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T D Noakes

Publications and source records attributed to T D Noakes.

At least 73 records · Page 4Linked to original sources

Dose-related elevations in venous pH with citrate ingestion do not alter 40-km cycling time-trial performance.

The purpose of the current investigation was to determine whether sodium citrate enhances endurance cycling performance and, if so, what dosage(s) produces this effect. Eight trained [peak power output: 362 (48) W; power:weight: 5.1 (0.4) W x kg(-1), mean (SD)] male cyclists were requested to complete four, 40-km time-trials, each separated by 3-7 days, on their own bicycles, mounted on a Kingcycle ergometer. To mimic the stochastic nature of cycle road races, the time-trials included four 500-m, four 1-km and two 2-km sprints. The experimental conditions involved the ingestion of three dosages of sodium citrate dissolved in 400 ml water: 0.2 g x kg(-1), 0.4 g x kg(-1) and 0.6 g x kg(-1) body mass (b.m.) and a placebo (calcium carbonate, 0.1 g x kg(-1) b.m.). Subjects were asked to complete both the sprints and total distance in the fastest time possible. Venous blood samples were collected before, as well as at 10-km intervals during the trials for the analysis of plasma lactate and glucose concentrations and for the measurement of blood pH and PCO2 levels. Immediately before, as well as during exercise, pH was significantly higher in the group ingesting the highest citrate dose (range 7.36-7.45) compared to the placebo (range 7.31-7.39) and the two lower citrate dosages. Despite this, no significant differences in power output (P = 0.886) or time taken to complete the 40 km (P = 0.754) were measured between the four trials. The average performance times (in min:s, with SD in parentheses) and average power output (in W) for the 40-km time-trials were: 58:46 (5:06) [265 (62) W], 60:24 (6:07) [251 (59) W], 61:47 (5:07) [243 (44) W] and 60:02 (5.05) [255 (55) W] for the 0.2, 0.4, 0.6 g x kg(-1) b.m. sodium citrate and placebo trials, respectively. There were also no significant differences measured between treatments in terms of time, power output, speed or heart rate during the 500-m, 1-km and 2-km sprints. The ingestion of increasing sodium citrate dosages before exercise produced dose-dependent changes in pH, base excess and HCO3- concentrations before and during the 40-km time-trial. However, these changes influenced neither the time-trial time nor the sprinting performance times.

Bicarbonates↗

Advantages of smaller body mass during distance running in warm, humid environments.

The purpose of this study was to examine the extent to which lighter runners might be more advantaged than larger, heavier runners during prolonged running in warm humid conditions. Sixteen highly trained runners with a range of body masses (55-90 kg) ran on a motorised treadmill on three separate occasions at 15, 25 or 35 degrees C, 60% relative humidity and 15 km x h(-1) wind speed. The protocol consisted of a 30-min run at 70% peak treadmill running speed (sub-max) followed by a self-paced 8-km performance run. At the end of the submax and 8-km run, rectal temperature was higher at 35 degrees C (39.5+/-0.4 degrees C, P<0.05) compared with 15 degrees C (38.6+/-0.4 degrees C) and 25 degrees C (39.1+/-0.4 degrees C) conditions. Time to complete the 8-km run at 35 degrees C was 30.4+/-2.9 min (P<0.05) compared with 27.0+/-1.5 min at 15 degrees C and 27.4+/-1.5 min at 25 degrees C. Heat storage determined from rectal and mean skin temperatures was positively correlated with body mass (r=0.74, P<0.0008) at 35 degrees C but only moderately correlated at 25 degrees C (r=0.50, P<0.04), whereas no correlation was evident at 15 degrees C. Potential evaporation estimated from sweat rates was positively associated with body mass (r=0.71, P<0.002) at 35 degrees C. In addition, the decreased rate of heat production and mean running speed during the 8-km performance run were significantly correlated with body mass (r=-0.61, P<0.02 and r=-0.77, P<0.0004, respectively). It is concluded that, compared to heavier runners, those with a lower body mass have a distinct thermal advantage when running in conditions in which heat-dissipation mechanisms are at their limit. Lighter runners produce and store less heat at the same running speed; hence they can run faster or further before reaching a limiting rectal temperature.

Blood Volume↗

Different neuromuscular recruitment patterns during eccentric, concentric and isometric contractions.

