In
an effort to increase multisport athlete awareness surrounding nutrition,
recovery, racing, training, and bioenergetic adaptation, summaries, briefs, and
peer reviewed literature will be discussed in order to stimulate thinking and
overall knowledge about the sports we love. I hope you enjoy, and please feel
free to ask questions (lovelace.ben@gmail.com) if you ever don’t understand
something or would like more information regarding the specific topic being
discussed.
The
article bellow will be discussed: Mark
A. Febbraio, Alison Chiu, Damien J. Angus, Melissa j. Arkinstall, and john a
Hawley. Effects of carbohydrate ingestion before and during exercise on glucose
kinetics and performance. J Appl Physiol. 89: 2220-2226, 2000.
Many
athletes, specifically endurance athletes, take in some sort of carbohydrate
during exercise to prolong their inevitable end to their exercise bout. It is
this practice, that allows folks to compete in ironman triathlons, long distance
running or cycling events! Often compared to a cars fuel utilization, the human
body is thought to burn everything it takes in, but, what if it was not so
simple. . . . . .
Carbohydrate
(CHO) ingestion has been shown to improve performance and increase time to
fatigue. Because of this, Febbraio and colleagues observed seven trained men
cycling for 120 min at 63% peak power output, followed by a 7kj/kg body weight (wt) time
trial (TT). On four separate occasions subjects received either a placebo
beverage before and during (PP); Placebo 30 min before and 2 g/kg body/wt of
CHO in 6.4% CHO beverage during (PC); 2g/kg body wt of CHO in a 25.7% CHO
beverage 30 min before and a placebo throughout (CP); or 2g/kg body wt of CHO
in a 25.7% CHO beverage 30 min before and 2 g/kg of CHO in a 6.4% CHO solution
throughout (CC).
When
carbohydrate intake was maintained throughout, plasma glucose concentrations
were significantly greater after 90 minutes when compared to placebo. There
were no reported differences in plasma glucose between all trials before 90
minutes. This suggests that the individuals exercising with placebo were able
to utilized gluconeogenic processes in the liver (i.e the liver changing
glycogen into glucose) to maintain blood sugar at levels necessary to continue
exercising. Pre-exercise carbohydrate ingestion resulted in higher insulin
levels at the beginning of exercise, however, after exercise started there were
no observed difference in insulin concentrations between trials suggesting that
insulin plays a small role in glucose uptake at the muscle during exercise.
Between
all trials there was no difference between plasma free fatty acids and glycerol
(markers found in the blood suggesting fat metabolism) for the first 60 minutes. However, during the last 60 minutes, both
plasma free fatty acids and glycerol concentrations were elevated in only the
placebo (PP) group when compared to the CC, CP, and PC group. The reason for
the no difference for the first 60 minutes is possibly due to the heavy
reliance on muscle glycogen for the first 60 minutes in all trials. As muscle
glycogen begins to decrease, the PP group experiences a slight shift to adipose
tissue as a substrate and in doing so an elevation of free fatty acids and
glycerol are present in the blood.
Individuals
that took in CHO prior to exercise but not throughout exercise oxidized
significantly more glucose, in the last 20 minutes, then the individuals that
took CHO in during exercise. The observed findings suggest that the
individuals that took in glucose prior to exercise experienced a reactive
hypoglycemic response that drove down lyposis (fat break down) and increased
reliance on muscle glycogen as a fuel source, thus, creating a small, but significant
difference in glucose oxidation between these two groups in the later portion
of exercise. Different oxidation rates
were also seen in individuals that took in no exogenous glucose prior to, and
during, their exercise bout. Individuals in the PP group experienced a shift in
fuel utilization, were they were oxidizing more free fatty acids in the last 60
minutes of exercise when compared to the CP, PC and CC group. While there are
differences in fuel utilization between treatments, they are observed in the
later portion of exercise and the shift in fuel utilization did not result in
performance benefits. The findings outlined suggest that athletes exercising at
~70% of VO2peak for ~2hrs,
regardless of the athletes pre-exercise meal or during exercise nutritional
practice oxidize glucose and free fatty acids similarly.
While
oxidation of exogenous glucose is minimal (11% or .4g/min), and oxidation of
free fatty acids and glucose are similar between all groups, it is clear
through the exercise time trials that exogenous glucose intake during exercise
increases performance. The observed results, however, do not support
performance benefits for individuals that supplement with CHO prior to
exercise. The current findings suggest that maintenance of plasma glucose
during exercise has a positive effect on mechanisms other than those associated
with substrate oxidation (what the body uses as fuel) and muscle contraction.
Therefore, performance gains are possibly due central nervous system
preservation and homeostasis rather then direct fuel utilization at the muscle.
The
above findings by Febbraio et al. suggest that athletes must supplement with
exogenous glucose (with sugars taken in by mouth) in order to perform at a
higher level. The finding flys in the face of common thought that suggest that
exogenous glucose is fully oxidized at the muscle during exercise (i.e like our
car uses gas). Rather, Febbraio et al. findings suggest that the exogenous
glucose, often taken in the form of gels, drinks and bars are essentially meant
to keep your brain happy and this leads to increases in performance.