DOI QR코드

DOI QR Code

Effect of a Mediterranean-style diet on the exercise performance and lactate elimination on adolescent athletes

  • Gizem Helvaci (Department of Nutrition and Dietetics, Faculty of Health Sciences, Ankara University) ;
  • Asli Ucar (Department of Nutrition and Dietetics, Faculty of Health Sciences, Ankara University) ;
  • Mehmet Mesut Celebi (Department of Sport Medicine, Faculty of Medicine, Ankara University) ;
  • Haydar Cetinkaya (Bolu Youth and Sports Provincial Directorate) ;
  • Ayse Zulal Gunduz (Bolu Youth and Sports Provincial Directorate)
  • Received : 2022.09.02
  • Accepted : 2023.04.05
  • Published : 2023.08.01

Abstract

BACKGROUND/OBJECTIVES: Mediterranean diet is an environmentally friendly and healthy diet model. The diet offers many vegetables, fruits, nuts, and olive oil to consumers. In addition, it provides moderate amounts of fish and chicken, smaller quantities of dairy products, red meat, and processed meat. The Mediterranean diet has a high anti-inflammatory and antioxidant content, and it causes many physiological changes that can provide a physical performance advantage. This study examined the effects of a 15-day menu, which was planned using foods with a low acid load within the Mediterranean diet rules, on the exercise performance, lactate elimination, anthropometric measurements, and body composition. SUBJECTS/METHODS: Fifteen professional male athletes between the ages of 13 and 18, who were engaged in ski running, were included in the experimental study. Dietary intervention was applied for 15 days. The athlete performances were evaluated by applying the vertical jump test, hand grip strength, 20 meters shuttle run test, and Borg fatigue scale. After the shuttle run test (every 3 min for 30 min), blood was drawn from the finger, and the lactate elimination time was calculated. Performance and lactate measurements, body analysis, and anthropometric measurements were taken before and after dietary intervention. RESULTS: The vertical jump height and hand grip strength increased after the intervention (P < 0.05). The test duration, total distance, the number of shuttles, and maximum oxygen consumption parameters of the shuttle run test increased (P < 0.05). After the intervention, the athletes' perceived fatigue scores decreased in several stages of the shuttle run test (P < 0.05). The lactate elimination time and athlete's body composition were similar in repeated measurements (P > 0.05). In the last measurements, the upper middle arm circumference decreased while the height of the athletes increased (P < 0.05). CONCLUSIONS: These results show that the Mediterranean diet is a safe and feasible dietary approach for aerobic performance and strength increase.

Keywords

Acknowledgement

The authors wish to thank the athletes who voluntarily participated in the study. In addition, the authors appreciate the institution's trainers, Ali Celiksoy and Cemal Cetinkaya, their chefs, and drivers for their support in the many stages of the research, including performance measurement, meal preparation, food purchase, and transportation.

References

  1. Lagana P, Coniglio MA, Corso C, Turco VL, Dattilo G, Delia S. Mediterranean diet, sport and health. Prog Nutr 2020;22:e2020045.
  2. Devrim-Lanpir A, Hill L, Knechtle B. Efficacy of popular diets applied by endurance athletes on sports performance: beneficial or detrimental? A narrative review. Nutrients 2021;13:491.
  3. Malsagova KA, Kopylov AT, Sinitsyna AA, Stepanov AA, Izotov AA, Butkova TV, Chingin K, Klyuchnikov MS, Kaysheva AL. Sports nutrition: diets, selection factors, recommendations. Nutrients 2021;13:3771.
  4. Adam S, Pasodi MS. Nutrition practice and its impact on performance of sports persons. Int J Health Phys Educ Comput Sci Sport 2019;35:141-4.
