<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article article-type="brief-report" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Sports Act. Living</journal-id>
<journal-title>Frontiers in Sports and Active Living</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Sports Act. Living</abbrev-journal-title>
<issn pub-type="epub">2624-9367</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fspor.2022.1075388</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Sports and Active Living</subject>
<subj-group>
<subject>Brief Research Report</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Effect of a novel dietary supplement Khejri, and Spirulina supplementation on lipid profile in cricket players</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Pareek</surname><given-names>Arvind</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref><uri xlink:href="https://loop.frontiersin.org/people/1826634/overview"/></contrib>
<contrib contrib-type="author"><name><surname>Kasvan</surname><given-names>Bhanwra Ram</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref><uri xlink:href="https://loop.frontiersin.org/people/2159096/overview"/></contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Singh</surname><given-names>Neha</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="cor1">&#x002A;</xref><uri xlink:href="https://loop.frontiersin.org/people/2005067/overview" /></contrib>
</contrib-group>
<aff id="aff1"><label><sup>1</sup></label><addr-line>Department of Botany</addr-line>, <institution>Maharshi Dayanand Saraswati University</institution>, <addr-line>Ajmer</addr-line>, <country>India</country></aff>
<aff id="aff2"><label><sup>2</sup></label><addr-line>Department of Sports Bioscience</addr-line>, <institution>Central University of Rajasthan</institution>, <addr-line>Ajmer</addr-line>, <country>India</country></aff>
<author-notes>
<fn fn-type="edited-by"><p><bold>Edited by:</bold> Dalia El Khoury, University of Guelph, Canada</p></fn>
<fn fn-type="edited-by"><p><bold>Reviewed by:</bold> Omnia Kilany, Suez Canal University, Egypt Ajit Magadum, Temple University, United States</p></fn>
<corresp id="cor1"><label>&#x002A;</label><bold>Correspondence:</bold> Neha Singh <email>neha.singh@curaj.ac.in</email></corresp>
<fn fn-type="other" id="fn001"><p><bold>Specialty Section:</bold> This article was submitted to Sport and Exercise Nutrition, a section of the journal Frontiers in Sports and Active Living</p></fn>
</author-notes>
<pub-date pub-type="epub"><day>16</day><month>01</month><year>2023</year></pub-date>
<pub-date pub-type="collection"><year>2022</year></pub-date>
<volume>4</volume><elocation-id>1075388</elocation-id>
<history>
<date date-type="received"><day>20</day><month>10</month><year>2022</year></date>
<date date-type="accepted"><day>28</day><month>12</month><year>2022</year></date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2023 Pareek, Kasvan and Singh.</copyright-statement>
<copyright-year>2023</copyright-year><copyright-holder>Pareek, Kasvan and Singh</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p><italic>Prosopis cineraria</italic> (Fabaceae) is known as Khejri in India or the golden tree of Indian deserts. It&#x2019;s potential as a dietary supplement in sports nutrition and its effect on regulating lipid profile has never been investigated. Spirulina (<italic>Arthrospira platensis</italic>) is a superfood with high nutritional value and is a popular supplement among athletes. In the current study, Spirulina and Khejri were used as supplements by cricket players to improve their physical fitness and lipid profile. Both supplements were given to individual groups and in combination to see the combined effect. The intervention period was 21 days, and supplements were given in 500&#x2005;mg doses daily. Lipid profile assessments were done before and after the intervention period. 40 cricket players were divided into 4 groups: Group 1 (<italic>n</italic>&#x2009;&#x003D;&#x2009;10): Both supplements, Spirulina and Khejri, Group 2 (<italic>n</italic>&#x2009;&#x003D;&#x2009;10): Supplement Spirulina, Group 3 (<italic>n</italic>&#x2009;&#x003D;&#x2009;10): Supplement Khejri, and Group 4 (<italic>n</italic>&#x2009;&#x003D;&#x2009;10): Control. When experimental groups 1, 2 and 3 were compared to the control group 4, significant reduction was observed in triglyceride levels (Group1 vs. control: 141.53&#x2009;&#x00B1;&#x2009;14.74 vs. 199.28&#x2009;&#x00B1;&#x2009;27.24, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05; Group 2 vs. control: 137.5&#x2009;&#x00B1;&#x2009;14 vs. 199.28&#x2009;&#x00B1;&#x2009;27.24, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05; Group 3 vs. control: 135.32&#x2009;&#x00B1;&#x2009;17.34 vs. 199.28&#x2009;&#x00B1;&#x2009;27.24, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05) and significant reduction in cholesterol levels was found post-intervention after 21 days of supplementation (Group1 vs. control: 149.75&#x2009;&#x00B1;&#x2009;7.08 vs. 207.86&#x2009;&#x00B1;&#x2009;11.69, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.001; Group 2 vs. control: 178.28&#x2009;&#x00B1;&#x2009;9.43 vs. 207.86&#x2009;&#x00B1;&#x2009;11.69, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05; Group 3 vs. control: 142.92&#x2009;&#x00B1;&#x2009;10.01 vs. 207.86&#x2009;&#x00B1;&#x2009;11.69, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.001). Cholesterol and Triglyceride levels were significantly decreased pre- vs. post-intervention by Khejri and Spirulina supplements in cricket players.</p>
</abstract>
<kwd-group>
<kwd>supplements</kwd>
<kwd>cholesterol</kwd>
<kwd>Spirulina</kwd>
<kwd>performance</kwd>
<kwd>lipid profile</kwd>
<kwd>cricket players</kwd>
</kwd-group>
<contract-sponsor id="cn001">UGC</contract-sponsor>
<counts>
<fig-count count="4"/>
<table-count count="0"/><equation-count count="0"/><ref-count count="29"/><page-count count="0"/><word-count count="0"/></counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro"><title>Introduction</title>
