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Ingestion of sodium citrate (Na-Cit), an alkalizing agent, increases extracellular pH via liver oxidation by decreasing [H+] and increasing bicarbonate concentration (HCO3-). Studies have confirmed that increasing extracellular pH promotes the efflux of La- and H+ from active muscles. This is due to an increase in activity of the pH sensitive monocarboxylate transporter as the gradient of intracellular versus extracellular H+ increases. Therefore, artificially inducing alkalosis prior to anaerobic exercise may reduce intracellular acidosis and increase the time to fatigue - defined as a decrease in force production with an increased perception of effort. The investigators will test the null hypothesis that sodium citrate ingestion (chronic and acute) will not have an effect on exercise performance compared to placebo.
Anaerobic glycolysis quickly provides adenosine triphosphate (ATP) for muscular contraction during high intensity, short duration exercise. The fast rate of glycolysis during anaerobic exercise results in pyruvate formation exceeding pyruvate oxidation resulting in a build up of lactic acid. Lactic acid dissociates quickly to lactate (La-) and hydrogen ion (H+) which causes a decrease in muscle and blood pH. The increase in H+ causes impaired release of calcium from the sarcoplasmic reticulum and calcium ion binding which inhibits the coupling of actin and myosin.
Ingestion of sodium citrate (Na-Cit), an alkalizing agent, increases extracellular pH via liver oxidation by decreasing [H+] and increasing bicarbonate concentration (HCO3-). Studies have confirmed that increasing extracellular pH promotes the efflux of La- and H+ from active muscles. This is due to an increase in activity of the pH sensitive monocarboxylate transporter as the gradient of intracellular versus extracellular H+ increases. Therefore, artificially inducing alkalosis prior to anaerobic exercise may reduce intracellular acidosis and increase the time to fatigue - defined as a decrease in force production with an increased perception of effort. Furthermore, Cit- enters the cell through the Plasma Membrane Citrate Transporter and in the cell Cit- is involved in a number of processes: i) intermediary in the Krebs Cycle, ii) transports acetyl-Co-enzyme A (CoA)from the mitochondria to the cytosol for fatty-acid synthesis, iii) negative allosteric effector of phosphofructokinase, iv) anionic effect on membrane potential can cause a reduction in the contraction threshold.
Researchers have studied sodium bicarbonate and Na-Cit as potential alkalizing agents. Na-Cit has been studied in few sports over a broad array of doses, times, and distances with inconclusive results. McNaughton et al. researched the optimal doses and durations for Na-Cit to be potentially beneficial to performance. They concluded that 0.3-0.5g/kg, 90-120 minutes prior to maximal effort are the optimal conditions for potential ergogenic effect. The only reported side effect was gastrointestinal (GI) discomfort in a 3 of the 8 subjects. However, it seems Na-Cit is handled better than the more commonly employed sodium bicarbonate.
The investigators will test the null hypothesis that sodium citrate ingestion (chronic and acute) will not have an effect on exercise performance compared to placebo.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Flavoured water placebo for acute dosing | Placebo Comparator | 500 milliliters flavoured water (placebo for the acute dosing intervention of sodium citrate) |
|
| Sodium Citrate Dihydrate Acute | Experimental | dose: 0.5 g/kg of body mass dissolved in 500 milliliters of flavoured water |
|
| Flavoured water placebo chronic dosing | Placebo Comparator | 500 milliliters flavoured water (placebo for the chronic dosing intervention of sodium citrate) |
|
| Sodium Citrate Dihydrate Chronic | Experimental | 3 days of 0.1g/kg of body mass of sodium citrate and 4th day at 0.3 g/kg of body mass of sodium citrate in 500 milliliters of flavoured water |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sodium Citrate Dihydrate | Other | Dose sodium citrate dihydrate through 2 dosing protocols (Acute and Chronic) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time | time to complete 200 metre swimming performances in seconds Participants chose type of swim stroke to swim a maximal effort 200 metre performance | once each 200m performance |
| Measure | Description | Time Frame |
|---|---|---|
| Lactate | lactate measured at 3min post trial | 3 min post performance |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of Perceived Exertion | Rate of perceived exertion (RPE) was recorded after each 200 metre swimming performance RPE scale is from 6-20. Minimum = 6 (level of exertion equal to lying down) and Maximum = 20 (maximal perceived exertion) Numbers reported are the average of the RPE recorded for all 10 participants. | Rate of Perceived Exertion after each 200m swimming performance |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nota Klentrou, PhD | Brock University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Brock University | St. Catharines | Ontario | l2s3a1 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24944546 | Derived | Russell C, Papadopoulos E, Mezil Y, Wells GD, Plyley MJ, Greenway M, Klentrou P. Acute versus chronic supplementation of sodium citrate on 200 m performance in adolescent swimmers. J Int Soc Sports Nutr. 2014 Jun 12;11:26. doi: 10.1186/1550-2783-11-26. eCollection 2014. |
