Metabolic Testing for Endurance Athletes

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Metabolic Testing for Endurance Athletes

Bob Seebohar, MS, RD, CSSD, CSCS USA Triathlon Level III Elite Coach Sport Dietitian/Exercise Physiologist

Objectives 1) Describe principles of advanced metabolic testing and physiological monitoring. 2) Discuss how to improve performance with specific metabolic and physiological assessment and monitoring tools. 3) Customize performance nutrition plans for athletes based on individual physiological parameters.

Metabolic Calorie Efficiency Assessment (MCEA) How efficient is the body in utilizing CHO and FAT at different intensities and during certain training cycles and how can these answers be utilized in practical sports nutrition recommendations for athletes?

0 0 20 40 60

% VO2 max (intensity) 80 100 40

30

50 60

20

70

80

40

90

50

Carbohydrate (%)

30

10

Fat (%)

100

60

Crossover Concept

40 30 0

20

40

60

% VO2 max (intensity)

80

100

Carbohydrate (%)

70 50 60

30 20 10 0

Fat (%)

40

80

50

90

60

100

Improvement in Fitness =

40 30 0

20

40

60

% VO2 max (intensity)

80

100

Carbohydrate (%)

70 50 60

30 20 10 0

Fat (%)

40

80

50

90

60

100

Nutrition Periodization and Improved Fitness

MCEA Protocol •

Measurement of gas exchange (O2, CO2)



Metabolic cart with freedom of data manipulations •

%CHO, %FAT



RER/RQ



REE (Kcal/day)



Sub-maximal exercise bout, 45-60 minutes



Warm-up of 15-20 minutes on the cart



No calories or stimulants for 2-4 hours prior

MCEA Protocol •

Bike with power measuring capabilities



Treadmill (1-2% grade)



Two methods: 1. Incremental (crossover point) •

Five minute stages



Increase 15-25 (50 elite) watts or 0.2-0.4mph

2. Steady-state (competition nutrition planning) •

Continuous at predetermined power output, pace and/or HR

MCEA Overview •

Markers •

RQ/RER start and increase



Crossover point (0.85)



Calorie use efficiency (%CHO, %FAT)



RQ/RER >0.93, no need to continue in most cases in an incremental test



RQ/RER may have to be maintained at >0.93 for steady state test

Data Sheet

MCEA Examples and Applications: Incremental Workload

Amateur Male Ironman Athlete Run: Incremental 100% 90% 80%

81% 70%

77%

75%

78%

78%

75%

72%

60%

68% 61%

50%

52% 49%

40%

39%

30% 20% 10%

20%

23%

26%

23%

23%

11:46

11:07

26%

28%

10:31

10:00

32%

0% Min/mile: 14:16

13:20

12:30

9:32

9:05

8:42

Conclusions • Lower carbohydrate diet • Good aerobic/cardiovascular system • Very efficient in burning fat at higher intensities

Energy Expenditure Table Pace

Heart Rate

Kcal hour/min

14:16

103

355/6

18/72

32/288

13:20

128

495/8

28/114

42/378

12:30

137

510/9

33/132

43/387

11:46

143

528/9

30/120

46/414

11:07

145

536/9

31/124

46/414

10:31

153

578/10

38/152

48/432

10:00

160

580/10

41/164

46/414

9:32

165

621/10

50/200

47/423

9:05

171

650/11

63/252

44/396

8:42

173

695/12

90/360

38/342

CHO (gr/cal) Fat (gr/cal)

Energy Expenditure Table Pace

Heart Rate

Kcal hour/min

14:16

103

355/6

18/72

32/288

13:20

128

495/8

28/114

42/378

12:30

137

510/9

33/132

43/387

11:46

143

528/9

30/120

46/414

11:07

145

536/9

31/124

46/414

10:31

153

578/10

38/152

48/432

10:00

160

580/10

41/164

46/414

9:32

165

621/10

50/200

47/423

9:05

171

650/11

63/252

44/396

8:42

173

695/12

90/360

38/342

CHO (gr/cal) Fat (gr/cal)

Energy Expenditure Table Pace

Heart Rate

Kcal hour/min

14:16

103

355/6

18/72

32/288

13:20

128

495/8

28/114

42/378

12:30

137

510/9

33/132

43/387

11:46

143

528/9

30/120

46/414

11:07

145

536/9

31/124

46/414

10:31

153

578/10

38/152

48/432

10:00

160

580/10

41/164

46/414

9:32

165

621/10

50/200

47/423

9:05

171

650/11

63/252

44/396

8:42

173

695/12

90/360

38/342

CHO (gr/cal) Fat (gr/cal)

Energy Expenditure Table Pace

Heart Rate

Kcal hour/min

14:16

103

355/6

18/72

32/288

13:20

128

495/8

28/114

42/378

12:30

137

510/9

33/132

43/387

11:46

143

528/9

30/120

46/414

11:07

145

536/9

31/124

46/414

10:31

153

578/10

38/152

48/432

10:00

160

580/10

41/164

46/414

9:32

165

621/10

50/200

47/423

9:05

171

650/11

63/252

44/396

8:42

173

695/12

90/360

38/342

CHO (gr/cal) Fat (gr/cal)

