Sports Drinks Research Articles

Ad Libitum Drinking Prevents Body Mass Loss Across Consecutive Workdays in Heat

Hydration practices across consecutive days of heavy-intensity work in heat when fluid is freely available is unknown. Without this information it remains unknown whether hydration modifies heat strain under hot working conditions and whether worker recommendations adequately maintain hydration status. We hypothesized that participants would maintain hydration status including daily percent change in body mass across workdays. Fifteen healthy, unacclimated participants (7 Females, Age: 27±6 y, Body mass: 75.0±14.4 kg, Body fat: 26.6±5.8%) completed three consecutive days (Day 1, Day 2, Day 3) of 4 h of 395±10 W work to a work/rest cycle of 45/15 min in a 36.3±0.8°C, 21±5% relative humidity environment. Participants were offered 237 mL of a sport drink every 20 min to consume ad libitum. Urine flow rate (UFR) was measured before work. Urine specific gravity (USG) and nude body mass were measured before and after work. Thirst and fluid consumption were measured throughout work. USG before work was not different between Day 1 (1.013±0.010) and Day 2 (1.013±0.010, p=0.822), but was greater before work on Day 3 (1.015±0.010, p=0.046) compared to Day 2. Change in USG from before to after work was not different between Day 1 (+0.003±0.008) and Day 2 (+0.000±0.006, p=0.123), but was lower on Day 3 (-0.002±0.006, p=0.021) compared to Day 1, with no difference between Day 2 and Day 3 (p=0.058). Before work body mass was not different across days (p=0.103). Daily percent change in body mass was not different across days (p=0.366, Day 1: 0.53±1.11%, Day 2: 0.18±0.95%, Day 3: 0.18±0.81%), indicating weight gain each day. Sweat rate (p=0.790) and UFR (p=0.469) were not different among days. Participants consumed 77±18% (Day 1), 82±19% (Day 2), and 82±16% (Day 3) of fluid offered (p=0.401), equaling 31±10 mL/kg (Day 1), 33±11 mL/kg (Day 2), 33±10 mL/kg (Day 3) (p=0.370). Maximum thirst was greater on Day 1 (3.5±1.1) compared to Day 3 (2.9±1.0, p=0.045) with no difference between Day 1 and Day 2 (3.4±1.4, p=0.648) or between Day 2 and Day 3 (p=0.121). This study demonstrates consistent hydration practices and no differences in hydration status across three consecutive days of high-intensity work in heat when fluid is freely available. Under these conditions, workers can consume fluids ad libitum and worker recommendations for hydration during heat stress should be revisited. This project was funded my the National Institute for Occupational Safety and Health (1K01OH012016-01A1). This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Ad Libitum Drinking Does Not Modify Renal Oxidative Stress or Inflammation During Simulated Occupational Heat Stress

