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Gurton WH, King DG, Ranchordas MK, Siegler JC, Gough LA. Enhancing exercise performance and recovery through sodium bicarbonate supplementation: introducing the ingestion recovery framework. Eur J Appl Physiol 2024; 124:3175-3190. [PMID: 39177769 PMCID: PMC11519211 DOI: 10.1007/s00421-024-05578-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2024] [Accepted: 08/12/2024] [Indexed: 08/24/2024]
Abstract
Sodium bicarbonate (SB) supplementation is an ergogenic strategy for athletes competing in high-intensity exercise, but the efficacy of SB for accelerating recovery from exercise and thus improving performance during repeated bouts of exercise is not fully understood. In a similar fashion to using SB as a pre-exercise buffer, it is possible accelerated restoration of blood pH and bicarbonate following an exercise bout mechanistically underpins the use of SB as a recovery aid. Physiological mechanisms contributing to beneficial effects for SB during repeated bout exercise could be more far-reaching however, as alterations in strong ion difference (SID) and attenuated cellular stress response might also contribute to accelerated recovery from exercise. From inspection of existing literature, ingestion of 0.3 g kg-1 body mass SB ~60-90 min pre-exercise seems to be the most common dosage strategy, but there is evidence emerging for the potential application of post-exercise supplementation timing, gradual SB doses throughout a competition day, or even ingestion during exercise. Based on this review of literature, an SB ingestion recovery framework is proposed to guide athletes and practitioners on the use of SB to enhance performance for multiple bouts of exercise.
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Affiliation(s)
- William H Gurton
- Sport & Physical Activity Research Centre, Sheffield Hallam University, Sheffield, UK
| | - David G King
- School of Energy, Geoscience, Infrastructure and Society, Institute for Life and Earth Sciences, Heriot Watt University, Edinburgh, Scotland, UK
| | - Mayur K Ranchordas
- Sport & Physical Activity Research Centre, Sheffield Hallam University, Sheffield, UK
- Advanced Wellbeing Research Centre, Sheffield, UK
| | - Jason C Siegler
- College of Health Solutions, Arizona State University, Phoenix, AZ, USA
| | - Lewis A Gough
- Human Performance and Health Research Group, Centre for Life & Sport Sciences (CLaSS), Birmingham City University, Birmingham, UK.
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Nabilpour M, Zouita A, Mayhew J, Mohammad Rahimi GR, Alikhajeh Y, Taheri M, Irandoust K, Youzbashi L, Granacher U, Zouhal H. Acute effects of sodium citrate supplementation on competitive performance and lactate level of elite fitness challenge athletes: A crossover, placebo-controlled, double-blind study. J Exerc Sci Fit 2024; 22:140-144. [PMID: 38404749 PMCID: PMC10885582 DOI: 10.1016/j.jesf.2024.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Revised: 02/02/2024] [Accepted: 02/02/2024] [Indexed: 02/27/2024] Open
Abstract
Purpose The performance of sodium citrate has been investigated in high-intensity exercises, but fewer studies have addressed the role of citrate in weight-bearing exercises. Methods Twenty fitness challenge athletes, aged 24-32 years, volunteered to participate in this crossover, placebo-controlled, double-blind study. Initially, ten athletes were given a placebo and asked to complete a fitness challenge (i.e., chin-ups, squat jumps, dips, walking lunges, sit-ups, and burpees-devil press). Another ten athletes were supplemented with sodium citrate 0.5 g/kg body mass supplements 3 h prior to performing the fitness challenges. The same procedures were completed two days later with the supplement and placebo dextrose groups switched in a cross-over design. Athletes and assessors were blinded for the experimental condition (placebo vs. verum). Lactate levels were measured 5 min after exercise. The athletes' performance on each item of the fitness challenge as well as their lactate levels, were compared. Differences between the means of the measured variables were contrasted using a dependent t-test. Results Supplementing sodium citrate substantially improved athletes' performance in all six fitness challenge items (p < 0.05, 0.69 Conclusion Acute sodium citrate supplementation may help fitness challengers postpone muscular fatigue and increase performance, potentially via the prevention of lactate accumulation.
