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Combined carbohydrate–protein supplementation improves competitive endurance exercise performance in the heat

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Abstract

Laboratory-based studies have demonstrated that adding protein (PRO) to a carbohydrate (CHO) supplement can improve thermoregulatory capacity, exercise performance and recovery. However, no study has investigated these effects in a competitive sporting context. This study assessed the effects of combined CHO–PRO supplementation on physiological responses and exercise performance during 8 days of strenuous competition in a hot environment. Twenty-eight cyclists participating in the TransAlp mountain bike race were randomly assigned to fitness-matched placebo (PLA 76 g L−1 CHO) or CHO–PRO (18 g L−1 PRO, 72 g L−1 CHO) groups. Participants were given enough supplements to allow ad libitum consumption. Physiological and anthropometric variables were recorded pre- and post-exercise. Body mass decreased significantly from race stage 1 to 8 in the PLA group (−0.75 ± 0.22 kg, P = 0.01) but did not change in the CHO–PRO group (0.42 ± 0.42 kg, P = 0.35). Creatine kinase concentration and muscle soreness were substantially elevated during the race, but were not different between groups (P = 0.82, P = 0.44, respectively). Urine osmolality was significantly higher in the CHO–PRO versus the PLA group (P = 0.04) and the rise in tympanic temperature from pre- to post-exercise was significantly less in CHO–PRO versus PLA (P = 0.01). The CHO–PRO group also completed the 8 stages significantly quicker than the PLA group (2,277 ± 127 vs. 2,592 ± 68 min, respectively, P = 0.02). CHO–PRO supplementation therefore appears to prevent body mass loss, enhance thermoregulatory capacity and improve competitive exercise performance despite no effect on muscle damage.

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Acknowledgments

This study was supported in part by High5 Ltd, UK.

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Correspondence to Chris Easton.

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Communicated by Jacques R. Poortmans.

This paper is dedicated to the memory of Dr Andy Cathcart, who was tragically killed in a cycling accident prior to the submission of this manuscript. He will be sorely missed by his colleagues, the students he taught, and his family and friends.

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Cathcart, A.J., Murgatroyd, S.R., McNab, A. et al. Combined carbohydrate–protein supplementation improves competitive endurance exercise performance in the heat. Eur J Appl Physiol 111, 2051–2061 (2011). https://doi.org/10.1007/s00421-011-1831-5

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