1.11 - Optimal performance
1.111 - Background information
Water is essential for human life and whilst not strictly a nutrient it performs many essential functions in the human body. Healthy adults can survive for many weeks without food but they can only live for a few days without water. The human body is made up of around 75% water which is essential for maintaining body processes like digestion and absorption of food and blood circulation. Consuming fluid at regular intervals during exercise is therefore essential to safeguard health and optimize performance. Failure to maintain fluid levels during exercise particularly in the heat and during endurance events can be dangerous.
Exercise generates heat, which must be released to prevent the body overheating. Sweating is the most important body mechanism to control this temperature rise and is linked to the need to maintain body temperature with narrow limits of 37-38ºC Even during light exercise fluid loss from sweating and breathing can be very high. For example if running normally fluid loss can be as much as 1-2 litres per hour and in a marathon as much as 2.5-4 litres can be lost.
(Fig 1.1)
It is essential that fluid lost as sweat and through breath is replaced, or performance will be impaired and the fluid loss could even be life threatening. If heat is not lost via sweat evaporation, the body temperature could rise by 1ºC every 5 minutes, which in theory would be lethal after 30-40 minutes. Scientific studies have shown that losses of as little as 2% of the body weight as fluid can impair physical and mental performance. If the effects of fluid loss can be prevented, an individual will feel better, continue to perform better and recover more quickly.
(Fig 1.11)
It is well established that there are two main factors that limit prolonged exercise:
- Depletion of the body's carbohydrate energy stores
- Dehydration
These factors, in combination, limit endurance and power, affecting performance. Scientific research has shown that the foods and drinks which sports people take, in combination with their training programs, can have an important role to play in enhancing their performance. This has led to the need for specially formulated sports drinks that can be taken before, during and after exercise.
Sports drinks are specially formulated carbohydrate electrolyte drinks, which are designed to improve sporting performance. They deliver a boost of carbohydrate energy to working muscles, and also supply fluid fast. Together these help to maximise performance and endurance.
In addition to providing carbohydrate, sports drinks provide fluid to maintain hydration. A sportsperson's state of hydration can have a major impact on sporting performance. Isotonic carbohydrate electrolyte drinks have carefully selected levels of carbohydrates and electrolytes to help replace fluid quickly. The addition of electrolytes to drinks, especially sodium and potassium, reduces urine output in the post exercise period, and is effective in increasing the fraction of ingested fluid that is retained, thus effectively promoting rehydration.
I.V - Experimental proposition
Section 2
Theory and Literature review
11.1 – The body’s energy resources
The ability to execute exact neuromuscular functions is dependant upon the availability of glycogen. In activities where glycogen is depleted (e.g., in the latter stages of a training session, the end of an extended endurance performance) muscular function (skill) will be altered. At training, activities which depend upon exact muscular function (e.g., skill learning) should be performed before any reduction in glycogen availability occurs. For training and competitions, frequent carbohydrate supplementation is necessary to sustain glycogen levels and thus, contribute to neuromuscular efficiency.
Schiestl, G., et al. (1997). Medicine and science in sports and exercise, 29, 112.
The energy that our bodies use is created from ‘turning’ a molecule called adenosine triphosphate (ATP) into adenosine diphosphate (ADP). The enzyme ATPase is used to split one of the three phosphate molecules present in ATP, leaving behind the ADP. The splitting of the molecules releases chemical energy and this is used directly by the muscles fires to in turn create mechanical energy i.e. movement.
In order for this energy system to work, ATP needs to be preset in the muscles of our bodies, and in reality, there is finite amounts of ATP stored in the muscle cells, ultimately being equivalent to single weight lift or kick of a rugby ball. Energy is then used from other sources to turn the ADP back into ATP, and therefore this particular energy cycle can only continue as long as there is energy to ADP back into ATP. The energy used to turn ADP back into its original form of ATP comes from another molecule called Creatine phosphate which similar to that of ATP is broken down to produce energy, and similar again in the sense that there is only a limited amount present in the muscle cells. Ultimately via the use of Creatine phosphate there is enough potential for the ATP breakdown to create approximately 10-15 seconds energy.
