PMID- 33383570 OWN - NLM STAT- MEDLINE DCOM- 20210727 LR - 20220107 IS - 1543-2742 (Electronic) IS - 1526-484X (Linking) VI - 31 IP - 2 DP - 2021 Mar 1 TI - Sustained Exposure to High Carbohydrate Availability Does Not Influence Iron-Regulatory Responses in Elite Endurance Athletes. PG - 101-108 LID - ijsnem.2020-0224 [pii] LID - 10.1123/ijsnem.2020-0224 [doi] AB - This study implemented a 2-week high carbohydrate (CHO) diet intended to maximize CHO oxidation rates and examined the iron-regulatory response to a 26-km race walking effort. Twenty international-level, male race walkers were assigned to either a novel high CHO diet (MAX = 10 g/kg body mass CHO daily) inclusive of gut-training strategies, or a moderate CHO control diet (CON = 6 g/kg body mass CHO daily) for a 2-week training period. The athletes completed a 26-km race walking test protocol before and after the dietary intervention. Venous blood samples were collected pre-, post-, and 3 hr postexercise and measured for serum ferritin, interleukin-6, and hepcidin-25 concentrations. Similar decreases in serum ferritin (17-23%) occurred postintervention in MAX and CON. At the baseline, CON had a greater postexercise increase in interleukin-6 levels after 26 km of walking (20.1-fold, 95% CI [9.2, 35.7]) compared with MAX (10.2-fold, 95% CI [3.7, 18.7]). A similar finding was evident for hepcidin levels 3 hr postexercise (CON = 10.8-fold, 95% CI [4.8, 21.2]; MAX = 8.8-fold, 95% CI [3.9, 16.4]). Postintervention, there were no substantial differences in the interleukin-6 response (CON = 13.6-fold, 95% CI [9.2, 20.5]; MAX = 11.2-fold, 95% CI [6.5, 21.3]) or hepcidin levels (CON = 7.1-fold, 95% CI [2.1, 15.4]; MAX = 6.3-fold, 95% CI [1.8, 14.6]) between the dietary groups. Higher resting serum ferritin (p = .004) and hotter trial ambient temperatures (p = .014) were associated with greater hepcidin levels 3 hr postexercise. Very high CHO diets employed by endurance athletes to increase CHO oxidation have little impact on iron regulation in elite athletes. It appears that variations in serum ferritin concentration and ambient temperature, rather than dietary CHO, are associated with increased hepcidin concentrations 3 hr postexercise. FAU - McKay, Alannah K A AU - McKay AKA AD - The University of Western Australia. AD - Western Australian Institute of Sport. AD - Australian Institute of Sport. 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 - Tee, Nicolin AU - Tee N AD - Australian Institute of Sport. FAU - Welveart, Marijke AU - Welveart M AD - Australian Institute of Sport. AD - University of Canberra. FAU - Heikura, Ida A AU - Heikura IA AD - Australian Institute of Sport. AD - Australian Catholic University. FAU - Sharma, Avish P AU - Sharma AP AD - Griffith University. FAU - Whitfield, Jamie AU - Whitfield J AD - Australian Catholic University. FAU - Ross, Megan L AU - Ross ML AD - Australian Institute of Sport. AD - Australian Catholic University. FAU - van Swelm, Rachel P L AU - van Swelm RPL AD - Radboud University Medical Center. AD - Hepcidinanalysis.com. FAU - Laarakkers, Coby M AU - Laarakkers CM AD - Radboud University Medical Center. AD - Hepcidinanalysis.com. FAU - Burke, Louise M AU - Burke LM AD - Australian Institute of Sport. AD - Australian Catholic University. LA - eng PT - Journal Article DEP - 20211231 PL - United States TA - Int J Sport Nutr Exerc Metab JT - International journal of sport nutrition and exercise metabolism JID - 100939812 RN - 0 (Dietary Carbohydrates) RN - 0 (Hepcidins) RN - 0 (IL6 protein, human) RN - 0 (Interleukin-6) RN - 0 (hepcidin 25, human) RN - 9007-73-2 (Ferritins) RN - E1UOL152H7 (Iron) SB - IM MH - Adult MH - Dietary Carbohydrates/*administration & dosage/metabolism MH - Ferritins/blood MH - Hepcidins/blood MH - Humans MH - Interleukin-6/blood MH - Iron/*blood MH - Male MH - Oxidation-Reduction MH - Physical Conditioning, Human/physiology MH - Physical Endurance/*physiology MH - Sports/*physiology MH - Temperature MH - Walking/*physiology OTO - NOTNLM OT - ferritin OT - hepcidin OT - race walk EDAT- 2021/01/01 06:00 MHDA- 2021/07/28 06:00 CRDT- 2020/12/31 20:18 PHST- 2020/07/30 00:00 [received] PHST- 2020/10/07 00:00 [revised] PHST- 2020/10/14 00:00 [accepted] PHST- 2021/01/01 06:00 [pubmed] PHST- 2021/07/28 06:00 [medline] PHST- 2020/12/31 20:18 [entrez] AID - ijsnem.2020-0224 [pii] AID - 10.1123/ijsnem.2020-0224 [doi] PST - ppublish SO - Int J Sport Nutr Exerc Metab. 2021 Mar 1;31(2):101-108. doi: 10.1123/ijsnem.2020-0224. Epub 2021 Dec 31.