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      Effects of a low-carbohydrate diet on body composition and performance in road cycling: a randomized, controlled trial Translated title: Efectos de una dieta baja en hidratos de carbono sobre la composición corporal y el rendimiento en el ciclismo de carretera: estudio aleatorizado y controlado

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          Abstract

          Abstract Low-carbohydrate diets are frequently used to improve performance in endurance sports, often with contradictory results. This study aimed to assess whether a low-carbohydrate diet can outperform an isocaloric conventional diet for improving body composition and performance in a sample of twenty-six trained male road cyclists (previous experience in cyclosportive events, 7.6 ± 4.4 years; age, 26.9 ± 4.9 years; weekly training volume, 7.8 ± 2.9 hours; height, 176 ± 7 centimeters; body fat percentage, 9.7 ± 0.8 %; weight, 65.3 ± 2.3 kg). Detraining and pretreatment periods in which nutrition and training were standardized were followed by an eight-week long intervention in which cyclists consumed either a low-carbohydrate diet (15 % of calories from carbohydrates) or a conventional endurance sports diet while maintaining the same training volumes and intensities. Body composition was assessed through electrical impedance, and performance was evaluated through a twenty-minute time trial performed on a smart bike trainer. The results revealed an overall improvement over time in absolute and relative power, body mass, and body fat for both groups, whilst the improvement in absolute power was comparable. The improvements seen in relative power (p = 0.042), body mass (p = 0.006), and body fat (p = 0.01) were significantly higher in the low-carbohydrate group. We concluded that eight weeks of a low-carbohydrate diet significantly reduced body weight and body fat percentage, and improved 20-minute relative power values in a sample of road cyclists when compared to an isocaloric conventional diet.

          Translated abstract

          Resumen Las dietas bajas en carbohidratos se usan con frecuencia para mejorar el rendimiento en los deportes de resistencia, a menudo con resultados contradictorios. Este estudio tuvo como objetivo evaluar si una dieta baja en carbohidratos puede superar a una dieta convencional isocalórica para mejorar la composición corporal y el rendimiento en una muestra de veintiséis ciclistas de carretera masculinos entrenados (experiencia previa en eventos cicloportivos, 7,6 ± 4,4 años; edad, 26,9 ± 4,9 años; volumen de entrenamiento semanal, 7,8 ± 2,9 horas; altura, 176 ± 7 centímetros; porcentaje de grasa corporal, 9,7 ± 0,8 %; peso, 65,3 ± 2,3 kg). Los períodos de desentrenamiento y pretratamiento, en los que se estandarizaron la nutrición y el entrenamiento, fueron seguidos por una intervención de ocho semanas de duración en la que los ciclistas consumieron una dieta de bajo contenido en carbohidratos (15 % de calorías de los carbohidratos) o una dieta convencional para deportes de resistencia, manteniendo los mismos volúmenes de entrenamiento e intensidades. La composición corporal se evaluó a través de la impedancia eléctrica y el rendimiento se evaluó a través de una prueba contrarreloj de veinte minutos realizada en un rodillo de bicicleta inteligente. Los resultados revelaron una mejora general en el tiempo en cuanto a potencia absoluta y relativa, masa corporal y grasa corporal para ambos grupos, mientras que la mejora en potencia absoluta fue comparable. Las mejoras de la potencia relativa (p = 0,042), la masa corporal (p = 0,006) y la grasa corporal (p = 0,01) fueron significativamente mayores en el grupo bajo en carbohidratos. Se concluye que ocho semanas de una dieta baja en carbohidratos redujeron significativamente el peso corporal y el porcentaje de grasa corporal, y mejoraron los valores de potencia relativa de 20 minutos en una muestra de ciclistas de carretera en comparación con una dieta convencional isocalórica.

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          Recommended effect size statistics for repeated measures designs.

