Protein for Sports & Exercise Performance Nutritional Strategies for Sport Performance (NSSP; SPL338) Week 3 – 05 Oct 20 chi.ac.uk | #chiuni | Importance of Protein for Exercise Performance? chi.ac.uk | #chiuni | Protein in Your Field • Sports Therapy – Recovery of muscle tissue & injury/illness prevention. • Sports Coaching – Promoting adaptations to training & ensuring optimal recovery and performance. • Sports & Exercise Science & Dance Science – All of the above and identifying new areas of research chi.ac.uk | #chiuni | Learning Objectives 1. To describe the physiological theories underpinning protein supplementation 2. To evaluate the experimental evidence underpinning the theories of protein supplementation 3. To discuss the theories of protein supplementation within the practical context of exercise performance chi.ac.uk | #chiuni | Protein function and structure in body • Protein uses are predominantly functional 1. Muscle 2. Enzymes 3. Hormones 4. Immune System • Protein made up of amino acids 1. 12 non-essential 2. 8 essential (isoleucine, leucine, lysine, methionine, phenylalanine, threonine, trytophan & valine) 3. 3 Branched Chain Amino Acids (BCAA; leucine, valine and isoleucine) (McArdle et al., 2012) chi.ac.uk | #chiuni | Sources of Protein (Lemon., 2011) chi.ac.uk | #chiuni | English Institute of Sport (EIS) APRID (Braun et al., 2011) chi.ac.uk | #chiuni | Recommended Protein Intakes Population Sedentary people Recreational exercisers Serious resistance athletes : early training phase established training programme Football Serious endurance athlete Adolescent athlete Female athletes Estimates of maximum protein need for males (g.kg-1.day-1) 0.75 to 1.0 (0.75 NHS advice) 0.8 to 1.3 1.5 to 1.7 1.0 to 1.2 1.3 to 1.5 1.2 to 1.6 1.5 to 1.8 15 % lower than males (Lemon, 2000,Tarnpolsky, 2006, Thomas et al 2016) chi.ac.uk | #chiuni | Check-up • ____ number of non-essential AA • ____ number of essential AA • Complete PRO source is________________ • Incomplete PRO source is_______________ • What does the Protein Digestibility Corrected Amino Acid Score (PDCAAS) show? _____________________________ chi.ac.uk | #chiuni | PRO as Energy Source Oxidative Metabolism • Protein ATP • Only really used as an energy substrate in extreme training, ultra-endurance exercise or in states of starvation • Broken down in to amino acids (primarily the branched chain amino acids) and then converted to a form that readily enters the energy pathways (e.g. Pyruvate) ATP chi.ac.uk | #chiuni | Protein Turnover & Nitrogen Balance (Lemon, 1998) chi.ac.uk | #chiuni | Muscle Protein Synthesis & Breakdown MPS – Muscle Protein Synthesis MPB – Muscle Protein Breakdown MPS is ↑ than MPB = +ve Pro Balance = ‘↑ muscle tissue’ If MPS is ↓ than MPB = -ve Pro Balance = ‘↓ muscle tissue’ Exercise (particularly resistance exercise) stimulates muscle protein synthesis. BUT +ve Protein Balance can only occur with AA ingestion (Phillips et al., 2012) chi.ac.uk | #chiuni | Protein for Recovery Muscle hypertrophy occurs only from net protein synthesis; that is, when muscle protein synthesis exceeds breakdown 6 Participants- Infusion AA tracers Intense leg-resistance exercise routine Consumed 1 litre of 40 g of mixed amino acids (MAA) 40 g of mixed esential amino acids (EAA) Placebo (PLA) rate of 100 ml every 18–20 min. Blood samples taken during recovery Measure Fractional Synthetic Rate (↑FSR = ↑PRO Synthesis = ↑Hypertrophy) (Tipton et al., 1999) chi.ac.uk | #chiuni | Amount of Protein for Post Exercise Feeding 24 healthy trained males in three groups (n =8/group) 2× 40 g WP every 6 h 4 × 20 g WP every 3 h 8 × 10 g WP every 1.5 h Muscle Protein Synthesis Undertook resistance exercise followed by consuming 80 g whey protein during a 12 hour recovery “20 g of whey protein consumed every 3 h was superior to either PULSE or BOLUS feeding patterns for stimulating MPS throughout the day” (Areta et al 2013) chi.ac.uk | #chiuni | Timing chi.ac.uk | #chiuni | Leucine Trigger 2.5-3.0 g leucine Theory Leucine ‘trigger’ point needs to be reached to ‘activate’ protein synthesis. Some good evidence to support / refute this. Tang et al. (2009) Review summary; “ingestion of leucine in amounts greater than that found in a saturating dose of high quality protein (e.g. 20–25 g whey protein containing 2.5-3.0 g leucine) , is unlikely to further stimulate an increase in the magnitude or duration of MPS” (ChurchwoodVenne