Aim. The purpose of this study was to determine the neuromuscular fatigue profiles during 100 s isometric (ISO), concentric (CON), and eccentric (ECC) activity.Methods. Twelve subjects (age 25.1+/-3.7 years, mass 70.1+/-8.2 kg, mean+/-SD) performed ISO, CON and ECC maximal voluntary contractions and 100 s endurance trials on an isokinetic dynamometer. Raw EMG data were recorded throughout each trial from the rectus femoris of the right limb. Corresponding data for integrated electromyography (IEMG), percentile frequency shifts (MPFS) and peak torque output were divided into five 5 s epochs and subsequently normalised with the first epoch being the reference point, in order to assess changes over time.Results. There were no significant differences between ECC, CON and ISO peak torque output (211+/-63 vs 169+/-41 vs 177+/-61 Nm; ECC, CON, ISO) and IEMG activity (280+/-143 vs 305+/-146 vs 287+/-143 mV; ECC, CON, ISO) during maximal contractions. Serial reductions in torque output were greatest in ISO in which torque output during the final epoch was 31+/-13% of initial values, similar to the final torque values in CON (58+/-15%), but significantly less than ECC (108.6+/-38.6%; P<0. 001) values. In CON and ECC, IEMG was maintained (95+/-27% and 93+/-21%; CON and ECC), whereas IEMG for ISO decreased to 38+/-13% of initial values. The greatest reduction in MPFS occurred in CON (69+/-10%) compared to ISO (78+/-9%; P<0.05) and ECC (93+/-6%; P<0.001).Conclusion. These data demonstrate distinct neuromuscular fatigue profiles for the different types of muscle contraction. Whereas eccentric activity was largely fatigue resistant, isometric and concentric contractions displayed different neuromuscular fatigue profiles.

Adult↗

Physiological models to understand exercise fatigue and the adaptations that predict or enhance athletic performance.

A popular concept in the exercise sciences holds that fatigue develops during exercise of moderate to high intensity, when the capacity of the cardiorespiratory system to provide oxygen to the exercising muscles falls behind their demand inducing "anaerobic" metabolism. But this cardiovascular/anaerobic model is unsatisfactory because (i) a more rigorous analysis indicates that the first organ to be affected by anaerobiosis during maximal exercise would likely be the heart, not the skeletal muscles. This probability was fully appreciated by the pioneering exercise physiologists, A. V Hill, A. Bock and D. B. Dill, but has been systematically ignored by modern exercise physiologists; (ii) no study has yet definitely established the presence of either anaerobiosis, hypoxia or ischaemia in skeletal muscle during maximal exercise; (iii) the model is unable to explain why exercise terminates in a variety of conditions including prolonged exercise, exercise in the heat and at altitude, and in those with chronic diseases of the heart and lungs, without any evidence for skeletal muscle anaerobiosis, hypoxia or ischaemia, and before there is full activation of the total skeletal muscle mass, and (iv) cardiovascular and other measures believed to relate to skeletal muscle anaerobiosis, including the maximum oxygen consumption (VO2 max) and the "anaerobic threshold", are indifferent predictors of exercise capacity in athletes with similar abilities. This review considers four additional models that need to be considered when factors limiting either short duration, maximal or prolonged submaximal exercise are evaluated. These additional models are: (i) the energy supply/energy depletion model; (ii) the muscle power/muscle recruitment model; (iii) the biomechanical model and (iv) the psychological model. By reviewing features of these models, this review provides a broad overview of the physiological, metabolic and biomechanical factors that may limit exercise performance under different exercise conditions. A more complete understanding of fatigue during exercise, and the relevance of the adaptations that develop with training, requires that the potential relevance of each model to fatigue under different conditions of exercise must be considered.

Adaptation, Physiological↗

Oral creatine supplementation decreases plasma markers of adenine nucleotide degradation during a 1-h cycle test.