This amount of energy is evidently not enough for those sportspeople who participate in events longer than say the 100m. When the energy created from the ATP CP system is exhausted the demand calls for the use of another energy system, called Anaerobic Glycolysis. This system is involved with the breakdown of glycogen or glucose without oxygen hence the term ‘anaerobic’. Essentially, glycogen that is stored in the muscles and liver, and glucose that is stored in the blood are broken down in a complex process involving 12 enzymatic reactions creating energy and a by-product called Pyruvic acid. Pyruvic acid on its own is not harmful, however without oxygen it is turned into another acid called lactic acid, and this is harmful creating cramps around the body via OBLA (of onset of blob lactate accumulation where the lactate accumulates in the blood). This accumulation also slows the energy production, but there is ultimately enough energy to complete a 400m race for trained individuals.
The final way of obtaining energy is one that does involve oxygen and to that end it is called the aerobic system. The system, just like the anaerobic system uses the breakdown of glycogen or glucose to produce energy. In fact the only difference between the two systems is that oxygen is used in the latter to Pyruvic acid produced by Glycolysis and in turn into more energy instead of lactic acid. The aerobic system also produces electrons and hydrogen ions, which are eventually turned into water and excreted through sweat and exhalation. This system provides by far the greatest amount of energy and is favoured by the body for any activities lasting over three minutes. If the heart and lungs can deliver enough oxygen, energy can continue to be supplied for as long as the supplies of glucose and glycogen.
11.11 – The loss and Replacement of Fluids and Electrolytes
Water is essential for human life and whilst not strictly a nutrient it performs many essential functions in the human body. Healthy adults can survive for many weeks without food but they can only live for a few days without water. The human body is made up of around 75% water which is essential for maintaining body processes like digestion and absorption of food and blood circulation. Consuming fluid at regular intervals during exercise is therefore essential to safeguard health and optimize performance. Failure to maintain fluid levels during exercise particularly in the heat and during endurance events can be dangerous.
An athlete’s problem is maintaining internal body temperature within the limits which permit him to function efficiently, which is a core temperature of 22ºC. The sweat glands produce large quantities of sweat when the body becomes hot; up to two litres per hour. The sweat on the skin soon evaporates into the air surrounding the body. As the air close to the body becomes saturated, new air arrives to accept the evaporating sweat. And by this process heat can be loss in attempts to maintain 22ºC.
Loss of fluid left unchecked leads to dehydration and this results in premature fatigue and increases the risk of heat illness. Dehydration disturbs fluid and electrolyte balance in the body, can damage the energy producing processes of the muscle cells and put increased stress on the heart. In response to dehydration, the body triggers responses in an effort to conserve fluid and return itself to normal. These include stimulation of thirst, a reduced urine output and conservation of sodium by the kidneys, plus a reduced sweat output. The reduced sweat output brings about a further rise in core temperature and the demand for more sweat increases. Failure to produce more sweat is followed by another rise in temperature. The blood thickens and the heart rate increases. Dehydration is cumulative - if lost fluids are not replaced this dehydration will eventually lead to circulatory collapse and heat stroke
The composition of sweat varies between individuals, but also within the same individual depending on the quantity secreted, fitness levels and the state of heat acclimatization. When athletes train in warm climates, the sweat rate increases with training and acclimatisation while the electrolyte content decreases. These adaptations allow more efficient heat regulation while conserving electrolytes. (Fig 11.1 shows the normal electrolyte composition of sweat).
Table taken from Oxford Textbook of Sports Medicine, 1996
When individual are exposed to daily 5-6% body weight fluid losses, there is a risk of an electrolyte deficit occurring. Under such conditions, small amounts of electrolytes should be consumed during physical activity. The ACSM recommends: (a) 218mg of sodium, (b) 337mg of chloride, and (c) 183mg of potassium per quart of water.
Hecker, A. L., & Wheeler, K. B., (1994). The journal of the National Athletic Trainers Association, 19, 4-9.
In humans, thirst is a very poorly developed mechanism. Thirst tends to be quenched when we swallow enough fluid to relieve the dry feeling in the mouth. However, by the time the sportsperson feels thirsty the body is in a state of dehydration which can be difficult to rectify whilst continuing to exercise. Thirst is a subjective sensation that is caused by a hormonal response to loss of fluid from the body resulting in decreased blood volume and an increased blood/plasma osmolality (concentration of particles).
Therefore, it is important to ensure that the body is fully hydrated prior to exercise, and that fluid continues to be consumed regularly throughout the exercise period and afterwards. Drinking plain water may not be the best fluid replacement for rapid correction of dehydration as it can have the effect of causing a rapid fall in plasma sodium and plasma osmolality. This has the effect of reducing the stimulus to drink (thirst) even before sufficient fluid has been consumed to replace losses, and also stimulates urine production, both of which will delay rehydration. The addition of electrolytes, especially sodium and potassium, to sports drinks, does not promote such a urine production and as such reduces urine output in the post exercise period and is effective in increasing the fraction of the ingested fluid that is retained - thus effectively promoting rehydration.
