Effects of Carbohydrate Mouth Rinse on Gastrointestinal Disorders in Triathletes
Abstract
In long-term efforts, such as triathlon, the requirement for carbohydrate intake can also work as an ergogenic strategy. However, the literature has reported and recorded gastrointestinal discomfort by athletes during the race when performing this practice, which can compromise performance. Mouth rinses with carbohydrates, followed by the disposal (spitting) of the solution, is a strategy to maintain performance, without generating side effects. Therefore, this study aimed to verify the potential side effects of carbohydrate mouth rinse in triathlon athletes during cycling practice. Twelve trained male - triathletes were subjected to two experimental situations, in which they have completed 1.5 km of swimming, followed by 40 km of cycling, within the shortest time possible and self-regulated intensity (time trial test). Throughout the cycling, blindly and crossed-wise, the volunteers rinsed their mouths using a bolus of 25 ml of 0% CHO placebo solution and 16% CHO (maltodextrin) solution, for each 12.5% of the distance to be covered. A gastrointestinal symptoms questionnaire was answered at the end of the 40 km cycling. Only one volunteer (8.33%) reported discomfort, while 91.66% of them presented no type of symptoms according to the CHO rinse protocol. Therefore, carbohydrate mouth rinse presents no gastrointestinal side effects during long-term exertion.
References
Bennemann, G.D., Zavadski, F., Schiessel, D.L., & Cavagnari, M.A.V. (2018). Estratégias de alimentação, hidratação e suplementação, em período de treinamento e competição de triatletas no Ironman 140.6 e 70.3 Brasil. RBNE - Revista Brasileira de Nutrição Esportiva, 12(70), Artigo 70. http://www.rbne.com.br/index.php/rbne/article/view/994
Best, R., Crosby, S., Berger, N., & McDonald, K. (2021). The Effect of Isolated and Combined Application of Menthol and Carbohydrate Mouth Rinses on 40 km Time Trial Performance, Physiological and Perceptual Measures in the Heat. Nutrients, 13(12), 4309. https://doi.org/10.3390/nu13124309
Brietzke, C., Franco-Alvarenga, P.E., Coelho-Júnior, H.J., Silveira, R., Asano, R.Y., & Pires, F.O. (2019). Effects of Carbohydrate Mouth Rinse on Cycling Time Trial Performance: A Systematic Review and Meta-Analysis. Sports Medicine (Auckland, N.Z.), 49(1), 57-66. https://doi.org/10.1007/s40279-018-1029-7
Burke, L.M., Hawley, J.A., Wong, S.H.S., & Jeukendrup, A.E. (2011). Carbohydrates for training and competition. Journal of Sports Sciences, 29(Suppl. 1), S17-27. https://doi.org/10.1080/02640414.2011.585473
Burke, L.M., Wood, C., Pyne, D.B., Telford, D.R., & Saunders, P.U. (2005). Effect of carbohydrate intake on half-marathon performance of well-trained runners. International Journal of Sport Nutrition and Exercise Metabolism, 15(6), 573-589. https://doi.org/10.1123/ijsnem.15.6.573
Carlino, E., & Benedetti, F. (2016). Different contexts, different pains, different experiences. Neuroscience, 338, 19-26. https://doi.org/10.1016/j.neuroscience.2016.01.053
Carter, J.M., Jeukendrup, A.E., & Jones, D.A. (2004). The effect of carbohydrate mouth rinse on 1-h cycle time trial performance. Medicine and Science in Sports and Exercise, 36(12), 2107-2111. https://doi.org/10.1249/01.mss.0000147585.65709.6f
Carter, J.M., Jeukendrup, A.E., Mann, C.H., & Jones, D.A. (2004). The effect of glucose infusion on glucose kinetics during a 1-h time trial. Medicine and Science in Sports and Exercise, 36(9), 1543-1550. https://doi.org/10.1249/01.mss.0000139892.69410.d8
