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Perna S, Doria C, Trezza A, Tucci M, Martini D, Del Bo' C, Bianchi E, Borrelli M, Vinelli V, Leone A, Mambrini S, Bertoli S, Cè E, Battezzati A, Porrini M, Esposito F, Riso P. Effect of acute meal and long-term intake of a Mediterranean Diet providing different amounts of carbohydrates on physical performance and biomarkers in non-professional strength athletes. Int J Food Sci Nutr 2024:1-13. [PMID: 39028137 DOI: 10.1080/09637486.2024.2379823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2024] [Accepted: 07/09/2024] [Indexed: 07/20/2024]
Abstract
The study aims to evaluate the effect of an acute meal and long-term intake of Mediterranean Diet (MD) on different parameters such as strength, physical performance, body composition and blood markers in a group of non-professional athletes who practice a strength activity. Thirteen volunteers completed two 8-week dietary interventions in a randomised, cross-over design. Also an acute study was performed. Subjects received a MD High in carbohydrates, characterised by at least five portions of pasta/week and an average 55-60% of daily energy derived from carbohydrates, versus an MD reduced in carbohydrates, with less than two portions of pasta/week and an average of 40-45% of daily energy provided by carbohydrates. Mainly, data did not show significant differences for the parameters analysed, except for Elbow Flexor maximum voluntary contraction (p = .039). Results enlighten that increasing total carbohydrates intake, as typically in the MD, does not negatively affect physical performance, body composition and strength.
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Affiliation(s)
- Simone Perna
- Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Università degli Studi di Milano, Milano, Italy
| | - Christian Doria
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milano, Italy
| | - Alice Trezza
- Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Università degli Studi di Milano, Milano, Italy
| | - Massimiliano Tucci
- Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Università degli Studi di Milano, Milano, Italy
| | - Daniela Martini
- Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Università degli Studi di Milano, Milano, Italy
| | - Cristian Del Bo'
- Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Università degli Studi di Milano, Milano, Italy
- International Center for the Assessment of Nutritional Status and the Development of Dietary Intervention Strategies (ICANS-DIS), DeFENS, Università degli Studi di Milano, Milan, Italy
| | - Ellis Bianchi
- Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Università degli Studi di Milano, Milano, Italy
| | - Marta Borrelli
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milano, Italy
| | - Valentina Vinelli
- Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Università degli Studi di Milano, Milano, Italy
| | - Alessandro Leone
- Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Università degli Studi di Milano, Milano, Italy
- International Center for the Assessment of Nutritional Status and the Development of Dietary Intervention Strategies (ICANS-DIS), DeFENS, Università degli Studi di Milano, Milan, Italy
| | - Sara Mambrini
- Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Università degli Studi di Milano, Milano, Italy
| | - Simona Bertoli
- Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Università degli Studi di Milano, Milano, Italy
- International Center for the Assessment of Nutritional Status and the Development of Dietary Intervention Strategies (ICANS-DIS), DeFENS, Università degli Studi di Milano, Milan, Italy
| | - Emiliano Cè
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milano, Italy
| | - Alberto Battezzati
- Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Università degli Studi di Milano, Milano, Italy
- International Center for the Assessment of Nutritional Status and the Development of Dietary Intervention Strategies (ICANS-DIS), DeFENS, Università degli Studi di Milano, Milan, Italy
| | - Marisa Porrini
- Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Università degli Studi di Milano, Milano, Italy
- International Center for the Assessment of Nutritional Status and the Development of Dietary Intervention Strategies (ICANS-DIS), DeFENS, Università degli Studi di Milano, Milan, Italy
| | - Fabio Esposito
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milano, Italy
| | - Patrizia Riso
- Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Università degli Studi di Milano, Milano, Italy
- International Center for the Assessment of Nutritional Status and the Development of Dietary Intervention Strategies (ICANS-DIS), DeFENS, Università degli Studi di Milano, Milan, Italy
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Merrell LH, Perkin OJ, Bradshaw L, Collier‐Bain HD, Collins AJ, Davies S, Eddy R, Hickman JA, Nicholas AP, Rees D, Spellanzon B, James LJ, McKay AKA, Smith HA, Turner JE, Koumanov F, Maher J, Thompson D, Gonzalez JT, Betts JA. Myths and Methodologies: Standardisation in human physiology research-should we control the controllables? Exp Physiol 2024; 109:1099-1108. [PMID: 38763158 PMCID: PMC11215472 DOI: 10.1113/ep091557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Accepted: 02/05/2024] [Indexed: 05/21/2024]
Abstract
The premise of research in human physiology is to explore a multifaceted system whilst identifying one or a few outcomes of interest. Therefore, the control of potentially confounding variables requires careful thought regarding the extent of control and complexity of standardisation. One common factor to control prior to testing is diet, as food and fluid provision may deviate from participants' habitual diets, yet a self-report and replication method can be flawed by under-reporting. Researchers may also need to consider standardisation of physical activity, whether it be through familiarisation trials, wash-out periods, or guidance on levels of physical activity to be achieved before trials. In terms of pharmacological agents, the ethical implications of standardisation require researchers to carefully consider how medications, caffeine consumption and oral contraceptive prescriptions may affect the study. For research in females, it should be considered whether standardisation between- or within-participants in regards to menstrual cycle phase is most relevant. The timing of measurements relative to various other daily events is relevant to all physiological research and so it can be important to standardise when measurements are made. This review summarises the areas of standardisation which we hope will be considered useful to anyone involved in human physiology research, including when and how one can apply standardisation to various contexts.
