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DOI: 10.1055/s-2005-837467
© Georg Thieme Verlag KG Stuttgart · New York
The Effects of a High Carbohydrate Diet on Cortisol and Salivary Immunoglobulin A (s-IgA) During a Period of Increase Exercise Workload Amongst Olympic and Ironman Triathletes
Publication History
Accepted after revision: November 25, 2004
Publication Date:
11 April 2005 (online)
Abstract
The present study observed the effects of a 6-day high carbohydrate (H-CHO) diet on salivary cortisol and IgA during a period of increased exercise workload. Thirty-two competitively trained male triathletes were randomly allocated into a self-selected (SS), or an H-CHO (12 g CHO kgbm-1 · day-1) dietary group. In addition to their training regimes, all subjects performed a 1-hour running exercise bout at 70 % V·O2max · d-1, for six days. Saliva samples were taken pre, immediately post, and morning post-exercise bout on days 1, 4, and 6. The concentrations of s-IgA and cortisol were determined by ELISA assays. There was a significant (p < 0.001) interaction between Group × Time for cortisol, with a marked increase in concentrations occurring in the SS dietary group pre to post exercise, and pre to morning post-exercise (p < 0.01). Conversely, a significant (p = 0.009) Group × Time interaction reflected higher post exercise s-IgA concentrations (p < 0.005) than pre exercise in the H-CHO diet group. Blood glucose concentration decreased pre to post exercise in the SS diet group (p < 0.01), whilst remaining stable in the H-CHO group. It is concluded that the consumption of a high CHO diet throughout a 6-day period of overtraining had a favourable effect on markers of immune activity and thereby reduced the susceptibility of these endurance athletes to upper respiratory tract infection URTI.
Key words
Stress hormone - URTI - training - immunosuppressive - endurance - overtraining
References
- 1 Bacurau R FP, Bassit R A, Sawada L, Navarro F, Martins E, Rosa L. Carbohydrate supplementation during intense exercise and the immune response of cyclists. Clin Nutr. 2002; 21 423-429
- 2 Bishop N C, Blannin A K, Rand L, Gleeson M. Effects of carbohydrate and fluid intake on the blood leukocyte response to prolonged cycling. J Sport Sci. 1999; 17 26-27
- 3 Bishop N C, Blannin A K, Walsh N P, Robson P J, Gleeson M. Nutritional aspects of immunosuppression in athletes. Sports Med. 1999; 28 151-176
- 4 Bishop N C, Blannin A K, Armstrong E, Rickman M, Gleeson M. Carbohydrate and fluid intake affect the saliva flow rate and IgA response to cycling. Med Sci Sport Exer. 2000; 32 2046-2051
- 5 Brenner I KM, Severs Y D, Rhind S G, Shephard R J, Shek P N. Immune function and incidence of infection during basic infantry training. Milit Med. 2000; 165 878-883
- 6 Corral P, Mahon A D, Duncan G E, Howe C A, Craig B W. The effect of exercise on serum and salivary cortisol in male children. Med Sci Sport Exerc. 1994; 26 1297-1301
- 7 Costill D L, Flynn M G, Kirwan J P, Houmard J A, Mitchell J B, Thomas R, Park S H. Effects of repeated days of intensified training on muscle glycogen and swimming performance. Med Sci Sport Exerc. 1988; 20 249-254
- 8 Costill D L. Carbohydrate for exercise: dietary demands for optimal performance. Int J Sport Med. 1988; 9 1-18
- 9 Espersen G T, Elbaeck A, Schmidt-Olsen S, Ejlersen E, Varming K, Grunnet N. Short-term changes in the immune system of elite swimmers under competitive conditions. Different immunomodulation induced by various types of sports. Scan J Med Sci Sport. 1996; 6 156-163
- 10 Fitzgerald L. Overtraining increases the susceptibility of infection. Int J Sport Med. 1991; 12 5-8
- 11 Foster C. Monitoring training in athletes with reference to overtraining syndrome. Med Sci Sport Exerc. 1998; 30 1164-1168
- 12 Frayn (ed) K N. Metabolic Regulation: A Human Perspective. London; Portland Press 1999 103-110 174-195
