Carbohydrates & Exercise

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Carbohydrates & Exercise FCS 608 Fall 2010 Presented by: Armen Hovsepian Brian Mitchell Sandra Salute Vagram Sulukyan History India, circa 300 A.D. Sanskrit su = sweet gar = sand Egypt, circa 640 A.D. Glucose Int l Union of Chemistry, 1938 Carbohydrates Title IMG source: http://www.consumeraffairs.com/images02/wheat.png Source:http://acnefriend.com/images/glycolic-acid-acne-sugarcane.jpg 1

Biochemistry CHO = primary source of energy During exercise and physical activity Stored CHO in form of Glycogen Liver Muscle tissue Digestion Enzymatic breakdown in small intestine Complex carbohydrates are found as long chains of glucose. Biochemistry Complex CHO long chains of glucose aka polysaccharides (amylose & amylopectin) Simple CHO Mono- or disaccharides One or two sugar molecules 2

Figure 1. Simple and Complex Carbohydrates Source: http://jennifer.nutritiontransition.co.uk/images/carbohydratediagram.jpg Figure 2. Glycogen Structure Source: http://www.chm.bris.ac.uk/motm/glucose/glycogen.gif 3

Biochemistry Absorption Small intestine Liver bloodstream checkpoint all CHO glucose (blood sugar) CHO used for a variety of needs. Maintaining normal blood glucose Stored as glycogen for later use For immediate energy Krebs cycle ATP Figure 3. ATP molecule Source: http://www.benbest.com/cryonics/atp.gif Glycemic Index + Glycemic Load Glycemic Index [GI] how quickly CHO affects blood glucose 0-100 rating Based on 50g of CHO food item Can be categorized as LOW/MED/HIGH Various factors in digestibility/speed Other nutrients How many Servings? This is known as the Glycemic Load (GL) 4

Figure 4. Varying GI and Blood Glucose effects over time. Source: http://www.medbio.info/horn/time%201-2/ glycemic_index.htm Figure 5. Various food items and respective GI rating. Source: http://www.medbio.info/horn/time%201-2/ glycemic_index.htm 5

Recommended Intake Low CHO diets result in low glycogen Decreased performance time Non-athlete recommendation 4-5 g CHO/kg (body weight) General athlete 5-7 g CHO/kg Increased performance 7-10 g CHO/kg 132lb athlete 300-420g daily 420-600g competition Pre-Exercise Meal Preexisting glycogen & fat fuel during a workout Pre-exercise meal important for an athlete Especially if there is a lack of intake Provides energy (esp. when workout lasts 1hr+) Satiation during a workout Supply muscle cells w/energy by increasing blood glucose All help to increase performance. 6

Pre-Exercise Meal Guidelines Consume 1-4 hr prior to exercise Aim for 1-4.5 g CHO/kg Consume 2 nd meal/snack 1hr prior to workout Aim for ~1g CHO/kg Athletes encouraged to experiment with LOW/ MED/HIGH GI foods Post-Exercise Meal + Refueling Window Performance can be impaired if CHO stores are not replenished. Athletes strongly suggested to come prepared with a post exercise carbohydrate snack. Within ~30 min after workout Consume 1.5g CHO/kg Ex. Fruit, Starch (potato/bread), CHO drink/gel 2hr post workout consume another 1.5g CHO/kg 7

Excesses In general Weight gain Hyperglycemia (Type II Diabetes) Increase in triglycerides Increases risk of cavities On athletic performance GI disturbances Increased gastric dumping Re-directed blood flow to stomach Deficiencies In general Decreased energy production Can lead to hypoglycemia, feeling lethargic and even syncope (fainting). Decreased ability to concentrate On athletic performance Increase in gluconeogenesis Break down of protein for energy Muscle wasting Hypoglycemia, fatigue which leads to. LOSING!!! 8

Controversy Carbohydrates make me fat! Carbs = fat NOT TRUE! Excess calorie consumption. Lack of knowledge about carbohydrate. Can t burn fat without carbohydrate. Controversy Lower Your Carbohydrate Consumption to Increase Muscle Mass Article by Chris Aceto in M & F Magazine. Cycle CHO day by day Never over 150g Do you need CHO to build muscle? What is to be used for energy to lift weights? 9

Current Research 1. CHO Supplements & Performance (Sandra) 2. GI & GL (Armen) 3. CHO Ingestion & Soccer Performance (Vaughn) 4. Rinsing CHO solution & Running (Brian) 5. Placebo Effect (Sandra) Article 1 Carbohydrate-supplement form and exercise performance. Campbell, Prince, Braun, Applegate, & Casazza IJSNEM 2008 Campbell, C., Prince, D., Braun, M., Applegate, E., & Casazza, G. A. (2008). Carbohydrate-supplement form and exercise performance. International Journal of Sport Nutrition and Exercise Metabolism, 18, 179-190. 10