et al. 2012) chi.ac.uk | #chiuni | Practical Protein Feeding Recommendations? Training Session 1000 - 1130 Nutrient/Fluid Depletion & Tissue Damage 1130 Recovery 1230 1530 1800 2200 Zzzz 0900 What are you going to feed for 24 h post exercise? chi.ac.uk | #chiuni | Practical Protein Feeding Recommendations? Training Session Nutrient/Fluid Depletion & Tissue Damage 1000 - 1130 1130 Recovery 1230 1530 • Provide protein source as soon as is practically possibly after exercise • Make sure protein is high in essential AA – particularly leucine (~ 3 g) • Try to provide ~ 20-40g of protein every 2-3 hours after exercise • Consume large bolus protein (~35 g) just before bed • Amount and source of protein and other nutrients will depend on individual athlete. 1800 2200 Zzzz 0900 chi.ac.uk | #chiuni | Co-ingestion of Other Nutrients 1 hour after intense leg-resistance exercise Carbohydrate (CHO) Amino Acids (AA) Mixture (MIX) Muscle Protein Synthesis Adjusted according to body weight, based on 35 g CHO and 6 g PRO per 70 kg subject. Carbohydrate ingestion elevates plasma insulin concentrations - reducing PRO degradation (Miller et al., 2003) chi.ac.uk | #chiuni | Chocolate Milk “Conclusions: Ingestion of Chocolate Milk following resistance exercise results in better strength development in adolescent athletes in field based trials. chi.ac.uk | #chiuni | Protein & Resistance Training Vieillevoye et al., 2010 29 young males 2 x Strength Training Session for 12 weeks: • PLA (n = 14) - 30 g of saccharose (sweetner) • EAA (n = 15) 15 g of EAA + 15 g saccharose 200 ml supp + water with breakfast & dinner Muscle Strength Outcome • Significant increases observed in both groups for the average concentric strength (leg press, calf press, high lift and leg curl) • No significant difference between groups chi.ac.uk | #chiuni | Recovery of Force Producing Capability 10 participants 2 h load carriage (25 kg, 0 %, 6.5 km·h-1) 1. Placebo (flavoured water) [PLA] 2. Carbohydrate (32 g Glucose) [CHO] 3. Whey Protein (C3 g P 36 g, F3 g) [PRO] (Blacker et al., 2010) chi.ac.uk | #chiuni | Reduce Illness and Injury US Marine Recruits During 54 day Basic Training Course Immediately after arduous physical exercise recruits consumed either: 1. Placebo (n=128) [C 0 g, P 0 g, F 0 g] 2. CHO & FAT Supplement (n=129) [C 8 g, P 0 g, F 3 g] 3. CHO & FAT & PRO Supplement (n=130) [C 8 g, P 10 g, F 3 g] Number of Med Centre Visits (n) Placebo CHO & FAT CHO & FAT & PRO Bacterial/Viral 91 127 78† Musculoskeletal 57 35 29* Heat Exhaustion 5 7 1* 153 169 108†* Total † Diff CHO & FAT vs. CHO & FAT & PRO, * Difference PLA vs. CHO & FAT & PRO chi.ac.uk | #chiuni | (Flakoll et al. 2004) • Excessive protein intake (more than 3 g·kg b.w.–1·day–1) Possible kidney damage, increased blood lipoprotein levels (associated with arteriosclerosis) Now believed to be overestimated. Recommended intakes for athletes not harmful (up to ~2 g·kg b.w.–1 ·day–1) Possible Adverse Effects (Jeukendrup & Gleeson,2011) • Necessary reduction of carbohydrate (or fat) intake if energy levels are maintained. Probably more important for endurance athletes (glycogen depletion) Miss out on important nutrients (vitamins, minerals etc.) (Jeukendrup & Gleeson,2011) • Contamination Risk?? 15-25% of supplements inadvertently contaminated with prohibited substances (= failure of drug tests) (Judkins & Prock,2013) chi.ac.uk | #chiuni | Key Points PRO is comprised of AA (8 essential & 20 non-essential) PRO RDA 0.8-1.0 g.kg-1bw·d-1 (1.5-2.0 for athletes) PRO sources include dairy, meat, soy & nuts (+ supplements) PRO provides very little energy during exercise, mostly used in long duration exercise or when energy availability is low. PRO intake is most important during recovery from exercise Must be present for positive protein balance (synthesis can occur without PRO ingestion but breakdown is greater so net effect in –ve balance without ingestion) Timing appears critical - best to consume small amounts before, during and regular intervals after Enhances resistance training gains and recovery potentially reducing injury incidence. Chronic high PRO intake may cause dehydration (but aids acute hydration) and unlikely to cause adverse health effects. chi.ac.uk | #chiuni | Reading…….. Jeukendrup, A. E., & Gleeson, M. (2010). Sport Nutrition: An Introduction to Energy Production and Performance (Second Edition ed.). Champaign, Illinois: Human