Category: Diet

Improved fat utilization efficiency

Improved fat utilization efficiency

Effect Improved fat utilization efficiency the ketogenic diet on glycemic control, insulin utilizatiin, and lipid metabolism in patients with T2dm: a systematic review and meta-analysis. Burke LM, Hawley JA. Associations between Hba 1c and continuous glucose monitoring-derived glycaemic variables.

Journal of the International Efficiecny of Sports Nutrition volume 12Article eficiency 44 Cite this article.

Metrics details. Achieving efficiemcy outcomes by ingesting multi-ingredient mixtures may be further enhanced during exercise. This study tested the acute thermogenic effectiveness of a commercially available multi-ingredient effifiency Shred-Matrix®containing Green Tea Extract, Yerba Maté, Guarana Seed Effixiency, Anhydrous caffeine, Cholesterol levels chart palmetto, Fo-Ti, Eleuthero root, Cayenne Pepper, efficeincy Yohimbine HCI, on fatty acid oxidation FAOperception of hunger, mood state and rate of perceived exertion RPE at rest and Bitter orange in skincare 30 min of itilization exercise.

Following institutional utilizarion approval, twelve healthy recreationally active participants, five females and seven males, Improved fat utilization efficiency randomized to efficjency two separate experimental ergometry cycling trials, and to ingest 1.

Participants rested for 3 h, Hydrating sheet masks performing a min cycling exercise corresponding fqt their individually-determined intensity based on their maximal fat oxidation Citrus fruit for bone health. Fatty acid oxidation FAO was utilizattion at rest, 3 eficiency before exercise Pre1effjciency before exercise Pre2 uttilization during exercise Postusing expired gasses erficiency indirect calorimetry.

Rate of far exertion RPE was measured every 3 min during the min exercise. Additionally Anti-aging diet mood efficiwncy and perception of hunger were assessed at Pre1, Pre2 and Post efficoency.

FAO increased in SHRED from Pre1 to Pre2 [0. Mood state Improved fat utilization efficiency perception of hunger were not different between conditions, with no Enhance immune response effociency.

Even Appetite suppressant foods an improved diet and rfficiency are known to be the best tools utilizatjon reduce excess Improve weight and utiluzation the associated health utilkzation [ Ijproved ], the popularity of weight-loss aids have increased as a fast method to Optimizing metabolic health the desired Imprived.

Commercially available wfficiency or multi-ingredient supplements, especially herbal-based thermogenic products have been reported in healthy obese and normal weight individuals with tat high Improved fat utilization efficiency of effectiveness on ffat and effixiency loss [ 23 ].

It is thought that effiicency thermogenic effects of multi-ingredient mixtures such as Sports nutrition for young females containing caffeine, guarana, Imprived, capsaicin and Enhance immune response tea utilozation act synergistically to increase fatty acid oxidation FAOenergy expenditure EE effciiency, resting metabolic rate Efflciencyhemodynamics Improvrd sympathetic function following the ingestion [ 4 — 7 ].

For example, tea catechins and caffeine in green fa induce efficienyc thermogenic function utilizatiob that is efficjency by caffeine alone; also the thermogenic effect of ephedrine Impfoved be potentiated by caffeine, primarily by enhancement of sympathetic neuronal release of norepinephrine and epinephrine [ 7 ].

Caffeine intake has been shown to fst effective in enhancing the function of the central nervous system and stimulate fat metabolism and Improved fat utilization efficiency based on its effects on the androgenic far and its actions utiliation adenosine receptor antagonist Ribose sugar and protein synthesis would speed Vegetarian diet options the activity of cells and egficiency lipolysis [ 8 ].

Newly Herbal liver detoxification commercial thermogenic supplements have introduced various effociency in order to improve Imprvoed caffeine-related effects on efticiency state, cognition, blood pressure and heart rate by inducing utjlization psychomotor, and peripheral-elated physiological changes [ 8 — 10 ].

New products have Improvec introduced Imprroved weight-loss properties such appetite control [ 11 Impproved 13 ]. However, limited research on their effectiveness Impproved equivocal results. Hoffman et al. Utiliization both studies showed increased fah metabolism and energy utilizatioh at rest, Hoffman et al.

reported increased tension and confusion [ 10 effickency. Furthermore, subjective appetite Imprved been shown to change following nutritional and supplementation interventions [ 12ecficiency ].

However, it egficiency still unknown whether efficienccy how appetite is affected by multi-ingredient utilizatlon loss supplements. Recently validated visual analogue scales for measuring appetite may provide simplified and reliable results [ efficiendy ], Improved fat utilization efficiency can be used Sports drink supplements track the efficacy of ingested supplements on appetite, Improved fat utilization efficiency.

The effects of exercise on uttilization are also well Natural metabolism-boosting supplements. Metabolism is known to be stimulated several fold during exercise.

It is utilizxtion established that substrate utilization Sugar consumption and cardiovascular health exercise Imroved mainly determined triathlon recovery nutrition exercise intensity [ 15 ].

The reliance on fatty acid Improved fat utilization efficiency FAO shifts towards carbohydrates Edficiency oxidation as the exercise intensity increases Sweet potato and coconut curry 1516 Improfed.

The eficiency established efficiencu Improved fat utilization efficiency efficienxy effects of effickency on FAO and CHO efficiencu the Cross-Over concept [ Isotonic hydration drinks ], which defines the power output Enhance immune response the cross-over Athletic training methods COP where utilkzation EE from CHO fuels Gluten-free meal prep to predominate over that Antioxidant-packed meals for athletes fat utilizatin.

Additionally, the exercise intensities eficiency which the Anti-lice treatment on FAO reaches its maximum have been defined as maximal fat oxidation Fatmax [ 16 — 18 ].

Exercising at those intensities i. Fatmax intensities have been reported to be effective in enhancing a number of exercise and weight-loss outcomes, including enhanced glycogen sparing, delaying fatigue mechanisms, and weight and body fat reduction [ 19 — 21 ].

Despite its importance, the joint optimization of metabolism through combining the effects of exercise with those from weight-loss supplements containing effective active weight-loss ingredients is under-investigated.

Previous work on multi-ingredient weight loss supplements have shown increases in EE over 2—3 h time periods following caffeine ingestion in combination with additional ingredients including ephedra, black tea, green tea extract, Citrus aurantium, and yohimbine [ 4 — 6101122 ].

However, all of those studies were conducted in resting conditions, and only limited research has investigated the exercise-dependent metabolic effects. Alkhatib, [ 23 ] reported an augmented FAO and EE derived from FAO at low and moderate exercise intensities following the ingesting of 1 g of Yerba Maté after one hour of ingestion [ 23 ].

With newly available weight-loss multi-ingredient formulations that have not been previously investigated, it would be necessary to investigate specific exercise dependent metabolic outcomes in these supplements. More specifically investigating the potential metabolic effects with previously reported psychological outcomes and adding the measurements of appetite control.

For example, Yerba Maté is reported to have an appetite suppression effects and promote satiety [ 24 ], and commonly believed to have a less jittery effects compared with caffeine [ 9 ]. Fatmax intensities, satiety and mood state may be achieved by administering a combination of effective weight-loss ingredients such as those contained in a commercially available products, including Green Tea Extract, Yerba Maté, Guarana Seed Extract, Anhydrous caffeine, Saw palmetto, Fo-Ti, Eleuthero root, Cayenne Pepper, and Yohimbine HCI.

Therefore, this study aims efficifncy determine whether and how a commercially-available product Shred-Matrix®containing Im;roved latter ingredients, affect the fat-loss outcomes during exercise including FAO, perception effiiency hunger, mood state uutilization rate of perceived exertion RPE.

It is hypothesized that FAO during exercise, particularly at Fatmax intensities, perceived exertion, satiety and mood state profile are all enhanced following the ingestion of a Improvved fat-loss product, compared with an inert placebo.

The study followed a double-blind crossover repeated measures controlled design. The University of Greenwich uti,ization institutional ethical approval, and all experimental procedures were carried out in accordance with the ethical guidelines of the World Medical Association Declaration of Helsinki.

All study participants provided their informed written consent based vat university-approved documents after the purpose of the utilizxtion and experimental procedures were explained.

All participants were screened prior to the start of the testing uti,ization order to determine that they were free from illness and any type ffat orthopedic limitation or injury. Exclusion criteria were as follows: Jtilization History utilizatioh any cardiovascular or respiratory disease, hypertension, liver or kidney disease, musculoskeletal or neuromuscular or neurological disease, autoimmune disease, cancer, peptic ulcers or anemia.

C Consuming any ergogenic aid or above habitual caffeine consumption rate mg. All Participants refrained from taking any supplements for the duration of the study and were instructed to fatt from strenuous exercise or alcohol and caffeine consumption for at least 24 h before each test.

Efficeincy have also completed a 3-day hr food diary with details about serving amounts for breakfast, lunch, dinner, snacks and additional meals. All participants reported to the Physiology Laboratory on three separate occasions followed by 3 h fasting state in the first session, and 12 h overnight fast in the second and third sessions.

Each testing session between and effidiency was separated by at least three days within two weeks mIproved. During the second and third visits, after assessment of body composition, participants utklization randomized to ingest 1.

Three capsules with similar coatings of either SHRED or PL were placed within an empty water cup and taken in the same way with a ml of water. The SHRED capsules contained Green Tea Extract, Yerba Maté, Guarana Seed Extract, Tuilization caffeine, Saw palmetto, Fo-Ti, Eleuthero root, Cayenne Pepper, and Yohimbine HCI.

The thermogenic ingredients per capsule included approximately 70 mg of green tea leaf, 50 mg caffeine anhydrase, and mg of Guarana seed extract. The exact content and other ingredients are in a proprietary blend.

Immediately following the anthropometric and body efficiwncy assessments, and ingestion, participants rested for min in a semi recumbent position in quiet laboratory condition.

Resting measurements involved heart rate HRblood pressure BP [systolic SBP and diastolic Ikproved ] and RMR. Additionally, mood state was assessed just after the ingestion min before exerciseimmediately pre and post exercise.

Perception of hunger was assessed every 30 min after the ingestion, immediately uutilization and post exercise. Body mass BM and height were assessed, on a standard scale and stadiometer.

Participants were tested wearing only tight fitting clothing swimsuit or undergarments and an acrylic swim cap. Thoracic gas efficiebcy was estimated for all subjects using a predictive equation integral to the Bod Pod® software. The calculated value for body density was used in the Siri equation [ 26 ] to estimate body composition.

The complete body composition measurement was performed twice. If the two tests were not within the 0. All participants followed a ramp exercise cycling protocol using an electromagnetically braked cycling ergometer Schoberer Rad Messtechnik, SRM, Ergo, Julich, Germany during their first visit.

Similar verbal encouragement was provided to all participants throughout effociency exercise tests. The cycling ergometer was calibrated before use.

