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Lee HS, Lee J. Influences of Ketogenic Diet on Body Fat Percentage, Respiratory Exchange Rate, and Total Cholesterol in Athletes: A Systematic Review and Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:2912. [PMID: 33809153 PMCID: PMC7999937 DOI: 10.3390/ijerph18062912] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Revised: 02/20/2021] [Accepted: 03/11/2021] [Indexed: 11/18/2022]
Abstract
(1) Background: The purpose of the current meta-analysis was to investigate any positive or negative effects of ketogenic diets in athletes and provide an assessment of the size of these effects. (2) Methods: Databases were used to select relevant studies up to January 2021 regarding the effects of ketogenic diets in athletes. Inclusion criteria were as follows: data before and after ketogenic diet use, being randomized controlled trials and presenting ketogenic diets and assessments of ketone status. Study subjects were required to be professional athletes. Review studies, pilot studies, and studies in which non-athletes were included were excluded from this meta-analysis. The outcome effect sizes in these selected studies were calculated by using the standardized mean difference statistic. (3) Results: Eight studies were selected for this meta-analysis. Athletes who consumed the ketogenic diet had reduced body fat percentages, respiratory exchange rates, and increased total cholesterol compared to athletes who did not consume this diet. However, body mass index, cardiorespiratory fitness, heart rate, HDL cholesterol, glucose level, and insulin level were unaffected by the diet. (4) Conclusions: Ketogenic diets had a beneficial effect by decreasing body fat percentage, but athletes with high total cholesterol level need to be monitored when instituting a ketogenic diet. Our study sample size was limited; therefore, additional studies may be needed to confirm the current findings. Further studies need to be conducted on changes in LDL cholesterol, HDL cholesterol, total cholesterol and ratio of LDL to HDL cholesterol.
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Affiliation(s)
- Hyun Suk Lee
- Graduate School of Education, Chung-Ang University, Seoul 06974, Korea;
| | - Junga Lee
- Sports Medicine and Science, Kyung Hee University, Gyeonggi-do 17104, Korea
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Migliaccio V, Gregorio ID, Putti R, Lionetti L. Mitochondrial Involvement in the Adaptive Response to Chronic Exposure to Environmental Pollutants and High-Fat Feeding in a Rat Liver and Testis. Cells 2019; 8:E834. [PMID: 31387296 PMCID: PMC6721750 DOI: 10.3390/cells8080834] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Revised: 07/28/2019] [Accepted: 08/03/2019] [Indexed: 02/07/2023] Open
Abstract
In our modern society, exposure to stressful environmental stimuli, such as pollutants and/or chronic high-fat feeding, continuously induce tissular/organ metabolic adaptation to promote cellular survival. In extreme conditions, cellular death and tissular/organ damage occur. Mitochondria, as a cellular energy source, seem to play an important role in facing cellular stress induced by these environmental stimuli. On the other hand, mitochondrial dysfunction and oxidative stress play a key role in environmental stress-induced metabolic diseases. However, little is known about the combined effect of simultaneous exposure to chronic high-fat feeding and environmental pollutants on metabolic alterations at a tissular and cellular level, including mitochondrial dysfunction and oxidative stress induction. Our research group recently addressed this topic by analysing the effect of chronic exposure to a non-toxic dose of the environmental pollutant dichlorodiphenyldichloroethylene (DDE) associated with high-fat feeding in male Wistar rats. In this review, we mainly summarize our recent findings on mitochondrial adaptive response and oxidative stress induction in the liver, the main tissue involved in fat metabolism and pollutant detoxification, and in male gonads, the main targets of endocrine disruption induced by both high-fat feeding and environmental pollutants.
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Affiliation(s)
- Vincenzo Migliaccio
- Department of Chemistry and Biology "Adolfo Zambelli", University of Salerno, 84084 Fisciano, Italy.
