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Glycaemic Index and Substrate Metabolism

Influence of a Diet With Different Glycaemic Indices and Carbohydrate Content on Substrate Utilization, Energy Storage, and Performance-related Parameters in Endurance-trained Men

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05241730
Acronym
GI
Enrollment
65
Registered
2022-02-16
Start date
2022-01-10
Completion date
2023-04-23
Last updated
2023-11-27

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

Conditions

Substrate Metabolism During Exercise

Brief summary

Substrate metabolism during exercise can be influenced by various nutritional regimes. The effectiveness of the different nutritional regimes, which differ in their carbohydrate content, will be investigated not only by functional tests but also the measurement of the mechanistic processes in the muscle will be explored. Magnetic resonance (MR), better known as magnetic resonance imaging (MRI), has been widely used in clinical practice as a non-invasive imaging technique. Importantly, in addition to producing anatomical images, an MR scanner also offers the possibility to measure the concentrations of a number of metabolic products. This is done through a technique known as magnetic resonance spectroscopy (MRS). This research project asks the following questions: * Can a diet containing carbohydrates with a low glycemic index achieve the same adaptations in basic endurance/fat metabolism as a high fat, low carbohydrate (ketogenic) diet? * Does a high-fat, low-carbohydrate diet, compared with a high-carbohydrate diet, prevent improvements in performance in the submaximal and maximal range? * What is the effect of diets with different carbohydrate content and variable glycemic index on endurance performance in a half marathon and a time trial? * How do the diets with different carbohydrate content and variable glycaemic index affect the energy and glycogen stores in the muscles? In active recreational athletes, the objectives are: (1) to investigate the effects of different diets with variable carbohydrate content and glycaemic index on substrate metabolism, (2) to determine the effects of the different diets on energy stores using multinuclear dynamic magnetic resonance spectroscopy, and (3) to measure the effects of the different diets on endurance performance.

Interventions

The training intervention will be a 10 week training plan for endurance runners. The plan consists of five sessions per week (three basic endurance sessions and two interval sessions)

The subjects eat 55-60 E-% carbohydrates with ≥ 65 % from high glycaemic index carbohydrates per day, the other E-% are fats and proteins.

OTHERLCHF

The subjects eat ≥ 65 E-% fats and a maximum of 50 g carbohydrates per day.

The subjects eat 55-60 E-% carbohydrates with ≥ 65 % from low glycaemic index carbohydrates per day, the other E-% are fats and proteins.

Sponsors

Medical University of Vienna
CollaboratorOTHER
University of Vienna
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
18 Years to 40 Years
Healthy volunteers
Yes

Inclusion criteria

* Male gender * Age between 18 and 40 years * Recreational active in leisure time (2-3x/week physical activity) * Motivation for performance testing and structured training plan * Interest in different diets * no acute or chronic illnesses

Exclusion criteria

* Contraindications to physical exercise according to ACSM (American College of Sports Medicine) guidelines * Age \<18 or \>40 years * Taking medication that could influence the measurements or that is prohibited in training and/or competition according to the WADA (World Anti-Doping Agency) Code * Competitive athlete with own training plan * Experience with intervention diets MRI-specific

Design outcomes

Primary

MeasureTime frameDescription
changes in peak oxygen consumption (measured in ml/min/kg)Baseline - 10 weeksVO2peak will be assessed during a graded exercise test on the treadmill.
changes in 5 km time trial (measured in mm:ss)Baseline - 10 weeks5 km time trial performance will be assessed during an all out 5 km run on a 400 m running track. The time for completing the 5 km will be assessed.
changes in muscle glycogen content (measured in mmol/l muscle)Baseline - 10 weeksChanges in muscle glycogen will be assessed in a thigh muscle using a MR scan.
changes in power at lactate turning point 1 (LTP1) and individual anaerobic threshold (IAS) (measured in km/h)Baseline - 10 weeksChanges in power at LTP1 and IAS will be assessed during a graded exercise test on a treadmill.
changes in AUC in lactate in the graded exercise testBaseline - 10 weeksChanges in AUS in lactate will be assessed during a graded exercise test on a treadmill.

Secondary

MeasureTime frameDescription
changes in body mass indexBaseline - 5 weeks - 10 weeksChanges in body mass index will be assessed using a bioelectrical impedance analysis. The weight and the height will be used to calculate changes in BMI in kg/m\^2.
completion time of a half marathon performance (measured in hh:mm:ss)after 10 weeksThe half marathon performance will be assessed during an official marathon race. The time of completion of the half marathon will be assessed.
changes in fat free mass (measured in kg)Baseline - 5 weeks - 10 weeksChanges in fat free mass will be assessed using a bioelectrical impedance analysis.
changes in rated perceived exhaustion (RPE) in 5 km time trialBaseline - 10 weeksThe changes in RPE will be assessed during the 5 km time trial on a running track. The RPE scale ranges from 6 to 20, where 20 means really, really exhausting.
changes in cholesterin and cholesterin subunits (measured in mg/dl)Baseline - 10 weeksChanges in cholesterin and cholesterin subunits (LDL and HDL cholesterin) will be assessed with a routine blood count.
changes in fat mass (measured in kg)Baseline - 5 weeks - 10 weeksChanges in fat mass will be assessed using a bioelectrical impedance analysis.
changes in skeletal muscle mass (measured in kg)Baseline - 5 weeks - 10 weeksChanges in skeletal muscle mass will be assessed using a bioelectrical impedance analysis.
changes in body water (measured in l)Baseline - 5 weeks - 10 weeksChanges in total and extracellular body water will be assessed using a bioelectrical impedance analysis.
changes in body weight (measured in kg)Baseline - 5 weeks - 10 weeksChanges in body weight will be assessed using a bioelectrical impedance analysis.

Countries

Austria

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 8, 2026