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Triathlon Nutri-on and Supplementa-on Nicola Sponsiello ESNS Padova Italy

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Page 1: Triathlon* Nutri-onand* · Beer *lean* * The advantagesof lowbody fat*levelsinclude physicaland* mechanical*gains,for example,an increased“ powerto weight”ra-oor* simplya reduced*amountof“dead*

Triathlon  Nutri-on  and  

Supplementa-on

Nicola  Sponsiello  ESNS  – Padova  Italy  

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Triathlon  distances

•  Sprint  distance:  500-­‐m  swim/20-­‐km  cycle/5-­‐km  run  • Olympic  distance:  1.5-­‐km  swim/40-­‐km  cycle/10-­‐km  run  • Half  Ironman  (‘Ironman  70.3’):  1.8-­‐km  swim/90-­‐km  cycle/21.1-­‐  km  run  •  Long  course:  4-­‐km  swim/130-­‐km  cycle/30-­‐km  run  • Ultra  distance/Ironman:  3.9-­‐km  swim/180-­‐km  cycle/42.2-­‐kmrun  

• Winners  Qme:  from  45’  to  7h  45’  

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No  differences  for  age  Lepers,  R.  and  Maffiule1,  N.A.,  Age  and  gender  interac8ons  in  ultraendurance  performance:  Insight  from  the  triathlon,  Med.  Sci.  Sports  Exerc.  43,  134–9,  2011.

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Be:er  lean    

The  advantages  of  low  body  fat  levels  include  physical  and  mechanical  gains,  for  example,  an  increased  “power  to  

weight”  ra-o  or  simply  a  reduced  amount  of  “dead  weight”  that  must  be  moved  by  the  athlete.  This  is  a  par-cular  

advantage  in  the  sport  where  the  athlete  transports  his  or  her  body  mass  over  long  distances

Ranges  of  relaQve  body  fat  for  men  and  women  athletes  in  Triathlon    M  5–12%;    F  8–15%  

                                                                                                                                                                                                                                                                                                                                                 Wilmore  (1992)  

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Energy:  triathlon  is  among  the  sports  with  the  highest  reported  energy  turnovers

• Energy  expenditure  in  endurance  sports  have  been  measured  in  the  field  by  using  doubly  labelled  water,  Qll  120’  most  of  the  energy  intake  is  derived  from  CHO  (Saris  et  al.  1989)  

• Besides  this,  appeQte  is  usually  depressed  a`er  strenuous  exercise  (Jeukendrup  2011)  

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Whole  body  CHO  and  lipid  oxida-on  rates  during  prolonged  exercise  at  57%  VO2max  (adapted  from  WaK  et  al.,  2002)

Rela-ve  contribu-on  of  muscle  and  blood-­‐borne  substrates  to  energy  produc-on  during  prolonged  exercise  at  57%  VO2max  (adapted  from  WaKet  al.,  2002)

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Knechtlet  B,  et  al.  2008  Decrease  in  body  fat  during  an  ultra-­‐endurance  triathlon  is  associated  with  race  intensity.  Br  J  Sports  Med;  42:  609–613

Over  7  hours  

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Ironman:  a  226-­‐kilometre  picnic    Ranges  of  4.4–6.2g  CHO·∙kg–1  BW·∙day–1  and  7–10MJ·∙day-­‐1  (1660–2400kcal)  were  reported  for  those  par-cipa-ng  in  aerobic  sports  (running,  cycling,  triathlons)    The  fuel  demands  of  some  events  are  even  greater  than  the  muscle’s  normal  glycogen  stores.    Marathons,  road  cycling  races  and  Ironman  triathlons  are  all  sports  in  which  compe-tors  can  feel  the  fa-gue  –  o^en  called  ‘hi`ng  the  wall’  –  associated  with  glycogen  deple-on.                                                                                                                                                                                                                                                                                                                                                                                                                                                                      L.  Burke

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Carbohydrate

• Sports  gels  are  carbohydrate  polymers  (large  molecules  of  many  monosaccharides  held  together  by  molecular  bonds)  Sports  gels  all  deliver  approximately  100  calories  per  gel  pack  and  typically  provide  different  combina-ons  of  carbohydrate

• carbohydrate  energy  during  a  race  (typically  1  to  1.5  grams  of  carbohydrate  per  kilogram  of  body  weight  per  hour).  Clark  N,  Tobin  J  Jr.,  Ellis  C.  Feeding  the  ultraendurance  athlete:  Prac8cal  8ps  and  a  case  study.  Journal  of  the  American  Diete8c  Associa8on.  1992;92(10):1258-­‐1262.