<p>Cricket is an international sport, and cricket players maintain their physical fitness by following specific exercise training programs to meet the game&#x0027;s physiological demands and other performance requirements (<xref ref-type="bibr" rid="B1">1</xref>). Differences may exist in particular nutrient needs along this designated spectrum of cricketers, creating the exciting challenge of individualizing sports nutrition plans. The quality and selection of food are an important part of a diet for a cricket player. Players need to plan their carbohydrate, protein, and vitamin intake (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B3">3</xref>). Physical fitness and optimal nutrition, including dietary supplements as per requirement, are of immense importance for sports person and are an important and essential aspect of achieving optimum health and performance for athletes (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B5">5</xref>). The nutritional requirements of cricket are specific to the game&#x0027;s longer duration and physiological demands. A balanced diet with adequate energy, macro and micronutrients is the primary requirement for the cricket player (<xref ref-type="bibr" rid="B6">6</xref>). For optimal performance, cricket players require sufficient carbohydrates for energy during intense training and protein for repairing and adaptation to training (<xref ref-type="bibr" rid="B7">7</xref>). Along with whole foods and drinks, dietary supplements like creatine monohydrate, caffeine, beta-alanine, sodium bicarbonate, omega 3 fatty acids, probiotics, etc., help in enhancement of general muscle and brain performance, in addition, boosting adaptations to exercise and recovery in athletes (<xref ref-type="bibr" rid="B8">8</xref>).</p>
</sec>
<sec id="s2"><title>Herbal supplements in sports</title>
<p>Herbal supplements are becoming popular among athletes because of their rich nutritional profile and performance-enhancing potential (<xref ref-type="bibr" rid="B9">9</xref>). Athletes prefer herbal supplements for enhancing exercise performance, promoting muscle growth, inducing weight loss, increasing energy, and increasing mental alertness (<xref ref-type="bibr" rid="B10">10</xref>). Several herbal supplements are popular among athletes; some are listed here: Ginseng, Caffeine, Ginkgo biloba, Saffron, etc. (<xref ref-type="bibr" rid="B10">10</xref>). These supplements have nutritional benefits for sportspersons, although the research on these herbal supplements is also minimal. Therefore, this study was focused on identifying and validating novel herbal dietary supplements which can help cricket players to improve their lipid profile, cardiovascular health, and fitness. Khejri alone and Spirulina and Khejri in combination have never been used earlier as a dietary supplement by cricket players, which defines the utmost importance and future applications of observations of this study.</p>
</sec>
<sec id="s3"><title>Spirulina as supplement in sports</title>
<p>Spirulina (<italic>Arthrospira platensis</italic>) is a popular supplement that is known for its high nutritional value. Ancient Aztecs used it as a protein-rich supplement in their diets. The recorded history of the consumption of microalgae dates back to the year 1521 when Bernal Diaz del Castillo described the consumption of a preparation of Spirulina by people in the vicinity of Mexico City. Due to its unmatched composition, it was declared as &#x201C;best food for tomorrow&#x201D; by United Nations at the world food conference in 1974 (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>). Spirulina contains all the amino acids required by the human body. In addition, it includes vitamins, antioxidants, and other vital nutrients. Moreover, it also improves gut health and thus boosting energy production resulting in improved sports performance (<xref ref-type="bibr" rid="B13">13</xref>). Furthermore, it has multiple bioactive compounds and is also known to improve brain health (<xref ref-type="bibr" rid="B14">14</xref>). It is a primary source of protein, with high nutritive value and multiple health benefits. The energetic value of Spirulina comes from its ingredients, including fat, protein, carbohydrate, vitamin A, vitamin B1 (thiamine), B2 (riboflavin), B3 (nicotinamide), B6 (pyridoxine), B9 (folic acid), vitamin C, vitamin E, natrium, potassium, calcium, magnesium, iron and other minerals (<xref ref-type="bibr" rid="B15">15</xref>). It is rich in antioxidants and has fatigue-delaying capabilities. Therefore, being a functional food rich in nutrients, it is known to boost exercise performance and has huge ergogenic potential in sports nutrition (<xref ref-type="bibr" rid="B16">16</xref>).</p>
</sec>
<sec id="s4"><title>Khejri as supplement in sports</title>
<p><italic>Prosopis cineraria</italic> are commonly known as Khejri. It is a leguminous multipurpose tree; its bark is helpful in the treatment of cough, common cold, asthma, leukoderma, piles, and tremors of the muscles (<xref ref-type="bibr" rid="B17">17</xref>). Khejri has socio-economic importance for farmers; it is used for fuel, firewood, and charcoal. Dry pods of Khejri are known as sangri and are the main part of Rajasthani dishes. Khejri also, has therapeutic and pharmaceutical value; it helps relieve pain, lowers cholesterol levels, and is used to treat diabetes, anemia, and liver disorders. Khejri leaves have high nutrient content and antibacterial, anti-hyperglycemic, and anti-oxidant activity (<xref ref-type="bibr" rid="B17">17</xref>). Flowers are used as a blood purifier and for skin treatment. The bark is used to treat cough, dysentery, asthma, files, and tremors of the muscles. Khejri has never been used as a supplement in sports nutrition to date. So, we considered the effects of Khejri and Spirulina supplements on cricket players&#x2019; fitness and lipid profile.</p>
</sec>
<sec id="s5" sec-type="methods"><title>Methods</title>
