Effect of a low carbohydrate, high fat diet versus a high carbohydrate diet on exercise efficiency and economy in recreational male athletes

BACKGROUND

Exercise efficiency and economy are key determinants of endurance exercise performance. In this cross-over intervention trial, we investigated the effect of adherence to a low carbohydrate, high fat (LCHF) diet versus a high carbohydrate (HC) diet on gross efficiency (GE) and (OC) during exercise, both after 2 days and after 14 days of adherence.

METHODS

Fourteen recreational male athletes followed a two-week LCHF diet (<10 energy % carbohydrate) and a two-week HC diet (>50 energy % carbohydrate), in random order, with a wash-out period of three weeks in between. After 2 and 14 days on each diet, the athletes performed a 90-minutes submaximal exercise session on a bicycle ergometer. Indirect calorimetry measurements were done after 60 minutes of exercise to calculate GE and OC.

RESULTS

GE was significantly lower on the LCHF diet compared to the HC diet, after 2 days (17.6±1.9 vs. 18.8±1.2%, P=0.011, for the LCHF and HC diet respectively), not after 14 days. OC was significantly higher on the LCHF diet compared to the HC diet, after 2 days (1191±138 vs. 1087±72 mL O<inf>2</inf>/kCal, P=0.003, for the LCHF and HC diet respectively), and showed a strong tendency to remain higher after 14 days, P=0.018.

CONCLUSIONS

Although LCHF diets are popular strategies to increase fat oxidation during exercise, adherence to a LCHF diet was associated with a lower exercise efficiency and economy compared to a HC diet.

Aerobic Training With Blood Flow Restriction for Endurance Athletes: Potential Benefits and Considerations of Implementation

ABSTRACT

Smith, NDW, Scott, BR, Girard, O, and Peiffer, JJ. Aerobic training with blood flow restriction for endurance athletes: potential benefits and considerations of implementation. J Strength Cond Res 36(12): 3541-3550, 2022-Low-intensity aerobic training with blood flow restriction (BFR) can improve maximal oxygen uptake, delay the onset of blood lactate accumulation, and may provide marginal benefits to economy of motion in untrained individuals. Such a training modality could also improve these physiological attributes in well-trained athletes. Indeed, aerobic BFR training could be beneficial for those recovering from injury, those who have limited time for training a specific physiological capacity, or as an adjunct training stimulus to provide variation in a program. However, similarly to endurance training without BFR, using aerobic BFR training to elicit physiological adaptations in endurance athletes will require additional considerations compared with nonendurance athletes. The objective of this narrative review is to discuss the acute and chronic aspects of aerobic BFR exercise for well-trained endurance athletes and highlight considerations for its effective implementation. This review first highlights key physiological capacities of endurance performance. The acute and chronic responses to aerobic BFR exercise and their impact on performance are then discussed. Finally, considerations for prescribing and monitoring aerobic BFR exercise in trained endurance populations are addressed to challenge current views on how BFR exercise is implemented.

Evidence of a double anaerobic threshold in healthy subjects

AIMS

The anaerobic threshold (AT) is an important cardiopulmonary exercise test (CPET) parameter both in healthy and in patients. It is normally determined with three approaches: V-slope method, ventilatory equivalent method, and end-tidal method. The finding of different AT values with these methods is only anecdotic. We defined the presence of a double threshold (DT) when a ΔVO2 > 15 mL/min was observed between the V-slope method (met AT) and the other two methods (vent AT). The aim was to identify whether there is a DT in healthy subjects.

METHODS AND RESULTS

We retrospectively analysed 476 healthy subjects who performed CPET in our laboratory between 2009 and 2018. We identified 51 subjects with a DT (11% of cases). Cardiopulmonary exercise test data at rest and during the exercise were not different in subjects with DT compared to those without. Met AT always preceded vent AT. Compared to subjects without DT, those with DT showed at met AT lower carbon dioxide output (VCO2), end-tidal carbon dioxide tension (PetCO2) and respiratory exchange ratio (RER), and higher ventilatory equivalent for carbon dioxide (VE/VCO2). Compared to met AT, vent AT showed a higher oxygen uptake (VO2), VCO2, ventilation, respiratory rate, RER, work rate, and PetCO2 but a lower VE/VCO2 and end-tidal oxygen tension. Finally, subjects with DT showed a higher VO2 increase during the isocapnic buffering period.

