Hyperlipemia, Carbohydrate Inducible Clinical Trial
Official title:
The Effect of Milk as a Recovery Beverage After Exercise on Next-day Postprandial Triglycerides
Fasting blood fat levels (triglycerides) are often used to assess risk of heart disease but the level of fats in the blood after a meal is actually a stronger risk factor. Most of our day is spent digesting the food we eat (which takes hours). Therefore, "after meal" blood fat levels have more of an impact on formation of blockages in our arteries and our risk of heart disease compared to "fasting" blood fat levels. Exercise performed hours before a meal reduces the level of fats that appear in the blood after a meal and can be used to reduce our risk of heart disease. Exercise has this effect because muscle burns fats for hours after an exercise session is over; this helps to remove fats from the blood. Unfortunately, when high-sugar drinks (such as Gatorade) are consumed after exercise, the possible benefits of exercise for reducing blood fat levels after meals is lessened. This is because high-sugar drinks stimulate the release of insulin into the blood. Insulin is a hormone which inhibits fat burning at the muscle. Previous research we did showed that foods that result in a slower rise in blood sugar and lower release of insulin preserve the beneficial effects of exercise for lowering blood fat levels after the next meal. Milk also results in a slow rise in blood sugar and low release of insulin; therefore, it may also have this beneficial effect if consumed as a recovery beverage after exercise. Our proposed research will test the effects of consuming two popular exercise-recovery drinks (Milk vs. Gatorade) on the rise in blood fat levels after a meal given hours later. A total of 20 obese or overweight participants will take part. We predict that milk consumed after an exercise session in the evening will result in a lower increase in insulin, a greater amount of fat-burning at muscle and a lower blood fat level after a meal given the next morning. Milk and Gatorade are both promoted as good beverages to promote recovery after exercise. This study will provide evidence about milk as a healthier choice compared to Gatorade and will allow dairy producers to promote health benefits of dairy products.
Cardiovascular disease is the leading cause of death in Canada with annual direct and
indirect costs estimated at $22 billion. Fasting lipid levels are associated with elevated
risk of cardiovascular disease; however, postprandial lipids - the level of TG after a meal,
are very potent predictors of cardiovascular disease risk because most of an individual's day
is spent in the postprandial state. This problem is especially evident in obese individuals,
who have an elevated postprandial TG response. An acute session of exercise is beneficial for
reducing postprandial TG; however, caloric consumption immediately after exercise can
attenuate this beneficial effect.
Carbohydrate quality may influence postprandial lipid response. Carbohydrates can be
classified by their glycemic index (GI), where high GI carbohydrates are rapidly digested and
result in large elevations in blood glucose. Low GI carbohydrates are digested slowly and
result in a smaller, more gradual rise in blood glucose. High GI carbohydrates are associated
with an elevated risk of cardiovascular disease and increased weight gain; whereas low GI
carbohydrates are associated with a reduced risk of cardiovascular disease and decreased
weight gain. As mentioned above, one of the main benefits of an acute session of exercise is
to reduce TG levels after a subsequent meal. For example, an evening exercise session reduces
the blood TG response after a high-fat breakfast provided the next day. This effect is
negated if high GI beverages (i.e. sugar-sweetened drinks) are consumed immediately after
exercise. Sports drinks such as Gatorade, and skim milk or chocolate milk are the leading
beverages promoted for consumption during recovery after exercise. Gatorade has a high GI
(i.e. GI=89) due to the inclusion of high amounts of simple sugars, whereas milk has a low GI
(i.e. GI=34). Milk may therefore be a healthier choice for consumption after exercise.
No study has determined the effects of consuming low GI milk after an exercise session on
next-day postprandial TG. Considering that consuming beverages after exercise is common
practice and can influence blood lipid profiles, investigation into effects of low GI milk
versus high GI recovery beverages is required.
The aim of this proposal is to determine if replacing calories expended during an evening
session of endurance exercise with low GI milk can improve postprandial TG after a meal the
next morning. We propose to look at the effects of consuming skim milk compared to Gatorade
after endurance exercise on the blood TG, other lipids, glucose levels, and blood pressure
responses after a high-fat meal consumed the morning after the exercise.
Our objective is to determine the effect of consuming milk after an evening exercise session
on blood triglyceride response to a high fat meal the next morning. This will be compared to:
A condition where exercise is performed followed by consumption of a high glycemic index
Gatorade beverage; a condition where only exercise is performed with no after-exercise
caloric consumption; a condition where neither exercise nor beverage is consumed in the
evening. After each of these conditions, a high fat breakfast will be consumed the following
morning (about 10 hours after the end of the exercise session). Blood will be collected
before the breakfast and for 6 hours after the breakfast to determine postprandial metabolic
response.
Our secondary objectives are to determine the effect of each condition on postprandial
insulin, high density lipoprotein, apolipoprotein B, total cholesterol, and free fatty acids,
and muscle fat oxidation. Blood pressure will also be assessed immediately after the evening
exercise session and beverage consumption and continue throughout the night and throughout
the postprandial period the next day.
Our primary hypothesis is that consuming low glycemic index milk after the evening exercise
session will be superior to consuming Gatorade for reducing postprandial triglycerides the
next morning.
Our secondary hypotheses are that consuming low glycemic index milk after the evening
exercise session will be superior to consuming Gatorade for improving other metabolic
measures (i.e. increasing high density lipoproteins, plasma free fatty acids, and fat
oxidation, and reducing apolipoprotein B, low density lipoproteins, total cholesterol, and
blood pressure) during the postprandial period after a high-fat meal.
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