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Affiliation(s)
- Magshoud Nabilpour
- Department of Exercise Physiology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
| | - Amira Zouita
- Higher Institute of Sports Sciences and Physical Education ksar said, University of la Manouba, Research Laboratory (UR23JS01) “Sport Performance, Health & Society”, Tunisia
| | - Jerry Mayhew
- Department of Health and Exercise Sciences, Kirksville, MO, United States
| | | | - Yaser Alikhajeh
- Department of Exercise Physiology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
| | - Morteza Taheri
- Department of Sport Sciences, Imam Khomeini International University, Qazvin, Iran
- Department of Cognitive and Behavioral Sciences in Sport, Faculty of Sport Science and Health, University of Tehran, Tehran, Iran
| | - Khadijeh Irandoust
- Department of Sport Sciences, Imam Khomeini International University, Qazvin, Iran
- Department of Cognitive and Behavioral Sciences in Sport, Faculty of Sport Science and Health, University of Tehran, Tehran, Iran
| | - Leila Youzbashi
- Department of Sport Science, Faculty of Humanities, University of Zanjan, Zanjan, Iran
| | - Urs Granacher
- Department of Sport and Sport Science, Exercise and Human Movement Science, University of Freiburg, Freiburg, Germany
| | - Hassane Zouhal
- Movement Sport, Health and Sciences Laboratory (M2S) UFR-STAPS, University of Rennes 2-ENS Cachan, Charles Tillon, France
- Institut International des Sciences Du Sport (2IS), Irodouer, France
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Suvi S, Mooses M, Timpmann S, Medijainen L, Unt E, Ööpik V. Influence of Sodium Citrate Supplementation after Dehydrating Exercise on Responses of Stress Hormones to Subsequent Endurance Cycling Time-Trial in the Heat. MEDICINA (KAUNAS, LITHUANIA) 2019; 55:E103. [PMID: 31013820 PMCID: PMC6524037 DOI: 10.3390/medicina55040103] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Revised: 02/15/2019] [Accepted: 04/10/2019] [Indexed: 11/17/2022]
Abstract
Background and objectives: In temperate environments, acute orally induced metabolic alkalosis alleviates exercise stress, as reflected in attenuated stress hormone responses to relatively short-duration exercise bouts. However, it is unknown whether the same phenomenon occurs during prolonged exercise in the heat. This study was undertaken with aim to test the hypothesis that ingestion of an alkalizing substance (sodium citrate; CIT) after dehydrating exercise would decrease blood levels of stress hormones during subsequent 40 km cycling time-trial (TT) in the heat. Materials and Methods: Male non-heat-acclimated athletes (n = 20) lost 4% of body mass by exercising in the heat. Then, during a 16 h recovery period prior to TT in a warm environment (32 °C), participants ate the prescribed food and ingested CIT (600 mg·kg-1) or placebo (PLC) in a double-blind, randomized, crossover manner with 7 days between the two trials. Blood aldosterone, cortisol, prolactin and growth hormone concentrations were measured before and after TT. Results: Total work performed during TT was similar in the two trials (p = 0.716). In CIT compared to PLC trial, lower levels of aldosterone occurred before (72%) and after (39%) TT (p ˂ 0.001), and acute response of aldosterone to TT was blunted (29%, p ˂ 0.001). Lower cortisol levels in CIT than in PLC trial occurred before (13%, p = 0.039) and after TT (14%, p = 0.001), but there were no between-trial differences in the acute responses of cortisol, prolactin or growth hormone to TT, or in concentrations of prolactin and growth hormone before or after TT (in all cases p > 0.05). Conclusions: Reduced aldosterone and cortisol levels after TT and blunted acute response of aldosterone to TT indicate that CIT ingestion during recovery after dehydrating exercise may alleviate stress during the next hard endurance cycling bout in the heat.
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Affiliation(s)
- Silva Suvi
- Institute of Sport Sciences and Physiotherapy, University of Tartu, 50090 Tartu, Estonia.
- Estonian Centre of Behavioral and Health Sciences, University of Tartu, 50090 Tartu, Estonia.
| | - Martin Mooses
- Institute of Sport Sciences and Physiotherapy, University of Tartu, 50090 Tartu, Estonia.
