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Let your food be your medicine, and your medicine be your food. ...Hippocrates |
1Research Center for Sports Medicine, Doshisha University, Kyoto 602-8580, Japan
2Department of Inflammation and Immunology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan
3Department of Medical Proteomics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan
Nutrition Journal 2006, 5:15 doi:10.1186/1475-2891-5-15
Abstract
Appropriate nutrition is an essential prerequisite for effective improvement of athletic performance, conditioning, recovery from fatigue after exercise, and avoidance of injury. Nutritional supplements containing carbohydrates, proteins, vitamins, and minerals have been widely used in various sporting fields to provide a boost to the recommended daily allowance. In addition, several natural food components have been found to show physiological effects, and some of them are considered to be useful for promoting exercise performance or for prevention of injury. However, these foods should only be used when there is clear scientific evidence and with understanding of the physiological changes caused by exercise. This article describes various "functional foods" that have been reported to be effective for improving exercise performance or health promotion, along with the relevant physiological changes that occur during exercise.
Introduction
Appropriate nutrition is essential for the proper performance of exercise. In particular, correct nutrition is critically important for improvement of athletic performance, conditioning, recovery from fatigue after exercise, and avoidance of injury. Although athletes need to eat a well-balanced basic diet, there are several nutritional factors that are difficult to obtain at a sufficient level from a normal diet since athletes require more nutrients than the recommended daily allowances. Thus, nutritional supplements containing carbohydrates, proteins, vitamins, and minerals have been widely used in various sporting fields, partly because these supplements are easily taken before, during, and/or after exercise. Several natural food components have also been shown to exert physiological effects, and some of them are considered to be useful (when ingested at high doses or continuously) for improving athletic performance or for avoiding the disturbance of homeostasis by strenuous exercise. Recently, food components with physiological actions have been called "functional foods" and the effects of such foods have been scientifically investigated. This article introduces some functional foods, including basic nutrients, which have been demonstrated to have a beneficial influence on the physiological changes that occur during exercise.
Replishment of water
Water is the main constituent of the human body, and it plays an essential role in circulatory function, chemical reactions involved in energy metabolism, elimination of waste products, and maintenance of the body temperature and plasma volume. When the body temperature rises due to the intense exercise or a high ambient temperature, sweating occurs in order to radiate heat [1-3], leading to the loss of a large amount of water and electrolytes such as sodium. This loss of body fluid impairs thermoregulation and circulatory system, leading to a decline of athletic performance [4,5]. Therefore, to maintain homeostasis and athletic performance, replenishment of water and electrolytes is essential before and during or after exercise. Generally, it is believed to be useful to drink isotonic fluid that contains electrolytes such sodium, potassium, and chloride at concentrations close to those in body fluids. It has also been suggested that intake of hypotonic fluid may exert a similar or more rapid effect on replenishment of body water [6,7] because it is rapidly absorbed from the small intestine along an electrochemical gradient. Also, the sodium concentration (and the osmolality) of sweat is lower than that of extracellular fluid, so the loss of water with sweating is much greater than the loss of electrolytes, leading to an increase in the plasma osmotic pressure. On the other hand, replenishment of water alone is unlikely to maintain homeostasis of body fluid in prolonged exercise that produces high sweat rates. Taking in only water in prolonged exercise leads to hyponatremia and a decrease in the osmotic pressure of body fluids and inhibit the release of antidiuretic hormone resulting in that water intake is suppressed and the urine output is increased (spontaneous dehydration) [8]. Latzka et al. [9] suggested that during prolonged exercise lasting longer than 90 minutes, fluid drink containing electrolytes and carbohydrate, not water alone, should be considered to provide to sustain carbohydrate oxidation and endurance performance. Furthermore, several studies have suggested that glycerol loading has been advocated as one of methods which prevent high temperature and dehydration in exercise [10,11]. Oral administration of 1.0–1.2 g/kg B.W. glycerol with water temporarily results in an increase of 300–700 ml body fluid [10,11] and improves endurance performance compared with placebo [12-14]. Glycerol acts as an osmolyte in body fluid, which would lead to an elevation of plasma osmolality [10]. Consequently, water reabsorption in the kidney is increased and urine excretion is decreased, which is considered as one of mechanisms of the effect.