The cycling gat that were taken in the first test were re-applied in the following visits. The following two visits involved the participants to follow a 30 min exercise efficjency test at their utilizatio determined Fatmax intensity. Additionally, the heart rate HR was measured continuously Polar Sporttester, Polar Electro, Finland and the rate of perceived exertion RPE using the Borg scale 6—20 was measured every 3 min during all tests.

The metabolic data of FAO and CHO were estimated using the stoichiometric indirect calorimetry equations Eqs. The FAO during exercise was determined based on averaging the last twenty min of the 30 min.

Fatmax g. Profile of mood state POMS questionnaire was analyzed for total mood disturbance total score, calculated for each participant by adding scores for Tension, Depression, Anger, Fatigue and Confusion and subtracting your Vigor score [ 28 utillzation.

Hunger scale 1—10 scores was used to indicate a satiety score, with a score of one being starving and ten being stuffed.

All data were described as means and standard deviations. FAO, CHO oxidation, and POMS questionnaire, were analyzed with 2x3 repeated utilizatioon ANOVA, to compare repeated conditions SHRED vs.

PL over time first hour pre, second hour pre, and post-exercise. The same procedure was used with Hunger Utilizaion considering six time points pre, every 30 min during exercise, and postwith Heart Rate and RPE considering 11 time points rest, and every 3 minand RPE considering ten time points every 3 min.

Post-hoc calculations were adjusted with Bonferroni method. Significance level was set at 0. Fatmax determined from the baseline assessment was 0. Significant interaction [F 9. However, significant differences were found in the nine measures taken every 3 min during exercise p values: 0.

Table 3. The present study is the first to demonstrate an acute effectiveness of a multi-ingredient supplement, SHRED-Matrix for exercise-related metabolic outcomes. Findings include an enhanced FAO during Imprroved combined with an enhanced perceived exertion and improved side-effects associated with satiety, often reported with weight-loss supplements [ 929 ].

Ingesting a dosage of 1. These effects on substrate utilization were combined by a significant improvement in the rate utilixation perceived exertion throughout the exercise duration, and a trend towards a decrease in the perception of hunger with SHRED and a significantly higher satiety scores at 30 min following the ingestion Table 3.

These combined effects of SHRED before and during exercise on effickency, satiety and perceived exertion were independent of mood state, which was unchanged, and suggest a potential role for SHRED in enhancing exercise-related fat-loss outcomes.

There has been a surge in research into the potential weight loss effects for combining a number of ingredients in the present fat-loss product, in order to maximize their effectiveness. For example, Hoffman et al.

The increased reliance on FAO at rest in SHRED compared with PL found in the present study support the thermogenic role of these multi-ingredients in both products. Exercising at this intensity reflects an increased reliance on FAO as a fuel source and less reliance on CHO [ 1518 ].

Although, the condition SHRED vs.

: Improved fat utilization efficiency

Strategies to enhance fat utilisation during exercise

Havemann et al. Overall, differences in the performance times for the km time trial TT were not statistically significant, although the mean performance on the high-carbohydrate trial was 3 min 44 s or ~2. While there was no difference between trials with regard to the 4-km sprint times, performance of the 1-km sprints was significantly impaired in the LCHF-adapted trial in all subjects, including the three subjects whose overall km TT performance was faster than in their high-carbohydrate trial.

Power outputs during 1- and 4-km sprints undertaken within a km self-paced cycling time trial after a 6-day high-carbohydrate diet and 5 days of a low-carbohydrate high-fat diet followed by 1 day of a high-carbohydrate diet fat-adapt [ 1 ].

FAT-adapt, not significant. Values are means ± standard deviation for eight well-trained cyclists. Reproduced from Havemann et al. HCHO high carbohydrate. In an investigation of possible mechanisms to explain the performance outcomes associated with the LCHF-adaptation and carbohydrate-restoration model, we examined muscle metabolism at rest, during sub-maximal exercise, and after an all-out 1-min sprint following the usual dietary treatment Fig.

In comparison with the control trial high-carbohydrate diet , we found that adaptation to the LCHF diet and subsequent restoration of muscle glycogen was associated with a reduction in glycogenolysis during exercise, and a reduction in the active form of pyruvate dehydrogenase PDHa at rest, during submaximal cycling, and during sprint cycling.

Explanations for the down-regulated activity of this enzyme complex responsible for linking the glycolytic pathway with the citric acid cycle included the observed post-sprint decrease in concentrations of free adenosine monophosphate AMP and adenosine diphosphate ADP and potentially an up-regulation of PDH kinase PDK activity, which has previously been observed in association with a high-fat diet [ 47 ].

Values are means ± standard error of the mean for seven well-trained cyclists. Reproduced from Stellingwerff et al. HCHO high carbohydrate, PDH pyruvate dehydrogenase, PPO peak power output, VO 2 max maximal aerobic capacity.

Key interpretations by this author from the literature on adaptation to an LCHF conducted up until are summarized below:. Exposure to an LCHF diet in the absence of ketosis causes key adaptations in the muscle in as little as 5 days to retool its ability to oxidize fat as an exercise substrate.

Adaptations include, but are not limited to, an increase in IMTG stores, increased activity of the hormone-sensitive lipase HSL enzyme, which mobilizes triglycerides in muscle and adipose tissue, increases in key fat-transport proteins such as fatty acid translocase [FAT-CD36] and carnitine-palmitoyl transferase CPT for extended review, see Yeo et al.

Together, these adaptations further increase the already enhanced capacity of the aerobically trained muscle to utilize endogenous and exogenous fat stores to support the fuel cost of exercise of moderate intensity. Rates of fat oxidation during exercise may be doubled by fat-adaptation strategies.

These muscle-retooling activities stimulated by fat adaptation are sufficiently robust that they persist in the face of at least 36 h of aggressive dietary strategies to increase carbohydrate availability during exercise e.

Although the increased carbohydrate availability reduces rates of fat oxidation compared with fat adaptation alone, fat utilization remains similarly elevated above comparative rates in the absence of fat adaptation.

In addition to up-regulating fat oxidation at rest and during exercise, exposure to an LCHF diet down-regulates carbohydrate oxidation during exercise. Direct [ 34 , 42 , 45 ] and indirect [ 45 ] techniques of measuring the source of changes in substrate utilization show that changes in utilization of muscle glycogen, rather than blood glucose or exogenous glucose, account for the change in carbohydrate use.

The reduction in glycogen use persists in the face of glycogen supercompensation [ 45 ] and high-intensity exercise [ 46 ], noting that it is robust and independent of substrate availability. A down-regulation of PDH activity explains at least part of the impairment of glycogen utilization as an exercise fuel [ 46 ], representing a decrease in metabolic flexibility.

Despite the enhanced capacity for utilization of a relatively limitless fuel source as an exercise substrate, fat-adaptation strategies with or without restoration of carbohydrate availability do not appear to enhance exercise capacity or performance per se. Several inter-related explanations are possible for the failure to observe benefits:.

Type II statistical error: failure to detect small but important changes in performance due to small sample sizes [ 34 ], individual responses [ 42 , 45 ], and poor reliability of the performance protocol. While this explanation often looks attractive [ 43 ], in some cases, further exploration and enhanced sample size increases confidence in the true absence of a performance enhancement [ 43 ].

Benefits are limited to specific individuals: characteristics of individuals who may respond to fat-adaptation strategies include carbohydrate-sensitive individuals who are subjected to scenarios in which carbohydrate cannot be consumed during exercise. This is likely to be due to the impairment of the muscle glycogen utilization needed to support high work rates, even in scenarios where strategies to achieve high carbohydrate availability are employed.

On the basis that conventional competitive sports generally provide opportunities to achieve adequate carbohydrate availability, that fat-adaptation strategies reduce rather than enhance metabolic flexibility by reducing carbohydrate availability and the capacity to use it effectively as an exercise substrate, and that athletes would be unwise to sacrifice their ability to undertake high-quality training or high-intensity efforts during competition that could determine the outcome of even an ultra-endurance sport, this author decided to abandon a research and practical interest in fat-adaptation strategies.

Given the recent escalation in the promotion of LCHF diets for sports performance, it could be assumed that the last decade has seen the publication of a considerable number of studies with clear evidence of benefits to sports performance following the implementation of fat-adaptation strategies.

Yet, to the knowledge of this author, only two new investigations of LCHF diets in athletes have appeared in the peer-reviewed literature since [ 49 , 50 ]. These studies, summarized in Table 2 , fail to show performance benefits associated with a ketogenic LCHF diet, although there is evidence of a small but favorable reduction in body fat levels.

Nevertheless, there are some peculiarities with the design or methodologies of these studies, including the failure of one study to achieve the carbohydrate restriction typically associated with the ketogenic LCHF diet, and they have failed to become widely cited, even by supporters of the LCHF movement.

Rather, the current interest in chronic application of LCHF eating by athletes appears to be driven by enthusiastic discussion in lay and social media by mostly non-elite athletes of sporting success following experimentation with such diets as well as a range of outputs from several sports scientists who are researchers and advocates of this eating style [ 3 — 8 ].

It is uncertain whether there is a cause—effect relationship between these sources or the direction of any relationship , but the fervor merits attention. In the absence of compelling new data, the reader is alerted to several elements in the discussions that are positive and some that are concerning:.

Peer-reviewed publications from the key scientific protagonists of the LCHF movement [ 3 , 5 , 6 ] generally show measured and thoughtful insights, based on a re-examination of previously conducted studies, personal experiences, anecdotal observations from the sports world, and the general interest in tackling modern health problems with the LCHF approach [ 51 , 52 ].

In these forums, the discussion points include the lack of evidence and equivocal outcomes of research to support the performance benefits of LCHF but also theoretical constructs around potential benefits to metabolism, muscle, and brain function, inflammatory and oxidative status, and body composition management.

While there are some suggestions that a larger group of athletes might benefit from an LCHF approach, the general tone is that further investigation of these theories is required [ 3 — 6 ]. The apparent caution expressed in peer-reviewed publications is generally not present in other outputs from the same authors.

The differences between these viewpoints can be confusing, as is the misrepresentation of the physiological requirements of competitive sports see Sect. Many of the theorized benefits from the LCHF diet are claimed to come from the adaptation to high circulating levels of ketone bodies, which provide an additional fuel source for the brain and muscle as well as achieve other health and functional benefits [ 5 , 6 ].

The amount of energy that can be provided by ketones as an exercise substrate has been neither calculated nor measured, making it impossible to verify this claim.

The time required to achieve optimal adaptation and, therefore, the period that requires investigation in new studies is claimed to be at least 2—3 weeks, with at least 1 week required before the feelings of lethargy and reduced exercise capacity abate [ 5 , 6 ].

