1. Sustained Exposure to High Carbohydrate Availability Does Not Influence Iron-Regulatory Responses in Elite Endurance Athletes
- Author
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Alannah K A McKay, Jamie Whitfield, Rachel P. L. van Swelm, Megan L. Ross, Ida A. Heikura, Nicolin Tee, Marijke Welveart, Peter Peeling, Coby M. Laarakkers, Avish P. Sharma, David B. Pyne, and Louise M. Burke
- Subjects
Adult ,Male ,medicine.medical_specialty ,High carbohydrate ,Iron ,Medicine (miscellaneous) ,Walking ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,Blood serum ,All institutes and research themes of the Radboud University Medical Center ,Hepcidins ,Hepcidin ,race walk ,Internal medicine ,Dietary Carbohydrates ,Medicine ,Humans ,Orthopedics and Sports Medicine ,Training period ,Nutrition and Dietetics ,biology ,Athletes ,business.industry ,Interleukin-6 ,ferritin ,Temperature ,030229 sport sciences ,General Medicine ,Venous blood ,biology.organism_classification ,Ferritin ,Endocrinology ,Renal disorders Radboud Institute for Molecular Life Sciences [Radboudumc 11] ,Ferritins ,biology.protein ,Physical Endurance ,hepcidin ,business ,Body mass index ,Oxidation-Reduction ,Physical Conditioning, Human ,Sports - Abstract
This study implemented a 2-week high carbohydrate (CHO) diet intended to maximize CHO oxidation rates and examined the iron-regulatory response to a 26-km race walking effort. Twenty international-level, male race walkers were assigned to either a novel high CHO diet (MAX = 10 g/kg body mass CHO daily) inclusive of gut-training strategies, or a moderate CHO control diet (CON = 6 g/kg body mass CHO daily) for a 2-week training period. The athletes completed a 26-km race walking test protocol before and after the dietary intervention. Venous blood samples were collected pre-, post-, and 3 hr postexercise and measured for serum ferritin, interleukin-6, and hepcidin-25 concentrations. Similar decreases in serum ferritin (17–23%) occurred postintervention in MAX and CON. At the baseline, CON had a greater postexercise increase in interleukin-6 levels after 26 km of walking (20.1-fold, 95% CI [9.2, 35.7]) compared with MAX (10.2-fold, 95% CI [3.7, 18.7]). A similar finding was evident for hepcidin levels 3 hr postexercise (CON = 10.8-fold, 95% CI [4.8, 21.2]; MAX = 8.8-fold, 95% CI [3.9, 16.4]). Postintervention, there were no substantial differences in the interleukin-6 response (CON = 13.6-fold, 95% CI [9.2, 20.5]; MAX = 11.2-fold, 95% CI [6.5, 21.3]) or hepcidin levels (CON = 7.1-fold, 95% CI [2.1, 15.4]; MAX = 6.3-fold, 95% CI [1.8, 14.6]) between the dietary groups. Higher resting serum ferritin (p = .004) and hotter trial ambient temperatures (p = .014) were associated with greater hepcidin levels 3 hr postexercise. Very high CHO diets employed by endurance athletes to increase CHO oxidation have little impact on iron regulation in elite athletes. It appears that variations in serum ferritin concentration and ambient temperature, rather than dietary CHO, are associated with increased hepcidin concentrations 3 hr postexercise.
- Published
- 2021