RCTHumann = 68 (37 HIIT + L-citrulline, 31 HIIT + placebo)2026

Skeletal Muscle and Circulating microRNAs Adaptations to 12-Week HIIT With or Without L-Citrulline in Obese Older Adults.

Journal: Journal of cachexia, sarcopenia and musclePublished: 2026DOI: 10.1002/jcsm.70267

Plain-language summary

This study looked at how high-intensity interval training (HIIT), where short bursts of hard effort alternate with easier recovery periods, with or without L-citrulline (an amino acid that may boost blood flow and muscle health) affects microRNA, a small molecule that switches genes on and off and is used here as a readout of how muscle is adapting, in the muscle and blood of obese older adults. Researchers split 68 participants into two groups, one taking L-citrulline and the other a placebo, during a 12-week HIIT program, measuring changes in body composition, muscle function, and microRNA levels. While HIIT alone did not change certain muscle-specific microRNAs, it did alter others in ways tied to better fat loss, muscle power, and insulin sensitivity. Adding L-citrulline to HIIT was linked to lower levels of one muscle microRNA (miR-504-5p), which correlated with reduced body fat and improved performance.

Key findings

  • HIIT alone did not change muscle-specific microRNAs (like miR-133a, -1, -206) but altered others linked to fat loss and muscle gains.
  • L-citrulline with HIIT lowered muscle miR-504-5p, tied to less body fat and better function.
  • Changes in certain microRNAs (like miR-744-5p, -151a-3p) tracked with lean mass gains or insulin sensitivity, depending on sex and frailty status.

How to analyze the study yourself

Study type
Randomized controlled trials directly compare interventions but may not reflect real-world diversity outside the study's strict conditions.
Population
Older adults with obesity, average age 67. Results may not apply to younger or non-obese adults.
Funding
Not reported
Takeaway
This study found that in adults averaging 67 with obesity, 12 weeks of interval training shifted microRNAs (small molecules that switch genes on and off) in step with better body composition, and that adding L-citrulline amplified part of the effect. If you are over 60 and carrying extra weight, it may be worth asking your doctor about L-citrulline alongside interval training, since this was a small study in an age group where other medicines are usually already in play.