Influence of heat stress and carbohydrate availability on substrate metabolism and exercise tolerance time in humans

Whilst the effects of environmental heat stress on the physiological responses of humans during exercise have been investigated for over half a century, the mechanisms responsible for fatigue during exercise in the heat are not well understood. There is increasing evidence that heat stress increases the reliance on carbohydrate (CHO), particularly muscle glycogen, as a fuel for prolonged exercise. The provision of CHO during exercise and during short-term recovery from exercise in the heat may theoretically offer some benefit. However, the literature available on the efficacy of CHO feedings during prolonged running in the heat is scarce. The aim of the experiments that are reported in this thesis were to investigate the effects of heat stress and CHO feeding regimens on substrate metabolism and exercise tolerance during prolonged running. An initial investigation revealed that the heat stress imposed by wearing a military protective clothing ensemble during prolonged running impaired exercise tolerance time and increased the reliance on CHO as a fuel. This response was associated with increases in circulating adrenaline and lactate concentrations, which may be indicative of an enhanced ß-adrenergic receptor stimulation of muscle glycogenolysis. Thus, further studies into the efficacy of CHO supplementation regimens during exercise and recovery from exercise in the heat were performed. Rehydration with a carbohydrate-electrolytes olution (CES) during a 4-h recovery period markedly increased total CHO utilisation and exercise tolerance during subsequent exercise in the heat (35°C) compared to a sweetened placebo. Whilst there was no difference in post-recovery exercise tolerance time after ingesting 55-g or 220-g of CHO within a CES, ingesting 220-g lead to a five-fold increase in estimated glycogen synthesis during recovery, which increased CHO availability and utilisation during subsequent exercise. Ingesting a 12.5% glucose solution attenuated the increased reliance on endogenous CHO stores during exercise in the heat, but the associated increases in thermal and cardiovascular strain and gastric discomfort may have been responsible for the impairment of exercise capacity. These findings suggest that increases in endogenous CHO metabolism occur in response to exogenous heat stress during prolonged running. Whilst CHO ingestion during short-term recovery periods are associated with favourable changes in glycogen synthesis and tolerance to subsequent exercise in the heat, ingestion of a hypertonic glucose solution during exercise in the heat, may impair exercise capacity.EThOS - Electronic Theses Online ServiceGBUnited Kingdo

THE INFLUENCE OF CHANGES IN SPRINT ABlLlN ON THE SLED VELOCIN PROFILE DURING THE SKELETON START

Sprint times are key predictors of skeleton start petformance, but the effect of enhancing sprint ability on the development of sled velocity is unknown. Twelve well-trained skeleton athletes performed three dry-land push-starts and three 30-m sprints before and after 16 training weeks. Sled velocity profiles were characterised using three descriptors (pre-load velocity, pre-load distance and load effectiveness) and a sled acceleration index was used to evaluate performance. Increases in pre-load velocity and distance were related to improved sprint times. However, enhanced sprint ability did not guarantee a faster start as reductions in load effectiveness were also observed when higher velocities were attained. Coaches could supplement physical conditioning with load technique training to potentially improve the transfer of training-induced sled velocity increases across the loading phase

The effect of altering loading distance on skeleton start performance: Is higher pre-load velocity always beneficial?

Athletes initiating skeleton runs differ in the number of steps taken before loading the sled. We aimed to understand how experimentally modifying loading distance influenced sled velocity and overall start performance. Ten athletes (five elite, five talent; 67% of all national athletes) underwent two to four sessions, consisting of two dry-land push starts in each of three conditions (preferred, long and short loading distances). A magnet encoder on the sled wheel provided velocity profiles and the overall performance measure (sled acceleration index). Longer pre load distances (12% average increase from preferred to long distances) were related to higher pre-load velocity (r = 0.94), but lower load effectiveness (r = 0.75; average reduction 29%). Performance evaluations across conditions revealed that elite athletes’ preferred distance push starts were typically superior to the other conditions. Short loading distances were generally detrimental, whereas pushing the sled further improved some talent-squad athletes’ performance. Thus, an important trade-off between generating high pre load velocity and loading effectively was revealed, which coaches should consider when encouraging athletes to load later. This novel intervention study conducted within a real-world training setting has demonstrated the scope to enhance push-start performance by altering loading distance, particularly in developing athletes with less extensive training experience