          Investigators, who are increasingly implored to present and discuss effect size statistics, might comply more often if they understood more clearly what is required. When investigators wish to report effect sizes derived from analyses of variance that include repeated measures, past advice has been problematic. Only recently has a generally useful effect size statistic been proposed for such designs: generalized eta squared (eta2G; Olejnik & Algina, 2003). Here, we present this method, explain that eta2G preferred to eta squared and partial eta squared because it provides comparability across between-subjects and within-subjects designs, show that it can easily be computed from information provided by standard statistical packages, and recommend that investigators provide it routinely in their research reports when appropriate.
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            Dietary carbohydrate restriction as the first approach in diabetes management: critical review and evidence base.

            The inability of current recommendations to control the epidemic of diabetes, the specific failure of the prevailing low-fat diets to improve obesity, cardiovascular risk, or general health and the persistent reports of some serious side effects of commonly prescribed diabetic medications, in combination with the continued success of low-carbohydrate diets in the treatment of diabetes and metabolic syndrome without significant side effects, point to the need for a reappraisal of dietary guidelines. The benefits of carbohydrate restriction in diabetes are immediate and well documented. Concerns about the efficacy and safety are long term and conjectural rather than data driven. Dietary carbohydrate restriction reliably reduces high blood glucose, does not require weight loss (although is still best for weight loss), and leads to the reduction or elimination of medication. It has never shown side effects comparable with those seen in many drugs. Here we present 12 points of evidence supporting the use of low-carbohydrate diets as the first approach to treating type 2 diabetes and as the most effective adjunct to pharmacology in type 1. They represent the best-documented, least controversial results. The insistence on long-term randomized controlled trials as the only kind of data that will be accepted is without precedent in science. The seriousness of diabetes requires that we evaluate all of the evidence that is available. The 12 points are sufficiently compelling that we feel that the burden of proof rests with those who are opposed.
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              Nutrition for endurance sports: marathon, triathlon, and road cycling.

              Endurance sports are increasing in popularity and athletes at all levels are looking for ways to optimize their performance by training and nutrition. For endurance exercise lasting 30 min or more, the most likely contributors to fatigue are dehydration and carbohydrate depletion, whereas gastrointestinal problems, hyperthermia, and hyponatraemia can reduce endurance exercise performance and are potentially health threatening, especially in longer events (>4 h). Although high muscle glycogen concentrations at the start may be beneficial for endurance exercise, this does not necessarily have to be achieved by the traditional supercompensation protocol. An individualized nutritional strategy can be developed that aims to deliver carbohydrate to the working muscle at a rate that is dependent on the absolute exercise intensity as well as the duration of the event. Endurance athletes should attempt to minimize dehydration and limit body mass losses through sweating to 2-3% of body mass. Gastrointestinal problems occur frequently, especially in long-distance races. Problems seem to be highly individual and perhaps genetically determined but may also be related to the intake of highly concentrated carbohydrate solutions, hyperosmotic drinks, as well as the intake of fibre, fat, and protein. Hyponatraemia has occasionally been reported, especially among slower competitors with very high intakes of water or other low sodium drinks. Here I provide a comprehensive overview of recent research findings and suggest several new guidelines for the endurance athlete on the basis of this. These guidelines are more detailed and allow a more individualized approach.
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                Author and article information

                Journal
                nh
                Nutrición Hospitalaria
                Nutr. Hosp.
                Grupo Arán (Madrid, Madrid, Spain )
                0212-1611
                1699-5198
                October 2020
                : 37
                : 5
                : 1022-1027
                Affiliations
                [2] Lleida Cataluña orgnameUniversitat de Lleida orgdiv1Institut Nacional d'Educacio Física de Catalunya Spain
                [1] Huesca Aragón orgnameUniversidad de Zaragoza orgdiv1Facultad de Ciencias de la Salud y del Deporte Spain
                Article
                S0212-16112020000700019 S0212-1611(20)03700500019
                10.20960/nh.03103
                43255cd9-f730-4ce2-872a-acc3e6af8840

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 02 June 2020
                : 01 April 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 32, Pages: 6
                Product

                SciELO Spain

                Categories
                Original Papers

                Performance,Dieta baja en hidratos.,Road cycling,Low-carbohydrate diet,Ciclismo de carretera,Rendimiento,Body composition,Composición corporal

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