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“Overall,   training   with   high   CHO   availability   (a   high-­‐CHO   diet   with  increased   CHO   supply   during   exercise)   produced   similar   adaptaQons  compared   to   training   with   low-­‐CHO   availability   (a   moderate   CHO-­‐diet  and  no  CHO-­‐support  during  exercise).      

A   significant   difference   was   that   training   with   high-­‐CHO   availability  increased   exogenous   glucose   oxidaQon   when   athletes   consumed   CHO  during  prolonged,  moderate-­‐intensity  exercise.”  

Cox  GR  et  al.  J  Appl  Physiol  109:  126-­‐134,  2010.    

Train  Low  &  Compete  High

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Increase  of  fat  oxida-on,

why  ?  

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Long-­‐course  and  ultra-­‐distance  events  challenge  muscle  glycogen  stores  and  therefore  deserve  a  modified  carbohydrate-­‐loading  prepara-on.  

When  exercise  -me  is  over  2  hours,  the  last  36–72  hours  before  a  race  should  be  devoted  to  packing  glycogen  stores,  with  a  significant  reduc-on  in  exercise  and  a  higher-­‐carbohydrate  diet.  Since  most  races  start  early  in  the  morning,  the  typical  pre-­‐race  meal  is  small  and  light  and  eaten  on  rising,  about  two  to  three  hours  before  the  event.

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Pre  compe--on  meals

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Rela-vely  few  studies  have  inves-gated  how  much  carbohydrate  athletes  ingest  during  races  and  whether  they  meet  the  recommended  guidelines.  In  a  study  the  average  carbohydrate  intake  during  an  ironman  distance  triathlon  was  1.0  g/kg  BW/h  in  female  tri-­‐athletes  and  1.1  g/kg  BW/h  in  male  tri-­‐athletes  Kimber  NE,  Ross  JJ,  Mason  SL,  et  al.  Energy  balance  during  an  ironman  triathlon  in  male  and  female  triathletes.  Int  J  Sport  Nutr  Exerc  Metab.  2002;12:47–62.

Carbohydrate  amounts  during  exercise  with  dura-on  more  than  2,5  hours:  up  to  90g/hr;  must  be  a  combina-on  of  carbohydrate  that  is  absorbed  via  different  mechanisms  (e.g.,  glucose  or  maltodextrin  combined  with  fructose  in  a  2:1  ra-o)  

A.E.   Jeukendrup,  2011,   “Nutri8on   for  endurance  sports:  Marathon,   triathlon,  and   road  cycling,”  Journal  of  Sports  Sciences  29(S1):  S91-­‐S99

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Protein  

•  Protein  synthesis  increases  by  ∼40–70%  in  the  recovery  phase  a^er    prolonged  aerobic-­‐type  exercise  Kumar,  V.  et  al.  2009  Human  muscle  protein  synthesis  and  breakdown  during  and  ader  exercise.  Journal  of  Applied  Physiology,  106:  2026–2039.

• Chronic  training  studies  have  shown  that  the  consump-on  of  milk-­‐based  protein  a^er  resistance  exercise  is  effec-ve  in  increasing  muscle  strength  and  favorable  changes  in  body  composi-on

•  The  exercise-­‐enhancement  of  MPS,  determined  by  the  -ming  and  pa:ern  of  protein  intake,  responds  to  further  intake  of  protein  within  the  24-­‐hour  period  a^er  exercise

Nutri8on  and  Athle8c  Performance  JOINT  POSITION  STATEMENT  2016  MEDICINE  &  SCIENCE  IN  SPORTS  &  EXERCISE

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Protein  &  cho  during  ultraendurance  

 Conclusion:  Combined  inges-on  of  protein  and  cho  improves  net  protein  balance  at  rest  as  well  

during  exercise

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 AGED  ATHLETES:  Masters  athletes  may  benefit  from  higher  doses  of  postexercise  dietary  protein,  with  par-cular  a:en-on  

directed  to  the  leucine  content  of  the  postexercise  bolus.

