Carbohydrate supplementation stabilises plasma sodium during training with high intensity

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Authors

  • M. Schrader
  • B. Treff
  • T. Sandholtet
  • Norbert Maassen
  • V. Shushakov
  • J. Kaesebieter
  • Mirja Maassen

Research Organisations

External Research Organisations

  • Hannover Medical School (MHH)
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Details

Original languageEnglish
Pages (from-to)1841-1853
Number of pages13
JournalEuropean Journal of Applied Physiology
Volume116
Issue number9
Early online date27 Jul 2016
Publication statusPublished - 1 Sept 2016

Abstract

Background: Investigations of the effect of beverages containing carbohydrates, only, on the sodium and fluid balance during intermittent exercise of high intensity are rare. Therefore, we compared the effects of water and carbohydrate supplementation on plasma, blood volume, and electrolyte shifts during intermittent exercise. Methods: Ten male subjects performed an intermittent exercise test twice. In one trial, tap water (4 ml/kg/15 min) was consumed (Plac trial). In the other trial, the same amount of water supplemented with maltodextrin to achieve a 9.1 % carbohydrate solution (CHO trial) was ingested. Training schedule: warm-up at 50 % for 15 min. Afterwards, power changed between 100 % of the maximum power from a previous incremental test minus 10 and 10 W for each 30 s. Venous blood was sampled to measure electrolytes, osmolality, [protein], hct, [Lactate], [glucose], [Hb] and catecholamines. Hydration status was evaluated by BIA before and after exercise. Results: After beverage ingestion [glucose] was significantly higher in CHO until the end of the trial. Starting with similar resting values, osmolality increased significantly more during CHO (p = 0.002). PV decreased by 5 % under both conditions, but recovered partly during exercise under Plac (p = 0.002). [Na+] and [Cl] decreased with Plac during exercise (both p < 0.001) but remained constant during exercise with CHO. Conclusions: Sole carbohydrate supplementation seems to stabilise plasma [Na+]. This cannot be explained simply by a cotransport of glucose and [Na+], because that should lead to a recovery of the blood and plasma volume under CHO. In contrast, this was found during exercise with Plac.

Keywords

    Carbohydrate supplementation, Hydration status, Hyponatremia, Intermittent exercise

ASJC Scopus subject areas

Sustainable Development Goals

Cite this

Carbohydrate supplementation stabilises plasma sodium during training with high intensity. / Schrader, M.; Treff, B.; Sandholtet, T. et al.
In: European Journal of Applied Physiology, Vol. 116, No. 9, 01.09.2016, p. 1841-1853.

Research output: Contribution to journalArticleResearchpeer review

Schrader, M, Treff, B, Sandholtet, T, Maassen, N, Shushakov, V, Kaesebieter, J & Maassen, M 2016, 'Carbohydrate supplementation stabilises plasma sodium during training with high intensity', European Journal of Applied Physiology, vol. 116, no. 9, pp. 1841-1853. https://doi.org/10.1007/s00421-016-3429-4
Schrader, M., Treff, B., Sandholtet, T., Maassen, N., Shushakov, V., Kaesebieter, J., & Maassen, M. (2016). Carbohydrate supplementation stabilises plasma sodium during training with high intensity. European Journal of Applied Physiology, 116(9), 1841-1853. https://doi.org/10.1007/s00421-016-3429-4
Schrader M, Treff B, Sandholtet T, Maassen N, Shushakov V, Kaesebieter J et al. Carbohydrate supplementation stabilises plasma sodium during training with high intensity. European Journal of Applied Physiology. 2016 Sept 1;116(9):1841-1853. Epub 2016 Jul 27. doi: 10.1007/s00421-016-3429-4
Schrader, M. ; Treff, B. ; Sandholtet, T. et al. / Carbohydrate supplementation stabilises plasma sodium during training with high intensity. In: European Journal of Applied Physiology. 2016 ; Vol. 116, No. 9. pp. 1841-1853.
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abstract = "Background: Investigations of the effect of beverages containing carbohydrates, only, on the sodium and fluid balance during intermittent exercise of high intensity are rare. Therefore, we compared the effects of water and carbohydrate supplementation on plasma, blood volume, and electrolyte shifts during intermittent exercise. Methods: Ten male subjects performed an intermittent exercise test twice. In one trial, tap water (4 ml/kg/15 min) was consumed (Plac trial). In the other trial, the same amount of water supplemented with maltodextrin to achieve a 9.1 % carbohydrate solution (CHO trial) was ingested. Training schedule: warm-up at 50 % for 15 min. Afterwards, power changed between 100 % of the maximum power from a previous incremental test minus 10 and 10 W for each 30 s. Venous blood was sampled to measure electrolytes, osmolality, [protein], hct, [Lactate], [glucose], [Hb] and catecholamines. Hydration status was evaluated by BIA before and after exercise. Results: After beverage ingestion [glucose] was significantly higher in CHO until the end of the trial. Starting with similar resting values, osmolality increased significantly more during CHO (p = 0.002). PV decreased by 5 % under both conditions, but recovered partly during exercise under Plac (p = 0.002). [Na+] and [Cl−] decreased with Plac during exercise (both p < 0.001) but remained constant during exercise with CHO. Conclusions: Sole carbohydrate supplementation seems to stabilise plasma [Na+]. This cannot be explained simply by a cotransport of glucose and [Na+], because that should lead to a recovery of the blood and plasma volume under CHO. In contrast, this was found during exercise with Plac.",
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T1 - Carbohydrate supplementation stabilises plasma sodium during training with high intensity

