Pomegranate source of urolithin A.

How Urolithin A Boosts Muscle Health in Older Adults

Written by: Mecene Research Team

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Published

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Time to read 5 min

Note From Dr. Pendleton


This article is my attempt at a simplified summary of a scientific paper I found interesting. I’m passionate about sharing scientific knowledge in a way that’s accessible to everyone. However, it's important to remember that many scientific studies, including this one, may not directly apply to you, let alone all people. For example, some studies are conducted on animals or involve small sample sizes, which limits the generalizability of the results. My goal is to present the information responsibly and in layman’s terms, so please keep in mind that the findings should be interpreted with care.


Medical Disclaimer: This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this website. The information in this article is based on a scientific review and should not be used as the sole basis for treatment decisions. Always consult with a healthcare professional before starting any new treatment or therapy.

Overview

This scientific summary is based on the scientific article titled Effect of Urolithin A Supplementation on Muscle Endurance and Mitochondrial Health in Older Adults by Sophia Liu, PhD et al., which explores the potential benefits of Urolithin A, a natural compound derived from certain foods, on muscle function and mitochondrial health in aging individuals. The study was conducted as a double-blind, placebo-controlled, randomized clinical trial involving 66 adults aged 65 to 90 and spanned over four months. Researchers aimed to assess whether daily Urolithin A supplement could improve muscle endurance, mitochondrial efficiency, and related biomarkers. The study's findings indicate significant improvements in muscle endurance and mitochondrial health markers among participants who received Urolithin A, suggesting its promise as a supplement for combating age-related muscle decline.

Introduction

As people age, keeping muscles strong and healthy becomes more important. Muscle health helps older adults stay active and independent. Urolithin A, a compound made in our bodies from certain foods, may help improve muscle function and overall health.

What is Urolithin A?


Urolithin A is a natural substance that our bodies produce. This compound is not directly found in foods but is created when we eat certain foods and our gut bacteria break them down.


Foods that help produce Urolithin A include pomegranates, nuts, and berries. When we consume these foods, the bacteria in our intestines transform the compounds in them into Urolithin A.


Research has shown that Urolithin A has several health benefits, especially for our muscles. It has been linked to improved muscle strength and endurance , making it particularly valuable for older adults who may struggle with muscle weakness.


The Importance of Mitochondrial Health


Mitochondria are tiny structures inside our cells that are essential for producing energy. They convert the food we eat into energy that our cells can use to perform various functions. Because of this, mitochondria are often called the "powerhouses" of the cell.


As we age, our mitochondria can become less efficient. This means they produce less energy and can even start to malfunction. When mitochondria don't work well, our cells don't get enough energy, leading to muscle weakness and fatigue.


Maintaining healthy mitochondria is crucial for keeping our muscles strong and helping us stay active and energetic. This is why focusing on mitochondrial health is so important, especially as we age.

Woman with big muscles.

How Urolithin A Works

Urolithin A supports our cells by promoting a process called mitophagy . Mitophagy is like a cleanup service for our cells. It removes old and damaged mitochondria, making way for new, healthy ones. This process is vital because it helps maintain our cells' efficiency.


When old mitochondria are cleared out, the remaining ones can work better, producing more energy and keeping our cells healthier. The study highlighted that Urolithin A "stimulates mitophagy and improves muscle function in older animals."


This means that Urolithin A helps our cells eliminate damaged mitochondria , which can improve overall cell function and muscle health. Urolithin A can help older adults maintain stronger muscles and better physical performance by supporting mitophagy.

The Study on Urolithin A

Researchers conducted a study to investigate if Urolithin A could improve muscle health in older adults. The study included:


  • Participants: 66 adults aged 65 to 90 years
  • Duration: 4 months
  • Methods: Participants were randomly assigned to take either 1000 mg of Urolithin A or a placebo daily for four months. The study measured muscle endurance, mitochondrial health, and various health markers at the start, 2 months, and 4 months.

The primary endpoint was the change in the 6-minute walk distance and maximal ATP production in hand muscles. Secondary endpoints included muscle endurance in hand and leg muscles and mitochondrial and cellular health biomarkers.


According to the study, "The primary end point was change from baseline in the 6-minute walk distance and change from baseline to 4 months in maximal ATP production in the hand skeletal muscle." Researchers used a double-blind, placebo-controlled design to ensure accurate and unbiased results.

Clinical trial participants.

Benefits of Urolithin A Supplementation

The study found several benefits of Urolithin A supplementation:


  1. Improved Muscle Endurance: Participants who took Urolithin A showed significant improvement in muscle endurance. Specifically, they could perform more muscle contractions before getting tired. The study reported, "Urolithin A, compared with placebo, significantly improved muscle endurance in the FDI and TA at 2 months."
  2. Enhanced Mitochondrial Health: Urolithin A supplementation reduced blood levels of acylcarnitines and ceramides, which are linked to poor mitochondrial health. The study highlighted, "Plasma levels of several acylcarnitines, ceramides, and C-reactive protein were decreased by Urolithin A, compared with placebo, at 4 months."
  3. Safety and Tolerance: The participants found Urolithin A safe and well-tolerated. The study noted, "No statistical differences in adverse events were observed between the two groups," indicating that the supplement did not cause significant side effects compared to the placebo.

Practical Applications

Including Urolithin A in daily routines could help older adults maintain muscle strength and overall health. There are two main ways to increase Urolithin A levels in the body:


  1. Eating Foods Rich in Urolithin A Precursors: Consuming foods like pomegranates, nuts, and berries can help the body produce Urolithin A. These foods contain compounds that gut bacteria convert into Urolithin A.
  2. Taking Urolithin A Supplements: Supplements provide a direct source of Urolithin A, ensuring consistent intake. This can be particularly useful for individuals who may not consume enough Urolithin A precursors through diet alone.

These practical applications could help older adults stay energized and enjoy a better quality of life. Urolithin A supplementation may improve muscle endurance and mitochondrial health, supporting overall physical performance and reducing the risk of age-related muscle decline.

Red capsules depicting urolithin A supplements.

Embracing Urolithin A for Healthy Aging

The study demonstrated that Urolithin A supplementation can significantly enhance muscle endurance and improve mitochondrial biomarkers, which are critical for maintaining muscle function and overall vitality as we age.


While more research is needed to fully understand the long-term effects and optimal usage of Urolithin A, the current findings are encouraging. Adding Urolithin A to your daily routine, whether through diet or supplements, could be a proactive step towards healthier aging and improved muscle function, which is key to enjoying an active, independent, and fulfilling life as we grow older.

Meet the Author

Dr. James Pendleton

Dr. James Pendleton is a primary care physician specializing in a naturopathic approach to family medicine. He has nurtured a family practice in Seattle, directed a VIP medical center in Abu Dhabi, published several books and scientific articles, and designed innovative nutritional supplements for manufacturers worldwide.

REFERENCES

Liu S, D’Amico D, Shankland E, et al. Effect of Urolithin A Supplementation on Muscle Endurance and Mitochondrial Health in Older Adults: A Randomized Clinical Trial. JAMA Netw Open. 2022;5(1):e2144279. https://doi.org/10.1016/j.xcrm.2022.100633