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Wheelock CE, Lavoie EM, Stooks J, Schwob J, Hess HW, Pryor RR, Hostler D. Carbohydrate or Electrolyte Rehydration Recovers Plasma Volume but Not Post-immersion Performance Compared to Water After Immersion Diuresis. Mil Med 2024; 189:1612-1620. [PMID: 37776545 DOI: 10.1093/milmed/usad379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Revised: 09/06/2023] [Accepted: 09/15/2023] [Indexed: 10/02/2023] Open
Abstract
INTRODUCTION We tested the hypothesis that a carbohydrate (CHO: 6.5%) or carbohydrate-electrolyte (CHO + E: 6.5% + 50 mmol/L NaCl) drink would better recover plasma volume (PV) and exercise performance compared to water (H2O) after immersion diuresis. METHODS Twelve men (24 ± 2 years; 82.4 ± 15.5 kg; and V̇O2max: 49.8 ± 5.1 mL · kg-1 · min-1) completed four experimental visits: a no-immersion control (CON) and three 4-h cold-water (18.0 °C) immersion trials (H2O, CHO, and CHO + E) followed by exercise in a warm environment (30 °C, 50% relative humidity). The exercise was a 60-minute loaded march (20.4 kg; 55% VO2max) followed by a 10-minute intermittent running protocol. After immersion, subjects were rehydrated with 100% of body mass loss from immersion diuresis during the ruck march. PV is reported as a percent change after immersion, after the ruck march, and after the intermittent running protocol. The intermittent running protocol distance provided an index of exercise performance. Data are reported as mean ± SD. RESULTS After immersion, body mass loss was 2.3 ± 0.7%, 2.3 ± 0.5%, and 2.3 ± 0.6% for H2O, CHO, and CHO + E. PV loss after immersion was 19.8 ± 8.5% in H2O, 18.2 ± 7.0% in CHO, and 13.9 ± 9.3% in CHO + E, which was reduced after the ruck march to 14.7 ± 4.7% (P = .13) in H2O, 8.8 ± 8.3% (P < .01) in CHO, and 4.4 ± 10.9% (P = .02) in CHO + E. The intermittent running protocol distance was 1.4 ± 0.1 km in CON, 1.4 ± 0.2 km in H2O, 1.4 ± 0.1 km in CHO, and 1.4 ± 0.2 km in CHO + E (P = .28). CONCLUSIONS Although CHO and CHO + E better restored PV after immersion, post-immersion exercise performance was not augmented compared to H2O, highlighting that fluid replacement following immersion diuresis should focus on restoring volume lost rather than fluid constituents.
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Affiliation(s)
- Courtney E Wheelock
- Center for Research and Education in Special Environments (CRESE), Department of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, NY 14214, USA
| | - Elizabeth M Lavoie
- Center for Research and Education in Special Environments (CRESE), Department of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, NY 14214, USA
| | - Jocelyn Stooks
- Center for Research and Education in Special Environments (CRESE), Department of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, NY 14214, USA
| | - Jacqueline Schwob
- Center for Research and Education in Special Environments (CRESE), Department of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, NY 14214, USA
| | - Hayden W Hess
- Center for Research and Education in Special Environments (CRESE), Department of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, NY 14214, USA
| | - Riana R Pryor
- Center for Research and Education in Special Environments (CRESE), Department of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, NY 14214, USA
| | - David Hostler
- Center for Research and Education in Special Environments (CRESE), Department of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, NY 14214, USA
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McCartney D, Desbrow B, Irwin C. Post-exercise Ingestion of Carbohydrate, Protein and Water: A Systematic Review and Meta-analysis for Effects on Subsequent Athletic Performance. Sports Med 2018; 48:379-408. [PMID: 29098657 DOI: 10.1007/s40279-017-0800-5] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
BACKGROUND Athletes may complete consecutive exercise sessions with limited recovery time between bouts (e.g. ≤ 4 h). Nutritional strategies that optimise post-exercise recovery in these situations are therefore important. OBJECTIVE This two-part review investigated the effect of consuming carbohydrate (CHO) and protein with water (W) following exercise on subsequent athletic (endurance/anaerobic exercise) performance. DATA SOURCES Studies were identified by searching the online databases SPORTDiscus, PubMed, Web of Science and Scopus. STUDY ELIGIBILITY CRITERIA AND INTERVENTIONS Investigations that measured endurance performance (≥ 5 min duration) ≤ 4 h after a standardised exercise bout (any type) under the following control vs. intervention conditions were included: Part 1: W vs. CHO ingested with an equal volume of W (CHO + W); and, Part 2: CHO + W vs. protein (PRO) ingested with CHO and an equal volume of W (PRO + CHO + W), where CHO or energy intake was matched. STUDY APPRAISAL AND SYNTHESIS METHODS Publications were examined for bias using the Rosendal scale. Random-effects meta-analyses and meta-regression analyses were conducted to evaluate intervention efficacy. RESULTS The quality assessment yielded a Rosendal score of 63 ± 9% (mean ± standard deviation). Part 1: 45 trials (n = 486) were reviewed. Ingesting CHO + W (102 ± 50 g CHO; 0.8 ± 0.6 g CHO kg-1 h-1) improved exercise performance compared with W (1.6 ± 0.7 L); %Δ mean power output = 4.0, 95% confidence interval 3.2-4.7 (I 2 = 43.9). Improvement was attenuated when participants were 'Fed' (a meal 2-4 h prior to the initial bout) as opposed to 'Fasted' (p = 0.012). Part 2: 13 trials (n = 125) were reviewed. Ingesting PRO + CHO + W (35 ± 26 g PRO; 0.5 ± 0.4 g PRO kg-1) did not affect exercise performance compared with CHO + W (115 ± 61 g CHO; 0.6 ± 0.3 g CHO·kg body mass-1 h-1; 1.2 ± 0.6 L); %Δ mean power output = 0.5, 95% confidence interval - 0.5 to 1.6 (I 2 = 72.9). CONCLUSIONS Athletes with limited time for recovery between consecutive exercise sessions should prioritise CHO and fluid ingestion to enhance subsequent athletic performance. PROSPERO REGISTRATION NUMBER: CRD42016046807.
