Biomedical subjects
Publications and source records attributed to R J Maughan.
Restoration of fluid balance after exercise-induced hypohydration avoids the detrimental effects of a body water deficit on subsequent exercise performance and physiological function. Key issues in restoring fluid balance are consumption of a volume of fluid greater than that lost in sweat and replacement of electrolyte losses, particularly sodium.
1. This study examined the effects of exercise and diet manipulation intended to alter initial muscle glycogen levels on the capacity to perform prolonged exercise at two ambient temperatures. 2. Six well-trained cyclists participated in randomized order in two diet and exercise regimens each lasting 8 days and comprising four cycle tests to exhaustion at 70 % of maximum oxygen uptake. On days 1 and 5, subjects exercised to exhaustion to deplete muscle glycogen. Three days after each depletion trial a diet providing 10 % (low carbohydrate (CHO)) or 80 % (high CHO) of energy as CHO was consumed, and each diet was followed by a performance trial at the same ambient temperature, either 10 or 30 C (days 4 and 8). This schedule was repeated after a week, but performance trials were carried out at the other ambient temperature. 3. In the cold, cycling time increased (median (range)) from 89.2 min (78.0-129.5 min) on the low CHO trial to 158.2 min (116.9-165.6 min) on the high CHO trial (P < 0.01). In the heat, cycling time increased from 44.0 min (31.8-51.4 min) on the low CHO trial to 53.2 min (50.2-82.2 min) on the high CHO trial (P = 0.02). Total CHO oxidized during exercise in the cold after the low CHO diet was higher than in the heat after either diet suggesting that exercise in the heat was terminated before all available CHO stores had been emptied.
This study was designed to examine the effects of alterations in dietary carbohydrate (CHO) intake on the performance of high-intensity exercise lasting approximately 10 min (EXP 1) and 30 min (EXP 2). Trained subjects exercised to exhaustion on four occasions on a cycle ergometer at 90% of maximal oxygen consumption (VO2max; EXP 1, n = 5) and 80% of VO2max (EXP 2, n = 7). The first two tests were familiarisation trials and were carried out following the subjects' normal diet. Normal training was continued but standardised during the periods of dietary control. The subsequent two tests were performed 2 weeks apart after 7 days of dietary manipulation. The two diets were a 70% and a 40% CHO diet, isoenergetic with each subject's normal diet and administered in a randomised order. At both exercise intensities, time to exhaustion following the high CHO and low CHO diets was not different [mean (SD) EXP 1: 11.56 (3.78) min and 8.95 (2.35) min, P = 0.22; EXP 2: 26.9 (7.4) min and 26.5 (6.5) min, P = 0.90]. No differences in resting blood metabolite concentrations were found apart from a lower beta-hydroxybutyrate (beta-HB) level following the high CHO diet in EXP 2. Blood lactate was higher after exercise at 90% of VO2max following the high CHO diet. Blood lactate was higher, and beta-HB lower during exercise at 80% of VO2max following the high CHO diet. No differences were found in the other blood metabolites tested. The respiratory exchange ratio after 15 min of exercise at 80% of VO2max was higher on the high CHO diet. No differences in oxygen uptake, heart rate (EXP 2) or ratings of perceived exertion (both experiments) were found between conditions. These results indicate that moderate changes in diet composition during training do not affect the performance of high-intensity exercise in trained individuals when the total energy intake is moderately high.
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PURPOSE: The purpose of the present study was to examine the responsiveness of serotonergic receptors in endurance trained and sedentary men. METHODS: The serum prolactin and cortisol responses to the oral administration of 30 mg of the serotonin releaser and reuptake inhibitor d-fenfluramine were determined in eight male endurance-trained subjects and seven male sedentary controls. RESULTS: A Friedman's repeated-measures test for both the endurance-trained (P = 0.006) and sedentary (P = 0.018) prolactin results demonstrated a change in the mean prolactin concentration over time, but no difference in prolactin response was observed between the subject groups (P = 0.81). In both subject groups, the serum cortisol concentration remained unchanged. However, the mean serum concentration of cortisol for the endurance-trained subjects at each time point tended to be lower than at the corresponding time point for the sedentary subject group and was significantly lower at 180 min (P = 0.04). CONCLUSION: The present study suggests that, in contrast to an earlier report of down-regulation of 5-HT1A receptor function in endurance-trained subjects in response to a nonspecific challenge, postsynaptic 5-HT2 function as determined by the d-fenfluramine-evoked alteration in the plasma concentration of prolactin is not altered by endurance training.