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Affiliation(s)
- Lucy H. Merrell
- Centre for Nutrition, Exercise and MetabolismUniversity of BathBathUK
| | - Oliver J. Perkin
- Centre for Nutrition, Exercise and MetabolismUniversity of BathBathUK
| | - Louise Bradshaw
- Centre for Nutrition, Exercise and MetabolismUniversity of BathBathUK
| | | | - Adam J. Collins
- Centre for Nutrition, Exercise and MetabolismUniversity of BathBathUK
| | - Sophie Davies
- Centre for Nutrition, Exercise and MetabolismUniversity of BathBathUK
| | - Rachel Eddy
- Centre for Nutrition, Exercise and MetabolismUniversity of BathBathUK
| | - James A. Hickman
- Centre for Nutrition, Exercise and MetabolismUniversity of BathBathUK
| | - Anna P. Nicholas
- Centre for Nutrition, Exercise and MetabolismUniversity of BathBathUK
| | - Daniel Rees
- Centre for Nutrition, Exercise and MetabolismUniversity of BathBathUK
| | - Bruno Spellanzon
- Centre for Nutrition, Exercise and MetabolismUniversity of BathBathUK
| | - Lewis J. James
- National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health SciencesLoughborough UniversityLoughboroughUK
| | - Alannah K. A. McKay
- Mary MacKillop Institute for Health ResearchAustralian Catholic UniversityMelbourneAustralia
| | - Harry A. Smith
- Centre for Nutrition, Exercise and MetabolismUniversity of BathBathUK
| | - James E. Turner
- School of Sport, Exercise and Rehabilitation SciencesUniversity of BirminghamBirminghamUK
| | | | - Jennifer Maher
- Centre for Nutrition, Exercise and MetabolismUniversity of BathBathUK
| | - Dylan Thompson
- Centre for Nutrition, Exercise and MetabolismUniversity of BathBathUK
| | | | - James A. Betts
- Centre for Nutrition, Exercise and MetabolismUniversity of BathBathUK
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Chhabra B, Szabo A. Placebo and Nocebo Effects on Sports and Exercise Performance: A Systematic Literature Review Update. Nutrients 2024; 16:1975. [PMID: 38999724 PMCID: PMC11243088 DOI: 10.3390/nu16131975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2024] [Revised: 06/17/2024] [Accepted: 06/19/2024] [Indexed: 07/14/2024] Open
Abstract
Sports performance could be affected by placebo and nocebo effects. The last literature review on placebo and nocebo effects on sports and exercise performance was published in 2019. In the past five years, several new studies have been published. This review aimed to update the previous synthesis and evaluate the results of new studies focusing on placebo or nocebo interventions in sports and exercise by determining the form and magnitude of their effect. Hence, we searched for empirical studies published from 2019 until the end of May 2024 indexed in PubMed, Medline, Web of Science, EBSCO, and Google Scholar databases. The search yielded 20 eligible studies with control or baseline-control conditions, focusing on nutritional, mechanical, and other mixed ergogenic aids. They yielded small to large placebo effects (Cohen's d) for nutritional (d = 0.86), mechanical (d = 0.38), cream and gel (d = 0.05), and open-label placebo (d = 0.16) interventions. The pooled effect size for placebo effects was moderate to large (d = 0.67), larger than in the earlier review, suggesting that placebo effects can improve motor performance even more than previously reported. However, based on five measures from three studies, the nocebo effects were almost twice as large (d = 1.20). Accordingly, the current findings support and expand the last review in the field by yielding additional support for placebo and nocebo effects in sports and exercise.