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Affiliation(s)
- Danielle McCartney
- School of Allied Health Sciences and Menzies Health Institute Queensland, Griffith University, Gold Coast, Parklands Drive, Southport, QLD, 4222, Australia.
| | - Ben Desbrow
- School of Allied Health Sciences and Menzies Health Institute Queensland, Griffith University, Gold Coast, Parklands Drive, Southport, QLD, 4222, Australia
| | - Christopher Irwin
- School of Allied Health Sciences and Menzies Health Institute Queensland, Griffith University, Gold Coast, Parklands Drive, Southport, QLD, 4222, Australia
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Hills SP, Russell M. Carbohydrates for Soccer: A Focus on Skilled Actions and Half-Time Practices. Nutrients 2017; 10:nu10010022. [PMID: 29295583 PMCID: PMC5793250 DOI: 10.3390/nu10010022] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Revised: 12/18/2017] [Accepted: 12/18/2017] [Indexed: 11/16/2022] Open
Abstract
Carbohydrate consumption is synonymous with soccer performance due to the established effects on endogenous energy store preservation, and physical capacity maintenance. For performance-enhancement purposes, exogenous energy consumption (in the form of drinks, bars, gels and snacks) is recommended on match-day; specifically, before and during match-play. Akin to the demands of soccer, limited opportunities exist to consume carbohydrates outside of scheduled breaks in competition, such as at half-time. The link between cognitive function and blood glucose availability suggests that carbohydrates may influence decision-making and technical proficiency (e.g., soccer skills). However, relatively few reviews have focused on technical, as opposed to physical, performance while also addressing the practicalities associated with carbohydrate consumption when limited in-play feeding opportunities exist. Transient physiological responses associated with reductions in activity prevalent in scheduled intra-match breaks (e.g., half-time) likely have important consequences for practitioners aiming to optimize match-day performance. Accordingly, this review evaluated novel developments in soccer literature regarding (1) the ergogenic properties of carbohydrates for skill performance; and (2) novel considerations concerning exogenous energy provision during half-time. Recommendations are made to modify half-time practices in an aim to enhance subsequent performance. Viable future research opportunities exist regarding a deeper insight into carbohydrate provision on match-day.
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Affiliation(s)
- Samuel P Hills
- School of Social and Health Sciences, Leeds Trinity University, Horsforth, Leeds LS18 5HD, UK.
| | - Mark Russell
- School of Social and Health Sciences, Leeds Trinity University, Horsforth, Leeds LS18 5HD, UK.
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Mizuno S, Kojima C, Goto K. Timing of carbohydrate ingestion did not affect inflammatory response and exercise performance during prolonged intermittent running. SPRINGERPLUS 2016; 5:506. [PMID: 27186470 PMCID: PMC4842188 DOI: 10.1186/s40064-016-2108-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/09/2015] [Accepted: 04/05/2016] [Indexed: 11/24/2022]
Abstract
Background Carbohydrate ingestion during exercise is known to attenuate exercise-induced elevation of plasma IL-6 concentration. However, the influence of timing of carbohydrate ingestion remains unclear. Purpose The present study investigated the influence of different timing of carbohydrate ingestion during a simulated soccer game on exercise performance, metabolic and inflammatory responses. Methods Seven active males performed 3 exercise trials in a randomized order. The exercise consisted of two consecutive bouts of 45 min running (4–16 km/h), separated with 15 min rest period between bouts. The subjects ingested carbohydrate gel (1.0 g/kg) immediately before the first bout of exercise (ONE), immediately before first and second bouts of exercise (0.5 g/kg for each ingestion) (TWO) or placebo immediately before exercise (PLA) Time course changes of maximal jump height, peak power output during 6-s maximal pedaling, perceived fatigue and heart rate (HR) were monitored. Blood samples were also drawn to determine blood glucose, serum insulin, free fatty acid (FFA), myoglobin (Mb), creatine kinase (CK) and plasma IL-6 concentrations. Results Blood glucose and serum insulin concentrations were significantly higher in the ONE trial after first bout of 45 min exercise compared with PLA trial (P < 0.05), while serum FFA concentration was significantly elevated in PLA compared with ONE and TWO trials after second bout of exercise (P < 0.05). However, changes of jump height, peak power output during 6-s maximal pedaling, perceived fatigue, HR, or indirect muscle damage (Mb, CK) and inflammatory (IL-6) markers were not significantly different among three trials (P > 0.05). Conclusions The timing of carbohydrate ingestion did not affect exercise performance, exercise-induced muscle damage or inflammatory response during a simulated soccer game.
