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The study aimed to investigate the effects of sodium bicarbonate (NaHCO3) intake with divergent verbal and visual information on constant load cycling time-to-task failure, conducted within the severe intensity domain. Fifteen recreational cyclists participated in a randomized double-blind, crossover study, ingesting NaHCO3 or placebo (i.e., dextrose), but with divergent information about its likely influence (i.e., likely to induce ergogenic, inert, or harmful effects). Performance was evaluated using constant load cycling time to task failure trial at 115% of peak power output estimated during a ramp incremental exercise test. Data on blood lactate, blood acid-base balance, muscle electrical activity (EMG) through electromyography signal, and the twitch interpolation technique to assess neuromuscular indices were collected. Despite reduced peak force in the isometric maximal voluntary contraction and post-effort peripheral fatigue in all conditions (P < 0.001), neither time to task failure, EMG nor, blood acid-base balance differed between conditions (P > 0.05). Evaluation of effect sizes of all conditions suggested that informing participants that the supplement would be likely to have a positive effect (NaHCO3/Ergogenic: 0.46; 0.15-0.74; Dextrose/Ergogenic: 0.45; 0.04-0.88) resulted in improved performance compared to control. Thus, NaHCO3 ingestion consistently induced alkalosis, indicating that the physiological conditions to improve performance were present. Despite this, NaHCO3 ingestion did not influence performance or indicators of neuromuscular fatigue. In contrast, effect size estimates indicate that participants performed better when informed that they were ingesting an ergogenic supplement. These findings suggest that the apparently ergogenic effect of NaHCO3 may be due, at least in part, to a placebo effect.
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Dietary acid load (DAL) is an important determinant of the acid-base balance in humans and has been associated with several chronic non-communicable diseases. Plant-based diets, including vegetarian and vegan diets, decrease DAL-although their alkalizing potential varies substantially. Their net effect on common DAL scores, including potential renal acid load and net endogenous acid production, has been insufficiently quantified and is poorly understood-particularly in populations outside of Europe and North America. We assessed the associations between three plant-based dietary patterns (flexitarian vs. lacto-ovo-vegetarian vs. vegan diet) and DAL scores in a healthy Venezuelan population in the metropolitan area of Puerto La Cruz, Venezuela. Substantial differences in DAL scores were observed, whereby the vegan diet yielded the highest alkalizing potential, followed by the lacto-ovo-vegetarian and the flexitarian diet. DAL scores were substantially lower in comparison to European and North American plant-based populations, probably due to the higher potassium intake (exceeding 4000 mg/d in vegans), the higher magnesium intake (390.31 ± 1.79 mg/d in vegans) and the lower intake of protein in vegans and lacto-ovo-vegetarians. Additional studies in other non-industrialized populations are warranted to allow for a better understanding of the (numeric) impact of plant-based dietary patterns on DAL scores, potentially allowing for an establishment of reference ranges in the near future.
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Benchmarking , Dieta , Humanos , Estudos Transversais , Venezuela , Vegetarianos , Dieta Vegana , Dieta VegetarianaRESUMO
BACKGROUND: Enteral hydration in cattle is most commonly performed as a bolus (B) via the ororuminal route, although continuous flow (CF) administration via the nasoesophageal route represents a viable alternative. Currently, no study has compared the effectiveness of these two methods. This study aimed to compare the efficiency of enteral hydration using CF and B to correct water, electrolyte and acid-base imbalances in cows. METHODS: Protocols for the induction of dehydration were applied twice to eight healthy cows, with an interval of 1 week. In a crossover design, two types of enteral hydration were performed using the same electrolyte solution and volume equal to 12% of bodyweight (BW): CF (10 mL/kg/h, between 0 and 12 hours) and B (6% BW, twice, at 0 and 6 hours). Clinical and blood variables were determined at -24, 0, 6, 12 and 24 hours and compared using repeated-measures ANOVA. RESULTS: Induced moderate dehydration and hypochloremic metabolic alkalosis were corrected after 12 hours using the two hydration methods, with no differences observed between the methods. LIMITATIONS: The study was conducted with induced rather than natural imbalances, so the findings should be interpreted cautiously. CONCLUSION: Enteral CF hydration is as effective as B hydration in reversing dehydration and correcting electrolyte and acid-base imbalances.
