Efeitos do enxágue bucal com carboidratos e distúrbios gastrointestinais em triatletas

Resumo

A ingestão de carboidratos se configura como uma interessante estratégia ergogênica, durante esforços de longa duração, como o Triatlon. Entretanto, desconfortos gastrointestinais são bastante comuns ao se realizar essa prática, o que pode comprometer o desempenho do atleta. O enxágue bucal com carboidratos, seguido do descarte (cuspida) da solução, pode ser uma estratégia para manutenção do desempenho, sem a ocorrência de efeitos colaterais. Dessa maneira, o objetivo do presente estudo foi verificar possíveis efeitos colaterais do enxágue bucal com carboidrato, no ciclismo, em atletas de triathlon. Doze homens, triatletas treinados, foram submetidos a 2 situações experimentais, nas quais eles deveriam completar 1,5 km de natação, seguidos de 40 km de ciclismo, com o menor tempo possível e intensidade autorregulada (teste contrarrelógio). Ao longo do ciclismo, de forma cega e cruzada, os voluntários enxaguaram a boca com um bolus de 25 ml de solução placebo 0% de CHO ou solução com 16% de CHO (maltodextrina), a cada 12,5% da distância a ser percorrida. Um questionário de sintomas gastrointestinais foi respondido ao final dos 40 km de ciclismo. Apenas 1 voluntário (8,33%) relatou desconforto, enquanto 91,66% não apresentaram nenhum tipo de sintomas no protocolo de enxágue com CHO. Portanto, no presente estudo, o enxágue bucal com carboidrato não apresentou efeitos colaterais gastrointestinais quando utilizado durante esforço de longa duração.

Palavras-chave: Nutrição, Carboidratos, Distúrbios gastrointestinais, Triatlo

Referências

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

Biografias Autor

Cássia Campos Arthur,

http://lattes.cnpq.br/3134683745038216

Evelyn Suene Maia de Assis,

http://lattes.cnpq.br/8912810455905216

Yves Ferreira Porto Pereira,

http://lattes.cnpq.br/1264326829236042

Marcos Daniel Motta Drummond,

http://lattes.cnpq.br/2664719746591647

Publicado
2024-01-07
Como Citar
Arthur, C. C., Assis, E. S. M. de, Porto Pereira, Y. F., & Drummond, M. D. M. (2024). Efeitos do enxágue bucal com carboidratos e distúrbios gastrointestinais em triatletas. Lecturas: Educación Física Y Deportes, 28(308), 102-115. https://doi.org/10.46642/efd.v28i308.7107
Seção
Artigos de pesquisa