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Affiliation(s)
- Bhavya Chhabra
- Institute of Health Promotion and Sport Sciences, Faculty of Psychology and Education, ELTE Eötvös Loránd University, 1075 Budapest, Hungary
- Doctoral School of Education, Faculty of Psychology and Education, ELTE Eötvös Loránd University, 1075 Budapest, Hungary
| | - Attila Szabo
- Faculty of Sport and Health Sciences, Széchenyi István University, 9025 Győr, Hungary
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Funnell MP, Moss J, Brown DR, Mears SA, James LJ. Perceived dehydration impairs endurance cycling performance in the heat in active males. Physiol Behav 2024; 276:114462. [PMID: 38215862 DOI: 10.1016/j.physbeh.2024.114462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Revised: 12/21/2023] [Accepted: 01/09/2024] [Indexed: 01/14/2024]
Abstract
Dehydration of >3 % body mass impairs endurance performance irrespective of the individual's knowledge of their hydration status, but whether knowledge of hydration status influences performance at lower levels of dehydration is unknown. This study examined whether perception of hydration status influenced endurance performance. After familiarisation, nine active males (age 25 ± 2 y, V̇O2peak 52.5 ± 9.1 mL kg min-1) completed two randomised trials at 34 °C. Trials involved an intermittent exercise preload (8 × 10 min cycling/5 min rest), followed by a 15 min all-out cycling performance test. During the preload in both trials, water was ingested orally every 10 min (0.3 mL kg body mass-1), with additional water infused into the stomach via gastric feeding tube to produce dehydration of ∼1.5 % body mass pre-performance test. Participants were told intra-gastric infusion was manipulated to produce euhydration (0 % dehydration; Perceived-EUH) or dehydration (2 % dehydration; Perceived-DEH) pre-performance test, which was told to them pre-preload and confirmed after body mass measurement pre-performance test. Body mass loss during the preload (Perceived-EUH 1.6 ± 0.2 %, Perceived-DEH 1.7 ± 0.2 %; P = 0.459), heart rate, gastrointestinal temperature and RPE (P ≥ 0.110) were not different between trials. Thirst was greater at the end of the preload and performance test in Perceived-DEH (P ≤ 0.040). Work completed during the performance test was 5.6 ± 6.1 % lower in Perceived-DEH (187.4 ± 37.0 kJ vs. 176.9 ± 36.0 kJ; P = 0.038). These results suggest that at lower levels of dehydration (<2 % body mass), an individual's perception of their hydration status could impair their performance, as well as their thirst perception.
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Affiliation(s)
- Mark P Funnell
- School of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire, LE11 3TU, UK
| | - Jodie Moss
- School of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire, LE11 3TU, UK
| | - Daniel R Brown
- School of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire, LE11 3TU, UK; Centre for Human Performance, Carnegie School of Sport, Leeds Beckett University, Leeds, LS6 3QT, UK
| | - Stephen A Mears
- School of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire, LE11 3TU, UK
| | - Lewis J James
- School of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire, LE11 3TU, UK.