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Affiliation(s)
- Sahiro Mizuno
- Graduate School of Sports and Health Science, Ritsumeikan University, 1-1-1, Nojihigashi, Kusatsu, Shiga 525-8577 Japan
| | - Chihiro Kojima
- Graduate School of Sports and Health Science, Ritsumeikan University, 1-1-1, Nojihigashi, Kusatsu, Shiga 525-8577 Japan
| | - Kazushige Goto
- Graduate School of Sports and Health Science, Ritsumeikan University, 1-1-1, Nojihigashi, Kusatsu, Shiga 525-8577 Japan ; Faculty of Sports and Health Science, Ritsumeikan University, 1-1-1, Nojihigashi, Kusatsu, Shiga 525-8577 Japan
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Half-time strategies to enhance second-half performance in team-sports players: a review and recommendations. Sports Med 2015; 45:353-64. [PMID: 25504550 DOI: 10.1007/s40279-014-0297-0] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
A number of intermittent team sports require that two consecutive periods of play (lasting for ~30-45 min) are separated by a 10-20 min half-time break. The half-time practices employed by team-sports players generally include returning to the changing rooms, temporarily relaxing from the cognitive and physical demands of the first half, rehydration and re-fuelling strategies, addressing injury or equipment concerns, and receiving tactical instruction and coach feedback. However, the typically passive nature of these actions has been associated with physiological changes that impair performance during the second half. Both physical and cognitive performances have been found to decline in the initial stages of subsequent exercise that follows half-time. An increased risk of injury has also been observed during this period. Therefore, half-time provides sports scientists and strength and conditioning coaches with an opportunity to optimise second-half performance. An overview of strategies thought to benefit team-sports athletes is presented; specifically, the efficacy of heat maintenance strategies (including passive and active methods), post-activation potentiation, hormonal priming, and modified hydro-nutritional practices are discussed. A theoretical model of applying these strategies in a manner that compliments current practice is also offered.
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A passive heat maintenance strategy implemented during a simulated half-time improves lower body power output and repeated sprint ability in professional Rugby Union players. PLoS One 2015; 10:e0119374. [PMID: 25785393 PMCID: PMC4365002 DOI: 10.1371/journal.pone.0119374] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2014] [Accepted: 01/12/2015] [Indexed: 11/21/2022] Open
Abstract
Reduced physical performance has been observed following the half-time period in team sports players, likely due to a decrease in muscle temperature during this period. We examined the effects of a passive heat maintenance strategy employed between successive exercise bouts on core temperature (Tcore) and subsequent exercise performance. Eighteen professional Rugby Union players completed this randomised and counter-balanced study. After a standardised warm-up (WU) and 15 min of rest, players completed a repeated sprint test (RSSA 1) and countermovement jumps (CMJ). Thereafter, in normal training attire (Control) or a survival jacket (Passive), players rested for a further 15 min (simulating a typical half-time) before performing a second RSSA (RSSA 2) and CMJ’s. Measurements of Tcore were taken at baseline, post-WU, pre-RSSA 1, post-RSSA 1 and pre-RSSA 2. Peak power output (PPO) and repeated sprint ability was assessed before and after the simulated half-time. Similar Tcore responses were observed between conditions at baseline (Control: 37.06±0.05°C; Passive: 37.03±0.05°C) and for all other Tcore measurements taken before half-time. After the simulated half-time, the decline in Tcore was lower (-0.74±0.08% vs. -1.54±0.06%, p<0.001) and PPO was higher (5610±105 W vs. 5440±105 W, p<0.001) in the Passive versus Control condition. The decline in PPO over half-time was related to the decline in Tcore (r = 0.632, p = 0.005). In RSSA 2, best, mean and total sprint times were 1.39±0.17% (p<0.001), 0.55±0.06% (p<0.001) and 0.55±0.06% (p<0.001) faster for Passive versus Control. Passive heat maintenance reduced declines in Tcore that were observed during a simulated half-time period and improved subsequent PPO and repeated sprint ability in professional Rugby Union players.