The effects of upper- vs. lower-body aerobic exercise on perceived pain in individuals with chronic knee pain: a randomised crossover trial

Background and objectivesSome patients with chronic knee pain experience an increase in knee pain following a single bout of exercise involving their knee joint, which can negatively affect exercise adherence and thus result in reduced overall health and lack of disease management. We want to determine whether a single bout of upper-body (UB) aerobic arm-ergometry exercise is effective in reducing the experience of pain in those with chronic knee pain compared with lower-body (LB) aerobic leg ergometry exercise.MethodsA total of 19 individuals (women = 11, men = 8; age = 63 ± 8 years; body mass index = 24 ± 3 kg/m2) who suffered from chronic knee pain for ≥3 months took part in this study. Arm-ergometry and cycle-ergometry exercises were performed for 30 min at a moderate intensity, separated by 7 days. Pain intensity was assessed by means of a visual analogue scale (VAS) pre- and post-exercise and for 7 days post-exercise. Pressure pain threshold (PPT) and mechanical detection threshold (MDT) were measured pre- and post-exercise at both local and distal anatomical sites. Data are presented as mean ± SD.ResultsVAS pain was significantly reduced (p = 0.035) at 1 day post-exercise following the UB exercise trial (−1.4 ± 0.8) when compared with the LB exercise trial (+0.1 ± 2.1). Both UB and LB exercises were effective in reducing local and distal PPT. MDT responses were heterogeneous, and no differences between the UB and LB exercise conditions were noted.ConclusionAn acute bout of upper-body aerobic arm-ergometry exercise evoked a significant decrease in the affected knee joint pain in individuals with chronic knee pain of up to 24 h/1 day post-exercise compared with lower-body aerobic exercise. While the exact mechanisms remain unclear, upper-body exercise may offer a viable, novel therapeutic treatment for patients with chronic knee pain

Physiological responses to moderate intensity continuous and high-intensity interval exercise in persons with paraplegia

Randomized crossover. To test differences in the duration and magnitude of physiological response to isocaloric moderate intensity continuous (MICE) and high-intensity interval exercise (HIIE) sessions in persons with spinal cord injury (SCI). Academic medical center in Miami, FL, USA. Ten adult men (mean ± s.d.; 39 ± 10 year old) with chronic (13.2 ± 8.8 year) paraplegia (T2-T10) completed a graded exercise test. Then, in a randomized order, participants completed MICE and HIIE for a cost of 120 kcal. MICE was performed at 24.6% PO . During HIIE, exercise was completed in 2 min work and recovery phases at 70%:10% PO . MICE and HIIE were isocaloric (115.9 ± 21.8 and 116.6 ± 35.0 kcal, respectively; p = 0.903), but differed in duration (39.8 ± 4.6 vs 32.2 ± 6.2 min; p < 0.001) and average respiratory exchange ratio (RER; 0.90 ± 0.08 vs 1.01 ± 0.07; p = 0.002). During MICE, a workrate of 24.6 ± 6.7% PO elicited a V̇O of 53.1 ± 6.5% V̇O (10.1 ± 2.2 ml kg  min ). During HIIE, a workrate at 70% PO elicited 88.3 ± 6.7% V̇O (16.9 ± 4.2 ml kg  min ), and 29.4 ± 7.7% of the session was spent at or above 80% V̇O . During HIIE working phase, RER declined from the first to last interval (1.08 ± 0.07 vs 0.98 ± 0.09; p < 0.001), reflecting an initially high but declining glycolytic rate. Compared with MICE, HIIE imposed a greater physiological stimulus while requiring less time to achieve a target caloric expenditure. Thus, exercise intensity might be an important consideration in the tailoring of exercise prescription to address the cardiometabolic comorbidities of SCI

Physiological responses to moderate intensity continuous and high-intensity interval exercise in persons with paraplegia