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de Salles Painelli V, Fernandes E, Brietzke C, Pires FO. The placebo effect of a pink non-caloric, artificially sweetened solution on strength endurance performance and psychological responses in trained individuals. Nutr Health 2023:2601060231196590. [PMID: 37608532 DOI: 10.1177/02601060231196590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/24/2023]
Abstract
Background: The pink color enhances the perceived sweetness, increasing the individuals' expectation of the presence of sugar/carbohydrate in a beverage. Hence, it is plausible to speculate that providing a pink solution during exercise could induce an ergogenic benefit through a potential placebo effect. Aim: We examined whether ingesting a pink non-caloric, artificially sweetened solution can improve endurance strength exercise performance and psychological responses. Methods: Eighteen strength-trained individuals (34 ± 7 y; 1.74 ± 0.06 m; 79.86 ± 10.91 kg) completed three experimental trials in a randomized, single-blind, crossover counterbalanced fashion. In each trial, participants performed a 5-set strength endurance test at 70% of the one-repetition maximum in the bench press exercise, interspersed by 2 min. Before each set, participants ingested either a pink (PINK) or a transparent (TRANSP) non-caloric, artificially sweetened solution. A session without ingestion (CON) was also completed. Total number of repetitions and psychological responses such as motivation, emotional arousal, affect, and ratings of perceived exertion were obtained throughout the exercise protocol. Results: Total repetitions improved in PINK (60 ± 12 reps) compared to TRANSP (p = 0.03; 56 ± 10 reps; ES = 0.22; ±3.8%) and CON (p = 0.01; 56 ± 9 reps; ES = 0.33; ±6.6%), but no difference occurred between TRANSP and CON (p = 0.84; ES = 0.12; ±2.4%). Comparable responses were observed in motivation, emotional arousal, affect, and ratings of perceived exertion in PINK, TRANSP, and CON trials (all, p > 0.05), despite the greater total physical work performed in PINK trial. Conclusion: Ingesting a pink non-caloric, artificially sweetened solution improved strength endurance performance with comparable psychological responses. These results have implications for future nutritional studies and performance assessments in real-world sports scenarios.
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Affiliation(s)
- Vitor de Salles Painelli
- Exercise Psychophysiology Research Group, School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil
- Strength Training Study and Research Group, Institute of Health Sciences, Paulista University, São Paulo, Brazil
| | - Edvania Fernandes
- Strength Training Study and Research Group, Institute of Health Sciences, Paulista University, São Paulo, Brazil
| | - Cayque Brietzke
- Exercise Psychophysiology Research Group, School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil
- Human Movement Science and Rehabilitation Program, Federal University of São Paulo, Santos, Brazil
| | - Flávio O Pires
- Exercise Psychophysiology Research Group, School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil
- Human Movement Science and Rehabilitation Program, Federal University of São Paulo, Santos, Brazil
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Fasting Before Evening Exercise Reduces Net Energy Intake and Increases Fat Oxidation, but Impairs Performance in Healthy Males and Females. Int J Sport Nutr Exerc Metab 2023; 33:11-22. [PMID: 36170970 DOI: 10.1123/ijsnem.2022-0132] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Revised: 08/03/2022] [Accepted: 08/12/2022] [Indexed: 12/30/2022]
Abstract
Acute morning fasted exercise may create a greater negative 24-hr energy balance than the same exercise performed after a meal, but research exploring fasted evening exercise is limited. This study assessed the effects of 7-hr fasting before evening exercise on energy intake, metabolism, and performance. Sixteen healthy males and females (n = 8 each) completed two randomized, counterbalanced trials. Participants consumed a standardized breakfast (08:30) and lunch (11:30). Two hours before exercise (16:30), participants consumed a meal (543 ± 86 kcal; FED) or remained fasted (FAST). Exercise involved 30-min cycling (∼60% VO2peak) and a 15-min performance test (∼85% VO2peak; 18:30). Ad libitum energy intake was assessed 15 min postexercise. Subjective appetite was measured throughout. Energy intake was 99 ± 162 kcal greater postexercise (p < .05), but 443 ± 128 kcal lower over the day (p < .001) in FAST. Appetite was elevated between the preexercise meal and ad libitum meal in FAST (p < .001), with no further differences (p ≥ .458). Fat oxidation was greater (+3.25 ± 1.99 g), and carbohydrate oxidation was lower (-9.16 ± 5.80 g) during exercise in FAST (p < .001). Exercise performance was 3.8% lower in FAST (153 ± 57 kJ vs. 159 ± 58 kJ, p < .05), with preexercise motivation, energy, readiness, and postexercise enjoyment also lower in FAST (p < .01). Fasted evening exercise reduced net energy intake and increased fat oxidation compared to exercise performed 2 hr after a meal. However, fasting also reduced voluntary performance, motivation, and exercise enjoyment. Future studies are needed to examine the long-term effects of this intervention as a weight management strategy.