  5. Anderson JJ, Nieman DC. Diet quality-the Greeks had it right! Nutrients 2016;8:636.
  6. Pimentel D, Pimentel M. Sustainability of meat-based and plant-based diets and the environment. Am J Clin Nutr 2003;78:660S-3S. https://doi.org/10.1093/ajcn/78.3.660S
  7. Meyer NL, Reguant-Closa A, Nemecek T. Sustainable diets for athletes. Curr Nutr Rep 2020;9:147-62. https://doi.org/10.1007/s13668-020-00318-0
  8. Serra-Majem L, Tomaino L, Dernini S, Berry EM, Lairon D, Ngo de la Cruz J, Bach-Faig A, Donini LM, Medina FX, Belahsen R, et al. Updating the Mediterranean diet pyramid towards sustainability: focus on environmental concerns. Int J Environ Res Public Health 2020;17:8758.
  9. Dernini S, Berry EM. Mediterranean diet: from a healthy diet to a sustainable dietary pattern. Front Nutr 2015;2:15.
  10. Barnard ND, Goldman DM, Loomis JF, Kahleova H, Levin SM, Neabore S, Batts TC. Plant-based diets for cardiovascular safety and performance in endurance sports. Nutrients 2019;11:130.
  11. Merra G, Noce A, Marrone G, Cintoni M, Tarsitano MG, Capacci A, De Lorenzo A. Influence of Mediterranean diet on human gut microbiota. Nutrients 2020;13:7.
  12. Barnett A. Using recovery modalities between training sessions in elite athletes: does it help? Sports Med 2006;36:781-96. https://doi.org/10.2165/00007256-200636090-00005
  13. Monedero J, Donne B. Effect of recovery interventions on lactate removal and subsequent performance. Int J Sports Med 2000;21:593-7. https://doi.org/10.1055/s-2000-8488
  14. Chang CC, Chen CW, Owaga E, Lee WT, Liu TN, Hsieh RH. Mangosteen concentrate drink supplementation promotes antioxidant status and lactate clearance in rats after exercise. Nutrients 2020;12:1447.
  15. Patlar S, Baltaci AK, Mogulkoc R, Gunay M. Effect of vitamin C supplementation on lipid peroxidation and lactate levels in individuals performing exhaustion exercise. Ann Appl Sport Sci 2017;5:21-7. https://doi.org/10.18869/acadpub.aassjournal.5.2.21
  16. Wu L, Sun Z, Zhao J, Guo X, Wang J. Effect of astaxanthin supplementation on antioxidant capacity, blood lactate and blood uric acid metabolism in human recovery stage after exercise. Adv Biosci Bioeng 2019;7:60.
  17. Chycki J, Kurylas A, Maszczyk A, Golas A, Zajac A. Alkaline water improves exercise-induced metabolic acidosis and enhances anaerobic exercise performance in combat sport athletes. PLoS One 2018;13:e0205708.
  18. Yalcinkaya N, Cetin O, Beyleroglu M, Isik O, Eker S, Bilge M. Effect of alkaline diet with 8-week step aerobic exercise on body composition and aerobic exercise performance of sedentary women. Prog Nutr 2020;22:11-8.
  19. Schwalfenberg GK. The alkaline diet: is there evidence that an alkaline pH diet benefits health? J Environ Public Health 2012;2012:727630.
  20. Fatahi S, Varkaneh HK, Azadbakht L. Association between dietary acid load with alternative Mediterranean diet and dietary approaches to stop hypertension among Tehranian women. J Adv Biomed Sci 2018;8:1036-45.