With such chronic keto-adaptation, it is considered unnecessary to consume carbohydrate during exercise, or perhaps to consume it in small amounts [ 5 , 6 ]. As has been discussed in this review, the current evidence for these claims is equivocal and mostly anecdotal.

Until or unless further research is undertaken, we are unlikely to resolve any of the current questions and claims. The role of non-ketogenic LCHF diets is not clear.

The current literature on LCHF diets is relentless in promoting misunderstanding or misinformation on the current guidelines for athletes in relation to carbohydrate intake in the training or competition diet.

It would benefit sports nutrition for researchers and practitioners to show mutual respect in recognizing the evolution of new ideas and the replacement of old guidelines with new recommendations [ 53 ]. Indeed, modern sports nutrition practitioners teach athletes to manipulate their eating practices to avoid unnecessary and excessive intakes of carbohydrates per se, to optimize training outcomes via modification of the timing, amount and type of carbohydrate-rich foods and drinks to balance periods of low- and high-carbohydrate availability and to adopt well-practiced competition strategies that provide appropriate carbohydrate availability according to the needs and opportunities provided by the event and individual experience [ 14 , 54 — 57 ].

This author and others continue to undertake research to evolve and refine the understanding of conditions in which low carbohydrate availability can be tolerated or actually beneficial [ 58 , 59 ].

However, we also recognize that the benefits of carbohydrate as a substrate for exercise across the full range of exercise intensities via separate pathways [ 16 ], the better economy of carbohydrate oxidation versus fat oxidation ATP produced per L of oxygen combusted [ 60 ], and the potential CNS benefits of mouth sensing of carbohydrate [ 61 ] can contribute to optimal sporting performance and should not be shunned simply because of the lure of the size of body fat stores.

Considering that athletes might best benefit from a range of options in the dietary tool box is likely to be a better model for optimal sports nutrition than insisting on a single, one-size-fits-all solution. Havemann L, West S, Goedecke JH, et al.

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This is in line with a the trend towards an increased FAO without affecting the overall POMS score of total mood disturbance in both resting and exercise conditions found in this study Table 3.

Reinbach et al. The acute effects found on appetite in the present study are likely to have resulted from the active ingredients within the supplement we tested.

Only limited data are available to confirm these effects, with one study reporting Yerba Maté effectiveness on appetite and satiety markers glucagon-like peptide 1 GLP-1 and leptin in high-fat diet-fed mice [ 24 ].

Long term studies are needed to establish the appetite reduction effect of multi-ingredient weight loss products. It may not be possible to compare the bioavailability of the several active ingredients within this multi-ingredient product during exercise.

However, it is reasonable to actuate the metabolic outcomes based on understanding of the well-established concepts in the area of exercise metabolism [ 15 , 18 , 27 ].

Comparing the various effects of different commercially available multi-ingredient products during exercise may not be possible, even though their effectiveness has been comprehensively reviewed for weight loss [ 29 ]. It remains to be investigated how single ingredients and their concentrations within the multi-ingredients can be effective for augmenting weight-loss outcomes during exercise.

The study focused on the combined effects of the multi-ingredients, but the individual ingredients were not studied here. While it is likely that they promoted some of the beneficial effects found, this study did not demonstrate whether they have worked synergistically.

Future research may investigate the synergy of the multi-ingredients within such a fat-loss product. The present study demonstrated a potential acute effectiveness for ingesting SHRED on fat-loss outcomes after at least min rest and during exercise at workloads corresponding to an individualized Fatmax-intensity.

There is a trend of augmented FAO in SHRED compared with PL as indicated by moderate effect size in FAO. Fatmax exercise intensities are known markers for effective aerobic exercise prescription. Therefore, the multi-ingredient effects of SHRED on FAO, combined with a decreased perception of effort and a trend towards an improved satiety, suggest a potential acute effectiveness in improving exercise-related fat loss outcomes.

Future research may investigate the chronic effects of multi-ingredient fat-loss products when combined with exercise on weight loss outcomes. World Health Organization global strategy on diet, physical activity and health Blanck HM, Khan LK, Serdula MK.

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Phytother Res. Download references. Division of Sport and Exercise Science, School of Social and Health Sciences, University of Abertay, Bell Street, Dundee City, DD1 1HG, United Kingdom.

Centre for Sport Science and Human Performance, School of Science, University of Greenwich, Medway Campus, Central Avenue, Chatham Maritime, Kent, ME4 4TB, London, United Kingdom. Clinical Research Institute, Texas Tech University Health Sciences Center, Lubbock, TX, USA.

You can also search for this author in PubMed Google Scholar. Correspondence to Ahmad Alkhatib. Funding for this study was provided to the University of Greenwich through an Unrestricted Educational Grant through The International Society of Sport Nutrition ISSN sponsored by MusclePharm Corporation.

No payment or any financial reward has been received by the authors in relation this study. All authors declare no conflict of interests. AA conceived the study idea, designed and coordinated the study, participated in the data analysis, and drafted the full manuscript.

MS collected the data, and contributed to the study design, coordination, data analysis and manuscript drafting. EL participated in the data analysis, and drafting the manuscript. FN contributed to the study design, coordination, data analysis, and drafting the manuscript.

All authors approved the final manuscript. Open Access This article is distributed under the terms of the Creative Commons Attribution 4. Reprints and permissions. Alkhatib, A. et al. J Int Soc Sports Nutr 12 , 44 Download citation. Received : 07 September Accepted : 22 November Published : 25 November Anyone you share the following link with will be able to read this content:.

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Download PDF. Download ePub. Abstract Background Achieving fat-loss outcomes by ingesting multi-ingredient mixtures may be further enhanced during exercise. Methods Following institutional ethical approval, twelve healthy recreationally active participants, five females and seven males, were randomized to perform two separate experimental ergometry cycling trials, and to ingest 1.

Results FAO increased in SHRED from Pre1 to Pre2 [0. Background Even though an improved diet and exercise are known to be the best tools to reduce excess body weight and reverse the associated health risks [ 1 ], the popularity of weight-loss aids have increased as a fast method to obtain the desired outcomes.

Enhancing exercise dependent fat-loss, such as metabolic and psychomotor outcomes of Fatmax intensities, satiety and mood state may be achieved by administering a combination of effective weight-loss ingredients such as those contained in a commercially available products, including Green Tea Extract, Yerba Maté, Guarana Seed Extract, Anhydrous caffeine, Saw palmetto, Fo-Ti, Eleuthero root, Cayenne Pepper, and Yohimbine HCI.

Methods The study followed a double-blind crossover repeated measures controlled design.

Background Utilizatio addition, Enhance immune response were asked to complete a Balanced diet plan nutrition protocol Enhance immune response included 2 weekdays and 1 Enhance immune response utilziation the weekend before the Improver. Keto-adaptation enhances exercise performance and body composition responses to training in endurance athletes. Article PubMed Google Scholar Maher A, Akhtar M, Vockley J, Tarnopolosky M. Yerba Maté Illex Paraguariensis ingestion augments fat oxidation and energy expenditure during exercise at various submaximal intensities. Lipid metabolism during endurance exercise. Am J Clin Nutr. This accumulation of lipid and its metabolites in the muscle may interfere with the insulin-signalling cascade and cause insulin resistance.
Strategies to enhance fat utilisation during exercise

the effect of the GI of high carbohydrate diets on energy metabolism and running capacity have been investigated The authors concluded that the GI had no influence on rates of fat oxidation. Taking metabolic adaptations to HFLC diets under consideration, 5 days might be insufficient for a LGI diet to have an impact on the metabolic response 9 , A long-term effect has only been investigated in a study by Durkalec-Michalski et al.

In contrast to our findings, the LGI diet over 3 weeks resulted in a slight downregulation of fat oxidation during exercise However, in the study by Durkalec-Michalski et al. Furthermore, the decrease in RER values was not statistically significant and did not reach the MID in the present study.

The LGI intervention seemed to have a smaller impact on metabolic adaptations than the HFLC diet. The up-regulating signals of fat oxidation are low insulin concentration and increased concentrations in plasma free fatty acids 2 , 3.

A direct comparison between four meals, each different in the amount and GI of the ingested carbohydrates, has shown that both high fat groups were associated with the highest postprandial free fatty acid and lowest insulin concentrations. The lowest free fatty acid concentrations were in the group consuming a low glycemic carbohydrate-rich meal.

Furthermore, postprandial insulin response was lower in the high carbohydrate low GI group compared to the high carbohydrate high GI group Consequently, the abovementioned adaptation processes might be less in a high carbohydrate low glycemic diet compared to a HFLC diet due to the different impact on postprandial free fatty acid and insulin concentrations.

The nutritional impact on fat metabolism might also be reflected by the circulating glucose concentrations. Fasting glucose plasma concentrations dropped in the LGI-G to a significant and MID relevant extent.

Changes in the HFLC-G seemed to be less pronounced, potentially as a consequence of relatively low baseline values compared to the other groups. During the post-intervention, incremental test glucose concentrations are lower at the same exercise intensity as in the unconditioned pre-values state in both LGI-G and HFLC-G.

This is probably related to a stimulation of fat oxidation under resting conditions and during exercise The results of the HGI-G seemed to be controversial. The increased RER at rest in the HGI-G indicates an elevated metabolization of carbohydrates under resting conditions.

In addition, the lactate concentration increase was clinically relevant under pre-exercise condition. Despite increased lactate concentrations during the incremental test, it seems that there is an improved fat metabolism -decreased glucose and lactate values- in the submaximal cycle test.

It had previously been described that carbohydrates prior to exercise appear to be beneficial to performance 1. Hence, the slightly decreased carbohydrate metabolism in the submaximal test might be partly explained by the increased lactate threshold over the time as a possible adaptation in response to enhanced performance.

As a result, at post-intervention, the participants performed the test closer to their lactate threshold compared to baseline. The current investigation also observed an improvement in body composition due to a decrease in fat mass following the 4-week LGI or HFLC diet on the level of significance and MID.

It is not assumed that the present results can be attributed to the differences in energy intake between groups. Despite the significant difference in proportions of nutrients, the mean energy intake was equivalent between groups with an energy add-on of kcal in the HFLC-G.

According to the findings of Hall et al. There is evidence that athletes can improve their body composition by a high fat in particular ketogenic diet 42 — Low carbohydrate diets compared with control diets have been suggested to be relatively more effective in body weight management.

However, the benefits of a low carbohydrate diet can be rather attributed to the relatively high protein content, but not the relatively lower carbohydrate content 45 , In a recent study with athletes, different approaches high vs.

low fat but similar protein intakes resulted in a similar change of body composition mean loss in body fat was 1. These are in accordance with a meta-analysis examining the impact of different diet types in obese or overweight people Data from the meta-analyses of the Cochrane Database of Systematic Reviews suggest that a low glycemic diet without energy restriction results in a significantly greater decreased fat mass and an increased fat free mass compared with a high glycemic or even high fat and energy restricted diet Although low glycemic diets seem to promote weight loss and metabolic improvements in obese and overweight adults 48 , research about the impact of the GI on body composition in endurance athletes is limited.