<p>In this research work, we conducted a comparative study of the effect of herbal supplementation on the physical fitness and lipid profile of cricket players. A total of 40 cricket players (Mean&#x2009;&#x00B1;&#x2009;&#x2009;SEM, age in years 23.53&#x2009;&#x00B1;&#x2009;0.55) participated in this study and were divided into 4 groups. Khejri and Spirulina were used as supplements by cricket players to improve their physical fitness and body composition. Dried pods of Khejri are known as Sangri and are the main part of Rajasthani cuisine. Both supplements were given to individual groups and in combination to see the combined effect of both supplements. The intervention period was 21 days, and supplements were given in 500&#x2005;mg doses daily. Lipid profile assessments were done before and after the intervention period. 40 cricket players were divided in 4 groups: Group 1 (<italic>n</italic>&#x2009;&#x003D;&#x2009;10): Both supplements Spirulina and Khejri B, Group 2 (<italic>n</italic>&#x2009;&#x003D;&#x2009;10): Supplement Spirulina, Group 3 (<italic>n</italic>&#x2009;&#x003D;&#x2009;10): Supplement Khejri, and Group 4 (<italic>n</italic>&#x2009;&#x003D;&#x2009;10): Control. The inclusion criteria included healthy young, physically active cricket players involved in this study. The exclusion criteria included individuals with a cardiorespiratory disease or on medication. After using inclusion or exclusion criteria, overall, 40 samples were collected. A professional lab assistant collected blood. Blood samples (5&#x2005;ml) for determining lipid profiles were obtained at rest. The blood was centrifuged at 3,000&#x2005;rpm for 5&#x2005;min at 4&#x00B0;C for serum separation. All of the biochemical tests have been done using serum samples. Lipid parameters (Triglyceride; Cholesterol) were measured using Arkray kits and a Biochemistry analyzer (RMS).</p>
<p>Statistical analyses were performed using SPSS software. Shapiro Wilk test was used to test the normality of data. Descriptive statistics were expressed as mean (&#x00B1;SEM) for each variable. For the data collected in the current study, the mean value, standard deviation, standard error of mean, one way ANOVA and independent &#x201C;<italic>t</italic>&#x201D; test was applied to analyse the data. The level of significance for all tests was at <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05.</p>
<sec id="s5a"><title>Ethical consideration</title>
<p>Cricket players were invited to participate in a physical fitness test. They provided a consent form to fill in their general information, consent to use their data in this research, and agreement for their volunteer participation. Ethical approval for the study was obtained from the Ethics Committee, and informed consent forms were obtained from all players.</p>
</sec>
</sec>
<sec id="s6" sec-type="results"><title>Results</title>
<p>The data for comparing cholesterol and triglyceride levels pre and post-intervention with Spirulina and Khejri supplementation in cricket players are shown in <xref ref-type="fig" rid="F1">Figures&#x00A0;1</xref>&#x2013;<xref ref-type="fig" rid="F4">4</xref>. The one-way ANOVA for comparison between the treated groups yielded a statistically significant effect for cholesterol levels, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05. However, for triglyceride levels, the one-way ANOVA for comparison between treated groups was not found to be significant, <italic>p</italic>&#x2009;&#x003D;&#x2009;0.06. The results illustrate that the triglyceride level is significantly lowered post-intervention in Group 1 with Spirulina and Khejri combination supplementation (180.88&#x2009;&#x00B1;&#x2009;16.45 vs. 141.53&#x2009;&#x00B1;&#x2009;14.74, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05). However, no significant difference was observed in cholesterol levels post-intervention in the same group (142.87&#x2009;&#x00B1;&#x2009;8.4 vs. 149.75&#x2009;&#x00B1;&#x2009;7.08, <italic>p</italic>&#x2009;&#x003E;&#x2009;0.05) (<xref ref-type="fig" rid="F1">Figure&#x00A0;1</xref>). In Group 2, supplementation with Spirulina alone was found to lower triglyceride levels significantly in cricket players (210.82&#x2009;&#x00B1;&#x2009;22.28 vs. 137.5&#x2009;&#x00B1;&#x2009;14, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05) as well as cholesterol levels were reduced significantly post-intervention (236.47&#x2009;&#x00B1;&#x2009;10.44 vs. 178.28&#x2009;&#x00B1;&#x2009;9.43, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.01) (<xref ref-type="fig" rid="F2">Figure&#x00A0;2</xref>). In Group 3, supplementation with the novel sports nutrition supplement Khejri resulted in significantly lower triglyceride levels (259.51&#x2009;&#x00B1;&#x2009;51.76 vs. 135.32&#x2009;&#x00B1;&#x2009;17.34, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05) and cholesterol levels (166.91&#x2009;&#x00B1;&#x2009;11.64 vs. 142.92&#x2009;&#x00B1;&#x2009;10.01, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05) post-intervention in cricket players (<xref ref-type="fig" rid="F3">Figure&#x00A0;3</xref>). When all the three experimental groups 1, 2 and 3 were compared to the control group 4, significant reduction was observed in triglyceride levels (Group 1 vs. control: 141.53&#x2009;&#x00B1;&#x2009;14.74 vs. 199.28&#x2009;&#x00B1;&#x2009;27.24, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05; Group 2 vs. control: 137.5&#x2009;&#x00B1;&#x2009;14 vs. 199.28&#x2009;&#x00B1;&#x2009;27.24, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05; Group 3 vs. control: 135.32&#x2009;&#x00B1;&#x2009;17.34 vs. 199.28&#x2009;&#x00B1;&#x2009;27.24, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05) as well as significant reduction in cholesterol levels was found post-intervention after 21 days of supplementation (Group 1 vs. control: 149.75&#x2009;&#x00B1;&#x2009;7.08 vs. 207.86&#x2009;&#x00B1;&#x2009;11.69, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.001; Group 2 vs. control: 178.28&#x2009;&#x00B1;&#x2009;9.43 vs. 207.86&#x2009;&#x00B1;&#x2009;11.69, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05; Group 3 vs. control: 142.92&#x2009;&#x00B1;&#x2009;10.01 vs. 207.86&#x2009;&#x00B1;&#x2009;11.69, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.001) (<xref ref-type="fig" rid="F4">Figure&#x00A0;4</xref>).</p>
