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Enhanced Endurance Performance by Periodization of CHO Intake: "Sleep Low" Strategy

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  • TechnoSport - Aix Marseille University

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Purpose: We investigated the effect of a chronic dietary periodization strategy on endurance performance in trained athletes. Methods: 21 triathletes (V[Combining Dot Above]O2max: 58.7 ± 5.7 mL·min·kg) were divided into 2 groups: a "sleep-low" (SL, n = 11) and a control group (CON, n = 10) consumed the same daily carbohydrate (CHO) intake (6 g·kg·d) but with different timing over the day to manipulate CHO availability before and after training sessions. The "sleep low" strategy consisted of a 3-week training/diet intervention comprising three blocks of diet/exercise manipulations: 1) "train-high" interval training sessions (HIT) in the evening with high-CHO availability; 2) overnight CHO restriction ("sleeping-low"), and 3) "train-low" sessions with low endogenous and exogenous CHO availability. The CON group followed the same training program but with high CHO availability throughout training sessions (no CHO restriction overnight, training sessions with exogenous CHO provision). Results: There was a significant improvement in delta efficiency during submaximal cycling for SL versus CON (CON: +1.4 ± 9.3 %, SL: +11 ± 15 %, P<0.05). SL also improved supra-maximal cycling to exhaustion at 150% of peak aerobic power (CON: +1.63 ± 12.4 %, SL: +12.5 ± 19.0 %; P = 0.06) and 10 km running performance (CON: -0.10 ± 2.03 %, SL: -2.9 ± 2.15 %; P < 0.05). Fat mass was decreased in SL (CON: -2.6 ± 7.4; SL: -8.5 ± 7.4 %PRE, P < 0.01), but not lean mass (CON: -0.22 ± 1.0; SL: -0.16 ± 1.7 %PRE). Conclusion: Short-term periodization of dietary CHO availability around selected training sessions promoted significant improvements in submaximal cycling economy, as well as supra-maximal cycling capacity and 10 km running time in trained endurance athletes.
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... Previous reports have suggested these techniques may enhance cellular adaptations to endurance exercise like mitochondrial density [116,117]. However, longitudinal evidence is mixed as to whether these practices result in increased exercise performance [118,119]. A 2016 investigation by Marquet et al. [119] noted significant improvements in submaximal cycling efficiency and 10 km running performance when triathletes underwent 3 weeks of carbohydrate periodization which included performing some sessions fasted prior to the morning meal compared to controls who consumed the same daily amount of carbohydrates (6 g/kg/day) spread equally throughout the day. ...
... However, longitudinal evidence is mixed as to whether these practices result in increased exercise performance [118,119]. A 2016 investigation by Marquet et al. [119] noted significant improvements in submaximal cycling efficiency and 10 km running performance when triathletes underwent 3 weeks of carbohydrate periodization which included performing some sessions fasted prior to the morning meal compared to controls who consumed the same daily amount of carbohydrates (6 g/kg/day) spread equally throughout the day. However, Burke and colleagues failed to detect similar improvements in Olympic-caliber race walkers after 3 weeks of a similar dietary protocol [118], although neither investigation stated the length of time of the overnight fast along with the length of time between finishing the exercise session and the resumption of eating, which are both important considerations and can potentially impact outcomes. ...
... Additionally, performing low-intensity "recovery" sessions fasted prior to consuming breakfast has previously been found to improve mitochondrial density and metabolic adaptations to endurance exercise [116,117]. However, the literature regarding whether these improvements result in better performance is mixed [118,119]. ...
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Background: Breakfast is often termed the most important meal of the day. However, its importance to acute and chronic adaptations to exercise is currently not well summarized throughout the literature. Methods: A narrative review of the experimental literature regarding breakfast consumption’s impact on acute and chronic exercise performance and alterations in body composition prior to November 2024 was conducted. To be included in this review, the selected investigations needed to include some aspect of either endurance or resistance training performance and be conducted in humans. Results: These findings suggest that breakfast consumption may benefit acute long-duration (>60 min) but not short-duration (<60 min) morning endurance exercise. Evening time trial performance was consistently inhibited following breakfast omission despite the resumption of eating midday. No or minimal impact of breakfast consumption was found when examining acute morning or afternoon resistance training or the longitudinal adaptations to either resistance or endurance training. Favorable changes in body composition were often noted following the omission of breakfast. However, this was primarily driven by the concomitant reduced kilocalorie intake. Conclusions: Consuming breakfast may aid endurance athletes regularly performing exercise lasting >60 min in length. However, the morning meal’s impact on resistance training and changes in body composition appears to be minimal. Although, as the body of literature is limited, future investigations are needed to truly ascertain the dietary practice’s impact.
... Moreover, several studies have demonstrated that repeated exposures to low CHO availability training over a 3-to 10-week period enhanced the activity and/or content of proteins involved in oxidative metabolism (e.g. citrate synthase, β-HAD, succinate dehydrogenase, COXIV) and, in some cases, translate to improvements in exercise performance [110][111][112][113]. While these findings provide experimental evidence to support the practical application of the 'train low' (muscle glycogen) paradigm for endurance athletes, recent scientific interest has focussed on how the protein needs of endurance athletes should be modified during periods of CHO-restricted endurance training. ...
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... Studies of Tier 2-3 endurance athletes have shown that those who undertook strategic periodization of carbohydrate availability over a one week [152] or three week [153] training block achieved greater performance outcomes compared to groups training undertaken with sustained high carbohydrate availability. Meanwhile, studies in Tier 3-5 athletes have failed to show a superior performance outcome with periodized versus sustained high CHO availability [135,154,155]. ...
