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Published in: European Journal of Applied Physiology 3/2016

01-03-2016 | Original Article

Fluid retention, muscle damage, and altered body composition at the Ultraman triathlon

Authors: Daniel A. Baur, Christopher W. Bach, William J. Hyder, Michael J. Ormsbee

Published in: European Journal of Applied Physiology | Issue 3/2016

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Abstract

Purpose

The primary purpose of this investigation was to determine the effects of participation in a 3-day multistage ultraendurance triathlon (stage 1 = 10 km swim, 144.8 km bike; stage 2 = 275.4 km bike; stage 3 = 84.4 km run) on body mass and composition, hydration status, hormones, muscle damage, and blood glucose.

Methods

Eighteen triathletes (mean ± SD; age 41 ± 7.5 years; height 175 ± 9 cm; weight 73.5 ± 9.8 kg; male n = 14, female n = 4) were assessed before and after each stage of the race. Body mass and composition were measured via bioelectrical impedance, hydration status via urine specific gravity, hormones and muscle damage via venous blood draw, and blood glucose via fingerstick.

Results

Following the race, significant changes included reductions in body mass (qualified effect size: trivial), fat mass (moderate), and percent body fat (small); increases in percent total body water (moderate) and urine specific gravity (large); and unchanged absolute total body water and fat-free mass. There were also extremely large increases in creatine kinase, C-reactive protein, aldosterone and cortisol combined with reductions in testosterone (small) and the testosterone:cortisol ratio (moderate). There were associations between post-race aldosterone and total body water (r = −0.504) and changes in cortisol and fat-free mass (r = −0.536). Finally, blood glucose increased in a stepwise manner prior to each stage.