<fig id="F1" position="float"><label>Figure 1</label>
<caption><p>Triglyceride and cholesterol levels comparison in cricket players (<italic>n</italic>&#x2009;&#x003D;&#x2009;10) between pre and post-intervention period of 21 days supplementation with Spirulina and Khejri in combination, &#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05, &#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01, &#x002A;&#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.001.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="fspor-04-1075388-g001.tif"/>
</fig>
<fig id="F2" position="float"><label>Figure 2</label>
<caption><p>Triglyceride and cholesterol levels comparison in cricket players (<italic>n</italic>&#x2009;&#x003D;&#x2009;10) between pre and post-intervention period of 21 days supplementation with Spirulina,&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05, &#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01, &#x002A;&#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.001.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="fspor-04-1075388-g002.tif"/>
</fig>
<fig id="F3" position="float"><label>Figure 3</label>
<caption><p>Triglyceride and cholesterol levels comparison in cricket players (<italic>n</italic>&#x2009;&#x003D;&#x2009;10) between pre and post-intervention period of 21 days supplementation with Khejri, &#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05, &#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01, &#x002A;&#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.001.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="fspor-04-1075388-g003.tif"/>
</fig>
<fig id="F4" position="float"><label>Figure 4</label>
<caption><p>Triglyceride and cholesterol levels comparison in cricket players between all the 4 groups: Group 1 (<italic>n</italic>&#x2009;&#x003D;&#x2009;10): both supplements Spirulina and Khejri B, Group 2 (<italic>n</italic>&#x2009;&#x003D;&#x2009;10): supplement Spirulina, Group 3 (<italic>n</italic>&#x2009;&#x003D;&#x2009;10): supplement Khejri, Group 4 (<italic>n</italic>&#x2009;&#x003D;&#x2009;10): control, &#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05, &#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01, &#x002A;&#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.001.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="fspor-04-1075388-g004.tif"/>
</fig>
</sec>
<sec id="s7" sec-type="discussion"><title>Discussion</title>
<p>This study aimed to study the effect of novel dietary supplement Khejri and Spirulina on cricket players&#x2019; lipid profiles. After the supplementation intervention period of 21 days, cholesterol and triglyceride levels reduced significantly compared to the control group and to pre-intervention levels for each Khejri and Spirulina supplementation when taken in combination. The observation that triglyceride and cholesterol levels decreased with Spirulina supplementation is in agreement with previous studies (<xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B19">19</xref>). However, such analysis has never been done on cricket players. In addition, investigating the effect of the combination of Spirulina and Khejri supplementation and Khejri supplementation alone to improve lipid profile and fitness is the first-ever study done on cricket players. Weight loss is one of the common goals for athletes in any kind of sports (<xref ref-type="bibr" rid="B20">20</xref>). Cricket players also need to maintain their weight and fitness. It is a highly novel study with high-impact findings in sports nutrition. This suggests that it is valuable information for cricket players who can maintain their weight and lipid profile without taking synthetic or harmful supplements. To achieve optimal sports performance, cricket players exercise regularly, undergo training, take a balanced diet, and choose healthy fats and a healthy lifestyle. To achieve and maintain such fitness, many cricket players tend to consume synthetic supplements that can have very harmful side effects (<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B22">22</xref>). Considering multiple benefits and negligible side effects of herbal dietary supplements, supplementation with novel plant-based nutraceuticals has become a common practice among athletes. Herbal supplements are an alternative to avoid harmful side effects (<xref ref-type="bibr" rid="B10">10</xref>). Spirulina has also been shown to work synergistically with exercise in improving cardiorespiratory fitness, body composition, and blood lipid profile (<xref ref-type="bibr" rid="B23">23</xref>).</p>
<p>Since triglyceride and cholesterol levels are an essential measure of cardiovascular health (<xref ref-type="bibr" rid="B24">24</xref>), it is important for cricket players to maintain their cardiovascular health by including natural supplements in their diet, such as Spirulina and Khejri. Several studies have demonstrated the ergogenic potential of Spirulina in sports performance. A study by Johnson et al. showed improvement in physical and mental fatigue in men after spirulina supplementation (<xref ref-type="bibr" rid="B25">25</xref>). Another study by Zeinalian et al. demonstrated the efficacy of Spirulina in the control of obesity (<xref ref-type="bibr" rid="B26">26</xref>). The hypolipidaemic effects of spirulina supplementation have been shown in multiple studies (<xref ref-type="bibr" rid="B27">27</xref>&#x2013;<xref ref-type="bibr" rid="B29">29</xref>). Khejri is an entirely new dietary supplement that has not been studied for its benefits on sports performance. Its effect on lipid profile was also not studied until now. With this study, we have tried to add valuable information to scientific literature about the lipid profile improvement benefits of Khejri and for further research on its action mechanism and other possible potential benefits not only for cricket players but also, for athletes in other sports.</p>
