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Food and Nutrition Sciences, 2010, 1, 1-4 doi:10.4236/fns.2010.11001 Published Online July 2010 (http://www.SciRP.org/journal/fns) Copyright © 2010 SciRes. FNS 1 Sodium Bicarbonate—A Potent Ergogenic Aid? Jose Shelton1, Gideon V. Praveen Kumar² 1Victoria University, Melbourne, Australia; 2School of Biosciences and Technology, VIT University, Vellore, India. Email: {josenoel2008, gideonpraveenkumar}@gmail.com Received May 30th, 2010; revised July 4th, 2010; accepted July 7th, 2010. ABSTRACT This report aims to look at the role of Sodium bicarbonate as a potent Ergogenic aid and its role in improving the per- formance of athletes. It includes the mechanism of action of sodium bicarbonate during high-intensity exercise. The report also shows the various types of athletes who can be benefited from sodium bicarbonate loading, evidences for improvement in performance, conflicting evidences, recommended dosages and side-effects for bicarbonate loading. Keywords: Sodium Bicarbonate, Ergogenic Aid, High-Intensity Exercise, Anaerobic Glycolytic System 1. Introduction An ergogenic aid is defined as any substance, food, chemical, or training method that helps the body work harder and perform better. Ergogenic aids are any external influences that can positively affect physical or mental performance [1]. These include mechanical aids, pharmacological aids, physiological aids, nutritional aids, and psychological aids. Athletes at all levels of competi- tions are constantly striving for a means to obtain a lead- ing edge over their opponents and many of them use er- gogenic aids to improve their energy and performance [2]. Ergogenic aids may directly influence the physiological capacity of a particular body system thereby improving performance, remove psychological constraints which impact performance, and increase the speed of recovery from training and competition [3]. The term Ergogenic means “to produce work”. Nutri- tional ergogenic aids are dietary manipulations that can increase physical power or energy production, enhance mental strength, or provide a mechanical edge and there- by improve sport performance [4]. Dietary manipulations encompass 3 major efforts: alteration of food choices, addition of macronutrients for specific uses in sports and exercise, addition of micronutrients for specific uses in sports and exercise [3]. 2. Energy System for High-Intensity Exercise Of the 3 primary energy pathways, the anaerobic glyco- lytic system provides fuel sources, primarily carbohy- drates, for high-intensity exercises (exercises lasting be- tween 20 seconds up to about 90 seconds). Anaerobic glycolysis provides the primary fuel source for exercise of near-maximal intensity lasting longer than about 30 seconds. High-intensity exercises (anaerobic work) in- volve the breakdown of carbohydrates (muscle glycogen). As the glycogen stores are rapidly depleted, there is a resulting increase in hydrogen ion (H+) concentrations and lactic acid in both the muscle and blood. It is this increase in H+ concentration (drop in pH) that causes a progressive increase in the acidity of the muscle cells (intracellular environment). The increase in H+ produces, among other reactions, an inhibition of calcium release from the sarcoplasmic reticulum and an inhibition of the interaction between actin and myosin [5]. The drop in pH as a result of lactic acid accumulation is thought to in- hibit the resynthesis of adenosine triphosphate (ATP) as well as inhibit muscle contraction. This in turn results in muscular fatigue defined as a decrease in force produc- tion in the presence of increased perception of effort and an inability to maintain high exercise intensities [6,7]. 3. Sodium Bicarbonate Sodium bicarbonate or sodium hydrogen carbonate is the chemical compound with the formula NaHCO3. Sodium bicarbonate is a white solid that is crystalline but often appears as a fine powder. It has a slight alkaline taste resembling that of washing soda (sodium carbonate). It is a component of the mineral natron and is found dissolved in many mineral springs. The natural mineral form is known as nahcolite. It is also produced artificially. Since it has long been known and is widely used, the salt has many related names such as baking soda, bread soda, cooking soda, bicarbonate of soda. Colloquially, its name is shortened to sodium bicarb. Sodium Bicarbonate – A Potential Ergonomic Aid? Copyright © 2010 SciRes. FNS 2 4. Role of Sodium Bicarbonate during High-Intensity Exercise During high-intensity exercise, muscles keep up with the demand for energy by converting some carbohydrate to lactic acid. A build-up of acid inside the muscle cells is one of the factors responsible for fatigue. This system’s total capacity is limited by the progressive increase in acidity within the muscles caused by the accumulation of lactate and H+ ions. Increased acidity ultimately inhibits energy transfer and the ability of the muscles to contract, leading to a decrease in exercise performance. Reducing the build-up of acid should reduce fatigue and allow the athlete to go faster or further. The body’s defences against an increase in acidity are the bicarbonate “buffers”, which help to neutralize the acid produced by intense exercise. The natural bicarbonate supply, part of the body’s buffering system, provides a rapid first line of defence against this increased acidity. 