Conclusions

Participation in Ultraman Florida leads to fluid retention and dramatic alterations in body composition, muscle health, hormones, and metabolism.
Literature
go back to reference Achten J, Gleeson M, Jeukendrup AE (2002) Determination of the exercise intensity that elicits maximal fat oxidation. Med Sci Sport Exerc 34:92–97CrossRef Achten J, Gleeson M, Jeukendrup AE (2002) Determination of the exercise intensity that elicits maximal fat oxidation. Med Sci Sport Exerc 34:92–97CrossRef
go back to reference Aristizábal JC, Restrepo MT, Estrada A (2007) Body composition assessment by anthropometry and bioelectrical impedance. Biomedica 27:216–224CrossRefPubMed Aristizábal JC, Restrepo MT, Estrada A (2007) Body composition assessment by anthropometry and bioelectrical impedance. Biomedica 27:216–224CrossRefPubMed
go back to reference Asp S, Daugaard JR, Richter EA (1995) Eccentric exercise decreases glucose transporter GLUT4 protein in human skeletal muscle. J Physiol 482(Pt 3):705–712PubMedCentralCrossRefPubMed Asp S, Daugaard JR, Richter EA (1995) Eccentric exercise decreases glucose transporter GLUT4 protein in human skeletal muscle. J Physiol 482(Pt 3):705–712PubMedCentralCrossRefPubMed
go back to reference Bracher A, Knechtle B, Gnädinger M et al (2012) Fluid intake and changes in limb volumes in male ultra-marathoners: does fluid overload lead to peripheral oedema? Eur J Appl Physiol 112:991–1003CrossRefPubMed Bracher A, Knechtle B, Gnädinger M et al (2012) Fluid intake and changes in limb volumes in male ultra-marathoners: does fluid overload lead to peripheral oedema? Eur J Appl Physiol 112:991–1003CrossRefPubMed
go back to reference Burke LM, Collier GR, Davis PG et al (1996) Muscle glycogen storage after prolonged exercise: effect of the frequency of carbohydrate feedings. Am J Clin Nutr 64:115–119PubMed Burke LM, Collier GR, Davis PG et al (1996) Muscle glycogen storage after prolonged exercise: effect of the frequency of carbohydrate feedings. Am J Clin Nutr 64:115–119PubMed
go back to reference Cejka C, Knechtle B, Knechtle P et al (2012) An increased fluid intake leads to feet swelling in 100-km ultra-marathoners—an observational field study. J Int Soc Sport Nutr 9:11CrossRef Cejka C, Knechtle B, Knechtle P et al (2012) An increased fluid intake leads to feet swelling in 100-km ultra-marathoners—an observational field study. J Int Soc Sport Nutr 9:11CrossRef
go back to reference Chlíbková D, Knechtle B, Rosemann T et al (2014) Changes in foot volume, body composition, and hydration status in male and female 24-hour ultra-mountain bikers. J Int Soc Sport Nutr 11:12CrossRef Chlíbková D, Knechtle B, Rosemann T et al (2014) Changes in foot volume, body composition, and hydration status in male and female 24-hour ultra-mountain bikers. J Int Soc Sport Nutr 11:12CrossRef
go back to reference Chow LS, Seaquist ER, Eberly LE et al (2012) Acute free fatty acid elevation eliminates endurance training effect on insulin sensitivity. J Clin Endocrinol Metab 97:2890–2897PubMedCentralCrossRefPubMed Chow LS, Seaquist ER, Eberly LE et al (2012) Acute free fatty acid elevation eliminates endurance training effect on insulin sensitivity. J Clin Endocrinol Metab 97:2890–2897PubMedCentralCrossRefPubMed
go back to reference Clarkson PM, Kearns AK, Rouzier P et al (2006) Serum creatine kinase levels and renal function measures in exertional muscle damage. Med Sci Sport Exerc 38:623–627CrossRef Clarkson PM, Kearns AK, Rouzier P et al (2006) Serum creatine kinase levels and renal function measures in exertional muscle damage. Med Sci Sport Exerc 38:623–627CrossRef
go back to reference Fellmann N (1992) Hormonal and plasma volume alterations following endurance exercise. A brief review. Sport Med 13:37–49CrossRef Fellmann N (1992) Hormonal and plasma volume alterations following endurance exercise. A brief review. Sport Med 13:37–49CrossRef
go back to reference Fitts RH, Romatowski JG, Peters JR et al (2007) The deleterious effects of bed rest on human skeletal muscle fibers are exacerbated by hypercortisolemia and ameliorated by dietary supplementation. Am J Cell Physiol 293:C313–C320CrossRef Fitts RH, Romatowski JG, Peters JR et al (2007) The deleterious effects of bed rest on human skeletal muscle fibers are exacerbated by hypercortisolemia and ameliorated by dietary supplementation. Am J Cell Physiol 293:C313–C320CrossRef
