy shots. Journal of the International Society of Sports Nutrition. 20(1), 2171314. https://doi.org/10.1080/15502783.2023.2171314
Jodra P, Lago-Rodríguez A, Sánchez-Oliver AJ, López-Samanes A, Pérez-López A, Veiga-Herreros P, Domínguez R (2020) Effects of caffeine supplementation on physical performance and mood dimensions in elite and trained-recreational athletes. Journal of the International Society of Sports Nutrition. 17(1), 2. https://doi.org/10.1186/s12970-019-0332-5
Joniton S, Shafras M, Jayasekara DC (2024) Narrative review on the importance of yoga in physical education and sports. Journal of Anthropology of Sport and Physical Education. 8(1), 29-36. https://doi.org/ 10.26773/jaspe.240105
Jówko E (2015) Green tea catechins and sport performance. In: Lamprecht M (ed.) Antioxidants in Sport Nutrition. CRC Press. pp. 299.
Jurgens TM, Whelan AM, Killian L, Doucette S, Kirk S, Foy E (2012) Green tea for weight loss and weight maintenance in overweight or obese adults. Cochrane Database of Systematic Reviews. 12, CD008650. https://doi.org/10.1002/14651858.CD008650.pub2
Kennedy DO, Wightman EL (2022) Mental performance and sport: caffeine and co-consumed bioactive ingredients. Sports Medicine. 52(1), 69-90. https://doi.org/10. 1007/s40279-022-01796-8
Kovacs EM, Lejeune MP, Nijs I, Westerterp-Plantenga MS (2004) Effects of green tea on weight maintenance after body-weight loss. British Journal of Nutrition. 91(3), 431-437. https://doi.org/10.1079/BJN20041061
Liaqat A, Gill MSA, Qasim R (2024) Effects of exercise with green tea, lemon & honey as supplement on body composition & physical fitness. Human Nature Journal of Social Sciences. 5(2), 313-322. https://hnpublisher.com/ojs/index.php/HNJSS/article/view/505
Lin WY (2022) The most effective exercise to prevent obesity: a longitudinal study of 33,731 Taiwan biobank participants. Frontiers in Nutrition. 9, 944028. https://doi.org/10.3389/fnut.2022.944028
Liu Z, Gao L, Chen Z, Zeng X, Huang J, Gong Y, Cai S (2019) Leading progress on genomics, health benefits and utilization of tea resources in China. Nature. 566(7742). https://www.nature.com/articles/d42473-019-00032-8
Loi M (2024) World Health Organization world health reports. In: Encyclopedia of Quality of Life and Well-Being Research. Springer. pp. 7871-7873.
Maki KC, Reeves MS, Farmer M, Yasunaga K, Matsuo N, Katsuragi Y, Cartwright Y (2009) Green tea catechin consumption enhances exercise-induced abdominal fat loss in overweight and obese adults. Journal of Nutrition. 139(2), 264-270. https://doi.org/10.3945/jn.108.098293
Mielgo-Ayuso J, Barrenechea L, Alcorta P, Larrarte E, Margareto J, Labayen I (2014) Effects of dietary supplementation with epigallocatechin-3-gallate on weight loss, energy homeostasis, cardiometabolic risk factors and liver function in obese women: randomised, double-blind, placebo-controlled clinical trial. British Journal of Nutrition. 111(7), 1263-1271. https://doi.org/10. 1017/S0007114513003784
Moro C, Harant I, Badin PM, Patarca FX, Guilland JC, Bourlier V, De Glisezinski I (2014) Influence of lipolysis and fatty acid availability on fuel selection during exercise. Journal of Physiology and Biochemistry. 70(2), 583-591. https://doi.org/10. 1007/s13105-013-0306-z
Muscella A, Stefàno E, Lunetti P, Capobianco L, Marsigliante S (2020) The regulation of fat metabolism during aerobic exercise. Biomolecules. 10(12), 1699. https://doi.org/ 10.3390/biom10121699
Musial C, Kuban-Jankowska A, Gorska-Ponikowska M (2020) Beneficial properties of green tea catechins. International Journal of Molecular Sciences. 21(5), 1744. https://doi.org/10.3390/ijms21051744
