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Metabolic flexibility is the ability to properly switch between fat and carbohydrate stores to use for energy under different conditions (rest, feeding, exercise). Impairments in metabolic flexibility, also known as metabolic inflexibility, have been suggested to be an underlying cause of metabolic disease, like type 2 diabetes. Long-term low fluid intake may increase the risk of type 2 diabetes due to insulin resistance, a form of metabolic inflexibility. Further, low fluid intake has been shown to impair the ability to switch fuel preference during exercise.
While there is some evidence that low fluid intake may lead to impaired metabolic flexibility, more information is needed. Therefore, the purpose of this study is to evaluate the impact of hydration status on substrate preference at rest and during exercise at varying intensities (light and moderate). Further, we will examine whether biological sex and menstrual cycle phase impact hydration and metabolism under these same conditions.
The 3-arm intervention will be completed in females during both the follicular and luteal phases for a total of 13 visits including the medical screening. In males, the 3-arm intervention will be completed once for a total of 7 visits including the medical screening.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dehydrated control trial | Other | Fluid restriction during exercise and for remaining 24 hours |
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| Euhydrated with water | Other | Euhydrated with water to account for sweat loss and to maintain hydration over 24-hour period |
|
| Euhydrated with electrolyte beverage | Experimental | Euhydrated with electrolyte beverage (220 mg sodium in 20 oz) to account for sweat loss and to maintain hydration over 24-hour period |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exercise Trial | Other | Perform steady-state cycling exercise for approximately 1 hour at 70-80% of maximal heart rate |
|
| Measure | Description | Time Frame |
|---|---|---|
| Respiratory Exchange Ratio | VCO2 / VO2 measured using indirect calorimetry measured by metabolic cart (Moxus or similar device) while exercising on cycle ergometer. | Measured over the course of exercise bouts performed during the exercise and experimental trials. Compared across DEH, EUH-H2O, and EUH-Electrolyte arms. |
| Measure | Description | Time Frame |
|---|---|---|
| Body Mass | kg | Exercise Trial- following bladder void at baseline, post 1st and 2nd 30 min exercise sessions, and post 20 min rest Experimental Trial-following bladder void at baseline, post 10 min rest, post 1st and 2nd 30 min exercise sessions, and post 20 min rest |
| Plasma copeptin concentration |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Matt Hinkley | Contact | 570-574-1858 | GSSIresearchstaff@pepsico.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gatorade Sports Science Institute | Recruiting | Valhalla | New York | 10595 | United States |
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Randomized, controlled, cross-over study (counterbalanced).
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| Experimental Trial | Other | 24h after exercise trial, following assigned 24h hydration plan, perform indirect calorimetry followed by 30 min of light cycling (~50% VO2 max) then 30 min of moderate-high cycling (~80% VO2 max). |
|
pmol/L |
| Exercise trial- Post 10 min rest, pre-exercise bout. Experimental trial- Post 10 min rest, pre indirect calorimetry; post 1st and 2nd 30 min exercise bout; post 20 min rest. |
| Plasma osmolality | mOsm/kg | Exercise trial- Post 10 min rest, pre-exercise bout. Experimental trial- Post 10 min rest, pre indirect calorimetry; post 1st and 2nd 30 min exercise bout; post 20 min rest. |
| Blood glucose | mg/dL | At medical screening to determine eligibility. Exercise trial- Post 10 min rest, pre-exercise bout. Experimental trial- Post 10 min rest, pre indirect calorimetry; post 1st and 2nd 30 min exercise bout; post 20 min rest. |
| Blood lactate | mmol/L | Exercise trial- Post 10 min rest, pre-exercise bout. Experimental trial- Post 10 min rest, pre indirect calorimetry; post 1st and 2nd 30 min exercise bout; post 20 min rest. |