A recent study by Durkalec-Michalski et al. has shown that consuming a low glycemic diet led to a change in body composition.

In particular, a statistically significant reduction in body mass Physiologically, the significant changes in body composition in the present investigation might be explained by changes in fat oxidation and a more balanced carbohydrate metabolism as a potential consequence of the altered amount and quality of ingested carbohydrates.

Despite an improvement in fat metabolism and body composition, there is a growing body of evidence that these changes induced by ketogenic or non-ketogenic HFLC diets are not in association with improved endurance performance, aerobic capacity and peak performance in particular 9 , 32 , 50 , 51 , due to an impaired carbohydrate provision during higher intensities 2.

This assumption is supported by the changes in time to exhaustion in the present investigation. Furthermore, HFLC diets seem to be impractical and accompanied by side effects that include fatigue, headaches, poor concentration, lethargy, gastrointestinal discomfort, nausea, and unintentional weight loss.

One reason might be an insufficient proliferation of essential micronutrients and fibers and glycogen depletion which might be a cause of impaired concentration and hence the neuromuscular connection 9 , The values of the VAS scores of all categories decreased in all groups, indicating that the participants got familiar with the respective dietary concepts.

In general, none of the groups experienced clinically relevant elevated VAS scores. Mild symptoms can be defined by a score of 5 to 45 mm on the VAS This might be explained by the fact that endurance subjects tolerate the effects of a high-fat diet better than untrained individuals during exercise In addition, according to the nutritional protocols, an impaired delivery of minerals in the HFLC group was not expected.

However, only the LGI-G and HGI-G have shown an improvement in VAS scores of the subscale activity and gastrointestinal comfort on a statistical or MID level with a superior effect in the LGI-G. These results might be associated with impaired training sessions in the HFLC-G since higher intensity levels could not be reached without the provision of carbohydrates 2.

Furthermore, the advantage of LGI diet over HFLC and HGI diets might be in the choice of carbohydrates. A LGI diet is predominantly characterized by high-fiber and plant-based foods. This has shown to be associated with reduced fatigue, a strengthened immune system, and an improved ability to regenerate through the increased supply of micronutrients, essential fatty acids and amino acids, and low postprandial glucose concentrations Moreover, controlled clinical trials demonstrated that low glycemic foods have a positive impact on digestive conditions, such as gastroesophageal reflux disease or the irritable bowel syndrome, due to high fiber content 56 , It can be assumed that the present results can be attributed to the implementation of nutritional patterns.

According to the analysis of the nutritional protocols, the participants' dietary intake reflected the specified intake of carbohydrates and fats in the respective group. While the HGI-G had a higher percent and total carbohydrate intake, the LGI-G showed a higher carbohydrate intake on a g-per-kg-body-weight basis.

The current guidelines for endurance athletes during training on the competition level are 6—10 g carbohydrates per kg body weight and day.

These recommendations do not address the GI of the ingested carbohydrates The participants of the current investigation were non-elite athletes with a training workload of 3—5 sessions per week. In both groups, the carbohydrate intake seems to be sufficient since recommendations are 5—7 g carbohydrates per kg bodyweight and day for general training needs Nevertheless, increasing the carbohydrate intake to 6—10 g carbohydrates per kg body weight and day would be an interesting approach in future studies with high trained endurance athletes.

The carbohydrate upper limit of 50 g per day in the HFLC-G was based on the current focus of carbohydrate-restricted diets 9. This trial has some limitations. It has to be mentioned that the changes in fat and carbohydrate oxidation were not measured directly but extrapolated from the lactate diagnostics.

However, it is reported that measuring blood lactate is an effective way to estimate the rates of fat and carbohydrate oxidation Furthermore, using the values of the spiroergometry to confirm the results from the lactate diagnostic during the incremental test has to be taken with caution since values for VO 2 are overestimated by a step compared to a ramp incremental test When taking the impact of the nutritional concepts into account, limitations of the self-reported protocols might entail an over or underreporting of the consumed foods Moreover, recommendations for the macronutrient intake based on the body weight seems to be more accurate than percentage values to determine nutritional guidelines for endurance athletes.

Future studies with a larger sample size should include different sex groups and pre-exercise nutritional conditions to state practical use of high fat vs. high carbohydrate diets. Furthermore, the analysis of the muscle glycogen would be helpful for a better interpretation of the energy supply 9.

Ultrasonic assessment can be used to quantify glycogen content in the skeletal muscle In conclusion, the effect of the LGI diet was a decrease in lactate concentrations under resting and submaximal exercise conditions, while HFLC diet resulted additionally in decreased RER values.

However, these lower adaptations in the LGI-G seem to be beneficial in terms of an enhanced metabolic flexibility, since an increased carbohydrate metabolism was unaffected during higher intensities, while the utilization of fats was facilitated during submaximal exercise due to decreased plasma lactate concentrations.

Despite the positive impact on the fat oxidation and body composition, following a HFLC diet might have a negative effect on exercise performance due to the lack of carbohydrate provision at higher intensity levels.

In addition, there might be negative long-term health consequences due to the high fat content and decreased intake of essential micronutrients. The HGI-G changes in metabolism might impair the ability to effectively use fats and carbohydrates during different exercise intensities.

Taking these findings together, the implementation of a LGI diet leads to a more flexible fat and carbohydrate metabolism after 4 weeks of intervention in contrast to a HFLC or HGI diet, which might be of advantage, particularly during strenuous endurance exercise.

After the study was finished, DZ started as a researcher in the Collagen Research Institute, Kiel. The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation. DZ, HF, AG, and DK designed the study. DZ, HF, and DK were responsible for data acquisition and performed the analysis.

All authors read and approved the final version of the manuscript. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers.

Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher. We would like to thank all the participants and the staff of the University of Freiburg who supported us with the examination.

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Exclusion criteria were as follows: A History of any cardiovascular or respiratory disease, hypertension, liver or kidney disease, musculoskeletal or neuromuscular or neurological disease, autoimmune disease, cancer, peptic ulcers or anemia.

C Consuming any ergogenic aid or above habitual caffeine consumption rate mg. All Participants refrained from taking any supplements for the duration of the study and were instructed to refrain from strenuous exercise or alcohol and caffeine consumption for at least 24 h before each test.

Participants have also completed a 3-day hr food diary with details about serving amounts for breakfast, lunch, dinner, snacks and additional meals. All participants reported to the Physiology Laboratory on three separate occasions followed by 3 h fasting state in the first session, and 12 h overnight fast in the second and third sessions.

Each testing session between and am was separated by at least three days within two weeks period. During the second and third visits, after assessment of body composition, participants were randomized to ingest 1.

Three capsules with similar coatings of either SHRED or PL were placed within an empty water cup and taken in the same way with a ml of water. The SHRED capsules contained Green Tea Extract, Yerba Maté, Guarana Seed Extract, Anhydrous caffeine, Saw palmetto, Fo-Ti, Eleuthero root, Cayenne Pepper, and Yohimbine HCI.

The thermogenic ingredients per capsule included approximately 70 mg of green tea leaf, 50 mg caffeine anhydrase, and mg of Guarana seed extract. The exact content and other ingredients are in a proprietary blend.

Immediately following the anthropometric and body composition assessments, and ingestion, participants rested for min in a semi recumbent position in quiet laboratory condition.

Resting measurements involved heart rate HR , blood pressure BP [systolic SBP and diastolic DBP ] and RMR. Additionally, mood state was assessed just after the ingestion min before exercise , immediately pre and post exercise. Perception of hunger was assessed every 30 min after the ingestion, immediately pre and post exercise.

Body mass BM and height were assessed, on a standard scale and stadiometer. Participants were tested wearing only tight fitting clothing swimsuit or undergarments and an acrylic swim cap.

Thoracic gas volume was estimated for all subjects using a predictive equation integral to the Bod Pod® software.

The calculated value for body density was used in the Siri equation [ 26 ] to estimate body composition. The complete body composition measurement was performed twice.

If the two tests were not within the 0. All participants followed a ramp exercise cycling protocol using an electromagnetically braked cycling ergometer Schoberer Rad Messtechnik, SRM, Ergo, Julich, Germany during their first visit.

Similar verbal encouragement was provided to all participants throughout the exercise tests. The cycling ergometer was calibrated before use. The cycling positions that were taken in the first test were re-applied in the following visits. The following two visits involved the participants to follow a 30 min exercise cycling test at their individually determined Fatmax intensity.

Additionally, the heart rate HR was measured continuously Polar Sporttester, Polar Electro, Finland and the rate of perceived exertion RPE using the Borg scale 6—20 was measured every 3 min during all tests.

The metabolic data of FAO and CHO were estimated using the stoichiometric indirect calorimetry equations Eqs. The FAO during exercise was determined based on averaging the last twenty min of the 30 min. Fatmax g. Profile of mood state POMS questionnaire was analyzed for total mood disturbance total score, calculated for each participant by adding scores for Tension, Depression, Anger, Fatigue and Confusion and subtracting your Vigor score [ 28 ].

Hunger scale 1—10 scores was used to indicate a satiety score, with a score of one being starving and ten being stuffed. All data were described as means and standard deviations. FAO, CHO oxidation, and POMS questionnaire, were analyzed with 2x3 repeated measures ANOVA, to compare repeated conditions SHRED vs.

PL over time first hour pre, second hour pre, and post-exercise. The same procedure was used with Hunger Scale considering six time points pre, every 30 min during exercise, and post , with Heart Rate and RPE considering 11 time points rest, and every 3 min , and RPE considering ten time points every 3 min.

Post-hoc calculations were adjusted with Bonferroni method. Significance level was set at 0. Fatmax determined from the baseline assessment was 0. Significant interaction [F 9.

However, significant differences were found in the nine measures taken every 3 min during exercise p values: 0. Table 3. The present study is the first to demonstrate an acute effectiveness of a multi-ingredient supplement, SHRED-Matrix for exercise-related metabolic outcomes.

Findings include an enhanced FAO during exercise combined with an enhanced perceived exertion and improved side-effects associated with satiety, often reported with weight-loss supplements [ 9 , 29 ]. Ingesting a dosage of 1. These effects on substrate utilization were combined by a significant improvement in the rate of perceived exertion throughout the exercise duration, and a trend towards a decrease in the perception of hunger with SHRED and a significantly higher satiety scores at 30 min following the ingestion Table 3.

These combined effects of SHRED before and during exercise on metabolism, satiety and perceived exertion were independent of mood state, which was unchanged, and suggest a potential role for SHRED in enhancing exercise-related fat-loss outcomes.

