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Rebelo-Marques A, Coelho-Ribeiro B, De Sousa Lages A, Andrade R, Afonso J, Pereira R, Batista AS, Teixeira VH, Jácome C. Trends and Missing Links in (De)Hydration Research: A Narrative Review. Nutrients 2024; 16:1709. [PMID: 38892642 PMCID: PMC11174495 DOI: 10.3390/nu16111709] [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: 05/07/2024] [Revised: 05/24/2024] [Accepted: 05/27/2024] [Indexed: 06/21/2024] Open
Abstract
Despite decades of literature on (de)hydration in healthy individuals, many unanswered questions remain. To outline research and policy priorities, it is fundamental to recognize the literature trends on (de)hydration and identify current research gaps, which herein we aimed to pinpoint. From a representative sample of 180 (de)hydration studies with 4350 individuals, we found that research is mainly limited to small-scale laboratory-based sample sizes, with high variability in demographics (sex, age, and level of competition); to non-ecological (highly simulated and controlled) conditions; and with a focus on recreationally active male adults (e.g., Tier 1, non-athletes). The laboratory-simulated environments are limiting factors underpinning the need to better translate scientific research into field studies. Although, consistently, dehydration is defined as the loss of 2% of body weight, the hydration status is estimated using a very heterogeneous range of parameters. Water is the most researched hydration fluid, followed by alcoholic beverages with added carbohydrates (CHO). The current research still overlooks beverages supplemented with proteins, amino acids (AA), and glycerol. Future research should invest more effort in "real-world" studies with larger and more heterogeneous cohorts, exploring the entire available spectrum of fluids while addressing hydration outcomes more harmoniously.
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Affiliation(s)
- Alexandre Rebelo-Marques
- Faculty of Medicine, University of Porto, 4200-450 Porto, Portugal
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, University of Coimbra, 3000-370 Coimbra, Portugal
- Magismed Innovation Institute, 4710-353 Braga, Portugal
| | - Bruna Coelho-Ribeiro
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, 4710-057 Braga, Portugal
- ICVS/3B’s-PT Government Associate Laboratory, 4806-909 Guimarães, Portugal
| | | | - Renato Andrade
- Clínica Espregueira—FIFA Medical Centre of Excellence, 4350-415 Porto, Portugal
- Dom Henrique Research Centre, 4350-415 Porto, Portugal
- Porto Biomechanics Laboratory (LABIOMEP), Faculty of Sports, University of Porto, 4200-450 Porto, Portugal
| | - José Afonso
- Centre of Research, Education, Innovation, and Intervention in Sport (CIFI2D), Faculty of Sport, University of Porto, 4200-450 Porto, Portugal
| | - Rogério Pereira
- Clínica Espregueira—FIFA Medical Centre of Excellence, 4350-415 Porto, Portugal
- Dom Henrique Research Centre, 4350-415 Porto, Portugal
- Higher School of Health Fernando Pessoa, 4200-253 Porto, Portugal
| | | | - Vitor Hugo Teixeira
- Faculty of Nutrition and Food Sciences, University of Porto, 4150-180 Porto, Portugal
- Research Center in Physical Activity, Health and Leisure, CIAFEL, Faculty of Sports, University of Porto, FADEUP, 4200-540 Porto, Portugal
- Laboratory for Integrative and Translational Research in Population Health, ITR, 4050-600 Porto, Portugal
| | - Cristina Jácome
- CINTESIS@RISE, MEDCIDS, Faculty of Medicine, University of Porto, 4099-002 Porto, Portugal
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Keto-Adaptation and Endurance Exercise Capacity, Fatigue Recovery, and Exercise-Induced Muscle and Organ Damage Prevention: A Narrative Review. Sports (Basel) 2019; 7:sports7020040. [PMID: 30781824 PMCID: PMC6410243 DOI: 10.3390/sports7020040] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2019] [Revised: 02/06/2019] [Accepted: 02/10/2019] [Indexed: 12/15/2022] Open
Abstract
A ketogenic diet (KD) could induce nutritional ketosis. Over time, the body will acclimate to use ketone bodies as a primary fuel to achieve keto-adaptation. Keto-adaptation may provide a consistent and fast energy supply, thus improving exercise performance and capacity. With its anti-inflammatory and anti-oxidative properties, a KD may contribute to muscle health, thus preventing exercise-induced fatigue and damage. Given the solid basis of its potential to improve exercise capacity, numerous investigations into KD and exercise have been carried out in recent years. This narrative review aims to summarize recent research about the potential of a KD as a nutritional approach during endurance exercise, focusing on endurance capacity, recovery from fatigue, and the prevention of exhaustive exercise-induced muscle and organ damage.