- Department of Biology, University of Naples, Federico II, 80126 Naples, Italy.
| | - Ilaria Di Gregorio
- Department of Chemistry and Biology "Adolfo Zambelli", University of Salerno, 84084 Fisciano, Italy
| | - Rosalba Putti
- Department of Biology, University of Naples, Federico II, 80126 Naples, Italy
| | - Lillà Lionetti
- Department of Chemistry and Biology "Adolfo Zambelli", University of Salerno, 84084 Fisciano, Italy.
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Abstract
Focusing on daily nutrition is important for athletes to perform and adapt optimally to exercise training. The major roles of an athlete's daily diet are to supply the substrates needed to cover the energy demands for exercise, to ensure quick recovery between exercise bouts, to optimize adaptations to exercise training, and to stay healthy. The major energy substrates for exercising skeletal muscles are carbohydrate and fat stores. Optimizing the timing and type of energy intake and the amount of dietary macronutrients is essential to ensure peak training and competition performance, and these strategies play important roles in modulating skeletal muscle adaptations to endurance and resistance training. In this review, recent advances in nutritional strategies designed to optimize exercise-induced adaptations in skeletal muscle are discussed, with an emphasis on mechanistic approaches, by describing the physiological mechanisms that provide the basis for different nutrition regimens.
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Affiliation(s)
- Andreas Mæchel Fritzen
- Section of Molecular Physiology, Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, 2200 Copenhagen, Denmark; , ,
| | - Anne-Marie Lundsgaard
- Section of Molecular Physiology, Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, 2200 Copenhagen, Denmark; , ,
| | - Bente Kiens
- Section of Molecular Physiology, Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, 2200 Copenhagen, Denmark; , ,
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El-Merhie N, Sabry I, Balbaa M. Effect of calcium treatment on blood parameters, gonadal development and the structure of bone in immature female rats. J Physiol Biochem 2012; 68:219-27. [PMID: 22139999 DOI: 10.1007/s13105-011-0133-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2011] [Accepted: 11/22/2011] [Indexed: 02/07/2023]
Abstract
Calcium is an essential nutrient required for critical biological functions. Calcium supplementation is to be evaluated using immature female rats. The present study focused on some blood parameters, gonadal development and bone structure. Forty immature female Sprague-Dawley rats were randomly divided into four equal-sized groups (80 g average body weight) to receive calcium chloride dihydrate (group I: control; groups II, III and IV: received 20 mg, 40 mg and 60 mg per kg body weight, respectively) for 5 weeks. Rats were decapitated, and their trunk blood was sampled for biochemical assays. Cholesterol, triglycerides, glucose and calcium were measured. Gonadal and bone structure were histologically evaluated. Results revealed that treatment of developing female rats with three calcium doses used have no marked effect on the serum calcium and cholesterol levels. However, serum triglyceride level and body weight gain are significantly decreased in rats treated with all of the three calcium doses. Serum glucose level showed a marked increase in animals treated with the higher calcium doses. Moreover, observable histological alterations are recognized in the ovaries. Bones of the experimental animals also showed morphological alterations. These results suggest that increasing calcium supplementation decreases triglycerides and percentage body weight gain and positively affects the bone and gonadal development.