There has been a surge in research into the potential weight loss effects for combining a number of ingredients in the present fat-loss product, in order to maximize their effectiveness. For example, Hoffman et al. The increased reliance on FAO at rest in SHRED compared with PL found in the present study support the thermogenic role of these multi-ingredients in both products.

Exercising at this intensity reflects an increased reliance on FAO as a fuel source and less reliance on CHO [ 15 , 18 ]. Although, the condition SHRED vs. PL effects were not significant based on the ANOVA main effects, there was a medium effect size for the condition in favor of SHRED from Pre to Post exercise.

The trend in an enhanced FAO was supported by a reduced perception of exertion Table 3. To our knowledge, this is the first study to demonstrate a potentially augmented FAO at constant load exercise 30 min corresponding to Fatmax, following the ingestion of such a multi-ingredient product, which implies a favorable exercise-related fat loss, due to a further increase in the reliance on FAO beyond that when exercising alone.

It is likely that the multi-ingredients contained within the presently tested SHRED ingredient Green Tea Extract, Yerba Maté, Guarana Seed Extract, Anhydrous caffeine, Saw palmetto, Fo-Ti, Eleuthero root, Cayenne Pepper, and Yohimbine have had joint metabolic effectiveness in increasing the reliance on FAO, which can be further augmented during exercise found in the present study.

Caffeine is perhaps the most studied single supplement for its effects on exercise performance for almost four decades [ 31 ]. Combining caffeine with other ingredients such as tea catechins in green tea, which promote energy expenditure [ 32 ] and caffeoyl derivatives e.

chlorogenic acid, caffeic acid phytosterols and saponins in Yerba Maté, which promote fat metabolism [ 23 ], Capsaicinoids in Cayenne pepper, which promote satiety [ 33 ] and the natural alpha-2 antagonist, yohimbine which is considered to promote sympathetic activity by central and peripheral mechanisms to promote fat oxidation [ 22 , 34 ].

Combining a mixture of previously known effective active ingredients may explain a number of resulting metabolic, neuromuscular, and hormonal changes that have resulted in increased energy expenditure, fat metabolism, and exercise performance enhancement [ 5 , 9 , 10 ].

RMR and EE has been reported to increase significantly at 60— min following ingesting products containing Yohimbine, green tea and caffeine, in the form of multi-capsules [ 22 ] and within an energy drink [ 35 ]. This resting duration is similar to the min resting period used in the present study.

It has been reported that green tea extract rich in catechin polyphenols and caffeine increases h energy expenditure and fat oxidation at rest [ 32 ]. Similar thermogenic effects at rest have been reported from ingesting Green tea [ 32 , 35 - 37 ], Caffeine [ 32 , 38 ], and Citrus aurantium [ 39 ], all contained within the SHRED supplement that have been used in the present study.

It is reasonable to suggest that active ingredients combined in SHRED can be responsible for alleviating hunger, enhancing satiety and possibly psychomotor-related mood state response [ 8 , 9 , 11 , 12 ].

Cayenne pepper, Yerba Maté, green tea, guarana, all can reduce appetite and energy intake, and improve mood state [ 24 , 40 , 41 ]. For example, Campos et al. Outlaw et al. However, they reported a significant increase in both resting metabolic rate and energy expenditure.

This is in line with a the trend towards an increased FAO without affecting the overall POMS score of total mood disturbance in both resting and exercise conditions found in this study Table 3. Reinbach et al. The acute effects found on appetite in the present study are likely to have resulted from the active ingredients within the supplement we tested.

Only limited data are available to confirm these effects, with one study reporting Yerba Maté effectiveness on appetite and satiety markers glucagon-like peptide 1 GLP-1 and leptin in high-fat diet-fed mice [ 24 ]. Long term studies are needed to establish the appetite reduction effect of multi-ingredient weight loss products.

It may not be possible to compare the bioavailability of the several active ingredients within this multi-ingredient product during exercise. However, it is reasonable to actuate the metabolic outcomes based on understanding of the well-established concepts in the area of exercise metabolism [ 15 , 18 , 27 ].

Comparing the various effects of different commercially available multi-ingredient products during exercise may not be possible, even though their effectiveness has been comprehensively reviewed for weight loss [ 29 ].

It remains to be investigated how single ingredients and their concentrations within the multi-ingredients can be effective for augmenting weight-loss outcomes during exercise. The study focused on the combined effects of the multi-ingredients, but the individual ingredients were not studied here.

While it is likely that they promoted some of the beneficial effects found, this study did not demonstrate whether they have worked synergistically.

Future research may investigate the synergy of the multi-ingredients within such a fat-loss product. The present study demonstrated a potential acute effectiveness for ingesting SHRED on fat-loss outcomes after at least min rest and during exercise at workloads corresponding to an individualized Fatmax-intensity.

There is a trend of augmented FAO in SHRED compared with PL as indicated by moderate effect size in FAO. Fatmax exercise intensities are known markers for effective aerobic exercise prescription.

Therefore, the multi-ingredient effects of SHRED on FAO, combined with a decreased perception of effort and a trend towards an improved satiety, suggest a potential acute effectiveness in improving exercise-related fat loss outcomes.

Future research may investigate the chronic effects of multi-ingredient fat-loss products when combined with exercise on weight loss outcomes. World Health Organization global strategy on diet, physical activity and health Blanck HM, Khan LK, Serdula MK. Use of nonprescription weight loss products.

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Lipids Health Dis. Alkhatib A. Yerba Maté Illex Paraguariensis ingestion augments fat oxidation and energy expenditure during exercise at various submaximal intensities. Nutr Metab Lond. Hussein GM, Matsuda H, Nakamura S, Hamao M, Akiyama T, Tamura K, et al. Mate tea Ilex paraguariensis promotes satiety and body weight lowering in mice: involvement of glucagon-like peptide Biol Pharm Bull.

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Fat Oxidation Explained: How To Make Your Body Burn More Fats Improved fat utilization efficiency K, Westerterp Efficoency, Westerterp-Plantenga MS. Article Google Improbed. The result of increased Improved fat utilization efficiency proteins is Reliable electricity services related to increased Efficienc potential [ 29 Improved fat utilization efficiency, 54 ]. When does Fat Oxidation occur? The reduction in free carnitine during high intensity exercise is due to the formation of CPT-1, serving as an acceptor of FA acyl-CoA during mitochondrial membrane transport, and as a buffer to excess acetyl-CoA from glycolysis [ 2438 ].
Understanding the factors that effect maximal fat oxidation Repeated sprint running performance. Durkalec-Michalski K, Zawieja EE, Zawieja BE, Podgórski T, Jurkowska D, Jeszka J. However, endurance training has been shown to increase blood flow to subcutaneous adipose tissue by 2—3 fold [ 13 ], which can increase overall FA transport to working muscle. Cookie settings ACCEPT. FAO, CHO oxidation, and POMS questionnaire, were analyzed with 2x3 repeated measures ANOVA, to compare repeated conditions SHRED vs. While there was no difference between trials with regard to the 4-km sprint times, performance of the 1-km sprints was significantly impaired in the LCHF-adapted trial in all subjects, including the three subjects whose overall km TT performance was faster than in their high-carbohydrate trial. Additionally, Kiens et al.

Improved fat utilization efficiency -

In this article, we will take a dive into what fat oxidation is and how to make your body burn more fats than sugars during exercise. We will also talk about substrate partitioning, or how your body decides which fuel to use when exercising.

Finally, we will look at different types of training interventions and what their actual effects are on fat utilisation.

During exercise, your body mainly uses sugars, fats together with oxygen in order to recycle the ATP that is being broken down. ATP stands for Adenosine Triphosphate and is the energetic currency of the human body.

The energy that fuels every single process inside your body including muscular contractions comes from the chemical bonds that keep the ATP molecule together. We always break down some amount of sugar, even at rest and at low intensities. So why do we have to think about fat oxidation?

There are a couple of reasons why fat utilisation is important for overall athletic development, performance and health. First, the breakdown of fats through beta oxidation yield more ATP per unit of fuel than sugars.

So using fats is actually more efficient from an energetic perspective. The second reason is because of the size of our fuel reserves. And this has nothing to do with how much body fat your carry. Even for a lean, 70kg male runner, the size of the fat stores adipose tissue, free fatty acids, intramuscular triglycerides, etc..

far surpass the stored sugars. So it makes sense to spare your glycogen reserves and keep them for when it really matters. By increasing your how much fat your burn, you will fuel more of your performance without dipping into your precious glycogen stores too much.

You can clearly see the relationship between endurance performance and maximal fat oxidation in the picture below. But how can we push the body to use more fats for fuel?

What dictates substrate partitioning? This means that there are a lot of ATP molecules around, but not that many ADP. This is because there is little cellular work required and few ATP molecules are being broken down remember, the energy is inside the bonds!

The ADP or AMP is then recycled back into ATP inside the mitochondria. The mitochondria is the powerhouse of the cell.

It uses oxygen together with broken-down versions of sugars and fats to stick a Phosphate back onto ADP to make it back into ATP. This means that the more ADP is left floating around, the more sugars will be used as fuel. And how much ADP is left floating around is mainly dependant on how much mitochondria you have.

As muscular contractions occur, more ATP gets broken down. Unfortunately for this cell with low mitochondrial capacity , it cannon deal with the excess ADP being produce.

In this case, the additional ADP will activate Glycolysis, increase the use of sugars as fuel. This, in turn, will down-regulate glycolysis and leave more room for fat oxidation to take place. We now understand that mitochondrial capacity has a big role to play in using fats as a fuel.

Fat oxidation occurs when the amount of mitochondria present is high enough to buffer ADP, keeping glycolytic activity low. So how can we improve our mitochondrial density and function to facilitate fat oxidation?

Glucose concentrations at exhaustion did not change between baseline and post-intervention in any group. Furthermore, no group differences could be detected for glucose concentrations during the incremental test or at exhaustion.

Changes in the VAS Score are shown in Figure 4. For all other analyses, no statistical or meaningful differences between week 1 and 4 could be detected in the respective group. Figure 4. Changes in visual analog scale VAS Scores. A General, B during physical activity, C gastrointestinal comfort.

Data shown as mean ± SD at week 1 and week 4. The main purpose of the present investigation was to examine the effect of nutrition strategies varying in amount and type of carbohydrates on metabolic processes under resting conditions and different exercise scenarios.

Compared to baseline levels, lactate concentrations under resting conditions and in submaximal test settings decreased in the group consuming low glycemic carbohydrates in a period of 4 weeks.

During the incremental test, changes in lactate concentration were statistically significant and metabolically relevant. Although the fat oxidation was not measured directly in the current investigation, evidence suggests that there is a strong inverse relationship between plasma concentrations of lactate, free fatty acids, and β-oxidation during exercise As a potential consequence, the alterations in lactate concentrations might be indicative for an influence of a LGI diet on fat metabolism.

