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Biomedical subjects

R J Maughan

Publications and source records attributed to R J Maughan.

At least 73 records · Page 4Linked to original sources
PubMed1996

Effects of alterations in dietary carbohydrate intake on running performance during a 10 km treadmill time trial.

OBJECTIVE: To examine the influence of a seven day diet manipulation on performance during a 10 km treadmill time trial in trained runners. METHODS: Six trained runners ran two 10 km time trials on a treadmill set at a constant 4% gradient, each after a 7 d period of dietary manipulation. The two experimental diets were a low carbohydrate (CHO) diet (40% CHO by total energy) to be consumed for 7 d, and a high CHO diet containing 55% CHO for the first 4 d followed by 70% CHO for the remaining 3 d. Blood samples were obtained before and immediately after each run. Expired gases were collected and heart rate monitored. RESULTS: Performance time following the high CHO [48.6(SD 2.7) min] and low CHO [48.6(2.3) min] diets was not different (P = 0.72), nor were there any differences in running speed between conditions. No significant differences were found between conditions in any of the metabolites measured (blood lactate, glucose, glycerol, and plasma free fatty acids). The rate of CHO oxidation was greater on the high CHO diet compared to the low CHO diet (P < 0.05). Heart rate was not different between conditions. CONCLUSIONS: The results of this study indicate that moderate changes in the composition of the diet do not affect 10 km running performance in trained subjects.

Adult↗
PubMed1996

Methods for the assessment of gastric emptying in humans: an overview.

A number of different methods are used for the measurement of gastric emptying in humans, and all have some advantages and disadvantages. The method of choice will depend on whether solid or liquid meals are to be studied, the level of precision required, the degree of invasiveness that the subject or patient will tolerate, ethical considerations, and the facilities available. It is easier to measure the emptying of liquid meals, but the emptying of solid meals is the true reflection of what happens during normal life, and is therefore of more clinical importance. Scintigraphy, with appropriate labelling of the test meal components and appropriate corrections applied to the images obtained, is the method of choice for clinical investigation of disturbed emptying patterns and can be applied to solid or liquid meals, but its application is limited by the need to restrict exposure to ionizing radiation. The double sampling gastric aspiration technique allows serial measurements of the composition of the gastric contents and of the volume and composition of gastric secretions but can be used only with liquid meals. Other imaging techniques (ultrasound, MRI) and epigastric impedance measurements produce results that correlate well with those obtained by scintigraphy or aspiration. MRI has the unique feature of allowing the physician to follow gastric emptying while at the same time being able to observe any morphological abnormalities which may contribute to abnormal gastric function. Tracer methods, such as following the appearance in blood of paracetamol, may be useful for screening purposes in large populations. Regardless of the method used, the investigator must be aware of the large interindividual variability which exists in the rate of gastric emptying in normal healthy individuals and of the factors known to influence the gastric pattern.

Eating↗
PubMed1995

The effect of osmolality and carbohydrate content on the rate of gastric emptying of liquids in man.

1. The effect of osmolality and carbohydrate content on the rate of gastric emptying was assessed by using the double sampling gastric aspiration technique to measure the rate of gastric emptying of isoenergetic and isosmotic solutions of glucose and glucose polymer. Six healthy male subjects were each studied on four separate occasions using a test drink volume of 600 ml. 2. The half-emptying time (t1/2, mean +/- S.E.M.) for a dilute (40 g l-1) solution of glucose (LG, 230 mosmol kg-1) was 17 +/- 1 min. This was greater than that (14 +/- 1 min) for a glucose polymer solution with the same energy content (LP, 42 mosmol kg-1). A concentrated (188 g l-1) glucose polymer solution (HP, 237 mosmol kg-1) emptied faster (t1/2 = 64 +/- 8 min) than the corresponding isoenergetic glucose solution (HG, 1300 mosmol kg-1, t1/2 = 130 +/- 18 min). 3. The dilute (40 g l-1) glucose solution emptied faster than the concentrated (188 g l-1) glucose polymer solution with the same osmolality (LG, 230 mosmol kg-1; HP, 237 mosmol kg-1). 4. The two dilute solutions (40 g l-1) delivered a similar amount of carbohydrate to the small intestine, whereas the concentrated (188 g l-1) glucose polymer solution delivered a greater amount of carbohydrate at 20, 40 and 50 min than the isoenergetic glucose solution. 5. These results indicate that both osmolality and carbohydrate content influence gastric emptying of liquids in man, but the carbohydrate content appears to have greater influence than osmolality.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1995

Sodium intake and post-exercise rehydration in man.

