Individual responses to pomegranate juice on recovery from exercise-induced muscle damage in collegiate male volleyball players

Rezaei, G., Hemmatinafar, M., Willems, M. E. T., Mastouri, D., Imanian, B. and Rezaeia, R. (2026) Individual responses to pomegranate juice on recovery from exercise-induced muscle damage in collegiate male volleyball players. Journal of the International Society of Sports Nutrition. pp. 1-20. ISSN 1550-2783

[thumbnail of Rezaei, G. et al. (2026) ‘Individual responses to pomegranate juice on recovery from exercise-induced muscle damage in collegiate male volleyball players’, Journal of the International Society of Sports Nutrition, 23(1). doi: 10.1080/15502783.2026.2642149]
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Text (Rezaei, G. et al. (2026) ‘Individual responses to pomegranate juice on recovery from exercise-induced muscle damage in collegiate male volleyball players’, Journal of the International Society of Sports Nutrition, 23(1). doi: 10.1080/15502783.2026.2642149)
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Abstract

Background
Volleyball demands frequent explosive, stretch–shortening muscle actions that elevate the risk for exercise-induced muscle damage (EIMD) and delayed-onset muscle soreness (DOMS). Polyphenol-rich pomegranate juice (POMj) has been proposed to aid recovery, yet evidence in highly trained team-sport athletes is limited. This study investigated whether short-term POMj enhances functional and isokinetic recovery following an EIMD protocol in collegiate male volleyball players and identified individual responders using the smallest worthwhile change (SWC) method.

Methods
Fourteen Tier-3 male collegiate volleyball players completed testing in a randomized, double-blind, placebo-controlled crossover design. The supplementation was 1000 mL of natural POMj (500 mL evening prior; 500 mL 2 h pre-EIMD protocol) or flavor-matched placebo (PLA). The EIMD protocol consisted of 200 weighted (10% body mass) maximal vertical jumps. The outcomes at baseline (BL) and 48 h post-EIMD included functional tests (vertical jump height, handgrip, medicine-ball throw, flexibility, wall-squat) and knee isokinetic/isometric contraction indices (extension/flexion at 30° s−1 and 180° s−1; MVIC at 45°). DOMS (VAS) was assessed at BL, 0, 12, 24, and 48 h. Repeated-measures ANOVA was used to test condition effects. The SWC was set to 0.2 × SD at BL to classify individual responders.

Results
ANOVA revealed a significant main effect of time for most variables (p < 0.05), indicating recovery or changes across 48 h; however, no significant between-condition differences (POMj vs. PLA) were observed for any functional or isokinetic parameter. Although the knee extensor peak torque at 180° s−1 significantly improved from baseline within the POMj (p = 0.002), this recovery was not statistically superior to that of the PLA (p = 1.000). Similarly, DOMS increased significantly over time (p = 0.001), with no significant difference between conditions. SWC analysis revealed higher responder proportions with POMj for selected 180° s−1 indices (e.g. knee extensor relative peak torque (RPT): ~86% POMj vs. ~64% PLA; absolute peak torque (APT): ~79% vs. ~71%), indicating practically meaningful individual benefits despite null mean differences.

Conclusions
In highly trained male volleyball athletes, short-term POMj did not outperform placebo on group-mean recovery outcomes at 48 h post-EIMD; however, SWC-based analyses showed a higher proportion of meaningful responders with POMj in selected high-velocity isokinetic measures, supporting responder-focused evaluations of recovery nutraceuticals in sport-specific settings.

Publication Type: Articles
Additional Information: © 2026 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
Uncontrolled Keywords: pomegranate juice, exercise-induced muscle damage, delayed-onset damage, delayed-onset muscle soreness, volleyball, smallest worthwhile change, recovery
Subjects: G Geography. Anthropology. Recreation > GV Recreation Leisure > GV201 Physical education and training
G Geography. Anthropology. Recreation > GV Recreation Leisure > GV557 Sports
G Geography. Anthropology. Recreation > GV Recreation Leisure > GV557 Sports > GV711 Coaching
Q Science > QP Physiology
Divisions: Academic Areas > Institute of Sport > Area > Exercise Physiology
Research Entities > Centre for Health and Allied Sport and Exercise Science Research (CHASER)
Depositing User: Mark Willems
Date Deposited: 22 Apr 2026 10:09
Last Modified: 22 Apr 2026 10:09
URI: https://eprints.chi.ac.uk/id/eprint/8594

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