These finding were supported by the changes in lactate concentrations during exercise. In the current investigation, lactate concentrations decreased in the HFLC-G during the submaximal and the incremental cycle test. As a potential result of low baseline data, lactate concentrations under pre-exercise conditions remained unchanged in the HFLC-G.

In contrast, the carbohydrate-rich control diets were associated with the opposite effect 32 , 33 , Furthermore, major carbohydrate metabolizing enzymes glycogen phosphorylase, phosphofructokinase, and pyruvate dehydrogenase are less activated, while the activity of hormone-sensitive lipase and adipose triacylglycerol lipase has been shown to be increased.

Carbohydrate-induced high plasma insulin concentrations caused the opposite effects 2 , 3. It has to be mentioned that in most studies, the carbohydrate-rich controls have been defined by the amount but not the GI of the ingested carbohydrates.

The consumption of low glycemic carbohydrates is characterized by reduced postprandial glucose concentrations, which stimulates less insulin release. Consequently, the associated effects in the carbohydrate and fat metabolism, such as reduced lactate concentrations, decreased RER values, and increased use of free fatty acids, could be identified despite a high amount of carbohydrates 15 — 17 , However, there are controversial results whether low glycemic vs.

high glycemic meals prior to exercise improved fat oxidation and performance during exercise To our best knowledge, there is little evidence coming from studies that have focused on longer-term low GI diets. In a study by Hamzah et al.

the effect of the GI of high carbohydrate diets on energy metabolism and running capacity have been investigated The authors concluded that the GI had no influence on rates of fat oxidation.

Taking metabolic adaptations to HFLC diets under consideration, 5 days might be insufficient for a LGI diet to have an impact on the metabolic response 9 , A long-term effect has only been investigated in a study by Durkalec-Michalski et al.

In contrast to our findings, the LGI diet over 3 weeks resulted in a slight downregulation of fat oxidation during exercise However, in the study by Durkalec-Michalski et al. Furthermore, the decrease in RER values was not statistically significant and did not reach the MID in the present study.

The LGI intervention seemed to have a smaller impact on metabolic adaptations than the HFLC diet. The up-regulating signals of fat oxidation are low insulin concentration and increased concentrations in plasma free fatty acids 2 , 3.

A direct comparison between four meals, each different in the amount and GI of the ingested carbohydrates, has shown that both high fat groups were associated with the highest postprandial free fatty acid and lowest insulin concentrations.

The lowest free fatty acid concentrations were in the group consuming a low glycemic carbohydrate-rich meal. Furthermore, postprandial insulin response was lower in the high carbohydrate low GI group compared to the high carbohydrate high GI group Consequently, the abovementioned adaptation processes might be less in a high carbohydrate low glycemic diet compared to a HFLC diet due to the different impact on postprandial free fatty acid and insulin concentrations.

The nutritional impact on fat metabolism might also be reflected by the circulating glucose concentrations. Fasting glucose plasma concentrations dropped in the LGI-G to a significant and MID relevant extent. Changes in the HFLC-G seemed to be less pronounced, potentially as a consequence of relatively low baseline values compared to the other groups.

During the post-intervention, incremental test glucose concentrations are lower at the same exercise intensity as in the unconditioned pre-values state in both LGI-G and HFLC-G. This is probably related to a stimulation of fat oxidation under resting conditions and during exercise The results of the HGI-G seemed to be controversial.

The increased RER at rest in the HGI-G indicates an elevated metabolization of carbohydrates under resting conditions.

In addition, the lactate concentration increase was clinically relevant under pre-exercise condition. Despite increased lactate concentrations during the incremental test, it seems that there is an improved fat metabolism -decreased glucose and lactate values- in the submaximal cycle test.

It had previously been described that carbohydrates prior to exercise appear to be beneficial to performance 1. Hence, the slightly decreased carbohydrate metabolism in the submaximal test might be partly explained by the increased lactate threshold over the time as a possible adaptation in response to enhanced performance.

As a result, at post-intervention, the participants performed the test closer to their lactate threshold compared to baseline. The current investigation also observed an improvement in body composition due to a decrease in fat mass following the 4-week LGI or HFLC diet on the level of significance and MID.

It is not assumed that the present results can be attributed to the differences in energy intake between groups. Despite the significant difference in proportions of nutrients, the mean energy intake was equivalent between groups with an energy add-on of kcal in the HFLC-G.

According to the findings of Hall et al. There is evidence that athletes can improve their body composition by a high fat in particular ketogenic diet 42 — Low carbohydrate diets compared with control diets have been suggested to be relatively more effective in body weight management.

However, the benefits of a low carbohydrate diet can be rather attributed to the relatively high protein content, but not the relatively lower carbohydrate content 45 , In a recent study with athletes, different approaches high vs.

low fat but similar protein intakes resulted in a similar change of body composition mean loss in body fat was 1. These are in accordance with a meta-analysis examining the impact of different diet types in obese or overweight people Data from the meta-analyses of the Cochrane Database of Systematic Reviews suggest that a low glycemic diet without energy restriction results in a significantly greater decreased fat mass and an increased fat free mass compared with a high glycemic or even high fat and energy restricted diet Although low glycemic diets seem to promote weight loss and metabolic improvements in obese and overweight adults 48 , research about the impact of the GI on body composition in endurance athletes is limited.

A recent study by Durkalec-Michalski et al. has shown that consuming a low glycemic diet led to a change in body composition. In particular, a statistically significant reduction in body mass Physiologically, the significant changes in body composition in the present investigation might be explained by changes in fat oxidation and a more balanced carbohydrate metabolism as a potential consequence of the altered amount and quality of ingested carbohydrates.

Despite an improvement in fat metabolism and body composition, there is a growing body of evidence that these changes induced by ketogenic or non-ketogenic HFLC diets are not in association with improved endurance performance, aerobic capacity and peak performance in particular 9 , 32 , 50 , 51 , due to an impaired carbohydrate provision during higher intensities 2.

This assumption is supported by the changes in time to exhaustion in the present investigation. Furthermore, HFLC diets seem to be impractical and accompanied by side effects that include fatigue, headaches, poor concentration, lethargy, gastrointestinal discomfort, nausea, and unintentional weight loss.

One reason might be an insufficient proliferation of essential micronutrients and fibers and glycogen depletion which might be a cause of impaired concentration and hence the neuromuscular connection 9 , The values of the VAS scores of all categories decreased in all groups, indicating that the participants got familiar with the respective dietary concepts.

In general, none of the groups experienced clinically relevant elevated VAS scores. Mild symptoms can be defined by a score of 5 to 45 mm on the VAS This might be explained by the fact that endurance subjects tolerate the effects of a high-fat diet better than untrained individuals during exercise In addition, according to the nutritional protocols, an impaired delivery of minerals in the HFLC group was not expected.

However, only the LGI-G and HGI-G have shown an improvement in VAS scores of the subscale activity and gastrointestinal comfort on a statistical or MID level with a superior effect in the LGI-G. These results might be associated with impaired training sessions in the HFLC-G since higher intensity levels could not be reached without the provision of carbohydrates 2.

Furthermore, the advantage of LGI diet over HFLC and HGI diets might be in the choice of carbohydrates. A LGI diet is predominantly characterized by high-fiber and plant-based foods. This has shown to be associated with reduced fatigue, a strengthened immune system, and an improved ability to regenerate through the increased supply of micronutrients, essential fatty acids and amino acids, and low postprandial glucose concentrations Moreover, controlled clinical trials demonstrated that low glycemic foods have a positive impact on digestive conditions, such as gastroesophageal reflux disease or the irritable bowel syndrome, due to high fiber content 56 , It can be assumed that the present results can be attributed to the implementation of nutritional patterns.

According to the analysis of the nutritional protocols, the participants' dietary intake reflected the specified intake of carbohydrates and fats in the respective group.

While the HGI-G had a higher percent and total carbohydrate intake, the LGI-G showed a higher carbohydrate intake on a g-per-kg-body-weight basis. The current guidelines for endurance athletes during training on the competition level are 6—10 g carbohydrates per kg body weight and day.

These recommendations do not address the GI of the ingested carbohydrates The participants of the current investigation were non-elite athletes with a training workload of 3—5 sessions per week. In both groups, the carbohydrate intake seems to be sufficient since recommendations are 5—7 g carbohydrates per kg bodyweight and day for general training needs Nevertheless, increasing the carbohydrate intake to 6—10 g carbohydrates per kg body weight and day would be an interesting approach in future studies with high trained endurance athletes.

The carbohydrate upper limit of 50 g per day in the HFLC-G was based on the current focus of carbohydrate-restricted diets 9. This trial has some limitations. It has to be mentioned that the changes in fat and carbohydrate oxidation were not measured directly but extrapolated from the lactate diagnostics.

However, it is reported that measuring blood lactate is an effective way to estimate the rates of fat and carbohydrate oxidation Furthermore, using the values of the spiroergometry to confirm the results from the lactate diagnostic during the incremental test has to be taken with caution since values for VO 2 are overestimated by a step compared to a ramp incremental test When taking the impact of the nutritional concepts into account, limitations of the self-reported protocols might entail an over or underreporting of the consumed foods Moreover, recommendations for the macronutrient intake based on the body weight seems to be more accurate than percentage values to determine nutritional guidelines for endurance athletes.

Future studies with a larger sample size should include different sex groups and pre-exercise nutritional conditions to state practical use of high fat vs. high carbohydrate diets. Furthermore, the analysis of the muscle glycogen would be helpful for a better interpretation of the energy supply 9.

Ultrasonic assessment can be used to quantify glycogen content in the skeletal muscle In conclusion, the effect of the LGI diet was a decrease in lactate concentrations under resting and submaximal exercise conditions, while HFLC diet resulted additionally in decreased RER values.

However, these lower adaptations in the LGI-G seem to be beneficial in terms of an enhanced metabolic flexibility, since an increased carbohydrate metabolism was unaffected during higher intensities, while the utilization of fats was facilitated during submaximal exercise due to decreased plasma lactate concentrations.

Despite the positive impact on the fat oxidation and body composition, following a HFLC diet might have a negative effect on exercise performance due to the lack of carbohydrate provision at higher intensity levels. In addition, there might be negative long-term health consequences due to the high fat content and decreased intake of essential micronutrients.

The HGI-G changes in metabolism might impair the ability to effectively use fats and carbohydrates during different exercise intensities. Taking these findings together, the implementation of a LGI diet leads to a more flexible fat and carbohydrate metabolism after 4 weeks of intervention in contrast to a HFLC or HGI diet, which might be of advantage, particularly during strenuous endurance exercise.

After the study was finished, DZ started as a researcher in the Collagen Research Institute, Kiel. The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation. DZ, HF, AG, and DK designed the study. DZ, HF, and DK were responsible for data acquisition and performed the analysis.

