Abstract
Purpose
Isomaltulose is a low glycemic and insulinaemic carbohydrate available as a constituent in sports drink. However, it remains unclear whether postexercise rehydration achieved by isomaltulose drink ingestion alone differs as compared to other carbohydrates.
Methods
Thirteen young men performed intermittent exercise in the heat (35 °C and relative humidity 40%) to induce a state of hypohydration as defined by a 2% loss in body mass. Thereafter, participants were rehydrated by ingesting drinks equal to the volume of body mass loss with either a mixture of 3.25% glucose and 3.25% fructose, 6.5% sucrose (SUC), or 6.5% isomaltulose (ISO) within the first 30 min of a 3-h recovery. The change in plasma volume (ΔPV) from pre-exercise baseline, blood glucose, and plasma insulin concentration were assessed every 30-min.
Results
ΔPV was lower in ISO as compared to SUC until 90 min of the recovery (all P ≤ 0.038) with no difference thereafter (all P ≥ 0.391). The ΔPV were paralleled by concomitant changes in blood glucose levels that were greater in ISO as compared to other drinks after 90 min of the recovery (all P ≤ 0.035). Plasma insulin secretion, which potentially enhances renal sodium reabsorption and fluid retention, did not differ between the trials (interaction, P = 0.653). ISO induced a greater net fluid volume retention as compared to SUC (P = 0.010).
Conclusion
We showed that rehydration with an isomaltulose drink following exercise-heat stress induces comparable recovery of PV and a greater net fluid retention as compared to other drinks, albeit this response is delayed. The delayed water transport along with glucose absorption may modulate this response.
This trial was registered in 25th Sep 2019 at https://www.umin.ac.jp/ as UMIN000038099.
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Availability of data and materials
The data that support the findings of this study are available from the corresponding author upon reasonable request.
References
Shirreffs SM, Armstrong LE, Cheuvront SN (2004) Fluid and electrolyte needs for preparation and recovery from training and competition. J Sports Sci 22(1):57–63
Evans GH, James LJ, Shirreffs SM, Maughan RJ (2017) Optimizing the restoration and maintenance of fluid balance after exercise-induced dehydration. J Appl Physiol 122(4):945–951
Atkinson FS, Foster-Powell K, Brand-Miller JC (2008) International tables of glycemic index and glycemic load values: 2008. Diabetes Care 31(12):2281–2283
Sentko A, Willibald-Ettle I (1988) Isomaltulose. In: O’Donnell K, Kearsley M (eds) Sweeteners and Sugar Alternatives in Food Technology. Wiley-Blackwell, pp 397–415
Shyam S, Ramadas A, Chang SK (2018) Isomaltulose: Recent evidence for health benefits. J Funct Foods 48:173–178
Tonouchi H, Yamaji T, Uchida M, Koganei M, Sasayama A, Kaneko T, Urita Y, Okuno M, Suzuki K, Kashimura J (2011) Studies on absorption and metabolism of palatinose (isomaltulose) in rats. Br J Nutr 105(1):10–14
Holub I, Gostner A, Theis S, Nosek L, Kudlich T, Melcher R, Scheppach W (2010) Novel findings on the metabolic effects of the low glycaemic carbohydrate isomaltulose (PalatinoseTM). Br J Nutr 103(12):1730–1737
Sawale PD, Shendurse AM, Mohan MS, Patil G (2017) Isomaltulose (Palatinose)—an emerging carbohydrate. Food Biosci 18:46–52
König D, Zdzieblik D, Holz A, Theis S, Gollhofer A (2016) Substrate utilization and cycling performance following palatinoseTM ingestion: a randomized, double-blind. Controll Trial Nutr 8(7):390
Miyashita M, Hamada Y, Fujihira K, Namura S, Sakazaki M, Miyasaka K, Nagai Y (2019) The effects of isomaltulose ingestion on gastric parameters and cycling performance in young men. J Exerc Sci Fitness 17(2019):101–107