CONCLUSION

Double threshold was present in healthy subjects. The presence of DT does not influence peak exercise performance, but it is associated with a delayed before acidosis-induced hyperventilation.

Gross Efficiency and The Relationship with Maximum Oxygen Uptake in Young Elite Cyclists During the Competitive Season

This study assessed gross efficiency (GE) during a single competitive season and determined the relationship between GE and maximum oxygen uptake (V̇O_2max) in young elite cyclists (n = 15, 20.1 ± 1.4 yrs, 177.5 ± 5.7 cm, 68.3 ± 6.2 kg, 45.2 ± 7.5 mm of six skinfolds) during a competitive season. Participants completed at two occasions (T1 = April; T2 = July), a progressive bike protocol (initial intensity = 100 W, 35 W increments every 3 min) until volitional exhaustion to assess V̇O_2max and submaximal variables. A single capillary blood sample was drawn from the left earlobe immediately after completion of each exercise load to determine lactate thresholds. Cyclists' GE was calculated as ([work accomplished/energy expended] x 100). No significant differences were obtained in GE at any workload between T1 and T2 or in the mean GE between T1 (19.3%) and T2 (19.4%) testing (p = 0.93). No significant association was found between mean GE and V̇O_2max at either T1 (r = -0.28, p = 0.30), or T2 (r = -0.27, p = 0.32). GE of young elite cyclists might not vary during the most important phase of the training season and GE was not related to V̇O_2max. A lower accumulated volume and intensity of training of these cyclists may account for their lower GE in comparison to older professional cyclists and might not have been enough to foster higher increases of GE in cyclists with lower V̇O_2max.

A 11-day compressed overload and taper induces larger physiological improvements than a normal taper in elite cyclists

Endurance athletes usually achieve performance peaking with 2-4 weeks of overload training followed by 1-3 weeks of tapering. With a tight competition schedule, this may not be appropriate. Thus, the aim of this study was to compare the effect of a compressed variant of the recommended overload and tapering approach (EXP; n = 9, VO_2peak  = 77 ± 5 mL·min^-1 ·kg^-1 ) with a 11-day traditional taper that maintained the usual frequency of high-intensity aerobic interval training (HIT) and reduced the duration of training at lower exercise intensity (TRAD, n = 8, VO_2peak  = 74 ± 4 mL·min^-1 ·kg^-1 ) on physiological and psychological variables of endurance performance. EXP performed a 6-day period with daily HIT followed by a 5-day step taper. Testing was performed before the intervention (pre), on the 7th (post-1), and on the 11th day of the intervention (post-2). From pre to post-2, EXP achieved a larger relative improvement than TRAD in VO_2peak (4.0 ± 3.7% vs 0.8 ± 1.8%, respectively, P = .041) and the 1-min peak power output from the VO_2peak test (5.0 ± 3.6% vs 0.9 ± 1.5%, respectively, P = .009) and had a tendency toward larger improvement in power output at a blood lactate concentration of 4 mmol∙L^-1 (P = .088) and peak isokinetic knee extension (P = .06). The effect size of the relative improvement in the endurance variables revealed a moderate-to-large effect of EXP vs TRAD. In conclusion, this study indicates that elite cyclists performing the present 11-day compressed performance peaking protocol consisting of a 6-day HIT overload followed by a 5-day step taper are superior to a 11-day taper only.

Impact of Physical and Cognitive Exertion on Cognitive Control

In a recent study, the differential effects of prolonged physiologically challenging exercise upon two executive processes (cognitive control and working memory) were investigated. However, the impact of exercise on the selective inhibition task employed was debatable and needed further analysis to dissociate the effects induced by exercise intensity from those induced by the time spent on task upon cognitive control outcomes. In this study, we propose a thorough analysis of these data, using a generalized mixed model on a trial-by-trial basis and a new measure of the strength of the automatic response based on reaction time distribution, to disentangle the effect of physical fatigue from cognitive fatigue. Despite the prolonged duration of exercise, no decline in cognitive performance was found in response to physical fatigue. The only change observed during 60-min exercise was an acceleration of the correct trials and an increase of errors for incompatible trials. This pattern, shown during low and physiologically challenging exercise, supports the occurrence of cognitive fatigue induced by the repetition of the cognitive tasks over time.