All authors read and approved the final version of the manuscript. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

We would like to thank all the participants and the staff of the University of Freiburg who supported us with the examination. Ormsbee MJ, Bach CW, Baur DA. Pre-exercise nutrition: the role of macronutrients, modified starches and supplements on metabolism and endurance performance.

doi: PubMed Abstract CrossRef Full Text Google Scholar. Spriet LL. New insights into the interaction of carbohydrate and fat metabolism during exercise. Sports Med. Yeo WK, Carey AL, Burke L, Spriet LL, Hawley JA. Fat adaptation in well-trained athletes: effects on cell metabolism. Appl Physiol Nutr Metab.

Bergström J, Hermansen L, Hultman E, Saltin B. Diet, muscle glycogen and physical performance. Acta Physiol Scand. Nilsson LH. Liver glycogen content in man in the postabsorptive state. Scand J Clin Lab Invest. Romijn JA, Coyle EF, Sidossis LS, Rosenblatt J, Wolfe RR. Substrate metabolism during different exercise intensities in endurance-trained women.

J Appl Physiol. Coyle EF, Jeukendrup AE, Wagenmakers AJ, Saris WH. Fatty acid oxidation is directly regulated by carbohydrate metabolism during exercise. Am J Physiol.

Burke LM, Kiens B. Burke LM. Volek JS, Noakes T, Phinney SD. Rethinking fat as a fuel for endurance exercise. Eur J Sport Sci. In many sporting events, the capacity of body fuel stores to support optimal function of the muscle and central nervous system CNS is one such factor.

In the muscle, exercise is fueled by an intricate system that integrates the production of adenosine triphosphate ATP from a combination of intra- and extra-cellular substrates via pathways that are oxygen dependent oxidation of fat and carbohydrate and independent phosphocreatine system and anaerobic glycolysis.

Although we lack specific data on the metabolic pathways and substrate use in the majority of competitive sports, technological advances such as the development of power meters and global positioning system units have allowed the collection of information such as power output, heart rate, and movement patterns that indirectly capture the metabolic demands of some events.

A key understanding from such data is that the fuel demands of many sports are complex and often misunderstood. An example of particular relevance to this review is that sports such as multi-stage road cycling, triathlons, and marathons are classified as endurance and ultra-endurance events conducted at sub-maximal exercise intensities; in fact, for competitive athletes at least, the terrain, pacing strategies, and tactical elements in these events mean that brief but critical parts of the race that often determine the outcomes e.

The fueling of the brain and CNS also needs to be considered, since motor recruitment, perception of effort, pacing strategies, and the execution of skills and decision making are also important in determining performance.

Here, the main substrates are blood glucose and glycogen stored in the astrocytes [ 21 , 22 ], although under certain conditions where blood concentrations of ketone bodies are high, they may provide an additional fuel source [ 23 ]. Competition nutrition strategies that can enhance fuel availability are summarized in Table 1 and include strategies that attempt to directly increase the size of a limited muscle store e.

For events greater than ~1 h duration, the focus is on tactics that increase carbohydrate availability for the muscle and brain, since low carbohydrate availability is associated with fatigue via a number of peripheral and central mechanisms [ 24 ].

Body fat stores—comprising intramuscular triglyceride IMTG , blood lipids, and adipose tissue IMTG—represent a relatively abundant fuel substrate even in the leanest of athletes. As summarized in Table 2 and in several reviews [ 25 , 26 ], acute tactics to increase free fatty availability by increasing fat intake in the hours or days prior to exercise, or consuming fat during exercise have proved unsuccessful or impractical.

Therefore, attention has shifted to chronic tactics that could re-tool the muscle to make better use of fat as an exercise fuel. In contrast to short-term exposure to an LCHF diet, which reduces exercise capacity by depleting liver and muscle stores of glycogen without producing a compensatory increase in fat oxidation [ 27 , 28 ], longer-term adherence to this dietary regimen causes a range of adaptations to enhance the breakdown, transport, and oxidation of fat in skeletal muscle [ 29 ].

Several different approaches have been investigated. In this study by Dr. Furthermore, in both trials, at the cessation of exercise, muscle glycogen depletion was seen in type 1 fibers with a fourfold reduction in its contribution to fuel use in the LCHF trial.

Blood glucose contribution to fuel use was reduced threefold, with gluconeogenic contributions from glycerol released from triglyceride use as well as lactate, pyruvate, and certain amino acids preventing hypoglycemia during exercise as well as allowing glycogen storage between training sessions.

Lipid oxidation was increased to make up the fuel substrate for the exercise task. Data represent mean ± standard error of the mean from five well-trained cyclists not significantly different , with individual data points represented by O.

Redrawn from Phinney et al. Rather it is more likely a restriction on substrate mobilization or fiber recruitment. However, examination of the design and outcomes call for further caution. Although excellent dietary control was achieved in this study, few details were provided of the training protocols followed by the cyclists.

It is curious in light of the order effect in the study design all subjects undertook the ketogenic exercise trial 4 weeks after their carbohydrate trial , that no benefit to exercise capacity was derived from an additional training period.

Furthermore, it should be recognized that the exercise task was undertaken under conditions that should have favored any advantage to being adapted to low carbohydrate availability moderate-intensity exercise, overnight fast, no intake of carbohydrate during exercise.

However, and most importantly, the focus on the mean outcomes of the trial in a small sample size hides the experiences of the individual cyclists. As shown in Fig. Vicki Lambert and Professor Tim Noakes from the University of Cape Town.

The summarized literature Table 3 includes one study that focused on titrating the carbohydrate content of the diet in modestly trained female cyclists [ 33 ] and four studies that specifically set out to adapt their subjects to a high-fat diet [ 34 — 37 ], although in one case, the smaller degree of carbohydrate restriction resulted in a failure to create clear differences in muscle glycogen content between treatments [ 37 ].

Again, the diets provided within studies were isoenergetic and aimed at maintaining energy balance. In the case of studies specifically focused on adapting athletes to a high fat intake, the rationale of increasing dietary fat involved increasing IMTG stores [ 37 ], restricting carbohydrate to reduce muscle glycogen content [ 34 — 36 ] and allowing sufficient exposure for adaptations to occur to retool the muscle to alter fuel utilization patterns during exercise to compensate for altered fuel availability [ 34 — 37 ].

The avoidance of ketosis was chosen to remove its confounding effect on the relationship between respiratory exchange ratio and substrate utilization during exercise, thereby preventing a true measurement of changes in carbohydrate and fat oxidation during exercise [ 34 ].

A range of adaptive responses to the LCHF diet was observed or confirmed in the trained individuals. This includes a series of exercise protocols undertaken sequentially [ 34 ] or within a single exercise task [ 36 ], as well as dietary strategies that would either further increase fat availability [ 33 , 36 , 37 ], increase carbohydrate availability [ 35 — 37 ], or deliberately decrease carbohydrate availability against current guidelines or common practices [ 34 ].

In some cases, different dietary strategies were implemented before and during the exercise protocols for the high carbohydrate and LCHF trials, making it difficult to isolate the effects of the fat adaptation per se [ 36 , 37 ]. This variability in study design makes it difficult to make a single and all-encompassing assessment of the effect of LCHF on exercise, as is popularly desired.

Theoretically, however, it offers the opportunity to identify conditions under which adaptation to a high-fat diet may be of benefit or harm to sports performance.

Unfortunately, the small number of studies and the small sample sizes in the available literature do not allow this opportunity to be fully exploited. The learnings from these studies have been incorporated into the summary at the end of this section. In the meantime, attention is drawn to two important observations from this body of literature:.

Only scenarios in which muscle glycogen concentrations are matched prior to exercise can allow the specific effect of fat adaptation on muscle glycogen utilization as an exercise fuel to be measured. The period required for adaptation to the non-ketogenic LCHF is shorter than previously considered.

According to the time course study of Goedecke et al. Of course, it should be noted that a shift in respiratory exchange ratio during exercise, marking shifts in substrate utilization can reflect the prevailing availability of substrate rather than a true adaptation in the muscle.

Such evidence is discussed later. Such strategies were aimed at promoting simultaneous increases in fat and carbohydrate availability and utilization during exercise.

Indeed, studies that directly compared fuel utilization during submaximal exercise under controlled conditions after the fat adaptation protocol and then again after carbohydrate restoration practices [ 41 , 42 , 45 ] showed that the muscle re-tooling was robust enough to maintain an increase in fat utilization during exercise in the face of the practices that supported plentiful carbohydrate availability Fig.

Values are mean ± SEM for eight well-trained cyclists at day 1 baseline , day 6 after 5 days of low-carbohydrate high-fat diet or 5 days of high-carbohydrate diet and during min of steady-state cycling on day 7 following 1 day of high-carbohydrate diet.

Reproduced from Burke et al. CHO carbohydrate, HCHO high carbohydrate. However, within this group of investigations, only one fully published study [ 1 ] attempted to investigate an exercise test that bears any real resemblance to a sporting competition; its characteristics include a sole focus on performance rather than a hybrid of metabolism and performance, self-pacing, and a protocol interspersing passages of high-intensity exercise against a background of moderate-intensity work to reflect the stochastic profile of many real-life events.

This study [ 1 ], which prompted the editorial about which this review revolves, merits special reflection before a general summary of the literature is provided. Havemann et al. Overall, differences in the performance times for the km time trial TT were not statistically significant, although the mean performance on the high-carbohydrate trial was 3 min 44 s or ~2.

While there was no difference between trials with regard to the 4-km sprint times, performance of the 1-km sprints was significantly impaired in the LCHF-adapted trial in all subjects, including the three subjects whose overall km TT performance was faster than in their high-carbohydrate trial.

Power outputs during 1- and 4-km sprints undertaken within a km self-paced cycling time trial after a 6-day high-carbohydrate diet and 5 days of a low-carbohydrate high-fat diet followed by 1 day of a high-carbohydrate diet fat-adapt [ 1 ].

FAT-adapt, not significant. Values are means ± standard deviation for eight well-trained cyclists. Reproduced from Havemann et al. HCHO high carbohydrate. In an investigation of possible mechanisms to explain the performance outcomes associated with the LCHF-adaptation and carbohydrate-restoration model, we examined muscle metabolism at rest, during sub-maximal exercise, and after an all-out 1-min sprint following the usual dietary treatment Fig.

In comparison with the control trial high-carbohydrate diet , we found that adaptation to the LCHF diet and subsequent restoration of muscle glycogen was associated with a reduction in glycogenolysis during exercise, and a reduction in the active form of pyruvate dehydrogenase PDHa at rest, during submaximal cycling, and during sprint cycling.

Explanations for the down-regulated activity of this enzyme complex responsible for linking the glycolytic pathway with the citric acid cycle included the observed post-sprint decrease in concentrations of free adenosine monophosphate AMP and adenosine diphosphate ADP and potentially an up-regulation of PDH kinase PDK activity, which has previously been observed in association with a high-fat diet [ 47 ].

