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J Appl Physiol 107: 725-733, 2009. First published July 16, 2009; doi:10.1152/japplphysiol.91265.2008
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Impact of protein and carbohydrate supplementation on plasma volume expansion and thermoregulatory adaptation by aerobic training in older men

Kazunobu Okazaki,1 Takashi Ichinose,1 Hiroyuki Mitono,1,2 Mian Chen,1 Shizue Masuki,1 Hiroshi Endoh,1 Hideki Hayase,3 Tatsuya Doi,3 and Hiroshi Nose1

Departments of 1Sports Medical Sciences and 2Anesthesiology and Resuscitation, Shinshu University Graduate School of Medicine, Matsumoto; and 3Saga Nutraceuticals Research Institute, Otsuka Pharmaceutical Co. Ltd., Higashisefuri, Kanzaki, Japan

Submitted 21 September 2008 ; accepted in final form 13 July 2009

We examined whether protein-carbohydrate (CHO) supplementation immediately after exercise each day during aerobic training facilitated plasma volume (PV) expansion and thermoregulatory and cardiovascular adaptations in older men. Fourteen moderately active older men [68 ± 5 (SD) yr] were divided into two groups so as to have no significant differences in anthropometric measures, PV, and peak oxygen consumption rate (VO2peak). Each group was provided with a mixture of protein and CHO (3.2 kcal, 0.18 g protein/kg body wt, Pro-CHO, n = 7) or a non-protein and low-calorie placebo (0.5 kcal, 0 g protein/kg body wt, CNT, n = 7) immediately after cycling exercise (60–75% VO2peak, 60 min/day, 3 days/wk) each day for 8 wk at ~19°C ambient temperature (Ta) and ~43% relative humidity (RH). Before and after training, we measured PV, cardiac stroke volume (SV), and esophageal temperature (Tes) during 20-min exercise at 60% of pretraining VO2peak at 30°C Ta and 50% RH. Moreover, we determined the sensitivity of the chest sweat rate ({Delta}SR/{Delta}Tes) and forearm vascular conductance ({Delta}FVC/{Delta}Tes) in response to increased Tes during exercise. After training, PV increased by ~6% in Pro-CHO (P < 0.001), with an ~10% increase in SV during exercise (P < 0.001), but not in CNT (P > 0.07). {Delta}FVC/{Delta}Tes increased by 80% and {Delta}SR/{Delta}Tes by 18% in Pro-CHO (both P < 0.01) but not in CNT (P > 0.07). Moreover, we found a significant interactive effect of group x training on PV, SV, and {Delta}FVC/{Delta}Tes (all P < 0.02) but with no significant effect of group (P > 0.4), suggesting that the supplement enhanced these responses to aerobic training. Thus postexercise protein-CHO supplementation during training caused PV expansion and facilitated thermoregulatory and cardiovascular adaptations, possibly providing a new training regimen for older men.

exercise; aging; hypervolemia; stroke volume



Address for reprint requests and other correspondence: H. Nose, Dept. of Sports Medical Sciences, Institute on Aging and Adaptation, Shinshu Univ. Graduate School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, Japan (e-mail: nosehir{at}shinshu-u.ac.jp)




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K. Okazaki, H. Hayase, T. Ichinose, H. Mitono, T. Doi, and H. Nose
Protein and carbohydrate supplementation after exercise increases plasma volume and albumin content in older and young men
J Appl Physiol, September 1, 2009; 107(3): 770 - 779.
[Abstract] [Full Text] [PDF]




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