Seven athletes with low lesion paraplegia ingested a 7.6% 648ml glucose drink using two schedules of ingestion (4 × 162 ml per 20 min & 2 × 324 ml per 60 min) in a crossover design. Participants exercised at 65% peak oxygen uptake for one hour, followed by a 20-minute performance test. The cardiorespiratory responses during the one-hour tests were similar between trials. Plasma glucose concentrations significantly increased after ingestion and remained stable during the 162 trial, but reduced over time during the 324 trial. Free fatty acid concentrations increased for both trials but increased significantly more during the 324 trial. The results of this study suggest that the ingestion of glucose during exercise is the best strategy for wheelchair athletes competing in endurance events.
Owen Spendiff and Ian G. Campbell
Yves Eberhard, Jacqueline Eterradossi and Bettina Debû
The effects of exercise and of a physical conditioning program on 11 subjects (7 males, 4 females, aged 15 to 20) with Down’s syndrome (DS) were analyzed. Metabolic responses were evaluated before and after two ergometric cycle exercise tests: an incremental exercise to symptom limited VO2 max. and an endurance test performed at 60% of maximal aerobic power. Plasma substrates, electrolytes, catecholamines, lipoprotein lipid profiles, and superoxide dismutase were assayed immediately before and after these tests. The results indicated (a) a low blood lactate level for peak exercise, (b) slow free fatty acid mobilization at the start of exercise, (c) a low level of cholesterol HDL and a high level of pre-beta VLDL at rest, (d) adjustment to nearly normal lipid profiles with endurance activity, and (e) differences between before and after training for superoxide dismutase levels in subjects with DS. These results suggest that endurance training could have long-term effects on the pathophysiological consequences of DS.