Article 1 Purpose 3 different supplement forms of CHO Difference in cycling performance? Materials 16 cyclists and tri-athletes CHO Sport Drink CHO Gel CHO Sports Beans H 2 O Article 1 Methods Standardized meal 1-2 hours prior to each trial 10 min warm-up 80 min ride (75% max VO 2 ) 10-km time trial 4 Experimental trials Randomly assigned CHO supplements (0.6 g) Consumption before, during, and after 11

Article 1 Results Maintenance of blood glucose levels Improved cycling time & performance for all CHO supplements in comparison to H 2 O Sports beans increased power output during 10- km time trial Article 1 Discussion Sports Beans inc. during 10-km could be due to: 1. Delayed breakdown & absorption of outer coating allowing availability during time trial 2. Error in using device that measures power output 12

Article 1 Prior Research Several studies proven CHO sports drinks improve exercise performance No prior research on effectiveness of gels or jelly beans on exercise performance Article 1 Implications Form of CHO supplement does not influence the beneficial effects of supplement Variation provides athletes with convenient, portable, easy to digest options 13

Article 1 Limitations Small sample size Sponsored by Jelly Belly Company (bias) Inaccurate device measurement (power output) Article 2 Influence of mouth rinsing a carbohydrate solution on 1-h running performance. Rollo, Cole, Miller & Williams Medicine & Science in Sports & Exercise 2010 Rollo, I., Cole, M., Miller, R., Williams, C. (2010). Influence of mouth rinsing a carbohydrate solution on 1-h running performance. Medicine & Science in Sports & Exercise, 42, 798-804. 14

Article 2 Purpose Determine efficiency of mouth rinsing CHO solution on runners during 1hr run. Materials & Methods 10 endurance trained male participants Automated treadmill (changes speed w/o manual input) 25ml - 6.4% CHO solution 25ml Placebo 13 hour fast 1hr run Finger prick blood samples Article 2 Results 6.4% CHO group solution ran 211 meters more than placebo No change in blood glucose levels No plasma insulin levels Why? 15

Article 2 Discussion Increased performance when runners rinsed w/ 6.4% CHO solution 1. Simple CHO was shown to have a positive effect on endurance running by swishing a sample in mouth. 2. Blood glucose and plasma insulin levels were not effected. Could be a good alternative to those who suffer from GI discomfort. Article 2 Prior Research Previous research has shown similar effects. Increased performance without impact on blood glucose or plasma insulin levels Same results seen in a study done on cyclists. 16

Article 2 Implications Tests show that performance can be increased in endurance sports by CHO solutions, even without ingestion. Research reinforces that CHO plays a vital roll in energy production for aerobic and anaerobic activities. Article 2 Limitations Small sample size Consisted of men only Participants were trained endurance athletes Test was only one hour So what about events that last longer? Same beneficial effects? 17

Article 3 The Influence of Carbohydrate-Electrolyte Ingestion on Soccer Skill Performance Ajmol, Williams, Nicholas, & Foskett Medicine & Science In Sports & Exercise 2007 Ajmol, A., Williams, C., Nicholas, C. W., & Foskett, A. (2007). The Influence of Carbohydrate-Electrolyte Ingestion on Soccer Skill Performance. Medicine & Science In Sports & Exercise, 39(11), 1969-1976. Article 3 Purpose To determine the outcome of consuming CHOelectrolyte solution in university soccer players with depleted glycogen levels. Materials & Methods 2 main trials, 16 university soccer players CHO-electrolyte & placebo solution Shooting + passing recorded prior to trial 30 min cycling (70% VO 2max ) (3x) 50 sec sprints 45 min cycling (70% VO 2max ) Low CHO meal was given after reducing glycogen stores. 18

Article 3 Materials & Methods 1st trial Ingested CHO solution 2nd trial Ingested placebo while performing skill tests. Athletes performed (6x) 15 min block tests 3 min rest periods to ingest solution 10-12 cycles of walking/running (95% VO 2max ) Jogging (55% VO 2max ) followed by sprint Article 3 Materials & Methods After the exercises 2 min rest Then passing & shooting tests Comparison was measured by: difference in their skill display body mass pre- and post-exercise blood analysis for glucose, lactate, and FFA 19

Article 3 Results Shooting test was better in the CHO trial Passing test did not show significant difference Sprint was faster in CHO test Blood analysis test confirmed more plasma glucose in CHO trial Article 3 Discussion After prolonged exercise, CHO solution maintained soccer shooting skills, but made no change with shooting skills compared to placebo trials. 1. For shooting, the body requires more energy and strength to deliver an accurate high velocity shot. 2. For passing, the body may deliver a pass while reaching fatigue. 20