go back to reference Gastmann U, Dimeo F, Huonker M et al (1998) Ultra-triathlon-related blood-chemical and endocrinological responses in nine athletes. J Sport Med Phys Fit 38:18–23 Gastmann U, Dimeo F, Huonker M et al (1998) Ultra-triathlon-related blood-chemical and endocrinological responses in nine athletes. J Sport Med Phys Fit 38:18–23
go back to reference Geyssant A, Geelen G, Denis C et al (1981) Plasma vasopressin, renin activity, and aldosterone: effect of exercise and training. Eur J Appl Physiol Occup Physiol 46:21–30CrossRefPubMed Geyssant A, Geelen G, Denis C et al (1981) Plasma vasopressin, renin activity, and aldosterone: effect of exercise and training. Eur J Appl Physiol Occup Physiol 46:21–30CrossRefPubMed
go back to reference Helge JW, Lundby C, Christensen DL et al (2003) Skiing across the Greenland icecap: divergent effects on limb muscle adaptations and substrate oxidation. J Exp Biol 206:1075–1083CrossRefPubMed Helge JW, Lundby C, Christensen DL et al (2003) Skiing across the Greenland icecap: divergent effects on limb muscle adaptations and substrate oxidation. J Exp Biol 206:1075–1083CrossRefPubMed
go back to reference Holmäng A, Björntorp P (1992) The effects of cortisol on insulin sensitivity in muscle. Acta Physiol Scand 144:425–431CrossRefPubMed Holmäng A, Björntorp P (1992) The effects of cortisol on insulin sensitivity in muscle. Acta Physiol Scand 144:425–431CrossRefPubMed
go back to reference Hopkins WG, Marshall SW, Batterham AM, Hanin J (2009) Progressive statistics for studies in sports medicine and exercise science. Med Sci Sport Exerc 41:3–13CrossRef Hopkins WG, Marshall SW, Batterham AM, Hanin J (2009) Progressive statistics for studies in sports medicine and exercise science. Med Sci Sport Exerc 41:3–13CrossRef
go back to reference Inoue Y, Ichinose-Kuwahara T, Funaki C et al (2014) Sex differences in acetylcholine-induced sweating responses due to physical training. J Physiol Anthropol 33:13PubMedCentralCrossRefPubMed Inoue Y, Ichinose-Kuwahara T, Funaki C et al (2014) Sex differences in acetylcholine-induced sweating responses due to physical training. J Physiol Anthropol 33:13PubMedCentralCrossRefPubMed
go back to reference Kimber NE, Ross JJ, Mason SL, Speedy DB (2002) Energy balance during an ironman triathlon in male and female triathletes. Int J Sport Nutr Exerc Metab 12:47–62PubMed Kimber NE, Ross JJ, Mason SL, Speedy DB (2002) Energy balance during an ironman triathlon in male and female triathletes. Int J Sport Nutr Exerc Metab 12:47–62PubMed
go back to reference Kirwan JP, Hickner RC, Yarasheski KE et al (1992) Eccentric exercise induces transient insulin resistance in healthy individuals. J Appl Physiol 72:2197–2202CrossRefPubMed Kirwan JP, Hickner RC, Yarasheski KE et al (1992) Eccentric exercise induces transient insulin resistance in healthy individuals. J Appl Physiol 72:2197–2202CrossRefPubMed
go back to reference Knechtle B, Kohler G (2007) Running 338 kilometres within five days has no effect on body mass and body fat but reduces skeletal muscle mass—the Isarrun 2006. J Sport Sci Med 6:401–407 Knechtle B, Kohler G (2007) Running 338 kilometres within five days has no effect on body mass and body fat but reduces skeletal muscle mass—the Isarrun 2006. J Sport Sci Med 6:401–407
go back to reference Knechtle B, Duff B, Amtmamm G, Kohler G (2008a) An ultratriathlon leads to a decrease of body fat and skeletal muscle mass—the triple iron triathlon Austria 2006. Res Sport Med 16:97–110CrossRef Knechtle B, Duff B, Amtmamm G, Kohler G (2008a) An ultratriathlon leads to a decrease of body fat and skeletal muscle mass—the triple iron triathlon Austria 2006. Res Sport Med 16:97–110CrossRef
go back to reference Knechtle B, Salas Fraire O, Andonie JL, Kohler G (2008b) Effect of a multistage ultra-endurance triathlon on body composition: World Challenge Deca Iron Triathlon 2006. Br J Sports Med 42:121–125CrossRefPubMed Knechtle B, Salas Fraire O, Andonie JL, Kohler G (2008b) Effect of a multistage ultra-endurance triathlon on body composition: World Challenge Deca Iron Triathlon 2006. Br J Sports Med 42:121–125CrossRefPubMed
go back to reference Knechtle B, Schwanke M, Knechtle P, Kohler G (2008c) Decrease in body fat during an ultra-endurance triathlon is associated with race intensity. Br J Sport Med 42:609–613CrossRef Knechtle B, Schwanke M, Knechtle P, Kohler G (2008c) Decrease in body fat during an ultra-endurance triathlon is associated with race intensity. Br J Sport Med 42:609–613CrossRef