Prolonged heat exposure increases acute kidney injury (AKI) risk likely due to renal oxidative stress and inflammation. However, the effect of occupational heat stress (OHS) and the modifying role of hydration on renal oxidative stress and inflammation is unknown. This study tested the hypothesis that compared to fluid restriction ad libitum drinking consistent with OHS recommendations will attenuate renal oxidative stress and inflammation during simulated OHS. In a randomized, crossover design, 13 healthy adults (5 women) completed two 2 h OHS simulations consisting of of 8 circuits of treadmill walking (10 min) and rowing (5 min) at an oxygen uptake of 1.2 L/min in a wet bulb globe temperature of 33.1±0.2°C. In the drinking trial (Drink), subjects were provided 237 mL of a non-caloric sport drink (Gatorade Zero) every 15 min and drank ad libitum. In the fluid restriction trial (NoDrink), no fluid was provided. Rectal temperature and body weight were recorded. Urine and blood samples were collected pre-, post- and 1 h post- exposure. Inflammatory (monocyte chemotactic protein-1, MCP-1) and oxidative stress (thioredoxin 1, TRX-1) markers were measured in urine and serum, and fractional excretion (FE) was calculated. AKI risk was quantified as the product of urine insulin-like growth factor-binding protein 7 and urine tissue inhibitor of metalloproteinase 2 ([IGFBP7•TIMP-2]). Data are presented as mean ± SD. Peak rectal temperature was not different between trials (Drink: 38.5±0.4°C, NoDrink: 38.6±0.4°C, p=0.346). Percent changes in body weight were lower in Drink (1.3±0.8% vs. 2.8±0.9%, p<0.001). FETRX-1 was elevated at post- (0.50±0.00%) compared to pre- (0.36±0.00%, p=0.011) and 1 h post- (0.29±0.13%, p=0.011). FEMCP-1 was elevated at post- (1.25±0.18%) compared to pre- (1.02±0.17%, p=0.006) but not 1 h post- (1.27±0.03%, p>0.999). FETRX-1 and FEMCP-1 did not change significantly between trials (trial x time: p³0.622). [IGFBP7•TIMP-2] was higher at 1 h post- (17.5±1.0 (ng/mL)2/1000) compared to pre- (0.2±0.1 (ng/mL)2/1000, p<0.001) and post- (1.1±0.4 (ng/mL)2/1000, p<0.001) but did not differ between trials (trial x time: p=0.556). Peak changes in [IGFBP7•TIMP-2] were not significantly correlated with peak changes in FETRX-1 (r=0.126, p=0.557) or FEMCP-1 (r=0.292, p=0.166) and were correlated with peak changes in serum MCP-1 (r=0.714, p<0.001) but not serum TRX-1 (r=0.227, p=0.286). Two hours of simulated OHS increased renal inflammation (FEMCP-1), oxidative stress (FETRX-1), and AKI risk ([IGFBP7•TIMP-2]), while ad libitum drinking did not modify FEMCP-1, FETRX-1, or [IGFBP7•TIMP-2]. Lack of correlations between peak changes in [IGFBP7•TIMP-2] and FEMCP-1, FETRX-1, or serum TRX-1, but the strong positive correlation with peak serum MCP-1 suggests a role for systemic inflammation in OHS induced AKI risk. NCT05458843 Funding: R01OH011528. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Violation of Allowable Work Intensity does not Augment Acute Kidney Injury Risk During Simulated Occupational Heat Stress

We recently demonstrated that violation of the National Institute of Occupational Safety and Health (NIOSH) heat stress recommendations by exceeding the allowable wet bulb globe temperature (WBGT) for a given moderate work intensity and work:rest ratio augmented acute kidney injury (AKI) risk. However, the role of work intensity (at a fixed work:rest ratio) on AKI risk during NIOSH compliant and non-compliant scenarios remains largely unknown. This study tested the hypothesis that violating the NIOSH recommendations by exceeding the allowable work intensity at a given WBGT and fixed work:rest ratio would augment AKI risk. Twelve healthy adults completed two NIOSH recommendation compliant trials and one noncompliant trial consisting of a 4 h exposure to a fixed WBGT and work intensity. Work-rest ratio was fixed at 30 min of walking and 30 min of rest each hour. Work intensity (i.e., Hprod) was prescribed as a function of WBGT— 412±51 W (27.3±0.3°C; high intensity compliant [Chigh]), 290±75 W (31.6±0.2°C; low intensity compliant [Clow]), and 410±61 W (31.7±0.2°C; high intensity noncompliant [NChigh]). All subjects were provided 237 mL of sport drink every 15 min and drank ad libitum. TC is presented as peak across the 4 h exposure. Urine samples were collected preexposure, and immediately and 1 h postexposure. Urinary inflammatory (monocyte chemotactic protein-1 [MCP-1]), oxidative stress (thioredoxin 1 [TRX-1]), and AKI risk (the product of insulin-like growth factor-binding protein 7 and tissue inhibitor of metalloproteinase 2 [IGFBP7·TIMP-2]) biomarkers were measured and normalized to urine flow rate. Urinary biomarkers were log transformed before statistical analysis and data are presented as mean ± SD. Peak Tc was higher during the NChigh trial (38.3±0.4°C) compared to the compliant trials (Chigh: 38.0±0.3°C; Clow: 37.8±0.4°C; p≤0.0095). Body weight change from pre- to postexposure did not differ between trials (p=0.7817). MCP-1 increased from pre- to immediately postexposure in all trials (p≤0.0031) but was not different between trials (p=0.1354). TRX-1 increased from pre- to immediately postexposure in all trials (p≤0.0085) but was not different between trials (p=0.6372). [IGFBP7·TIMP-2] increased from pre- to immediately postexposure in all trials (p=0.0454) but the increase was not different between trials (Chigh: -1.7±2.6 LOG [ng/mL2]/1000; Clow: -1.6±2.4 LOG [ng/mL2]/1000; NChigh:-1.2±2.3 LOG [ng/mL2]/1000; p=0.2076). Simulated occupational heat stress elevates AKI risk, likely due to both inflammation and oxidative stress. Violating the NIOSH recommendations by exceeding either the allowable WBGT (i.e., NChigh versus Chigh) or work intensity (i.e., NChigh versus Clow) resulted in a modest elevation in peak Tc but did not modify AKI risk and/or the urinary inflammatory and oxidative stress responses. RCT: NCT04767347; Supported By: R01OH011528. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