Article 3 Prior Research Other research indicates that fluid intake maintains glycogen levels efficiently. Numerous research specifies that an intake of a carbohydrate solution maintains plasma glucose levels; thus, prolonging the use and depletion of body glycogen. Article 3 Implications Consumption of CHO-electrolyte solutions while exercising facilitates athletic performance and skilldisplay to those with compromised glycogen stores. Limitations Small sample size. Limited to only 3 specific soccer skill performance tests. A better analysis will be made with tests applied on a diversity of skilled based performances from different sports. 21

Article 4 Effect of Preexercise Meals With Different Glycemic Indices and Loads on Metabolic Responses and Endurance Running Chen, Wong, Wong, Lam, Huang, Siu IJSNEM 2008 Chen, Y. J., Wong S. H., Wong C. K., Lam, C. W., Huang, Y. J., & Siu, P.M. (2008). Effect of Preexercise Meals With Different Glycemic Indices and Loads on Metabolic Responses and Endurance Running. International Journal of Sport Nutrition and Exercise Metabolism, 18, 281-300. Article 4 Purpose To examine the effect of ingesting 3 isocaloric meals with different GI and GL 2 hr before exercise on metabolic responses and endurance running performance Materials & Methods 8 male runners 3 randomized trials Separated by at least 7 days 1hr run @ 70% VO 2max +10km performance run 22

Article 4 Materials & Methods 3 isocaloric meals [CHO%, GI, GL] 1. High GI/High GL [65%, 79, 82] 2. Low GI/Low GL [65%, 40, 42] 3. High GI/Low GL [36%, 78, 44] Blood samples to determine glucose conc. Air samples examined at 20 min. intervals Total CHO & FFO calculated via stoichiometry Article 4 Results Low-GL induce smaller changes in metabolism during exercise than High-GL Higher rates of FFO found in low-gi meals Discussion High-GI meals induced an insulin response which was found to decrease FFO Crucial for athletes to know: relationship of different types of dietary CHO respective GI/GL benefits in sustaining energy during competition 23

Article 4 Prior Research Findings on Low-GI & FFO relationship are supported by prior research articles. Effects of insulin and FFO observed prior. Implications Ingesting a low-gi high-cho meal, with reduced postprandial glycemia and insulinemia, might provide the CHO required during subsequent exercise without depressing fat oxidation Article 4 Limitations Factors of control Timing of food ingestion Quantity of CHO ingested Type of exercise Performance measurement method Absence of data on preexisting glycogen Results attributed to basal glycogen content or glucose/ffo metabolism during experiment 24

Article 5 No placebo effect from carbohydrate intake during prolonged exercise. Hulston & Jeukendrup IJSNEM 2009 Hulston, C. J., & Jeukendrup, A. E. (2009). No placebo effect from carbohydrate intake during prolonged exercise. International Journal of Sport Nutrition and Exercise Metabolism, 19, 275-284. Article 5 Purpose To examine the likelihood of a placebo effect on exercise performance after participants ingested a CHO solution before exercise. Materials & Methods Random double blind cross-over study 10 male cyclists Participants were informed CHO vs. H 2 O 25

Article 5 Materials & Methods 600ml of either solution: 1. Only H 2 O 2. 6% CHO + electrolyte solution 3. Colored & flavored H 2 O Given every 15min and at start of 120 min trial Participants completed a 60 minute time trial as fast as they could immediately after they finished. Article 5 Results No placebo effect was observed for participants who believed they consumed carbohydrate solution The participants who consumed the CHO solution increased their cycling performance for the Time Trial (TT) by 10.6%. 26

Article 5 Discussion CHO ingestion improved performance compared to Only H 2 O and Colored-flavored H 2 O. Mechanism by which CHO improve performance were confirmed in this study. Article 5 Prior Research In contrast to previous studies: there was no placebo effect Participants showed an improvement in performance when they believed they ingested CHO Implications believing that one has received CHO does not improve performance during prolonged exercise 27

Article 5 Limitations Small sample size Reliability of performance testing: Participants might pick up on subtle cues Uncertainty of trial order can alter performance One of the references listed in the reference section was not cited in the text (title: Validity, reliability, and sensitivity of measures of sporting performance) Take Home Message CHO have a positive influence on exercise performance. 28

The Human Ecological Theory Important for educator: 1. Understand why a person has developed such beliefs 2. To try to help them modify or develop different beliefs IMG Source: http://www.sasked.gov.sk.ca/ branches/psych_portal/images/ ecological_model1.jpg The Human Ecological Theory CHO topics for an Educator: RDA for activity level (training, competition, & recovery phases) Pre-exercise meal Consumption during practices and games Post-exercise refueling window Complex versus simple Glycemic index Constantly reassure athlete that you want to help improve their athletic performance so they believe that your goal is their goal 29

Conclusion Humans have relied on grains historically CHO remain the main staple f0r all Research confirms CHO are ideal energy source Educators: debunk myths & pass the grains! 30