go back to reference Knechtle B, Knechtle P, Andonie JL, Kohler G (2009a) Body composition, energy, and fluid turnover in a five-day multistage ultratriathlon: a case study. Res Sport Med 17:104–120 Knechtle B, Knechtle P, Andonie JL, Kohler G (2009a) Body composition, energy, and fluid turnover in a five-day multistage ultratriathlon: a case study. Res Sport Med 17:104–120
go back to reference Knechtle B, Wirth A, Knechtle P, Rosemann T (2009b) Increase of total body water with decrease of body mass while running 100 km nonstop–formation of edema? Res Q Exerc Sport 80:593–603CrossRefPubMed Knechtle B, Wirth A, Knechtle P, Rosemann T (2009b) Increase of total body water with decrease of body mass while running 100 km nonstop–formation of edema? Res Q Exerc Sport 80:593–603CrossRefPubMed
go back to reference Knechtle B, Baumann B, Wirth A et al (2010a) Male ironman triathletes lose skeletal muscle mass. Asia Pac J Clin Nutr 19:91–97PubMed Knechtle B, Baumann B, Wirth A et al (2010a) Male ironman triathletes lose skeletal muscle mass. Asia Pac J Clin Nutr 19:91–97PubMed
go back to reference Knechtle B, Knechtle P, Rosemann T, Oliver S (2010b) A Triple Iron triathlon leads to a decrease in total body mass but not to dehydration. Res Q Exerc Sport 81:319–327CrossRefPubMed Knechtle B, Knechtle P, Rosemann T, Oliver S (2010b) A Triple Iron triathlon leads to a decrease in total body mass but not to dehydration. Res Q Exerc Sport 81:319–327CrossRefPubMed
go back to reference Knechtle B, Knechtle P, Lepers R (2011a) Participation and performance trends in ultra-triathlons from 1985 to 2009. Scand J Med Sci Sport 21:e82–e90CrossRef Knechtle B, Knechtle P, Lepers R (2011a) Participation and performance trends in ultra-triathlons from 1985 to 2009. Scand J Med Sci Sport 21:e82–e90CrossRef
go back to reference Knechtle B, Wirth A, Knechtle P et al (2011b) A comparison of fat mass and skeletal muscle mass estimation in male ultra-endurance athletes using bioelectrical impedance analysis and different anthropometric methods. Nutr Hosp 26:1420–1427PubMed Knechtle B, Wirth A, Knechtle P et al (2011b) A comparison of fat mass and skeletal muscle mass estimation in male ultra-endurance athletes using bioelectrical impedance analysis and different anthropometric methods. Nutr Hosp 26:1420–1427PubMed
go back to reference Knechtle B, Morales NPH, Gonzalez ER et al (2012) Effect of a multistage ultraendurance triathlon on aldosterone, vasopressin, extracellular water and urine electrolytes. Scot Med J 57:26–32CrossRefPubMed Knechtle B, Morales NPH, Gonzalez ER et al (2012) Effect of a multistage ultraendurance triathlon on aldosterone, vasopressin, extracellular water and urine electrolytes. Scot Med J 57:26–32CrossRefPubMed
go back to reference Knechtle B, Rüst CA, Rosemann T, Martin N (2014) 33 Ironman triathlons in 33 days—a case study. Springerplus 3:1–9CrossRef Knechtle B, Rüst CA, Rosemann T, Martin N (2014) 33 Ironman triathlons in 33 days—a case study. Springerplus 3:1–9CrossRef
go back to reference Loenneke JP, Barnes JT, Wilson JM et al (2013) Reliability of field methods for estimating body fat. Clin Physiol Func Imag 33:405–408CrossRef Loenneke JP, Barnes JT, Wilson JM et al (2013) Reliability of field methods for estimating body fat. Clin Physiol Func Imag 33:405–408CrossRef
go back to reference Macfarlane DJ (2007) Can bioelectric impedance monitors be used to accurately estimate body fat in Chinese adults? Asia Pac J Clin Nutr 16:66–73PubMed Macfarlane DJ (2007) Can bioelectric impedance monitors be used to accurately estimate body fat in Chinese adults? Asia Pac J Clin Nutr 16:66–73PubMed
go back to reference MacSearraigh ET, Kallmeyer JC, Schiff HB (1979) Acute renal failure in marathon runners. Nephron 24:236–240CrossRefPubMed MacSearraigh ET, Kallmeyer JC, Schiff HB (1979) Acute renal failure in marathon runners. Nephron 24:236–240CrossRefPubMed
go back to reference Mayer M, Rosen F (1977) Interaction of glucocorticoids and androgens with skeletal muscle. Metabolism 26:937–962CrossRefPubMed Mayer M, Rosen F (1977) Interaction of glucocorticoids and androgens with skeletal muscle. Metabolism 26:937–962CrossRefPubMed
