Effects of Acute Morning Melatonin Supplementation Versus Placebo on Cardiometabolic Responses to High-Intensity Interval Exercise: A Randomized Crossover Trial in Active Men

Aims: The present study evaluated the acute morning effect of melatonin supplementation (5 mg) on cardiometabolic responses. Methods: For this purpose, 12 physically active men (22.1 ± 1.3 years; 1.7 ± 01 m; 74.7 ± 12.1 kg; 24.3 ± 2.7 m/kg2; VO2max: 46.9 ± 2.3 mL/kg/min; 17.3 ± 5.2%F) were measured in a double-blind crossover protocol, where participants were measured before, during, and after a high-intensity interval exercise (HIIE) protocol [4 × 4 min at 95% of maximum heart rate (HRmax) with a 3 min interval at 60–70% of HRmax] followed by 30 min of recovery. At rest, the following variables were measured: HR, systolic blood pressure (SBP), diastolic blood pressure (DBP), lactate, and maximum oxygen consumption (VO2max). At the end of each stage and interval, VO2, respiratory exchange ratio (RER), and HR were measured. During recovery, VO2, VCO2, RER, SBP, DBP, and HR were measured. Results: Melatonin significantly enhanced recovery metabolism, as evidenced by increased VO2 at Interval 3 (+2.2 mL/kg/min, p = 0.03, d = 0.69) and 5 min postexercise (+2.4 mL/kg/min, p = 0.02, d = 0.81). The RER was higher during Sprint 4 (+0.08, p = 0.01, d = 0.84), indicating greater carbohydrate reliance. Cardiovascular recovery was also improved, with a reduced HR at 30 min (−5 bpm, p = 0.04, d = 0.66) and lower SBP at 15 min (−8 mmHg, p = 0.02, d = 0.75). Lactate concentration at 30 min was lower with melatonin (−0.7 mmol/L, p = 0.03, d = 0.72). No significant effects were observed at rest or during early exercise. Conclusions: Acute morning melatonin intake may amplify metabolic responses to HIIE while facilitating cardiometabolic recovery. This dual-phase action may benefit athletes aiming to optimize energy expenditure, fat metabolism, and recovery during early-day training.