Physiological and Psychological Adaptations of Trained Cyclists to Spring Cycling Camps

The purpose of our study was to assess physiological adaptations and measure mood outcomes following a cycling training camp in competitive athletes. Fourteen competitive athletes (8 males, 6 females) performed 2 incremental tests to exhaustion before and after a training camp. Volume and intensity (load) of the training regimen were recorded. Submaximal and maximal metabolic data were analysed, as well as economy variables (gross mechanical efficiency and cycling economy). Skeletal muscle adaptations were assessed using near infrared spectroscopy (NIRS). For both genders (n = 14), peak power output, peak power output-W/kg ratio and peak power output-B[La] were significantly increased (p < 0.05) after the cycling training camp (p < 0.05). Significant increases occurred for gross mechanical efficiency measured at the lactate threshold (+4.9%) and at the same precamp lactate threshold power output (+2.9%). At the lactate threshold and Post Camp Lactate Threshold Power, cycling economy increased by 5.2 and 2.9%, respectively (p < 0.05). These power measurements were significantly correlated with individual fluctuations in deoxyhaemoglobin in the vastus lateralis for male cyclists only. Profile of Mood State questionnaire results showed that subcategories “Tension-Anxiety”, “Confusion”, “Fatigue” and “Total Global Score” significantly decreased after the training camp. Cycling training camps were associated with positive adaptations (increased cycling economy, gross mechanical efficiency and power output) as well as some mental benefits. This indicates that despite some significant physiological adaptations participants probably did not overreach during their CTC.

Training, Performance, and Physiological Predictors of a Successful Elite Senior Career in Junior Competitive Road Cyclists

PURPOSE

To determine whether training, performance, or physiological variables at age 18 can predict which athletes become World Tour (WT) riders at senior level.

METHODS

Based on performance level at age 23, 80 competitive male cyclists were retrospectively categorized into 4 groups: retired (n = 21), club (n = 26), continental (n = 24), or WT (n = 9). Data collected at age 18 were analyzed to determine whether training, performance, or physiological variables differed significantly between groups.

RESULTS

At age 23, 9 riders (11%) were WT level. These riders competed significantly more at age 18 than athletes who were club level (91.5 [19.1] h vs 62.8 [21.8] h, P = .032) or retired by age 23 (61.8 [23.4] h, P = .014). WT athletes placed significantly better in national road championships at age 18 than did continental, club, and retired athletes (all P < .01). Receiver-operating-characteristic analysis showed that placing at national championships at age 18 had good accuracy in predicting whether the athlete would later reach WT level (area under the curve = 0.882). WT athletes had significantly higher maximal aerobic power at age 18 than athletes who did not reach WT level (533 [23] vs 451 [41] W and 6.9 [0.4] vs 6.2 [0.4] W/kg, P < .05).

CONCLUSION

Already at junior level, there were performance and physiological differences distinguishing those who later became WT riders. The findings emphasize the need for high volumes of training and competition, as well as a high level of race performance already at junior level, to become a successful elite road cyclist.

Effects of Initial Performance, Gross Efficiency and O 2peak Characteristics on Subsequent Adaptations to Endurance Training in Competitive Cyclists

The present study investigated the effects of initial levels of cycling performance, peak oxygen uptake (O_2peak) and gross efficiency (GE) on the subsequent adaptations of these variables and their relationship following high-intensity training (HIT) designed to increase O_2peak in competitive cyclists. Sixty cyclists (O_2peak = 61 ± 6 mL kg^-1 min^-1) were assigned a 12-week training program consisting of twenty-four supervised high-intensity interval training sessions and ad libitum low intensity training. GE was calculated at 125, 175, and 225 W and performance was determined by mean power during a 40-min time-trial (Power_{40 min}). In addition to correlation analyses between initial level and pre- to post-intervention changes of the different variables, we compared these changes between four groups where participants were categorized with either low and/or high initial levels of O_2peak and GE. Average volume of high- and low-intensity training during the 12-week intervention was 1.5 ± 0.3 and 8.3 ± 2.7 h·week^-1, respectively. Following the 12-week training period, there was a significant increase in absolute and body mass normalized O_2peak and Power_{40 min} (p < 0.05) and a significant decrease in GE (p < 0.05) for all athletes pooled. There was no change in body mass following the 12-week training period. We found a moderate negative correlation between initial level of O_2peak and the change in O_2peak following the training period (r = -0.32; p < 0.05). A small negative correlation was also found between initial Power_{40 min} and its change following training both when expressed in absolute power and power normalized for body mass (r = -0.27 and -0.28; both p < 0.05). A moderate negative correlation was also found between initial levels for GE and its change following training (r = -0.44; p < 0.01). There were no differences between the four groups based on initial levels of O_2peak and GE in the response to training on O_2peak, GE, or Power_{40 min} (all p > 0.12). In conclusion, the present findings suggest that there are statistically significant effects of initial levels of cycling performance and O_2peak and on the subsequent adaptations following a 12-week HIT program, but the small and moderate effects indicate limited influence on training practice.

