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The Effect of Diet Composition on Performance, Expenditure, Blood Lipids, and Appetite Hormones in Highly Trained Cyclists

The Effect of Diet Composition on Performance, Energy Expenditure, Blood Lipids and Lipoproteins, and Cognitive Function and Mood States in Highly Trained Cyclists

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04097171
Acronym
DCAP
Enrollment
34
Registered
2019-09-20
Start date
2019-11-11
Completion date
2020-03-30
Last updated
2021-10-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Endurance Cycling Performance

Brief summary

This study employs a crossover design to evaluate the effect of two different diets (high carbohydrate vs. ketogenic) and corresponding test meals on endurance exercise performance, energy expenditure including resting metabolic rate and thermic effect of food, postprandial responses of blood lipids, glucose and appetite hormones, and cognitive function and mood states.

Detailed description

Traditionally, a high carbohydrate diet is recommended for elite endurance athletes and sub-elite, highly trained recreational athletes competing in endurance events. However, recently the ketogenic diet (extremely low carbohydrate content) has become popular in these populations. The effect on endurance exercise performance, energy expenditure, postprandial blood profiles, and cognitive function and mood states requires further investigation. In this study, highly trained recreational cyclists and triathletes will adhere to each diet (high-carbohydrate and ketogenic) for 14 days in a crossover design. Experimental trials at baseline and after each diet will evaluate endurance cycling performance (time trial), resting energy expenditure, the thermic effect of food of test meals corresponding in composition to each diet, postprandial responses of blood lipids, glucose and appetite hormones, and cognitive function and mood states.

Interventions

OTHERDiet

Participants will consume each diet for 14 days in a crossover design.

Sponsors

Texas Christian University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* \>100-150km of cycling per week * VO2max \> 80th percentile for sex and age (adjusted for cycle ergometry) * apparently healthy

Exclusion criteria

* weight loss supplements/medications/diet * extreme dietary patterns (e.g. extremely high or low carbohydrate) * nicotine use * heavy alcohol use (\>7 drinks/week female; \>14 drinks/week male) * food allergies * diabetes * heart disease * stroke * liver/kidney/thyroid disease * anemia * eating disorders * uncontrolled hypertension * pulmonary/orthopedic/musculoskeletal problems that prevent exercise * surgery that affects swallowing and digestion * claustrophobia

Design outcomes

Primary

MeasureTime frameDescription
Endurance Cycling Performance180 min after the meal beginsTime to completion in a 30-kilometer simulated time trial

Secondary

MeasureTime frameDescription
Muscle Fuel RatingChange from baseline at 180 min and 240 min after the meal beginsUltrasound echogenicity of Rectus Femoris
Oxygen consumption (VO2)At 192 min, 204 min, 216 min, 228 min and 240 min after the meal beginsIndirect calorimetry during exercise
Rating of Perceived Exertion (RPE)At 192 min, 204 min, 216 min, 228 min and 240 min after the meal begins6-20 Borg's scale during exercise
Thermic Effect of Food (postprandial energy expenditure)Change from baseline at 30 min, 60 min, 90 min, 120 min, 150 min, 180 min after the meal beginsFasted vs. postprandial indirect calorimetry
Subjective appetite ratingsChange from baseline at 60 min, 120 min, 180 min after the meal beginsVisual Analog Scale (Scale 1: Perception of Hunger \[0-100 mm\]; Scale 2: Perception of Fullness \[0-100 mm\]; Scale 3: Desire to Eat \[0-100 mm\]
Appetite hormones including ghrelin, leptin, insulin, and Peptide-YYChange from baseline at 30 min, 60 min, 120 min, 180 min and 240 minFasted, postprandial & post exercise blood concentration of appetite hormones
Respiratory Exchange RatioChange from baseline at 30 min, 60 min, 90 min, 120 min, 150 min, 180 min, 192 min, 204 min, 216 min, 228 min and 240 min after the meal beginsIndirect calorimetry fasted, postprandial, and during exercise
Blood pressureChange from baseline at 180 min after the meal beginsFasted, postprandial & post exercise
Cognitive functionAt 180 min and 240 min after the meal beginsStroop test
Mood state questionnaireAt 180 min and 240 min after the meal beginsAbbreviated Profile of Mood States; 40-item scale; Likert scale from 0 = not at all to 4 = extremely
Resting Metabolic RateAt baseline before meal beginsIndirect calorimetry in fasted state
Blood lipids including (triglycerides, total cholesterol, low density lipoprotein, and high-density lipoprotein)Change from baseline at 30 min, 60 min, 120 min, 180 min, 192 min, 204 min, 216 min, 228 min and 240 min after the meal beginsFasted and postprandial in mg/dL
Blood glucoseChange from baseline at 180 min and 240 min after the meal begins; on day 7 of each dietFasted, postprandial & post exercise blood concentration of glucose

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 11, 2026