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Henselmans M, Bjørnsen T, Hedderman R, Vårvik FT. The Effect of Carbohydrate Intake on Strength and Resistance Training Performance: A Systematic Review. Nutrients 2022; 14:nu14040856. [PMID: 35215506 PMCID: PMC8878406 DOI: 10.3390/nu14040856] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Revised: 02/11/2022] [Accepted: 02/16/2022] [Indexed: 12/04/2022] Open
Abstract
High carbohydrate intakes are commonly recommended for athletes of various sports, including strength trainees, to optimize performance. However, the effect of carbohydrate intake on strength training performance has not been systematically analyzed. A systematic literature search was conducted for trials that manipulated carbohydrate intake, including supplements, and measured strength, resistance training or power either acutely or after a diet and strength training program. Studies were categorized as either (1) acute supplementation, (2) exercise-induced glycogen depletion with subsequent carbohydrate manipulation, (3) short-term (2–7 days) carbohydrate manipulation or (4) changes in performance after longer-term diet manipulation and strength training. Forty-nine studies were included: 19 acute, six glycogen depletion, seven short-term and 17 long-term studies. Participants were strength trainees or athletes (39 studies), recreationally active (six studies) or untrained (four studies). Acutely, higher carbohydrate intake did not improve performance in 13 studies and enhanced performance in six studies, primarily in those with fasted control groups and workouts with over 10 sets per muscle group. One study found that a carbohydrate meal improved performance compared to water but not in comparison to a sensory-matched placebo breakfast. There was no evidence of a dose-response effect. After glycogen depletion, carbohydrate supplementation improved performance in three studies compared to placebo, in particular during bi-daily workouts, but not in research with isocaloric controls. None of the seven short-term studies found beneficial effects of carbohydrate manipulation. Longer-term changes in performance were not influenced by carbohydrate intake in 15 studies; one study favored the higher- and one the lower-carbohydrate condition. Carbohydrate intake per se is unlikely to strength training performance in a fed state in workouts consisting of up to 10 sets per muscle group. Performance during higher volumes may benefit from carbohydrates, but more studies with isocaloric control groups, sensory-matched placebos and locally measured glycogen depletion are needed.
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Affiliation(s)
- Menno Henselmans
- The International Scientific Research Foundation for Fitness and Nutrition, David Blesstraat 28HS, 1073 LC Amsterdam, The Netherlands; (R.H.); (F.T.V.)
- Correspondence: ; Tel.: +31-61-809-5999
| | - Thomas Bjørnsen
- Department of Sport Science and Physical Education, Faculty of Health and Sport Sciences, University of Agder, 4630 Kristiansand, Norway;
| | - Richie Hedderman
- The International Scientific Research Foundation for Fitness and Nutrition, David Blesstraat 28HS, 1073 LC Amsterdam, The Netherlands; (R.H.); (F.T.V.)
| | - Fredrik Tonstad Vårvik
- The International Scientific Research Foundation for Fitness and Nutrition, David Blesstraat 28HS, 1073 LC Amsterdam, The Netherlands; (R.H.); (F.T.V.)
- Department of Sport Science and Physical Education, Faculty of Health and Sport Sciences, University of Agder, 4630 Kristiansand, Norway;
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The Ergogenic Effects of Acute Carbohydrate Feeding on Resistance Exercise Performance: A Systematic Review and Meta-analysis. Sports Med 2022; 52:2691-2712. [PMID: 35809162 PMCID: PMC9584980 DOI: 10.1007/s40279-022-01716-w] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/30/2022] [Indexed: 02/01/2023]
Abstract
