PMID- 19821225 OWN - NLM STAT- MEDLINE DCOM- 20100301 LR - 20111117 IS - 1439-4286 (Electronic) IS - 0018-5043 (Linking) VI - 42 IP - 1 DP - 2010 Jan TI - Influence of protein- versus carbohydrate-enriched feedings on physiological responses during an ultraendurance climbing race. PG - 31-7 LID - 10.1055/s-0029-1237727 [doi] AB - This study investigated effects of a high protein (PROT) versus a high carbohydrate (CHO) diet on performance and physiological responses during an ultraendurance climbing race at moderate altitude. On two different periods, in a randomised crossover design, ten climbers (30.0+/-0.9 years) participated in the race (duration 29 h approximately, energy expenditure 43.6+/-1.2 MJ.day (-1)) and were fed either with the PROT (30% protein content) or the CHO diet (68% carbohydrate) each providing 16.74 MJ. Mental performance was assessed by the Stroop test and we estimated maximal voluntary strength of quadriceps muscle. We quantified metabolic and hormonal circulating concentrations. Mental performance was unaffected after the two races, while muscular performance and body weight were decreased (both p<0.01) with no diet effects. Decreases were measured for IGF-I concentration and its binding protein IGFBP-3 (p<0.001), and increases for cortisol and norepinephrine (p<0.01) with no diet effects. Glucose concentration decreased (p<0.05) without diet effects, while amino acids (leucine, isoleucine, valine, and tyrosine) decreased in CHO group (p<0.001). Leptin concentration decreased (p<0.001) without diet effects, whereas total ghrelin increased in CHO group (p<0.01). Our results showed that a high PROT or high CHO intake during physical exertion at moderate altitude maintained mental performance, but did not limit muscle force reduction and body weight loss. There was decreased glucose availability, and hormonal responses indicated both catabolism and extreme energy deficiency induced by exercise with opposite responses of ghrelin and leptin. The ghrelin response was additionally indicative of macronutrient intake during the race. CI - Georg Thieme Verlag KG Stuttgart New York. FAU - Bourrilhon, C AU - Bourrilhon C AD - Department of Physiology, IMASSA, 91223 Bretigny-sur-Orge, France. cbourrilhon@imassa.fr FAU - Lepers, R AU - Lepers R FAU - Philippe, M AU - Philippe M FAU - Beers, P Van AU - Beers PV FAU - Chennaoui, M AU - Chennaoui M FAU - Drogou, C AU - Drogou C FAU - Beauvieux, M C AU - Beauvieux MC FAU - Burnat, P AU - Burnat P FAU - Guezennec, C Y AU - Guezennec CY FAU - Gomez-Merino, D AU - Gomez-Merino D LA - eng PT - Comparative Study PT - Journal Article DEP - 20091009 PL - Germany TA - Horm Metab Res JT - Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme JID - 0177722 RN - 0 (Dietary Carbohydrates) RN - 0 (Dietary Proteins) RN - 0 (Insulin) RN - 0 (Insulin-Like Growth Factor Binding Protein 3) RN - 67763-96-6 (Insulin-Like Growth Factor I) SB - IM MH - Adult MH - Altitude MH - Dietary Carbohydrates/administration & dosage/*metabolism MH - Dietary Proteins/administration & dosage/blood/*metabolism MH - Energy Metabolism MH - Humans MH - Insulin/blood MH - Insulin-Like Growth Factor Binding Protein 3/blood MH - Insulin-Like Growth Factor I/metabolism MH - Male MH - Mountaineering/*physiology MH - *Physical Endurance EDAT- 2009/10/13 06:00 MHDA- 2010/03/02 06:00 CRDT- 2009/10/13 06:00 PHST- 2009/10/13 06:00 [entrez] PHST- 2009/10/13 06:00 [pubmed] PHST- 2010/03/02 06:00 [medline] AID - 10.1055/s-0029-1237727 [doi] PST - ppublish SO - Horm Metab Res. 2010 Jan;42(1):31-7. doi: 10.1055/s-0029-1237727. Epub 2009 Oct 9.