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Comparing Acute, High Dietary Protein and Carbohydrate Intake on Transcriptional Biomarkers, Fuel Utilisation and Exercise Performance in Trained Male Runners.

Nutrients
December 8, 2021
Matthew Furber et al. (4 authors)
Comparative StudyJournal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to determine the impact of a short-term high-protein, reduced-carbohydrate diet on endurance performance and gene markers of training adaptation in trained runners.

Results Summary

The high-protein diet significantly reduced high-intensity exercise performance (23.3% decrease in time to exhaustion) and increased fat oxidation during submaximal exercise, but these effects reverted upon returning to a habitual diet. The high-carbohydrate diet improved time to exhaustion (6.5% increase) and modestly increased gene markers of adaptation.

Population

16 trained endurance runners (maximal oxygen uptake: 64.2 ± 5.6 mL·kg-1·min-1).

Effective Dosage

Not specified (isocaloric-matched diets with macronutrient manipulation).

Duration

7-day intervention diet (total study duration: 21 days).

Interactions

None mentioned.

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
high-protein, reduced-carbohydrate (PRO) diet
increase
AMPK expression
16 trained endurance runners
1.37-fold increase
resulted in a modest change
#1
high-protein, reduced-carbohydrate (PRO) diet
increase
fat oxidation
16 trained endurance runners
0.29 ± 0.05 to 0.59 ± 0.05 g·min-1
significant increase
#2
high-protein, reduced-carbohydrate (PRO) diet
decrease
time to exhaustion (TTE)
16 trained endurance runners
23.3%
significant reduction
#3
high-carbohydrate (CHO) diet
no change
sub-maximal fuel utilisation
16 trained endurance runners
-
no change
#4
high-carbohydrate (CHO) diet
increase
time to exhaustion (TTE) performance
16 trained endurance runners
6.5%
significant increase
#5
high-carbohydrate (CHO) diet
increase
AMPK mRNA expression
16 trained endurance runners
-
modest, but significant, increase
#6
high-carbohydrate (CHO) diet
increase
PPAR mRNA expression
16 trained endurance runners
-
modest, but significant, increase
#7
high-carbohydrate (CHO) diet
increase
AMPK
16 trained endurance runners
-
remaining significantly elevated
#8
high-carbohydrate (CHO) diet
increase
PPAR
16 trained endurance runners
-
remaining significantly elevated
#9
Abstract

Manipulating dietary macronutrient intake may modulate adaptive responses to exercise, and improve endurance performance. However, there is controversy as to the impact of short-term dietary modification on athletic performance. In a parallel-groups, repeated measures study, 16 trained endurance runners (maximal oxygen uptake (V˙O2max): 64.2 ± 5.6 mL·kg-1·min-1) were randomly assigned to, and provided with, either a high-protein, reduced-carbohydrate (PRO) or a high-carbohydrate (CHO) isocaloric-matched diet. Participants maintained their training load over 21-consecutive days with dietary intake consisting of 7-days habitual intake (T1), 7-days intervention diet (T2) and 7-days return to habitual intake (T3). Following each 7-day dietary period (T1-T3), a micro-muscle biopsy was taken for assessment of gene expression, before participants underwent laboratory assessment of a 10 km treadmill run at 75% V˙O2max, followed by a 95% V˙O2max time to exhaustion (TTE) trial. The PRO diet resulted in a modest change (1.37-fold increase, p = 0.016) in AMPK expression, coupled with a significant increase in fat oxidation (0.29 ± 0.05 to 0.59 ± 0.05 g·min-1, p < 0.0001). However, a significant reduction of 23.3% (p = 0.0003) in TTE post intervention was observed; this reverted back to pre levels following a return to the habitual diet. In the CHO group, whilst no change in sub-maximal fuel utilisation occurred at T2, a significant 6.5% increase in TTE performance (p = 0.05), and a modest, but significant, increase in AMPK (p = 0.042) and PPAR (p = 0.029) mRNA expression compared to T1 were observed; with AMPK (p = 0.011) and PPAR (p = 0.044) remaining significantly elevated at T3. In conclusion, a 7-day isocaloric high protein diet significantly compromised high intensity exercise performance in trained runners with no real benefit on gene markers of training adaptation. A significant increase in fat oxidation during submaximal exercise was observed post PRO intervention, but this returned to pre levels once the habitual diet was re-introduced, suggesting that the response was driven via fuel availability rather than cellular adaptation. A short-term high protein, low carbohydrate diet in combination with endurance training is not preferential for endurance running performance.

Medical Subject Headings (MeSH)
AMP-Activated Protein KinasesAdolescentAdultAthletic PerformanceDiet, High-ProteinDietary CarbohydratesDietary ProteinsEatingEnergy MetabolismHumansMaleMarathon RunningMiddle AgedMuscle, SkeletalOxygen ConsumptionPeroxisome Proliferator-Activated ReceptorsPhysical Conditioning, HumanPhysical EnduranceSports Nutritional Physiological PhenomenaYoung Adult
Study Links
Quality Scores
Safety85
Efficacy30/10
Quality80/10
Citation Metrics
Total Citations6
Citations/Year1.5
Relative Citation Ratio0.75
NIH Percentile39.8%
Research Impact Scores
APT Score0.25
Weight Score2.38
Normalized Score0.62
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