CBTRI - Confederação Brasileira de Triathlon (2022, 20 de outubro). Triathlon- a origem. http://www.cbtri.org.br/triathlon
Chambers, E.S., Bridge, M.W., & Jones, D.A. (2009). Carbohydrate sensing in the human mouth: Effects on exercise performance and brain activity. The Journal of Physiology, 587(Pt 8), 1779-1794. https://doi.org/10.1113/jphysiol.2008.164285
Clark, V.R., Hopkins, W.G., Hawley, J.A., & Burke, L.M. (2000). Placebo effect of carbohydrate feedings during a 40-km cycling time trial. Medicine and Science in Sports and Exercise, 32(9), 1642-1647. https://doi.org/10.1097/00005768-200009000-00019
Devenney, S., Collins, K., & Shortall, M. (2016). Effects of various concentrations of carbohydrate mouth rinse on cycling performance in a fed state. European Journal of Sport Science, 16(8), 1073-1078. https://doi.org/10.1080/17461391.2016.1196735
Fontan, J. dos S., & Amadio, M.B. (2015). O uso do carboidrato antes da atividade física como recurso ergogênico: Revisão sistemática. Revista Brasileira de Medicina do Esporte, 21, 153-157. https://doi.org/10.1590/1517-86922015210201933
Fuentes-Barría, H., Aguilera-Eguía, R., González-Wong, C., Flores-Fernández, C., Herrera-Serna, B., Valenzuela-Pérez, D., & Urbano-Cerda, S. (2020). Enjuagues bucales con carbohidratos y su efecto en el rendimiento de carreras contrarreloj: Revisión sistemática. Universidad y Salud, 22(3), 280-287. https://doi.org/10.22267/rus.202203.200
Hartley, C., Carr, A., Bowe, S.J., Bredie, W.L.P., & Keast, R.S.J. (2022). Maltodextrin-Based Carbohydrate Oral Rinsing and Exercise Performance: Systematic Review and Meta-Analysis. Sports Medicine (Auckland, NZ.), 52(8), 1833-1862. https://doi.org/10.1007/s40279-022-01658-3
Hurst, P., Foad, A., Coleman, D., & Beedie, C. (2017). Athletes Intending to Use Sports Supplements Are More Likely to Respond to a Placebo. Medicine and Science in Sports and Exercise, 49(9), 1877-1883. https://doi.org/10.1249/MSS.0000000000001297
Jackson, A.S., & Pollock, M.L. (1978). Generalized equations for predicting body density of men. The British Journal of Nutrition, 40(3), 497-504. https://doi.org/10.1079/bjn19780152
Jeukendrup, A.E. (2011). Nutrition for endurance sports: Marathon, triathlon, and road cycling. Journal of Sports Sciences, 29(Suppl. 1), S91-99. https://doi.org/10.1080/02640414.2011.610348
Jeukendrup, A.E., & Chambers, E.S. (2010). Oral carbohydrate sensing and exercise performance. Current Opinion in Clinical Nutrition and Metabolic Care, 13(4), 447-451. https://doi.org/10.1097/MCO.0b013e328339de83
Jeukendrup, A.E., Jentjens, R.L.P.G., & Moseley, L. (2005). Nutritional considerations in triathlon. Sports Medicine (Auckland, N.Z.), 35(2), 163-181. https://doi.org/10.2165/00007256-200535020-00005
Konturek, S.J., Konturek, J.W., Pawlik, T., & Brzozowski, T. (2004). Brain-gut axis and its role in the control of food intake. Journal of Physiology and Pharmacology: An Official Journal of the Polish Physiological Society, 55(1 Pt 2), 137-154. https://pubmed.ncbi.nlm.nih.gov/15082874/
Kringelbach, M.L. (2004). Food for thought: Hedonic experience beyond homeostasis in the human brain. Neuroscience, 126(4), 807-819. https://doi.org/10.1016/j.neuroscience.2004.04.035
Lira, C.A.B. de, Vancini, R.L., Silva, A.C. da, & Nouailhetas, V.L.A. (2008). Effects of physical exercise on the gastrointestinal tract. Revista Brasileira de Medicina do Esporte, 14, 64-67. https://doi.org/10.1590/S1517-86922008000100012