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Smith JW, Krings BM, Shepherd BD, Waldman HS, Basham SA, McAllister MJ. Effects of carbohydrate and branched-chain amino acid beverage ingestion during acute upper body resistance exercise on performance and postexercise hormone response. Appl Physiol Nutr Metab 2018; 43:504-509. [DOI: 10.1139/apnm-2017-0563] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The purpose of this investigation was to examine the individual and combined effects of ingesting carbohydrates (CHO) and branched-chain amino acids (BCAA) during high-volume upper body resistance exercise (RE) on markers of catabolism and performance. Thirteen resistance-trained males completed 4 experimental trials with supplementation, ingesting beverages containing CHO, BCAA, CHO+BCAA, or placebo (PLA) in a randomized, double-blind design. The beverages were ingested in 118-mL servings 6 times during an ∼60-min RE session consisting of bench press, bent-over row, incline press, and close-grip row. Each RE was performed with 5 sets of repetitions at 65% 1-repetition maximum until volitional fatigue. Blood samples were collected at baseline, immediately postexercise, and 60 min postexercise to assess glucose and insulin. Cortisol was assessed immediately and at 60 min postexercise. No significant performance benefits were observed for any RE. CHO+BCAA (152.4 ± 71.4 ng/mL) resulted in the lowest cortisol levels, which was lower than BCAA and PLA (193.7 ± 88.5, 182.8 ± 67.5 ng/mL, p < 0.05), but not different from CHO (165 ± 76.5 ng/mL, p = 0.342). Postexercise insulin concentrations were significantly higher with CHO (4.79 ± 3.4 mU/L) compared with BCAA and PLA (3.7 ± 2.0, 3.5 ± 1.8 mU/L, p < 0.05), but not different from CHO+BCAA (4.3 ± 2.5 mU/L, p = 0.339). There was no treatment effect for glucose, but glucose significantly increased from baseline to immediately postexercise and significantly decreased at 60 min postexercise. Ingesting beverages containing CHO with or without BCAA during upper body resistance exercise may promote a more favorable postexercise less catabolic environment.
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Affiliation(s)
- JohnEric W. Smith
- Department of Kinesiology, Mississippi State University, Mississippi State, MS 39762, USA
- Department of Kinesiology, Mississippi State University, Mississippi State, MS 39762, USA
| | - Ben M. Krings
- Department of Kinesiology, Mississippi State University, Mississippi State, MS 39762, USA
- Department of Kinesiology, Mississippi State University, Mississippi State, MS 39762, USA
| | - Brandon D. Shepherd
- Department of Kinesiology, Mississippi State University, Mississippi State, MS 39762, USA
- Department of Kinesiology, Mississippi State University, Mississippi State, MS 39762, USA
| | - Hunter S. Waldman
- Department of Kinesiology, Mississippi State University, Mississippi State, MS 39762, USA
- Department of Kinesiology, Mississippi State University, Mississippi State, MS 39762, USA
| | - Steven A. Basham
- Department of Kinesiology, Mississippi State University, Mississippi State, MS 39762, USA
- Department of Kinesiology, Mississippi State University, Mississippi State, MS 39762, USA
| | - Matthew J. McAllister
- Department of Kinesiology, Mississippi State University, Mississippi State, MS 39762, USA
- Department of Kinesiology, Mississippi State University, Mississippi State, MS 39762, USA
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