Doering  T.M.  et  al  

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Ketone  bodies,  which  pass  out  of  the  liver  into  the  blood  and  can  be  taken  up  and  metabolized  by  muscle.   Increases  in  ketone  bodies  can  be  found  as  a  consequence  of  prolonged  exercise.   Ketone  bodies  reflect  increased  fat  availability

LIPIDS  

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Plasma  glycerol  (red  symbols)  and  FFA  (green  symbols)  during  and  in  recovery  from  exercise  at  65%  VO2max   (adapted from Romijn et al,1993)

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Hydra-on:  perhaps  the  most  important  performance-­‐related  factor  for  triathletes  is  crea-ng  a  strategy  for  maintaining  hydra-on  state.    ,  

.  Nevertheless,  despite  the  importance  of  hydra-on,  it  appears  that  triathletes  are  rarely  successful  at  maintaining  good  hydra-on  during  a  compe--on,  with  a  water-­‐related  weight  loss  that  commonly  exceeds  4  percent  Rogers  G,  Goodman  C,  Rosen  C.  Water  budget  during  ultra-­‐endurance  exercise.  Medicine  and  Science  in  Sports  and  Exercise.  1997;29(11):1477-­‐1481.

• When  triathletes  who  competed  in  an  Olympic  distance  triathlon  hydrated  early  in  the  race  compared  to  later  in  the  race,  their  overall  Qmes  were  faster  McMurray  RG,  et  al  2006  The  Hming  of  fluid  intake  during  an  Olympic  distance  triathlon.  Int  J  Sport  Nutr  Exerc  Metab;16:611–619.  

•  In  certain  sports  such  as  ultra-­‐distance-­‐endurance  events,  finishers  with  the  fastest  Qmes  are  o`en  the  most  dehydrated,  up  to  12%  body  weight  loss  reported  Sharwood,  K.A.  et  al.(2004)  Weight  changes,  medical  complicaQons,  and  performance  during  an  Ironman  triathlon.  BriQsh  Journal  of  Sports  Medicine,  38:  718–724.  

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Body  water  and  circula-on  

•  Sub-­‐maximal  exercise  for  as  many  as  12  hours  will  influence  cardiovascular  func-on

• A  consequence  of  this  would  be  a  reduced  ventricular  filling  and  thus  a  decrease  in  stroke  volume

•  To  maintain  cardiac  output  would  require  an  increase  in  heart  rate.  The  progressive  rise  in  heart  rate  with  prolonged  exercise,  called  cardiovascular  drid  is  a  common  phenomenon  that  has  also  been  recently  linked  to  direct  temperature  effects  in  the  sino-­‐atrial  node  and  elevated  sympathe-c  ac-vity

Cardiovascular  response  to  exercise  in  “sport  and  exercise  physiology”  Birch;  Maclaren;  2004  ed.  BIOS-­‐Taylor  &  Francis    

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Brouns  et  al  (1991)  showed  that  the  rate  of  fluid  ingesQon  of  subjects  encouraged  to  drink  as  much  as  possible  during  a  simulated  triathlon  was  two  to  three  Qmes  higher  during  the  cycle  leg  (0.6–0.8  L/h)  than  during  the  running  leg  (0.1–0.3  L/h).  Brouns,  F.,  Becker,  E.,  Knopfli,  B.,  Villager,  B.  &  Saris,  W.  (1991)  RehydraHon  during  exercise  effect  of  electrolyte  supplementaHon  on  selecHon  blood  parameters.  Medicine  and  Science  in  Sports  and  Exercise,  23:  S84    

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Lambert  GP,  et  al:  Intes8nal  permeability  following  the  1998  Ironman  triathlon.  Med  Sci  Sports  Exerc  1999;  31:S318.  

HydraQon  disturbances  

Even  modest  consump-on  of  fluids  that  contain  no  sodium  may  increase  the  risk  of  hyponatremia  Speedy  DB,et  al.  Fluid  balance  during  and  ader  an  Ironman  triathlon.  Clinical  Journal  of  Sport  Medicine.  2001;11(1):44-­‐50.

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G.I.D.  are  not  rare  in  long  distance  triathlon  

       

JEUKENDRUP  E.E.  et  al.  2000  Rela8onship  between  gastro-­‐intes8nal  complaints  and  endotoxaemia,  cytokine  release  and  the  acute-­‐phase  reac8on  during  and  ader  a  long-­‐distance  triathlon  in  highly  trained  

men.  Clinical  Science    98,  47–55

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Supplements    just  some  news

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Caffeine:  does  increase  the  use  of  fat  as  an  exercise  fuel  and  spares  precious  glycogen  stores  ?    

