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Physiological analysis of the metabolic typing diet in professional ...

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SMNZ Street Address<br />

NZ Sports Academy SI<br />

40 Logan Park Drive<br />

Duned<strong>in</strong><br />

New Zealand<br />

<strong>the</strong> correct percentages <strong>of</strong> <strong>the</strong> macronutrients.<br />

Carbohydrate types are encouraged to eat accord<strong>in</strong>g<br />

to <strong>the</strong> follow<strong>in</strong>g ratios:<br />

• 15%-20% prote<strong>in</strong> (prote<strong>in</strong>s = meat, fowl,<br />

seafood, dairy)<br />

• 70%-80% carbohydrates (carbohydrates = fruits,<br />

vegetables, gra<strong>in</strong>s)<br />

• 5%-10% oils/natural fats (fats = butter, oils, fatty<br />

foods - exclud<strong>in</strong>g nuts, seeds, cheese, and o<strong>the</strong>r<br />

fatty foods)<br />

Prote<strong>in</strong> types are encouraged to eat accord<strong>in</strong>g to<br />

<strong>the</strong> follow<strong>in</strong>g ratios:<br />

• 45%-50% prote<strong>in</strong> (prote<strong>in</strong>s = meat, fowl,<br />

seafood, dairy)<br />

• 30%-35% carbohydrates (carbohydrates = fruits,<br />

vegetables, gra<strong>in</strong>s)<br />

• 20% oils/natural fats (fats = butter, oils, fatty<br />

foods - exclud<strong>in</strong>g nuts, seeds, cheese, and o<strong>the</strong>r<br />

fatty foods)<br />

Mixed Types are encouraged to eat accord<strong>in</strong>g to <strong>the</strong><br />

follow<strong>in</strong>g ratios:<br />

• 40%-45% prote<strong>in</strong> (prote<strong>in</strong>s = meat, fowl,<br />

seafood, dairy)<br />

• 50%-55% carbohydrates (carbohydrates = fruits,<br />

vegetables, gra<strong>in</strong>s)<br />

• 10%-15% oils/natural fats (fats = butter, oils,<br />

fatty foods - exclud<strong>in</strong>g nuts, seeds, cheese, and<br />

o<strong>the</strong>r fatty foods)<br />

Methods:<br />

Subjects:<br />

Six pr<strong>of</strong>essional rugby players compet<strong>in</strong>g <strong>in</strong> New<br />

Zealand’s prov<strong>in</strong>cial rugby competition, <strong>the</strong> Air New<br />

Zealand Cup, were recruited for this study. Two<br />

subjects were backs (one back withdrew before<br />

completion <strong>of</strong> this study) and four were forwards<br />

(Mean, age = 22 yr, weight = 108.4 kg, height = 187.3<br />

cm, sk<strong>in</strong> folds (sum <strong>of</strong> six) = 89.5 mm). Subjects were<br />

<strong>in</strong>vited to participate depend<strong>in</strong>g on position played<br />

on <strong>the</strong> rugby field and availability to participate.<br />

It was observed that <strong>in</strong> a rugby team body types<br />

could be broken up <strong>in</strong>to three categories: front row,<br />

locks and loose forwards, and backs. Two players<br />

from each group were <strong>in</strong>vited to participate. This<br />

is a broad generalisation but <strong>in</strong> many cases body<br />

types can be dist<strong>in</strong>guished by <strong>the</strong>se groups. Front<br />

rowers are generally more muscular but generally<br />

carry more fat, locks and loose forwards are taller<br />

players who are usually bigger and more muscular<br />

than backs but carry less fat. Backs are generally<br />

<strong>the</strong> leanest and smaller players on <strong>the</strong> team. Each<br />

subject was <strong>in</strong>formed <strong>of</strong> <strong>the</strong> procedures that would<br />

take place and consent was given. All test<strong>in</strong>g was<br />

completed with subjects <strong>in</strong> a fasted state.<br />

Test<strong>in</strong>g was completed on two non-consecutive<br />

days. Day One was used to collect <strong>in</strong>itial results for<br />

basel<strong>in</strong>es and to collect rest<strong>in</strong>g <strong>metabolic</strong> rates. Day<br />

Two was used to adm<strong>in</strong>ister <strong>the</strong> glucose tolerance<br />

test and monitor <strong>the</strong> differences from <strong>the</strong> <strong>in</strong>itial<br />

measures due to <strong>the</strong> glucose tolerance test.<br />

On Day One weight and height were taken, <strong>the</strong>n<br />

<strong>in</strong>formed consent given. Blood pressure was taken<br />

with subjects <strong>in</strong> a seated position us<strong>in</strong>g a standard<br />

sphygmomanometer and stethoscope, rest<strong>in</strong>g heart<br />

was monitored us<strong>in</strong>g a polar heart rate monitor<br />

with subjects ly<strong>in</strong>g down. After <strong>in</strong>itial read<strong>in</strong>gs had<br />

been collected venous blood was taken via f<strong>in</strong>ger<br />

prick. Blood glucose levels and blood pH were<br />

measured us<strong>in</strong>g a multi purpose cartridge. Subjects<br />

<strong>the</strong>n completed <strong>the</strong> MDT questionnaire 7 . The f<strong>in</strong>al<br />

test was <strong>the</strong> Basal Metabolic Rate Test where each<br />

subject lay on <strong>the</strong> bed <strong>in</strong> a comfortable position that<br />

resembled how <strong>the</strong>y normally sleep i.e. on <strong>the</strong>ir front,<br />

back or side. A full face mask was worn and RQ, V e<br />

and V CO2 were measured. With this <strong>in</strong>formation <strong>the</strong><br />

percentage <strong>of</strong> energy derived from each fuel source<br />

could be established and also <strong>the</strong> amount <strong>of</strong> energy<br />

used <strong>in</strong> metabolism could be predicted.<br />

On Day Two subjects were fasted and tested <strong>in</strong><br />

<strong>the</strong> morn<strong>in</strong>g us<strong>in</strong>g <strong>the</strong> same procedure as for<br />

Day One. The ma<strong>in</strong> purpose <strong>of</strong> Day Two’s test<strong>in</strong>g<br />

was to see how each subject reacted dur<strong>in</strong>g <strong>the</strong><br />

glucose tolerance test. Initial data were taken prior<br />

to adm<strong>in</strong>istration <strong>of</strong> glucose/potassium solution,<br />

which <strong>in</strong>cluded BP, HR and blood glucose. The<br />

glucose/potassium solution conta<strong>in</strong>ed 50g <strong>of</strong><br />

glucose and 15g <strong>of</strong> cream <strong>of</strong> tartar (conta<strong>in</strong><strong>in</strong>g 5g<br />

<strong>of</strong> potassium). Adm<strong>in</strong>istration <strong>of</strong> glucose/potassium<br />

solution was given to subjects after pre-test<strong>in</strong>g data<br />

was completed. Subjects’ BP, HR, and blood glucose<br />

were collected at <strong>the</strong> 30 th and 75 th m<strong>in</strong>ute after<br />

adm<strong>in</strong>istration <strong>of</strong> <strong>the</strong> glucose/potassium solution.<br />

A all subjects were seated and comfortable for <strong>the</strong><br />

duration <strong>of</strong> <strong>the</strong> glucose tolerance test.<br />

44 NZJSM

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