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Cited by 16Muscle metabolism and nutritionSports Performance and TrainingCardiovascular and exercise physiology

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Carbohydrate-Protein drink is effective for restoring endurance capacity in masters class athletes after a two-Hour recovery

Open access
Goldstein, Erica R., Stout, Jeffrey R., Wells, Adam J., Antonio, Jose, Vasenina, Ecaterina, Fukuda, David H.·2023·Journal of the International Society of Sports Nutrition

Abstract

Background Carbohydrate (CHO) and carbohydrate-protein co-ingestion (CHO-P) have been shown to be equally effective for enhancing glycogen resynthesis and subsequent same-day performance when CHO intake is suboptimal (≤0.8 g/kg). Few studies have specifically examined the effect of isocaloric CHO vs CHO-P consumption on subsequent high-intensity aerobic performance with limited time to recover (≤2 hours) in masters class endurance athletes.Methods This was a randomized, double-blind between-subject design. Twenty-two male masters class endurance athletes (age 49.1 ± 6.9 years; height 175.8 ± 4.8 cm; body mass 80.7 ± 8.6 kg; body fat (%) 19.1 ± 5.8; VO2peak 48.6 ± 6.7 ml·kg·min−1) were assigned to consume one of three beverages during a 2-hour recovery period: Placebo (PLA; electrolytes and water), CHO (1.2 g/kg bm), or CHO-P (0.8 g/kg bm CHO + 0.4 g/kg bm PRO). All beverages were standardized to one liter (~32 oz.) of total fluid volume regardless of the treatment group. During Visit #1, participants completed graded exercise testing on a cycle ergometer to determine VO2peak and peak power output (PPO, watts). Visit #2 consisted of familiarization with the high-intensity protocol including 5 × 4 min intervals at 70-80% of PPO with 2 min of active recovery at 50 W, followed by a time to exhaustion (TTE) test at 90% PPO. During Visit#3, the same high-intensity interval protocol with TTE was conducted pre-and post-beverage consumption.Results A one-way ANCOVA indicated a significant difference among the group means for the posttest TTE (F2,18 = 6.702, p = .007, ƞ2 = .427) values after adjusting for the pretest differences. TTE performance in the second exercise bout improved for the CHO (295.48 ± 24.90) and CHO-P (255.08 ± 25.07 sec) groups. The water and electrolyte solution was not effective in restoring TTE performance in the PLA group (171.13 ± 23.71 sec).Conclusions Both CHO and CHO-P effectively promoted an increase in TTE performance with limited time to recover in this sample of masters class endurance athletes. Water and electrolytes alone were not effective for restoring endurance capacity during the second bout of exhaustive exercise.

Overview

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TL;DR

In male masters class endurance athletes, both carbohydrate (CHO) and carbohydrate-protein (CHO-P) recovery drinks improved subsequent time-to-exhaustion performance after a 2-hour recovery compared with placebo, with no difference between CHO and CHO-P. CHO and CHO-P also improved heart-rate recovery index versus placebo.

Key findings

  • Posttest time to exhaustion (TTE) differed among groups after adjusting for pretest TTE: F2,18 = 6.702, p = .007, η² = .427. Adjusted posttest TTE was 295.48 ± 24.90 sec for CHO and 255.08 ± 25.07 sec for CHO-P versus 171.13 ± 23.71 sec for PLA; CHO vs PLA p < .002, CHO-P vs PLA p = .028, CHO vs CHO-P p = .265.
  • The paper reports TTE improved by 30% with CHO and 19% with CHO-P, whereas TTE declined by 20% in PLA.
  • Heart-rate recovery index (HRRi) posttest values differed among groups at 1 min (F2,17 = 6.715, p = .007), 2 min (F2,17 = 5.720, p = .013), and 5 min (F2,17 = 6.438, p = .008). PLA differed from CHO and CHO-P at all three time points, with no differences between CHO and CHO-P (1 min p = .469; 2 min p = .628; 5 min p = .549).
  • Dietary analysis in 13 of 22 participants showed no significant differences (p > .05) in total energy, protein, fat, or carbohydrate intake among groups.