We investigated the effect of oral creatine supplementation (20 g d(-1) for 7 days) on metabolism during a 1-h cycling performance trial. Twenty endurance-trained cyclists participated in this double-blind placebo controlled study. Five days after familiarization with the exercise test, the subjects underwent a baseline muscle biopsy. Thereafter, a cannula was inserted into a forearm vein before performing the baseline maximal 1-h cycle (test 1 (T1)). Blood samples were drawn at regular intervals during exercise and recovery. After creatine (Cr) loading, the muscle biopsy, 1-h cycling test (test 2 (T2)) and blood sampling were repeated. Resting muscle total creatine (TCr), measured by high performance liquid chromatography, was increased (P < 0.001) in the creatine group from 123.0 +/- 3.8 - 159.8 +/- 7.9 mmol kg(-1) dry wt, but was unchanged in the placebo group (126.7 +/- 4.7 - 127.5 +/- 3.6 mmol kg(-1) dry wt). The extent of Cr loading was unrelated to baseline Cr levels (r=0.33, not significant). Supplementation did not significantly improve exercise performance (Cr group: 39.1 +/- 0.9 vs. 39.8 +/- 0.8 km and placebo group: 39.3 +/- 0.8 vs. 39.2 +/- 1.1 km) or change plasma lactate concentrations. Plasma concentrations of ammonia (NH(3)) (P < 0.05) and hypoxanthine (Hx) (P < 0.01) were lower in the Cr group from T1 to T2. Our results indicate that Cr supplementation alters the metabolic response during sustained high-intensity submaximal exercise. Plasma data suggest that nett intramuscular adenine nucleotide degradation may be decreased in the presence of enhanced intramuscular TCr concentration even during submaximal exercise.

Adenine Nucleotides↗

Exercise and the cold.

The generation of heat by the human body has been likened to that of a furnace. In response to winter conditions or prolonged immersion in cold water, heat may be lost from the body more quickly than it is produced leading to hypothermia. Various factors, environmental and individual, predispose a person to hypothermia when walking on dry land or during cold water immersion. Retention of the insulating properties of the clothing worn is of crucial importance in protecting against cold injury both on land and in water. Anthropometric characteristics and behavioural and physiological responses also influence the probability of survival under these conditions. Practical recommendations for behaviour that will enhance survival during prolonged exposure to cold on land or to immersion in cold water are considered.

Body Composition↗

Physiological requirements of cricket.

Despite its long history and global appeal, relatively little is known about the physiological and other requirements of cricket. It has been suggested that the physiological demands of cricket are relatively mild, except in fast bowlers during prolonged bowling spells in warm conditions. However, the physiological demands of cricket may be underestimated because of the intermittent nature of the activity and the generally inadequate understanding of the physiological demands of intermittent activity. Here, we review published studies of the physiology of cricket. We propose that no current model used to analyse the nature of exercise fatigue (i.e. the cardiovascular-anaerobic model, the energy supply-energy depletion model, the muscle power-muscle recruitment model) can adequately explain the fatigue experienced during cricket. A study of players in the South African national cricket team competing in the 1999 Cricket World Cup revealed that, in a variety of measures of explosive ('anaerobic') power and aerobic endurance capacity, they were as 'fit' as South African national rugby players competing in the 1999 Rugby World Cup. Yet, outwardly, the physiological demands of rugby would seem to be far greater than those of cricket. This poses the question: 'Why are these international cricketers so fit if the physiological demands of cricket are apparently so mild?' One possibility is that this specific group of athletes are unusually proficient in a variety of sports; many achieved high standards of performance in other sports, including rugby, before choosing to specialize in cricket. Hence their apparently high fitness may simply reflect a superior genetic physical endowment, necessary to achieve success in modern international sports, including cricket. Alternatively, it could be hypothesized that superior power and endurance fitness may be required to cope with the repeated eccentric muscle contractions required in turning and in bowling and which may account for fatigue and risk of injury in cricket. If this is the case, the fitness of cricketers may be increased and their risk of injury reduced by more specific eccentric exercise training programmes.

Anaerobic Threshold↗

Prediction of triathlon race time from laboratory testing in national triathletes.