Energy Expenditure Table Pace

Heart Rate

Kcal hour/min

14:16

103

355/6

18/72

32/288

13:20

128

495/8

28/114

42/378

12:30

137

510/9

33/132

43/387

11:46

143

528/9

30/120

46/414

11:07

145

536/9

31/124

46/414

10:31

153

578/10

38/152

48/432

10:00

160

580/10

41/164

46/414

9:32

165

621/10

50/200

47/423

9:05

171

650/11

63/252

44/396

8:42

173

695/12

90/360

38/342

CHO (gr/cal) Fat (gr/cal)

Nutrition Rx for Ironman Athlete • Ironman EI is ~25-35% TEE HR

Kcal hr/min

CHO (gr/cal)

Fat (gr/cal)

14:16 103

355/6

18/72

32/288

13:20 128

495/8

28/114

42/378

12:30 137

510/9

33/132

43/387

is maximized to reduce

11:46 143

528/9

30/120

46/414

exogenous CHO feedings

11:07 145

536/9

31/124

46/414

10:31 153 578/10

38/152

48/432

10:00 160 580/10

41/164

46/414

9:32

165 621/10

50/200

47/423

9:05

171 650/11

63/252

44/396

8:42

173 695/12

90/360

38/342

• Race intensity 65-75% max • Emphasis on fat expenditure and at what intensities this

• If bike nutrition was adequate, safe to consume ~173-217 kcal/hr on the run

Pace

Elite Female Short Course Triathlete Bike: Incremental 100% 90% 80%

86%

70% 60% 50%

55%

40%

45%

59%

60%

42%

40%

30%

59% 42%

55%

57%

45%

44%

60%

41%

63%

64%

37%

37%

20% 10%

14%

0% Watts: 100

125

150

175

200

225

250

275

300

325

Conclusions • Did not achieve a true crossover point • Higher carbohydrate diet • More efficient at burning fat at higher vs. lower intensities

Energy Expenditure Table Power

Heart Rate

Calorie hour/min

CHO (gr/cal)

Fat (gr/cal)

100

75

354/6

49/196

18/162

125

83

465/8

69/276

22/198

150

91

524/9

79/316

23/207

175

101

602/10

89/356

28/252

200

114

693/12

95/380

35/315

225

122

821/14

117/468

40/360

250

136

914/15

137/548

41/369

275

155

1033/17

163/652

42/378

300

169

1130/19

181/724

46/414

325

183

1313/22

282/1128

20/180

Energy Expenditure Table Power

Heart Rate

Calorie hour/min

CHO (gr/cal)

Fat (gr/cal)

100

75

354/6

49/196

18/162

125

83

465/8

69/276

22/198

150

91

524/9

79/316

23/207

175

101

602/10

89/356

28/252

200

114

693/12

95/380

35/315

225

122

821/14

117/468

40/360

250

136

914/15

137/548

41/369

275

155

1033/17

163/652

42/378

300

169

1130/19

181/724

46/414

325

183

1313/22

282/1128

20/180

Energy Expenditure Table Power

Heart Rate

Calorie hour/min

CHO (gr/cal)

Fat (gr/cal)

100

75

354/6

49/196

18/162

125

83

465/8

69/276

22/198

150

91

524/9

79/316

23/207

175

101

602/10

89/356

28/252

200

114

693/12

95/380

35/315

225

122

821/14

117/468

40/360

250

136

914/15

137/548

41/369

275

155

1033/17

163/652

42/378

300

169

1130/19

181/724

46/414

325

183

1313/22

282/1128

20/180

Energy Expenditure Table Power

Heart Rate

Calorie hour/min

100

75

354/6

49/196

18/162

125

83

465/8

69/276

22/198

150

91

524/9

79/316

23/207

175

101

602/10

89/356

28/252

200

114

693/12

95/380

35/315

225

122

821/14

117/468

40/360

250

136

914/15

137/548

41/369

275

155

1033/17

163/652

42/378

300

169

1130/19

181/724

46/414

325

183

1313/22

282/1128

20/180

CHO (gr/cal)

Fat (gr/cal)

Nutrition Rx Female SC Triathlete • Race intensity >85% max Power

HR

Calorie hr/min

100

75

354/6

49/196

18/162

125

83

465/8

69/276

22/198

150

91

524/9

79/316

23/207

and exogenous CHO feedings

175

101

602/10

89/356

28/252

• Fat expenditure less important

200

114

693/12

95/380

35/315

• Consume minimum only:

225

122

821/14

117/468

40/360

250

136

914/15

137/548

41/369

275

155

1033/17

163/652

42/378

300

169

1130/19

181/724

46/414

325

183

1313/22

282/118

20/180

• Race EI is ~15-25% of race TEE • Emphasis on CHO expenditure

~137-170 kcal/hr on the bike

CHO (gr/cal)

Fat (gr/cal)

MCEA Examples and Applications: Constant Workload

Constant Workload: Month 1

C H O (black) and Fat (red)

