The effects of endogenously‐ and exogenously‐induced hyperketonemia on exercise performance and adaptation

Autor: David J. Dearlove, Adrian Soto Mota, David Hauton, Katherine Pinnick, Rhys Evans, Jack Miller, Roman Fischer, James S.O. Mccullagh, Leanne Hodson, Kieran Clarke, Pete J. Cox
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Physiological Reports, Vol 10, Iss 10, Pp n/a-n/a (2022)
Druh dokumentu: article
ISSN: 2051-817X
DOI: 10.14814/phy2.15309
Popis: Abstract Elevating blood ketones may enhance exercise capacity and modulate adaptations to exercise training; however, these effects may depend on whether hyperketonemia is induced endogenously through dietary carbohydrate restriction, or exogenously through ketone supplementation. To determine this, we compared the effects of endogenously‐ and exogenously‐induced hyperketonemia on exercise capacity and adaptation. Trained endurance athletes undertook 6 days of laboratory based cycling (“race”) whilst following either: a carbohydrate‐rich control diet (n = 7; CHO); a carbohydrate‐rich diet + ketone drink four‐times daily (n = 7; Ex Ket); or a ketogenic diet (n = 7; End Ket). Exercise capacity was measured daily, and adaptations in exercise metabolism, exercise physiology and postprandial insulin sensitivity (via an oral glucose tolerance test) were measured before and after dietary interventions. Urinary β‐hydroxybutyrate increased by ⁓150‐fold and ⁓650‐fold versus CHO with Ex Ket and End Ket, respectively. Exercise capacity was increased versus pre‐intervention by ~5% on race day 1 with CHO (p 0.05) with End Ket. There was an ⁓3‐fold increase in fat oxidation from pre‐ to post‐intervention (p
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