- Estonian Centre of Behavioral and Health Sciences, University of Tartu, 50090 Tartu, Estonia.
| | - Saima Timpmann
- Institute of Sport Sciences and Physiotherapy, University of Tartu, 50090 Tartu, Estonia.
- Estonian Centre of Behavioral and Health Sciences, University of Tartu, 50090 Tartu, Estonia.
| | - Luule Medijainen
- Institute of Sport Sciences and Physiotherapy, University of Tartu, 50090 Tartu, Estonia.
- Estonian Centre of Behavioral and Health Sciences, University of Tartu, 50090 Tartu, Estonia.
| | - Eve Unt
- Department of Cardiology, University of Tartu, 50090 Tartu, Estonia.
- Department of Sports Medicine and Rehabilitation, Institute of Clinical Medicine, University of Tartu, 50090 Tartu, Estonia.
- Sports Medicine and Rehabilitation Clinic, Tartu University Hospital, 50406 Tartu, Estonia.
| | - Vahur Ööpik
- Institute of Sport Sciences and Physiotherapy, University of Tartu, 50090 Tartu, Estonia.
- Estonian Centre of Behavioral and Health Sciences, University of Tartu, 50090 Tartu, Estonia.
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Ghio AJ, Case MW, Soukup JM. Heme oxygenase activity increases after exercise in healthy volunteers. Free Radic Res 2018; 52:267-272. [PMID: 29343136 DOI: 10.1080/10715762.2018.1428965] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Heme oxygenase (HO) is an essential, rate-limiting protein which catalyses the breakdown of heme to iron, carbon monoxide (CO), and biliverdin. The alpha methene bridge of the heme is eliminated as CO which can be measured as blood carboxyhaemoglobin (COHb). Using blood concentrations of COHb as a measure reflecting HO activity, we tested the postulate that the activity of HO changes with exercise. Ten healthy, nonsmoking volunteers (5 females and 5 males with a mean age ± standard deviation of 25.7 ± 3.2 years), lifetime nonsmokers with no history of respiratory diseases and not taking any medication, were included in the study. Subjects were exposed to filtered air for 2 hrs while alternating exercise for 15 minutes on a cycle ergometer with rest for 15 minutes. Workload was adjusted so that subjects breathed at a ventilatory rate, normalised for body surface area, of 25 L/m2/minute. Immediately before, immediately after, and the day following exercise, blood was drawn by standard venipuncture technique. COHb was determined using the interleukin (IL) 682 Co-Oximeter (Instrumentation Laboratory, Bedford, MA). COHb increased in each participant during the exercise session with the mean value (± standard deviation) almost doubling (1.1 ± 1.6 to 2.1 ± 1.6%) and returned to baseline by the following day (1.3 ± 1.3%). We conclude that exercise increases HO activity.
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Affiliation(s)
- Andrew J Ghio
- a National Health and Environmental Effects Research Laboratory , Environmental Protection Agency , Chapel Hill , NC , USA
| | - Martin W Case
- a National Health and Environmental Effects Research Laboratory , Environmental Protection Agency , Chapel Hill , NC , USA
| | - Joleen M Soukup
- a National Health and Environmental Effects Research Laboratory , Environmental Protection Agency , Chapel Hill , NC , USA
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Suvi S, Mooses M, Timpmann S, Medijainen L, Narõškina D, Unt E, Ööpik V. Impact of sodium citrate ingestion during recovery after dehydrating exercise on rehydration and subsequent 40-km cycling time-trial performance in the heat. Appl Physiol Nutr Metab 2018; 43:571-579. [PMID: 29324186 DOI: 10.1139/apnm-2017-0584] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The purpose of this study was to assess the impact of sodium citrate (CIT) ingestion (600 mg·kg-1) during recovery from dehydrating cycling exercise (DE) on subsequent 40-km cycling performance in a warm environment (32 °C). Twenty male nonheat-acclimated endurance athletes exercised in the heat until 4% body mass (BM) loss occurred. After 16 h recovery with consumption of water ad libitum and