BACKGROUND Carbohydrate (CHO) ingestion has an ergogenic effect on endurance training performance. Less is known about the effect of acute CHO ingestion on resistance training (RT) performance and equivocal results are reported in the literature. OBJECTIVE The current systematic review and meta-analysis sought to determine if and to what degree CHO ingestion influences RT performance. METHODS PubMed, MEDLINE, SportDiscus, Scopus, and CINAHL databases were searched for peer-reviewed articles written in English that used a cross-over design to assess the acute effect of CHO ingestion on RT performance outcomes (e.g., muscle strength, power, and endurance) in healthy human participants compared to a placebo or water-only conditions. The Cochrane Collaboration's risk of bias tool and GRADE approaches were used to assess risk of bias and certainty of evidence, respectively. Random effects meta-analyses were performed for total training session volume and post-exercise blood lactate and glucose. Sub-group meta-analysis and meta-regression were performed for categorical (session and fast durations) and continuous (total number of maximal effort sets, load used, and CHO dose) covariates, respectively. RESULTS Twenty-one studies met the inclusion criteria (n = 226 participants). Pooled results revealed a significant benefit of CHO ingestion in comparison to a placebo or control for total session training volume (standardised mean difference [SMD] = 0.61). Sub-group analysis revealed a significant benefit of CHO ingestion during sessions longer than 45 min (SMD = 1.02) and after a fast duration of 8 h or longer (SMD = 0.39). Pooled results revealed elevated post-exercise blood lactate (SMD = 0.58) and blood glucose (SMD = 2.36) with CHO ingestion. Meta-regression indicated that the number of maximal effort sets, but not CHO dose or load used, moderates the effect of CHO ingestion on RT performance (beta co-efficient [b] = 0.11). Carbohydrate dose does not moderate post-exercise lactate accumulation nor do maximal effort sets completed, load used, and CHO dose moderate the effect of CHO ingestion on post-exercise blood glucose. CONCLUSIONS Carbohydrate ingestion has an ergogenic effect on RT performance by enhancing volume performance, which is more likely to occur when sessions exceed 45 min and where the fast duration is ≥ 8 h. Further, the effect is moderated by the number of maximal effort sets completed, but not the load used or CHO dose. Post-exercise blood lactate is elevated following CHO ingestion but may come at the expense of an extended time-course of recovery due to the additional training volume performed. Post-exercise blood glucose is elevated when CHO is ingested during RT, but it is presently unclear if it has an impact on RT performance. PROTOCOL REGISTRATION The original protocol was prospectively registered on the Open Science Framework (Project identifier: https://doi.org/10.17605/OSF.IO/HJFBW ).
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Starving Your Performance? Reduced Preexercise Hunger Increases Resistance Exercise Performance. Int J Sports Physiol Perform 2021; 17:458-464. [PMID: 34872065 DOI: 10.1123/ijspp.2021-0166] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Revised: 07/01/2021] [Accepted: 07/21/2021] [Indexed: 11/18/2022]
Abstract
BACKGROUND Preexercise food intake enhances exercise performance due, in part, to the provision of exogenous carbohydrate. Food intake also suppresses hunger, but the specific influence of hunger on exercise performance has not been investigated. This study aimed to manipulate hunger by altering preexercise meal viscosity to examine whether hunger influences performance. METHODS Sixteen resistance-trained males completed 2 experimental trials ingesting either high viscosity semisolid (SEM) and low viscosity liquid (LIQ) carbohydrate-containing meals 2 hours before performing 4 sets of back squat (85 [22] kg) and bench press (68 [13] kg) to failure at 90% 10-repetition maximum. Subjective hunger/fullness as well as plasma concentrations of glucose, insulin, ghrelin, and peptide tyrosine-tyrosine were measured before and periodically after the meal. Repetitions completed in sets were used to determine exercise performance. RESULTS Hunger was lower, and fullness was greater during SEM compared with LIQ immediately before and during exercise (P < .05). Total repetitions completed for back squat were approximately 10% greater in SEM (SEM 57 [9]; LIQ 51 [7] repetitions; P = .001) with no difference in bench press repetitions (SEM 48 [11]; LIQ 48 [10] repetitions; P = .621). Postprandial glucose concentrations were greater during LIQ (12% increase in peak glucose) but were similar throughout exercise. CONCLUSION This study demonstrates that exercise performance in back squat was increased in the SEM trial concomitant to a reduction in hunger. Therefore, this study provides novel data that suggest that exercise performance might be influenced by hunger, at least for resistance exercise.