Study design: Randomized crossover. Objectives: To test differences in the duration and magnitude of physiological response to isocaloric moderate intensity continuous (MICE) and high-intensity interval exercise (HIIE) sessions in persons with spinal cord injury (SCI). Setting: Academic medical center in Miami, FL, USA. Methods: Ten adult men (mean ± s.d.; 39 ± 10 year old) with chronic (13.2 ± 8.8 year) paraplegia (T2–T10) completed a graded exercise test. Then, in a randomized order, participants completed MICE and HIIE for a cost of 120 kcal. MICE was performed at 24.6% PO peak. During HIIE, exercise was completed in 2 min work and recovery phases at 70%:10% PO peak. Results: MICE and HIIE were isocaloric (115.9 ± 21.8 and 116.6 ± 35.0 kcal, respectively; p = 0.903), but differed in duration (39.8 ± 4.6 vs 32.2 ± 6.2 min; p &lt; 0.001) and average respiratory exchange ratio (RER; 0.90 ± 0.08 vs 1.01 ± 0.07; p = 0.002). During MICE, a workrate of 24.6 ± 6.7% PO peak elicited a V̇O 2 of 53.1 ± 6.5% V̇O 2peak (10.1 ± 2.2 ml kg −1 min −1). During HIIE, a workrate at 70% PO peak elicited 88.3 ± 6.7% V̇O 2peak (16.9 ± 4.2 ml kg −1 min −1), and 29.4 ± 7.7% of the session was spent at or above 80% V̇O 2peak. During HIIE working phase, RER declined from the first to last interval (1.08 ± 0.07 vs 0.98 ± 0.09; p &lt; 0.001), reflecting an initially high but declining glycolytic rate. Conclusions: Compared with MICE, HIIE imposed a greater physiological stimulus while requiring less time to achieve a target caloric expenditure. Thus, exercise intensity might be an important consideration in the tailoring of exercise prescription to address the cardiometabolic comorbidities of SCI. </p

Carbohydrate vs protein supplementation for recovery of neuromuscular function following prolonged load carriage

<p>Abstract</p> <p>Background</p> <p>This study examined the effect of carbohydrate and whey protein supplements on recovery of neuromuscular function after prolonged load carriage.</p> <p>Methods</p> <p>Ten male participants (body mass: 81.5 ± 10.5 kg, age: 28 ± 9 years, <inline-formula><graphic file="1550-2783-7-2-i1.gif"/></inline-formula> O₂max: 55.0 ± 5.5 ml·kg^-1·min^-1) completed three treadmill walking tests (2 hr, 6.5 km·h^-1), carrying a 25 kg backpack consuming 500 ml of either: (1) Placebo (flavoured water) [PLA], (2) 6.4% Carbohydrate Solution [CHO] or (3) 7.0% Whey Protein Solution [PRO]. For three days after load carriage, participants consumed two 500 ml supplement boluses. Muscle performance was measured before and at 0, 24, 48 and 72 h after load carriage, during voluntary and electrically stimulated contractions.</p> <p>Results</p> <p>Isometric knee extension force decreased immediately after load carriage with no difference between conditions. During recovery, isometric force returned to pre-exercise values at 48 h for CHO and PRO but at 72 h for PLA. Voluntary activation decreased immediately after load carriage and returned to pre-exercise values at 24 h in all conditions (<it>P </it>= 0.086). During recovery, there were no differences between conditions for the change in isokinetic peak torque. Following reductions immediately after load carriage, knee extensor and flexor peak torque (60°·s^-1) recovered to pre-exercise values at 72 h. Trunk extensor and flexor peak torque (15°·s^-1) recovered to pre-exercise values at 24 h (<it>P </it>= 0.091) and 48 h (<it>P </it>= 0.177), respectively.</p> <p>Conclusion</p> <p>Recovery of neuromuscular function after prolonged load carriage is improved with either carbohydrate or whey protein supplementation for isometric contractions but not for isokinetic contractions.</p

Effects of exercise mode on postprandial metabolism in humans with chronic paraplegia:Exercise and postprandial metabolism in SCI

