The purpose of this study is to determine the effects of antibacterial mouthwash on muscle speed and power in healthy young men and women. We have previously demonstrated that drinking beetroot juice, a source of dietary nitrate and therefore nitric oxide, increases muscle function in this population. Antibacterial mouthwash has been shown to interfere with the conversion of dietary nitrate to nitric oxide. We therefore hypothesize that it will diminish nitric oxide bioavailability and inhibit muscle contractility.
Study Visit One: During an initial visit, subjects will complete the informed consent process, be instructed on the requirements of the study, and practice the exercise protocol (see below). Study Visit Two: Subjects will be tested after they have avoided exercise, caffeine, alcohol, chewing gum, and foods high in nitrate (e.g., spinach, beets, collard greens) for at least 24 hours. They will also be asked to not use any mouthwash products during this period. They will then provide provide a saliva sample for subsequent measurement of nitrate and nitrite concentrations and have their breath nitric oxide levels measured using a portable analyzer. The maximal knee extensor speed and power of their knee extensor muscles will then be measured using an isokinetic dynamometer. This machine can control the speed of movement while measuring the maximal force (torque) that a subject can voluntarily produce. Subjects will then be randomly assigned to receive either an antibacterial mouthwash (Cepacol©, Reckitt Benckiser, Parsippany, NJ) or, as a control solution, an alcohol-free "natural" mouthwash (Tom's of Maine©, Kennebunk, ME). Participants will be asked to rinse their mouth as directed on the product's packaging for 30 s twice per day for 7 (+/-2) days and to record the usage of the mouthwash on a provided form. Subjects will then return for Study Visit 3 (see below). This is considered a single-blind study, which means that the investigators will not know what type of mouthwash a subject is receives. Study Visit Three: At the end of the treatment period, subjects will be asked to return to undergo the same procedures as described for Study Visit Two.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
SINGLE
Enrollment
32
Twice-daily use of Cepacol per the manufacturer's guidelines
Twice-daily use of Tom's Natural Mouthwash per the manufacturer's guidelines
Indiana University School of Health and Human Sciences
Indianapolis, Indiana, United States
Muscle Function
Maximal knee extensor speed determined using isokinetic dynamometry
Time frame: 1 day
Muscle Function
Maximal knee extensor speed determined using isokinetic dynamometry
Time frame: 7 day
Salivary Nitrate
Salivary concentration of nitrate
Time frame: 1 day
Salivary Nitrite
Salivary concentration of nitrite
Time frame: 7 day
Breath Nitric Oxide
Breath nitric oxide level
Time frame: 1 day
Breath Nitric Oxide
Breath nitric oxide level
Time frame: 7 day
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