<p>In conclusion, our data suggest that the dietary supplements Khejri and Spirulina confer a beneficial effect on the cardiovascular and overall health of cricket players. Appropriate nutrition is very important, along with regular exercise and training for the fitness of cricket players and better sports performance.</p>
</sec>
<sec id="s8"><title>Novelty</title>
<p>The study&#x0027;s novelty is elaborated in the following points: (1) Khejri is a novel supplement that was never used earlier as a dietary supplement in sports nutrition. (2) Combination of Khejri and Spirulina is also a new addition to sports nutrition. (3) This is the first-ever study to report such intervention and its benefits for cricket players&#x2019; fitness and cardiovascular health.</p>
</sec>
<sec id="s9"><title>Practical application</title>
<p>Cricket is one of the most popular sports in India. Identifying and establishing the health benefits and ergogenic efficacy of such herbal supplements for cricket players is extremely important. It can also be developed into a new herbal supplement with no harmful side effects.</p>
</sec>
</body>
<back>
<sec id="s10" sec-type="data-availability"><title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="sec" rid="s15"><bold>Supplementary Material</bold></xref>, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s11"><title>Ethics statement</title>
<p>The studies involving human participants were reviewed and approved by Institutional Review Board of the Central University of Rajasthan, Ajmer. The patients/participants provided their written informed consent to participate in this study.</p>
</sec>
<sec id="s12"><title>Author contributions</title>
<p>AP contributed to the study design of the research work. He came up with the novel supplement to be investigated for its lipid profile improving capacity, proofread the article, and helped finalize the manuscript. NS wrote the article, worked on the study design and analyzed the data, and is the corresponding author of this article. BK collected the data and performed laboratory tests for lipid profiles. All the authors have read and approved the manuscript content.</p>
</sec>
<sec id="s13" sec-type="funding-information"><title>Funding</title>
<p>The study was funded by UGC start-up grant.</p>
</sec>
<sec id="s14" sec-type="COI-statement"><title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s16" sec-type="disclaimer"><title>Publisher&#x0027;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s15" sec-type="supplementary-material"><title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fspor.2022.1075388/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fspor.2022.1075388/full&#x0023;supplementary-material</ext-link>.</p>
<supplementary-material id="SD1" content-type="local-data">
<media mimetype="image" mime-subtype="jpeg" xlink:href="Image1.jpeg"/>
</supplementary-material>
</sec>
<ref-list><title>References</title>
<ref id="B1"><label>1.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Noakes</surname><given-names>TD</given-names></name><name><surname>Durandt</surname><given-names>JJ</given-names></name></person-group>. <article-title>Physiological requirements of cricket</article-title>. <source>J Sports Sci</source>. (<year>2000</year>) <volume>18</volume>(<issue>12</issue>):<fpage>919</fpage>&#x2013;<lpage>29</lpage>. <pub-id pub-id-type="doi">10.1080/026404100446739</pub-id><pub-id pub-id-type="pmid">11138982</pub-id></citation></ref>
<ref id="B2"><label>2.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Beck</surname><given-names>KL</given-names></name><name><surname>Thomson</surname><given-names>JS</given-names></name><name><surname>Swift</surname><given-names>RJ</given-names></name><name><surname>von Hurst</surname><given-names>PR</given-names></name></person-group>. <article-title>Role of nutrition in performance enhancement and postexercise recovery</article-title>. <source>Open Access J Sports Med</source>. (<year>2015</year>) <volume>6</volume>:<fpage>259</fpage>&#x2013;<lpage>67</lpage>. <pub-id pub-id-type="doi">10.2147/oajsm.S33605</pub-id><pub-id pub-id-type="pmid">26316828</pub-id></citation></ref>
<ref id="B3"><label>3.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kerksick</surname><given-names>CM</given-names></name><name><surname>Wilborn</surname><given-names>CD</given-names></name><name><surname>Roberts</surname><given-names>MD</given-names></name><name><surname>Smith-Ryan</surname><given-names>A</given-names></name><name><surname>Kleiner</surname><given-names>SM</given-names></name><name><surname>J&#x00E4;ger</surname><given-names>R</given-names></name><etal/></person-group> <article-title>Issn exercise &#x0026; sports nutrition review update: research &#x0026; recommendations</article-title>. <source>J Int Soc Sports Nutr</source>. (<year>2018</year>) <volume>15</volume>(<issue>1</issue>):<fpage>38</fpage>. <pub-id pub-id-type="doi">10.1186/s12970-018-0242-y</pub-id><pub-id pub-id-type="pmid">30068354</pub-id></citation></ref>
<ref id="B4"><label>4.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Close</surname><given-names>GL</given-names></name><name><surname>Kasper</surname><given-names>AM</given-names></name><name><surname>Walsh</surname><given-names>NP</given-names></name><name><surname>Maughan</surname><given-names>RJ</given-names></name></person-group>. <article-title>Food first but not always food only: recommendations for using dietary supplements in sport</article-title>. <source>Int J Sport Nutr Exerc Metab</source>. (<year>2022</year>) 32(5):371&#x2013;86. <pub-id pub-id-type="doi">10.1123/ijsnem.2021-0335</pub-id><pub-id pub-id-type="pmid">35279015</pub-id></citation></ref>
