PMID- 35487576 OWN - NLM STAT- MEDLINE DCOM- 20220825 LR - 20220829 IS - 1543-2742 (Electronic) IS - 1526-484X (Linking) VI - 32 IP - 5 DP - 2022 Sep 1 TI - Ketone Monoester Ingestion Alters Metabolism and Simulated Rugby Performance in Professional Players. PG - 334-341 LID - 10.1123/ijsnem.2021-0346 [doi] AB - Ketone ingestion can alter metabolism but effects on exercise performance are unclear, particularly with regard to the impact on intermittent-intensity exercise and team-sport performance. Nine professional male rugby union players each completed two trials in a double-blind, randomized, crossover design. Participants ingested either 90 +/- 9 g carbohydrate (CHO; 9% solution) or an energy matched solution containing 20 +/- 2 g CHO (3% solution) and 590 mg/kg body mass beta-hydroxybutyrate monoester (CHO + BHB-ME) before and during a simulated rugby union-specific match-play protocol, including repeated high-intensity, sprint and power-based performance tests. Mean time to complete the sustained high-intensity performance tests was reduced by 0.33 +/- 0.41 s (2.1%) with CHO + BHB-ME (15.53 +/- 0.52 s) compared with CHO (15.86 +/- 0.80 s) placebo (p = .04). Mean time to complete the sprint and power-based performance tests were not different between trials. CHO + BHB-ME resulted in blood BHB concentrations that remained >2 mmol/L during exercise (p < .001). Serum lactate and glycerol concentrations were lower after CHO + BHB-ME than CHO (p < .05). Coingestion of a BHB-ME with CHO can alter fuel metabolism (attenuate circulating lactate and glycerol concentrations) and may improve high-intensity running performance during a simulated rugby match-play protocol, without improving shorter duration sprint and power-based efforts. FAU - Peacock, Oliver J AU - Peacock OJ AUID- ORCID: 0000-0002-2435-2903 AD - Department for Health, University of Bath, Bath,United Kingdom. AD - Centre for Nutrition, Exercise and Metabolism, University of Bath, Bath,United Kingdom. FAU - Gonzalez, Javier T AU - Gonzalez JT AD - Department for Health, University of Bath, Bath,United Kingdom. AD - Centre for Nutrition, Exercise and Metabolism, University of Bath, Bath,United Kingdom. FAU - Roberts, Simon P AU - Roberts SP AD - Department for Health, University of Bath, Bath,United Kingdom. FAU - Smith, Alan AU - Smith A AD - Department for Health, University of Bath, Bath,United Kingdom. AD - UK Sport Council, London,United Kingdom. FAU - Drawer, Scott AU - Drawer S AD - UK Sport Council, London,United Kingdom. FAU - Stokes, Keith A AU - Stokes KA AD - Department for Health, University of Bath, Bath,United Kingdom. AD - Rugby Football Union, Twickenham,United Kingdom. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20220429 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 (Ketones) RN - 33X04XA5AT (Lactic Acid) RN - PDC6A3C0OX (Glycerol) SB - IM MH - *Athletic Performance MH - Dietary Carbohydrates MH - Double-Blind Method MH - Eating MH - Glycerol MH - Humans MH - Ketones MH - Lactic Acid MH - Male MH - Rugby OTO - NOTNLM OT - athletes OT - exercise performance OT - glycerol OT - lactate OT - team sport OT - beta-hydroxybutyrate EDAT- 2022/04/30 06:00 MHDA- 2022/08/26 06:00 CRDT- 2022/04/29 20:43 PHST- 2021/12/20 00:00 [received] PHST- 2022/03/15 00:00 [revised] PHST- 2022/03/15 00:00 [accepted] PHST- 2022/04/30 06:00 [pubmed] PHST- 2022/08/26 06:00 [medline] PHST- 2022/04/29 20:43 [entrez] AID - 10.1123/ijsnem.2021-0346 [doi] PST - epublish SO - Int J Sport Nutr Exerc Metab. 2022 Apr 29;32(5):334-341. doi: 10.1123/ijsnem.2021-0346. Print 2022 Sep 1.