  21. Applegate C, Mueller M, Zuniga KE. Influence of dietary acid load on exercise performance. Int J Sport Nutr Exerc Metab 2017;27:213-9. https://doi.org/10.1123/ijsnem.2016-0186
  22. Baker ME, DeCesare KN, Johnson A, Kress KS, Inman CL, Weiss EP. Short-term Mediterranean diet improves endurance exercise performance: a randomized-sequence crossover trial. J Am Coll Nutr 2019;38:597-605. https://doi.org/10.1080/07315724.2019.1568322
  23. Philippou E, Middleton N, Pistos C, Andreou E, Petrou M. The impact of nutrition education on nutrition knowledge and adherence to the Mediterranean diet in adolescent competitive swimmers. J Sci Med Sport 2017;20:328-32. https://doi.org/10.1016/j.jsams.2016.08.023
  24. Caciano SL, Inman CL, Gockel-Blessing EE, Weiss EP. Effects of dietary acid load on exercise metabolism and anaerobic exercise performance. J Sports Sci Med 2015;14:364-71.
  25. Limmer M, Eibl AD, Platen P. Enhanced 400-m sprint performance in moderately trained participants by a 4-day alkalizing diet: a counterbalanced, randomized controlled trial. J Int Soc Sports Nutr 2018;15:25.
  26. Rios Enriquez O, Guerra-Hernandez E, Feriche Fernandez-Castanys B. Effects of the metabolic alkalosis induced by the diet in the high intensity anaerobic performance. Nutr Hosp 2010;25:768-73.
  27. Remer T, Manz F. Estimation of the renal net acid excretion by adults consuming diets containing variable amounts of protein. Am J Clin Nutr 1994;59:1356-61. https://doi.org/10.1093/ajcn/59.6.1356
  28. Kerksick CM, Fox E. Sports Nutrition Needs for Child and Adolescent Athletes. Boca Raton (FL): CRC Press; 2016.
  29. Merdol TK. Standard Meal Schedules. Ankara: Hatipoglu Publisher; 2003.
  30. Kilic P, Pekcan G. Reference values of handgrip strength for healthy adults. J Nutr Diet 2012;40:32-42.
  31. Balsalobre-Fernandez C, Glaister M, Lockey RA. The validity and reliability of an iPhone app for measuring vertical jump performance. J Sports Sci 2015;33:1574-9. https://doi.org/10.1080/02640414.2014.996184
  32. Coburn JW. Measuring power. Strength Condit J 2012;34:25-8. https://doi.org/10.1519/SSC.0b013e3182708a7d
  33. Mayorga-Vega D, Aguilar-Soto P, Viciana J. Criterion-related validity of the 20-m shuttle run test for estimating cardiorespiratory fitness: a meta-analysis. J Sports Sci Med 2015;14:536-47.
  34. Leger LA, Mercier D, Gadoury C, Lambert J. The multistage 20 metre shuttle run test for aerobic fitness. J Sports Sci 1988;6:93-101. https://doi.org/10.1080/02640418808729800
  35. Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc 1982;14:377-81. https://doi.org/10.1249/00005768-198205000-00012
  36. Fleming N, Vaughan J, Feeback M. Ingestion of oxygenated water enhances lactate clearance kinetics in trained runners. J Int Soc Sports Nutr 2017;14:9.
  37. Baysal A, Aksoy M, Besler HT, Bozkurt N, Kececioglu S, Merdol TK, et al. Diet Handbook. Ankara: Hatipoglu Press; 2008.
  38. Pekcan G. Determination of Nutritional Status. Ankara: Ministry of Health Press; 2012.
  39. Caccialanza R, Cameletti B, Cavallaro G. Nutritional intake of young Italian high-level soccer players: under-reporting is the essential outcome. J Sports Sci Med 2007;6:538-42.