An Isotonic Drink Containing Pacific Cod (Gadus macrocephalus) Processing Waste Collagen Hydrolysate for Bone and Cartilage Health.

Malnutrition is one of the major factors of bone and cartilage disorders. Pacific cod (Gadus macrocephalus) processing waste is a cheap and highly promising source of bioactive substances, including collagen-derived peptides and amino acids, for bone and cartilage structure stabilization. The addition of these substances to a functional drink is one of the ways to achieve their fast intestinal absorption. Collagen hydrolysate was obtained via enzymatic hydrolysis, ultrafiltration, freeze-drying, and grinding to powder. The lyophilized hydrolysate was a light gray powder with high protein content (>90%), including collagen (about 85% of total protein) and a complete set of essential and non-essential amino acids. The hydrolysate had no observed adverse effect on human mesenchymal stem cell morphology, viability, or proliferation. The hydrolysate was applicable as a protein food supply or a structure-forming food component due to the presence of collagen fiber fragments. An isotonic fitness drink (osmolality 298.1 ± 2.1 mOsm/L) containing hydrolysate and vitamin C as a cofactor in collagen biosynthesis was prepared. The addition of the hydrolysate did not adversely affect its organoleptic parameters. The production of such functional foods and drinks is one of the beneficial ways of fish processing waste utilization.

Black soldier fly larvae oil (Hermetia illucens L.) calcium salt enhances intestinal morphology and barrier function in laying hens

This study aimed to determine the influence of black soldier fly larvae oil calcium salt (BSFLO-SCa) supplementation on performance, jejunal histomorphology and gene expression of tight junctions and inflammatory cytokines in laying hens. A total of 60 ISA Brown laying hens (40 wk of age) were divided into 3 treatment groups, including a control group fed a basal diet (T0) and basal diets supplemented with 1% (T1) and 2% (T2) of BSFLO-SCa. Each treatment group consisted of 5 replicates with 4 laying hens each. Results showed that 1% and 2% BSFLO-SCa supplementation significantly reduced (P < 0.05) feed conversion ratio (FCR), while egg weight (EW) increased (P < 0.05). The inclusion with 2% increased (P < 0.05) both egg production (HDA) and mass (EM). The addition of 1% and 2% BSFLO-SCa significantly increased (P < 0.05) villus height (VH) and villus width (VW), while crypt depth (CD) significantly increased (P < 0.05) with 2% BSFLO-SCa. The tight junction and gene expression of claudin-1 (CLDN-1), junctional adhesion molecules-2 (JAM-2), and occludin (OCLN) were significantly upregulated (P < 0.05) with 2% BSFLO-SCa. The pro-inflammatory cytokines and gene expression of interleukin-6 (IL-6) was significantly downregulated (P < 0.05) with the addition of BSFLO-SCa, while gene expression of interleukin-18 (IL-18), toll-like receptor 4 (TLR-4), and tumor necrosis factor-α (TNF-α) were downregulated with 2% BSFLO-SCa. On the other hand, the anti-inflammatory cytokines and gene expression of interleukin-13 (IL-13) and interleukin-10 (IL-10) were significantly upregulated (P < 0.05) at 2% BSFLO-SCa. In conclusion, dietary supplementation with 2% BSFLO-SCa improved productivity, intestinal morphology and integrity by upregulating tight junction-related protein of gene expression of laying hens. In addition, supplementation with BSFLO-SCa enhanced intestinal immune responses by upregulating anti-inflammatory and downregulating pro-inflammatory cytokine gene expression.