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Slater T, Mode WJA, Hough J, James RM, Sale C, James LJ, Clayton DJ. Effect of the perception of breakfast consumption on subsequent appetite and energy intake in healthy males. Eur J Nutr 2021; 61:1319-1330. [PMID: 34766208 PMCID: PMC8921169 DOI: 10.1007/s00394-021-02727-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Accepted: 10/27/2021] [Indexed: 11/27/2022]
Abstract
Purpose This study aimed to assess the effects of consuming a very-low-energy placebo breakfast on subsequent appetite and lunch energy intake. Methods Fourteen healthy males consumed water-only (WAT), very-low-energy, viscous placebo (containing water, low-calorie flavoured squash, and xanthan gum; ~ 16 kcal; PLA), and whole-food (~ 573 kcal; FOOD) breakfasts in a randomised order. Subjects were blinded to the energy content of PLA and specific study aims. Venous blood samples were collected pre-breakfast, 60- and 180-min post-breakfast to assess plasma acylated ghrelin and peptide tyrosine tyrosine concentrations. Subjective appetite was measured regularly, and energy intake was assessed at an ad libitum lunch meal 195-min post-breakfast. Results Lunch energy intake was lower during FOOD compared to WAT (P < 0.05), with no further differences between trials (P ≥ 0.132). Cumulative energy intake (breakfast plus lunch) was lower during PLA (1078 ± 274 kcal) and WAT (1093 ± 249 kcal), compared to FOOD (1554 ± 301 kcal; P < 0.001). Total area under the curve (AUC) for hunger, desire to eat and prospective food consumption were lower, and fullness was greater during PLA and FOOD compared to WAT (P < 0.05). AUC for hunger was lower during FOOD compared to PLA (P < 0.05). During FOOD, acylated ghrelin was suppressed compared to PLA and WAT at 60 min (P < 0.05), with no other hormonal differences between trials (P ≥ 0.071). Conclusion Consuming a very-low-energy placebo breakfast does not alter energy intake at lunch but may reduce cumulative energy intake across breakfast and lunch and attenuate elevations in subjective appetite associated with breakfast omission. Trial registration NCT04735783, 2nd February 2021, retrospectively registered. Supplementary Information The online version contains supplementary material available at 10.1007/s00394-021-02727-5.
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Affiliation(s)
- Tommy Slater
- Musculoskeletal Physiology Research Group, Nutrition and Exercise Physiology, Sport, Health and Performance Enhancement Research Centre, School of Science and Technology, Clifton Campus, Nottingham Trent University, Nottingham, NG11 8NS, Nottinghamshire, UK
| | - William J A Mode
- Musculoskeletal Physiology Research Group, Nutrition and Exercise Physiology, Sport, Health and Performance Enhancement Research Centre, School of Science and Technology, Clifton Campus, Nottingham Trent University, Nottingham, NG11 8NS, Nottinghamshire, UK
| | - John Hough
- Musculoskeletal Physiology Research Group, Nutrition and Exercise Physiology, Sport, Health and Performance Enhancement Research Centre, School of Science and Technology, Clifton Campus, Nottingham Trent University, Nottingham, NG11 8NS, Nottinghamshire, UK
| | - Ruth M James
- Musculoskeletal Physiology Research Group, Nutrition and Exercise Physiology, Sport, Health and Performance Enhancement Research Centre, School of Science and Technology, Clifton Campus, Nottingham Trent University, Nottingham, NG11 8NS, Nottinghamshire, UK
| | - Craig Sale
- Musculoskeletal Physiology Research Group, Nutrition and Exercise Physiology, Sport, Health and Performance Enhancement Research Centre, School of Science and Technology, Clifton Campus, Nottingham Trent University, Nottingham, NG11 8NS, Nottinghamshire, UK
| | - Lewis J James
- National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, LE11 3TU, Leicestershire, UK
| | - David J Clayton
- Musculoskeletal Physiology Research Group, Nutrition and Exercise Physiology, Sport, Health and Performance Enhancement Research Centre, School of Science and Technology, Clifton Campus, Nottingham Trent University, Nottingham, NG11 8NS, Nottinghamshire, UK.
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Alshammari NA, Taylor MA, Stevenson R, Gouseti O, Alyami J, Muttakin S, Bakalis S, Lovegrove A, Aithal GP, Marciani L. Effect of Intake of Food Hydrocolloids of Bacterial Origin on the Glycemic Response in Humans: Systematic Review and Narrative Synthesis. Nutrients 2021; 13:nu13072407. [PMID: 34371917 PMCID: PMC8308568 DOI: 10.3390/nu13072407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Accepted: 07/07/2021] [Indexed: 11/18/2022] Open
Abstract
Diabetes mellitus is a chronic condition characterized by increased blood glucose levels from dysfunctional carbohydrate metabolism. Dietary intervention can help to prevent and manage the disease. Food hydrocolloids have been shown to have favorable properties in relation to glycaemic regulation. However, the use of food hydrocolloids of bacterial origin to modulate glucose responses is much less explored than other types of hydrocolloids. We, therefore, carried out the first review examining the impact of intake of food hydrocolloids of bacterial origin (as a direct supplement or incorporated into foods) on glycemic response in humans. Fourteen studies met the inclusion criteria. They used either xanthan gum, pullulan, or dextran as interventions. There was a wide variation in the amount of hydrocolloid supplementation provided and methods of preparation. Postprandial blood glucose responses were reduced in half of the studies, particularly at higher intake levels and longer chain hydrocolloids. When xanthan gum was added to the cooking process of muffins and rice, a significant reduction in postprandial blood glucose was observed. The use of these hydrocolloids is potentially effective though more research is needed in this area.