Prolonged constant load cycling exercise is associated with reduced gross efficiency and increased muscle oxygen uptake

This study investigated the effects of prolonged constant load cycling exercise on cycling efficiency and local muscle oxygen uptake responses. Fourteen well-trained cyclists each completed a 2-h steady-state cycling bout at 60% of their maximal minute power output to assess changes in gross cycling efficiency (GE) and muscle oxygen uptake (mVO₂ ) at time points 5, 30, 60, 90, and 120 min. Near-infrared spatially resolved spectroscopy (NIRS) was used to continually monitor tissue oxygenation of the Vastus Lateralis muscle, with arterial occlusions (OCC) applied to assess mVO₂ . The half-recovery time of oxygenated hemoglobin (HbO₂ ) was also assessed pre and post the 2-h cycling exercise by measuring the hyperemic response following a 5-min OCC. GE significantly declined during the 2-h cycling bout (18.4 ± 1.6 to 17.4 ± 1.4%; P < 0.01). Conversely, mVO₂ increased, being significantly higher after 90 and 120 min than at min 5 (+0.04 mlO₂ /min/100 g; P = 0.03). The half-recovery time for HbO₂ was increased comparing pre and post the 2-h cycling exercise (+7.1 ± 19s), albeit not significantly (d: 0.48; P = 0.27). This study demonstrates that GE decreases during prolonged constant load cycling exercise and provides evidence of an increased mVO₂ , suggestive of progressive mitochondrial or contractile inefficiency.

Effects of a seven day overload-period of high-intensity training on performance and physiology of competitive cyclists

OBJECTIVES

Competitive endurance athletes commonly undertake periods of overload training in the weeks prior to major competitions. This investigation examined the effects of two seven-day high-intensity overload training regimes (HIT) on performance and physiological characteristics of competitive cyclists.

DESIGN

The study was a matched groups, controlled trial.

METHODS

Twenty-eight male cyclists (mean ± SD, Age: 33±10 years, Mass 74±7 kg, VO2 peak 4.7±0.5 L·min-1) were assigned to a control group or one of two training groups for seven consecutive days of HIT. Before and after training cyclists completed an ergometer based incremental exercise test and a 20-km time-trial. The HIT sessions were ∼120 minutes in duration and consisted of matched volumes of 5, 10 and 20 second (short) or 15, 30 and 45 second (long) maximal intensity efforts.

RESULTS

Both the short and long HIT regimes led to significant (p<0.05) gains in time trial performance compared to the control group. Relative to the control group, the mean changes (±90% confidence limits) in time-trial power were 8.2%±3.8% and 10.4%±4.3% for the short and long HIT regimes respectively; corresponding increases in peak power in the incremental test were 5.5%±2.7% and 9.5%±2.5%. Both HIT (short vs long) interventions led to non-significant (p>0.05) increases (mean ± SD) in VO2 peak (2.3%±4.7% vs 3.5%±6.2%), lactate threshold power (3.6%±3.5% vs 2.9%±5.3%) and gross efficiency (3.2%±2.4% vs 5.1%±3.9%) with only small differences between HIT regimes.

CONCLUSIONS

Seven days of overload HIT induces substantial enhancements in time-trial performance despite non-significant increases in physiological measures with competitive cyclists.

