This study specifically aims to elucidate the effects of intermittent exogenous ketosis (IEK) as well as hypoxia on muscular pro-angiogenic factors- after a 60-min HIIT bout in normoxia. Moreover, blood and muscle oxygenation status, as well as peripheral blood flow and cognitive function will be assessed.
After an exercise bout, angiogenesis is incredibly important in the recovery process as an increased number of capillaries enables higher metabolite transport to and from the working muscle. Often, a training strategy consists of living-high (sleeping at -stimulated- altitude) and training low (training at sea level). A decreased oxygen availability, also known as hypoxia, however poses an additional stress on the human body, potentially compromising the overall training efficiency. Ketones are recently found to increase angiogenesis in response to overload training (increased skeletal muscle capillarization and VEGF content) and to increase serum EPO concentrations. Therefore, the investigators want to evaluate the isolated and interactive effects of both ketones and hypoxia on post-exercise recovery and factors implicated in skeletal muscle angiogenesis, after training in normoxia. Moreover, a performance test will be performed after 7h of hypoxic or normoxic recovery by means of a simulated 15 min all-out time trial. During the 7h post-exercise window, biological samples are collected (muscle biopsies, venous blood samples, urine, capillary blood samples). Moreover, blood and muscle oxygenation, peripheral blood flow and cognitive function are assessed at regular timepoints.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
DOUBLE
Enrollment
15
Altitude: sea level Dietary supplement: placebo. Water: 98.3% w/w Bitter flavour type: 0.7% w/w Monk fruit extract: 0.04% w/w Tasteva: 0.03% w/w Citric acid: 0.6% w/w Flavor blend: 0.02% w/w Bitter masking flavour: 0.2% w/w Passion fruit flavour: 0.005% w/w
Altitude: sea level Dietary supplement: Commercially available Ketone-IQ butanediol drink R-1,3-butanediol: 28.6% w/v in water
Altitude: 3,000m (simulated) Dietary supplement: placebo. Water: 98.3% w/w Bitter flavour type: 0.7% w/w Monk fruit extract: 0.04% w/w Tasteva: 0.03% w/w Citric acid: 0.6% w/w Flavor blend: 0.02% w/w Bitter masking flavour: 0.2% w/w Passion fruit flavour: 0.005% w/w
KU Leuven
Leuven, Vlaams-Brabant, Belgium
Post-exercise muscle VEGF mRNA expression
Measured using PCR on collected muscle biopsies
Time frame: Muscle biopsies are collected 10 minutes after the end of training as well as 3 hours later.
Post-exercise serum EPO concentrations
Measured using ELISA on collected serum samples
Time frame: Venous blood samples are collected 10 minutes after the end of training as well as 3 hours, 5 hours and 7 hours later.
Change in muscular VEGF concentration
Measured using Western Blotting on muscle biopsies
Time frame: Muscle biopsies are collected 10 minutes after the end of training as well as 3 hours later.
Change in serum VEGF concentration
Measured using ELISA on collected serum samples
Time frame: Venous blood samples are collected immediately (5 minutes) after the end of training, as well as 3hours, 5hours and 7hours later..
Change in blood oxygenation
Measured using pulse oximetry with a sensor on the forehead
Time frame: Continuously measured starting 30 minutes after the end of exerciseuntil 7.5 hours later
Change in skeletal muscle oxygenation
Measured using NIRS with a sensor on the belly of the m. vastus lateralis (skeletal muscle)
Time frame: Measured during resting measurements performed 30 minutes, 3hours and 30minutes as well as 6hours and 30minutes after the end of training.
Change in peripheral blood flow
Measured using duplex ultrasonography
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Altitude: 3,000m (simulated) Dietary supplement: Commercially available Ketone-IQ butanediol drink R-1,3-butanediol: 28.6% w/v in water
Time frame: Measured during resting measurements performed 30 minutes, 3hours and 30minutes as well as 6hours and 30minutes after the end of the training
Exercise performance
Measured as the average power output (W) during a 15 minutes all-out time trial
Time frame: Performed 7hours and 30minutes after the end of training