... There are many examples in sport science research where adaptations or performance improvements with trained athletes following an intervention are not replicated with highly trained or elite athletes. For example, in moderately trained athletes, changes in endurance performance following a training block with periodised carbohydrate availability were greater than those of a control group whose diet provided continuous high carbohydrate availability (Marquet et al., 2016). Meanwhile, no such advantage was reported when elite athletes followed equivalent interventions (Burke et al., 2017). ...
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Sport science practitioners utilise findings from peer reviewed research to inform practice. Fewer studies are conducted with high performance athletes, however, than those involving recreationally active participants. Noting that research findings from recreational athletes may not be generalisable to the elite, there is a need to engage the latter cohort in research with better potential to influence health and performance. This study identified methods used to engage and recruit highly trained, elite and world class athletes as research participants. A document analysis was conducted using a purposive sample of peer‐reviewed sport science literature. All articles published in 2022 from 18 highly ranked sport science journals were screened for inclusion. Studies investigating athletes ranked as highly trained/national level or above were included. All details related to participant recruitment were extracted from included articles, with the content being coded and thematically analysed using an interpretivist approach. A total of 439 studies from the 2356 screened were included in the analysis. Five primary themes of recruitment strategies were identified, beneath an overarching strategy of purposeful, convenience sampling. Recruitment themes related to the use of a gatekeeper, the research environment providing convenient access to athletes, promoting the study electronically, utilising professional networks and recruiting at training or competition. Engaging athletes through a gatekeeper is a prominent strategy to involve elite athletes in research. It is suggested that researchers work collaboratively with team or organisation personnel to promote recruitment, creating co‐designed approaches that address issues most relevant to athletes and staff.
... Each of these methods is subject to underreported dietary intake; however, the 24-h recall with multi-pass interview exhibits the lowest error from doubly labeled water comparisons [88]. See the CHO timing study by Marquet et al. for an example of well-controlled, but feasible monitoring of diet intake [130]; notably participants recorded their diet at multiple points throughout the study with multi-pass interviewing and single-investigator dietary analysis. Nonetheless, implementing rigorous nutrition controls does significantly increase the workload to execute a study; therefore, utilizing automated and self-administered multi-pass methods such as the National Institute for Health's Automated Self-Administered Dietary Assessment Tool (ASA24) may reduce researcher burden, though the validity of the tool is still in question depending on the variable(s) of interest [131]. ...
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In addition to its established thermoregulatory and cardiovascular effects, heat stress provokes alterations in macronutrient metabolism, gastrointestinal integrity, and appetite. Inadequate energy, carbohydrate, and protein intake have been implicated in reduced exercise and heat tolerance. Classic exercise heat acclimation (HA) protocols employ low-to-moderate–intensity exercise for 5–14 days, while recent studies have evolved the practice by implementing high-intensity and task-specific exercise during HA, which potentially results in impaired post-HA physical performance despite adequate heat adaptations. While there is robust literature demonstrating the performance benefit of various nutritional interventions during intensive training and competition, most HA studies implement few nutritional controls. This review summarizes the relationships between heat stress, HA, and intense exercise in connection with substrate metabolism, gastrointestinal function, and the potential consequences of reduced energy availability. We discuss the potential influence of macronutrient manipulations on HA study outcomes and suggest best practices to implement nutritional controls.
... The general consensus from the wealth of studies undertaken in the past 40 years is that CHO loading can improve performance and capacity especially when the exercise is greater than 90 min in duration. The enhanced performance effect is likely initially mediated by a delay in the time-point at which energy availability becomes limiting to the maintenance of the desired workload, which in the case of race pace is dependent on sustained and high rates of CHO oxidation (18). ...
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Background Carbohydrate restriction can alter substrate utilization and potentially impair endurance performance in female athletes. Caffeine intake may mitigate this performance decrements. Objectives The aim of this study was to test the hypothesis that maximal fat oxidation (MFO) rate would be enhanced in the carbohydrate (CHO) restricted state in trained females. Additionally, the impact of caffeine intake before exercise under conditions of low CHO availability was examined on time-trial performance. Methods By using a randomized, double-blinded, placebo-controlled, crossover design, 17 female endurance athletes completed 3 experimental blocks. Each block consisted of high-intensity-interval–training (HIT) in the evening, followed by a fat oxidation test to measure MFO rate and a 20-min time trial (20TT) performance the next morning. The females received standardized, isoenergetic diets with different timing of CHO intake: No CHO between exercise sessions without (FASTED) or with 300 mg caffeine (4.1–4.9 mg/kg body mass) (FASTED+CAFF) before morning exercise tests or CHO ingestion after HIT (FED). Results MFO rate was higher in FASTED+CAFF (0.57 ± 0.04 g/min) than that in FED (0.50 ± 0.04 g/min, P = 0.039) but not different from FASTED condition. Power output performed during the 20TT was higher after FASTED+CAFF (189 ± 9 W) than that after FASTED (+6.9%, P = 0.022) and FED (+4.2%, P = 0.054). Conclusions CHO restriction during recovery from HIT enhances MFO rate during subsequent exercise compared with the condition where CHOs were consumed during the recovery period, but the effect was only significant when CHO restriction was combined with caffeine supplementation before the MFO test. In addition, caffeine ingestion before exercise in the CHO-restricted state compensates for the decreased work capacity associated with the CHO-restricted state.
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