Samuel Mettler -Nutrition in triathlon

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Nutrition in triathlon

F b February 8 2013 8, 2013, Magglingen M li D S Dr. Samuell Mettler, M ttl Nutritionist, N t iti i t BASPO samuel.mettler@baspo.admin.ch

Topic Competition Preparing for competition Training adaptation

high carb low carb low glycogen train low - compete high

Bundesamt f端r Sport BASPO EHSM Ressort Leistungssport Samuel Mettler

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Substrate oxidation

glycogen

carboydrates

Blood glucose

fat

Endurance trained athletes (cyclists), (cyclists) fasted Van Loon et al, J Physiol, 2001 Bundesamt f端r Sport BASPO

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EHSM Ressort Leistungssport Samuel Mettler

Preparing for competition Carboloading

1967:

3 day depletion

+ 3 day loading

Astrand et al,, 1967,1968 ,

1981:

normal diet

+ 3 day loading

Sherman et al, 1981

2001:

normal diet

+ 1 day loading

Busseau et al al, 2002

Bundesamt f端r Sport BASPO EHSM Ressort Leistungssport Samuel Mettler

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During competition For endurance events of ~2 h (e.g. olympic triathlon)  30-60 g/h

 In practice:

swimming: cycling: running:

low ~60 g/h low ACSM Joint Position Stand, MSSE, 2009 Jeukendrup, J Sport Sci, 2011

For endurance events of >3 hours (e.g. Ironman)  ‘Older’ ‘Old ’ recommendations d ti

30 60 g/h 30-60 /h ACSM Joint Position Stand, MSSE, 2009

 Newer recommendations

up to 90 g/h requires multiple transportable carbohydrates (Glucose + Fructose) Jeukendrup, J Sport Sci, 2011

Bundesamt für Sport BASPO

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EHSM Ressort Leistungssport Samuel Mettler

Supplements for triathlon competition Caffeine • «classic protocol»: • «alternative protocol»:

3-6 mg/kg 60-90 min pre start 3-6 mg/kg in multiple doses during event 1-2 mg/kg during exercise

Nitrate? • Potentially useful for short high intensity endurance (~4-20 min) • No evidence for longer events. • Studies with elite athletes: no effect. Ch i t Christensen ett al,l Scand S d J Med M d Sci S i Sport, S t 2012 Peacock et al, MSSE, 2013

Supplementguides: • •

www.antidoping.ch (German) Australian Institute of Sport (English)

Bundesamt für Sport BASPO EHSM Ressort Leistungssport Samuel Mettler

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Question 1: Preparing for competition

Adaptation to increased fat oxidation to… …spare glycogen …improve performance

Bundesamt für Sport BASPO

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EHSM Ressort Leistungssport Samuel Mettler

Question 2: Training adaptation

Is it a lack or a surplus of substrate that triggers training adaptation? H l &B Hawley Burke, k 2010

Bundesamt für Sport BASPO EHSM Ressort Leistungssport Samuel Mettler

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Possible strategies Shortterm high g fat / low carb adaptation p ((e.g. g 1-3 days) y )  Reduced performance

Longer high fat / low carb adaptation (e.g. > 5 days to some weeks)  Adaptation possible, possible but no performance benefit

Bundesamt für Sport BASPO

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EHSM Ressort Leistungssport Samuel Mettler

Fat adaptation + CHO restoration 5 d high carb

1 d high carb

5 d high fat

1 d high carb

training + diet supervised (495 km / 17 h training) 120 min SS + ~30 30 min TT CHO: 2.0 g/kg 2 h pre-exercise 0.8 g/kg/h during exercise

No performance effect in TT:  25.45 ± 0.67 min (high carb)  25.53 2 3 ± 0.96 0 96 min i (high (hi h fat) f ) Fat oxidation  after high fat and still after 1 day high carb Burke et al, MSSE, 2002 Bundesamt für Sport BASPO EHSM Ressort Leistungssport Samuel Mettler

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Fat adaptation + CHO restoration 6 d high carb

