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Alistair R. Mallard, Rebecca T. McLay-Cooke, and Nancy J. Rehrer

Effects of protein versus mixed macronutrient supplementation on total energy intake (TEI) and protein intake during an ad libitum diet were examined. Trained males undertook two, 2-week dietary interventions which were randomized, double blinded, and separated by 2 weeks. These were high-protein supplementation (HP: 1034.5 kJ energy, 29.6 g protein, 8.7 g fat and 12.3 g CHO) and standard meal supplementation (SM: 1039 kJ energy, 9.9 g protein, 9.5 g fat, and 29.4 g CHO) consumed daily following a week of baseline measures. Eighteen participants finished both interventions and one only completed HP. TEI (mean ± SD) was not different between baseline (11148 ± 3347 kJ) and HP (10705 ± 3143 kJ) nor between baseline and SM (12381 ± 3877 kJ), however, TEI was greater with SM than HP (923 ± 4015 kJ p = .043). Protein intake (%TEI) was greater with HP (22.4 ±6.2%) than baseline (19.4 ± 5.4%; p = .008) but not SM (20.0 ± 5.0%). No differences in absolute daily protein intake were found. Absolute CHO intake was greater with SM than HP (52.0 ± 89.5 g, p = .006). No differences in fat intake were found. Body mass did not change between baseline (82.7 ± 11.2 kg) and either HP (83.1 ± 11.7 kg) or SM (82.9 ± 11.0 kg). Protein supplementation increases the relative proportion of protein in the diet, but doesn’t increase the absolute amount of total protein or energy consumed. Thus some compensation by a reduction in other foods occurs. This is in contrast to a mixed nutrient supplement, which does not alter the proportion of protein consumed but does increase TEI.

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Jamie Douglas, Daniel J. Plews, Phil J. Handcock, and Nancy J. Rehrer


To determine whether a facilitated recovery via cold-water immersion (CWI) after simulated rugby sevens would influence parasympathetic reactivation and repeated-sprint (RS) performance across 6 matches in a 2-d tournament.


Ten male team-sport athletes completed 6 rugby sevens match simulations over 2 d with either postmatch passive recovery (PAS) or CWI in a randomized crossover design. Parasympathetic reactivation was determined via the natural logarithm of the square root of the mean of the sum of the squares of differences between adjacent R-R intervals (ln rMSSD). RS performance was calculated as time taken (s) to complete 6 × 30-m sprints within the first half of each match.


There were large increases in postintervention ln rMSSD between CWI and PAS after all matches (ES 90% CL: +1.13; ±0.21). Average heart rate (HR) during the RS performance task (HRAverage RS) was impaired from baseline from match 3 onward for both conditions. However, HRAverage RS was higher with CWI than with PAS (ES 90% CL: 0.58; ±0.58). Peak HR during the RS performance task (HRPeak RS) was similarly impaired from baseline for match 3 onward during PAS and for match 4 onward with CWI. HRPeak RS was very likely higher with CWI than with PAS (ES 90% CL: +0.80; ±0.56). No effects of match or condition were observed for RS performance, although there were moderate correlations between the changes in HRAverage RS (r 90% CL: –0.33; ±0.14), HRPeak RS (r 90% CL: –0.38; ±0.13), and RS performance.


CWI facilitated cardiac parasympathetic reactivation after a simulated rugby sevens match. The decline in average and peak HR across matches was partially attenuated by CWI. This decline was moderately correlated with a reduction in RS performance.

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Willeke Trompers, Tracy L Perry, Meredith C Rose, and Nancy J. Rehrer

The purpose of this study was to determine whether glycemic index (GI) is influenced by training state. Participants were tested in a randomized order: twice with a reference solution containing 50 g glucose and once each with 2 commercially available snack bars (Griffin’s Fruitli bar and Peak Fuel’s Summit bar) containing 50 g available carbohydrate. Eleven of the participants (6 men and 5 women, M ± SD age 20.8 ± 2.0 yr) were endurance trained (ET; VO2max 57.5 ± 8.4 ml · kg−1 · min−1), and 9 participants (2 men and 7 women, M ± SD age 22.4 ± 1.8 yr) were sedentary (SE; VO2max 43.7 ± 9.1 ml · kg−1 · min−1). After an overnight fast, participants consumed either the glucose solution or snack bar, with blood samples taken before eating and at 15, 30, 45, 60, 90, and 120 min after eating began. The mean incremental area under the curve (IAUC) of the glucose reference was 31% lower (95% CI 3–52%, p = .03), and the Fruitli bar 38% lower (95% CI 0–61%, p = .05) in ET than in SE participants. There was a trend for the IAUC for the Summit bar to be 35% lower in ET than in SE participants (95% CI –7% to 61% p = .09). There was no significant interaction between training state and test food. The GIs of the Fruitli and Summit bars was not significantly different between ET and SE participants (p = .65 and .54, respectively). ET participants had a lower glycemic response than SE participants; however, training state did not influence GI.