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Desequilíbrio Ácido-Base , Doenças dos Bovinos , Animais , Bovinos , Feminino , Desequilíbrio Ácido-Base/veterinária , Desidratação/terapia , Desidratação/veterinária , Eletrólitos , Hidratação/veterinária , Água , Estudos Cross-OverRESUMO
La acidosis metabólica se ha convertido en un problema muy serio, tanto en las áreas críticas, como de medicina interna y emergencias, sobre todo por la innumerable cantidad de patologías que la presentan; que ha encaminado a muchos profesionales a usar el bicarbonato de Na (NaHCO3-), que definitivamente tiene un efecto en el ascenso del pH y el HCO3-, asociado a un sosiego inverosímil del profesional médico y probablemente a un escaso beneficio por parte de los pacientes; este estudio trata de explicar en forma concisa a la etiología de la acidosis metabólica y la real indicación de esta droga, que hasta el momento podría tener más perjuicios que beneficios.
Metabolic acidosis has become a very serious problem, both in critical areas, such as internal medicine and emergencies, especially due to the innumerable number of pathologies that present it; which has led many professionals to use Na bicarbonate (NaHCO3-), which definitely has an effect on the rise in pH and HCO3-, associated with an unlikely calmness of the medical professional and probably with little benefit on the part of the patients. patients; This study tries to concisely explain the etiology of metabolic acidosis and the real indication of this drug, which up to now could have more harm than good.
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RESUMEN Introducción: el portador de insuficiencia renal crónica puede presentar diversas alteraciones del estado ácido básico, siendo la acidosis metabólica la más frecuente. Objetivos: describir las características demográficas y clínicas y las alteraciones del estado ácido básico de pacientes adultos que ingresan con insuficiencia renal crónica en dos centros hospitalarios del Paraguay. Metodología: se aplicó un diseño observacional, descriptivo, transversal. Se incluyó a sujetos adultos de ambos sexos, portadores de insuficiencia renal crónica, que acudieron al Hospital Nacional (Itauguá) y Hospital Militar (Asunción) entre abril y noviembre del 2021. Se midieron variables antropométricas, clínicas y laboratoriales al ingreso. Los datos se sometieron a estadística descriptiva con el programa Epi Info 7™. El estudio contó con la aprobación del Comité de Ética de la Universidad Privada del Este, Paraguay. Resultados: se incluyó a 148 sujetos, siendo 78 (52,7 %) varones con edad media 58 ± 16 años y 70 (47,3 %) mujeres con edad media 54 ± 17 años. Las etiologías más frecuentes de la insuficiencia renal crónica fueron la diabetes mellitus e hipertensión arterial (44,5 %). Se detectó 12 sujetos (8,1 %) con gasometría normal. La alteración del estado ácido básico más frecuente fue la acidosis metabólica (87,2 %), predominando en este grupo los casos con brecha aniónica normal. Conclusiones: las alteraciones del estado ácido básico predominantes en pacientes con insuficiencia renal crónica fue la acidosis metabólica con brecha aniónica normal. Se sugiere aplicar los cálculos de los mecanismos compensadores para llegar al diagnóstico certero de estas alteraciones metabólicas.
ABSTRACT Introduction: the carrier of chronic renal failure can present various alterations of the basic acid state, being the metabolic acidosis the most frequent. Objectives: to describe the demographic and clinical characteristics and alterations in the acid-base status of adult patients admitted with chronic renal failure in two hospitals in Paraguay. Methodology: an observational, descriptive, cross-sectional design was applied. Adult subjects of both sexes, carriers of chronic renal failure, who attended the National Hospital (Itauguá) and the Military Hospital (Asunción) between April and November 2021 were included. Anthropometric, clinical and laboratory variables were measured at admission. The data was submitted to descriptive statistics with the Epi Info 7™ program. The study was approved by the Ethics Committee of the Universidad Privada del Este, Paraguay. Results: 148 subjects were included, being 78 (52.7 %) men with a mean age of 58 ± 16 years and 70 (47.3 %) women with a mean age of 54 ± 17 years. The most frequent etiologies of chronic renal failure were diabetes mellitus and arterial hypertension (44.5 %). 12 subjects (8.1 %) with normal blood gases were detected. The most frequent alteration of the acid-base status was metabolic acidosis (87.2 %), with cases with normal anion gap predominating in this group. Conclusions: the predominant acid-base status alterations in patients with chronic renal failure was metabolic acidosis with normal anion gap. It is suggested to apply the calculations of the compensatory mechanisms to arrive at the accurate diagnosis of these metabolic alterations.