AU - Schrader, M.

AU - Treff, B.

AU - Sandholtet, T.

AU - Maassen, Norbert

AU - Shushakov, V.

AU - Kaesebieter, J.

AU - Maassen, Mirja

N1 - Publisher Copyright: © 2016, Springer-Verlag Berlin Heidelberg.

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N2 - Background: Investigations of the effect of beverages containing carbohydrates, only, on the sodium and fluid balance during intermittent exercise of high intensity are rare. Therefore, we compared the effects of water and carbohydrate supplementation on plasma, blood volume, and electrolyte shifts during intermittent exercise. Methods: Ten male subjects performed an intermittent exercise test twice. In one trial, tap water (4 ml/kg/15 min) was consumed (Plac trial). In the other trial, the same amount of water supplemented with maltodextrin to achieve a 9.1 % carbohydrate solution (CHO trial) was ingested. Training schedule: warm-up at 50 % for 15 min. Afterwards, power changed between 100 % of the maximum power from a previous incremental test minus 10 and 10 W for each 30 s. Venous blood was sampled to measure electrolytes, osmolality, [protein], hct, [Lactate], [glucose], [Hb] and catecholamines. Hydration status was evaluated by BIA before and after exercise. Results: After beverage ingestion [glucose] was significantly higher in CHO until the end of the trial. Starting with similar resting values, osmolality increased significantly more during CHO (p = 0.002). PV decreased by 5 % under both conditions, but recovered partly during exercise under Plac (p = 0.002). [Na+] and [Cl−] decreased with Plac during exercise (both p < 0.001) but remained constant during exercise with CHO. Conclusions: Sole carbohydrate supplementation seems to stabilise plasma [Na+]. This cannot be explained simply by a cotransport of glucose and [Na+], because that should lead to a recovery of the blood and plasma volume under CHO. In contrast, this was found during exercise with Plac.

AB - Background: Investigations of the effect of beverages containing carbohydrates, only, on the sodium and fluid balance during intermittent exercise of high intensity are rare. Therefore, we compared the effects of water and carbohydrate supplementation on plasma, blood volume, and electrolyte shifts during intermittent exercise. Methods: Ten male subjects performed an intermittent exercise test twice. In one trial, tap water (4 ml/kg/15 min) was consumed (Plac trial). In the other trial, the same amount of water supplemented with maltodextrin to achieve a 9.1 % carbohydrate solution (CHO trial) was ingested. Training schedule: warm-up at 50 % for 15 min. Afterwards, power changed between 100 % of the maximum power from a previous incremental test minus 10 and 10 W for each 30 s. Venous blood was sampled to measure electrolytes, osmolality, [protein], hct, [Lactate], [glucose], [Hb] and catecholamines. Hydration status was evaluated by BIA before and after exercise. Results: After beverage ingestion [glucose] was significantly higher in CHO until the end of the trial. Starting with similar resting values, osmolality increased significantly more during CHO (p = 0.002). PV decreased by 5 % under both conditions, but recovered partly during exercise under Plac (p = 0.002). [Na+] and [Cl−] decreased with Plac during exercise (both p < 0.001) but remained constant during exercise with CHO. Conclusions: Sole carbohydrate supplementation seems to stabilise plasma [Na+]. This cannot be explained simply by a cotransport of glucose and [Na+], because that should lead to a recovery of the blood and plasma volume under CHO. In contrast, this was found during exercise with Plac.

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