- 13 Gleeson M, Blannin A K, Walsh N P, Bishop N C, Clark A M. Effects of low- and high-carbohydrate diets on the plasma glutamine and circulating leukocyte responses to exercise. Int J Sport Nutr. 1998; 8 49-59
- 14 Gleeson M, Hall S T, McDonald W A, Flanagan A J, Clancy R L. Salivary IgA subclasses and infection risk in elite swimmers. Immunol Cell Biol. 1999; 77 351-355
- 15 Gleeson M, Nieman D C, Pedersen B K. Exercise, nutrition and immune function. J Sport Sci. 2004; 22 115-125
- 16 Hale T, Armstrong N, Hardman A, Jakeman P, Sharp C, Winter E. Position Statement on the Physiological Assessment of the Elite Competitor. Leeds; British Association of Sports Science 1996
- 17 Harris B, Watkins S, Cook N, Walker R F, Read G F, Riad-Fahmy D. Comparisons of plasma and salivary cortisol determinations for the diagnostic efficacy of the dexamethasone suppression test. Bio Psychiat. 1990; 27 897-904
- 18 Henson D A, Nieman D C, Blodgett A D, Butterworth D E, Utter A, Davis J M, Sonnenfeld G, Morton D S, Fagoaga O R, Nehlsen-Cannarella S L. Influence of exercise mode and carbohydrate on the immune response to prolonged exercise. Int J Sport Nutr. 1999; 9 213-228
- 19 Ivy J L. Muscle glycogen synthesis before and after exercise. Sport Med. 1991; 11 6-19
- 20 Kingsbury K J, Hjelm M, Kay L. Contrasting plasma free amino acid patterns in elite athletes: association with fatigue and infection. Br J Sport Med. 1998; 32 25-33
- 21 Kohut M L, Boehm G W, Moynihan J A. Prolonged exercise suppresses antigen-specific cytokine response to upper respiratory tract infection. J Appl Physiol. 2001; 90 678-684
- 22 MacKinnon L T. Overtraining effects on immunity and performance in athletes. Immunol Cell Biol. 2000; 78 502-509
- 23 Nehlsen-Cannarella S L, Fagoaga O R, Nieman D C, Henson D A, Butterworth D E, Schmitt R L, Bailey E M, Warren B J, Utter A, Davis J M. Carbohydrate and the cytokine response to 2.5 h of running. J Appl Physiol. 1997; 82 1662-1667
- 24 Nieman D C, Fagoaga O R, Butterworth D E, Warren B J, Utter A, Davis J M, Henson D A, Nehlsen-Cannarella S L. Carbohydrate supplementation affects blood granulocyte and monocyte trafficking, but not function after 2.5 h running. Am J Clin Nutr. 1997; 66 153-159
- 25 Nieman D C, Henson D A, Garner E B, Butterworth D E, Warren B J, Utter A, Davis J M, Nehlsen-Cannarella S L, Fagoaga O R. Carbohydrate affects natural killer cell redistribution but not function after running. Med Sci Sport Exerc. 1997; 20 1318-1324
- 26 Nieman D C. Influence of carbohydrate on the immune response to intensive, prolonged exercise. Exerc Immunol Rev. 1998; 4 64-76
- 27 Pyne D B, Gleeson M, McDonald W A, Clancy R L, Perry Jr C, Fricker P A. Training strategies to maintain immunocompetence in athletes. Int J Sports Med. 2000; 21 51-60
- 28 Robson P J, Blannin A K, Walsh N P, Castell L M, Gleeson M. Effects of exercise intensity, duration, and recovery on in vitro neutrophil function in male athletes. Int J Sports Med. 1999; 20 1-8
- 29 Ronsen O, Haug E, Pedersen B K, Bahr R. Increased neurendocrine response to a repeated bout of endurance exercise. Med Sci Sport Exerc. 2001; 33 568-575
- 30 Tharp G D, Barnes M W. Reduction of saliva immunoglobulin levels by swim training. Eur J Appl Physiol. 1990; 60 61-64
- 31 Tomasi T B, Trudeau F B, Czerwinski D, Erredge S. Immune parameters in athletes before and after strenuous exercise. J Clin Immunol. 1982; 2 173-178
- 32 Tsintzas O K, Williams C, Wilson W, Burrin J. Influence of carbohydrate supplementation early in exercise on endurance running capacity. Med Sci Sport Exerc. 1996; 28 1373-1379
- 33 Winter E M, Eston R G, Lamb K L. Statistical analyses in the physiology of exercise and kinanthropometry. J Sports Sci. 2001; 19 761-776
K. L. Lamb
Department of Sport and Exercise Sciences, University College Chester
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Chester CH1 4BJ
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Email: k.lamb@chester.ac.uk