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Abstract
BACKGROUND The use of nutritional ergogenic aids in team sports such as soccer is now commonplace. Aligned with the primary aim of soccer, which is to score more goals than the opposition within the allotted time, the quality of performance of technical actions (i.e., skills) executed during soccer-specific exercise is likely to determine success. However, when seeking to maintain soccer skill performance, information about the efficacy of nutritional interventions is lacking and factors which might modulate the efficacy of such strategies are unclear. OBJECTIVE This review aimed (i) to systematically evaluate the current research that examines the efficacy of nutritional interventions on soccer skills, and (ii) to provide a qualitative commentary on factors that have the potential to modulate the efficacy of such strategies. DATA SOURCES Relevant databases (PubMed and SPORTDiscus) were searched up to and including 1 July, 2013 for studies that investigated the efficacy of acute nutritional interventions on soccer skill performances. STUDY SELECTION Overall, 279 records were retrieved. Articles were sequentially excluded from the review based on specific criteria, being: (A) articles that did not report outcomes directly relating to skilled performances in soccer, (B) articles that examined the influence of interventions that were not nutritional in origin and/or were nutritional in origin but provided >3 hours before skill testing commenced, (C) articles that were review papers, and (D) post-acceptance withdrawal of articles methods from database. STUDY APPRAISAL AND SYNTHESIS METHODS Articles were independently assessed for the quality of the methods employed based upon the Physiotherapy Evidence Database (PEDro) scale. Records achieving a minimum PEDro score of 5 out of 10 were included in this review. Qualitative appraisal of 13 articles was performed after the application of exclusion criteria and quality assurance processes. The majority (n = 8) of articles examined the influence of carbohydrates on technical performance whereas fewer studies investigated the influence of caffeine ingestion (n = 2) and fluid provision (n = 3). RESULTS Findings were reported for a total of 171 participants and all but one of the included articles used cross-over study designs. Most participants (94 %) were male, highly trained (reported maximal aerobic capacity range 50-59 ml·kg(-1)·min(-1)) and exercised in temperate environments (reported temperature range 13-25 °C). Six of the eight studies reported that carbohydrates, consumed in the form of a 6-8 % solution of glucose, sucrose or maltodextrin at rates of 30-60 g·h(-1), enhanced at least one aspect of skilled performance over the duration of exercise (75-90 min). Although some evidence exists to support the consumption of caffeine (6 mg·kg(-1) body mass [BM]) and prescribed fluid to preserve skills performed during soccer-specific exercise, findings from the small number of included studies were inconsistent. LIMITATIONS The outcome measures and methods used to quantify skilled performance were not consistent across studies; consequently, it was not possible to perform meta-analyses to produce pooled effect sizes in this review. CONCLUSIONS The findings from this systematic review suggest that nutritional interventions, which provide carbohydrate, caffeine and fluid, have potential to preserve skills performed under conditions that induce soccer-specific fatigue. The weight of current evidence supports the consumption of carbohydrate, but is less conclusive with respect to caffeine and fluid provision. It is likely that the efficacy of a nutritional intervention will be modulated by factors including the dose consumed, the mode of administration, individual responsiveness to the intervention and interactions with other physiological changes occurring during soccer-specific exercise. Consequently, these factors should be considered when using carbohydrates, caffeine and fluid provision to maintain skilled performances in soccer. Future research should seek to optimise the nutritional strategies employed to maintain technical performance throughout match-play.
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Russell M, Benton D, Kingsley M. Carbohydrate ingestion before and during soccer match play and blood glucose and lactate concentrations. J Athl Train 2014; 49:447-53. [PMID: 24933430 DOI: 10.4085/1062-6050-49.3.12] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
CONTEXT The ingestion of carbohydrate (CHO) before and during exercise and at halftime is commonly recommended to soccer players for maintaining blood glucose concentrations throughout match play. However, an exercise-induced rebound glycemic response has been observed in the early stages of the second half of simulated soccer-specific exercise when CHO-electrolyte beverages were consumed regularly. Therefore, the metabolic effects of CHO beverage consumption throughout soccer match play remain unclear. OBJECTIVE To investigate the blood glucose and blood lactate responses to CHOs ingested before and during soccer match play. DESIGN Crossover study. SETTING Applied research study. PATIENTS OR OTHER PARTICIPANTS Ten male outfield academy soccer players (age = 15.6 ± 0.2 years, height = 1.74 ± 0.02 m, mass = 65.3 ± 1.9 kg, estimated maximal oxygen consumption = 58.4 ± 0.8 mL·kg(-1)·min(-1)). INTERVENTION(S) Players received a 6% CHO-electrolyte solution or an electrolyte (placebo) solution 2 hours before kickoff, before each half (within 10 minutes), and every 15 minutes throughout exercise. Blood samples were obtained at rest, every 15 minutes during the match (first half: 0-15, 15-30, and 30-45 minutes; second half: 45-60, 60-75, and 75-90 minutes) and 10 minutes into the halftime break. MAIN OUTCOME MEASURE(S) Metabolic responses (blood glucose and blood lactate concentrations) and markers of exercise intensity (heart rate) were recorded. RESULTS Supplementation influenced the blood glucose response to exercise (time × treatment interaction effect: P ≤ .05), such that glucose concentrations were higher at 30 to 45 minutes in the CHO than in the placebo condition. However, in the second half, blood glucose concentrations were similar between conditions because of transient reductions from peak values occurring in both trials at halftime. Blood lactate concentrations were elevated above those at rest in the first 15 minutes of exercise (time-of-sample effect: P < .001) and remained elevated throughout exercise. Supplementation did not influence the pattern of response (time × treatment interaction effect: P = .49). CONCLUSIONS Ingestion of a 6% CHO-electrolyte beverage before and during soccer match play did not benefit blood glucose concentrations throughout the second half of exercise.