| Peripheral blood mononuclear cell (PBMC) mitochondrial function | cells/uL | Exercise trial- Post 10 min rest, pre-exercise bout. Experimental trial- Post 10 min rest, pre indirect calorimetry; post 1st and 2nd 30 min exercise bout; post 20 min rest. |
| Urine Specific Gravity | au | Exercise Trial-baseline, post 1st and 2nd 30 min exercise sessions, and post 20 min rest Experimental Trial-baseline, post resting metabolism assessment, post 1st and 2nd 30 min exercise sessions, and post 20 min rest |
| Urine Osmolality | mOsm/kg | Exercise Trial-baseline, post 1st and 2nd 30 min exercise sessions, and post 20 min rest Experimental Trial-baseline, post resting metabolism assessment, post 1st and 2nd 30 min exercise sessions, and post 20 min rest |
| Urine mass | g | Exercise Trial-baseline, post 1st and 2nd 30 min exercise sessions, and post 20 min rest Experimental Trial-baseline, post resting metabolism assessment, post 1st and 2nd 30 min exercise sessions, and post 20 min rest |
| Urine Color | Scale of 1 (most hydrated) to 7 (most dehydrated) | Exercise Trial-baseline, post 1st and 2nd 30 min exercise sessions, and post 20 min rest Experimental Trial-baseline, post resting metabolism assessment, post 1st and 2nd 30 min exercise sessions, and post 20 min rest |
| Fat and Carbohydrate Oxidation | resting metabolism measured by Cosmed Quark or similar device. Exercise metabolism measured by Moxus or similar device. | Exercise Trial- resting metabolism assessed over 30 min rest period pre-exercise bout and exercise metabolism assessed over final 10 min of 1st and 2nd 30min exercise bout. |
| Energy Expenditure | kcal-resting metabolism measured by Cosmed Quark or similar device. Exercise metabolism measured by Moxus or similar device. | Exercise Trial- resting metabolism assessed over 30 min rest period pre-exercise bout and exercise metabolism assessed over final 10 min of 1st and 2nd 30min exercise bout. |
| VO2 peak | mL/kg/min measured using indirect calorimetry (Moxus or similar device) | Assessed at medical screening during a stress test with a 12-lead EKG on a cycle ergometer. |
| Fat and fat-free mass | kg measured using BodPod | At medical screening to determine body composition |
| Fluid Intake | mL | documented by subject on provided log for 24 hours prior to exercise and experimental trials. Exercise and Experimental Trial- DEH group restricted from fluid intake. EUH group fluid measured over duration of exercise bout (60 minutes). |
| Blood Pressure | systolic/diastolic (mmHg) | Medical Screening to determine eligibility |
| Heart Rate | bpm | At medical screening to determine eligibility. Throughout entire duration of each 90-120 min exercise trial. Throughout entire duration of 120-150 min of each experimental trial. |
| Standardized Exercise Intensity | W | Every 10 min throughout entire duration of each 60 min exercise trial to reach 70-80% of VO2 max. Every 10 min throughout entire duration of each 60 min experimental trial to reach 50-80% of VO2 max. |
| Sweat Rate | [Body mass loss (kg) + fluid intake (mL)]/Duration of exercise (hr) | Throughout entire duration of 60 min exercise bout of exercise trial. Throughout entire duration of 60 min exercise bout of each experimental trial. |
| Wearable Sensr Data | photoplethysmogram (PPG) waveform data- optical signals obtained from photoplethysmography, which measure blood volume changes in the microvascular bed of tissue. | Continuous data collection over 24 hours from start of exercise trial through completion of experimental trial. |
| Rate of Perceived Exhaustion | Borg scale of rating of perceived exertion. Rated on a 6-20 scale from No exertion at all to maximal exertion. | Every 10 min throughout entire duration of each (2x) 30 min exercise bout for each exercise trial. Every 10 min throughout entire duration of each (2x) 30 min exercise bout for each experimental trial. |
| Menstrual categorization | Current status (e.g., contraception, regular periods or not, etc.) tracked by physical log or an at-home menstrual cycle monitoring kit (Proov) | After medical screening and one month prior to first study session |
| Adverse Events | Documented changes in health and symptoms | Through study completion, an average of 3 weeks for male subjects and 8 weeks for female subjects. |