Nabi BN, Sedighinejad A, Haghighi M, Farzi F, Rimaz S, Atrkarroushan Z, Biazar G (2018) The anti-obesity effects of green tea: a controlled, randomized, clinical trial. Iranian Red Crescent Medical Journal. 20(1). https://doi.org/10.5812/ircmj.55950
Naghizadeh H, Hemati Farsani Z (2023) The effect of 8 weeks of high-intensity interval training and green tea consumption on serum levels of thioredoxin reductase-1, paraoxonase-1, interleukin-1β, interleukin-6 and galanin in obese elderly untrained men. Sport Physiology. 15(58), 69-100. https://doi.org/10.22089/spj.2023.13947.2223
Nandy A, Helderman RC, Thapa S, Jayapalan S, Richards A, Narayani N, Rendina-Ruedy E (2023) Lipolysis supports bone formation by providing osteoblasts with endogenous fatty acid substrates to maintain bioenergetic status. Bone Research. 11(1), 62. https://doi.org/10.1038/s41413-023-00297-2
Nieri V, de Souza JF, Segato TCM, Caetano ELA, Leite FG, Chaud MV, Grotto D (2022) Effects of green tea and green tea incorporated in nanoparticle lyotropic liquid crystal on exercise adaptations: a high-intensity interval training pre-clinical study. Nutrients. 14(15), 3226. https://doi.org/10.3390/nu14153226
Nobari H, Saedmocheshi S, Chung LH, Suzuki K, Maynar-Marino M, Perez-Gomez J (2021) An overview on how exercise with green tea consumption can prevent the production of reactive oxygen species and improve sports performance. International Journal of Environmental Research and Public Health. 19(1), 218. https://doi.org/10.3390/ijerph19010218
Oppert JM, Ciangura C, Bellicha A (2023) Physical activity and exercise for weight loss and maintenance in people living with obesity. Reviews in Endocrine and Metabolic Disorders. 24(5), 937-949. https://doi.org/10.1007/s11154-023-09805-5
Ősz BE, Jîtcă G, Ștefănescu RE, Pușcaș A, Tero-Vescan A, Vari CE (2022) Caffeine and its antioxidant properties—it is all about dose and source. International Journal of Molecular Sciences. 23(21), 13074. https://doi.org/10. 3390/ijms232113074
Pervin M, Unno K, Takagaki A, Isemura M, Nakamura Y (2019) Function of green tea catechins in the brain: epigallocatechin gallate and its metabolites. International Journal of Molecular Sciences. 20(15), 3630. https://doi.org/10.3390/ijms20153630
Petkevicius K, Bidault G, Virtue S, Jenkins B, van Dierendonck XA, Dugourd A, Vidal-Puig A (2021) Norepinephrine promotes triglyceride storage in macrophages via Beta2-adrenergic receptor activation. The FASEB Journal. 35(2). https://doi.org/10.1096/fj.202001101R
Pranoto A, Rejeki PS, Miftahussurur M, Yosika GF, Ihsan M, Herawati L, Halim S (2024) Aerobic exercise increases release of growth hormone in the blood circulation in obese women. Retos: Nuevas tendencias en educación física, deporte y recreación. 51, 726-731. https://doi.org/10.47197/retos.v51.99944
Purdom T, Kravitz L, Dokladny K, Mermier C (2018) Understanding the factors that affect maximal fat oxidation. Journal of the International Society of Sports Nutrition. 15(1), 3. https://doi.org/10.1186/s12970-018-0207-1
Rahmani A, Armak F, Khazaei M, Asgari G, Leili M, Rashti ME (2023) Human health risk assessment of organophosphorus pesticides in tea leaves harvested from farm regions of Gilan Province, Iran. Avicenna Journal of Environmental Health Engineering. 10(2), 78-84. https://doi.org/10.34172/ajehe.5310
Ramírez-Maldonado M, Jurado-Fasoli L, del Coso J, Ruiz JR, Amaro-Gahete FJ (2021) Caffeine increases maximal fat oxidation during a graded exercise test: Is there a diurnal variation? Journal of the International Society of Sports Nutrition. 18(1), 5. https://doi.org/10.1186/s12970-020-00400-6
