Impact of Ketone Salt Containing Supplement on Cardiorespiratory and Oxidative Stress Response in Firefighters Exercising in Personal Protective Equipment

Date

2019-02-24

Authors

McAllister, Matthew
Holland, Angelia
Chander, Harish
Waldman, Hunter
Smith, John Eric W.
Basham, Steven

Journal Title

Journal ISSN

Volume Title

Publisher

Tehran University of Medical Sciences

Abstract

Background: Firefighters have the highest risk of on duty death due to cardiovascular disease which may be caused by excessive oxidative stress (OS). Animal studies have shown that ketone bodies may reduce OS; however, human trials are needed. Objectives: To examine the effects of a supplement containing ketone salts (KS) on blood OS and cardiorespiratory responses in firefighters exercising in personal protective equipment. Methods: Nine firefighters supplemented with KS or a calorie-and-flavor-matched placebo (PLA) twice per day for 7 days in arandomized, crossover design. On the eighth day, firefighters arrived for testing after ≥ 8 hour fast and ingested the assigned supplement 35 minutes before performing the exercise task (35 minutes at 60% VO2peak intensity) wearing personal protective equipment (i.e., turnout gear, self-contained breathing apparatus, air tank, gloves). Blood was sampled pre- and post-exercise (post periods: immediately, 30 minutes and 24 hours) and analyzed for markers of OS including red blood cell (RBC) levels of glutathione (GSH), oxidized glutathione, superoxide dismutase (SOD), as well as plasma levels of SOD, catalase, total antioxidant capacity, malondialdehyde, and glucose. Results: There was no treatment effect or treatment x time interaction (P > 0.05) for any of the markers of OS. However, the exercise protocol resulted in significant increases in RBC levels of SOD from pre- to immediately post-exercise and decreased RBC levels of GSH from pre- to 30 minutes post-exercise. Ingestion of KS resulted in a significant increase in ketone levels and reduction in heart rate during the exercise test. Conclusions: These findings suggest that 7 days of supplementation with a KS supplement does not impact markers of OS but reduces heart rate.

Description

Keywords

central nervous system, ergogenic aid, heart rate, ketosis, substrate oxidation, beta-hydroxybutyrate, Health and Human Performance

Citation

McAllister, M. J., Holland, A. M., Chander, H., Waldman, H. S., Smith, J. E. W., & Basham, S. A. (2019). Impact of Ketone Salt Containing Supplement on Cardiorespiratory and Oxidative Stress Response in Firefighters Exercising in Personal Protective Equipment. Asian Journal of Sports Medicine, 10(1), pp. 1–8.

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© 2019 The Author(s).

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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