Development of Two Types of Isotonic Beverages with Functional Attributes Using Natural and Synthetic Ingredients

Isotonic drinks maintain a balance of salt and sugar concentrations similar to that of the human body, aiding in the rapid replacement of lost fluids during dehydration. Although the availability of isotonic beverages in the Sri Lankan market is limited, this segment is experiencing rapid growth on the global stage, with numerous brands marketing their products. Moreover, it is especially advantageous to create isotonic beverages tailored to tropical country consumers, given their ability to effectively replenish lost fluids due to dehydration. This study seeks to develop economically viable and commercially feasible formulations of isotonic drinks that cater to the preferences of Sri Lankan consumers, utilizing a combination of synthetic and natural ingredients. In the realm of natural isotonic beverages, coconut water and bee honey serve as excellent sources of electrolytes and sugar, respectively. Following osmolality and sensory evaluations, the chosen samples underwent further analysis to determine their mineral content and physicochemical characteristics. These developed formulations fall within the prescribed ranges for osmolality (270-330 mOsm/kg) and sodium content (460-1150 mg. L-1), aligning with international standards for isotonic beverages. In conclusion, the devised formulas successfully adhere to international specifications for isotonic beverages. The abundant potential of coconut water and bee honey in Sri Lanka with wide availability as valuable sources of minerals and energy for crafting isotonic drinks is evident.

Decoding the Effect of Running on Flavor Perception Changes during Consumption of Sports Drinks.

An online survey was conducted to show that most respondents preferred sports drinks with sweet and fruity characteristics. Eleven sports drinks with higher consumers' preferences were further selected for aroma and taste evaluation. Temporal dominance of sensations analysis showed that fruity and fresh attributes were dominant, while sour and fruity sweet were dominant tastes during consumption. β-Damascenone, β-ionone, and linalool contributing to floral perception, γ-decalactone, ethyl cinnamate, and isoamyl acetate contributing to fruity perception, and menthol contributing to fresh perception were confirmed by odor activity value analysis. Running affected the nasal air flow and the saliva secretion, resulting in the flavor perception changing from fruity sweet, sweet, and fruity to sour because the recognition threshold decreased for sweet, fruity, floral, and fresh flavors and increased for saltiness, astringency, and sour tastes.

351 Can Exogenous Ketones Prevent the Effects of High Salt Intake on Renal Vascular Resistance During Sympathoexcitation?

OBJECTIVES/GOALS: Renal vascular resistance (RVR) is the opposition to blood flow by renal arteries. At the population level, dietary salt increases RVR and blood pressure (BP), which are associated with cardiovascular disease. Recent data indicate exogenous ketones may offset adverse cardiorenal effects of salt. METHODS/STUDY POPULATION: Our registered clinical trial (NCT05545501) is a double-blinded, placebo-controlled, crossover study. Participants are being randomized to three 10-day conditions: A) control; B) high salt; C) high salt and ketone supplementation. Ten participants are enrolled (target 30 participants). Renal blood velocity (RBV) in the renal and segmental arteries will be measured in the decubitus position using Doppler ultrasound during a 3-minute baseline and 3-minute cold pressor test. We will measure brachial BP with an automated oscillometric BP monitor. RVR will be calculated as mean BP divided by RBV. Statistical analyses will include ANOVA and correlations with α set at ≤ 0.05. RESULTS/ANTICIPATED RESULTS: We anticipate attenuated RBV and increased BP during the cold pressor test, particularly following high salt loading, leading to greater RVR. We hypothesize ketone supplementation will attenuate the high salt induced increase in RVR during the cold pressor test. In addition to RVR we will examine renal vascular conductance which is the ease with which blood flows through arteries, calculated as RBV divided by mean BP. Additional hemodynamics such as heart rate and systolic and diastolic BP will be reported and correlated with primary outcomes. DISCUSSION/SIGNIFICANCE: Dietary salt plays a role in hypertension, cardiovascular disease, and chronic kidney disease, which are leading causes of death. Ketone supplementation may be a promising approach to counteract the detrimental effects of high dietary salt and improve cardiovascular health in adults.