METHODS: After a familiarization period, six well-trained males participated in a diet and exercise regimen lasting 9 d and comprising three cycling tests to exhaustion. A work rate was selected during the familiarization period that would result in fatigue after approximately 90-100 min at an ambient temperature of 10 degrees C (i.e., approximately 75% of VO2max). The first exercise test was a depletion trial and was preceded by a period during which the subjects' normal diet was consumed. A prescribed 70% carbohydrate (CHO) diet was then consumed for 3.5 d. After this diet, a second exercise test was performed; one of two isoenergetic experimental meals was consumed 4 h before this test (70% CHO meal, CHO trial; or 90% fat meal, fat trial). The second exercise test was followed by a further 3.5-d period on the high CHO diet. Four hours before the third test, subjects consumed the other meal. Heparin was administered intravenously 30 min (1000 U), 15 min (500 U), and 0 min (500 U) before exercise on the fat trial. Subjects were assigned to the two meals in randomized order. RESULTS: Time to exhaustion increased from 118.2 (12.4) min on the CHO trial to 127.9 (12.1) min on the fat trial (P = 0.001). Although no difference in VO2, RER, HR or RPE was found between trials, there was an earlier reduction in RER and an earlier rise in RPE on the fat trial. No difference in total CHO oxidation was found between trials (383 +/- 70 g on the CHO trial and 362 +/- 59 g on the fat trial). CONCLUSIONS: These results suggest that increasing fat availability immediately before exercise by acute fat feeding and heparin infusion can improve endurance exercise in a cool environment in well-trained individuals. This study was not intended to have immediate application to the sports performance field but rather to contribute to our understanding of the factors that may limit endurance performance. Heparin injection to elevate plasma fatty acid concentration would not represent sound medical practice.
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The cause of fatigue during prolonged exercise in the heat has not been clearly established, but performance appears to be limited by thermoregulatory and fluid balance factors. Both dehydration and hyperthermia separately impair performance. Prior acclimation reduces the impact of heat, and ingestion of fluids also improves performance. Ingested fluids should contain carbohydrate and some electrolytes, primarily sodium, but many factors will dictate the choice of fluids. These include the relative need for carbohydrate to supplement endogenous stores, the need for fluid replacement, the limitations on replacement imposed by the nature of the event, and the athlete's own requirements and preferences.
Fluid replacement during exercise is essential for endurance exercise performance and reducing the risk of heat illness. Fluids supply water, which ameliorates dehydration, and also substrate for the working muscles. Absorption of water and nutrients occurs in the upper part of the small intestine, and replacement may be limited by the rate at which fluid is emptied from the stomach or absorbed in the intestine. Gastric emptying of liquids is influenced primarily by the volume of fluid in the stomach and by its energy density. Increasing the volume will speed emptying, but increasing the nutrient content will slow emptying. Osmolality, temperature, and pH of drinks, as well as exercise intensity, are of minor importance. Intestinal water absorption is a passive process: water follows osmotic gradients but will also follow the active absorption of nutrients, especially glucose, which is actively co-transported with sodium. Water transport is maximised by the presence in the intestine of hypotonic solutions of glucose and sodium. Hypertonic solutions promote net water secretion into the intestinal lumen, resulting in a temporary net loss of water from the body. The amount of fluid ingested by athletes is normally much less than can be tolerated, therefore issues such as palatability and practising drinking during training are important.
Many micronutrients play key roles in energy metabolism and, during strenuous physical activity, the rate of energy turnover in skeletal muscle may be increased up to 20-100 times the resting rate. Although an adequate vitamin and mineral status is essential for normal health, marginal deficiency states may only be apparent when the metabolic rate is high. Prolonged strenuous exercise performed on a regular basis may also result in increased losses from the body or in an increased rate of turnover, resulting in the need for an increased dietary intake. An increased food intake to meet energy requirements will increase dietary micronutrient intake, but athletes in hard training may need to pay particular attention to their intake of iron, calcium and the antioxidant vitamins.