PURPOSE: Four days after competing in an Olympic-distance National Triathlon Championship (1500-m swim, 40-km cycle, 10-km run), five male and five female triathletes underwent comprehensive physiological testing in an attempt to determine which physiological variables accurately predict triathlon race time. METHODS: All triathletes underwent maximal swimming tests over 25 and 400 m, the determination of peak sustained power output (PPO) and peak oxygen uptake (VO2peak) during an incremental cycle test to exhaustion, and a maximal treadmill running test to assess peak running velocity and VO2peak. In addition, submaximal steady-state measures of oxygen uptake (VO2), blood [lactate], and heart rate (HR) were determined during the cycling and running tests. RESULTS: The five most significant (P < 0.01) predictors of triathlon performance were blood lactate measured during steady-state cycling at a workload of 4 W x kg(-1) body mass (BM) (r = 0.92), blood lactate while running at 15 km x h(-1) (r = 0.89), PPO (r = 0.86), peak treadmill running velocity (r = 0.85), and VO2peak during cycling (r = 0.85). Stepwise multiple regression analysis revealed a highly significant (r = 0.90, P < 0.001) relationship between predicted race time (from laboratory measures) and actual race time, from the following calculation: race time (s) = - 129 (peak treadmill velocity [km x h(-1)]) + 122 ([lactate] at 4 W x kg(-1) BM) + 9456. CONCLUSION: The results of this study show that race time for top triathletes competing over the Olympic distance can be accurately predicted from the results of maximal and submaximal laboratory measures.

Adult↗

Effect of fluid intake volume on 2-h running performances in a 25 degrees C environment.

PURPOSE: In this study, we examined the effects of greater than ad libitum rates of fluid intake on 2-h running performances. METHODS: Eight male distance runners performed three runs on a treadmill at 65% of peak oxygen uptake (VO2peak) for 90 min and then ran "as far as possible" in 30 min in an air temperature of 25 degrees C, a relative humidity of 55% and a wind speed of 13-15 km x h(-1). During the runs, the subjects drank a 6.9% carbohydrate (CHO)-electrolyte solution either ad libitum or in set volumes of 150 or 350 mL x 70 kg(-1) body mass (approximately 130 or 300 mL) every 15-20 min. RESULTS: Higher (approximately 0.9 vs 0.4 L x h(-1)) rates of fluid intake in the 350 mL x 70 kg(-1) trial than in the other trials had minimal effects on the subjects' urine production (approximately 0.1 L x h(-1)), sweat rates (approximately 1.2 L x h(-1)), declines in plasma volume (approximately 8%), and rises in serum osmolality (approximately 5 mosmol x L(-1)) and Na+ concentrations (approximately 7 mEq x L(-1)). A greater (approximately 1.0 vs 0.5 g x min(-1)) rate of CHO ingestion in the 350 mL x 70 kg(-1) trial than in the other trials also did not affect plasma concentrations of glucose (> or = 5 mmol x L(-1)) and lactate (approximately 3 mmol x L(-1)) during the performance runs. In all three performance runs, increases in running speeds from approximately 14 to 15-16 km x h(-1) and rises in exercise intensities from approximately 65% to 75% of VO2peak elevated plasma lactate concentrations from approximately 1.5 to 3 mmol x L(-1) and accelerated CHO oxidation from approximately 13 to 15 mmol x min(-1). The only effect of the additional intake of approximately 1.0 L of fluid in the 350 mL x 70 kg(-1) trial was to produce such severe gastrointestinal discomfort that two of the eight subjects failed to complete their performance runs. CONCLUSION: Greater rates of fluid ingestion had no measurable effects on plasma volume and osmolality and did not improve 2-h running performances in a 25 degrees C environment.

Abdominal Pain↗

Diagnosis and prevention of hyponatremia at an ultradistance triathlon.

OBJECTIVE: To evaluate a method of medical care at an ultradistance triathlon, with the aim of reducing the incidence of hyponatremia. DESIGN: Descriptive research. SETTING: New Zealand Ironman triathlon (3.8 km swim, 180 km cycle, 42.2 km run). PARTICIPANTS: 117 of 134 athletes seeking medical care after the triathlon (involving 650 race starters). INTERVENTIONS: A prerace education program on appropriate fluid intake was undertaken. The number of support stations was decreased to reduce the availability of fluid. A body weight measurement before the race was introduced as a compulsory requirement, so that weight change during the race could be included in the triage assessment. An on-site laboratory was established within the race medical tent. MAIN OUTCOME MEASURES: Numbers of athletes and diagnoses, including the incidence of symptomatic hyponatremia (defined as symptoms of hyponatremia in association with a pretreatment plasma sodium concentration [Na] < 135 mmol/L); weight changes; and changes in [Na]. RESULTS: The common diagnoses in the 117 athletes receiving attention were exercise-associated collapse (27%), musculoskeletal complaints (26%), and dehydration (12%). There was a significant reduction in the number of athletes receiving medical care for hyponatremia, from 25 of the 114 athletes who received care in 1997 (3.8% of race starters) to 4 of the 117 athletes who received care in 1998 (0.6% of race starters). Mean weight change among athletes in the 1998 race was -3.1 kg, compared with -2.6 kg in 1997. CONCLUSION: A preventive strategy to decrease the incidence of hyponatremia, including education on fluid intake and appropriate placement of support stations, was associated with a decrease in the incidence of symptomatic hyponatremia.

