Abstract

BackgroundAcid–base balance refers to the equilibrium between acids and bases in the human body. Nutrition may affect acid–base balance and further physical performance. With the help of PRAL (potential renal acid load), a low-protein vegetarian diet (LPVD) was designed to enhance the production of bases in body. The aim of this study was to investigate if LPVD has an effect on blood acid–base status and performance during submaximal and maximal aerobic cycling.MethodsNine healthy, recreationally active men (age 23.5 ± 3.4 yr) participated in the study and were randomly divided into two groups in a cross-over study design. Group 1 followed LPVD for 4 days and group 2 ate normally (ND) before performing a cycle ergometer test. The test included three 10-min stages at 40, 60 and 80% of VO2max. The fourth stage was performed at 100% of VO2max until exhaustion. After 10–16 days, the groups started a second 4-day diet, and at the end performed the similar ergometer test. Venous blood samples were collected at the beginning and at the end of both diet periods and after every stage cycled.ResultsDiet caused no significant difference in venous blood pH, strong ion difference (SID), total concentration of weak acids (Atot), partial pressure of CO2 (pCO2) or HCO3- at rest or during cycling between LPVD and ND. In the LPVD group, at rest SID significantly increased over the diet period (38.6 ± 1.8 vs. 39.8 ± 0.9, p=0.009). Diet had no significant effect on exercise time to exhaustion, but VO2 was significantly higher at 40, 60 and 80% of VO2max after LPVD compared to ND (2.03 ± 0.25 vs. 1.82 ± 0.21 l/min, p=0.035; 2.86 ± 0.36 vs. 2.52 ± 0.33 l/min, p<0.001 and 4.03 ± 0.50 vs. 3.54 ± 0.58 l/min, p<0.001; respectively).ConclusionThere was no difference in venous blood acid–base status between a 4-day LPVD and ND. VO2 was increased during submaximal cycling after LPVD suggesting that the exercise economy was poorer. This had no further effect on maximal aerobic performance. More studies are needed to define how nutrition affects acid–base balance and performance.

Highlights

  • Acid–base balance refers to the equilibrium between acids and bases in the human body

  • Energy intake was significantly lower during low-protein vegetarian diet (LPVD) compared to normal diet (ND) (2400 ± 338 kcal vs. 2793 ± 554 kcal, p=0.033)

  • The intake of carbohydrates was significantly higher during LPVD compared to ND (58.7 ± 2.4% vs. 49.8 ± 5.4%, p=0.003)

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Summary

Introduction

Acid–base balance refers to the equilibrium between acids and bases in the human body. With the help of PRAL (potential renal acid load), a low-protein vegetarian diet (LPVD) was designed to enhance the production of bases in body. For normal functioning of the human body, there must be equilibrium between acids and alkali in body fluids [1]. Almost all function of enzymes and cells is dependent on the acid–base balance [2]. The acidity or alkalinity of body fluids is usually expressed by pH, of body fluids: strong ion difference (SID), total concentration of weak acids (Atot) and partial pressure of carbon dioxide (pCO2) [3]. When SID increases, [H+] decreases according to the rule of electroneutrality. SID is usually slightly positive, but fluids of the body cannot be electrically charged. If there is a change in one or more independent variable, [H+] changes as a consequence [3]

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