Deuterium oxide (2H2O) has been added to drinks as a tracer for water to estimate the availability to the body water pool of ingested fluids, but doubts have been raised as to the reliability of the method. The present investigation evaluated the effects of systematic variations in the volume of fluid consumed and the amount and concentration of added tracer on the rate of accumulation of tracer in arterialized blood after ingestion of a labelled drink. Three separate experiments were undertaken. In expt 1, six healthy men ingested on separate occasions 200, 400 and 800 ml of a dilute glucose-electrolyte solution: all test drinks contained the same concentration (40 g l-1) of 2H2O. In expt 2, six healthy men ingested 200, 400 and 800 ml of the same glucose-electrolyte drink: each drink contained 8 g of 2H2O so that the concentration, but not the amount, of 2H2O differed between treatments. In expt 3, six healthy men ingested 400 ml of the same drink on three separate occasions: each drink contained 8, 16 or 32 g of tracer so that amount and concentration of 2H2O both varied. Arterialized venous blood samples were collected for the determination of deuterium (2H) concentration before ingestion of the test drink and at intervals for 120 min after ingestion. All trials for each of the experiments were conducted in the morning after an overnight fast and trials were in randomized order and separated by 7 days. In expt 1, the blood 2H concentration at all time points from 2 min after ingestion of the test drink onwards was higher for the drink containing 32 g 2H2O than for the drink containing 16 g 2H2O, which in turn was higher than after ingestion of the drink containing 8 g of 2H2O. In expt 2, no significant differences between treatments were observed at any time. In expt 3, the rate of 2H accumulation was greater after ingestion of the drink containing 32 g of 2H2O than after either of the other two drinks, and the 2H accumulation rate was greater after ingestion of the drink containing 16 g of 2H2O than after the drink containing 8 g of 2H2O. When data from all three experiments were combined, significant correlations were observed between the rate of accumulation of 2H in the circulation (p.p.m. min-1) and the amount (rs = 0.75, P < 0001) and concentration (rs = 0.69, P < 0001) of 2H2O in the test drink, but there was no relationship (rs = 0.09, P = 0.5) between the rate of 2H accumulation in the blood and the volume of the drink consumed. The results suggest that the rate of tracer accumulation in the blood after ingestion of different volumes of test drinks is not a reliable indication of the availability of the ingested fluid, but that the method gives at least a qualitative measure of the sum of the effects of gastric emptying and intestinal water absorption.
A number of peripheral indices of serotonergic function were examined in endurance-trained (ET) and sedentary males using the blood platelet as a model of the serotonergic neurone. The aim of the study was to investigate possible involvement and adaptation of the central serotonergic system in exercise-induced fatigue. The [3H] paroxetine-defined density of platelet serotonin transporters, platelet serotonin content and the plasma concentration of amino acids were determined in 10 ET and eight sedentary males. The mean (standard deviation) density of the serotonin transporter in the platelet membranes of the ET subjects was greater [1237 (182) fmol mg protein-1] than that of the sedentary subjects [910 (119) fmol mg protein-1; P = 0.013]. No difference (P = 0.51) could be seen between the median (range) platelet serotonin content of the ET subjects [0.98 (0.37-3.04) nmol platelet-10] and that of the sedentary subjects [0.82 (0.18-1.49) nmol platelet-10]. The platelet poor plasma concentrations of tryptophan and tyrosine were lower in the ET subjects (P = 0.028 and 0.015, respectively). The present study suggests that the platelet membrane of the ET subjects has a greater density of the serotonin transporter and that this is inversely related to the circulating concentration of the serotonin precursor, tryptophan. It remains to be resolved whether the increase in serotonin transporter density in the platelet membrane of ET subjects is reflected centrally and whether the ET platelet population may be sufficiently different from that of sedentary individuals to alter serotonin transporter density.
The present study examined the hypothesis that creatine (Cr) supplementation can increase the performance of isometric exercise in subjects engaged in a strength training program. Ten male subjects were tested in three experimental trials 7 days apart (days 1, 8 and 15). In each trial the subjects' maximum voluntary force of contraction (MVC) was measured in both legs and isometric endurance capacity at 80, 60, 40 and 20% of MVC of their stronger leg (knee extensor group) was measured with a 4-min rest between contractions. Additionally, the subjects' isometric endurance capacity at 80% of MVC of their weaker leg was measured in 10 repeated bouts interspersed with 2-min rest. A double-blind cross-over design was adopted for administering Cr or placebo. Subjects were randomized into either the Cr-placebo (Group A: days 2-6: 10 g day-1 of Cr; days 9-13: 10 g day-1 of glucose polymers) or the placebo-Cr group (Group B reverse supplementation order). The daily diet was analysed, and urine samples from 24-h collections were subjected to Cr and creatinine analysis. In each subject, approximately 18 g (35%) of Cr was eliminated in the urine during the Cr supplementation period. MVC increased by about 10% (P < 0.01 in the weaker leg, P < 0.05 in the stronger leg) and body mass increased by 1.7 +/- 0.4 kg (2.3%, P < 0.01) and 1.8 +/- 0.3 kg (2.1%, P < 0.01) in groups A and B, respectively, after Cr supplementation, while energy intake and diet composition remained constant throughout the study. The subjects' endurance capacity increased (P < 0.05) in all the bouts after Cr supplementation. Muscle hypertrophy in response to Cr supplementation and weight training may explain the findings of the present study.