Bicycling↗

Comparative effects of zopiclone and loprazolam on psychomotor and physical performance in active individuals.

OBJECTIVE: Sedative hypnotics are used by athletes to alleviate precompetition anxiety and insomnia. The effects of these agents on exercise tolerance have not been extensively researched. DESIGN: To determine the effects of sedative hypnotics on psychomotor and physical performance, a double-blind, placebo- (P) controlled, cross-over designed trial investigated the effects of zopiclone (Z) and loprazolam (L) on performance in 12 athletes. INTERVENTION: Subjects ingested either P, Z (7.5 mg), or L (2 mg) on three different occasions separated by a 1-week washout period. Eye-hand coordination tests, a 30-m sprint test, an agility test, and a graded treadmill run to exhaustion for determination of VO2max were performed 10 hours after drug administration. RESULTS: Subjects reported a significantly greater hangover effect following ingestion of L (8/11 subjects) compared with ingestion of Z (3/11 subjects; p < 0.01). A greater number of subjects felt alert after ingestion of P (9/11 subjects) and Z (9/11 subjects) compared with L (4/11 subjects; p < 0.01). The results of the eye-hand coordination tests, the 30-m sprint, the T-test, the VO2max, and the time to exhaustion during the treadmill run were not significantly altered following the ingestion of P, Z, and L. There was a significant difference between the delta values for Z and L for the number of missed responses in the eye-hand coordination tests (p < 0.02). Therefore, following the ingestion of L, subjects experienced a significant hangover effect and altered reaction time, whereas the ingestion of Z did not significantly impair either psychomotor or physical performance in the administered tests. CLINICAL RELEVANCE: Investigate the extent of the effects of sedative hypnotics on exercise performances, enabling team physicians to prescribe such drugs to the athlete more effectively.

Adult↗

Changes in muscle power and neuromuscular efficiency after a 40-minute downhill run in veteran long distance runners.

OBJECTIVE: To establish whether there was a relationship between the total accumulated distances of racing in veteran runners and the neuromuscular efficiency of the quadriceps muscles before and after a downhill run. SETTING: University of Cape Town, Sports Science Institute of South Africa. PARTICIPANTS: Twenty male veteran long distance runners (45-50 years of age) with a range of training (1,300 km to 111,280 km) and racing (0 km to 9,737 km) experience. INTERVENTION: A 40-minute downhill run (-10% decline) on a treadmill, at a speed corresponding to 70% of the subject's peak treadmill running speed. MAIN OUTCOME MEASURES: The difference between integrated electromyography (IEMG)/mean force over a 5 s maximal voluntary isometric contraction before and after the downhill run was calculated as the delta (delta) neuromuscular efficiency. This was related to the total kilometers trained, current training distance, total kilometers raced, and number of races > 56 km. The difference in drop jump height before and after the downhill run was measured as well as changes in heart rate throughout the run. RESULTS: There was a significant curvilinear relationship between the delta neuromuscular efficiency and total kilometers raced (R2 = 0.53, p < 0.05), and a significant inverse relationship between delta neuromuscular efficiency and the number of races > 56 km (r = -0.50, p < 0.05). Drop jump height decreased after the downhill run, and heart rate increased during the run. CONCLUSIONS: Runners who have raced an accumulated distance of > 5,000 km show a significant dissociation in the delta neuromuscular efficiency after a downhill run, compared with less experienced runners. Although possible causes for the dissociation are discussed, further research is needed.

Anthropometry↗

A prospective study of exercise-associated hyponatremia in two ultradistance triathletes.