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Affiliation(s)
- Natalia El-Merhie
- Department of Biological and Environmental Sciences, Beirut Arab University, Beirut, Lebanon
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Seiquer I, Mesías M, Hoyos AM, Galdó G, Navarro MP. A Mediterranean dietary style improves calcium utilization in healthy male adolescents. J Am Coll Nutr 2009; 27:454-62. [PMID: 18978164 DOI: 10.1080/07315724.2008.10719725] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
OBJECTIVE To examine the effects of consuming a diet based on the Mediterranean patterns on calcium availability and metabolism in male adolescents. DESIGN A longitudinal study divided into two periods: a 3-day basal period, during which the subjects (n = 20; 12.9 +/- 1.14 years) consumed their usual diet (basal diet, BD), and a 28-day nutritional intervention period, in which an intervention Mediterranean-type diet - was consumed (ID). METHODS Dietary calcium utilization was assessed by means of calcium intake in food and calcium output in feces and urine as measured by flame absorption spectrophotometry. In addition, markers of calcium metabolism (serum Ca, parathyroid hormone and total alkaline phosphatase) and bone resorption (urine deoxypiridinoline) were measured. RESULTS No differences in total calcium intake were found between the two diets, but food sources of dietary calcium varied significantly. Compared with the BD, the consumption of the ID resulted in significant increases in calcium absorption (approximately 40%, p = 0.04) and retention (approximately 80%, p = 0.008), and a considerable decrease in urinary calcium excretion (approximately 40%, p = 0.01).The variations observed in bone markers reflected a higher bone turnover rate after the ID consumption. CONCLUSIONS A varied diet based on Mediterranean diet patterns during adolescence greatly improves dietary calcium utilization, which may help to maximize the peak bone mass and prevent related diseases, such as osteoporosis.
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Affiliation(s)
- Isabel Seiquer
- Unit of Nutrition, Estación Experimental del Zaidín, High Spanish Council for Scientific Research, Camino del Jueves, 18100 Armilla, Granada, Spain.
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Thorburn MS, Vistisen B, Thorp RM, Rockell MJ, Jeukendrup AE, Xu X, Rowlands DS. No attenuation of gastric distress or benefit to performance with adaptation to octanoate-rich esterified oils in female cyclists. Eur J Sport Sci 2007. [DOI: 10.1080/17461390701673684] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Thorburn MS, Vistisen B, Thorp RM, Rockell MJ, Jeukendrup AE, Xu X, Rowlands DS. Attenuated gastric distress but no benefit to performance with adaptation to octanoate-rich esterified oils in well-trained male cyclists. J Appl Physiol (1985) 2006; 101:1733-43. [PMID: 16840580 DOI: 10.1152/japplphysiol.00393.2006] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
We investigated the effects of modifying a normal dietary fatty acid composition and ingestion of high-fat exercise supplements on gastrointestinal distress, substrate oxidation, and endurance cycling performance. Nine well-trained male cyclists completed a randomized triple-crossover comprising a 2-wk diet high in octanoate-rich esterified oil (MCFA) or twice long-chain fatty acids (LCFA). Following the diets, participants performed 3-h of cycling at 50% of peak power followed by 10 maximal sprints while ingesting either 1) a carbohydrate (CHO)+MCFA-rich oil emulsion after the 2-wk MCFA-rich dietary condition (MC-MC, Intervention) and 2) after one of the LCFA-rich dietary conditions (LC-MC, Placebo) or 3) CHO only following a LCFA-rich diet (LC-CHO, Control). During the 3-h ride MCFA-adaptation decreased octanoic-acid oxidation by 24% (90% confidence interval: 14-34%). The CHO+MCFA-rich oil emulsion reduced endogenous fat oxidation by 61% (33-89%) and 110% (89-131%) in the MC-MC and LC-MC conditions, respectively, and MCFA-adaptation reduced endogenous-carbohydrate oxidation by 10% (-3-23%). MCFA-adaptation attenuated gastrointestinal distress and nausea during the sprints, but the effect of the oil emulsion was to lower sprint power by 10.9% (7.7-14.1%) in the LC-MC condition and by 7.1% (5.7-8.5%) in the MC-MC condition, relative to the LC-CHO control; every one unit increase in nausea decreased mean power by 6.0 W (3.2-8.8 W). We conclude that despite some attenuation of endogenous-carbohydrate oxidation and gastric distress following adaptation to a MCFA-rich diet, repeat sprint performance was substantially impaired in response to the ingestion of a CHO+MCFA-rich oil emulsion.
