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Carbohydrate intake and ketosis in self-sufficient multi-stage ultramarathon runners

Edwards, KH, Elliot, BT and Kitic, CM ORCID: 0000-0001-9866-5665 2019 , 'Carbohydrate intake and ketosis in self-sufficient multi-stage ultramarathon runners' , Journal of Sports Sciences, vol. 38, no. 4 , pp. 366-374 , doi:

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Ultra-endurance athletes accumulate an energy deficit throughout their events and those competing in self-sufficient multi-stage races are particularly vulnerable due to load carriage considerations. Whilst urinary ketones have previously been noted in ultra-endurance exercise and attributed to insufficient carbohydrate (CHO) availability, not all studies have reported concomitant CHO intake. Our aim was to determine changes in blood glucose and β-hydroxybutyrate concentrations over five days (240 km) of a self-sufficient multi-stage ultramarathon in combination with quantification of energy and macronutrient intakes, estimated energy expenditure and evaluation of energy balance. Thirteen runners (8 male, 5 female, mean age 40 ± 8 years) participated in the study. Glucose and β-hydroxybutyrate were measured every day immediately post-running, and food diaries completed daily. CHO intakes of 301 ± 106 g·day-1 (4.3 ± 1.8 g·kg-1·day-1) were not sufficient to avoid ketosis (5-day mean β-hydroxybutyrate: 1.1 ± 0.6 mmol.L-1). Furthermore, ketosis was not attenuated even when CHO intake was high (9 g·kg-1·day-1). This suggests that competing in a state of ketosis may be inevitable during multi-stage events where load reduction is prioritised over energy provisions. Attenuating negative impacts associated with such a metabolic shift in athletes unaccustomed to CHO and energy restriction requires further exploration.

Item Type: Article
Authors/Creators:Edwards, KH and Elliot, BT and Kitic, CM
Keywords: ketosis, carbohydrate, endurance, ultra-endurance, nutrition
Journal or Publication Title: Journal of Sports Sciences
Publisher: Taylor & Francis Ltd
ISSN: 0264-0414
DOI / ID Number:
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Copyright 2019 Informa UK Limited, trading as Taylor & Francis Group

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