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J Appl Physiol 107: 770-779, 2009. First published July 9, 2009; doi:10.1152/japplphysiol.91264.2008
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Protein and carbohydrate supplementation after exercise increases plasma volume and albumin content in older and young men

Kazunobu Okazaki,1 Hideki Hayase,3 Takashi Ichinose,1 Hiroyuki Mitono,2 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., Kanzaki, Japan

Submitted 21 September 2008 ; accepted in final form 8 July 2009

This study examined whether increased plasma volume (PV) and albumin content (Albcont) in plasma for 23 h after exercise were attenuated in older subjects compared with in young adult subjects, and if this attenuation abated by supplementation with protein and carbohydrate (CHO) immediately after exercise. Eight moderately active older (~68 yr) and 8 young (~21 yr) men performed two trials: control (CNT) and Pro-CHO in which subjects consumed placebo (0.5 kcal, 0 g protein, 0.5 mg Na+ in 3.2 ml total fluid volume/kg body wt) or protein and CHO mixture (3.2 kcal, 0.18 g protein, 0.5 mg Na+ in 3.2 ml total fluid volume/kg body wt) supplementations, respectively, immediately after high-intensity interval exercise for 72 min [8 sets of 4 min at 70–80% peak oxygen consumption rate (VO2peak) intermitted by 5 min at 20% VO2peak]. PV, Albcont, and plasma globulin content (Glbcont) were measured before exercise, at the end of exercise, every hour from the 1st to the 5th hour after exercise, and at the 23rd hour after exercise. From 12 h before the start to the end of experiment, food intake was controlled to the age-matched recommended dietary allowances. We found that during the first 4 h after exercise in CNT, Albcont recovered less in the older than the young group by ~0.04 g/kg (P < 0.05), while it generally recovered more with Pro-CHO than CNT by ~0.09 and ~0.04 g/kg in the young and older group, respectively, accompanied by a greater increase in PV by ~1 and ~2 ml/kg, respectively, during the 23 h after exercise (P < 0.05). Glbcont remained constant throughout the experiment in both trials for both age groups. Thus the attenuated responses of Albcont and PV after exercise in older subjects were restored by protein and CHO supplementation immediately after exercise, similarly to young subjects.

aging; blood volume; plasma protein



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, T. Ichinose, H. Mitono, M. Chen, S. Masuki, H. Endoh, H. Hayase, T. Doi, and H. Nose
Impact of protein and carbohydrate supplementation on plasma volume expansion and thermoregulatory adaptation by aerobic training in older men
J Appl Physiol, September 1, 2009; 107(3): 725 - 733.
[Abstract] [Full Text] [PDF]




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