<ref id="B5"><label>5.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Aguilar-Navarro</surname><given-names>M</given-names></name><name><surname>Baltazar-Martins</surname><given-names>G</given-names></name><name><surname>Brito de Souza</surname><given-names>D</given-names></name><name><surname>Mu&#x00F1;oz-Guerra</surname><given-names>J</given-names></name><name><surname>del Mar Plata</surname><given-names>M</given-names></name><name><surname>Del Coso</surname><given-names>J</given-names></name></person-group>. <article-title>Gender differences in prevalence and patterns of dietary supplement use in elite athletes</article-title>. <source>Res Q Exerc Sport</source>. (<year>2021</year>) <volume>92</volume>(<issue>4</issue>):<fpage>659</fpage>&#x2013;<lpage>68</lpage>. <pub-id pub-id-type="doi">10.1080/02701367.2020.1764469</pub-id><pub-id pub-id-type="pmid">32809924</pub-id></citation></ref>
<ref id="B6"><label>6.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Malsagova</surname><given-names>KA</given-names></name><name><surname>Kopylov</surname><given-names>AT</given-names></name><name><surname>Sinitsyna</surname><given-names>AA</given-names></name><name><surname>Stepanov</surname><given-names>AA</given-names></name><name><surname>Izotov</surname><given-names>AA</given-names></name><name><surname>Butkova</surname><given-names>TV</given-names></name><etal/></person-group> <article-title>Sports nutrition: diets, selection factors, recommendations</article-title>. <source>Nutrients</source>. (<year>2021</year>) <volume>13</volume>(<issue>11</issue>):article no: 3771. <pub-id pub-id-type="doi">10.3390/nu13113771</pub-id></citation></ref>
<ref id="B7"><label>7.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cermak</surname><given-names>NM</given-names></name><name><surname>van Loon</surname><given-names>LJ</given-names></name></person-group>. <article-title>The use of carbohydrates during exercise as an ergogenic aid</article-title>. <source>Sports Med</source>. (<year>2013</year>) <volume>43</volume>(<issue>11</issue>):<fpage>1139</fpage>&#x2013;<lpage>55</lpage>. <pub-id pub-id-type="doi">10.1007/s40279-013-0079-0</pub-id><pub-id pub-id-type="pmid">23846824</pub-id></citation></ref>
<ref id="B8"><label>8.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rawson</surname><given-names>ES</given-names></name><name><surname>Miles</surname><given-names>MP</given-names></name><name><surname>Larson-Meyer</surname><given-names>DE</given-names></name></person-group>. <article-title>Dietary supplements for health, adaptation, and recovery in athletes</article-title>. <source>Int J Sport Nutr Exerc Metab</source>. (<year>2018</year>) <volume>28</volume>(<issue>2</issue>):<fpage>188</fpage>&#x2013;<lpage>99</lpage>. <pub-id pub-id-type="doi">10.1123/ijsnem.2017-0340</pub-id><pub-id pub-id-type="pmid">29345167</pub-id></citation></ref>
<ref id="B9"><label>9.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dulay</surname><given-names>M</given-names></name></person-group>. <article-title>Resources for information on herbal medicinals and dietary supplements</article-title>. <source>J Herb Pharmacother</source>. (<year>2004</year>) <volume>4</volume>(<issue>2</issue>):<fpage>59</fpage>&#x2013;<lpage>61</lpage>. <pub-id pub-id-type="doi">10.1080/J157v04n02_06</pub-id></citation></ref>
<ref id="B10"><label>10.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Williams</surname><given-names>M</given-names></name></person-group>. <article-title>Dietary supplements and sports performance: herbals</article-title>. <source>J Int Soc Sports Nutr</source>. (<year>2006</year>) <volume>3</volume>(<issue>1</issue>):<fpage>1</fpage>&#x2013;<lpage>6</lpage>. <pub-id pub-id-type="doi">10.1186/1550-2783-3-1-1</pub-id></citation></ref>
<ref id="B11"><label>11.</label><citation citation-type="book"><person-group person-group-type="author"><name><surname>Pareek</surname><given-names>A</given-names></name></person-group>. <article-title>Spirulina: the millennium gift for rajasthan</article-title>. In: <person-group person-group-type="editor"><name><surname>Trivedi</surname><given-names>PC</given-names></name></person-group>, editors. <source>Algal biotechnology</source>. <publisher-loc>Jaipur</publisher-loc>: <publisher-name>Pointer Publishers</publisher-name> (<year>2001</year>). p. <fpage>376</fpage>&#x2013;<lpage>82</lpage>.</citation></ref>
<ref id="B12"><label>12.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Soni</surname><given-names>RA</given-names></name><name><surname>Sudhakar</surname><given-names>K</given-names></name><name><surname>Rana</surname><given-names>RS</given-names></name></person-group>. <article-title>Spirulina &#x2013; from growth to nutritional product: a review</article-title>. <source>Trends Food Sci Technol</source>. (<year>2017</year>) <volume>69</volume>:<fpage>157</fpage>&#x2013;<lpage>71</lpage>. <pub-id pub-id-type="doi">10.1016/j.tifs.2017.09.010</pub-id></citation></ref>
<ref id="B13"><label>13.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chaouachi</surname><given-names>M</given-names></name><name><surname>Gautier</surname><given-names>S</given-names></name><name><surname>Carnot</surname><given-names>Y</given-names></name><name><surname>Bideau</surname><given-names>N</given-names></name><name><surname>Guillemot</surname><given-names>P</given-names></name><name><surname>Moison</surname><given-names>Y</given-names></name><etal/></person-group> <article-title>Spirulina platensis provides a small advantage in vertical jump and sprint performance but does not improve elite rugby players&#x2019; body composition</article-title>. <source>J Diet Suppl</source>. (<year>2021</year>) <volume>18</volume>(<issue>6</issue>):<fpage>682</fpage>&#x2013;<lpage>97</lpage>. <pub-id pub-id-type="doi">10.1080/19390211.2020.1832639</pub-id><pub-id pub-id-type="pmid">33118429</pub-id></citation></ref>
<ref id="B14"><label>14.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sorrenti</surname><given-names>V</given-names></name><name><surname>Castagna</surname><given-names>DA</given-names></name><name><surname>Fortinguerra</surname><given-names>S</given-names></name><name><surname>Buriani</surname><given-names>A</given-names></name><name><surname>Scapagnini</surname><given-names>G</given-names></name><name><surname>Willcox</surname><given-names>DC</given-names></name></person-group>. <article-title>Spirulina microalgae and brain health: a scoping review of experimental and clinical evidence</article-title>. <source>Mar Drugs</source>. (<year>2021</year>) <volume>19</volume>(<issue>6</issue>):article no: 293. <pub-id pub-id-type="doi">10.3390/md19060293</pub-id><pub-id pub-id-type="pmid">34067317</pub-id></citation></ref>