Loureiro, L.M.R., Nabuco, L.L., Duarte, L.C., & Reis, C.E.G. (2020). Efeitos do bochecho de carboidratos no desempenho físico em corrida de endurance: Uma revisão sistemática. RBNE - Revista Brasileira de Nutrição Esportiva, 14(87), 373-381. http://www.rbne.com.br/index.php/rbne/article/view/1686
Oliveira, E.P. de, & Burini, R.C. (2014). Carbohydrate-Dependent, Exercise-Induced Gastrointestinal Distress. Nutrients, 6(10), 4191-4199. https://doi.org/10.3390/nu6104191
O’Toole, M.L., Douglas, P.S., & Hiller, W.D. (1989). Applied physiology of a triathlon. Sports Medicine (Auckland, N.Z.), 8(4), 201-225. https://doi.org/10.2165/00007256-198908040-00002
Podlogar, T., & Wallis, G.A. (2022). New Horizons in Carbohydrate Research and Application for Endurance Athletes. Sports Medicine (Auckland, N.Z.), 52(Suppl. 1), 5-23. https://doi.org/10.1007/s40279-022-01757-1
Pomportes, L., & Brisswalter, J. (2020). Carbohydrate mouth rinse effects on physical and cognitive performance: Benefits and limitations in sports. Science & Sports, 35(4), 200-206. https://doi.org/10.1016/j.scispo.2020.06.001
Prata, P.H. da S., Santos, A.Z., Mendes, T.P., Vieira, S., Viana, M.L., & Costa, A.G.V. (2020). Efeito do bochecho com carboidrato associado com cafeína ou taurina sobre a performance de praticantes de atividade física de alta intensidade. RBNE - Revista Brasileira de Nutrição Esportiva, 14(88), 493-505. http://www.rbne.com.br/index.php/rbne/article/view/1745
Raglin, J., Szabo, A., Lindheimer, J.B., & Beedie, C. (2020). Understanding placebo and nocebo effects in the context of sport: A psychological perspective. European Journal of Sport Science, 20(3), 293-301. https://doi.org/10.1080/17461391.2020.1727021
Sareban, M., Zügel, D., Koehler, K., Hartveg, P., Zügel, M., Schumann, U., Steinacker, J. M., & Treff, G. (2016). Carbohydrate Intake in Form of Gel Is Associated With Increased Gastrointestinal Distress but Not With Performance Differences Compared With Liquid Carbohydrate Ingestion During Simulated Long-Distance Triathlon. International Journal of Sport Nutrition and Exercise Metabolism, 26(2), 114-122. https://doi.org/10.1123/ijsnem.2015-0060
Simon, S.A., de Araujo, I.E., Gutierrez, R., & Nicolelis, M.A.L. (2006). The neural mechanisms of gustation: A distributed processing code. Nature Reviews. Neuroscience, 7(11), 890-901. https://doi.org/10.1038/nrn2006
Smeets, PAM, Vidarsdottir, S., de Graaf, C., Stafleu, A., van Osch, MJP, Viergever, MA, Pijl, H., & van der Grond, J. (2007). Oral glucose intake inhibits hypothalamic neuronal activity more effectively than glucose infusion. American Journal of Physiology. Endocrinology and Metabolism, 293(3), E754-758. https://doi.org/10.1152/ajpendo.00231.2007
Strock, G.A., Cottrell, E.R., & Lohman, J.M. (2006). Triathlon. Physical Medicine and Rehabilitation Clinics of North America, 17(3), 553-564. https://doi.org/10.1016/j.pmr.2006.05.010
Vitale, K., & Getzin, A. (2019). Nutrition and Supplement Update for the Endurance Athlete: Review and Recommendations. Nutrients, 11(6), 1289. https://doi.org/10.3390/nu11061289
Zafra, M.A., Molina, F., & Puerto, A. (2006). The neural/cephalic phase reflexes in the physiology of nutrition. Neuroscience & Biobehavioral Reviews, 30(7), 1032-1044. https://doi.org/10.1016/j.neubiorev.2006.03.005
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