Stevenson EJ, Watson A, Theis S, Holz A, Harper LD, Russell M (2017) A comparison of isomaltulose versus maltodextrin ingestion during soccer-specific exercise. Eur J Appl Physiol 117(11):2321–2333
Oosthuyse T, Carstens M, Millen AM (2015) Ingesting isomaltulose versus fructose-maltodextrin during prolonged moderate-heavy exercise increases fat oxidation but impairs gastrointestinal comfort and cycling performance. Int J Sport Nutr Exerc Metab 25(5):427–438
Amano T, Sugiyama Y, Okumura J, Fujii N, Kenny GP, Nishiyasu T, Inoue Y, Kondo N, Sasagawa K, Enoki Y (2019) Effects of isomaltulose ingestion on postexercise hydration state and heat loss responses in young men. Exp Physiol 104:1494–1504
Shi X, Passe DH (2010) Water and solute absorption from carbohydrate-electrolyte solutions in the human proximal small intestine: a review and statistical analysis. Int J Sport Nutr Exerc Metab 20(5):427–442
Schedl HP, Maughan RJ, Gisolfi CV (1994) Intestinal absorption during rest and exercise: implications for formulating an oral rehydration solution (ORS). Med Sci Sports Exerc 26(3):267–280
Kamijo Y-i, Ikegawa S, Okada Y, Masuki S, Okazaki K, Uchida K, Sakurai M, Nose H (2012) Enhanced renal Na+ reabsorption by carbohydrate in beverages during restitution from thermal and exercise-induced dehydration in men. Am J Physiol Regul Integr Compar Physiol 303(8):R824–R833
Beck KL, Thomson JS, Swift RJ, Von Hurst PR (2015) Role of nutrition in performance enhancement and postexercise recovery. Open Access J Sports Med 6:259
Burke LM, Hawley JA, Wong SH, Jeukendrup AE (2011) Carbohydrates for training and competition. J Sports Sci 29(sup1):S17–S27
Siu PM, Wong SH (2004) Use of the glycemic index: effects on feeding patterns and exercise performance. J Physiol Anthropol Appl Hum Sci 23(1):1–6
van Can JG, IJzerman TH, van Loon LJ, Brouns F, Blaak EE, (2009) Reduced glycaemic and insulinaemic responses following isomaltulose ingestion: implications for postprandial substrate use. Br J Nutr 102(10):1408–1413
Arai H, Mizuno A, Sakuma M, Fukaya M, Matsuo K, Muto K, Sasaki H, Matsuura M, Okumura H, Yamamoto H (2007) Effects of a palatinose-based liquid diet (Inslow) on glycemic control and the second-meal effect in healthy men. Metabolism 56(1):115–121
Giersch GE, Charkoudian N, Stearns RL, Casa DJ (2020) Fluid balance and hydration considerations for women: review and future directions. Sports Med 50:253–261
Shirreffs S (2009) Hydration in sport and exercise: water, sports drinks and other drinks. Nutr Bull 34(4):374–379
Boulze D, Montastruc P, Cabanac M (1983) Water intake, pleasure and water temperature in humans. Physiol Behav 30(1):97–102
Sawka MN, Burke LM, Eichner ER, Maughan RJ, Montain SJ, Stachenfeld NS (2007) American College of Sports. Medicine position stand Exercise and fluid replacement. Med Sci Sports Exerc 39(2):377–390
Evans GH, Shirreffs SM, Maughan RJ (2009) Postexercise rehydration in man: the effects of osmolality and carbohydrate content of ingested drinks. Nutrition 25(9):905–913
James LJ, Clayton D, Evans GH (2011) Effect of milk protein addition to a carbohydrate–electrolyte rehydration solution ingested after exercise in the heat. Br J Nutr 105(3):393–399
Maughan R (2003) Impact of mild dehydration on wellness and on exercise performance. Eur J Clin Nutr 57(S2):S19
Osterberg KL, Pallardy SE, Johnson RJ, Horswill CA (2009) Carbohydrate exerts a mild influence on fluid retention following exercise-induced dehydration. J Appl Physiol 108(2):245–250
Dill D, Costill DL (1974) Calculation of percentage changes in volumes of blood, plasma, and red cells in dehydration. J Appl Physiol 37(2):247–248
Kraemer RR, Brown BS (1986) Alterations in plasma-volume-corrected blood components of marathon runners and concomitant relationship to performance. Eur J Appl Physiol 55(6):579–584
