Influence of Sahour Meal on Exercise Performance and Physiological Responses in Well-Trained Muslim Runners during Ramadan

Document Type : Research Paper

Authors

1 National Sports Institute of Malaysia, Bukit Jalil 57000 Kuala Lumpur, Malaysia

2 Department of Physiology, Kubang Kerian, Kelantan, Universiti Sains Malaysia

3 Advanced Medical and Dental Institute, Kepala Batas, Penang, Universiti Sains Malaysia, Malaysia

Abstract

Introduction: The objective of this study was to examine the influence of sahour meal on exercise performance, and physiological responses to a 10Km Time-Trial (10KTT) at two different times of the day during Ramadan. Method: Three well-trained Muslim runners participated (age, 25±0.8years; maximal oxygen uptake, 54.87±3.45 ml.kg-1.min-1; body weight, 52.4±1.99 kg; height, 162.7±3.55 cm).  Subjects ran a 10KTT on four occasions: 8.00am (Am), and 5.00pm (Pm), separated by one day rest two weeks before Ramadan (BRam) and during the second week of Ramadan (DRam). BRam, subjects consumed their usual diet. DRam, subjects consumed a standardized sahour meal containing 15.6±0.6kcal/kgBW; 2.3±0.1gCHO/kgBW; 0.6±0.0g Protein/kgBW; 0.5±0.0gFat/kgBW. During each 10KTT, the subject ran at 85%VO2max for the first two Km, and then at a self-selected speed then onwards. Blood samples were collected before the run, and at 2, and the end of 10 Km. Time to complete 10KTT were recorded. Urine specific gravity was measured before each run. Results: There was no difference in hydration status for the Am and Pm runs BRam and DRam. Running performance DRamAM, was better compared to the DRamPm. There were also no changes in blood glucose BRam and DRam. Serum Testosterone was highest at the end of 10KTT DRamPm when compared to the DRamAm, and was generally higher than BRam. Serum Cortisol showed no differences between the trials. All runners did not experience dehydration, lack of energy nor drop in performance DRam. Conclusion: The results from this study suggest that when athletes are provided with a balanced sahour meal, during Ramadan, they can maintain their performance.