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Affiliation(s)
- Mark Russell
- Health and Life Sciences, Northumbria University, Newcastle-upon-Tyne, United Kingdom
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Stellingwerff T, Cox GR. Systematic review: Carbohydrate supplementation on exercise performance or capacity of varying durations. Appl Physiol Nutr Metab 2014; 39:998-1011. [PMID: 24951297 DOI: 10.1139/apnm-2014-0027] [Citation(s) in RCA: 138] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This systematic review examines the efficacy of carbohydrate (CHO) supplementation on exercise performance of varying durations. Included studies utilized an all-out or endurance-based exercise protocol (no team-based performance studies) and featured randomized interventions and placebo (water-only) trial for comparison against exclusively CHO trials (no other ingredients). Of the 61 included published performance studies (n = 679 subjects), 82% showed statistically significant performance benefits (n = 50 studies), with 18% showing no change compared with placebo. There was a significant (p = 0.0036) correlative relationship between increasing total exercise time and the subsequent percent increase in performance with CHO intake versus placebo. While not mutually exclusive, the primary mechanism(s) for performance enhancement likely differs depending on the duration of the exercise. In short duration exercise situations (∼1 h), oral receptor exposure to CHO, via either mouthwash or oral consumption (with enough oral contact time), which then stimulates the pleasure and reward centers of the brain, provide a central nervous system-based mechanism for enhanced performance. Thus, the type and (or) amount of CHO and its ability to be absorbed and oxidized appear completely irrelevant to enhancing performance in short duration exercise situations. For longer duration exercise (>2 h), where muscle glycogen stores are stressed, the primary mechanism by which carbohydrate supplementation enhances performance is via high rates of CHO delivery (>90 g/h), resulting in high rates of CHO oxidation. Use of multiple transportable carbohydrates (glucose:fructose) are beneficial in prolonged exercise, although individual recommendations for athletes should be tailored according to each athlete's individual tolerance.
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Affiliation(s)
- Trent Stellingwerff
- a Canadian Sport Institute - Pacific, 4371 Interurban Road, Victoria, BC V9E 2C5, Canada
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Gomes RV, Moreira A, Coutts AJ, Capitani CD, Aoki MS. Effect of Carbohydrate Supplementation on the Physiological and Perceptual Responses to Prolonged Tennis Match Play. J Strength Cond Res 2014; 28:735-41. [DOI: 10.1519/jsc.0b013e3182a1f757] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Price MJ, Cripps D. The effects of combined glucose-electrolyte and sodium bicarbonate ingestion on prolonged intermittent exercise performance. J Sports Sci 2012; 30:975-83. [DOI: 10.1080/02640414.2012.685086] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Vandenbogaerde TJ, Hopkins WG. Effects of Acute Carbohydrate Supplementation on Endurance Performance. Sports Med 2011; 41:773-92. [DOI: 10.2165/11590520-000000000-00000] [Citation(s) in RCA: 77] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Abstract
Despite many advances in nutritional knowledge and dietary practices, sports nutrition-associated issues, such as fatigue, loss of strength and stamina, loss of speed, and problems with weight management and inadequate energy intake, are common. Sound nutritional practices and well-designed patterns of eating are not awarded the same priority as training and many athletes fail to recognize that poor eating habits or suboptimal hydration choices may detract from athletic performance. Those who care for athletes and active individuals must take an active role in their nutritional well-being. This article reviews the present generally accepted principles for nutritional management in sport.