  40. Russell M, Pennock A. Dietary analysis of young professional soccer players for 1 week during the competitive season. J Strength Cond Res 2011;25:1816-23. https://doi.org/10.1519/JSC.0b013e3181e7fbdd
  41. Briggs MA, Cockburn E, Rumbold PL, Rae G, Stevenson EJ, Russell M. Assessment of energy intake and energy expenditure of male adolescent academy-level soccer players during a competitive week. Nutrients 2015;7:8392-401. https://doi.org/10.3390/nu7105400
  42. Kim SH, Oh CS, Lee JH. Dietary nutrient intake of Korean adolescent distance runners. J Exerc Rehabil 2019;15:781-6. https://doi.org/10.12965/jer.1938682.341
  43. Black AE. Dietary assessment for sports dietetics. Nutr Bull 2001;26:29-42. CROSSREF https://doi.org/10.1046/j.1467-3010.2001.00096.x
  44. Yannakoulia M, Aggelopoulou D, Skenderi K, Koinaki S, Yiannakouris N. A Mediterranean-like breakfast affects energy intake and appetite-related feelings. Int J Food Sci Nutr 2014;65:899-902. https://doi.org/10.3109/09637486.2014.931359
  45. Aerenhouts D, Van Cauwenberg J, Poortmans JR, Hauspie R, Clarys P. Influence of growth rate on nitrogen balance in adolescent sprint athletes. Int J Sport Nutr Exerc Metab 2013;23:409-17. https://doi.org/10.1123/ijsnem.23.4.409
  46. Peng W, Berry EM, Goldsmith R. Adherence to the Mediterranean diet was positively associated with micronutrient adequacy and negatively associated with dietary energy density among adolescents. J Hum Nutr Diet 2019;32:41-52. https://doi.org/10.1111/jhn.12602
  47. Serra-Majem L, Bes-Rastrollo M, Roman-Vinas B, Pfrimer K, Sanchez-Villegas A, Martinez-Gonzalez MA. Dietary patterns and nutritional adequacy in a Mediterranean country. Br J Nutr 2009;101 Suppl 2:S21-8.  https://doi.org/10.1017/S0007114509990559
  48. Hietavala EM, Puurtinen R, Kainulainen H, Mero AA. Low-protein vegetarian diet does not have a short-term effect on blood acid-base status but raises oxygen consumption during submaximal cycling. J Int Soc Sports Nutr 2012;9:50. https://doi.org/10.1186/1550-2783-9-50
  49. Campa F, Toselli S, Mazzilli M, Gobbo LA, Coratella G. Assessment of body composition in athletes: a narrative review of available methods with special reference to quantitative and qualitative bioimpedance analysis. Nutrients 2021;13:1620.
  50. Kuo KL, Chen HM, Hsiao SH, Chu D, Huang SJ, Huang KC, Huang CY. The relationship between anthropometric factors and hyperuricemia in adolescent athletes. Obes Res Clin Pract 2021;15:375-80. https://doi.org/10.1016/j.orcp.2021.03.012
  51. Altavilla C, Joulianos A, Comeche Guijarro JM, Caballero P. Adherence to the Mediterranean diet, is there any relationship with main indices of central fat in adolescent competitive swimmers? Arch Med Deporte 2021;38:113-8. https://doi.org/10.18176/archmeddeporte.00034
  52. Gulati A, Jain R, Khan A, Dhingra M. Comparison of anthropometric parameters between Indian adolescent male swimmers and non-swimmers: a cross-sectional study. Eur J Phys Educ Sport Sci 2021;7:80-9. https://doi.org/10.46827/ejpe.v7i2.3858
  53. Bacopoulou F, Landis G, Rentoumis A, Tsitsika A, Efthymiou V. Mediterranean diet decreases adolescent waist circumference. Eur J Clin Invest 2017;47:447-55. https://doi.org/10.1111/eci.12760
  54. Natour N, Badrasawi M, Samouh M, Khodour R. Relationship between adherence to Mediterranean diet with, nutritional and physical fitness status among young athletes from football sports academy-Palestine. Ann Epidemiol Public Health 2020;3:1032.
  55. Kurka JM, Buman MP, Ainsworth BE. Validity of the rapid eating assessment for patients for assessing dietary patterns in NCAA athletes. J Int Soc Sports Nutr 2014;11:42.