5. Acting Mechanism Sodium bicarbonate is an alkalising agent and therefore reduces the acidity of the blood (known as a buffering action). By buffering acidity in the blood, bicarbonate may be able to draw more of the acid produced within the muscle cells out into the blood and thus reduce the level of acidity within the muscle cells themselves. This in turn could delay the onset of fatigue [8]. Studies [9,10] have confirmed that increased extracellular pH and higher bicarbonate raise the H+ and lactic acid efflux from active muscles. This is due to an increase in the activity of the Lactic acid/H+ co-transporter, which be- comes more active as the intracellular/extracellular H+ gradient increases, during contraction as well as during recovery. It has been suggested that this mechanism causes a decrease in muscular fatigue, delaying the de- crease in pH level and leading to a greater contractile capacity of the muscular tissue involved by means of enhanced muscle glycolytic ATP production. It has been proven that all of these metabolic perturbations imply a shift in muscle metabolism toward anaerobic energy production, which is especially advantageous during high-intensity exercise [5]. Taking a sufficient quantity of sodium bicarbonate (baking soda) before high-intensity event makes the muscles and blood less acidic during the event and can enhance physical performance [11]. 6. Athletes Benefiting from Sodium Bicarbonate Loading Athletes have been practising “soda loading” or “bicar- bonate loading” for over 70 years in an attempt to delay the onset of muscular fatigue during prolonged anaerobic exercise. The specific athletes who might stand to benefit from bicarb supplementation are those who typically compete in events that last between 1 and 7 minutes, i.e. 400 m - 1500 m running, 100 m - 400 m swimming, sprint cycling, kayaking, rowing and canoeing events at intensities that fall between 80 and 125% of peak maxi- mal oxygen uptake, and many team sports with their re- peated nature of high intensity exercise. All these events stress the anaerobic glycolysis system significantly and produce a lot of acidity. Sports that are dependent on repeated anaerobic bursts may also benefit from bicar- bonate loading [6,8]. 7. Evidences for Improvement in Performance A study done by McNaughton et al. [9], among moder- ately trained female athletes, showed significant im- provement in both work and power output, during high intensity exercise of 60 second duration. The ingestion of sodium bicarbonate in the experimental trial had the de- sired effect of raising blood bicarbonate levels by 60% above the resting bicarbonate value. According to Stellingwerff [12], a meta-analysis of 29 studies on the performance effects of sodium bicarbonate, featuring predominately untrained individuals, found that bicarbonate supplementation resulted in a performance effect that was 0.44 standard deviations better than in the control trial. An improvement of 0.44 of the standard deviation would bring the 2006 average men’s 800m Golden League time of 1:46.36 down to 1:45.52, which is a worthwhile improvement. In summary, most data suggest that the ingestion of 0.3 g/kg body weight of so- dium bicarbonate administered in solution approximately 1-2 hours before exercise offers a small, but significant, effect on middle-distance race performance. In one study [7] designed to simulate athletic competi- tion, trained non-elite middle-distance runners performed a simulated 800 m race. In the alkalotic condition, they ran almost 3 s faster than in the placebo or control trials. Another report by Maughn et al. [13] indicated similar improvements (3-4 s) over a distance of 1500 m in run- ners who completed simulated races in about 4 min 15s. Although these effects on performance might appear small, they are of considerable significance to the athlete, for whom an improvement of even a fraction of a second in these events is considered to be a major achievement. In a study by VanMontfoort et al. [10], ingestion of so- dium bicarbonate was found to increase the sprint per- formance in elite male athletes compared to citrate, lac- tate and chloride ingestion. Studies by McNaughton et al. [14] have also found that sodium bicarbonate can be used as an ergogenic aid to offset the fatigue process in high-intensity, competi- tive cycle ergometry of 1 hour duration. Sodium Bicarbonate – A Potential Ergonomic Aid? Copyright © 2010 SciRes. FNS 3 8. Conflicting Evidence However, even though many of the studies have shown that sodium bicarbonate administration modifies the blood acid-base balance, its effects on performance are not always positive [5]. For instance, no improvements have been registered following 90 seconds of maximal cycle exercise by untrained men [15]. No differences were found between the experimental or placebo trials in female cyclists pedalling at 95% VO2 max [9]. This suggested that bicarbonate buffering does not improve performance in female athletes during re- peated bouts of high intensity exercise. The reasons for the conflicting effects are not alto- gether clear, but are at least in part due to variations in the intensity and duration of the exercise tests used, the nature of the exercise task, the dosage of bicarbonate administered and the time delay between bicarbonate administration and the beginning of the exercise test (i.e. the amount of metabolic alkalosis induced). Performance has been monitored over exercise durations ranging from a few seconds to more than 1 hour, and during continu- ous, incremental and intermittent dynamic exercise as well as during sustained isometric contractions [13]. There