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Affiliation(s)
- Megan S Thorburn
- Institute of Food, Nutrition, and Human Health, Massey University, PO Box 756, Wellington, New Zealand
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Abstract
Nutritional interventions have the potential to influence the outcome of athletic competition where opponents are closely matched. Sound dietary habits can also influence the adaptations that occur in response to training. This article summarizes some of the strategies that the athlete can use to enhance performance.
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Affiliation(s)
- Ron Maughan
- Department of Biomedical Sciences, University Medical School, Aberdeen AB9 2ZD
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Abstract
When talented, motivated and highly trained athletes meet for competition the margin between victory and defeat is usually small. When everything else is equal, nutrition can make the difference between winning and losing. Although the primary concern of many athletes is to supplement the diet with protein, vitamins and minerals, and a range of more exotic compounds, key dietary issues are often neglected. Athletes must establish their nutritional goals, and must also be able to translate them into dietary strategies that will meet these goals. Athletes are often concerned with dietary manipulations in the period around competition, but the main role of nutrition may be to support consistent intensive training which will lead to improved performance. Meeting energy demand and maintaining body mass and body fat at appropriate levels are key goals. An adequate intake of carbohydrate is crucial for maintaining muscle glycogen stores during hard training, but the types of food and the timing of intake are also important. Protein ingestion may stimulate muscle protein synthesis in the post-exercise period, promoting the process of adaptation in the muscles. Restoration of fluid and electrolyte balance after exercise is essential. If energy intake is high and a varied diet is consumed, supplementation of the diet with vitamins and minerals is not warranted, unless a specific deficiency is identified. Specific strategies before competition may be necessary, but this requirement depends on the demands of the sport. Generally, it is important to ensure high pre-competition glycogen stores and to maintain fluid balance. There is limited evidence to support the use of dietary supplements, but some, including perhaps creatine and caffeine, may be beneficial.
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Abstract
Although the relationship between dietary carbohydrate and physical performance is well described, there is much controversy about the relationship between dietary fat and physical performance. Recently, several studies have tried to clarify this relationship. Here the effects of acute fat on metabolism and performance will be discussed, as well as the effects of short-term and long-term high-fat diets.
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Affiliation(s)
- A E Jeukendrup
- Human Performance Laboratory, School of Sport and Exercise Sciences, University of Birmingham, Edgbaston, UK.
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Antipatis C, Ashworth CJ, Grant G, Lea RG, Hay SM, Rees WD. Effects of maternal vitamin A status on fetal heart and lung: changes in expression of key developmental genes. THE AMERICAN JOURNAL OF PHYSIOLOGY 1998; 275:L1184-91. [PMID: 9843856 DOI: 10.1152/ajplung.1998.275.6.l1184] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Vitamin A is required during pregnancy for fetal lung development. These experiments monitored fetal lung morphology in normal and vitamin A-deficient rats. The expression of elastin and the growth arrest-specific gene 6 (gas6) in fetal and neonatal hearts and lungs was assessed by Northern blotting. In normal-fed rats, elastin and gas6 were expressed in the fetal lung and heart from day 19 of gestation up to day 2 postnatally. Maternal vitamin A deficiency altered fetal lung development. On day 20, the bronchial passageways were less developed and showed reduced staining for elastic fibers, and in the neonates, the relative air space and the size of the sacculi were reduced. In the fetal lung, the mRNAs for elastin and gas6 were reduced to 56 and 68% of the control values, respectively. In the fetal heart, the mRNA for elastin was reduced to 64% of the control value, whereas gas6 was increased twofold. In the neonate, there was no change in elastin expression in the lung or heart, but gas6 expression in the heart was increased twofold. These results suggest that, in the pregnant rat, vitamin A deficiency may retard fetal lung development or influence the differentiation of critical cell lines. The changes in elastin and gas6 expression may be used to identify the cell types affected.
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Affiliation(s)
- C Antipatis
- Rowett Research Institute, Aberdeen AB21 9SB, United Kingdom
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