prescribed diet (evening meal 20 kcal·kg-1, breakfast 12 kcal·kg-1) supplemented in a double-blind, randomized, crossover manner with CIT or placebo (PLC), they performed 40-km time-trial (TT) on a cycle ergometer in a warm environment. During recovery greater increases in BM and plasma volume (PV) concomitant with greater water intake and retention occurred in the CIT trial compared with the PLC trial (p < 0.0001). During TT there was greater water intake and smaller BM loss in the CIT trial than in the PLC trial (p < 0.05) with no between-trial differences (p > 0.05) in sweat loss, PV decrement, ratings of perceived exertion, or TT time (CIT 68.10 ± 3.28 min, PLC 68.11 ± 2.87 min). At the end of TT blood lactate concentration was higher (7.58 ± 2.44 mmol·L-1 vs 5.58 ± 1.32 mmol·L-1; p = 0.0002) and rectal temperature lower (39.54 ± 0.50 °C vs 39.65 ± 0.52 °C; p = 0.033) in the CIT trial than in the PLC trial. Compared with pre-DE time point, PV had decreased to a lower level in the PLC trial than in the CIT trial (p = 0.0001). In conclusion, CIT enhances rehydration after exercise-induced dehydration but has no impact on subsequent 40-km cycling TT performance in a warm uncompensable environment.
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Affiliation(s)
- Silva Suvi
- a Institute of Sport Sciences and Physiotherapy, Estonian Centre of Behavioral and Health Sciences, University of Tartu, 50090 Tartu, Estonia
| | - Martin Mooses
- a Institute of Sport Sciences and Physiotherapy, Estonian Centre of Behavioral and Health Sciences, University of Tartu, 50090 Tartu, Estonia
| | - Saima Timpmann
- a Institute of Sport Sciences and Physiotherapy, Estonian Centre of Behavioral and Health Sciences, University of Tartu, 50090 Tartu, Estonia
| | - Luule Medijainen
- a Institute of Sport Sciences and Physiotherapy, Estonian Centre of Behavioral and Health Sciences, University of Tartu, 50090 Tartu, Estonia
| | - Daria Narõškina
- a Institute of Sport Sciences and Physiotherapy, Estonian Centre of Behavioral and Health Sciences, University of Tartu, 50090 Tartu, Estonia
| | - Eve Unt
- b Department of Cardiology, Department of Sports Medicine and Rehabilitation, Institute of Clinical Medicine, University of Tartu, 50090 Tartu, Estonia.,c Sports Medicine and Rehabilitation Clinic, Tartu University Hospital, 50406 Tartu, Estonia
| | - Vahur Ööpik
- a Institute of Sport Sciences and Physiotherapy, Estonian Centre of Behavioral and Health Sciences, University of Tartu, 50090 Tartu, Estonia
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Implications of a pre-exercise alkalosis-mediated attenuation of HSP72 on its response to a subsequent bout of exercise. Amino Acids 2015; 48:499-504. [PMID: 26433893 DOI: 10.1007/s00726-015-2103-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2015] [Accepted: 09/22/2015] [Indexed: 10/23/2022]
Abstract
The aim of this study was to investigate if a pre-exercise alkalosis-mediated attenuation of HSP72 had any effect on the response of the same stress protein after a subsequent exercise. Seven physically active males [25.0 ± 6.5 years, 182.1 ± 6.0 cm, 74.0 ± 8.3 kg, peak aerobic power (PPO) 316 ± 46 W] performed a repeated sprint exercise (EXB1) following a dose of 0.3 g kg(-1) body mass of sodium bicarbonate (BICARB), or a placebo of 0.045 g kg(-1) body mass of sodium chloride (PLAC). Participants then completed a 90-min intermittent cycling protocol (EXB2). Monocyte expressed HSP72 was significantly attenuated after EXB1 in BICARB compared to PLAC, however, there was no difference in the HSP72 response to the subsequent EXB2 between conditions. Furthermore there was no difference between conditions for measures of oxidative stress (protein carbonyl and HSP32). These findings confirm the sensitivity of the HSP72 response to exercise-induced changes in acid-base status in vivo, but suggest that the attenuated response has little effect upon subsequent stress in the same day.
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