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ABSTRACT Purpose: Since the dietary acid load (PRAL) may affect the acid-base balance of the body, there is an increasing interest in its role in sports performance. Typical nutritional requirements of different sports, associated with its physiological demands, might be reflected in the acid load of their diet. Thus, the purpose of this study is to compare the dietary acid load between team, endurance, and strength athletes and to determine the associations between PRAL and hydration status. Methods: Fifty-one healthy recreational male athletes (age: 18-39 yrs) from team, endurance, and strength sports participated in the study. A 3-day food diary was recorded and dietary PRAL values (mEq/day) were calculated. Urine pH and specific gravity were measured. One-way ANOVA with Bonferroni post-hoc analysis and Pearson correlation coefficient (r) were used for data analysis. Results: PRAL in endurance athletes (25.34 mEq/day) was lower compared to team and strength athletes (46.12 and 46.47 mEq/day, respectively) (p= 0.023). Percentage of high PRAL diet (≥15 (mEq/day)) was highest in team sports (89.5%), followed by strength (83.3%) and endurance sports (60%). PRAL was not associated with hydration status. Conclusion: Typical nutritional requirements of sport disciplines are reflected in the PRAL, thus PRAL should be considered when preparing nutritional strategies to improve performance.
RESUMEN Objetivo: Dado que la carga ácida de la dieta (PRAL) puede afectar el equilibrio ácido-base del cuerpo, existe un interés creciente en su papel en el rendimiento deportivo. Los requerimientos nutricionales típicos de diferentes deportes, asociados con sus demandas fisiológicas, pueden reflejarse en la carga ácida de su dieta. Por lo tanto, el propósito de este estudio fue comparar la carga ácida de la dieta entre atletas de equipo, de resistencia y de fuerza, y determinar las asociaciones entre PRAL y el estado de hidratación. Métodos: Participaron en el estudio 51 atletas masculinos sanos (edad: 18-39 años) de deportes de equipo, de resistencia y de fuerza. Se registró un diario de alimentación de 3 días y se calcularon los valores de PRAL dietético (mEq/día). Se midieron el pH y la gravedad específica de la orina. Para el análisis de datos se utilizó ANOVA de una vía con análisis post-hoc de Bonferroni y coeficiente de correlación de Pearson (r). Resultados: PRAL en los atletas de resistencia (25,34 mEq/día) fue menor en comparación con los atletas de equipo y de fuerza (46,12 y 46,47 mEq/día, respectivamente) (p= 0,023). El porcentaje de dieta alta en PRAL (≥15 mEq/día) fue más alto en los deportes de equipo (89,5%), seguido de los deportes de fuerza (83,3%) y de resistencia (60%). PRAL no se asoció con el estado de hidratación. Conclusión: Los requerimientos nutricionales típicos de las disciplinas deportivas se reflejan en el PRAL, por lo que se debe considerar el PRAL al preparar estrategias nutricionales para mejorar el rendimiento.
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The objective of this study was to evaluate the effect of dietary electrolyte balance (DEB) levels on performance characteristics (feed intake, FI; body weight gain, BWG; and feed efficiency, FE), energy balance (retained energy, RE; metabolizable energy ingested, MEI; heat production, HP; and energy retention efficiency, ERE), and the expression of genes related to acid-base balance, nutrient absorption, and transport in broilers from 1 to 21 days of age. A total of 245 male Cobb chickens were used in a completely randomized design with five DEB levels (110, 175, 240, 305, and 370 mEq/kg) and seven replicates of seven birds each. The inclusion of DEB levels influenced FE; 110 mEq/kg provided the better values for this characteristic both in the pre-initial phase and in the initial phase but was different only concerning 175 mEq/kg (1-7 days) and 240 mEq/kg (1-21 days). Birds that ingested diets with a level of 240 mEq/kg of DEB had a higher MEI and HP. This DEB level caused a lesser and greater expression of the SLC12A2 gene in the liver and the ATP1A1 gene in the intestine, respectively. On the other hand, the ATP1A1 gene was less expressed in the liver and kidney of broilers supplemented with 370 mEq/kg compared to a level of 110 mEq/kg. In general, a level of 110 mEq/kg DEB in the ration seems to be the most suitable for good performance, energy balance, and gene expression of broilers from 1 to 21 days of age.
