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Am J Physiol Endocrinol Metab 287: E712-E720, 2004. First published May 27, 2004; doi:10.1152/ajpendo.00543.2003
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Combined ingestion of protein and carbohydrate improves protein balance during ultra-endurance exercise

René Koopman, Daphne L. E. Pannemans, Asker E. Jeukendrup, Annemie P. Gijsen, Joan M. G. Senden, David Halliday, Wim H. M. Saris, Luc J. C. van Loon, and Anton J. M. Wagenmakers

Department of Human Biology, Nutrition Research Institute Maastricht, Maastricht University, 6200 MD Maastricht, The Netherlands

Submitted 1 December 2003 ; accepted in final form 25 May 2004

The aims of this study were to compare different tracer methods to assess whole body protein turnover during 6 h of prolonged endurance exercise when carbohydrate was ingested throughout the exercise period and to investigate whether addition of protein can improve protein balance. Eight endurance-trained athletes were studied on two different occasions at rest (4 h), during 6 h of exercise at 50% of maximal O2 uptake (in sequential order: 2.5 h of cycling, 1 h of running, and 2.5 h of cycling), and during subsequent recovery (4 h). Subjects ingested carbohydrate (CHO trial; 0.7 g CHO·kg–1·h–1) or carbohydrate/protein beverages (CHO + PRO trial; 0.7 g CHO·kg–1·h–1 and 0.25 g PRO·kg–1·h–1) at 30-min intervals during the entire study. Whole body protein metabolism was determined by infusion of L-[1-13C]leucine, L-[2H5]phenylalanine, and [15N2]urea tracers with sampling of blood and expired breath. Leucine oxidation increased from rest to exercise [27 ± 2.5 vs. 74 ± 8.8 (CHO) and 85 ± 9.5 vs. 200 ± 16.3 mg protein·kg–1·h–1 (CHO + PRO), P < 0.05], whereas phenylalanine oxidation and urea production did not increase with exercise. Whole body protein balance during exercise with carbohydrate ingestion was negative (–74 ± 8.8, –17 ± 1.1, and –72 ± 5.7 mg protein·kg–1·h–1) when L-[1-13C]leucine, L-[2H5]phenylalanine, and [15N2]urea, respectively, were used as tracers. Addition of protein to the carbohydrate drinks resulted in a positive or less-negative protein balance (–32 ± 16.3, 165 ± 4.6, and 151 ± 13.4 mg protein·kg–1·h–1) when L-[1-13C]leucine, L-[2H5]phenylalanine, and [15N2]urea, respectively, were used as tracers. We conclude that, even during 6 h of exhaustive exercise in trained athletes using carbohydrate supplements, net protein oxidation does not increase compared with the resting state and/or postexercise recovery. Combined ingestion of protein and carbohydrate improves net protein balance at rest as well as during exercise and postexercise recovery.

protein metabolism; dietary supplements; protein intake



Address for reprint requests and other correspondence: R. Koopman, Dept. of Human Biology, Maastricht Univ., PO Box 616, 6200 MD Maastricht, The Netherlands (E-mail: R.Koopman{at}HB.unimaas.nl)




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