Enhancing Glucose Biosensing with Graphene Oxide and Ferrocene-Modified Linear Poly(ethylenimine).

We designed and optimized a glucose biosensor system based on a screen-printed electrode modified with the NAD-GDH enzyme. To enhance the electroactive surface area and improve the electron transfer efficiency, we introduced graphene oxide (GO) and ferrocene-modified linear poly(ethylenimine) (LPEI-Fc) onto the biosensor surface. This strategic modification exploits the electrostatic interaction between graphene oxide, which possesses a negative charge, and LPEI-Fc, which is positively charged. This interaction results in increased catalytic current during glucose oxidation and helps improve the overall glucose detection sensitivity by amperometry. We integrated the developed glucose sensor into a flow injection (FI) system. This integration facilitates a swift and reproducible detection of glucose, and it also mitigates the risk of contamination during the analyses. The incorporation of an FI system improves the efficiency of the biosensor, ensuring precise and reliable results in a short time. The proposed sensor was operated at a constant applied potential of 0.35 V. After optimizing the system, a linear calibration curve was obtained for the concentration range of 1.0-40 mM (R2 = 0.986). The FI system was successfully applied to determine the glucose content of a commercial sports drink.

Clinical study on the relationship between liver cirrhosis, ascites, and hyponatremia.

Cirrhosis is a common liver disease, and ascites is one of the common clinical conditions. However, the clinical manifestations of ascites combined with hyponatremia as a high-risk condition and its relationship to patient prognosis have not been fully studied. To explore the clinical manifestations, prognostic factors, and relationships of ascites with hyponatremia in patients with cirrhosis to provide better diagnostic and treatment strategies. In this study, we retrospectively analyzed the clinical data of 150 patients diagnosed with cirrhosis and ascites between 2017 and 2022. Patients were divided into two groups: ascites combined with hyponatremia group and ascites group. We compared the general characteristics, degree of hyponatremia, complications, treatment, and prognosis between the two groups. In the study results, patients in the ascites combined with hyponatremia group showed an older average age (58.2 ± 8.9 years), 64.4% were male, and had a significantly longer hospitalization time (12.7 ± 5.3 d). Hyponatremia was more severe in this group, with a mean serum sodium concentration of 128.5 ± 4.3 mmol/L, which was significantly different from the ascites group of 137.6 ± 2.1 mmol/L. Patients with ascites and hyponatremia were more likely to develop hepatic encephalopathy (56.2% vs 39.0%), renal impairment (45.2% vs 28.6%) and infection (37.0% vs 23.4%). Regarding treatment, this group more frequently used diuretics (80.8% vs 62.3%) and salt supplements (60.3% vs 38.9%). Multiple logistic regression analysis identified older age [Odds ratio (OR) = 1.06, P = 0.025] and male gender (OR = 1.72, P = 0.020) as risk factors for hyponatremia combined with ascites. Overall, patients with ascites and hyponatremia present a clear high-risk status, accompanied by severe complications and poor prognosis. In patients with cirrhosis, ascites with hyponatremia is a high-risk condition that is often associated with severe complications.

Electrochemical detection of caffeine in sports drinks based on molecular imprinting technology

Electrochemical detection of caffeine in sports drinks based on molecular imprinting technology

Role of Chia Seeds in Fitness

Sports drinks typically contain high levels of carbs, which are a useful energy source. Sports drinks also help to keep the body in balance, enhance performance, and include several electrolytes that, when taken before or during intense activity, can enhance performance. Sports drink formulations should take into account the individual energy, nutritional, fluid, and electrolyte requirements of athletes, taking into account the phase of exercise (before, during, or after). A balanced, healthy diet that includes chia seeds and regular exercise can help athletes meet their performance objectives while also maintaining their general health.

Sports drinks do not increase acute kidney injury risk in males during industrial work in the heat when euhydration is maintained, a randomized crossover trial.