The  complete  guide  to  food  for  sport  performance  L.  Burke  2010

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BCAA • BCAA  supplementa-on  (6  g/day)  for  2  to  4  weeks  and  a  3-­‐g  dose  30  min  before  a  long-­‐distance  run  or  triathlon  race  prevented  the  24%  fall  in  the  plasma  glutamine  concentra-on  observed  in  the  placebo  group  and  also  modifi  ed  the  immune  response  to  exercise  Bassit,  R.A.  et  al.  2002  Branched-­‐chain  amino  acid  supplementa8on  and  the  immune  response  of  long  distance  athletes,  Nutri8on,  18,  376–379

• BCAA  supplements  (6  g/day  for  15  days),  which  are  precursors  for  glutamine,  prior  to  a  triathlon  or  30-­‐  km  run  prevented  a  40%  decline  in  the  nitrogen-­‐s-mulated  lymphocyte  prolifera-on  observed  in  the  control  group  post-­‐exercise.  Bassit,  R.A.  et  al  2000,  The  effect  of  BCAA  supplementa8on  upon  the  immune  response  of  triathletes,  Med  Sci  Sports  Exerc,  32,  1214

•  It  is  observed  that  there  is  a  lesser  degree  of  pain  and  muscle  damage,  less  perceived  exer-on  and  mental  fa-gue,  greater  anabolic  response  in  recovery  period  and  improved  immune  response  when  supplemented  with  BCAAs  Salinas-­‐Garcia  M.E.  et  al.  2014  Effects  of  branched  amino  acids  in  endurance  sports:  a  review  Nutr  Hosp.  Nov  16;31(2):577-­‐89

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Immune  func-on:  heavy  and  prolonged  training  is  associated  with  depressed  immune  cell  func-on,  there  is  no  convincing  evidence  that  high  doses  of  so-­‐called  immune-­‐boos-ng  supplements,  including  an-oxidant  vitamins,  glutamine,  zinc,  echinacea,  and  probio-cs,  prevent  exercise-­‐induced  immune  impairment            

Gleeson  M,  et  al.  Exercise,  nutri8on  and  immune  func8on.  Journal  of  Sports  Sciences.  2004;22:115-­‐125              Nieman  DC.  Marathon  training  and  immune  func8on.  Sports  Medicine.  2007;37(4/5):412-­‐415.

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In  general,  an-oxidant  supplementa-on      

for  athletes  during  heavy  exer-on      

cannot      

be  recommended  based  on  current  evidence

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In  synthesis  (compe--on)

• Sprint:  prerace  strategy  • Olympic  distance:  prerace  strategy;  carbohydrate  during  bike  and  beginning  run  

• Half  ironman:  prerace  strategy;  carbohydrate:  5  Qmes  at  least:  a`er  swim  and  during  bike,  before  run  and  during  run  

• Ironmnan:  carbohydrate  conQnuously  (every  45  minutes)  and  something  rewarding  (mind  pleasure)  

• Very  scrupulous  hydraQon      

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The  only  solu-on  is  to  sit  down  and  develop  a  schedule  that  includes:  working,  training,  ea-ng,  res-ng,    

and  drinking.      

All  should  be  treated  as  having    equal  importance.

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Thank  you          Nicola  Sponsiello                                                          Padova  -­‐  Italy

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However,  the  half  and  full  Ironman  distance  races  can  last  4  to  17  hours,  making  nutri-on  a  cri-cal  component  of  race  day  success.  Triathlon  is  unique  because  of  the  three  sports  included,  each  providing  a  different  environment  and  plan  for  hydra-on  and  fuel  consump-on.  No  food  or  drink  is  available  during  the  swim  por-on  of  a  triathlon,  making  prerace  nutri-on  and  hydra-on  a  top  priority.  The  bike  segment  of  the  race  is  most  conducive  to  drinking  and  ea-ng.  Bikes  can  carry  fluids  in  bo:les  a:ached  to  the  bike  frame,  behind  the  seat,  and  in  specialized  bo:lesthat  fit  within  the  aerobars  placed  on  the  front  of  the  bike.    Theore-cally  riders  could  ingest  the  full  dose  (60–90  g)  in  the  form  of  carbohydrate  solu-ons  (drinks  or  gels),  and  in  triathlon  this  is  common  prac-ce.  However,  cyclists  rather  choose  a  combina-on  of  fluid  and  solid  carbohydrate  sources  so  as  to  maintain  appe-te  and  sa-ety  throughout  the  races.

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Carbohydrate  Consump-on  Pa:erns  in  Female  Athletes  Walberg-­‐Rankin,  1995e  4.4  to  6.2  Aerobic  sports  (running,  cycling,  triathlon)