Effects of acute and multi-day low-dose sodium bicarbonate intake on high-intensity endurance exercise performance in male recreational cyclists.

S Aktitiz, Ş N Koşar, H H Turnagöl

Journal: European journal of applied physiology 2024;124(7):2111-2122

PMID: 38421429

Plain Language Summary

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Sodium bicarbonate (SB) is known for its potential to enhance athletic performance by buffering lactic acid build-up during high-intensity exercise. The primary aim was to compare the effects of acute (single dose) and multi-day (repeated doses over four days) low-dose SB intake on high-intensity endurance exercise performance. This study was a randomised, double-blind, cross-over study involving twelve male recreational cyclists. Each participant underwent three different supplementation protocols: acute SB intake (ASB), multi-day SB intake (MSB), and a placebo (PLA). Results showed that both ASB and MSB significantly increased the resting blood bicarbonate concentrations compared to PLA. However, no significant improvement was noted in high intensity endurance performance. Moreover, in terms of gastrointestinal discomfort, multi-day consumption of SB was advantageous compared to acute intake, as it did not result in any symptoms on the test day. Authors concluded that both acute and multiday low-dose SB intake did not improve high-intensity endurance performance compared to placebo.

Abstract

PURPOSE

This study aimed to compare the effects of acute and multi-day low-dose sodium bicarbonate (SB) intake on high-intensity endurance exercise performance.

METHODS

In a randomized, double-blind, cross-over design, twelve recreational male cyclists (age: 31.17 ± 4.91 years; Opeak: 47.98 ± 7.68 ml·kg·min) completed three endurance performance tests following acute SB (ASB, 0.2 g·kg SB), multi-day SB (MSB, 0.2 g·kg·day SB for four days), and placebo (PLA) intake. The high-intensity endurance performance was assessed with a cycling exercise test, wherein participants cycled on a bicycle ergometer at 95% of the predetermined anaerobic threshold for 30 min, followed by a time-to-exhaustion test at 110% of the anaerobic threshold. Data were analyzed using one-way and two-way repeated-measures ANOVA.

RESULTS

Significant main effects of supplementation protocol were evident in pre-exercise bicarbonate concentrations (F = 27.93; p < 0.01; partial eta squared (η) = 0.72; false discovery rate (FDR)-adjusted p value = 0.001). Prior to performance test, blood bicarbonate concentrations were significantly higher in MSB (25.78 ± 1.63 mmol·L[95% CI 26.55-28.44] (p < 0.001; FDR-adjusted p value = 0.001)) and ASB (27.49 ± 1.49 mmol·L [95% CI 24.75-26.81] (p < 0.001; FDR-adjusted p value = 0.007)) compared to PLA (23.75 ± 1.40 mmol·L [95% CI 22.86 to 24.64]). Time-to-exhaustion increased in MSB (54.27 ± 9.20 min [95% CI 48.43-60.12]) compared to PLA (49.75 ± 10.80 min [95% CI 42.89-56.62]) (p = 0.048); however, this increase in MSB did not reach the significance threshold of 1% FDR (FDR-adjusted p value = 0.040). No significant difference was noted in exhaustion times between ASB (51.15 ± 8.39 min [95% CI 45.82-56.48]) and PLA (p > 0.05).

CONCLUSION

Both acute and multi-day administration of low-dose SB improves buffering system in cyclists; nevertheless, neither intervention demonstrates sufficient efficacy in enhancing high-intensity endurance performance.

© 2024. The Author(s).

Address: Faculty of Sport Sciences, Division of Exercise Nutrition and Metabolism, Hacettepe University, 06800, Ankara, Turkey.; Faculty of Sport Sciences, Division of Exercise Nutrition and Metabolism, Hacettepe University, 06800, Ankara, Turkey. [email protected].
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