Industrial workers regularly perform physical labor under high heat stress, which may place them at risk for dehydration and acute kidney injury. Current guidelines recommend that workers should consume sports drinks to maintain euhydration during work shifts. However, the impact of fructose sweetened sports drinks on acute kidney injury risk is unknown. The purpose of this study was to investigate the effects of sports drink consumption on markers of acute kidney injury following simulated industrial work in the heat. Twenty males completed two matched 2 h simulated industrial work trial visits in a warm and humid environment (30°C and 55% relative humidity). During and following the bout of simulated work, participants consumed either a commercially available sports drink or a noncaloric placebo. Urine and blood samples, collected pre-, post-, and 16 h post-work were assayed for markers of hydration (plasma/urine osmolality, and urine specific gravity) and acute kidney injury (KIM-1 and NGAL). There were no differences in physiological or perceptual responses to the bout of work (interaction p>0.05 for all indices), and markers of hydration were similar between trials (interaction p>0.05 for all indices). KIM-1 (Placebo: Δ Ln 1.18±1.64; Sports drink: Δ Ln 1.49±1.10 pg/mL; groupwide d=0.89, p<0.001) and NGAL (Placebo: Δ Ln 0.44±1.11; Sports drink: Δ Ln 0.67±1.22 pg/mL; groupwide d=0.39, p=0.03) were elevated pre- to post-work, but there were no differences between trials (interaction p>0.05). These data provide no evidence that consumption of fructose sweetened sports drinks increases the risk of acute kidney injury during physical work in the heat.

A preconception cohort study of sugar-sweetened beverage consumption and semen quality.

Dietary factors, including high sugar intake, may have adverse effects on male reproduction. Studies of the association between sugar-sweetened beverage (SSB) intake and semen quality have reported inconsistent results. We estimated the effects of SSB consumption on semen quality in a North American preconception cohort study. We analyzed baseline data from 690 males (n=1,247 samples) participating in Pregnancy Study Online (PRESTO) during 2015-2022. Participants aged ≥21 years completed a baseline questionnaire on which they reported information about intake of SSBs, including sodas, energy drinks, sports drinks, and fruit juices. After enrollment, we invited U.S. participants to a semen testing substudy, in which they collected and analyzed two samples using an at-home semen testing kit. We used linear regression models to estimate adjusted percent differences (%D) and 95% confidence intervals (CI) for associations of SSB intake with semen volume, sperm concentration, total sperm count (TSC), motility, and total motile sperm count (TMSC). We used modified Poisson regression models to estimate adjusted risk ratios (RRs) and 95% CIs for the association of SSB intake with World Health Organization semen parameter cut points. Relative to non-consumers of SSBs, those who consumed ≥7 SSBs/week had lower semen volume (%D=-6, 95% CI: -13, 0), sperm concentration (%D=-22, 95% CI: -38, 0), TSC (%D=-22, 95% CI: -38, -2), motility (%D=-4, 95% CI: -10, 2), and TMSC (%D=-25, 95% CI: -43, -2). High SSB consumers also had greater risks of low sperm concentration (≤16 million/mL; RR=1.89, 95% CI: 1.11, 3.21), low TSC (≤39 million; RR=1.75, 95% CI: 0.92, 3.33), low motility (≤42%; RR=1.23, 95% CI: 0.87, 1.75) and low TMSC (≤21 million; RR=1.95, 95% CI: 1.12, 3.38). Associations were stronger among participants with body mass index ≥ 25kg/m2 . Greater SSB consumption was associated with reduced semen quality in a North American preconception cohort.

Is There a Link Between the Increased Consumption of Sports Drinks and Dental Decay?

Background: The role of oral health in influencing athletic performance has been well documented. The use of sports drinks has been linked with an increase in poor oral health including dental decay. The aim of this study was to investigate the possible association between sports drinks and dental decay/pain amongst elite athletes and the incidence of dental decay/pain. Hypothesis: This study is looking at the hypothesis that the consumption of sports drinks leads to dental disease, particularly dental decay. Level of evidence: Local and current random sample; randomized trial; cohort study or control arm of randomized trial; inception cohort study. Methods: An opportunistic volunteer survey of elite athletes attending a varied international sporting competition. Analysis of the data was undertaken using descriptive statistics, mean values and standard deviations. Associations between demographic information and results were presented. A p value of &lt;0.05 was considered to be statistically significant. Results: 458 completed questionnaires were distributed and received. The link between the frequency of sports drinks consumption and dental decay/pain was marginally statistically significant, (X2 , p=0.077). Isotonic sports drinks and sensitivity was statistically significant (X2 , p=&lt;0.001). 197(43%) athletes reported drinking sports drinks at least once a week; 33 athletes (7%) reported consuming sports drinks a minimum of three times a day. n=175 (35%) athletes reported that they saw their nutritionist for advice about sports drinks, only n=21 (4%) sought advice from the dentist. One in four athletes reported seeing their dentist due to pain (n=116; 25.3%). Conclusion: This study covered a diverse group of elite athletes. It is unclear whether the use of sports drinks does result in more tooth decay, but dentists should educate athletes and their supporting teams about the potential risks from these drinks thus mitigating those potential risks. Clinical relevance: By understanding the magnitude of the challenge of dental decay facilitated by sports drinks, it is hoped that adequate preventative measures can be put in place. Thus, supporting the athletes towards better oral health and performance.