The influence of training status, age, and muscle fiber type on cycling efficiency and endurance performance

The purpose of this study was to assess the influence of age, training status, and muscle fiber-type distribution on cycling efficiency. Forty men were recruited into one of four groups: young and old trained cyclists, and young and old untrained individuals. All participants completed an incremental ramp test to measure their peak O2 uptake, maximal heart rate, and maximal minute power output; a submaximal test of cycling gross efficiency (GE) at a series of absolute and relative work rates; and, in trained participants only, a 1-h cycling time trial. Finally, all participants underwent a muscle biopsy of their right vastus lateralis muscle. At relative work rates, a general linear model found significant main effects of age and training status on GE ( P < 0.01). The percentage of type I muscle fibers was higher in the trained groups ( P < 0.01), with no difference between age groups. There was no relationship between fiber type and cycling efficiency at any work rate or cadence combination. Stepwise multiple regression indicated that muscle fiber type did not influence cycling performance ( P > 0.05). Power output in the 1-h performance trial was predicted by average O2 uptake and GE, with standardized β-coefficients of 0.94 and 0.34, respectively, although some mathematical coupling is evident. These data demonstrate that muscle fiber type does not affect cycling efficiency and was not influenced by the aging process. Cycling efficiency and the percentage of type I muscle fibers were influenced by training status, but only GE at 120 revolutions/min was seen to predict cycling performance.

The effect of cadence on cycling efficiency and local tissue oxygenation

The purpose of this study was to compare 3 cycling cadences in efficiency/economy, local tissue oxygen saturation, heart rate, blood lactate, and global and local rating of perceived exertion (RPE). Subjects were 14 trained cyclists/triathletes (mean age 30.1 ± 5.3 years; VO(2) peak 60.2 ± 5.0 ml·kg(-1)·min(-1)) who performed three 8-minute cadence trials (60, 80, and 100 rpm) at 75% of previously measured peak power. Oxygen consumption and respiratory exchange ratio were used to calculate efficiency and economy. Results indicated that both efficiency and economy were higher at the lower cadences. Tissue oxygen saturation was greater at 80 rpm than at 60 or 100 rpm at minute 4, but at minute 8, tissue oxygen saturation at 80 rpm (57 ± 9%) was higher than 100 rpm (54 ± 9%, p = 0.017) but not at 60 rpm (55 ± 11%, p = 0.255). Heart rate and lactate significantly increased from minute 4 and minute 8 (p < 0.05) of submaximal cycling. Local RPE at 80 rpm was lower than at 60 or 100 rpm (p < 0.05). It was concluded that (a) Trained cyclists and triathletes are more efficient and economical when cycling at 60 rpm than 80 or 100 rpm. (b); Local tissue oxygen saturation levels are higher at 80 rpm than 60 and 100 rpm; (c). Heart rate and blood lactate levels are higher with cadences of 80 and 100 than 60 rpm; and (d). Local and global RPE is lower when cycling at 80 rpm than at 60 rpm and 100 rpm. A practical application of these findings is that a cadence of 60 rpm may be advantageous for performance in moderately trained athletes in contrast to higher cadences currently popular among elite cyclists.

Plasticity of rat motoneuron rhythmic firing properties with varying levels of afferent and descending inputs

Hindlimb motoneuron excitability was compared among exercise-trained (E), sedentary (S), and spinal cord transected (T) Sprague-Dawley rats by examining the slope of the frequency-current (F/I) relationship with standard intracellular recording techniques in rats anesthetized with ketamine-xylazine. The T group included spinal transected and spinal isolated rats; the E animals were either spontaneously active (exercise wheel) or treadmill trained; and rats in the S group were housed in pairs. An analysis of motoneuron initial [1st interspike interval (ISI)], early (mean of 1st three ISIs), and steady-state (mean of last 3 ISIs) discharge rate slopes resulting from increasing and decreasing 500-ms injected square-wave depolarizing current pulses was used to describe rhythmic motoneuron properties. The steepest slope occurred in the S group (55.3 ± 22.2 Hz/nA), followed by the T group (35.5 ± 15.3 Hz/nA), while the flattest slope was found in the E group (25.4 ± 10.9 Hz/nA). The steepest steady-state slope occurred in the S group but was found to be similar between the T and E groups. Furthermore, a spike-frequency adaptation (SFA) index revealed a slower adaptation in motoneurons of the E animals only (∼40% lower). Finally, evidence for a secondary range of firing existed more frequently in the T group (41%) compared with the S (12%) and E (31%) groups. The lower F/I slope and lower SFA index of motoneurons for E rats may be a result of an increase in Na(+) conductance at the initial segment. The results show that motoneuronal rhythmic firing behavior is plastic, depending on the volume of daily activation and on intact descending pathways.