This study examined the effect of the sodium content of drinks on the rehydration process after exercise. Six healthy male volunteers were dehydrated by a mean (SEM) of 1.9(0.0) % of body mass by intermittent cycle exercise in a warm (32 degrees C), humid (54% RH) environment. Subjects exercised on four occasions at weekly intervals with each trial beginning in the morning, 3 h after a standard breakfast. Over a 30-min period beginning 30 min after the end of exercise, subjects ingested one of the four test drinks in a volume equivalent to 1.5 times their body mass loss. Drink composition was constant except for the sodium (and matching anion) content. Sodium content of drinks A, B, C and D was 2, 26, 52 and 100 mmol.l-1, respectively. Treatment order was randomised using a four-way crossover incomplete block design. Blood and urine samples were obtained before exercise, immediately before and after the rehydration period and at 0.5, 1.5, 3.5 and 5.5 h after the end of the rehydration period. Data were analysed by parametric or non-parametric statistical tests are appropriate. The volume of fluid consumed was the same on all trials [2045(45) ml]. From the 1.5-h sample onwards, a significant treatment effect on cumulative urine output was apparent, with the volume excreted being inversely related to the sodium content of the drink consumed. By the end of the trial, subjects were in net negative fluid balance on trials A [by 689(124) ml] and B [by 359(87) ml]; on trials C [-2(79) ml] and D [+98(67) ml], subjects were approximately euhydrated. Cumulative urinary sodium output was higher on treatment D than on the other trials after 5.5 h. Plasma volume was lower after exercise than before; on trials B, C and D, plasma volume was higher than the pre-exercise value from 0.5 h after the end of the rehydration period onwards. On trial A, plasma volume was higher than the pre-exercise value at 3.5 and 5.5 h after the end of the rehydration period. At 1.5 h after the end of the rehydration period, the increase in plasma volume was greater on trials C and D than on trial A. These results suggest that the fraction of the ingested fluid that was retained was directly related to the sodium concentration.

Adult↗
PubMed1995

Exercise in the heat: strategies to minimize the adverse effects on performance.

Exercise in the heat is usually associated with reduced performance; both dehydration and hyperthermia adversely affect mental and physical performance. For athletes from temperate climates, the negative effects of heat had humidity can be attenuated by a period of acclimatization. This requires up to 10-14 days. Endurance-trained individuals already show some of the adaptations that accompany acclimatization, but further adaptation occurs with training in the heat. Prior dehydration has a negative effect even on exercise of short duration where sweat losses are small. The athlete must begin exercise fully hydrated and regular ingestion of fluids is beneficial where the exercise duration exceeds 40 min. Dilute carbohydrate-electrolyte (sodium) drinks are best for fluid replacement and also supply some substrate for the exercising muscles. Post-exercise rehydration requires electrolyte as well as volume replacement. In extreme conditions, neither acclimatization nor fluid replacement will allow hard exercise to be performed without some risk of heat illness.

Acclimatization↗
PubMed1995

Preparing for and competing in the heat: the human perspective.

This review provides an overview of the challenges that face man and horses when exercising in the heat. Some of the strategies that are used and are being developed for human athletes exercising in the heat are reviewed. There are many similarities between human and equine physiological responses to exercise in the heat; and equine exercise science may gain some useful insights from the training, fluid replacement and heat acclimatisation strategies used by human athletes. There are, however, some important differences that impact on the ability of horses to thermoregulate and to regulate fluid and electrolyte balance. The major differences are the low surface area to body mass ratio in horses compared to man; and the high metabolic capacity of equine skeletal muscle. These 2 factors may limit the ability of horses to dissipate heat when exercise is performed under hot conditions. Some of the more important equine differences are highlighted within the context of the "human perspective'.

Acclimatization↗
PubMed1995

Creatine supplementation and exercise performance.

Creatine phosphate allows high rates of adenosine triphosphate resynthesis to occur in muscle and therefore plays a vital role in the performance of high-intensity exercise. Recent studies have shown that feeding large amounts of creatine (typically 20 g per day for 5 days) increases muscle total creatine (and phosphocreatine) content. The extent of the increase that is normally observed is inversely related to the presupplementation level. Vegetarians, who have a very low dietary creatine intake, generally show the largest increases. Creatine supplementation has been shown to increase performance in situations where the availability of creatine phosphate is important; thus, performance is improved in very high-intensity exercise and especially where repeated sprints are performed with short recovery periods. Creatine supplementation is widely practiced by athletes in many sports and does not contravene current doping regulations. There are no reports of harmful side effects at the recommended dosage.

Adenosine Triphosphate↗
PubMed1994

The effect of posture change on blood volume, serum potassium and whole body electrical impedance.