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Affiliation(s)
- Leslie J Bonci
- Medicine Nutrition, Department of Orthopedic Surgery and the Center for Sports Medicine, University of Pittsburgh Medical Center, Center for Sports Medicine, Pittsburgh, PA 15203, USA
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Karelis AD, Smith JW, Passe DH, Péronnet F. Carbohydrate administration and exercise performance: what are the potential mechanisms involved? Sports Med 2010; 40:747-63. [PMID: 20726621 DOI: 10.2165/11533080-000000000-00000] [Citation(s) in RCA: 57] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
It is well established that carbohydrate (CHO) administration increases performance during prolonged exercise in humans and animals. The mechanism(s), which could mediate the improvement in exercise performance associated with CHO administration, however, remain(s) unclear. This review focuses on possible underlying mechanisms that could explain the increase in exercise performance observed with the administration of CHO during prolonged muscle contractions in humans and animals. The beneficial effect of CHO ingestion on performance during prolonged exercise could be due to several factors including (i) an attenuation in central fatigue; (ii) a better maintenance of CHO oxidation rates; (iii) muscle glycogen sparing; (iv) changes in muscle metabolite levels; (v) reduced exercise-induced strain; and (vi) a better maintenance of excitation-contraction coupling. In general, the literature indicates that CHO ingestion during exercise does not reduce the utilization of muscle glycogen. In addition, data from a meta-analysis suggest that a dose-dependent relationship was not shown between CHO ingestion during exercise and an increase in performance. This could support the idea that providing enough CHO to maintain CHO oxidation during exercise may not always be associated with an increase in performance. Emerging evidence from the literature shows that increasing neural drive and attenuating central fatigue may play an important role in increasing performance during exercise with CHO supplementation. In addition, CHO administration during exercise appears to provide protection from disrupted cell homeostasis/integrity, which could translate into better muscle function and an increase in performance. Finally, it appears that during prolonged exercise when the ability of metabolism to match energy demand is exceeded, adjustments seem to be made in the activity of the Na+/K+ pump. Therefore, muscle fatigue could be acting as a protective mechanism during prolonged contractions. This could be alleviated when CHO is administered resulting in the better maintenance of the electrical properties of the muscle fibre membrane. The mechanism(s) by which CHO administration increases performance during prolonged exercise is(are) complex, likely involving multiple factors acting at numerous cellular sites. In addition, due to the large variation in types of exercise, durations, intensities, feeding schedules and CHO types it is difficult to assess if the mechanism(s) that could explain the increase in performance with CHO administration during exercise is(are) similar in different situations. Experiments concerning the identification of potential mechanism(s) by which performance is increased with CHO administration during exercise will add to our understanding of the mechanism(s) of muscle/central fatigue. This knowledge could have significant implications for improving exercise performance.
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Affiliation(s)
- Antony D Karelis
- Department of Kinesiology, Université du Québec à Montréal, Montreal, Quebec, Canada.
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STEINER JENNIFERL, A. CURMACI ALYSSA, PATRIE JAMEST, GAESSER GLENNA, WELTMAN ARTHUR. Effects of Carbohydrate Supplementation on the RPE-Blood Lactate Relationship. Med Sci Sports Exerc 2009; 41:1326-33. [PMID: 19461531 DOI: 10.1249/mss.0b013e3181967637] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Rodriguez NR, DiMarco NM, Langley S. Position of the American Dietetic Association, Dietitians of Canada, and the American College of Sports Medicine: Nutrition and Athletic Performance. ACTA ACUST UNITED AC 2009; 109:509-27. [PMID: 19278045 DOI: 10.1016/j.jada.2009.01.005] [Citation(s) in RCA: 271] [Impact Index Per Article: 18.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Devries MC, Tarnopolsky MA. Muscle Physiology in Healthy Men and Women and Those with Metabolic Myopathies. Phys Med Rehabil Clin N Am 2009; 20:101-31, viii-ix. [DOI: 10.1016/j.pmr.2008.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Muscle Physiology in Healthy Men and Women and Those with Metabolic Myopathies. Neurol Clin 2008; 26:115-48; ix. [DOI: 10.1016/j.ncl.2007.11.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Houtkooper L, Abbot JM, Nimmo M. Nutrition for throwers, jumpers, and combined events athletes. J Sports Sci 2007; 25 Suppl 1:S39-47. [DOI: 10.1080/02640410701607262] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Utter AC, Kang J, Nieman DC, Dumke CL, McAnulty SR, McAnulty LS. Carbohydrate Attenuates Perceived Exertion during Intermittent Exercise and Recovery. Med Sci Sports Exerc 2007; 39:880-5. [PMID: 17468589 DOI: 10.1249/mss.0b013e31803174a8] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
PURPOSE The purpose of this study was to examine the effect of carbohydrate supplementation on differentiated and undifferentiated ratings of perceived exertion (RPE) during prolonged intermittent exercise and recovery. METHODS Twelve male subjects cycled for 2.0 h at 64% Wmax and 73% V O2peak with 3-min rest intervals interspersed every 10 min (2.6 h of total exercise time, including rest intervals) with placebo (P) or carbohydrate (C) beverages. RPE was assessed during the last minute of each 10-min exercise interval and then every 30 s during the 3-min recovery period. RESULTS The pattern of change in RPE over time was significantly different between C and P ingestion (P < 0.05), with attenuated RPE responses found for both overall body (O) and legs (L). A significant main effect was found for recovery RPE-O between C and P ingestion (P < 0.05), with attenuated RPE responses found in the later part of the 2-h run. C relative to P ingestion was associated with higher respiratory exchange ratios and plasma levels of glucose and with lower levels of plasma cortisol. CONCLUSIONS These data indicate that carbohydrate supplementation attenuates perceived exertion during prolonged intermittent exercise and recovery.
