○ Evidence tier 3 — Human RCT — functional endpoint

Record verify: primary source pending

DesignRandomized, double-blind, placebo-controlled trial (functional)
DOI10.1016/j.xcrm.2022.100633
Citation statusdoi verified via Crossref 2026-07-12 (Cell Rep Med 2022;3(5):100633, Singh et al., 'Urolithin A improves muscle strength, exercise performance, and biomarkers of mitochondrial health in a randomized trial in middle-aged adults'). PMID + NCT: needs_primary_fulltext.

Five-qualifier claim

Species / populationMiddle-aged adults (randomized, placebo-controlled trial).
Exposure, route, scheduleOral urolithin A (500 mg or 1000 mg/day) for 4 months.
Comparator / durationPlacebo-controlled, randomized, double-blind; 4-month intervention.
Endpoint / numeric resultImproved muscle strength (hamstring) and exercise/endurance performance, with changes in plasma mitochondrial biomarkers (e.g. acylcarnitines) and lower C-reactive protein.
What it did NOT establishA functional-endpoint trial in middle-aged adults — not a lifespan, disease-outcome, or healthy-aging-longevity result.

Primary reference

https://doi.org/10.1016/j.xcrm.2022.100633

Exact identifier confirmed against the primary record via Crossref/ClinicalTrials.gov where stated in the citation status; anything marked needs_primary_fulltext is not yet confirmed.