OBJECTIVE: To study fluid and sodium balance in two ultradistance triathletes. DESIGN: Prospective case study. SETTING: An ultradistance triathlon (3.8 km swim, 180 km cycle, 42.2 km run), and during overnight recovery. Ambient air temperature at 12:00 p.m. race day was 21 degrees C, with a relative humidity of 91%. Water temperature was 20.7 degrees C. SUBJECTS: Two female ultradistance triathletes, ages 30 and 39 years, who were participating in a larger study investigating weight and electrolyte changes in the Ironman triathlon. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Subjects were weighed and had blood drawn for serum sodium concentration, hemoglobin, hematocrit, arginine vasopressin, and aldosterone concentration prior to and after the race, and at 8:00 a.m. the following morning. Sodium and fluid intake and urinary output were measured during recovery. RESULTS: Both subjects developed mild hyponatremia (Na 131 and 130 mmol/L) during the race, with a weight gain (0.5 and 1.5 kg). Neither subject had large sodium losses (24 mmol and 20 mmol). Fluid consumption was 733 ml/h and 764 ml/h. Plasma volume increased during the race (25 and 16%). Arginine vasopressin (AVP) levels were not elevated in either subject (1.2 and 1.9 pmol/L). Both subjects demonstrated a water excess during the race (1.5 and 2.5 L), and lost weight during recovery (2.0 and 4.5 kg). CONCLUSIONS: Hyponatremia resulted from fluid retention in the extracellular space, without evidence of large sodium losses or inappropriate AVP secretion.

Adult↗

Exercise-induced hyponatremia in ultradistance triathletes is caused by inappropriate fluid retention.

OBJECTIVE: To study fluid and sodium balance during overnight recovery following an ultradistance triathlon in hyponatremic athletes compared with normonatremic controls. CASE CONTROL STUDY: Prospective descriptive study. SETTING: 1997 New Zealand Ironman Triathlon (3.8 Km swim, 180 Km cycle, 42.2 Km run). PARTICIPANTS: Seven athletes ("subjects") hospitalized with hyponatremia (median sodium [Na] = 128 mmol L(-1)). Data were compared with measurements from 11 normonatremic race finishers ("controls") (median sodium = 141 mmol L(-1)). INTERVENTIONS: None. MAIN OUTCOME MEASURES: Athletes were weighed prior to, immediately after, and on the morning after, the race. Blood was drawn for sodium, hemoglobin, and hematocrit immediately after the race and the following morning. Plasma concentrations of arginine-vasopressin (AVP) were also measured post race. RESULTS: Subjects were significantly smaller than controls (62.5 vs. 72.0 Kg) and lost less weight during the race than controls (median -0.5% vs. -3.9%, p = 0.002) but more weight than controls during recovery (-4.4% vs. -0.8%, p 0.002). Subjects excreted a median fluid excess during recovery (1,346 ml): controls had a median fluid deficit (521 ml) (p = 0.009). Estimated median sodium deficit was the same in subjects and controls (88 vs. 38 mmol L(-1), p = 0.25). Median AVP was significantly lower in subjects than in controls. Plasma volume fell during recovery in subjects (-5.9%, p = 0.016) but rose in controls (0.76%, p = NS). CONCLUSIONS: Triathletes with symptomatic hyponatremia following very prolonged exercise have abnormal fluid retention including an increased extracellular volume, but without evidence for large sodium losses. Such fluid retention is not associated with elevated plasma AVP concentrations.

Adult↗

Determinants of the variability in respiratory exchange ratio at rest and during exercise in trained athletes.

We examined the variability and determinants of the respiratory exchange ratio (RER) at rest and during exercise in 61 trained cyclists. Fasting (10-12 h) RER was measured at rest and during exercise at 25, 50, and 70% of peak power output (W(peak)), during which blood samples were drawn for [lactate] and [free fatty acid] ([FFA]). Before these measurements, training volume, dietary intake and muscle fiber composition, [substrate], and enzyme activities were determined. There was large interindividual variability in resting RER (0.718-0.927) that persisted during exercise of increasing intensity. The major determinants of resting RER included muscle glycogen content, training volume, proportion of type 1 fibers, [FFA] and [lactate], and %dietary fat intake (adjusted r(2) = 0.59, P < 0.001). Except for muscle fiber composition, these variables also predicted RER at 25, 50, and 70% W(peak) to different extents. The key determinant at 25% W(peak) was blood-borne [substrate], at 50% was muscle [substrate] and glycolytic enzyme activities, and at 70% was [lactate]. Resting RER was also a significant determinant of RER at 25 (r = 0.60) and 50% (r = 0.44) W(peak).