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Matthew R. Blair, Nathan Elsworthy, Nancy J. Rehrer, Chris Button, and Nicholas D. Gill

Purpose: To examine the movement and physiological demands of rugby union officiating in elite competition. Methods: Movement demands of 9 elite officials across 12 Super Rugby matches were calculated, using global positioning system devices. Total distance (in m), relative distance (in m·min−1), and percentage time spent in various speed zones were calculated across a match. Heart-rate (HR) responses were also recorded throughout each match. Cohen d effect sizes were reported to examine the within-match variations. Results: The total distance covered was 8030 (506) m, with a relative distance of 83 (5) m·min−1 and with no differences observed between halves. Most game time was spent at lower movement speeds (76% [2%]; <2.0 m·s−1), with large effects for time spent >7.0 m·s−1 between halves (d = 2.85). Mean HR was 154 (10) beats·min−1 (83.8 [2.9]%HRmax), with no differences observed between the first and second halves. Most game time was spent between 81%HRmax and 90%HRmax (40.5% [7.5%]) with no observable differences between halves. Distances covered above 5.1 m·s−1 were highest during the first 10 min of a match, while distance at speeds 3.7 to 5 m·s−1 decreased during the final 10 min of play. Conclusions: These findings highlight the highly demanding and intermittent nature of rugby union officiating, with only some minor variations in physical and physiological demands across a match. These results have implications for the physical preparation of professional rugby union referees.

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Nancy J. Rehrer, Monique van Kemenade, Wineke Meester, Fred Brouns, and Wim H.M. Saris

This study examined the relationship between gastrointestinal (GI) symptoms and dietary intake in triathletes. Fifty-five male triathletes (age 31 ±6 yrs) were surveyed regarding the most recently completed half Iron Man triathlon. Questions were asked regarding GI symptoms and dietary intake. Fifty-two percent complained of eructation and 48% of flatulence. Other symptoms were abdominal bloating, vomiting urge, vomiting, nausea, stomachache, intestinal cramps, and diarrhea. More symptoms occurred while running than at other times. All individuals who had eaten within 30 min of the start vomited while swimming. Fat and protein intake was greater in those who vomited or had the urge to vomit than in those without these symptoms. Of the former, 93% had consumed a hypertonic beverage. Forty percent of those who drank a hypertonic beverage and only 11% of those who drank an iso-or hypotonic beverage had severe complaints. Four of five individuals with stomachache had consumed a strongly hypertonic beverage. All subjects with intestinal cramps had eaten fiber-rich foods in the pre race meal; only 10% of those without cramps had done so.

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Dennis van Hamont, Christopher R. Harvey, Denis Massicotte, Russell Frew, François Peronnet, and Nancy J. Rehrer

Effects of feeding glucose on substrate metabolism during cycling were studied. Trained (60.0 ± 1.9 mL · kg−1 · min−1) males (N = 5) completed two 75 min, 80% VO2max trials: 125 g 13C-glucose (CHO); 13C-glucose tracer, 10 g (C). During warm-up (30 min 30% VO2max) 2 ⋅ 2 g 13C-glucose was given as bicarbonate pool primer. Breath samples and blood glucose were analyzed for 13C/ 12C with IRMS. Protein oxidation was estimated from urine and sweat urea. Indirect calorimetry (protein corrected) and 13C/ 12C enrichment in expired CO2 and blood glucose allowed exogenous (Gexo), endogenous (Gendo), muscle (Gmuscle), and liver glucose oxidation calculations. During exercise (75 min) in CHO versus C (respectively): protein oxidation was lower (6.8 ± 2.7, 18.8 ± 5.9 g; P = 0.01); Gendo was reduced (71.2 ± 3.8, 80.7 ± 5.7%; P = 0.01); Gmuscle was reduced (55.3 ± 6.1, 65.9 ± 6.0%; P = 0.01) compensated by increased Gexo (58.3 ± 2.1, 3.87 ± 0.85 g; P = 0.000002). Glucose ingestion during exercise can spare endogenous protein and carbohydrate, in fed cyclists, without gly-cogen depletion.

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Rebecca T. McLay, Christine D. Thomson, Sheila M. Williams, and Nancy J. Rehrer

This study compared 3 d of carbohydrate loading (CHOL; 8.4 g·kg−1·d−1 carbohydrate) in female eumenorrheic athletes with 3 d of an isoenergetic normal diet (NORM; 5.2 g·kg−1·d−1 carbohydrate) and examined the effect of menstrual-cycle phase on performance, muscle-glycogen concentration [glyc], and substrate utilization. Nine moderately trained eumenorrheic women cycled in an intermittent protocol varying in intensity from 45% to 75% VO2max for 75 min, followed by a 16-km time trial at the midfollicular (MF) and midluteal (ML) phases of the menstrual cycle on NORM and CHOL. Time-trial performance was not affected by diet (CHOL 26.10 ± 1.04 min, NORM 26.16 ± 1.35 min; P = 0.494) or menstrual-cycle phase (MF 26.05 ± 1.10 min, ML 26.23 ± 1.33 min; P = 0.370). Resting [glyc] was lowest in the MF phase after NORM (575 ± 145 mmol·kg−1·dw−1), compared with the MF phase after CHOL (728 mmol·kg−1·dw−1) and the ML phase after CHOL and NORM (756 and 771 mmol·kg−1·dw−1, respectively). No effect of phase on substrate utilization during exercise was observed. These data support previous observations of greater resting [glyc] in the ML than the MF phase of the menstrual cycle and suggest that lower glycogen storage in the MF phase can be overcome by carbohydrate loading.