Supplement with whey protein hydrolysate in contrast to carbohydrate supports mitochondrial adaptations in trained runners.

Mette Hansen, Mikkel Oxfeldt, Anne E Larsen, Lise S Thomsen, Torben Rokkedal-Lausch, Britt Christensen, Nikolaj Rittig, Frank V De Paoli, Jens Bangsbo, Niels Ørtenblad, Klavs Madsen

Journal: Journal of the International Society of Sports Nutrition 2021;17(1):46

PMID: 32894140

Plain Language Summary

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Nutrition is crucial for long-term success in elite sports to support athletic performance and recovery. Furthermore, adaptations to training can be amplified or dampened by the dietary intake of food and specific supplements. The aim of this study was to investigate the effect of consuming whey protein (PRO) hydrolysate before and whey PRO hydrolysate plus carbohydrates (CHO) after each exercise session compared to intake of isocaloric CHO on mitochondrial protein content, maximal oxygen uptake and time trial performance during a controlled six-week training period in trained runners. This study is a double-blinded block-randomized controlled intervention trial. Healthy, trained runners (18–50 yrs.) were recruited for the study. Half of the participants were randomised to ingest a PRO beverage before and PRO-CHO beverage after each exercise session (PRO-CHO). The other half of the group (CHO) ingested an energy matched CHO beverage before and after each exercise session. Results show that ingestion of whey protein hydrolysate before and whey protein hydrolysate plus carbohydrate after each exercise session during a six-week endurance training period improved specific mitochondrial protein adaptations compared to isocaloric intake of CHO. Authors conclude that the significance of mitochondrial adaptations for performance remains to be elucidated since adaptations were not followed by a better performance.

Abstract

BACKGROUND

Protein supplementation has been suggested to augment endurance training adaptations by increasing mixed muscle and myofibrillar protein synthesis and lean body mass. However, a potential beneficial effect on mitochondrial adaptations is yet to be clarified. The aim of the present study was to investigate the effect of consuming whey protein hydrolysate before and whey protein hydrolysate plus carbohydrate (PRO-CHO) after each exercise session during a six-week training period compared to similarly timed intake of isocaloric CHO supplements on biomarkers of mitochondrial biogenesis, VO and performance in trained runners.

METHODS

Twenty-four trained runners (VO 60.7 ± 3.7 ml O kg min) completed a six-week block randomized controlled intervention period, consisting of progressive running training. Subjects were randomly assigned to either PRO-CHO or CHO and matched in pairs for gender, age, VO, training and performance status. The PRO-CHO group ingested a protein beverage (0.3 g kg) before and protein-carbohydrate beverage (0.3 g protein kg and 1 g carbohydrate kg) after each exercise session. The CHO group ingested an energy matched carbohydrate beverage. Resting muscle biopsies obtained pre and post intervention were analyzed for mitochondrial specific enzyme activity and mitochondrial protein content. Subjects completed a 6 K time trial (6 K TT) and a VO test pre, midway (only 6 K TT) and post intervention.

RESULTS

Following six weeks of endurance training Cytochrome C (Cyt C) protein content was significantly higher in the PRO-CHO group compared to the CHO group (p < 0.05), with several other mitochondrial proteins (Succinate dehydrogenase (SDHA), Cytochrome C oxidase (COX-IV), Voltage-dependent anion channel (VDAC), Heat shock protein 60 (HSP60), and Prohibitin (PHB1)) following a similar, but non-significant pattern (p = 0.07-0.14). β-hydroxyacyl-CoA dehydrogenase (HAD) activity was significantly lower after training in the CHO group (p < 0.01), but not in the PRO-CHO group (p = 0.24). VO and 6 K TT was significantly improved after training with no significant difference between groups.

CONCLUSION

Intake of whey PRO hydrolysate before and whey PRO hydrolysate plus CHO after each exercise session during a six-week endurance training period may augment training effects on specific mitochondrial proteins compared to intake of iso-caloric CHO but does not alter VO or 6 K TT performance.

TRIAL REGISTRATION

clinicaltrials.gov , NCT03561337 . Registered 6 June 2018 - Retrospectively registered.

Address: Section for Sport Sciences, Department of Public Health, Aarhus University, Dalgas Avenue 4, 8000, Aarhus C, Denmark. [email protected].; Section for Sport Sciences, Department of Public Health, Aarhus University, Dalgas Avenue 4, 8000, Aarhus C, Denmark.; Department of Sport Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.; Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.; Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark.; Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark.; Department for Clinical Medicine, Aarhus University, Aarhus, Denmark.; Department of Biomedicine, Aarhus University, Aarhus, Denmark.; Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.; Section for Sport Sciences, Department of Public Health, Aarhus University, Dalgas Avenue 4, 8000, Aarhus C, Denmark.; Department of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway.
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