PURPOSE: The purpose of this study was to assess the acute effects of exercise mode and intensity on postprandial macronutrient metabolism.METHODS: Ten healthy men age 39 ± 10 yr with chronic paraplegia (13.2 ± 8.8 yr, ASIA A-C) completed three isocaloric bouts of upper-body exercise and a resting control. After an overnight fast, participants completed circuit resistance exercise (CRE) first and the following conditions in a randomized order, separated by &gt;48 h: i) control (CON), ~45-min seated rest; ii) moderate-intensity continuous exercise (MICE), ~40-min arm cranking at a resistance equivalent to ~30% peak power output (PPO); and iii) high-intensity interval exercise (HIIE), ~30 min arm cranking with resistance alternating every 2 min between 10% PPO and 70% PPO. After each condition, participants completed a mixed-meal tolerance test consisting of a 2510-kJ liquid meal (35% fat, 50% carbohydrate, 15% protein). Blood and expired gas samples were collected at baseline and regular intervals for 150 min after a meal.RESULTS: An interaction (P &lt; 0.001) was observed, with rates of lipid oxidation elevated above CON in HIIE until 60 min after a meal and in CRE at all postprandial time points up to 150 min after a meal. Postprandial blood glycerol was greater in MICE (P = 0.020) and CRE (P = 0.001) compared with CON. Furthermore, nonesterified fatty acid area under the curve had a moderate-to-strong effect in CRE versus MICE and HIIE (Cohen's d = -0.76 and -0.50, respectively).CONCLUSIONS: In persons with paraplegia, high-intensity exercise increased postprandial energy expenditure independent of the energy cost of exercise. Furthermore, exercise combining resistance and endurance modes (CRE) showed the greater effect on postprandial lipid oxidation.</p

Effects of exercise mode on postprandial metabolism in humans with chronic paraplegia:Exercise and postprandial metabolism in SCI

PURPOSE: The purpose of this study was to assess the acute effects of exercise mode and intensity on postprandial macronutrient metabolism.METHODS: Ten healthy men age 39 ± 10 yr with chronic paraplegia (13.2 ± 8.8 yr, ASIA A-C) completed three isocaloric bouts of upper-body exercise and a resting control. After an overnight fast, participants completed circuit resistance exercise (CRE) first and the following conditions in a randomized order, separated by >48 h: i) control (CON), ~45-min seated rest; ii) moderate-intensity continuous exercise (MICE), ~40-min arm cranking at a resistance equivalent to ~30% peak power output (PPO); and iii) high-intensity interval exercise (HIIE), ~30 min arm cranking with resistance alternating every 2 min between 10% PPO and 70% PPO. After each condition, participants completed a mixed-meal tolerance test consisting of a 2510-kJ liquid meal (35% fat, 50% carbohydrate, 15% protein). Blood and expired gas samples were collected at baseline and regular intervals for 150 min after a meal.RESULTS: An interaction (P < 0.001) was observed, with rates of lipid oxidation elevated above CON in HIIE until 60 min after a meal and in CRE at all postprandial time points up to 150 min after a meal. Postprandial blood glycerol was greater in MICE (P = 0.020) and CRE (P = 0.001) compared with CON. Furthermore, nonesterified fatty acid area under the curve had a moderate-to-strong effect in CRE versus MICE and HIIE (Cohen's d = -0.76 and -0.50, respectively).CONCLUSIONS: In persons with paraplegia, high-intensity exercise increased postprandial energy expenditure independent of the energy cost of exercise. Furthermore, exercise combining resistance and endurance modes (CRE) showed the greater effect on postprandial lipid oxidation

Skeleton sled velocity profiles:a novel approach to understand critical aspects of the elite athletes’ start phases

The development of velocity across the skeleton start is critical to performance, yet poorly understood. We aimed to understand which components of the sled velocity profile determine performance and how physical abilities influence these components. Thirteen well-trained skeleton athletes (&gt;85% of athletes in the country) performed dry-land push-starts alongside countermovement jump and sprint tests at multiple time-points. A magnet encoder attached to the sled wheel provided velocity profiles, which were characterised using novel performance descriptors. Stepwise regression revealed four variables (pre-load velocity, pre-load distance, load effectiveness, velocity drop) to explain 99% variance in performance (β weights: 1.70, –0.81, 0.25, –0.07, respectively). Sprint times and jump ability were associated (r ± 90% CI) with pre-load velocity (–0.70 ± 0.27 and 0.88 ± 0.14, respectively) and distance (–0.48 ± 0.39 and 0.67 ± 0.29, respectively), however, unclear relationships between both physical measures and load effectiveness (0.33 ± 0.44 and –0.35 ± 0.48, respectively) were observed. Athletes should develop accelerative ability to attain higher velocity earlier on the track. Additionally, the loading phase should not be overlooked and may be more influenced by technique than physical factors. Future studies should utilise this novel approach when evaluating skeleton starts or interventions to enhance performance