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Clinical Trials/NCT04097171
NCT04097171CompletedNot Applicable

The Effect of Diet Composition on Performance, Energy Expenditure, Blood Lipids and Lipoproteins, and Cognitive Function and Mood States in Highly Trained Cyclists

Texas Christian University1 site in 1 country34 target enrollmentStarted: November 11, 2019Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
34
Locations
1
Primary Endpoint
Endurance Cycling Performance

Study Overview

Brief Summary

This study employs a crossover design to evaluate the effect of two different diets (high carbohydrate vs. ketogenic) and corresponding test meals on endurance exercise performance, energy expenditure including resting metabolic rate and thermic effect of food, postprandial responses of blood lipids, glucose and appetite hormones, and cognitive function and mood states.

Detailed Description

Traditionally, a high carbohydrate diet is recommended for elite endurance athletes and sub-elite, highly trained recreational athletes competing in endurance events. However, recently the ketogenic diet (extremely low carbohydrate content) has become popular in these populations. The effect on endurance exercise performance, energy expenditure, postprandial blood profiles, and cognitive function and mood states requires further investigation.

In this study, highly trained recreational cyclists and triathletes will adhere to each diet (high-carbohydrate and ketogenic) for 14 days in a crossover design. Experimental trials at baseline and after each diet will evaluate endurance cycling performance (time trial), resting energy expenditure, the thermic effect of food of test meals corresponding in composition to each diet, postprandial responses of blood lipids, glucose and appetite hormones, and cognitive function and mood states.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Crossover
Primary Purpose
Basic Science
Masking
None

Eligibility Criteria

Ages
18 Years to 65 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • •>100-150km of cycling per week
  • •VO2max > 80th percentile for sex and age (adjusted for cycle ergometry)
  • •apparently healthy

Exclusion Criteria

  • •weight loss supplements/medications/diet
  • •extreme dietary patterns (e.g. extremely high or low carbohydrate)
  • •nicotine use
  • •heavy alcohol use (>7 drinks/week female; >14 drinks/week male)
  • •food allergies
  • •heart disease
  • •liver/kidney/thyroid disease
  • •eating disorders
  • •uncontrolled hypertension
  • •pulmonary/orthopedic/musculoskeletal problems that prevent exercise
  • •surgery that affects swallowing and digestion
  • •claustrophobia

Arms & Interventions

Ketogenic Diet

Experimental

Participants will consume a low carbohydrate diet (<5-10% of total energy intake). Protein intake will be standardized at 15% of total energy intake.

Intervention: Diet (Other)

High Carbohydrate Diet

Experimental

Participants will consume a high carbohydrate diet (65-75% of total energy intake). Protein intake will be standardized at 15% of total energy intake.

Intervention: Diet (Other)

Outcomes

Primary Outcomes

Endurance Cycling Performance

Time Frame: 180 min after the meal begins

Time to completion in a 30-kilometer simulated time trial

Secondary Outcomes

  • Thermic Effect of Food (postprandial energy expenditure)(Change from baseline at 30 min, 60 min, 90 min, 120 min, 150 min, 180 min after the meal begins)
  • Resting Metabolic Rate(At baseline before meal begins)
  • Blood lipids including (triglycerides, total cholesterol, low density lipoprotein, and high-density lipoprotein)(Change from baseline at 30 min, 60 min, 120 min, 180 min, 192 min, 204 min, 216 min, 228 min and 240 min after the meal begins)
  • Oxygen consumption (VO2)(At 192 min, 204 min, 216 min, 228 min and 240 min after the meal begins)
  • Muscle Fuel Rating(Change from baseline at 180 min and 240 min after the meal begins)
  • Rating of Perceived Exertion (RPE)(At 192 min, 204 min, 216 min, 228 min and 240 min after the meal begins)
  • Subjective appetite ratings(Change from baseline at 60 min, 120 min, 180 min after the meal begins)
  • Blood pressure(Change from baseline at 180 min after the meal begins)
  • Respiratory Exchange Ratio(Change from baseline at 30 min, 60 min, 90 min, 120 min, 150 min, 180 min, 192 min, 204 min, 216 min, 228 min and 240 min after the meal begins)
  • Appetite hormones including ghrelin, leptin, insulin, and Peptide-YY(Change from baseline at 30 min, 60 min, 120 min, 180 min and 240 min)
  • Blood glucose(Change from baseline at 180 min and 240 min after the meal begins; on day 7 of each diet)
  • Cognitive function(At 180 min and 240 min after the meal begins)
  • Mood state questionnaire(At 180 min and 240 min after the meal begins)

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Meena Shah

Interim Chair, Professor and Director, Graduate Program

Texas Christian University

Study Sites (1)

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