Serious attention to fluid replacement on a scheduled basis is required for all sports that induce considerable sweating and/or are performed in hot humid conditions.
Hecker, A. L., & Wheeler, K. B., (1994). The journal of the National Athletic Trainers Association, 19, 4-9.
11.111 - CHO drinks and supplementation
Isotonic sports drinks are scientifically formulated with carefully selected levels of carbohydrate and electrolytes (sodium). Their main benefits include fast carbohydrate energy and fluid delivery and also taste. Consuming carbohydrate before, during and after exercise helps prevent blood glucose levels falling too low and will also help spare the body's glycogen stores. Water does not contain any carbohydrate; therefore a sportsperson would need to consume carbohydrate containing foods before, during and after exercise to achieve the same effects. Many sportspeople do not wish to, or cannot, eat immediately prior to or during their exercise session, thus a sports drink containing a carefully selected quantity of carbohydrate is a convenient way to provide carbohydrate. Research has consistently demonstrated that consumption of carbohydrate-electrolyte drinks during exercise, which lasts even as little as one hour, results in improved sporting performance. It allows you to work longer, harder, and feel better than when just a plain water placebo is consumed.
CHO loading and in-task replenishment affects the perception of exertion in the latter stages of long-duration tasks. Thus, for long training session as well as long competitive tasks it is a factor which must be considered. Although this study’s task was limited to running, until evidence to the contrary is produced, it should also be considered for games such as soccer and Australian Rules football which normally last for periods well in excess of two hours.
Kang, J., et al. (1997). Medicine and science in sports and exercise, 29, 111.
Playing high-intensity intermittent-exercise games in the heat requires CHO drink supplementation if performance standards are to be prolonged
Bergen, J. .L., et al. (1998). Medicine and science in sports and exercise, 30, 23.
The osmolality or tonicity of a fluid is a measure of the number of particles in a solution. In a drink, these particles will be ingredients in the drink, such as carbohydrate, sodium, sweeteners or preservatives. In blood plasma, the particles will be molecules such as sodium, proteins and glucose. Drinks which are isotonic contain roughly the same number of particles per kg as blood plasma. Blood plasma has an osmolality, or tonicity, around 280-300mOsm/kg. Drinks with an osmolality of 270-330mOsm/kg are often said to be in balance with the body’s fluid and are categorised as isotonic.
Hypotonic drinks provide fluid but only very low levels of carbohydrate and are therefore ideal for those individuals who need fluid without extra calories, for example, jockeys and ballet dancers, who sweat and lose fluid but need to maintain a low body weight. Hypertonic drinks, in general, are used to supplement daily carbohydrate intake after exercise to help top up muscle glycogen stores.
The consumption of CHO during an extended exercise might be more important for affecting performance than pre-exercise meals,
Burke, L. M., et al. (1998). Medicine and science in sports and exercise, 30, 471.
The consumption of carbohydrates before, during and after activity is important, however research increasing shows that CHO ingestion during exercise is the most important, as it sustains muscle glycogen stores for activity. That is why sportspeople choose to use isotonic drinks, because they provide a glucose boost to the working muscles, quench thirst and replace lost electrolytes.
Ingesting a high carbohydrate-electrolyte solution preserves muscle glycogen concentration in intermittent high intensity exercises such as field games
Nicholas, C. W., et al. (1999). Medicine and science in sports and exercise, 31, 1280-1286
In extended exercise in males, in the second half and latter stages of performance, CHO ingestion is very important for it extends performance capabilities.
Coggan, A. R., & Coyle, E. F. (1989). Medicine and science in sports and exercise, 21, 59-65.
Although on the whole research with regards to the use of isotonic drinks is positive, in the sense that most believe that isotonic drinks do prolong performance and replace lost electrolytes, there is also research to the contrary.
Although blood glucose levels are altered by their supplementation, neither carbohydrate nor caffeine improved performance in a 30minute cycling time trial.
Rehre, N. J., et al. (1997). Medicine and science in sports and exercise, 29, 1434.
Performance differences under fuel-additive conditions are largely due to a placebo rather than a real effect. This could explain why investigations measuring CHO-loading effects often produce insignificant results.
