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Food Sci. Technol. Res.

, 10 (4), 428-431, 2004

A Sports Drink Based on Highly Branched Cyclic Dextrin Generates Few


Gastrointestinal Disorders in Untrained Men during Bicycle Exercise

Hiroshi TAKnl, Takashi KOMETANll, Takahisa NISHIMURA1 Takashi KURIK11 and Tohru FUSHIKI

IBiochemical Research Laboratory, Ezaki Glico Co., Ltd., 4-6-5, Utajima, Nishiyodogawa-ku, Osaka, Japan 555-8502
2Laboratory ofNutrition Chemistry, Division of Food Science and Biotechnology, Graduate School ofAgriculture, Kyoto University,
Kitashirakawa Oiwake-cho, Sakyo-ku, Kyoto, Japan 606-8502

Received April 5, 2004; Accepted August 21, 2004

Gastrointestinal disorders after ingesting a sports drink were investigated during bicycle exercise. The
experiment consisted of a preliminary exercise, a 10 min rest, and 30 min of exercise. Seven healthy untrained
volunteers ingested either water or a sports drink based on highly branched cyclic dextrin (HBCD), com-
mercially available dextrin of DE16 or glucose immediately after the preliminary exercise. The mean gastric
emptying time after ingestion of the HBCD-based sports drink was significantly faster than that of the glucose-
based drink. Gastrointestinal disorders were monitored by a questionnaire. The mean degree of subjective
flatulence and the mean number of belches were few with the HBCD-based drink during exercise. When vol-
unteers drank the sports drink based on 10% HBCD during bicycle exercise, they experienced few gastroin-
testinal disorders and consequently could continue the exercise comfortably with little fatigue.

Keywords: highly branched cyclic dextrin, glucose, sports drink, gastrointestinal disorder, gastric emptying time

Introduction reported that a 10% highly branched cyclic dextrin


Fluid balance plays a key role in maintaining optimal (HBCD)-based sports drink was significantly (p < 0.05)
bodily functions, particularly when an activity that induces transferred from the stomach to the small intestine faster
large fluid loss is performed. Fluid loss of as little as 2% than 10% commercially available dextrin of a dextrose
of body weight decreases endurance performance (Craig equivalent 1 6 (DE16)-based sports drink, or any other 10%
& Cummings, 1966; Armstrong et al., 1985). With a water carbohydrate (CHO) solutions, such as glucose, maltose,
10ss of 4-5~;~o of body weight, physiologic function is or sucrose at rest (Takii et al., In press).
impaired (Buskirk et al., 1958; Ribish & Herbert, 1970). The purpose of this study was to clarify the GET of
The water lost as sweat comes from the blood, and intra- HBCD-based sports drink in comparison with other CHO-
cellular and interstitial pools (Costill & Sparks, 1973; based sports drink during exercise. The effects of ingest-
Costill et al., 1974), and causes a reduction in circulato- ing the HBCD-based sports drink on GI disorders and
ry capacity, cooling, and exercise efficiency (Astrand & fatigue during exercise were also investigated.
Saltin, 1964). Therefore, drinking fluids is advised to
achieve optimal performance and feelings of well-being Materials and Methods
during prolonged exercise. Subjects The subjects were 7 untrained men. Their
Participants in endurance events frequently suffer from mean :!: SD values for age, body weight, and height were
gastrointestinal (GI) disorders such as belching, flatulence, 34.3 i 2.8 year, 65.4 d: 9.0 kg, and 171.7 i 5.8 cm, respec-
heartburn, nausea, abdominal pain, Iateroabdominal tively. A11 procedures were performed according to the
stitches, regurgitation, an urge to defecate, and diarrhea. Helsinki Declaration of 1964 (revised in 1989).
These symptoms suggest that exercise may influence GI Sports drinks used as testfluids Water and three pro-
function. The type of exercise and the type of food ingested totype sports drinks based on HBCD, DE16, and glucose
prior to and during exercise influence GI disorders during were used as test fluids in the experiments. The sports
exercise (Brouns et al., 1987; Rehrer et al., 1992). During drinks were composed of 10% CHO, I .4% fructose, 0.01 %
strenuous physical exercise, sports drinks are the major stevia, 0.2% ascorbic acid, O. 1% sodium ascorbic acidate,
energy source consumed. Liquids are also necessary for 0.04% vitamin mixture, 0.02% sodium chloride, and 0.01 %
rehydration. Therefore, it is important to investigate the aroma. The osmolality of the test drinks was determined
relation between the type of drink consumed and its gastric by freezing-point depression (Advanced Wide-Range
emptying time (GET) during exercise. We previously Osmometer 3W2, Advanced Instrument Co., Ltd., MA,
USA).
Abbreviations: HBCD, highly branched cyclic dextrin; GI, gastroin- Exercise protocol Experiments were started at 14:OO
testinal; DE, dextrose equivalent; DE16, commercially available dextrin
each day, with several days of rest between trials. All
of a dextrose equivalent 16; CHO, carbohydrate; GET, gastric emptying
time; RPE, rate of perceived exertion
subjects consumed udon, flour noodles in dried-bonito
E-mail: takii-hiroshi@glico.co.jp soup (250 kcal), 3 h before the onset of the test. A11 subjects
A Sports Drink Based on Highly Branched Cyclic Dextrin 429
were allowed to consume only a cup of water or green tea of differences, with a p value of <0.05 used to indicate
up to 1.5 h before the onset of the test. The exercise room significance.
was kept at 25'C, and conversation was allowed during
the experiment. However, no information on the test drink Results
was given to the subjects. Each subject completed a stan- Gastric emptying time and GI disorders during
dardized warm-up, consisting of 3 min of cycling at each exercise The osmolality of the HBCD-, DE16-, and
of 3 Ioads (56, 71, and 85 W) on a cycling ergometer (Lode, glucose-based sports drink was 150, 269, and 787 mOsm,
Groningen, The Netherlands). After the subject consumed respectively. The GET was shortest when subjects ingested
a given fluid as quickly as possible (within I min), he was the HBCD-based sports drink (Fig. 2). The HBCD-based
allowed to rest for 10 min. Exercise was then continued sports drink emptied faster than the glucose-based sports
for 30 min, consisting of three 10-min blocks at each of 3 drinks during exercise (Fig. 2). The HBCD-based sports
10ads (71, 85 and 99 W). The subjects maintained an drink was also associated with a lower flatulence value
approximate pedaling rate of 60 revolutions/min. Every 5 than the glucose- and DE16-based sports drinks from 5
min after drinking the test fluid, the subject was asked to min after the start of exercise (15 min after ingestion) to
assess feelings of flatulence; the feeling of remaining fluid the end of exercise (Fig. 3). The total number of belches
was expressed using a 6-point scale: 5, 100% of test fluid for all subjects after drinking water or the HBCD-,
remaining; 4, 80(~c; 3, 60%; 2, 40%; l, 20%; O, no fluid glucose-, or DE16-based sports drinks to the completion
present. The rate of perceived exertion (RPE) was expressed of exercise was 1 1, 9, 23 and 24, respectively. Thus, the
using a 15-point scale: for example, 6, sedentary; 7, very HBCD-based sports drink induced the fewest belches. The
easy; 11, easy; 13, somewhat severe; 15, severe; 17, very mean number of belches per subject with the HBCD-based
severe; 20, all out (Noble et al., 1983). The number of sports drink was significantly lower (p < 0.05) than with
belches after the test fluid was consumed was also recorded. the glucose- or DEI 6-based sports drinks (Fig. 4). Although
Measurement of the gastric emptying time of the test no significant difference was observed in the RPE between
solution The relaxed cross-sectional area of the pylorus water and the sports drinks, the RPE with the HBCD-based
antrum was measured by an extracorporeal ultrasonic echo- sports drink tended to be lower in the later stage of exercise
image analyzer (SSA-200A, Toshiba Co., Tokyo, Japan) (data not shown). Postprandial blood glucose increased with
in a sitting position every 10 min after the test fluid had the sports drinks containing CHO, but decreased with
been consumed (Nagao et al., 1998). During exercise, this water (Fig. 5). There was no difference in the increase in
area was measured after I min of rest to give the stomach postprandial blood glucose among the three sports drinks
time to stop moving. The gastric emptying characteristics containing CHOs.
of the test solutions are shown as the mean GET derived
from gross half-gastric volumes. The measurement was con-
ducted three times in succession, and the average value 40
was calculated (Takii et al., In press).
*
Statistics Results are expressed as mean i SEM. One-
way analysis of variance (ANOVA) with Fisher's PLSD c: 30
post hoc test was used to assess the statistical significance E
~o
E
~o)
C 20
'~>
1 oo ~~
E
o
.~

