PMID- 31629353 OWN - NLM STAT- MEDLINE DCOM- 20210726 LR - 20210726 IS - 1543-2742 (Electronic) IS - 1526-484X (Linking) VI - 30 IP - 1 DP - 2020 Jan 1 TI - Influence of Periodizing Dietary Carbohydrate on Iron Regulation and Immune Function in Elite Triathletes. PG - 34-41 LID - ijsnem.2019-0131 [pii] LID - 10.1123/ijsnem.2019-0131 [doi] AB - Sleeping with low carbohydrate (CHO) availability is a dietary strategy that may enhance training adaptation. However, the impact on an athlete's health is unclear. This study quantified the effect of a short-term "sleep-low" dietary intervention on markers of iron regulation and immune function in athletes. In a randomized, repeated-measures design, 11 elite triathletes completed two 4-day mixed cycle run training blocks. Key training sessions were structured such that a high-intensity training session was performed in the field on the afternoon of Days 1 and 3, and a low-intensity training (LIT) session was performed on the following morning in the laboratory (Days 2 and 4). The ingestion of CHO was either divided evenly across the day (HIGH) or restricted between the high-intensity training and LIT sessions, so that the LIT session was performed with low CHO availability (LOW). Venous blood and saliva samples were collected prior to and following each LIT session and analyzed for interleukin-6, hepcidin 25, and salivary immunoglobulin-A. Concentrations of interleukin-6 increased acutely after exercise (p < .001), but did not differ between dietary conditions or days. Hepcidin 25 increased 3-hr postexercise (p < .001), with the greatest increase evident after the LOW trial on Day 2 (2.5 +/- 0.9 fold increase +/-90% confidence limit). The salivary immunoglobulin-A secretion rate did not change in response to exercise; however, it was highest during the LOW condition on Day 4 (p = .046). There appears to be minimal impact to markers of immune function and iron regulation when acute exposure to low CHO availability is undertaken with expert nutrition and coaching input. FAU - McKay, Alannah K A AU - McKay AKA AD - The University of Western Australia. AD - Australian Institute of Sport. AD - Western Australian Institute of Sport. FAU - Heikura, Ida A AU - Heikura IA AD - Australian Institute of Sport. AD - Australian Catholic University. FAU - Burke, Louise M AU - Burke LM AD - Australian Institute of Sport. AD - Australian Catholic University. FAU - Peeling, Peter AU - Peeling P AD - The University of Western Australia. AD - Western Australian Institute of Sport. FAU - Pyne, David B AU - Pyne DB AD - University of Canberra. FAU - van Swelm, Rachel P L AU - van Swelm RPL AD - Radboud University Medical Center. AD - Geert Grooteplein. FAU - Laarakkers, Coby M AU - Laarakkers CM AD - Radboud University Medical Center. AD - Geert Grooteplein. FAU - Cox, Gregory R AU - Cox GR AD - Bond University. AD - Triathlon Australia. LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - Int J Sport Nutr Exerc Metab JT - International journal of sport nutrition and exercise metabolism JID - 100939812 RN - 0 (Biomarkers) RN - 0 (Dietary Carbohydrates) RN - 0 (Hepcidins) RN - 0 (Immunoglobulin A, Secretory) RN - 0 (Interleukin-6) RN - E1UOL152H7 (Iron) SB - IM MH - Bicycling/physiology MH - Biomarkers/blood/metabolism MH - Cross-Over Studies MH - Dietary Carbohydrates/*administration & dosage MH - Female MH - Hepcidins/blood/metabolism MH - High-Intensity Interval Training MH - Humans MH - Immunoglobulin A, Secretory/metabolism MH - Interleukin-6/blood/*metabolism MH - Iron/*metabolism MH - Male MH - Physical Conditioning, Human/methods/*physiology MH - Resistance Training MH - Running/physiology MH - Saliva/immunology/metabolism MH - Sleep/*physiology MH - Swimming/physiology MH - Young Adult OTO - NOTNLM OT - hepcidin OT - sleep low OT - train low EDAT- 2019/10/20 06:00 MHDA- 2021/07/27 06:00 CRDT- 2019/10/20 06:00 PHST- 2019/05/09 00:00 [received] PHST- 2019/07/04 00:00 [revised] PHST- 2019/07/04 00:00 [accepted] PHST- 2019/10/20 06:00 [pubmed] PHST- 2021/07/27 06:00 [medline] PHST- 2019/10/20 06:00 [entrez] AID - ijsnem.2019-0131 [pii] AID - 10.1123/ijsnem.2019-0131 [doi] PST - ppublish SO - Int J Sport Nutr Exerc Metab. 2020 Jan 1;30(1):34-41. doi: 10.1123/ijsnem.2019-0131.