Alkalosis
Conditions
Keywords
performance, speed, exertion
Brief summary
Ingestion of sodium citrate (Na-Cit), an alkalizing agent, increases extracellular pH via liver oxidation by decreasing \[H+\] and increasing bicarbonate concentration (HCO3-). Studies have confirmed that increasing extracellular pH promotes the efflux of La- and H+ from active muscles. This is due to an increase in activity of the pH sensitive monocarboxylate transporter as the gradient of intracellular versus extracellular H+ increases. Therefore, artificially inducing alkalosis prior to anaerobic exercise may reduce intracellular acidosis and increase the time to fatigue - defined as a decrease in force production with an increased perception of effort. The investigators will test the null hypothesis that sodium citrate ingestion (chronic and acute) will not have an effect on exercise performance compared to placebo.
Detailed description
Anaerobic glycolysis quickly provides adenosine triphosphate (ATP) for muscular contraction during high intensity, short duration exercise. The fast rate of glycolysis during anaerobic exercise results in pyruvate formation exceeding pyruvate oxidation resulting in a build up of lactic acid. Lactic acid dissociates quickly to lactate (La-) and hydrogen ion (H+) which causes a decrease in muscle and blood pH. The increase in H+ causes impaired release of calcium from the sarcoplasmic reticulum and calcium ion binding which inhibits the coupling of actin and myosin. Ingestion of sodium citrate (Na-Cit), an alkalizing agent, increases extracellular pH via liver oxidation by decreasing \[H+\] and increasing bicarbonate concentration (HCO3-). Studies have confirmed that increasing extracellular pH promotes the efflux of La- and H+ from active muscles. This is due to an increase in activity of the pH sensitive monocarboxylate transporter as the gradient of intracellular versus extracellular H+ increases. Therefore, artificially inducing alkalosis prior to anaerobic exercise may reduce intracellular acidosis and increase the time to fatigue - defined as a decrease in force production with an increased perception of effort. Furthermore, Cit- enters the cell through the Plasma Membrane Citrate Transporter and in the cell Cit- is involved in a number of processes: i) intermediary in the Krebs Cycle, ii) transports acetyl-Co-enzyme A (CoA)from the mitochondria to the cytosol for fatty-acid synthesis, iii) negative allosteric effector of phosphofructokinase, iv) anionic effect on membrane potential can cause a reduction in the contraction threshold. Researchers have studied sodium bicarbonate and Na-Cit as potential alkalizing agents. Na-Cit has been studied in few sports over a broad array of doses, times, and distances with inconclusive results. McNaughton et al. researched the optimal doses and durations for Na-Cit to be potentially beneficial to performance. They concluded that 0.3-0.5g/kg, 90-120 minutes prior to maximal effort are the optimal conditions for potential ergogenic effect. The only reported side effect was gastrointestinal (GI) discomfort in a 3 of the 8 subjects. However, it seems Na-Cit is handled better than the more commonly employed sodium bicarbonate. The investigators will test the null hypothesis that sodium citrate ingestion (chronic and acute) will not have an effect on exercise performance compared to placebo.
Interventions
Dose sodium citrate dihydrate through 2 dosing protocols (Acute and Chronic)
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 13-17 * Male * Regional, provincial and national level swimmers
Exclusion criteria
* Females * Level of swimming below regional level standards * Caffeine before trials * Chronic health concerns * Health problems before or during the course of the trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time | once each 200m performance | time to complete 200 metre swimming performances in seconds Participants chose type of swim stroke to swim a maximal effort 200 metre performance |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lactate | 3 min post performance | lactate measured at 3min post trial |
Other
| Measure | Time frame | Description |
|---|---|---|
| Rate of Perceived Exertion | Rate of Perceived Exertion after each 200m swimming performance | Rate of perceived exertion (RPE) was recorded after each 200 metre swimming performance RPE scale is from 6-20. Minimum = 6 (level of exertion equal to lying down) and Maximum = 20 (maximal perceived exertion) Numbers reported are the average of the RPE recorded for all 10 participants. |
Countries
Canada
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| All Study Participants Acute: dose: 0.5 g/kg of body mass dissolved in 500 milliliters of flavoured water
Sodium Citrate Dihydrate: Dose sodium citrate dihydrate through 2 dosing protocols (Acute and Chronic)
Acute Placebo: 500 milliliters flavoured water (placebo for the acute dosing intervention of sodium citrate)
Chronic: 3 days of 0.1g/kg of body mass of sodium citrate and 4th day at 0.3 g/kg of body mass of sodium citrate in 500 milliliters of flavoured water
Sodium Citrate Dihydrate: Dose sodium citrate dihydrate through 2 dosing protocols (Acute and Chronic)
Chronic Placebo: 3 days of 500 milliliters flavoured water and the 4th day 500 milliliters flavoured water (placebo for the chronic dosing intervention of sodium citrate) | 10 |
| Total | 10 |
Baseline characteristics
| Characteristic | All Study Participants |
|---|---|
| Age, Categorical <=18 years | 10 Participants |
| Age, Categorical >=65 years | 0 Participants |
| Age, Categorical Between 18 and 65 years | 0 Participants |
| Region of Enrollment Canada | 10 participants |
| Sex/Gender, Customized males | 10 participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 0 / 10 | 0 / 10 | 0 / 10 | 0 / 10 |
| serious Total, serious adverse events | 0 / 10 | 0 / 10 | 0 / 10 | 0 / 10 |
Outcome results
Time
time to complete 200 metre swimming performances in seconds Participants chose type of swim stroke to swim a maximal effort 200 metre performance
Time frame: once each 200m performance
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Flavoured Water Placebo for Acute Dosing | Time | 144.2 seconds | Standard Error 4.7 |
| Sodium Citrate Dihydrate Acute | Time | 145.3 seconds | Standard Error 5.3 |
| Flavoured Water Placebo for Chronic Dosing | Time | 145.3 seconds | Standard Error 5.4 |
| Sodium Citrate Dihydrate Chronic | Time | 144.8 seconds | Standard Error 5.3 |
Lactate
lactate measured at 3min post trial
Time frame: 3 min post performance
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Flavoured Water Placebo for Acute Dosing | Lactate | 8.8 mmol/L | Standard Error 0.7 |
| Sodium Citrate Dihydrate Acute | Lactate | 10.4 mmol/L | Standard Error 1.3 |
| Flavoured Water Placebo for Chronic Dosing | Lactate | 9.5 mmol/L | Standard Error 1.2 |
| Sodium Citrate Dihydrate Chronic | Lactate | 10.8 mmol/L | Standard Error 1 |
Rate of Perceived Exertion
Rate of perceived exertion (RPE) was recorded after each 200 metre swimming performance RPE scale is from 6-20. Minimum = 6 (level of exertion equal to lying down) and Maximum = 20 (maximal perceived exertion) Numbers reported are the average of the RPE recorded for all 10 participants.
Time frame: Rate of Perceived Exertion after each 200m swimming performance
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Flavoured Water Placebo for Acute Dosing | Rate of Perceived Exertion | 16.4 units on a scale (6-20) | Standard Error 0.6 |
| Sodium Citrate Dihydrate Acute | Rate of Perceived Exertion | 16.1 units on a scale (6-20) | Standard Error 0.6 |
| Flavoured Water Placebo for Chronic Dosing | Rate of Perceived Exertion | 16.6 units on a scale (6-20) | Standard Error 0.3 |
| Sodium Citrate Dihydrate Chronic | Rate of Perceived Exertion | 17.1 units on a scale (6-20) | Standard Error 0.6 |