Creatine and nitrate Flashcards

(42 cards)

1
Q

What is creatine?

A

Endogenously synthesised from AA (arginine, glycine and methionine) in the liver, pancreas and kidneys.

> 95% is stored in the skeletal muscle

Approx. 50% obtained from the diet

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2
Q

How is creatine stored in the body?

A

2/3 stored as PCr in intramuscular and the rest being free creatine
Total creatine pool (PCr and Cr) averages at 120 mmol/kg dry muscle mass
Upper limit seems to be ~ 160 mmol/kg dry muscle mass

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3
Q

What are the reported storage capacity for vegetarians?

A

Intramuscular creatine stores are seen to be 90 - 110 mmol/kg dm

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4
Q

What are the creatine turn over rates?

A

Synthesis = 2 g/day (1g endogenous + 1g exogenous)
Excretion = 2 g/day as creatinine in the urine

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5
Q

Increasing muscle creatine levels; Loading phase?

A

6 days of 20g per day (4 dosage split into 5g)

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6
Q

What is the effect of creatine?

A

Increases in maximal work
Increase in total work done in 30 seconds (isokinetic cycling)
Greater upper body hypertrophy
Greater lower body hypertrophy

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7
Q

What is the mechanism for why creatine supplementation increases hypertrophy?

A

Increase PCr resynthesis = short-term, high-intensity exercise capacity to perform repeated bouts of high intensity effort

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8
Q

What is creatines effect on brain health?

A

Evidence to suggest it helps cognitive function, recovery from traumatic head injuries and the cognitive decline in elderly.

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9
Q

PCr stores are greater in what type of muscle fibre?

A

Greater in type II compared to type I

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10
Q

Why are PCr stores decreased during maximal exercise?

A

Breakdown of PCr is rapid and therefore can sustain the high rates of ATP production that are required.

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11
Q

How quickly can PCr stores be depleted?

A

Approximately 10 seconds

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12
Q

What percentage of PCr stores can be re-synthesised in 4 mins?

A

80% but to achieve 100% it takes much longer

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13
Q

Mechanisms of action with creatine supplementation

A

Increase Cr stores 30% = increase in PCr resynthesis
Increase muscle glycogen synthesis
Increase growth factor expression (may be reason for increased muscle mass)
Increase protein synthesis (not much evidence)
Decrease muscle damage
Which allows training to be harder, longer = increased lean muscle mass/strength

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14
Q

Creatine sources

A

Diet (red meat, some fish [salmon, tuna, cod])

Creatine monohydrate (CM)
- White powder (99% absorbed)
- Significant evidence
- Better uptake mixed with CHO
- Synthetic (therefore suitable for vegetarians)

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15
Q

Is there an acute effect to consuming creatine monohydrate?

A

NO

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16
Q

Describe the short, high dose protocol?

A

20 g/day (split dosage 4) for 5 days
0.3 g/kg BM (split in 3-4 doses for 5 days)

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17
Q

Describe the long, low dose protocol?

A

3-5 g/day for 20-30 days

18
Q

What is the recommended maintenance dose?

19
Q

How long is the washout period of creatine?

20
Q

Benefits of creatine are significantly increased when consumed with CHO?

A

Yes - much better loading effect and the dosage would need to be significant e.g. 90 g of CHO

21
Q

When is its use considered?

A

For single and repeated bouts of high intensity exercise
High intensity max effort < 150 sec, largest effects on <30 seconds task.

22
Q

What are other applications of creatine? Endurance?

A

Recent evidence shows combination of creatine and CHO loading can increase power output during repeated sprint efforts during the late stages of prolonged simulated TT cycling

23
Q

Other applications of creatine? Concussion?

A

Improvements in cognitive processing in the brain and potentially reduced damage and enhance recovery from mild traumatic brain injury/concussion

24
Q

Individual variability?

A

Individuals that have high muscle creatine levels will experience low creatine uptake from supplementation.

Very sport dependant

25
Concerns?
Increase in body mass (1-2 kg) due to water retention. No evidence for kidney damage, muscle cramps, strains, damage/injury or affects fluid balance and heat dissipation. Temporary GI distress and contamination risk.
26
What is nitrate?
Dietary nitrate (NO3-) Ingestion of nitrate leads to enhanced nitric oxide bioavailability High nitrate containing foods include leafy greens an root vegetables
27
What is the average dietary intake in western countries?
1-2 mmol/d (~60-120 mg/d) with vegetables supplying about 80% of the total
28
What is the importance of ingestion of dietary nitrate (describe the pathway)?
Ingestion of NO3- = enhances NO bioavailability via the NO3- -> nitrite -> NO pathway The reaction is catalysed by bacteria in the mouth and the digestive system. NO3- ingested, oral anaerobic bacteria reduce it to nitrite, converted to NO during conditions of low O2 availability and low pH
29
When does nitrate typically peak after ingestion?
Around 2 hours
30
When does nitrite typically peak after ingestion?
Very similar pattern to nitrate if not slightly later
31
What is the effect of NO?
Increase in NO: Increase blood flow to muscles Increase function of type II fibres Increase efficiency of mitochondrial respiration Increase muscle contractile function Improved immune health
32
What is a proven performance benefit to taking nitrate?
Increased time to exhaustion (16% increase) Small improvements of 3% in cycle time trials
33
Describe the main mechanistic characteristics of supplementary nitrate
Action at the skeletal muscle O2 delivery (increased perfusion) Action at the mitochondria (Oxygen is used more efficiently, for any given amount of oxygen more ATP is produced) Direct effect on Skeletal muscle function; specifically at the crossbridge formation (Due to dynamic calcium handling)
34
What is the effect on exercise economy?
Reduced ATP cost of muscle force production More efficient mitochondrial oxidative phosphorylation There is a greater uptake of oxygen from working tissues
35
What is the effective acute dose strategy?
Consume 310 - 560mg nitrate (5-9 mmol) 2-3 hours prior to exercise
36
What is the effective chronic dose strategy?
Consume 310-560 mg nitrate per day + 310-560 mg nitrate pre-event for 3 - 15 days pre-event
37
What must you avoid usage of near to the consumption of beetroot juice?
Chewing gum or mouth wash as it will hinder the benefits of its consumption
38
When is chronic supplementation often recommended?
When highly trained athletes are struggling to achieve performance gains
39
What are some examples of sources of nitrate?
Beet IT sport shot (70 ml + 400 mg nitrate) Food alternatives equivalent to shot above: 200g beetroot 120g Bok choy 150g Rocket 150g Parsley 150g Silverbeet spinach 150g Baby spinach 500ml Beetroot juice
40
When would you consider using Supplementary nitrate ?
Prolonged submaximal exercise endurance events lasting 4-30 mins Training for aerobic fitness High intensity intermittent events with short duration and sprint efforts in individual and team sports During exposure to hypoxic conditions (e.g. Altitude training)
41
What are the individual variabilities for nitrate supplementation?
Few studies have shown the impact of nitrate on female athletes Athletes training status can have an effect on the efficiency of the supplement, as highly trained endurance athletes (>65 ml/kg/min VO2max) showed not benefits No research into whether age has an impact or a benefit for age
42
What are the concerns and safety issues with nitrate supplementation?
Beetroot juice in concentrated form; cause mild gut discomfort. Can also cause a pick colouration in the urine Mistaken use of nitrite or nitrite salt as a supplement (toxic) Chronic use has not been studied; long term effects unknown (however, dietary increase in veg are generally beneficial) All supplements have a doping risk