is no clear pattern of exercise duration between those studies where a positive effect was observed and those where no effect was seen. In most studies, a dose of 0.3 g of sodium bicarbonate/kg of body weight has been used to induce alkalosis, and this has usually been ad- ministered orally in solution or in capsule form. Such a dose has usually resulted in an increase of 4-5 mmol.L-1 in the plasma buffer base 2-3 hours after administration, although the time-course of changes in acid-base status was not carefully followed in most of these studies [16]. Those studies in which high-intensity and short-term exercises (less than 2 minutes) were used, and in which the doses of sodium bicarbonate given were lower than 0.3 g/kg body weight, did not generally produce an en- hancement of performance, which might be due to the use of an insufficient dose or due to the short duration of the effort [5]. Therefore, it has been suggested that exercises lasting less than 1 minute may not be of sufficient duration for the glycolytic metabolism to activate completely, in that the capacity of the intracellular buffer is exceeded and a positive gradient between the intracellular and extracel- lular medium is established. The main reason for the lack in performance improvement may consequently be due more to the exercise duration than to the doses used. 9. Recommended Dosage Many studies indicate an effective dose of 300mg of sodium bicarbonate per kg body weight taken 1-2 hours prior to short-term maximal, high intensity performance lasting 60 sec shows 30% improvement in performance [6,11]. Sodium bicarbonate appears to be safe when taken in the recommended dose of 140mg/pound of body weight. For a 150 pound athlete this translates to a dose of 5 teaspoons of baking soda that provides 21,000mg or 21g of bicarbonate. Safety should not be confused with side effects. Baking soda should be consumed with plenty of water, (eg. a litre or more), when taken 1 or 2 hours prior to exercise [4]. 10. Side Effects There are of course potential problems of severe alkalo- sis associated with the use of increased doses of bicarbo- nate. Additionally side effects like vomiting, gastrointes- tinal discomfort, bloating, and diarrhea may occur parti- cularly if sufficient water is not taken with sodium bicarbonate. Vomiting and diarrhea are frequently report- ed as a result of ingestion of even relatively small doses of bicarbonate, and this may limit any attempt to improve athletic performance by this method, certainly among those individuals susceptible to gastrointestinal problems. There have been reports of athletes using this interven- tion, which is not prohibited by the rules of the sport, being unable to compete because of the severity of these symptoms. Although unpleasant and to some extent debilitating, these effects are not serious and there are no long term adverse consequences [17]. 11. Acute vs Chronic Loading Given that some individuals exhibit urgent gastrointesti- nal distress with bicarbonate, such as vomiting and diar- rhoea, it is important for athletes to experiment with bi- carbonate in training that features daily consecutive races, since much of the gastrointestinal distress seems to occur after a race (semi-finals), which could limit performance in any subsequent race (finals) [12]. Studies [18,19] have shown more favourable gastroin- testinal tolerance effects after chronic multiday bicar- bonate supplementation as compared to acute pre-exer- cise single-dose administration. Performance in high- intensity exercise may be enhanced for a full 2 days after cessation of chronic bicarbonate supplementation which might alleviate many of the severe gastrointestinal side- effects found with acute bicarbonate loading. Not withstanding these results, more research is need- ed to show performance efficacy for chronic bicarbonate ingestion protocols in elite athletes, and to better eluci- date the dosing and time-course effects between the ces- sation of dosing and exercise performance testing. 12. Conclusions In conclusion, there are sufficient data to suggest that sodium bicarbonate can be used as a nutritional ergogenic aid or dietary supplement for improving performance in short term, high intensity exercise, provided it is taken in the recommended dosage of 300 mg (0.3g)/kilogram Sodium Bicarbonate – A Potential Ergonomic Aid? Copyright © 2010 SciRes. FNS 4 body weight. Continued use of bicarbonate may help athletes become less susceptible to the side effects and may give even larger improvements in performance. 13. Further Research Since the time elapsed from the ingestion of bicarbonate to the beginning of exercise (time of absorption) varies considerably, until further research can clarify the time course and cessation of dosing that that can lead to per- formance enhancement, the individual athlete is advised to experiment in training to judge their own case. The athlete needs to discover not only the potential for per- formance improvement, but also the likelihood of un- wanted side-effects. Further research is also needed to find out the longest duration of endurance exercise that benefits from the use of sodium bicarbonate. REFERENCES [1] D. M. Ahrendt, “Ergogenic Aids: Counselling the Ath- lete,” American Family Physician, Vol. 63, No. 5, 2001, pp. 913-922. [2] J. R. Berning and S. N. Steen, “Sports Nutrition for the 90’s: The Health Professional’s Handbook,” Aspen Pub- lishers, Gaithersburg, 1991. [3] I. Wolinsky and J. A. 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