Methods

  • Randomized, double-blind, placebo-controlled between-subject design in 22 male masters class endurance athletes (age 49.1 ± 6.9 years; VO2peak 48.6 ± 6.7 mL·kg·min−1).
  • Three visits: graded exercise test to determine VO2peak and peak power output; familiarization with 5 × 4 min intervals at 70–80% PPO plus TTE at 90% PPO; experimental visit with the same interval/TTE protocol before and after beverage consumption.
  • During a 2-hour recovery, participants consumed PLA (electrolytes and water), CHO (1.2 g/kg body mass), or CHO-P (0.8 g/kg CHO + 0.4 g/kg protein), all standardized to 1 L total fluid. Main analyses used separate one-way ANCOVA for TTE and HRRi with pretest values as covariate; Quade nonparametric ANCOVA was used when assumptions were not met, with Fisher’s LSD post hoc tests.

Limitations

  • Paper-stated: dietary compliance was limited (24-hour dietary recall data reported for 13 of 22 participants); dietary intake was not standardized before the experimental protocol; testing was not in a fasted state; caffeine intake 24 hours before testing was not quantified or restricted; individual/group recovery-drink completion times were not provided; many participants terminated the prescribed 5-min cool down early.
  • Paper-stated: the authors note that HRR may not be a suitable indicator for parasympathetic recovery with fluid alone, within the first 5 min after exercise cessation, or after high-intensity exercise, and suggest a more standardized cool down and longer seated/supine assessment.
  • Evident from the text: group sizes were small (PLA n = 8; CHO n = 7; CHO-P n = 7, with HRRi CHO-P n = 5 in Table 3), and pretest TTE values varied widely across groups before ANCOVA adjustment.

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Integrity signals

Registry

Crossref · 10.1080/15502783.2023.2178858

Cites

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Statistics

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Figures

Figure 1. Timeline and exercise testing protocol.
Figure 1. Timeline and exercise testing protocol.CC BY · PubMed Central
Figure 2. Consort flow diagram.
Figure 2. Consort flow diagram.CC BY · PubMed Central
Figure 3. Group mean values (±SE) for posttest time to exhaustion scores adjusted for the initial differences in the pretest time to exhaustion (covariate). The adjusted pretest value was 203.05 sec. *Indicates significant difference compared to PLA.
Figure 3. Group mean values (±SE) for posttest time to exhaustion scores adjusted for the initial differences in the pretest time to exhaustion (covariate). The adjusted pretest value was 203.05 sec. *Indicates significant difference compared to PLA.CC BY · PubMed Central

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  1. Macgregor C, Climstein M, Reaburn PR. The effect of age on training practices in veteran cyclists: an Australian study. Med Sci Sports Exerc. 2013;45:85.

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Metadata

Authors
Goldstein, E. R., Stout, J. R., Wells, A. J., Antonio, J., Vasenina, E., & Fukuda, D. H.
Affiliations
  • Stetson University (US)
  • University of Central Florida (US)
  • Department of Health and Human Performance, Fight Science Laboratory, Nova Southeastern University, Davie, FL, USA
Corresponding author
Goldstein, Erica R.
Venue
Journal of the International Society of Sports Nutrition
Published
2023-02-26
Volume
20
Issue
1
Pages
2178858-2178858
ISSN
1550-2783 (ISSN-L)
OpenAlex
W4322208067
Cited by
16
References
44
Citations by year
2026: 4 · 2025: 6 · 2024: 4 · 2023: 2
FWCI
2.45
Type
journal article
Language
en
Open access
Locations
  • Journal of the International Society of Sports Nutrition (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
there is no funding
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Muscle metabolism and nutrition
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
  • Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
Keywords
time to exhaustion, high-intensity interval exercise, glycogen resynthesis, post-exercise recovery, peak power, electrolyte solutions, peak oxygen uptake
MeSH terms
Adult, Dietary Carbohydrates, Humans, Male, Middle Aged, Physical Endurance, Polyesters, Exercise, Athletes

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