  56. Juzwiak CR, Amancio OM, Vitalle MS, Pinheiro MM, Szejnfeld VL. Body composition and nutritional profile of male adolescent tennis players. J Sports Sci 2008;26:1209-17. https://doi.org/10.1080/02640410801930192
  57. Manzano-Carrasco S, Felipe JL, Sanchez-Sanchez J, Hernandez-Martin A, Clavel I, Gallardo L, Garcia-Unanue J. Relationship between adherence to the Mediterranean diet and body composition with physical fitness parameters in a young active population. Int J Environ Res Public Health 2020;17:3337.
  58. Martinez-Rodriguez A, Martinez-Olcina M, Hernandez-Garcia M, Rubio-Arias JA, Sanchez-Sanchez J, Lara-Cobos D, Vicente-Martinez M, Carvalho MJ, Sanchez-Saez JA. Mediterranean diet adherence, body composition and performance in beach handball players: a cross sectional study. Int J Environ Res Public Health 2021;18:2837.
  59. Rubio-Arias JA, Ramos Campo DJ, Ruiloba Nunez JM, Carrasco Poyatos M, Alcaraz Ramon PE, Jimenez Diaz FJ. Adherence to a Mediterranean diet and sport performance in a elite female athletes futsal population. Nutr Hosp 2015;31:2276-82.
  60. Alacid F, Vaquero-Cristobal R, Sanchez-Pato A, Muyor JM, Lopez-Minarro PA. Habit based consumptions in the Mediterranean diet and the relationship with anthropometric parameters in young female kayakers. Nutr Hosp 2014;29:121-7.
  61. Galan-Lopez P, Ries F, Gisladottir T, Dominguez R, Sanchez-Oliver AJ. Healthy lifestyle: relationship between Mediterranean diet, body composition and physical fitness in 13 to 16-years old Icelandic students. Int J Environ Res Public Health 2018;15:2632.
  62. Santos DA, Dawson JA, Matias CN, Rocha PM, Minderico CS, Allison DB, Sardinha LB, Silva AM. Reference values for body composition and anthropometric measurements in athletes. PLoS One 2014;9:e97846.
  63. Kasper AM, Langan-Evans C, Hudson JF, Brownlee TE, Harper LD, Naughton RJ, Morton JP, Close GL. Come back skinfolds, all is forgiven: a narrative review of the efficacy of common body composition methods in applied sports practice. Nutrients 2021;13:1075.
  64. Kurklu NS, Altun HK. Evaluation of healthy nutrition scores with different diet quality indices in faculty of sports science students. Turk J Sports Sci 2021;13:183-90.
  65. Bucan Nenadic D, Kolak E, Selak M, Smoljo M, Radic J, Vuckovic M, Dropuljic B, Pijerov T, Babic Cikos D. Anthropometric parameters and Mediterranean diet adherence in preschool children in split-Dalmatia county, Croatia-are they related? Nutrients 2021;13:4252.
  66. Bonaccorsi G, Lorini C, Santomauro F, Sofi F, Vannetti F, Pasquini G, Macchi C; Mugello Study Group. Adherence to Mediterranean diet and nutritional status in a sample of nonagenarians. Exp Gerontol 2018;103:57-62. https://doi.org/10.1016/j.exger.2017.12.016
  67. Frisancho AR. New norms of upper limb fat and muscle areas for assessment of nutritional status. Am J Clin Nutr 1981;34:2540-5. https://doi.org/10.1093/ajcn/34.11.2540
  68. Seiquer I, Mesias M, Hoyos AM, Galdo G, Navarro MP. A Mediterranean dietary style improves calcium utilization in healthy male adolescents. J Am Coll Nutr 2008;27:454-62. https://doi.org/10.1080/07315724.2008.10719725
  69. Buchhorn R. Growth-promoting effects of omega-3-fatty acid supplementation in children with short stature. Ann Nutr Disord Ther 2020;7:1064.