1 d high carb

6 d high fat

1 d high carb

240 min SS @ 65% VO2max + 60 min TT CHO: 3.0 g/kg 1 h pre-exercise 100 g/h /h during d i exercise i

 non-significant performance improvement

Carey et al, J Appl Physiol, 2001 Bundesamt für Sport BASPO

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EHSM Ressort Leistungssport Samuel Mettler

Fat adaptation + CHO restoration 6 d high carb

1 d high carb

6 d high fat

1 d high carb

«100 km cycling TT, including high intensity sprints, simulating race situations»  1 km sprint (5x)  4 km sprint (4x) Haveman et al, J Appl Physiol, 2006 Bundesamt für Sport BASPO EHSM Ressort Leistungssport Samuel Mettler

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Fat adaptation + CHO restoration

Haveman et al, J Appl Physiol, 2006 Bundesamt für Sport BASPO

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EHSM Ressort Leistungssport Samuel Mettler

Low carb: adaptations PDH activity

Increased fat metabolism  Reduced carbohydrate metabolism Stellingwerff, Am J Physiol Endocrinol Metab, 2006 Bundesamt für Sport BASPO EHSM Ressort Leistungssport Samuel Mettler

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Low glycogen training

 100 min steady state @ 70% VO2max  8 x 5 min @ maximal pace (HIT)  HIT with normal or low glycogen gy g  Cave: low glycogen training ≠ low carbohydrate intake! Trained cyclists (VO2max: 60 ml/kg/min)

Yeo et al, JAP, 2008 Bundesamt für Sport BASPO

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EHSM Ressort Leistungssport Samuel Mettler

Low glycogen training

Yeo et al, JAP, 2008 Bundesamt für Sport BASPO EHSM Ressort Leistungssport Samuel Mettler

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Low glycogen training

No effect on time trial performance

Yeo et al, JAP, 2008 Bundesamt f端r Sport BASPO

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EHSM Ressort Leistungssport Samuel Mettler

Low glycogen training

No effect on time trial performance

Hulston et al, JAP, 2008 Bundesamt f端r Sport BASPO EHSM Ressort Leistungssport Samuel Mettler

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Drawbacks of low glycogen & low carb? •

Increased risk of overlaod / overreaching g  Increased training and low carb / low glycogen not at the same time (e.g. training camp)

Reduced exercise intensityy + increased RPE  Risk of too low self selected exercise intensity

Reduction of carbohydrate metabolic pathways  Reduced high intensity performance capabilities

Bundesamt für Sport BASPO

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EHSM Ressort Leistungssport Samuel Mettler

Gut adaptation? Adaptation of carbohydrate absorption capacity?  Animal models: Intestinal transport adapts to diet. diet  SGLT1 + Glut2   «Sweet-Taste-Receptors» p in the g gut Shirazi-Beechey et al, Proc Nutr Soc, 2011 Moran et al, Br J Nutr, 2010 Dyer, Biochem Soc Trans, 2007 Suhr, Am J Physiol, 1997

 Oxidation capacity of exogenous carbohydrates also adapts in human athletes. athletes Cox et al, JAP, 2010

Bundesamt für Sport BASPO EHSM Ressort Leistungssport Samuel Mettler

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Where are we going … ?  During competition  Optimize carbohydate supply (multiple transportable carbs)  Caffeine  Preparing for competition  Carboloading without fat adaptation for the olympic triathlon  Carboloading C b l di with ith previous i f t adaptation fat d t ti for f ironman? i ?  Test individual response and tolerance  Fat adaptation p g gut adaptation p for high g carb availability? y  Low glycogen training or low carb phases?  Alternative training stimulus for days / weeks / selected trainings  Further data needed...

Bundesamt für Sport BASPO

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EHSM Ressort Leistungssport Samuel Mettler

Topic Competition Preparing for competition Training adaptation

high carb low carb low glycogen train low - compete high

Bundesamt für Sport BASPO EHSM Ressort Leistungssport Samuel Mettler

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