Bike: Competitive Amateur Cyclist

65%

33%

74%

24%

64%

67%

69%

65%

34%

31%

30%

33%

58%

63%

63%

40%

36%

36%

0%

RPE

4

4

4

4

5

5

5

5

5

Watts

250

250

250

250

250

250

250

250

250

Total Kcals

1117

1126

1127

1132

1128

1130

1120

1091

1103

Heart Rate

149

152

153

154

154

157

155

156

156

Percent Contribution from CHO and fats to TEE

100% 90% 80% 70%

74% 65%

64%

67%

69% 65%

63%

63%

36%

36%

250

250

58%

60% 50% 40% 30%

40% 34%

33%

20%

31%

30%

250

250

33%

24%

10% 0% 250

250

250

250

Power (Watts)

250

Interpretation of Data Average CHO Expend. (cal/hr) 731

Average HR (bpm)

Average power (watts)

154

250

Average Average CHO Fat oxidation oxidation (%) (%) 65

33

CHO (black) and Fat (red)

Constant Workload: Month 2

46%

51%

46%

49%

46%

53%

48%

52%

50%

53%

5

5

5

5

5

5

250

250

250

250

250

250

250

1187

1192

1170

1189

1187

1171

1157

1154

138

140

139

140

140

140

140

142

55%

52%

52%

51%

44%

46%

47%

47%

4

4

4

Watts

250

250

Total Kcals

1220

Heart Rate

141

0%

RPE

Percent Contribution from CHO and fats to TEE

100% 90% 80% 70% 60%

55%

52%

52%

51%

50% 40%

51% 46% 53%

44%

46%

47%

47%

250

250

250

250

46% 52% 48%

49% 50%

46% 53%

30% 20% 10% 0% 250

250

Power (Watts)

250

250

250

Interpretation of Data Average CHO expend. (cal/hr) 588 (-143)

Average HR (bpm)

Average power (watts)

140 (-14)

250

Average Average CHO Fat oxidation oxidation (%) (%) 50 (-15)

49 (+16)



In one month emphasizing aerobic, heart rate based training, athlete increased utilization of fats as energy.



Athlete was able to decrease reliance of CHO per hour, thus the need for exogenous CHO was reduced.

Application 1. Athlete can appropriately determine caloric expenditure based on heart rate and/or power/pace training zones.

2. Athlete can appropriately determine total calorie and exogenous CHO needs per hour for each training zone.

MCEA Case Study •

Male endurance athlete



Training for 100 mile run



Goal to finish under 30 hour cut-off



Trains with a heart rate monitor



Knows lactate clearing efficiency (akalactate threshold) heart rate and pace zones

Month 1 100% 90%

90%

80% 70%

93%

83% 74%

60%

70%

74% 66%

End of Transition Cycle

50%

Dietary CHO: 7.7 g/kg (61%)

40% 30% 20%

26%

30%

34% 26% 18%

10%

11% 0% Min/mile: 10:00

9:32

9:05

8:42

8:20

8:00

8% 7:42

3 months later 100% 90% 80%

70%

70% 60% 50% 40%

58%

55% 45%

50% 50% 42%

54%

56%

58%

46%

44%

42%

30% 20%

End of Preparation cycle

10%

Dietary CHO: 5.4 g/kg (53%)

30%

0% Min/mile: 10:00

9:32

9:05

8:42

8:20

8:00

7:42

MCEA Case Study Summary Pace (min/mile)

CHO Expend. Month 1

CHO Expend. Month 3

FAT Oxidation Month 1

FAT Oxidation Month 3

10:00

74

55

26

45

9:32

70

50

30

50

9:05

66

58

34

42

8:42

74

54

26

46

8:20

83

56

18

44

8:00

90

58

11

42

7:42

93

70

8

30

MCEA Case Study Summary Pace (min/mile)

CHO Expend. Month 1

CHO Expend. Month 3

FAT Expend. Month 1

FAT Expend. Month 3

10:00

74

55

26

45

9:32

70

50

30

50

9:05

66

58

34

42

8:42

74

54

26

46

8:20

83

56

18

44

8:00

90

58

11

42

7:42

93

70

8

30

Application Underdeveloped aerobic system

Higher CHO diet at less appropriate times of year

More reliance on supplemental CHO

Poor utilization of body fat stores for energy

Inability to properly feed during training/racing

Want More Proof? Male Elite Cyclist Percentage

Start 100 50 0 1

2

3

4

5

Stages

Percentage

3 w eeks later 100

50

0 1

2

3

Stages

4

5

Future Looks Bright! 1. MCEA will allow athletes to further individualize nutritional needs for competition. 2. Calorie and carbohydrate intake can be matched for specific heart rate and power/pace training zones. 3. Crossover Concept can be utilized to gauge fitness in addition to it allowing an athlete to manipulate nutrition needs based on fitness throughout the year.

Summary • A good coach understands the “why.” • Over-testing is as bad as under-testing. • Coaching is as much an art as it is a science. • Know how to apply science but don’t get bogged down with it. Listening to your athletes and observing them gives more information and feedback.

Great Resource!!! $15 per signed copy available at the USA Triathlon Booth

Thanks to USA Triathlon!

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