Frayn K (1983) Calculation of substrate oxidation rates in vivo from gaseous exchange. J Appl Physiol 55(2):628–634
Weir JdV (1949) New methods for calculating metabolic rate with special reference to protein metabolism. J Physiol (Lond) 109(1–2):1–9
Achten J, Jentjens RL, Brouns F, Jeukendrup AE (2007) Exogenous oxidation of isomaltulose is lower than that of sucrose during exercise in men. J Nutr 137(5):1143–1148
Gray G, Ingelfinger F (1966) Intestinal absorption of sucrose in man: interrelation of hydrolysis and monosaccharide product absorption. J Clin Investig 45(3):388–398
Lina B, Jonker D, Kozianowski G (2002) Isomaltulose (Palatinose®): a review of biological and toxicological studies. Food Chem Toxicol 40(10):1375–1381
Jones EJ, Bishop PA, Green JM, Richardson MT (2010) Effects of metered versus bolus water consumption on urine production and rehydration. Int J Sport Nutr Exerc Metab 20(2):139–144
Ryan A, Lambert G, Shi X, Chang R-T, Summers R, Gisolfi C (1998) Effect of hypohydration on gastric emptying and intestinal absorption during exercise. J Appl Physiol 84(5):1581–1588
Vist GE, Maughan RJ (1995) The effect of osmolality and carbohydrate content on the rate of gastric emptying of liquids in man. J Physiol 486(2):523–531
Calbet J, MacLean D (1997) Role of caloric content on gastric emptying in humans. J Physiol 498(2):553–559
Shi X, OSTERBERG K, Petrie H, STOFAN J, Murray R, (2017) Effect of different osmolalities, CHO types, and [CHO] on gastric emptying in humans. Med Sci Sports Exerc 49(5):1015–1021
Murray R, Eddy DE, Bartoli WP, Paul GL (1994) Gastric emptying of water and isocaloric carbohydrate solutions consumed at rest. Med Sci Sports Exerc 26(6):725–732
Acknowledgements
We thank our volunteer subjects for participating in this study. We would like thank Dr. Tomoyuki Yokoyama for the medical support provided.
Funding
This study was supported by a grant from Bourbon Corporation and Grant-in-Aid for Scientific Research (no. 18H03146) from the Japan Society for the Promotion of Science from the Ministry of Education, Culture, Sports, Science, and Technology of Japan.
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Conception and design of research were undertaken by TA, YE, and DM, data collection and analyses were undertaken by TA, SK, YM, and JO, the manuscript was drafted by TA, NF, GPK, and TN and all authors (TA, SK, YO, JO, NF, GPK, TN, YE, and DM) contributed to data interpretation, editing and revision of manuscript, and approved the final version.
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Yasuaki Enoki and Daisuke Maejima are employees of Bourbon Corporation. The views expressed in this manuscript do not represent those of Bourbon Corporation.
Ethics Approval
The present study was approved by the human ethical committee of Niigata University (reference#: 2019–0126) and was conducted in accordance with the latest version of the Declaration of Helsinki. The present study was registered in the University Hospital Medical Information Network (UMIN) clinical trial registry (ID: UMIN000038099).
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Verbal and written informed consent were obtained from all participants prior to the commencement of the experimental sessions.
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Amano, T., Katayama, S., Okamoto, Y. et al. Comparisons of isomaltulose, sucrose, and mixture of glucose and fructose ingestions on postexercise hydration state in young men. Eur J Nutr 60, 4519–4529 (2021). https://doi.org/10.1007/s00394-021-02614-z
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DOI: https://doi.org/10.1007/s00394-021-02614-z