Acute dietary carbohydrate manipulation and the subsequent inflammatory and hepcidin responses to exercise
Abstract
Purpose To examine the effects of 24-h controlled carbohydrate intake on next day pre- and post-exercise inflammatory and hepcidin responses. Methods In a crossover design, 12 well-trained endurance athletes (Ht 181.08 ± 7.68 cm; Wt 74.8 ± 11.5 kg, VO 2peak 68.9 ± 7.2 ml kg(-1) min(-1)) completed two experimental (2-day) trials. On day 1, participants completed a glycogen depletion task, including a 16-km run (80 % vVO 2peak) and 5 × 1 min efforts (130 % vVO 2peak) separated by 2-min recovery. Subsequently, strict dietary control was enforced for 24 h, where low carbohydrate (LCHO 3 g kg(-1)) or high carbohydrate (HCHO 10 g kg(-1)) diets were provided. Twenty-four hours later, participants completed an 8 × 3 min interval running session at 85 % vVO 2peak followed by 3-h monitored recovery. Venous blood samples were collected pre-, immediately post- and 3-h post-exercise, which were analyzed for interleukin-6, serum iron, ferritin and hepcidin. Results Interleukin-6 was elevated (p Conclusions Twenty-four hours of controlled low carbohydrate intake resulted in higher baseline hepcidin levels and post-exercise IL-6 responses than a high carbohydrate intake. Such hormone increases may be induced by gluconeogenic signaling of the liver, and may negatively impact an athlete's iron metabolism.
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Low carbohydrate availability ranges have not been established based on these criteria for carbohydrate availability, and many studies continue to report carbohydrate intake, using low carbohydrate intake to define intake below current recommendations.
“Nonetheless, LCA ranges have not been established based on these criteria for CHO availability, and many studies continue to report CHO intake, using low CHO intake to define intake below current recommendations [34,35,36,37,38,39,40,41,42,43].”
From Considerations of Low Carbohydrate Availability (LCA) to Relative Energy Deficiency in Sport (RED-S) in Female Endurance Athletes: A Narrative Review (2023) · cites this paper as [41]
In 12 well-trained male endurance athletes, a high-CHO diet for 24 h post-exercise had more favorable outcomes on inflammation and iron regulation than a low-CHO diet.
“One study with 12 well-trained male endurance athletes demonstrated that a high-CHO diet for 24 h post-exercise had more favorable outcomes on inflammation and iron regulation than a low-CHO diet [41].”
From Considerations of Low Carbohydrate Availability (LCA) to Relative Energy Deficiency in Sport (RED-S) in Female Endurance Athletes: A Narrative Review (2023) · cites this paper as [41]
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References 38 · Cited by 57
- Authors
- Badenhorst, C. E., Dawson, B., Cox, G. R., Laarakkers, C. M., Swinkels, D. W., & Peeling, P.
- Affiliations
- The University of Western Australia (AU)
- Radboud University Medical Center (NL)
- Corresponding author
- Badenhorst, Claire E.
- Venue
- European Journal of Applied Physiology
- Published
- 2015-09-03
- Volume
- 115
- Issue
- 12
- Pages
- 2521-2530
- ISSN
- 0020-9376 (ISSN-L)
- 1439-6319
- 1439-6327
- OpenAlex
- W1229399881
- Cited by
- 57
- References
- 38
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 5 · 2022: 9 · 2021: 7 · 2020: 7 · 2019: 7 · 2018: 7 · 2017: 7 · 2016: 5
- FWCI
- 6.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- European Journal of Applied Physiology (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Keywords
- carbohydrate intake, hepcidin, interleukin-6, exercise-induced inflammation, iron metabolism, serum ferritin, serum iron, glycogen depletion, endurance athletes, interval running, gluconeogenesis, low-carbohydrate diet
- MeSH terms
- Adolescent, Adult, Dietary Carbohydrates, Ferritins, Humans, Iron, Male, Exercise, Interleukin-6, Hepcidins
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