Reljic D, Frenk F, Herrmann HJ, Neurath MF, Zopf Y (2021) Effects of very low volume high intensity versus moderate intensity interval training in obese metabolic syndrome patients: a randomized controlled study. Scientific Reports. 11(1), 2836. https://doi.org/10.1038/s41598-021-82372-4
Reygaert W (2017) An update on the health benefits of green tea. Beverages. 3(1), 6. https://doi.org/10.3390/beverages3010006
Reygaert WC (2017) An update on the health benefits of green tea. Beverages. 3(1), 6. https://www.mdpi.com/2306-5710/3/1/6
Rondanelli M, Riva A, Petrangolini G, Allegrini P, Perna S, Faliva MA, Gasparri C (2021) Effect of acute and chronic dietary supplementation with green tea catechins on resting metabolic rate, energy expenditure, and respiratory quotient: A systematic review. Nutrients. 13(2). https://doi.org/10.3390/nu13020644
Rostamian Mashhadi M, Hosseini SRA (2022) The interaction effect of green tea consumption and exercise training on fat oxidation, body composition, and blood lipids in humans: A review of the literature. Sport Sciences for Health. 19(2), 461-477. https://doi.org/10. 1007/s11332-022-00955-8
Ryan BJ, Schleh MW, Ahn C, Ludzki AC, Gillen JB, Varshney P, Gioscia-Ryan RA (2020) Moderate-intensity exercise and high-intensity interval training affect insulin sensitivity similarly in obese adults. The Journal of Clinical Endocrinology & Metabolism. 105(8), e2941-e2959. https://doi.org/10.1210/clinem/dgaa345
Saeed M, Naveed M, Arif M, Kakar MU, Manzoor R, Abd El-Hack ME, Munjal A (2017) Green tea (Camellia sinensis) and L-theanine: Medicinal values and beneficial applications in humans—A comprehensive review. Biomedicine & Pharmacotherapy. 95, 1260-1275. https://doi.org/10.1016/j.biopha.2017.09.024
Sajadi F, Shokrizadeh M, Sharifi M, Aftabi R (2023) Evaluating the effects of Camellia Sinensis (green tea) and Teucrium Polium extracts on salivary Streptococcus mutans levels in children. Journal of Dentistry. 24(1), 19-27. https://doi.org/10.30476/DENTJODS.2021.92379.1640
Sarma A, Bania R, Das MK (2023) Green tea: Current trends and prospects in nutraceutical and pharmaceutical aspects. Journal of Herbal Medicine. 41, 100694. https://doi.org/10.1016/j.hermed.2023.100694
Shixian Q, VanCrey B, Shi J, Kakuda Y, Jiang Y (2006) Green tea extract thermogenesis-induced weight loss by epigallocatechin gallate inhibition of catechol-O-methyltransferase. Journal of Medicinal Food. 9(4), 451-458. https://doi.org/10. 1089/jmf.2006.9.451
Sugita M, Kapoor MP, Nishimura A, Okubo T (2016) Influence of green tea catechins on oxidative stress metabolites at rest and during exercise in healthy humans. Nutrition. 32(3), 321-331. https://doi.org/10.1016/j.nut.2015.09.005
Sun Y, Park HY, Jung WS, Kim SW, Seo J, Choi JH, Lim K (2024) A comparison of continuous, interval, and accumulated workouts with equalized exercise volume: Excess post-exercise oxygen consumption in women. BMC Women's Health. 24(1), 466. https://doi.org/10.1186/s12905-024-03299-2
Suzuki T, Pervin M, Goto S, Isemura M, Nakamura Y (2016) Beneficial effects of tea and the green tea catechin epigallocatechin-3-gallate on obesity. Molecules. 21(10), 1305. https://doi.org/10.3390/molecules21101305
Tarmast D (2023) Elucidating the impact of Iranian herbs on athletic performance: A narrative review of scientific evidence. Journal of Sports Physiology and Athletic Conditioning. 10(3), 50-64, Article 2023122045150. https://doi.org/20.1001.1.27833038.1402.3.10.4.4
Tarmast D, Ghosh AK, Chen CK (2021) Effect of iso–caloric sago and soy supplementations during 90 minutes steady–state cycling on subsequent 20–km cycling time trial performance in the heat. Journal of Sports Physiology and Athletic Conditioning. 2(1), 1-15. https://doi.org/10.61186/jspac.21112.1.2.1