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Affiliation(s)
- Norah A. Alshammari
- Department of Clinical Nutrition, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia;
- Translational Medical Sciences and National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Nottingham NG7 2UH, UK;
| | - Moira A. Taylor
- Division of Physiology, Pharmacology and Neuroscience, School of Life Sciences, Queen’s Medical Centre, National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham NG7 2UH, UK;
| | - Rebecca Stevenson
- Precision Imaging Beacon, University of Nottingham, Nottingham NG7 2UH, UK;
| | - Ourania Gouseti
- Department of Food Science, University of Copenhagen, DK-1958 Copenhagen, Denmark; (O.G.); (S.B.)
| | - Jaber Alyami
- Department of Diagnostic Radiology, Faculty of Applied Medical Science, King Abdulaziz University (KAU), Jeddah 21589, Saudi Arabia;
| | - Syahrizal Muttakin
- Indonesian Agency for Agricultural Research and Development, Jakarta 12540, Indonesia;
- School of Chemical Engineering, University of Birmingham, Birmingham B15 2TT, UK
| | - Serafim Bakalis
- Department of Food Science, University of Copenhagen, DK-1958 Copenhagen, Denmark; (O.G.); (S.B.)
| | | | - Guruprasad P. Aithal
- Translational Medical Sciences and National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Nottingham NG7 2UH, UK;
| | - Luca Marciani
- Translational Medical Sciences and National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Nottingham NG7 2UH, UK;
- Correspondence: ; Tel.: +44-115-823-1248
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Metcalfe RS, Thomas M, Lamb C, Chowdhury EA. Omission of a carbohydrate-rich breakfast impairs evening endurance exercise performance despite complete dietary compensation at lunch. Eur J Sport Sci 2020; 21:1013-1021. [PMID: 32674691 DOI: 10.1080/17461391.2020.1797890] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Omission of a carbohydrate-rich breakfast followed by consuming an ad libitum lunch impairs evening exercise performance. However, it is unclear if this is due to breakfast omission per se, or secondary to lower carbohydrate intake over the day. To test whether impaired evening performance following breakfast omission persists when complete dietary compensation occurs at lunch, in a randomised cross-over design, eleven highly trained cyclists (age: 25 ± 7 y, VO2max: 61 ± 5 ml·kg-1·min-1) completed two trials: breakfast (B) and no breakfast (NB). During B, participants consumed an individualised breakfast (583 ± 54 kcal; 8-9am) and lunch (874 ± 80 kcal; 12-2pm), whilst during NB participants fasted until 12pm and then consumed a standardised lunch (1457 ± 134 kcal: 12-2pm). The overall energy (1457 ± 134 kcal) and macronutrient profile (carbohydrate: 81.5 ± 0.4%, fat: 5.8 ± 0.1%, protein: 12.7 ± 0.3%) was identical in both trials, with timing the only difference. Mean power output during a 20 km time trial performed in the evening was ~3% lower in NB compared to B (mean difference [95% CI]: -9.1 [-15.3, -2.9] watts, p < 0.01 for condition main effect). No differences in heart rate, blood glucose or blood lactate concentrations were apparent, but perception of effort appeared to be higher in the early stages of the time trial in NB compared to B despite lower power output. Impaired high-intensity endurance performance in the evening following breakfast omission is related to meal timing rather than carbohydrate intake / availability. Provision of an early morning high-carbohydrate meal should be considered to optimise evening exercise performance.
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Affiliation(s)
- Richard S Metcalfe
- Applied Sports Technology Exercise and Medicine Research Centre, Swansea University, Wales, UK
| | - Matthew Thomas
- Applied Sports Technology Exercise and Medicine Research Centre, Swansea University, Wales, UK
| | - Christopher Lamb
- Applied Sports Technology Exercise and Medicine Research Centre, Swansea University, Wales, UK
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