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Ração Animal , Galinhas , Equilíbrio Ácido-Base , Ração Animal/análise , Fenômenos Fisiológicos da Nutrição Animal , Animais , Galinhas/genética , Galinhas/metabolismo , Dieta/veterinária , Suplementos Nutricionais , Masculino , Nutrientes , Equilíbrio HidroeletrolíticoRESUMO
In addition to the kidneys and lungs, the liver also plays an important role in the regulation of the Acid-Base Equilibrium (ABE). The involvement of the liver in the regulation of ABE is crucial because of its role in lactic acid metabolism, urea production and in protein homeostasis. The main acid-base imbalance that occurs in patients with liver cirrhosis is Respiratory Alkalosis (RAlk). Due to the fact that in these patients additional pathophysiological mechanisms that affect the ABE are present, other disorders may appear which compensate or enhance the primary disorder. Conventional ABE reading models fail to identify and assess the underlying disorders in patients with liver cirrhosis. This weakness of the classical models led to the creation of new physicochemical mathematical models that take into account all the known parameters that develop and affect the ABE. In addition to the RAlk, in patients with liver cirrhosis, metabolic alkalosis (due to hypoalbuminemia), hyponatremic metabolic acidosis, hyperchloremic metabolic acidosis, lactic acidosis and metabolic alkalosis due to urea metabolism are some of the pathophysiological mechanisms that affect the ABE.
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Acidose , Alcalose , Hepatopatias , Acidose/etiologia , Acidose/metabolismo , Alcalose/complicações , Alcalose/metabolismo , Humanos , Cirrose Hepática/complicações , Cirrose Hepática/diagnóstico , Hepatopatias/metabolismo , UreiaRESUMO
1. Sodium bicarbonate (NaHCO3), potassium carbonate (K2CO3), and ammonium chloride (NH4Cl) are commonly used to correct dietary electrolyte balance (DEB) in birds. However, there are many gaps in the knowledge of their effects when used simultaneously. This study investigated the effect of DEB levels on performance, femur bone characteristics and the expression of genes related to the balance of ionic concentrations in broilers at 21 days of age.2. Male Cobb broiler chickens (n = 245), aged 1-21 d, were divided into groups based on a completely randomised design with five DEB levels (110 mEq/kg, 175 mEq/kg, 240 mEq/kg, 305 mEq/kg, and 370 mEq/kg).3. The performance characteristics measured included body weight (BW), body weight gain (BWG), feed intake (FI), feed conversion (FCR) and body weight birds slaughtered (BWS).4. The bone variables assessed in the femur were weight (WE), relative bone weight (RBWE), length (L), width (WI), maximum load supported (MLS), bone-breaking resistance (BR), and Seedor index (SI). In addition, the expression of CHP1, SLC9A1, and SLC24A3 in the livers, intestines and kidneys of birds was evaluated.5. The DEB level of 370 mEq/kg, at Na+ content of 0.48%, resulted in the highest averages for L, MLS, and BR of the femur. This DEB level increased the expression of SLC9A1 in the liver and SLC24A3 in the intestine. A 240 mEq/kg DEB level decreased the expression of CHP1 in the liver, while supplementation with 110 mEq/kg increased the expression of SLC24A3 in the kidney.6. In conclusion, 370 mEq/kg DEB improved FCR and increased the mean bone characteristics of the femur (L, MLS, and BR) and the expression of SLC9A1 and SLC24A3 in the liver and intestine, respectively. These findings should be considered in future assessments of the effects of DEB levels on broilers.