Pre-exercise citrulline malate ingestion has no effect on gastric emptying rate of a carbohydrate-electrolyte solution during moderate intensity exercise

Physiology 2015 (Cardiff, UK) (2015) Proc Physiol Soc 34, PC082

Poster Communications: Pre-exercise citrulline malate ingestion has no effect on gastric emptying rate of a carbohydrate-electrolyte solution during moderate intensity exercise

G. H. Evans1, A. Lant2, E. Hime2, J. McLaughlin3, T. Pocock2, E. Sheader2, A. M. Yau1

1. School of Healthcare Science, Manchester Metropolitan University, Manchester, United Kingdom. 2. Faculty of Life Sciences, University of Manchester, Manchester, United Kingdom. 3. Institute of Inflammation and Repair, University of Manchester, Manchester, United Kingdom.

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Water and nutrient delivery during exercise is determined by the combined rates of gastric emptying and intestinal absorption. Exercise at an intensity that exceeds 70% VO2max results in a reduction in gastric emptying rate, particularly when exercise is of an intermittent nature[1]. It has been suggested that this observation is likely to be due to the reduction in splanchnic blood flow that has been observed during exercise[2]. It has also been suggested that this reduction in splanchnic blood flow is the main mechanism for a number of gastrointestinal complaints observed during exercise[2]. Citrulline, a precursor to L-arginine, increases nitric oxide production and pre-exercise ingestion has been shown to increase blood flow in gut microcirculation and reduce levels of enterocyte damage[3]. The aim of this study was to determine whether pre-exercise citrulline ingesion influenced gastric emptying rate during moderate intensity exercise. Ten healthy male participants aged 21 ± 1 y undertook two experimental trials in a randomised, crossover, double blind, placebo controlled study. Following an overnight fast, participants ingested 100 mL of water with either 6 g of citrulline malate or alanine before a 30 minute rest period. Participants then ingested 600 mL of a commercially available sports drink containing 100 mg 13C sodium acetate, for measurement of gastric emptying rate. They then undertook a 60 minute period of cycle ergometry exercise at an initial intensity sufficient to illicit 65% of age predicted maximal heart rate. Breath samples were collected pre-exercise and at 10 minute intervals throughout exercise to assess gastric emptying rate using the [13C] acetate breath method. Data was analysed using t-tests and two factor ANOVAs where appropriate. Half emptying time (T1/2) of the solution amounted to 45 ± 7 and 47 ± 12 minutes (P = 0.559) during the alanine and citrulline malate trials respectively. Time of maximal emptying rate (Tlag) amounted to 35 ± 5 and 35 ± 6 minutes (P = 0.822) during the alanine and citrulline malate trials respectively. Two factor repeated measures ANOVA on breath delta over baseline data showed no main effect of supplement (P = 0.888), a main effect of time (P < 0.001) and no interaction effect (P = 0.915). Citrulline supplementation has been demonstrated to improve blood flow of the gut microcirculation[3] however the results of this study suggest that 6 g citrulline malate 30 minutes prior to moderate intensity exercise has little effect on gastric emptying rate during exercise. Future studies should focus on the intensity of exercise and/or the dosage of citrulline malate provided.



Where applicable, experiments conform with Society ethical requirements.

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