Adult↗

Carbohydrate loading failed to improve 100-km cycling performance in a placebo-controlled trial.

We evaluated the effect of carbohydrate (CHO) loading on cycling performance that was designed to be similar to the demands of competitive road racing. Seven well-trained cyclists performed two 100-km time trials (TTs) on separate occasions, 3 days after either a CHO-loading (9 g CHO. kg body mass(-1). day(-1)) or placebo-controlled moderate-CHO diet (6 g CHO. kg body mass(-1). day(-1)). A CHO breakfast (2 g CHO/kg body mass) was consumed 2 h before each TT, and a CHO drink (1 g CHO. kg(.)body mass(-1). h(-1)) was consumed during the TTs to optimize CHO availability. The 100-km TT was interspersed with four 4-km and five 1-km sprints. CHO loading significantly increased muscle glycogen concentrations (572 +/- 107 vs. 485 +/- 128 mmol/kg dry wt for CHO loading and placebo, respectively; P < 0.05). Total muscle glycogen utilization did not differ between trials, nor did time to complete the TTs (147.5 +/- 10.0 and 149.1 +/- 11.0 min; P = 0.4) or the mean power output during the TTs (259 +/- 40 and 253 +/- 40 W, P = 0.4). This placebo-controlled study shows that CHO loading did not improve performance of a 100-km cycling TT during which CHO was consumed. By preventing any fall in blood glucose concentration, CHO ingestion during exercise may offset any detrimental effects on performance of lower preexercise muscle and liver glycogen concentrations. Alternatively, part of the reported benefit of CHO loading on subsequent athletic performance could have resulted from a placebo effect.

Adult↗

Quadriceps and hamstrings peak torque ratio changes in persons with chronic anterior cruciate ligament deficiency.

STUDY DESIGN: Cross-sectional analytical study in which subjects served as their own controls. OBJECTIVE: To assess the concentric and eccentric peak torque in the hamstrings and quadriceps muscles, hamstrings/quadriceps amplitude ratios, and lean thigh volume differences in the involved and uninvolved limb of subjects with anterior cruciate ligament (ACL) deficiency. BACKGROUND: [corrected] Although the hamstrings/quadriceps ratios for concentric and eccentric activity have been studied, the more functional eccentric hamstings/concentric quadriceps ratio has not been previously described in chronic ACL deficient individuals. METHODS AND MEASURES: Eighteen subjects (36 +/- 11 years; 12 men, 6 women) with unilateral chronic ACL deficiency were recruited. Changes in activities of daily living, lean thigh volume (LTV) and isokinetic peak torque and total work capacity of both the quadriceps and hamstring muscles were investigated. The uninvolved limb served as control. RESULTS: Eccentric quadriceps peak torque in the ACL deficient limb was reduced by 38% compared with the 16% reduction of concentric quadriceps peak torque. Eccentric hamstrings peak torque was reduced by 15% compared with an 8% reduction in concentric hamstrings peak torque. LTV in the ACL deficient limb was 11% smaller than the uninvolved limb (3,541 +/- 899 vs 3,161 +/- 742 cc, uninvolved versus ACL deficient limb). The relation between LTV and eccentric peak torque was stronger in the uninvolved (r = 0.82) compared with the ACL deficient limb (r = 0.66). The eccentric hamstrings/quadriceps ratio was significantly higher in the ACL deficient (0.80 +/- 0.26) compared with the uninvolved limb (0.55 +/- 0.13). However, the eccentric hamstrings/concentric quadriceps ratio was similar between ACL deficient (0.75 +/- 0.17) and uninvolved (0.77 +/- 0.20) limbs, while the concentric hamstrings/eccentric quadriceps ratio was significantly higher in the ACL deficient (0.79 +/- 0.26) compared with the uninvolved (0.50 +/- 0.14) limb. CONCLUSIONS: Quadriceps and hamstrings peak torque values were significantly decreased in ACL deficient compared with the uninvolved limb. Eccentric muscle activity was affected to a greater degree than concentric muscle activity in the quadriceps muscle after ACL injury. The eccentric hamstrings/concentric quadriceps ratios were similar in ACL deficient and normal limbs, indicating that muscular co-ordination strategies may have been altered to maintain normal limb activity despite the strength losses particularly evident in quadriceps muscle function.

Adult↗