The Impact of Ketone Salt Supplementation on Blood Pressure and Health Parameters in Adults Diagnosed with PTSD – A Pilot Stud

"Post-traumatic stress disorder (PTSD) is a condition associated with high levels of stress often linked to elevated resting blood pressure (BP). Beta-hydroxybutyrate, a fuel source and signaling molecule, has been shown to improve metabolic and neurological conditions, as well as decrease systolic BP in healthy populations. The purpose of this study was to determine if longterm beta-hydroxybutyrate administration via ketone salt (KS) supplementation alters BP, complete blood count (CBC), or comprehensive metabolic panel (CMP) results in adults diagnosed with PTSD. Sixteen adults (ages 21-65; 12 women/4 men) with PTSD completed this randomized, double-blinded, and placebo-controlled study by taking KS or a placebo supplement for 6 weeks. Blood was collected (for CMP and CBC assessment) and BP measurements were taken before and after the intervention period. None of the variables changed significantly based on the condition (p &gt; .05 for all interaction effects). The reduction in BP measures following the KS supplementation, though non-significant, may be clinically meaningful in PTSD populations and others subject to increased cardiovascular mortality risk. Chronic KS supplementation did not negatively impact BP, CBC, or CMP measures in adults with PTSD. Further investigation of KS as a hypertension treatment approach is warranted in this population."

Milk or Kefir, in Comparison to Water, Do Not Enhance Running Time-Trial Performance in Endurance Master Athletes.

This study compared flavored kefir (KFR) and flavored milk (MLK) as a recovery drink in endurance master athletes. Using a randomized, placebo-controlled, non-blinded crossover design, 11 males and females completed three testing visits whilst acutely ingesting either KFR, MLK, or water as a placebo (PLA). KFR supplementation occurred for 14 days before the KFR-testing day, followed by a 3-week washout period. Testing visits consisted of an exhausting-exercise (EE) bout, a 4-h rest period where additional carbohydrate feeding was provided, and a treadmill 5 km time trial (TT). The Gastrointestinal Symptom Rating Scale (GSRS) survey was assessed at four timepoints. Blood was collected at baseline and after the TT and was analyzed for I-FABP levels. No significant difference (PLA: 33:39.1 ± 6:29.0 min, KFR: 33:41.1 ± 5:44.4 min, and MLK: 33:36.2 ± 6:40.5 min, p = 0.99) was found between the groups in TT performance. The KFR GSRS total score was significantly lower than the PLA after EE (p = 0.005). No differences in I-FABP were observed between conditions. In conclusion, acute KFR supplementation did not impact TT performance or I-FABP levels but may have reduced subjective GI symptoms surrounding exercise when compared to MLK or PLA.