Keywords


  1. Chaouachi A, Leiper JB, Souissi N, Coutts AJ, Chamari K. Effects of Ramadan intermittent fasting on sports performance and training: A Review. Int J Sports Physiol. Perform 2009;4:419-34.
  2. Brisswalter J, Bouhlel E, Falola J, Abbiss C, Vallier J, Hauswirth C. Effects of Ramadan intermittent fasting on middle-distance running performance in well-trained runners. Clin J Sport Med 2011;21(5):422-27.
  3. Trepanowski JF, Bloomer RJ. Review of The Impact of Religious Fasting on Human Health. Nutr J 2010;9:57.
  4. Chennaoui M, Desgorces F, Drogou C, Boudjemma B, Tomaszewski A, Drpiesse F et al. Effects of Ramadan fasting on physical performance and metabolic, hormonal, and inflammatory parameters in middle-distance runner. Appl Physiol Nutr Metab 2009;34:587-94.
  5. Trabelsi K, Abed KE, Trepanowski JF, Stannard SR, Ghlissi Z, Ghozzi H et al. Effects of Ramadan fasting on biochemical and anthropometric parameters in physically active men. Asian J Sports Med 2011;2(3):134-44.
  6. Maughan RJ, Bartagi Z, Dvorak J, Zerguini Y: Dietary intake and body composition of football players during the holy month of Ramadan. J Sports Sci 2008.263:29-38.
  7. Maughan RJ, Fallah J, Coyle EF. The effect of fasting on metabolism and performance. Brit J Sports Med 2010;44: 490-94. 
  8. Neufer PD, Costill DL, Flynn MG, Kirwan JP, Mitchell JB, Houmard J. Improvements in exercise performance: effects of carbohydrate feedings and diet. J Appl Physiol 1987;62: 989-88.
  9. Burke LM, Loucks AB, Broad N. Energy and carbohydrate for training and recovery. J Sports Sci 2006;24:675-85.
  10. Chryssanthopoulos C, Williams C, Novitz A, Kotsciopoulou C, Vleck V. The effect of a high carbohydrate meal on endurance running capacity. Int J Sport Nutr Exerc Metab 2002;12:157-71.
  11. Chryssanthopoulos C, Williams C. Pre-exercise carbohydrate meal and endurance running capacity when carbohydrates are ingested during exercise. Int J Sports Med 1997;18:543-48.
  12. Coyle EF, Coggan AR, Hemmert MK, Ivy JL. Muscle glycogen utilization during prolonged strenuous exercise when fed carbohydrate. J Appl Physiol 1986;61:165-72.
  13. Coyle EF, Coggan AR, Hemmert MK. Substrate usage during prolonged exercise following a preexercise meal. J Appl Physiol 1985;59:429-33.
  14. Kerksick C, Harvey T, Stout J, Campbell B, Wilborn C, Kreider R, et al. International Society of Sports Nutrition Position Stand: nutrient timing. J Int Soc Sports Nutr 2008;5:17.
  15. Lambert EV, Speechly DP, Dennis SC, Noakes TD. Enhanced endurance in trained cyclists during moderate intensity exercise following 2 weeks adaptation to a high fat diet. Eur J Appl Physiol 1994;69: 287-293.
  16. McArdle WD, Katch FI, Katch VL. Exercise Physiology Energy, Nutrition, and Human Performance 5th Edition. Lippincott Williams & Wilkins 2001:424-437.
  17. Song MK, Ianuzzo D, Saubert CW, Gollnick PD. The mode of adrenal gland enlargement in the rat in response to exercise training. Pflugers Arch 1973;339:59-68. 
  18. David SR, Hopkins WG. Effect of High Fat, High Carbohydrate, and High Protein Meals on Metabolism and Performance During Endurance Cycling. Int J Sports Nutr Exer Metab 2002;12:318-35.
  19. El AJ, Beji C, Danguir J. Increased fat oxidation during Ramadan fasting in healthy women: an adaptive mechanism for body weight maintenance. Am J Clin Nutr 1995;62:302-07.
  20. Goedecke JH, Christie G, Wilson G, Dennis SC, Noakes TD, Hopkins WG et al. Metabolic adaptations to a high fat diet in endurance cyclists. Metabolism 1999;48:1509-17.
  21. Havel RJ, Pernow B, Jones NL. Uptake and release of free fatty acids and other metabolites in the legs of exercising men. J Appl Physiol 1967;23:90-9.
  22. Stanley PB, Wayne CM, Jane ME. Exercise Physiology Basic of Human Movement in Health and Disease. Lippincott Williams & Wilkins 2006:64-68, 75-97.
  23. Stephen R. Ramadan and Its Effect on Fuel Selection during Exercise and Following Exercise Training. Asian J Sports Med 2011;2:127-33.
  24. Hargreaves, M, Costill DL, Fink WJ, King DS, Fielding RA. Effect of pre-exercise carbohydrate feedings on endurance cycling performance. Med Sci Sports Exerc 1987;19:33-6.
  25. Reilly T, Waterhouse J. Altered sleep wake cycles and food intake: the Ramadan model. Physio Behav 2007;90:219-28.
  26. Suzana S, Rafidah G, Noor Aini MY, Nik Shanita S, Zahara AM, Shahrul Azman MN. Atlas of Food Exchanges and Portion Sizes. MDC Publishers Printers Sdn Bhd 1st edition 2002:3-53.
  27. Tee ES, Noor MI, Azudin MN, Idris K. Nutrient Composition of Malaysian Foods 4th Edition. Institute for Medical Research 1997.  
  28. Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ et al. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 2000;32:498-504.
  29. Williams C, Serratosa L. Nutrition on match day. J Sports Sci 2006;24:687-97.
  30. Hargreaves M, Hawley JA, Jeukendrup A. Pre-exercise carbohydrate and fat ingestion: effects on metabolism and performance. J Sports Sci 2004;22:31-8.
  31. Krempf M, Hoerr RA, Pallettier VA, Marks LM, Gleason R, Young VR. An isotopic study of the effect of dietary carbohydrate on the metabolic fate of dietary leucine and phenylanine. Am J Clin Nutr 1993;57:161-69.
  32. Leiper JB, Molla AM, Molla AM. Effect on health of fluid restriction during fasting in Ramadan. Eur J Clin Nutr 2003;57:30-8.
  33. Wu CL, Nicholas C, Williams C, Took A, Hardy L. The influence of high carbohydrate meals with different glycaemic indices on substrate utilization during subsequent exercise. Brit J Nutr 2003;90:1049-56.
  34. Wu CL, Williams C. A low glycemic index meal before exercise improves endurance running capacity in men. Int J Sport Nutr Exer Metab 2006;16: 510-27.
  35. Shephard RJ, Shek PN. Acute and chronic over-exertion: do depressed immune responses provide useful markets? Int J Sports Med 1998;19:159.
  36. Chaouachi A, Coutts AJ, Chamari K, Wong del P, Chaouachi M, Chtara M, et al. Effect of Ramadan intermittent fasting on aerobic and anaerobic performance and perception fatigue in male elite Judo athletes. J Strength Cond Res 2009:23(9);2702-09.
  37. Yucel A, Degirmenci B, Acar M, Albayrak R, Haktanir A. The effect of fasting month of Ramadan on the abdominal fat distribution: assessment by computed tomography. Tohoku J Exp Med 2004;204:179-87.
  38. Zerguini Y, Dvorak J, Maughan RJ, Leiper JB, Bartagi Z, Kirkendall DT, et al. Influence of Ramadan fasting on physiological and performance variables in football players: Summary of the F-MARC 2006 Ramadan fasting study. J Sports Sci 2008;26(S3):S3-6.
  39. Chtourou H, Hammouda O, Chaouachi A, Chamari K, Souissi. The effect of time-of-day and Ramadan fasting on anaerobic performances. Int J Sports Med 2012;33:142-47.
  40. Souissi N, Souissi M, Souissi H, Chamari K, Tabka Z, Digui M, et al. Effect of time of day and partial sleep deprivation on short term high power output. Chronobiol Int 2008;25:1062-78.