Thavanesan N (2011) The putative effects of green tea on body fat: An evaluation of the evidence and a review of the potential mechanisms. British Journal of Nutrition. 106(9), 1297-1309. https://doi.org/10.1017/S0007114511003849
Themistocleous I, Agathangelou P, Stefanakis M (2021) Effects of moderate-intensity intermittent circuit training in obese and overweight individuals. International Journal of Sports and Exercise Medicine. 7(194). https://doi.org/10.23937/2469-5718/1510194
Tornero-Aguilera JF, Jimenez-Morcillo J, Rubio-Zarapuz A, Clemente-Suárez VJ (2022) Central and peripheral fatigue in physical exercise explained: a narrative review. International Journal of Environmental Research and Public Health. 19(7), 3909. https://doi.org/10.3390/ijerph19073909
Türközü D, Tek NA (2017) A minireview of effects of green tea on energy expenditure. Critical Reviews in Food Science and Nutrition. 57(2), 254-258. https://doi.org/10. 1080/10408398.2014.986672
Venables MC, Hulston CJ, Cox HR, Jeukendrup AE (2008) Green tea extract ingestion, fat oxidation, and glucose tolerance in healthy humans. The American Journal of Clinical Nutrition. 87(3), 778-784. https://doi.org/10.1093/ajcn/87.3.778
Vilella R, Sgarbi G, Naponelli V, Savi M, Bocchi L, Liuzzi F, Baracca A (2020) Effects of standardized green tea extract and its main component, EGCG, on mitochondrial function and contractile performance of healthy rat cardiomyocytes. Nutrients. 12(10), 2949. https://doi.org/10.3390/nu12102949
Vuori IM (2020) Aerobic physical activities. In: Uribarri J, Vassalotti JA (eds.) Nutrition, Fitness, and Mindfulness: An Evidence-Based Guide for Clinicians. Springer International Publishing. pp. 105-119. https://doi.org/10.1007/978-3-030-30892-6_8
Wang M, Guo W, Chen JF (2024) Caffeine: a potential mechanism for anti-obesity. Purinergic Signalling. 1-17. https://doi.org/10.1007/s11302-024-10022-1
Welsh A, Hammad M, Piña IL, Kulinski J (2024) Obesity and cardiovascular health. European Journal of Preventive Cardiology. 31(8), 1026-1035. https://doi.org/10. 1093/eurjpc/ zwae025
Willems MET, Sahin MA, Cook MD (2018) Matcha green tea drinks enhance fat oxidation during brisk walking in females. International Journal of Sport Nutrition and Exercise Metabolism. 28(5), 536-541. https://doi.org/10.1123/ijsnem.2017-0237
Xu R, Yang K, Li S, Dai M, Chen G (2020) Effect of green tea consumption on blood lipids: a systematic review and meta-analysis of randomized controlled trials. Nutrition Journal. 19(1), 48. https://doi.org/10. 1186/s12937-020-00557-5
Yuwei W (2024) Research progress of exercise therapy in lipid metabolism. International Journal of Education and Humanities. 4(2), 166-173. https://doi.org/10.58557/(ijeh).v4i2.226
Zamani M, Kelishadi MR, Ashtary-Larky D, Amirani N, Goudarzi K, Torki IA, Asbaghi O (2022) The effects of green tea supplementation on cardiovascular risk factors: a systematic review and meta-analysis. International Journal of Sport Nutrition and Exercise Metabolism. 9, 1084455. https://doi.org/10. 3389/fnut.2022.1084455.
Zapalac K, Miller M, Champagne FA, Schnyer DM, Baird B (2024) The effects of physical activity on sleep architecture and mood in naturalistic environments. Scientific Reports. 14(1), 5637. https://doi.org/10.1038/s41598-024-56332-7
Zhang Y, Gu M, Wang R, Li M, Li D, Xie Z (2020) Dietary supplement of Yunkang 10 green tea and treadmill exercise ameliorate high fat diet induced metabolic syndrome of C57BL/6J mice. Nutrition & Metabolism. 17(1), 14. https://doi.org/10.1186/s12986-020-0433-9