Evaluation of Enamel Volume Loss after Exposure to Energy Drinks

Objectives: This study was conducted to determine the erosive potential of various commercial energy drinks (EDs), sports drinks (SDs), and sugar sweetened beverages (SSBs) and to correlate quantitative changes in tooth enamel volume loss based on the pH and titratable acidity of the drinks. Methods: A flat plane on the facial surface of 36 human incisor teeth was created and embedded in sample holders using resin. After pre-scanning with a profilometer (Proscan 2000, Scantron, Ind Products Ltd., Taunton, UK), the six samples per group were immersed for 4 h into either Monster Energy™ (ED), Rockstar™ (ED), Red Bull™ (ED), or 5-h Energy™ (ED) and, for comparison with a sports drink, Gatorade™ (SD) and a sugar sweetened beverage, Coca-Cola® (SSB). After immersion and post-scanning, the quantitative volume loss of the tooth enamel of the 36 samples was calculated (Proscan 3D software V2.1.1.15B), and the pH and titratable acidity (TA) of each drink was determined. Results: All drinks tested caused enamel volume loss. The actual amount varied among the different drinks, from 0.39 mm3 for Red Bull™, up to 1.01 mm3 for Gatorade™. The pH measurements differed for each drink, ranging from 2.6 to 3.7. There was a small reverse correlation of 0.326 between the pH of all drinks and volume loss. Among the energy drinks, titratable acidity was similar and there was only a weak correlation between TA and volume loss (0.319 at p = 0.53). Conclusions: Energy drinks, sugar sweetened beverages, and sport drinks all have the potential to cause enamel tooth surface loss resulting in demineralization. Therefore, the pH of a drink cannot be the sole determinant for choosing a less harmful commercial beverage.

Supplement Consumption by Elite Soccer Players: Differences by Competitive Level, Playing Position, and Sex.

Soccer is a sport practiced all over the world and whose practice begins in young athletes. Currently, the consumption of nutritional supplements is essential to achieve the maximum performance of players. The aim of this study was to describe the consumption of sports supplements (CSS) by elite soccer players and its association with their competitive level, playing position, and sex. A comparative descriptive and non-experimental study was performed during the 2021-2022 competitive season. A total of 70 elite players completed one online questionnaire about their CSS. We found that sports drinks (55.7%), sports bars (50.0%), whey protein (48.6%), caffeine (47.1%), and creatine (60.0%) were the most consumed supplements by the total sample. Relative to the categories, the CSS was higher in the senior teams for both men and women. Regarding playing positions, caffeine was more consumed by midfielders and forwards (p = 0.013). Finally, in relation to sex, significant differences were found in the consumption of sports confectionery (p = 0.036), whey protein (p = 0.002), β-alanine (p = 0.013), and melatonin (p = 0.016). Soccer club SS questionnaires gather data to understand patterns, assess effectiveness and risks, and aid research. In conclusion, differences were found in the CSS according to competitive level, sex, and playing position.

Stacking nitrogen mitigation strategies for future pasture-based dairy farms: impacts on leaching and profit

Producers in New Zealand’s pasture-based, seasonal dairy sector are striving to reduce nitrogen (N) losses to the environment whilst maintaining or increasing farm profitability. This study examined the cost-effectiveness of stacking different combinations of five N leaching mitigation strategies within the whole farm system; 1) reduced N fertilizer input, 2) off-paddock infrastructure, 3) recycling N by growing maize silage on a dedicated area on the farm using effluent as a fertilizer source followed by a catch-crop, 4) dietary salt supplementation to dilute urinary N, and 5) applying a nitrification inhibitor (NI) to slow the release of nitrate in the soil. The reference point (baseline) was a typical current dairy farm (CF) system in the Waikato region of New Zealand. We modelled four Future Farm scenarios by stacking mitigation strategies as follows: baseline plus reduced N fertilizer input, reduced stocking rate, and off-paddock infrastructure (FF); FF plus a dedicated maize block (FFP); FFP plus dietary salt (FFPS); and FFPS plus NI (FFPSNI). These systems were modelled using the Whole Farm Model coupled with the Urine Patch Framework, and APSIM models, using observed climate and economic input data over five consecutive years from 2013-2018. Relative to CF, the FF system achieved a N leaching reduction of 31% with a reduction in profit of 16%. The FFP system had a smaller N leaching reduction (22%), but the reduction in profit was smaller (11%). The fully stacked system (FFPSNI) demonstrated the largest leaching reduction of 33%, but also the largest profit reduction of 27%, compared with the CF. Stacking these five N mitigation strategies can achieve substantial N leaching reductions at the farm-scale. Including a dedicated, effluent-fertilized maize block followed by a catch-crop as part of the stack can reduce the negative impact on profitability but has a trade-off in N leaching. Farmers will have to weigh up these compromises between profit and leaching, considering risk factors not modelled here.