The Reproducibility of Blood Acid Base Responses in Male Collegiate Athletes Following Individualised Doses of Sodium Bicarbonate: A Randomised Controlled Crossover Study

Lewis Gough, Sanjoy Deb, Andy Sparks, Lars McNaughton

Research output: Contribution to journalArticlepeer-review

25 Citations (Scopus)
22 Downloads (Pure)

Abstract

Background: Current evidence suggests sodium bicarbonate (NaHCO 3) should be ingested based upon the individualised alkalotic peak of either blood pH or bicarbonate (HCO 3 ) because of large inter-individual variations (10–180 min). If such a strategy is to be practical, the blood analyte response needs to be reproducible. Objective: This study aimed to evaluate the degree of reproducibility of both time to peak (TTP) and absolute change in blood pH, HCO 3 and sodium (Na +) following acute NaHCO 3 ingestion. Methods: Male participants (n = 15) with backgrounds in rugby, football or sprinting completed six randomised treatments entailing ingestion of two doses of 0.2 g·kg −1 body mass (BM) NaHCO 3 (SBC2a and b), two doses of 0.3 g·kg −1 BM NaHCO 3 (SBC3a and b) or two control treatments (CON1a and b) on separate days. Blood analysis included pH, HCO 3 and Na + prior to and at regular time points following NaHCO 3 ingestion over a 3-h period. Results: HCO 3 displayed greater reproducibility than pH in intraclass correlation coefficient (ICC) analysis for both TTP (HCO 3 SBC2 r = 0.77, P = 0.003; SBC3 r = 0.94, P < 0.001; pH SBC2 r = 0.62, P = 0.044; SBC3 r = 0.71, P = 0.016) and absolute change (HCO 3 SBC2 r = 0.89, P < 0.001; SBC3 r = 0.76, P = 0.008; pH SBC2 r = 0.84, P = 0.001; SBC3 r = 0.62, P = 0.041). Conclusion: Our results indicate that both TTP and absolute change in HCO 3 is more reliable than pH. As such, these data provide support for an individualised NaHCO 3 ingestion strategy to consistently elicit peak alkalosis before exercise. Future work should utilise an individualised NaHCO 3 ingestion strategy based on HCO 3 responses and evaluate effects on exercise performance.

Original languageEnglish
Pages (from-to)2117-2127
Number of pages11
JournalSports Medicine
Volume47
Issue number10
Early online date22 Feb 2017
DOIs
Publication statusPublished - Oct 2017

Keywords

  • Buffers
  • bicarbonate
  • alkalosis
  • metabolism
  • individual response

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