go back to reference Montain SJ, Laird JE, Latzka WA, Sawka MN (1997) Aldosterone and vasopressin responses in the heat: hydration level and exercise intensity effects. Med Sci Sport Exerc 29:661–668CrossRef Montain SJ, Laird JE, Latzka WA, Sawka MN (1997) Aldosterone and vasopressin responses in the heat: hydration level and exercise intensity effects. Med Sci Sport Exerc 29:661–668CrossRef
go back to reference Mueller SM, Anliker E, Knechtle P et al (2013) Changes in body composition in triathletes during an Ironman race. Eur J Appl Physiol 113:2343–2352CrossRefPubMed Mueller SM, Anliker E, Knechtle P et al (2013) Changes in body composition in triathletes during an Ironman race. Eur J Appl Physiol 113:2343–2352CrossRefPubMed
go back to reference Neviackas JA, Bauer JH (1981) Renal function abnormalities induced by marathon running. South Med J 74:1457–1460CrossRefPubMed Neviackas JA, Bauer JH (1981) Renal function abnormalities induced by marathon running. South Med J 74:1457–1460CrossRefPubMed
go back to reference O’Brien C, Young AJ, Sawka MN (2002) Bioelectrical impedance to estimate changes in hydration status. Int J Sport Med 23:361–366CrossRef O’Brien C, Young AJ, Sawka MN (2002) Bioelectrical impedance to estimate changes in hydration status. Int J Sport Med 23:361–366CrossRef
go back to reference Piers LS, Soares MJ, Frandsen SL, O’Dea K (2000) Indirect estimates of body composition are useful for groups but unreliable in individuals. Int J Obes Relat Metab Disord 24:1145–1152CrossRefPubMed Piers LS, Soares MJ, Frandsen SL, O’Dea K (2000) Indirect estimates of body composition are useful for groups but unreliable in individuals. Int J Obes Relat Metab Disord 24:1145–1152CrossRefPubMed
go back to reference Pokan R, Ocenasek H, Hochgatterer R et al (2014) Myocardial dimensions and hemodynamics during 24-h ultraendurance ergometry. Med Sci Sport Exerc 46:268–275CrossRef Pokan R, Ocenasek H, Hochgatterer R et al (2014) Myocardial dimensions and hemodynamics during 24-h ultraendurance ergometry. Med Sci Sport Exerc 46:268–275CrossRef
go back to reference Raschka C, Plath M (1992) Body fat compartment and its relationship to food intake and clinical chemical parameters during extreme endurance performance. Schweiz Z Sport 40:13–25 Raschka C, Plath M (1992) Body fat compartment and its relationship to food intake and clinical chemical parameters during extreme endurance performance. Schweiz Z Sport 40:13–25
go back to reference Waśkiewicz Z, Kápcińska B, Sadowska-Krȩpa E et al (2012) Acute metabolic responses to a 24-h ultra-marathon race in male amateur runners. Eur J Appl Physiol 112:1679–1688PubMedCentralCrossRefPubMed Waśkiewicz Z, Kápcińska B, Sadowska-Krȩpa E et al (2012) Acute metabolic responses to a 24-h ultra-marathon race in male amateur runners. Eur J Appl Physiol 112:1679–1688PubMedCentralCrossRefPubMed
go back to reference Weitkunat T, Knechtle B, Knechtle P et al (2012) Body composition and hydration status changes in male and female open-water swimmers during an ultra-endurance event. J Sports Sci 30:1003–1013CrossRefPubMed Weitkunat T, Knechtle B, Knechtle P et al (2012) Body composition and hydration status changes in male and female open-water swimmers during an ultra-endurance event. J Sports Sci 30:1003–1013CrossRefPubMed
go back to reference Zehnder M, Ith M, Kreis R et al (2005) Gender-specific usage of intramyocellular lipids and glycogen during exercise. Med Sci Sport Exerc 37:1517–1524CrossRef Zehnder M, Ith M, Kreis R et al (2005) Gender-specific usage of intramyocellular lipids and glycogen during exercise. Med Sci Sport Exerc 37:1517–1524CrossRef
go back to reference Zimmet PZ, Wall JR, Rome R et al (1974) Diurnal variation in glucose tolerance: associated changes in plasma insulin, growth hormone, and non-esterified. Br Med J 1:485–488PubMedCentralCrossRefPubMed Zimmet PZ, Wall JR, Rome R et al (1974) Diurnal variation in glucose tolerance: associated changes in plasma insulin, growth hormone, and non-esterified. Br Med J 1:485–488PubMedCentralCrossRefPubMed
Metadata
Title
Fluid retention, muscle damage, and altered body composition at the Ultraman triathlon
Authors
Daniel A. Baur
Christopher W. Bach
William J. Hyder
Michael J. Ormsbee
Publication date
01-03-2016
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Applied Physiology / Issue 3/2016
Print ISSN: 1439-6319
Electronic ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-015-3291-9

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