Evidence map›Paper›PMID 26908041›Full record

Trial reportEuropean journal of applied physiology2016

Impact of intensified training and carbohydrate supplementation on immunity and markers of overreaching in highly trained cyclists.

Ida S Svendsen, Sophie C Killer, James M Carter, Rebecca K Randell, Asker E Jeukendrup, Michael Gleeson

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of applied physiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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  12. The Stress of Competing: Cortisol and Amylase Response to Training and Competition.Journal of functional morphology and kinesiology · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Ida S SvendsenSchool of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire, LE11 3TU, UK. i.s.svendsen@lboro.ac.uk.ORCID http://orcid.org/0000-0002-3052-1793
Sophie C KillerSchool of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire, LE11 3TU, UK.
James M CarterGatorade Sports Science Institute, PepsiCo Global Nutrition R&D, Beaumont Park, Leicester, UK.
Rebecca K RandellGatorade Sports Science Institute, PepsiCo Global Nutrition R&D, Beaumont Park, Leicester, UK.
Asker E JeukendrupSchool of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire, LE11 3TU, UK.
Michael GleesonSchool of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire, LE11 3TU, UK.
Loughborough University · GBPepsiCo (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine effects of intensified training (IT) and carbohydrate supplementation on overreaching and immunity.

methodsIn a randomized, double-blind, crossover design, 13 male cyclists (age 25 ± 6 years, VO2max 72 ± 5 ml/kg/min) completed two 8-day periods of IT. On one occasion, participants ingested 2 % carbohydrate (L-CHO) beverages before, during and after training sessions. On the second occasion, 6 % carbohydrate (H-CHO) solutions were ingested before, during and after training, with the addition of 20 g of protein in the post-exercise beverage. Blood samples were collected before and immediately after incremental exercise to fatigue on days 1 and 9.

resultsIn both trials, IT resulted in decreased peak power (375 ± 37 vs. 391 ± 37 W, P < 0.001), maximal heart rate (179 ± 8 vs. 190 ± 10 bpm, P < 0.001) and haematocrit (39 ± 2 vs. 42 ± 2 %, P < 0.001), and increased plasma volume (P < 0.001). Resting plasma cortisol increased while plasma ACTH decreased following IT (P < 0.05), with no between-trial differences. Following IT, antigen-stimulated whole blood culture production of IL-1α was higher in L-CHO than H-CHO (0.70 (95 % CI 0.52-0.95) pg/ml versus 0.33 (0.24-0.45) pg/ml, P < 0.01), as was production of IL-1β (9.3 (95 % CI 7-10.4) pg/ml versus 6.0 (5.0-7.8) pg/ml, P < 0.05). Circulating total leukocytes (P < 0.05) and neutrophils (P < 0.01) at rest increased following IT, as did neutrophil:lymphocyte ratio and percentage CD4+ lymphocytes (P < 0.05), with no between-trial differences.

conclusionIT resulted in symptoms consistent with overreaching, although immunological changes were modest. Higher carbohydrate intake was not able to alleviate physiological/immunological disturbances.

Indexed as

Adrenocorticotropic HormoneAdultBicyclingBiomarkersCD4-Positive T-LymphocytesCross-Over StudiesDietary CarbohydratesDietary SupplementsDouble-Blind MethodExerciseFatigueHumansHydrocortisoneInterleukin-1alphaInterleukin-1betaMaleAdrenocorticotropic HormoneBiomarkersDietary CarbohydratesHydrocortisoneInterleukin-1alphaInterleukin-1betaACTHCortisolCytokineInterleukinLymphocyteOverreaching

Identifiers

PMID26908041
PMCPMC4834106
OpenAlexW2287792657

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.