  70. Fang A, Li K, Li H, Guo M, He J, Shen X, Song J. Low habitual dietary calcium and linear growth from adolescence to young adulthood: results from the China Health and Nutrition Survey. Sci Rep 2017;7:9111.
  71. Samadi M, Moradi S, Azadbakht L, Rezaei M, Hojati N. Adherence to healthy diet is related to better linear growth with open growth plate in adolescent girls. Nutr Res 2020;76:29-36. https://doi.org/10.1016/j.nutres.2020.02.002
  72. Julian C, Huybrechts I, Gracia-Marco L, Gonzalez-Gil EM, Gutierrez A, Gonzalez-Gross M, Marcos A, Widhalm K, Kafatos A, Vicente-Rodriguez G, et al. Mediterranean diet, diet quality, and bone mineral content in adolescents: the HELENA study. Osteoporos Int 2018;29:1329-40. https://doi.org/10.1007/s00198-018-4427-7
  73. Vatanparast H, Baxter-Jones A, Faulkner RA, Bailey DA, Whiting SJ. Positive effects of vegetable and fruit consumption and calcium intake on bone mineral accrual in boys during growth from childhood to adolescence: the University of Saskatchewan Pediatric Bone Mineral Accrual Study. Am J Clin Nutr 2005;82:700-6. https://doi.org/10.1093/ajcn/82.3.700
  74. Valtuena S, Sette S, Branca F. Influence of Mediterranean diet and Mediterranean lifestyle on calcium and bone metabolism. Int J Vitam Nutr Res 2001;71:189-202. https://doi.org/10.1024/0300-9831.71.3.189
  75. Schtscherbyna A, Ribeiro BG, Fleiuss FM. Nutrition and Enhanced Sports Performance. Cambridge (MA): Academic Press; 2019.
  76. Rankovic G, Mutavdzic V, Toskic D, Preljevic A, Kocic M, Nedin Rankovic G, Damjanovic N. Aerobic capacity as an indicator in different kinds of sports. Bosn J Basic Med Sci 2010;10:44-8. https://doi.org/10.17305/bjbms.2010.2734
  77. Galan-Lopez P, Dominguez R, Pihu M, Gisladottir T, Sanchez-Oliver AJ, Ries F. Evaluation of physical fitness, body composition, and adherence to Mediterranean diet in adolescents from Estonia: the AdolesHealth study. Int J Environ Res Public Health 2019;16:4479.
  78. Huyghe T, Calleja-Gonzalez J, Terrados N. Basketball Sports Medicine and Science. Berlin: Springer; 2020.
  79. Kuznetcov S, Chernogorov D, Matveev Y. Use of lactate as the main metabolic marker to control the functional state of the body during the preparation of weightlifters. J Phys Educ Sport 2020;20:2554-9.
  80. Chen HY, Cheng FC, Pan HC, Hsu JC, Wang MF. Magnesium enhances exercise performance via increasing glucose availability in the blood, muscle, and brain during exercise. PLoS One 2014;9:e85486.
  81. Choi SK, Baek SH, Choi SW. The effects of endurance training and thiamine supplementation on anti-fatigue during exercise. J Exerc Nutrition Biochem 2013;17:189-98. https://doi.org/10.5717/jenb.2013.17.4.189
  82. Boyali E, Nizamlioglu M, Patlar S. The effects of vitamin E application on some free radicals and lactate levels in acute exercise. Turk J Sport Exerc 2012;14:36-42.
  83. Hietavala EM, Stout JR, Hulmi JJ, Suominen H, Pitkanen H, Puurtinen R, Selanne H, Kainulainen H, Mero AA. Effect of diet composition on acid-base balance in adolescents, young adults and elderly at rest and during exercise. Eur J Clin Nutr 2015;69:399-404. https://doi.org/10.1038/ejcn.2014.245
  84. Arciero PJ, Miller VJ, Ward E. Performance enhancing diets and the PRISE protocol to optimize athletic performance. J Nutr Metab 2015;2015:715859.