<ref id="B15"><label>15.</label><citation citation-type="book"><person-group person-group-type="author"><name><surname>Reboleira</surname><given-names>J</given-names></name><name><surname>Freitas</surname><given-names>R</given-names></name><name><surname>Pinteus</surname><given-names>S</given-names></name><name><surname>Silva</surname><given-names>J</given-names></name><name><surname>Alves</surname><given-names>C</given-names></name><name><surname>Pedrosa</surname><given-names>R</given-names></name><etal/></person-group> <article-title>Chapter 3.39: Spirulina</article-title>. In: <person-group person-group-type="editor"><name><surname>Nabavi</surname><given-names>SM</given-names></name><name><surname>Silva</surname><given-names>AS</given-names></name></person-group>, editors. <source>Nonvitamin and nonmineral nutritional supplements</source>. <publisher-name>Portugal: Academic Press</publisher-name> (<year>2019</year>). p. <fpage>409</fpage>&#x2013;<lpage>13</lpage>.</citation></ref>
<ref id="B16"><label>16.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kalafati</surname><given-names>M</given-names></name><name><surname>Jamurtas</surname><given-names>AZ</given-names></name><name><surname>Nikolaidis</surname><given-names>MG</given-names></name><name><surname>Paschalis</surname><given-names>V</given-names></name><name><surname>Theodorou</surname><given-names>AA</given-names></name><name><surname>Sakellariou</surname><given-names>GK</given-names></name><etal/></person-group> <article-title>Ergogenic and antioxidant effects of spirulina supplementation in humans</article-title>. <source>Med Sci Sports Exerc</source>. (<year>2010</year>) <volume>42</volume>(<issue>1</issue>):<fpage>142</fpage>&#x2013;<lpage>51</lpage>. <pub-id pub-id-type="doi">10.1249/MSS.0b013e3181ac7a45</pub-id><pub-id pub-id-type="pmid">20010119</pub-id></citation></ref>
<ref id="B17"><label>17.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vyas</surname><given-names>S</given-names></name><name><surname>Pandya</surname><given-names>D</given-names></name><name><surname>Mankad</surname><given-names>A</given-names></name></person-group>. <article-title>A review on Prosopis cineraria as an important plant of arid regions of India</article-title>. <source>EPRA International Journal of Multidisciplinary Research (IJMR)</source>. (<year>2020</year>) <volume>6</volume>(3):<fpage>1</fpage>&#x2013;<lpage>6</lpage>. <pub-id pub-id-type="doi">10.36713/epra2013</pub-id></citation></ref>
<ref id="B18"><label>18.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>DiNicolantonio</surname><given-names>JJ</given-names></name><name><surname>Bhat</surname><given-names>AG</given-names></name><name><surname>OKeefe</surname><given-names>J</given-names></name></person-group>. <article-title>Effects of spirulina on weight loss and blood lipids: a review</article-title>. <source>Open Heart</source>. (<year>2020</year>) <volume>7</volume>(<issue>1</issue>):<fpage>e001003</fpage>. <pub-id pub-id-type="doi">10.1136/openhrt-2018-001003</pub-id><pub-id pub-id-type="pmid">32201580</pub-id></citation></ref>
<ref id="B19"><label>19.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mani</surname><given-names>UV</given-names></name><name><surname>Desai</surname><given-names>S</given-names></name><name><surname>Iyer</surname><given-names>U</given-names></name></person-group>. <article-title>Studies on the long-term effect of spirulina supplementation on serum lipid profile and glycated proteins in niddm patients</article-title>. <source>J Nutraceuticals Funct Med Foods</source>. (<year>2000</year>) <volume>2</volume>(<issue>3</issue>):<fpage>25</fpage>&#x2013;<lpage>32</lpage>. <pub-id pub-id-type="doi">10.1300/J133v02n03_03</pub-id></citation></ref>
<ref id="B20"><label>20.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Haskell</surname><given-names>WL</given-names></name></person-group>. <article-title>Physical activity, sport, and health: toward the next century</article-title>. <source>Res Q Exerc Sport</source>. (<year>1996</year>) <volume>67</volume>(<issue>sup3</issue>):<fpage>S-37</fpage>&#x2013;<lpage>47</lpage>. <pub-id pub-id-type="doi">10.1080/02701367.1996.10608852</pub-id></citation></ref>
<ref id="B21"><label>21.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Garthe</surname><given-names>I</given-names></name><name><surname>Maughan</surname><given-names>RJ</given-names></name></person-group>. <article-title>Athletes and supplements: prevalence and perspectives</article-title>. <source>Int J Sport Nutr Exerc Metab</source>. (<year>2018</year>) <volume>28</volume>(<issue>2</issue>):<fpage>126</fpage>&#x2013;<lpage>38</lpage>. <pub-id pub-id-type="doi">10.1123/ijsnem.2017-0429</pub-id><pub-id pub-id-type="pmid">29580114</pub-id></citation></ref>
<ref id="B22"><label>22.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Maughan</surname><given-names>RJ</given-names></name><name><surname>Burke</surname><given-names>LM</given-names></name><name><surname>Dvorak</surname><given-names>J</given-names></name><name><surname>Larson-Meyer</surname><given-names>DE</given-names></name><name><surname>Peeling</surname><given-names>P</given-names></name><name><surname>Phillips</surname><given-names>SM</given-names></name><etal/></person-group> <article-title>Ioc consensus statement: dietary supplements and the high-performance athlete</article-title>. <source>Int J Sport Nutr Exerc Metab</source>. (<year>2018</year>) <volume>28</volume>(<issue>2</issue>):<fpage>104</fpage>&#x2013;<lpage>25</lpage>. <pub-id pub-id-type="doi">10.1123/ijsnem.2018-0020</pub-id><pub-id pub-id-type="pmid">29589768</pub-id></citation></ref>