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| ID | Title | Description |
|---|---|---|
| FG000 | All Study Participants | Sodium Citrate Dihydrate: Dose sodium citrate dihydrate through 2 dosing protocols (Acute and Chronic) and their corresponding placebos. 4 arms: Acute, Acute Placebo, Chronic, Chronic Placebo Acute: 0.5 g/kg of body mass of sodium citrate in 500 millilitres of flavoured water Acute Placebo: 500 milliliters of flavoured water Chronic: 3 days of 0.1 g/kg of body mass of sodium citrate and 4th day at 0.3 g/kg of body mass of sodium citrate in 500 millilitres of flavoured water Chronic Placebo: 3 days of 500 millilitres of flavoured water and 4th day 500 millilitres of flavoured water |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | All Study Participants | Acute: dose: 0.5 g/kg of body mass dissolved in 500 milliliters of flavoured water Sodium Citrate Dihydrate: Dose sodium citrate dihydrate through 2 dosing protocols (Acute and Chronic) Acute Placebo: 500 milliliters flavoured water (placebo for the acute dosing intervention of sodium citrate) Chronic: 3 days of 0.1g/kg of body mass of sodium citrate and 4th day at 0.3 g/kg of body mass of sodium citrate in 500 milliliters of flavoured water Sodium Citrate Dihydrate: Dose sodium citrate dihydrate through 2 dosing protocols (Acute and Chronic) Chronic Placebo: 3 days of 500 milliliters flavoured water and the 4th day 500 milliliters flavoured water (placebo for the chronic dosing intervention of sodium citrate) |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Time | time to complete 200 metre swimming performances in seconds Participants chose type of swim stroke to swim a maximal effort 200 metre performance | Posted | Mean | Standard Error | seconds | once each 200m performance |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Flavoured Water Placebo for Acute Dosing | 500 milliliters flavoured water (placebo for the acute dosing intervention of sodium citrate) |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Panagiota Klentrou | BrockU | 19056885550 | 4538 | nklentrou@brocku.ca |
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| ID | Term |
|---|---|
| D000471 | Alkalosis |
| ID | Term |
|---|---|
| D000137 | Acid-Base Imbalance |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D000077559 | Sodium Citrate |
| ID | Term |
|---|---|
| D019343 | Citric Acid |
| D002951 | Citrates |
| D014233 | Tricarboxylic Acids |
| D000144 | Acids, Acyclic |
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|
| Participants |
|
| Sex/Gender, Customized | Number | participants |
|
| Region of Enrollment | Number | participants |
|
| Flavoured Water Placebo for Chronic Dosing |
500 milliliters flavoured water (placebo for the chronic dosing intervention of sodium citrate) |
| OG003 | Sodium Citrate Dihydrate Chronic | 3 days of 0.1g/kg of body mass of sodium citrate and 4th day at 0.3 g/kg of body mass of sodium citrate in 500 milliliters of flavoured water Sodium Citrate Dihydrate: Dose sodium citrate dihydrate through 2 dosing protocols (Acute and Chronic) |
|
|
| Secondary | Lactate | lactate measured at 3min post trial | Posted | Mean | Standard Error | mmol/L | 3 min post performance |
|
|
|
| Other Pre-specified | Rate of Perceived Exertion | Rate of perceived exertion (RPE) was recorded after each 200 metre swimming performance RPE scale is from 6-20. Minimum = 6 (level of exertion equal to lying down) and Maximum = 20 (maximal perceived exertion) Numbers reported are the average of the RPE recorded for all 10 participants. | Posted | Mean | Standard Error | units on a scale (6-20) | Rate of Perceived Exertion after each 200m swimming performance |
|
|
|
| 0 |
| 10 |
| 0 |
| 10 |
| EG001 | Sodium Citrate Dihydrate Acute | dose: 0.5 g/kg of body mass dissolved in 500 milliliters of flavoured water Sodium Citrate Dihydrate: Dose sodium citrate dihydrate through 2 dosing protocols (Acute and Chronic) | 0 | 10 | 0 | 10 |
| EG002 | Flavoured Water Placebo for Chronic Dosing | 500 milliliters flavoured water (placebo for the chronic dosing intervention of sodium citrate) | 0 | 10 | 0 | 10 |
| EG003 | Sodium Citrate Dihydrate Chronic | 3 days of 0.1g/kg of body mass of sodium citrate and 4th day at 0.3 g/kg of body mass of sodium citrate in 500 milliliters of flavoured water Sodium Citrate Dihydrate: Dose sodium citrate dihydrate through 2 dosing protocols (Acute and Chronic) | 0 | 10 | 0 | 10 |
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| D002264 |
| Carboxylic Acids |
| D009930 | Organic Chemicals |