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Affiliation(s)
- Alan C Utter
- Departments of Health, Leisure, and Exercise Science, Appalachian State University, Boone, NC 28608, USA.
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Abstract
The amounts of water, carbohydrate and salt that athletes are advised to ingest during exercise are based upon their effectiveness in attenuating both fatigue as well as illness due to hyperthermia, dehydration or hyperhydration. When possible, fluid should be ingested at rates that most closely match sweating rate. When that is not possible or practical or sufficiently ergogenic, some athletes might tolerate body water losses amounting to 2% of body weight without significant risk to physical well-being or performance when the environment is cold (e.g. 5-10 degrees C) or temperate (e.g. 21-22 degrees C). However, when exercising in a hot environment ( > 30 degrees C), dehydration by 2% of body weight impairs absolute power production and predisposes individuals to heat injury. Fluid should not be ingested at rates in excess of sweating rate and thus body water and weight should not increase during exercise. Fatigue can be reduced by adding carbohydrate to the fluids consumed so that 30-60 g of rapidly absorbed carbohydrate are ingested throughout each hour of an athletic event. Furthermore, sodium should be included in fluids consumed during exercise lasting longer than 2 h or by individuals during any event that stimulates heavy sodium loss (more than 3-4 g of sodium). Athletes do not benefit by ingesting glycerol, amino acids or alleged precursors of neurotransmitter. Ingestion of other substances during exercise, with the possible exception of caffeine, is discouraged. Athletes will benefit the most by tailoring their individual needs for water, carbohydrate and salt to the specific challenges of their sport, especially considering the environment's impact on sweating and heat stress.
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Affiliation(s)
- Edward F Coyle
- Human Performance Laboratory, Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX 78712, USA.
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Tarnopolsky MA, Gibala M, Jeukendrup AE, Phillips SM. Nutritional needs of elite endurance athletes. Part I: Carbohydrate and fluid requirements. Eur J Sport Sci 2006. [DOI: 10.1080/17461390500076741] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Mark A. Tarnopolsky
- a Department of Pediatrics and Medicine , McMaster University , Hamilton, Canada
| | - Martin Gibala
- b Department of Kinesiology , McMaster University , Hamilton, Canada
| | - Asker E. Jeukendrup
- c School of Sport and Exercise Sciences , University of Birmingham , Edgbaston, Birmingham, UK
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Timmons BW, Bar-Or O. RPE during Prolonged Cycling with and without Carbohydrate Ingestion in Boys and Men. Med Sci Sports Exerc 2003; 35:1901-7. [PMID: 14600557 DOI: 10.1249/01.mss.0000093752.46408.af] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
PURPOSE To examine the effect of prolonged cycling on ratings of perceived exertion (RPE) in boys and men and whether carbohydrate (CHO) ingestion would lower RPE during exercise. METHODS Ten boys (9-10 yr) and 10 men (20-25 yr) cycled for 60 min at approximately 70% VO2peak on two occasions. In a double-blind, counterbalanced design, a total volume of 24 mL.kg(-1) body mass of either a 6% CHO-electrolyte (CT) or flavored water (WT) beverage was consumed intermittently before and during exercise in each trial. Oxygen consumption (VO2), ventilation (VE), respiratory rate (RR), RPE (Borg's 6-20 scale), and heart rate (HR) were recorded periodically throughout exercise. Plasma glucose (GLU) was determined before and after exercise. RESULTS Postexercise GLU was not different between age groups but higher (P<0.001) during CT (5.6 +/- 0.2 mmol.L(-1)) compared with WT (4.7 +/- 0.1 mmol.L(-1)). CHO ingestion had no effect (P>0.05) on VO2, VE, RR, or RPE in either group. RR during exercise was higher (P<0.01) in boys (39.0 +/- 2.2 breaths.min(-1)) than in men (30.9 +/- 1.3 breaths.min(-1)). HR was slightly higher (P=0.047) during CT (160 +/- 3 beats.min(-1)) compared with WT (156 +/- 4 beats.min(-1)) and increased less over time (P<0.01) in boys compared with men. RPE at 5 min of exercise was similar (P>0.05) between boys (11.8 +/- 0.7) and men (12.0 +/- 0.7) but increased faster (P<0.01) over time in boys. The average exercise RPE was higher (P<0.01) in boys (15.8 +/- 0.5) than in men (14.0 +/- 0.4). CONCLUSIONS The higher and faster increase in RPE during exercise in boys, compared with men, may reflect a sensitivity to RR that outweighed any effect of CHO ingestion on RPE.