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The short papers collected together here provide a concise but comprehensive summary of the key issues relating to exercise in the heat. This Conference was the first major international meeting devoted solely to the physiological challenge of extreme exercise in the heat and the strategies that can be implemented to minimise the impact of heat and humidity on exercise performance. Each of the key issues was covered by a recognised expert in the field, and state of the art information summarised. These few concluding remarks highlight some of the major issues covered.
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PURPOSE: The purpose of this study was to determine a quick and easy method for assessment of day-to-day hydration status in athletes in the heat. METHODS: Measurement of the osmolality of the first urine sample of the day collected after wakening but before breakfast established a standardized collection procedure to allow day-to-day comparisons of individuals. RESULTS: Laboratory measurements established that a difference in osmolality is found when individuals are dehydrated by a moderate extent in comparison with an euhydrated situation: the osmolality of the first morning urine sample of control subjects (N = 11) averaged over 5 d was 675 (+/- 232) mosmol.kg-1 (mean +/- SD). For subjects who were hypohydrated by exercise followed by fluid restriction, morning urine osmolality was 924 (+/- 99) mosmol.kg-1 (P < 0.001, N = 11, averaged over 7 d). Field measurements from 29 athletes undertaking warm weather training indicated that the athletes could, with appropriate feedback, maintain a satisfactory hydration status. Athletes in weight category sports tended to record a higher morning urine osmolality, reflecting their attempts to dehydrate: recorded values were 627 (+/- 186) mosmol.kg-1 (nonweight category sports, N = 8), 775 (+/- 263) mosmol.kg-1 (boxers, N = 15) and 777 (+/- 254) mosmol.kg-1 (wrestlers, N = 6). Results obtained with a hand-held portable conductivity were compared with those from measured osmolality. CONCLUSIONS: The findings suggest that such an instrument could provide athletes with reliable information as to their hydration status from measurement of the first morning urine of the day and therefore provide a quick and easy method for achieving an approximation of hydration status from day-to-day.
During prolonged exercise in a cold environment, fatigue is generally associated with a depletion of endogenous glycogen stores. This has lead many authors to hypothesize that the carbohydrate (CHO) content of fluids ingested in cool environments should be high, yet this hypothesis has not been specifically examined. In the present study, six healthy males cycled to exhaustion at approximately 80% of their maximum oxygen consumption (V2O,max) with either no drink (ND), a 15% CHO-electrolyte drink (15% CHO) or a 2% CHO electrolyte drink (2% CHO). Dietary intake and exercise were replicated 2 days prior to each trial. Mean (S.D.) ambient temperature was 10.0 (0.3) degrees C with a relative humidity of 72 (2) % and an air velocity of approximately 0.7 m s(-1) on all trials. Weighted mean skin temperature was calculated, and rectal temperature and heart rate were recorded at rest, during exercise and at exhaustion. Venous samples were drawn before and during exercise and at exhaustion for determination of haemoglobin, haematocrit, blood metabolites and serum electrolytes and osmolality. Expired air was collected for calculation of VO2 and respiratory exchange ratio which were used to estimate rates of fuel oxidation. Ratings of perceived exertion (RPE) were also obtained. Exercise capacity was not different (P=0.49) between trials, with median (range) times to exhaustion of 90.6 (66.8-106.0), 97.7 (60.9-112.0) and 102.0 (77.1-170.7) min for the ND, 15% CHO and 2% CHO trials, respectively. The 15% CHO drink significantly (P < 0.05) elevated blood glucose concentration and total CHO oxidation compared with the ND trial. The 2% CHO drink significantly (P < 0.05) reduced the estimated change in plasma volume and resulted in a lower serum osmolality than the other two trials. No differences were observed in any thermoregulatory or cardiorespiratory responses between trials. These data suggest that maintenance of blood-borne substrate and/or plasma volume does not influence exercise capacity in the cold, as is commonly reported during this type and intensity of exercise in warmer environments.