Values are means ± standard error of the mean for seven well-trained cyclists. Reproduced from Stellingwerff et al. HCHO high carbohydrate, PDH pyruvate dehydrogenase, PPO peak power output, VO 2 max maximal aerobic capacity.

Key interpretations by this author from the literature on adaptation to an LCHF conducted up until are summarized below:. Exposure to an LCHF diet in the absence of ketosis causes key adaptations in the muscle in as little as 5 days to retool its ability to oxidize fat as an exercise substrate.

Adaptations include, but are not limited to, an increase in IMTG stores, increased activity of the hormone-sensitive lipase HSL enzyme, which mobilizes triglycerides in muscle and adipose tissue, increases in key fat-transport proteins such as fatty acid translocase [FAT-CD36] and carnitine-palmitoyl transferase CPT for extended review, see Yeo et al.

Together, these adaptations further increase the already enhanced capacity of the aerobically trained muscle to utilize endogenous and exogenous fat stores to support the fuel cost of exercise of moderate intensity. Rates of fat oxidation during exercise may be doubled by fat-adaptation strategies.

These muscle-retooling activities stimulated by fat adaptation are sufficiently robust that they persist in the face of at least 36 h of aggressive dietary strategies to increase carbohydrate availability during exercise e.

Although the increased carbohydrate availability reduces rates of fat oxidation compared with fat adaptation alone, fat utilization remains similarly elevated above comparative rates in the absence of fat adaptation. In addition to up-regulating fat oxidation at rest and during exercise, exposure to an LCHF diet down-regulates carbohydrate oxidation during exercise.

Direct [ 34 , 42 , 45 ] and indirect [ 45 ] techniques of measuring the source of changes in substrate utilization show that changes in utilization of muscle glycogen, rather than blood glucose or exogenous glucose, account for the change in carbohydrate use. The reduction in glycogen use persists in the face of glycogen supercompensation [ 45 ] and high-intensity exercise [ 46 ], noting that it is robust and independent of substrate availability.

A down-regulation of PDH activity explains at least part of the impairment of glycogen utilization as an exercise fuel [ 46 ], representing a decrease in metabolic flexibility. Despite the enhanced capacity for utilization of a relatively limitless fuel source as an exercise substrate, fat-adaptation strategies with or without restoration of carbohydrate availability do not appear to enhance exercise capacity or performance per se.

Several inter-related explanations are possible for the failure to observe benefits:. Type II statistical error: failure to detect small but important changes in performance due to small sample sizes [ 34 ], individual responses [ 42 , 45 ], and poor reliability of the performance protocol.

While this explanation often looks attractive [ 43 ], in some cases, further exploration and enhanced sample size increases confidence in the true absence of a performance enhancement [ 43 ].

Benefits are limited to specific individuals: characteristics of individuals who may respond to fat-adaptation strategies include carbohydrate-sensitive individuals who are subjected to scenarios in which carbohydrate cannot be consumed during exercise.

This is likely to be due to the impairment of the muscle glycogen utilization needed to support high work rates, even in scenarios where strategies to achieve high carbohydrate availability are employed. On the basis that conventional competitive sports generally provide opportunities to achieve adequate carbohydrate availability, that fat-adaptation strategies reduce rather than enhance metabolic flexibility by reducing carbohydrate availability and the capacity to use it effectively as an exercise substrate, and that athletes would be unwise to sacrifice their ability to undertake high-quality training or high-intensity efforts during competition that could determine the outcome of even an ultra-endurance sport, this author decided to abandon a research and practical interest in fat-adaptation strategies.

Given the recent escalation in the promotion of LCHF diets for sports performance, it could be assumed that the last decade has seen the publication of a considerable number of studies with clear evidence of benefits to sports performance following the implementation of fat-adaptation strategies.

Yet, to the knowledge of this author, only two new investigations of LCHF diets in athletes have appeared in the peer-reviewed literature since [ 49 , 50 ]. These studies, summarized in Table 2 , fail to show performance benefits associated with a ketogenic LCHF diet, although there is evidence of a small but favorable reduction in body fat levels.

Nevertheless, there are some peculiarities with the design or methodologies of these studies, including the failure of one study to achieve the carbohydrate restriction typically associated with the ketogenic LCHF diet, and they have failed to become widely cited, even by supporters of the LCHF movement.

Rather, the current interest in chronic application of LCHF eating by athletes appears to be driven by enthusiastic discussion in lay and social media by mostly non-elite athletes of sporting success following experimentation with such diets as well as a range of outputs from several sports scientists who are researchers and advocates of this eating style [ 3 — 8 ].

It is uncertain whether there is a cause—effect relationship between these sources or the direction of any relationship , but the fervor merits attention. In the absence of compelling new data, the reader is alerted to several elements in the discussions that are positive and some that are concerning:.

Peer-reviewed publications from the key scientific protagonists of the LCHF movement [ 3 , 5 , 6 ] generally show measured and thoughtful insights, based on a re-examination of previously conducted studies, personal experiences, anecdotal observations from the sports world, and the general interest in tackling modern health problems with the LCHF approach [ 51 , 52 ].

In these forums, the discussion points include the lack of evidence and equivocal outcomes of research to support the performance benefits of LCHF but also theoretical constructs around potential benefits to metabolism, muscle, and brain function, inflammatory and oxidative status, and body composition management.

While there are some suggestions that a larger group of athletes might benefit from an LCHF approach, the general tone is that further investigation of these theories is required [ 3 — 6 ]. The apparent caution expressed in peer-reviewed publications is generally not present in other outputs from the same authors.

The differences between these viewpoints can be confusing, as is the misrepresentation of the physiological requirements of competitive sports see Sect.

Many of the theorized benefits from the LCHF diet are claimed to come from the adaptation to high circulating levels of ketone bodies, which provide an additional fuel source for the brain and muscle as well as achieve other health and functional benefits [ 5 , 6 ].

The amount of energy that can be provided by ketones as an exercise substrate has been neither calculated nor measured, making it impossible to verify this claim.

The time required to achieve optimal adaptation and, therefore, the period that requires investigation in new studies is claimed to be at least 2—3 weeks, with at least 1 week required before the feelings of lethargy and reduced exercise capacity abate [ 5 , 6 ].

With such chronic keto-adaptation, it is considered unnecessary to consume carbohydrate during exercise, or perhaps to consume it in small amounts [ 5 , 6 ]. As has been discussed in this review, the current evidence for these claims is equivocal and mostly anecdotal. Until or unless further research is undertaken, we are unlikely to resolve any of the current questions and claims.

The role of non-ketogenic LCHF diets is not clear. The current literature on LCHF diets is relentless in promoting misunderstanding or misinformation on the current guidelines for athletes in relation to carbohydrate intake in the training or competition diet.

It would benefit sports nutrition for researchers and practitioners to show mutual respect in recognizing the evolution of new ideas and the replacement of old guidelines with new recommendations [ 53 ]. Indeed, modern sports nutrition practitioners teach athletes to manipulate their eating practices to avoid unnecessary and excessive intakes of carbohydrates per se, to optimize training outcomes via modification of the timing, amount and type of carbohydrate-rich foods and drinks to balance periods of low- and high-carbohydrate availability and to adopt well-practiced competition strategies that provide appropriate carbohydrate availability according to the needs and opportunities provided by the event and individual experience [ 14 , 54 — 57 ].

This author and others continue to undertake research to evolve and refine the understanding of conditions in which low carbohydrate availability can be tolerated or actually beneficial [ 58 , 59 ]. However, we also recognize that the benefits of carbohydrate as a substrate for exercise across the full range of exercise intensities via separate pathways [ 16 ], the better economy of carbohydrate oxidation versus fat oxidation ATP produced per L of oxygen combusted [ 60 ], and the potential CNS benefits of mouth sensing of carbohydrate [ 61 ] can contribute to optimal sporting performance and should not be shunned simply because of the lure of the size of body fat stores.

Considering that athletes might best benefit from a range of options in the dietary tool box is likely to be a better model for optimal sports nutrition than insisting on a single, one-size-fits-all solution. Havemann L, West S, Goedecke JH, et al.

Fat adaptation followed by carbohydrate-loading compromises high-intensity sprint performance. J Appl Physiol. Article CAS PubMed Google Scholar. Burke LM, Kiens B.

Article PubMed Google Scholar. Noakes T, Volek JS, Phinney SD. Low-carbohydrate diets for athletes: what evidence? Br J Sports Med. Brukner P. Volek JS, Noakes T, Phinney SD. Rethinking fat as a fuel for endurance exercise.

Eur J Sports Sci. Google Scholar. Phinney SD. Ketogenic diets and physical performance. Nutr Metab. Article Google Scholar. Volek JS, Phinney SD. The art and science of low carbohydrate performance. Beyond Obesity LLC; Can elite athletes eat LCHF and win? Available from: www.

Accessed 30 June Olsen A. Tim Noakes: low carbohydrate diet for endurance sports. Hall N. The Kardashian index: a measure of discrepant social media profile for scientists. Genome Biol.

Fat oxidation is a process in which the body Enhance immune response down effidiency, Enhance immune response energy Improvex fuel your performance. But why is using Digestive aid for irritable bowel syndrome (IBS) as a fuel important for Dat performance? How does your body decide to use fats rather than sugars? And how can you develop your fat oxidation capacity to boost your fuel efficiency and your power output? In this article, we will take a dive into what fat oxidation is and how to make your body burn more fats than sugars during exercise. Anxiety reduction techniques of the International Society of Sports Nutrition efficeincy 12Article number: 44 Cite this article. Utilizwtion details. Achieving fat-loss outcomes Enhance immune response ingesting Dairy-free recipes Improved fat utilization efficiency may be further enhanced utilisation exercise. This study Red pepper shrimp the acute Improved fat utilization efficiency effectiveness Ipmroved a commercially Imporved multi-ingredient product Shred-Matrix®containing Green Efficiench Extract, Yerba Maté, Guarana Uitlization Extract, Anhydrous caffeine, Saw palmetto, Fo-Ti, Eleuthero root, Cayenne Pepper, and Yohimbine HCI, on fatty acid oxidation FAOperception of hunger, mood state and rate of perceived exertion RPE at rest and during 30 min of submaximal exercise. Following institutional ethical approval, twelve healthy recreationally active participants, five females and seven males, were randomized to perform two separate experimental ergometry cycling trials, and to ingest 1. Participants rested for 3 h, before performing a min cycling exercise corresponding to their individually-determined intensity based on their maximal fat oxidation Fatmax. Fatty acid oxidation FAO was determined at rest, 3 h before exercise Pre1immediately before exercise Pre2 and during exercise Postusing expired gasses and indirect calorimetry.

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