After standing for 1 h, ten subjects (7 male, 3 female) assumed a supine position for a further hour. Whole body bioelectrical impedance increased progressively during the hour spent in the supine position: after 60 min supine the increase was 13(6 to 32) omega. Blood and plasma volumes, estimated from haematocrit and haemoglobin concentration, increased by 8.0(6.7 to 12.4)% and 16.7(12.3 to 20.8)% (median(range)) respectively after 60 min supine. Serum potassium concentration had fallen after 10 min supine (4.1(0.1)mmol l-1; mean (SEM)) relative to the standing value (4.6(0.1)mmol l-1) and was unchanged thereafter. Serum osmolality (P = 0.991) and sodium (P = 1.000) and chloride (P = 0.998) concentrations remained unchanged throughout the study. The fall in serum potassium concentration in the supine position does not appear to be a simple dilutional effect consequent upon increases in blood and plasma volume as there was no effect of postural change on serum sodium or chloride concentrations.

Adult↗
PubMed1994

Post-exercise rehydration in man: effects of electrolyte addition to ingested fluids.

This study examined the effects on water balance of adding electrolytes to fluids ingested after exercise-induced dehydration. Eight healthy male volunteers were dehydrated by approximately 2% of body mass by intermittent cycle exercise. Over a 30-min period after exercise, subjects ingested one of the four test drinks of a volume equivalent to their body mass loss. Drink A was a 90 mmol.l-1 glucose solution; drink B contained 60 mmol.l-1 sodium chloride; drink C contained 25 mmol.l-1 potassium chloride; drink D contained 90 mmol.l-1 glucose, 60 mmol.l-1 sodium chloride and 25 mmol.l-1 potassium chloride. Treatment order was randomised. Blood and urine samples were obtained at intervals throughout the study; subjects remained fasted throughout. Plasma volume increased to the same extent after the rehydration period on all treatments. Serum electrolyte (Na+, K+ and Cl-) concentrations fell initially after rehydration before returning to their pre-exercise levels. Cumulative urine output was greater after ingestion of drink A than after ingestion of any of the other drinks. On the morning following the trial, subjects were in greater net negative fluid balance [mean (SEM); P < 0.02] on trial A [745 (130) ml] than on trials B [405 (51) ml], C [467 (87) ml] or D [407 (34) ml]. There were no differences at any time between the three electrolyte-containing solutions in urine output or net fluid balance. One hour after the end of the rehydration period, urine osmolality had fallen, with a significant treatment effect (P = 0.016); urine osmolality was lowest after ingestion of drink A.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1994

Gastric emptying of ingested solutions in man: effect of beverage glucose concentration.

The purpose of this study was to compare the rate of gastric emptying of 20 g.l-1 (2G), 40 g.l-1 (4G), and 60 g.l-1 (6G) glucose solutions with that of water (W). On separate occasions in randomized order, a 600-ml test solution was instilled into the stomach of each of six healthy male volunteers. Gastric emptying was measured at 10-min intervals for 1 h by a double sampling gastric aspiration method that allowed the volume of test drink and of the gastric secretion present in the stomach to be measured at each time point. All solutions emptied rapidly and followed an exponential emptying pattern. The 20 g.l-1 glucose solution was emptied at the same rate as water. After the first 10 min of rapid emptying, 4G and 6G were emptied slower (P < 0.05) than water. 6G delivered more (P < 0.05) glucose to the small intestine than 4G, and 4G delivered more glucose than 2G. The results indicate that a 20 g.l-1 glucose solution has no effect on gastric emptying compared with water, but that after the first 10 min of rapid emptying, glucose solutions at a concentration of 40 g.l-1 or more delay gastric emptying.

Adult↗
PubMed1994

Fluid replacement requirements in soccer.

Soccer is an endurance sport that consists of moderate activity levels interspersed with intermittent high-intensity bursts, leading to high rates of metabolic heat production. Even when the weather is cold, significant sweat loss will occur, leading to a degree of dehydration which impairs exercise performance. Fluid intake before and during the game will provide water to reduce the degree of dehydration and can also supply carbohydrate to supplement the body's limited carbohydrate stores. Dilute carbohydrate-electrolyte drinks are most effective for rehydration. The optimum formulation will vary between individuals and will also depend on climatic conditions. Players should be encouraged to experiment with fluid intake during training to identify the type of drink and the amount and frequency of drinks that best meet their needs.

Dehydration↗
PubMed1994

Intestinal absorption during rest and exercise: implications for formulating an oral rehydration solution (ORS). Proceedings of a roundtable discussion. April 21-22, 1993.