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Affiliation(s)
- Brian W Timmons
- Children's Exercise and Nutrition Centre, McMaster University, Hamilton, Ontario, Canada
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Joint Position Statement: nutrition and athletic performance. American College of Sports Medicine, American Dietetic Association, and Dietitians of Canada. Med Sci Sports Exerc 2000; 32:2130-45. [PMID: 11128862 DOI: 10.1097/00005768-200012000-00025] [Citation(s) in RCA: 147] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
It is the position of the American Dietetic Association, Dietitians of Canada, and the American College of Sports Medicine that physical activity, athletic performance, and recovery from exercise are enhanced by optimal nutrition. These organizations recommend appropriate selection of food and fluids, timing of intake, and supplement choices for optimal health and exercise performance. This position paper reviews the current scientific data related to the energy needs of athletes, assessment of body composition, strategies for weight change, the nutrient and fluid needs of athletes, special nutrient needs during training, the use of supplements and nutritional ergogenic aids, and the nutrition recommendations for vegetarian athletes. During times of high physical activity, energy and macronutrient needs-especially carbohydrate and protein intake-must be met in order to maintain body weight, replenish glycogen stores, and provide adequate protein for building and repair of tissue. Fat intake should be adequate to provide the essential fatty acids and fat-soluble vitamins, as well as to help provide adequate energy for weight maintenance. Overall, diets should provide moderate amounts of energy from fat (20% to 25% of energy); however, there appears to be no health or performance benefit to consuming a diet containing less than 15% of energy from fat. Body weight and composition can affect exercise performance, but should not be used as the sole criterion for sports performance; daily weigh-ins are discouraged. Consuming adequate food and fluid before, during, and after exercise can help maintain blood glucose during exercise, maximize exercise performance, and improve recovery time. Athletes should be well-hydrated before beginning to exercise; athletes should also drink enough fluid during and after exercise to balance fluid losses. Consumption of sport drinks containing carbohydrates and electrolytes during exercise will provide fuel for the muscles, help maintain blood glucose and the thirst mechanism, and decrease the risk of dehydration or hyponatremia. Athletes will not need vitamin and mineral supplements if adequate energy to maintain body weight is consumed from a variety of foods. However, supplements may be required by athletes who restrict energy intake, use severe weight-loss practices, eliminate one or more food groups from their diet, or consume high-carbohydrate diets with low micronutrient density. Nutritional ergogenic aids should be used with caution, and only after careful evaluation of the product for safety, efficacy, potency, and whether or not it is a banned or illegal substance. Nutrition advice, by a qualified nutrition expert, should only be provided after carefully reviewing the athlete's health, diet, supplement and drug use, and energy requirements.
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Position of the American Dietetic Association, Dietitians of Canada, and the American College of Sports Medicine: Nutrition and athletic performance. JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION 2000; 100:1543-56. [PMID: 11145214 DOI: 10.1016/s0002-8223(00)00428-4] [Citation(s) in RCA: 95] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
It is the position of the American Dietetic Association, Dietitians of Canada, and the American College of Sports Medicine that physical activity, athletic performance, and recovery from exercise are enhanced by optimal nutrition. These organizations recommend appropriate selection of food and fluids, timing of intake, and supplement choices for optimal health and exercise performance. This position paper reviews the current scientific data related to the energy needs of athletes, assessment of body composition, strategies for weight change, the nutrient and fluid needs of athletes, special nutrient needs during training, the use of supplements and nutritional ergogenic aids, and the nutrition recommendations for vegetarian athletes. During times of high physical activity, energy and macronutrient needs--especially carbohydrate and protein intake--must be met in order to maintain body weight, replenish glycogen stores, and provide adequate protein for building and repair of tissue. Fat intake should be adequate to provide the essential fatty acids and fat-soluble vitamins, as well as to help provide adequate energy for weight maintenance. Overall, diets should provide moderate amounts of energy from fat (20% to 25% of energy); however, there appears to be no health or performance benefit to consuming a diet containing less than 15% of energy from fat. Body weight and composition can affect exercise performance, but should not be used as the sole criterion for sports performance; daily weigh-ins are discouraged. Consuming adequate food and fluid before, during, and after exercise can help maintain blood glucose during exercise, maximize exercise performance, and improve recovery time. Athletes should be well-hydrated before beginning to exercise; athletes should also drink enough fluid during and after exercise to balance fluid losses. Consumption of sport drinks containing carbohydrates and electrolytes during exercise will provide fuel for the muscles, help maintain blood glucose and the thirst mechanism, and decrease the risk of dehydration or hyponatremia. Athletes will not need vitamin and mineral supplements if adequate energy to maintain body weight is consumed from a variety of foods. However, supplements may be required by athletes who restrict energy intake, use severe weight-loss practices, eliminate one or more food groups from their diet, or consume high-carbohydrate diets with low micronutrient density. Nutritional ergogenic aids should be used with caution, and only after careful evaluation of the product for safety, efficacy, potency, and whether or not it is a banned or illegal substance. Nutrition advice, by a qualified nutrition expert, should only be provided after carefully reviewing the athlete's health, diet, supplement and drug use, and energy requirements.
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