Clark, V. R., et al. (1998). Medicine and science in sports and exercise, 30, 346.
A feeding of CHO very close to the commencement of an endurance exercise bout does not affect the endurance performance of untrained adolescent boys. It would be interesting to see what happens with trained boys.
Hendelman, D. L., et al. (1997). Medicine and science in sports and exercise, 29, 724.
Hendelman et al (extract above) investigated the effects of pre-exercise carbohydrate feeding on responses to endurance exercise and performance in untrained high school boys and found no effect. He says that it would be interesting to see if that is the case in trained boys, and is indeed the focus of this research. Where the focus of his research was on pre-exercise ingestion of carbohydrate, this particular project will focus on ingestion during and after the activity also, in attempts to discover if Carbohydrate supplementation in the form of isotonic drinks does have an effect on optimal performance.
When ingesting CHO prior to an event, the form of the CHO does not matter as long as there is adequate time for solid food to be assimilated, however, when time is short, the fastest is liquid compared to the slowest which is solid. A conservative approach would be to always prefer the liquid form of CHO since it also offers some fluid replacement.
Doyle, J. A., et al. (1997). Medicine and science in sports and exercise, 29, 718.
Bibliography
Books
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Dr Burke, L. (1995). The complete guide to food for sports performance. (2nd edition). Allen & Unwin Pty Ltd, New South Wales (Australia).
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Dick, F. (2002). Sports Training Principles (4th edition). A & C Black, London.
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Galligan, F., Maskery, C., Spence, J., Howe, D., Barry, D., Barry, T., Ruston, A., & Crawford, D. (2000). Advanced PE for Edexcel. (1st edition). The Bath Press Ltd, Bath.
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Kirk, D., Penney, D., Burgess-Limerick, R., Gorely, T., & Maynard, C. (2002). A-Level Physical Education: The Reflective Performer. Human Kinetics, Leeds.
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Paish, W. (1998). The complete manual of Sports Science. (1st edition) A & C Black, London.
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Stewart, J. (1991). Rugby the All Blacks’ way (1st edition). The Cronwood Press Ltd, Wiltshire.
Journals
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Bergen, J. L., Bearden, S., Anderson, E., & Haymes, E. M. (1998). Carbohydrate supplementation improves performance during high-intensity intermittent exercise in the heat. Medicine and science in sports and exercise, 30, 23.
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Burke, L. M., Claassen, A., Hawley, J. A., & Noakes, T. D. (1998). No effect of glycemic index of pre-exercise meals with carbohydrate intake during exercise. Medicine and science in sports and exercise, 30, 471.
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Coggan, A. R., & Coyle, E. F. (1989). Metabolism and performance following carbohydrate ingestion late in exercise. Medicine and science in sports and exercise, 21, 59-65.
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Clark, V. R., Hopkins, W. G., Hawley, J. A., & Burke, L. M. (1998). The size of the placebo effect of a sport drink in endurance cycling performance. Medicine and science in sports and exercise, 30, 346.
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Doyle, J. A., martin, D. E., Papadopoulos, C., Holmes, D., & Housel, T. (1997). Glycemic response to liquid, solid and gel forms of carbohydrate. Medicine and science in sports and exercise, 29, 718
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Hecker, A. L., & Wheeler, K. B., (1994). Impact of hydration and energy intake on performance. The journal of the National Athletic Trainers Association, 19, 4-9.
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Hendelman, D. L., Ornstein, K., Volpe, S., & Freedson, P. S. (1997). Pre-exercise carbohydrate feeding in adolescent boys: Effect on exercise responses and performance. Medicine and science in sports and exercise, 29, 724.
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Kang, J., Utter, A., Nieman, D., & Warren, B. (1997). Effect of carbohydrate substrate availability on ratings of perceived exertion during prolonged running. Medicine and science in sports and exercise, 29, 111.
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Nicholas, C. W., Tsintzas, K., Boobis, L, & Williams, C. (1999). Carbohydrate-electrolyte ingestion during intermittent high-intensity running. Medicine and science in sports and exercise, 31, 1280-1286
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Rehre, N. J., Cusdin, T., Deutsch, M. (1997). Effects of caffeine and carbohydrate on time trial cycling. Medicine and science in sports and exercise, 29, 1434.
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Schiestl, G., Gastman, U., Steinacker, J. M., & Lehmann, M. (1997). Influence of saccharose supplementation on neuromuscular excitability (NME) during prolonged heavy exercise. Medicine and science in sports and exercise, 29, 112.
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