<ref id="B23"><label>23.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hern&#x00E1;ndez-Lepe</surname><given-names>MA</given-names></name><name><surname>Olivas-Aguirre</surname><given-names>FJ</given-names></name><name><surname>G&#x00F3;mez-Miranda</surname><given-names>LM</given-names></name><name><surname>Hern&#x00E1;ndez-Torres</surname><given-names>RP</given-names></name><name><surname>Manr&#x00ED;quez-Torres</surname><given-names>JJ</given-names></name><name><surname>Ramos-Jim&#x00E9;nez</surname><given-names>A</given-names></name></person-group>. <article-title>Systematic physical exercise and spirulina Maxima supplementation improve body composition, cardiorespiratory fitness, and blood lipid profile: correlations of a randomized double-blind controlled trial</article-title>. <source>Antioxidants</source>. (<year>2019</year>) <volume>8</volume>(<issue>11</issue>):article no: 507. <pub-id pub-id-type="doi">10.3390/antiox8110507</pub-id></citation></ref>
<ref id="B24"><label>24.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hughes</surname><given-names>RA</given-names></name><name><surname>Housh</surname><given-names>TJ</given-names></name><name><surname>Hughes</surname><given-names>RJ</given-names></name><name><surname>Johnson</surname><given-names>GO</given-names></name></person-group>. <article-title>The effect of exercise duration on serum cholesterol and triglycerides in women</article-title>. <source>Res Q Exerc Sport</source>. (<year>1991</year>) <volume>62</volume>(<issue>1</issue>):<fpage>98</fpage>&#x2013;<lpage>104</lpage>. <pub-id pub-id-type="doi">10.1080/02701367.1991.10607525</pub-id><pub-id pub-id-type="pmid">2028100</pub-id></citation></ref>
<ref id="B25"><label>25.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Johnson</surname><given-names>M</given-names></name><name><surname>Hassinger</surname><given-names>L</given-names></name><name><surname>Davis</surname><given-names>J</given-names></name><name><surname>Devor</surname><given-names>ST</given-names></name><name><surname>DiSilvestro</surname><given-names>RA</given-names></name></person-group>. <article-title>A randomized, double blind, placebo controlled study of spirulina supplementation on indices of mental and physical fatigue in men</article-title>. <source>Int J Food Sci Nutr</source>. (<year>2016</year>) <volume>67</volume>(<issue>2</issue>):<fpage>203</fpage>&#x2013;<lpage>6</lpage>. <pub-id pub-id-type="doi">10.3109/09637486.2016.1144719</pub-id><pub-id pub-id-type="pmid">26888417</pub-id></citation></ref>
<ref id="B26"><label>26.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zeinalian</surname><given-names>R</given-names></name><name><surname>Farhangi</surname><given-names>MA</given-names></name><name><surname>Shariat</surname><given-names>A</given-names></name><name><surname>Saghafi-Asl</surname><given-names>M</given-names></name></person-group>. <article-title>The effects of spirulina platensis on anthropometric indices, appetite, lipid profile and serum vascular endothelial growth factor (VEGF) in obese individuals: a randomized double blinded placebo controlled trial</article-title>. <source>BMC Complement Altern Med</source>. (<year>2017</year>) <volume>17</volume>(<issue>1</issue>):<fpage>225</fpage>. <pub-id pub-id-type="doi">10.1186/s12906-017-1670-y</pub-id><pub-id pub-id-type="pmid">28431534</pub-id></citation></ref>
<ref id="B27"><label>27.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mazokopakis</surname><given-names>EE</given-names></name><name><surname>Starakis</surname><given-names>IK</given-names></name><name><surname>Papadomanolaki</surname><given-names>MG</given-names></name><name><surname>Mavroeidi</surname><given-names>NG</given-names></name><name><surname>Ganotakis</surname><given-names>ES</given-names></name></person-group>. <article-title>The hypolipidaemic effects of spirulina (<italic>Arthrospira platensis</italic>) supplementation in a cretan population: a prospective study</article-title>. <source>J Sci Food Agric</source>. (<year>2014</year>) <volume>94</volume>(<issue>3</issue>):<fpage>432</fpage>&#x2013;<lpage>7</lpage>. <pub-id pub-id-type="doi">10.1002/jsfa.6261</pub-id><pub-id pub-id-type="pmid">23754631</pub-id></citation></ref>
<ref id="B28"><label>28.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mazokopakis</surname><given-names>EE</given-names></name><name><surname>Papadomanolaki</surname><given-names>MG</given-names></name><name><surname>Fousteris</surname><given-names>AA</given-names></name><name><surname>Kotsiris</surname><given-names>DA</given-names></name><name><surname>Lampadakis</surname><given-names>IM</given-names></name><name><surname>Ganotakis</surname><given-names>ES</given-names></name></person-group>. <article-title>The hepatoprotective and hypolipidemic effects of spirulina (<italic>Arthrospira platensis</italic>) supplementation in a cretan population with non-alcoholic fatty liver disease: a prospective pilot study</article-title>. <source>Ann Gastroenterol</source>. (<year>2014</year>) <volume>27</volume>(<issue>4</issue>):<fpage>387</fpage>&#x2013;<lpage>94</lpage>.<pub-id pub-id-type="pmid">25331487</pub-id></citation></ref>
<ref id="B29"><label>29.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mazloomi</surname><given-names>SM</given-names></name><name><surname>Samadi</surname><given-names>M</given-names></name><name><surname>Davarpanah</surname><given-names>H</given-names></name><name><surname>Babajafari</surname><given-names>S</given-names></name><name><surname>Clark</surname><given-names>CCT</given-names></name><name><surname>Ghaemfar</surname><given-names>Z</given-names></name><etal/></person-group> <article-title>The effect of spirulina sauce, as a functional food, on cardiometabolic risk factors, oxidative stress biomarkers, glycemic profile, and liver enzymes in nonalcoholic fatty liver disease patients: a randomized double-blinded clinical trial</article-title>. <source>Food Sci Nutr</source>. (<year>2022</year>) <volume>10</volume>(<issue>2</issue>):<fpage>317</fpage>&#x2013;<lpage>28</lpage>. <pub-id pub-id-type="doi">10.1002/fsn3.2368</pub-id><pub-id pub-id-type="pmid">35154670</pub-id></citation></ref></ref-list>
</back>
</article>