Formulation of oral rehydration solutions (ORS) is reviewed in the context of methods for measuring absorption of water and component substrates, transport mechanisms of substrates and water, requirements of the athlete, and effects of exercise on absorption. The triple lumen tube intubation perfusion method is the optimal technique for obtaining absorption data from the human small intestine during rest and exercise. Factors that must be considered when interpreting absorption data obtained by this technique include the role of the mixing segment in altering composition of the infused solution, defining optimal segment length, effects of ORS osmolality, and absorption of "nonabsorbed" indicators. Absorption data are applicable only to the test segment and may lack relevance to ORS transport proximal and distal to the test segment. Absorption rate of an ORS measured by perfusion may not correlate with absorption rate following ingestion. Transport of water, electrolytes, carbohydrates, and other solutes including glutamine and amino acids is considered in relation to ORS formulation. Factors affecting absorption of an ORS including the unstirred layer, motility, intestinal blood flow, and maximal absorptive capacity of the alimentary tract are considered. Exercise per se at 30-70% VO2max for 60-90 min probably has minimal effects in limiting absorption of an ORS. Consideration relevant to supplying needs of the athlete during prolonged exercise in relation for ORS formulation are discussed.

Animals↗
PubMed1993

Influence of sodium bicarbonate ingestion on plasma ammonia accumulation during incremental exercise in man.

This investigation evaluated the influence of metabolic alkalosis on plasma ammonia (NH3) accumulation during incremental exercise. On two occasions separated by at least 6 days, six healthy men cycled at 70, 80, and 90% of maximum oxygen consumption (VO2max) for 5 min; each exercise period was followed by 5 min of seated recovery. Exercise was then performed at 100% VO2max until exhaustion. Beginning 3 h prior to exercise, subjects ingested 3.6 mmol.kg body mass-1 NaHCO3 (test, T) or 3.0 mmol.kg body mass-1 CaCO3 (placebo, P) (both equivalent to 0.3 g.kg-1) over a 2-h period. Trials were performed after an overnight fast and the order of treatments was randomized. Arterialized venous blood samples for the determination of acid-base status, blood lactate and plasma NH3 concentrations were obtained at rest before treatment, 15 s prior to each exercise bout (Pre 70%, Pre 80%, Pre 90%, and Pre 100%), and at 0, 5 (5'Post), and 10 (10'Post) min after exhaustion. Additional samples for blood lactate and plasma NH3 determination were obtained immediately after each exercise bout (Post 70%, Post 80%, Post 90%) and at 15 min after exercise (15'Post). Time to exhaustion at 100% of VO2max was not significantly different between treatments [mean (SE): 173 (42) s and 184 (44) s for T and P respectively]. A significant treatment effect was observed for plasma pH with values being significantly higher on T than on P Pre 70% [7.461 (0.007) vs 7.398 (0.008)], Pre 90% [7.410 (0.010) vs 7.340 (0.016)], and 10'Post [7.317 (0.032) vs 7.242 (0.036)].(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1993

Response of unacclimatized males to repeated weekly bouts of exercise in the heat.

The purpose of the present study was to determine if there is an acclimation effect when unacclimatized males exercise in the heat at weekly intervals. Five subjects performed four exercise bouts, each lasting 1 h at 55% VO2max. The first trial was in moderate conditions (mean(s.d.) temperature (Ta) = 22.0(0.8)degrees C; mean(s.d.) relative humidity (rh) = 67(6)%) and the subsequent three trials were carried out at weekly intervals in the heat (mean(s.d.) Ta = 34.6(0.6)degrees C; mean(s.d.) rh = 60(7)%). There were no significant differences between trials in the heat for heart rate, rectal temperature, skin temperature or VO2 (repeated measures analysis of variance), and total sweat loss (one-way analysis of variance). As changes in these variables are seen with heat acclimation it was concluded that there was no heat acclimation effect and separating exercise bouts by 1 week was a valid method for comparing the effects of different treatments on unacclimatized males during exercise in the heat.

Acclimatization↗
PubMed1993

An evaluation of a bioelectrical impedance analyser for the estimation of body fat content.

Measurement of body composition is an important part of any assessment of health or fitness. Hydrostatic weighing is generally accepted as the most reliable method for the measurement of body fat content, but is inconvenient. Electrical impedance analysers have recently been proposed as an alternative to the measurement of skinfold thickness. Both these latter methods are convenient, but give values based on estimates obtained from population studies. This study compared values of body fat content obtained by hydrostatic weighing, skinfold thickness measurement and electrical impedance on 50 (28 women, 22 men) healthy volunteers. Mean(s.e.m.) values obtained by the three methods were: hydrostatic weighing, 20.5(1.2)%; skinfold thickness, 21.8(1.0)%; impedance, 20.8(0.9)%. The results indicate that the correlation between the skinfold method and hydrostatic weighing (0.931) is somewhat higher than that between the impedance method and hydrostatic weighing (0.830). This is, perhaps, not surprising given the fact that the impedance method is based on an estimate of total body water which is then used to calculate body fat content. The skinfold method gives an estimate of body density, and the assumptions involved in the conversion from body density to body fat content are the same for both methods.

Adipose Tissue↗