Kinetics. (Section 8 – Protein and Amino Acids pp 179-192) chi.ac.uk | #chiuni | References Braun, H. Currell, K. & Stear, S. J. (2011). Supplements and ergogenic aids. In Sport and Exercise Nutrition (The Nutrition Society Textbook) (edited by Lanham-New, S. A., Stear, S. J., Shirreffs, S. M., & Collins, A. L.), pp. Collins, A. L.), pp. 89-119. Chichester, West Sussex: Wiley-Blackwell. Burke, L. (2007). Practical Sports Nutrition. Champaign, Illinois: Human Kinetics. Elliot, T. A., Cree, M. G., Sanford, A. P., Wolfe, R. R., & Tipton, K. D. (2006). Milk ingestion stimulates net muscle protein synthesis following resistance exercise. Medicine and Science in Sports and Exercise, 38(4), 667-674. Ivy, J. L., Res, P. T., Sprague, R. C., & Widzer, M. O. (2003). Effect of a carbohydrate-protein supplement on endurance performance during exercise of varying intensity. International Journal of Sports Nutrition and Exercise Metabolism, 13(3), 382-395. James, L. J., Evans, G. H., Madin, J., Scott, D., Stepney, M., Harris, R., et al. (2013). Effect of varying the concentrations of carbohydrate and milk protein in rehydration solutions ingested after exercise in the heat. The British journal of nutrition, 1-7. Jeukendrup, A. E., & Gleeson, M. (2010). Sport Nutrition: An Introduction to Energy Production and Performance (Second Edition ed.). Champaign, Illinois: Human Kinetics. Judkins, C., & Prock, P. (2012). Supplements and inadvertent doping - how big is the risk to athletes. Medicine and sport science, 59, 143-152. . chi.ac.uk | #chiuni | References Lemon, P.W.R. (1998). Effects of exercise on dietary protein requirements. International Journal of Sports Nutrition, 8, 426-447 Lemon P. W. R. (2011). Protein and amino acids. In Sport and Exercise Nutrition (The Nutrition Society Textbook) (edited by Lanham-New, S. A., Stear, S. J., Shirreffs, S. M., & Collins, A. L.), pp. 41-50. Chichester, Chichester, West Sussex: Wiley-Blackwell. McArdle, W. D., Katch, F. I., & Katch, V. L. (2009). Exercise Physiology: Nutrition, Energy and Human Performance (7th revised International ed edition ed.). Baltimore, MD: Lippincott Williams and Wilkins. Miller, S. L., Tipton, K. D., Chinkes, D. L., Wolf, S. E., & Wolfe, R. R. (2003). Independent and combined effects of amino acids and glucose after resistance exercise. Medicine and Science in Sports and Exercise, 35(3), 449-455. Newsholme, E.A., I.N. Acworth, and E. Blomstrand. 1987. Amino acids, brain neurotransmitters and a functional link between muscle and brain that is important in sustained exercise. In Advances in myochemistry, ed. G. Benzi, 127–147. London: John Libby Eurotext. Rasmussen, B. B., Tipton, K. D., Miller, S. L., Wolf, S. E., & Wolfe, R. R. (2000). An oral essential amino acidcarbohydrate supplement enhances muscle protein anabolism after resistance exercise. Journal of Applied Physiology, 88(2), 386-392. chi.ac.uk | #chiuni | References Tang, J.E., D. R. Moore, G. W. Kujbida, M. A. Tarnopolsky, and S. M. Phillips (2009). Ingestion of whey hydrolysate, casein, or soy protein isolate: effects on mixed muscle protein synthesis at rest and following resistance exercise in young men. J. Appl. Physiol. 107: 987-992. Tipton, K. D., Ferrando, A. A., Phillips, S. M., Doyle, D., Jr., & Wolfe, R. R. (1999). Postexercise net protein synthesis in human muscle from orally administered amino acids. The American journal of physiology, 276(4 Pt 1), E628-634. Tipton, K. D., Rasmussen, B. B., Miller, S. L., Wolf, S. E., Owens-Stovall, S. K., Petrini, B. E., et al. (2001). Timing of amino acid-carbohydrate ingestion alters anabolic response of muscle to resistance exercise. American Journal of Physiology. Endocrinology and Metabolism, 281(2), E197-206. Vieillevoye, S., Poortmans, J. R., Duchateau, J., & Carpentier, A. (2010). Effects of a combined essential amino acids/carbohydrate supplementation on muscle mass, architecture and maximal strength following heavy-load training. European Journal of Applied Physiology, 110(3), 479-488. van Essen, M., & Gibala, M. J. (2006). Failure of protein to improve time trial performance when added to a sports drink. Medicine and Science in Sports and Exercise, 38(8), 1476-1483. Zawadzki, K. M., Yaspelkis, B. B., 3rd, & Ivy, J. L. (1992). Carbohydrate-protein complex increases the rate of muscle glycogen storage after exercise. Journal of Applied Physiology, 72(5), 1854-1859. chi.ac.uk | #chiuni |