75
~*co(Q IC
O
~
1)
(1:

~ 50 o
~
~ Drink
25 Fig. 2. Gastric emptying time of the CHO-based sports drinks. A, Water;
B, HBCD; C, DE16; D, Glucose. Data represent the means :!: SEM for
7 subjects.*: significant difference (p < 0.05).

o
-20 -10 O I O 20 30 40 Discussion
f Time (min) We previously reported that a HBCD-based sports drink
Drinking was transferred from the stomach to the small intestine
~ ; Blood sampling
faster than a 10% DE16-, or glucose-based sports drink
Fig. 1. Protocol of the exercise test. and 10% CHO (glucose, maltose, and sucrose) solutions
430 H.TAKII et al.

5 40

CI Water
l HBCD
4- b
1-
A DE16 T
b
O Glucose ~ 20 -
:5
~o)E
(D
~b l
-O
O
CO 3 l~ b( Tb ~o
co
o
o
T
(D
O acl C ~o)
l
C J-
(D

iT l b 1~
T• - ~
::
t*Ca 2- T o O-
~2 ~
D: ac
:~: ib Tb
oO
<l
__. l i
l ar C bc C:} Water ; T•- T.
i aL
1- L ' HBCD !
i
a
ac -2 O
A DE16 ;
li
a i O Glucose
~
l-
-1 O OI O Time (min) 20 40
Fig. 3. Change in flatulence after drinking CHO-based sports drinks.
30
20 -1 O I O
20 40
30 O
Time (min)

Different superscript letters show significant difference (p < 0.05) among Fig. 5. Change in blood glucose level after drinking CHO-based sports
test drinks at the same period after ingestion. drinks. *: significantly different between water and glucose-based drink
(p < O.05). **: significantly different among test drinks (p < 0.05).

5
that subjects felt little fatigue after ingesting the HBCD-
based sports drink.
As noted above, it is reasonable to investigate the rela-
~o 4(D
tionship between the type of drink and its gastric emptying
~i co rate to control GI disorders during exercise. From previous
~o) ab experimental evidence, it may be expected that the inci-
c3
co a)
dence of GI disorders will increase if liquid remains in the
~~ stomach for a long time.
~o In this study, we were interested in investigating GI dis-
co 2 orders in untrained men who ingested several sports drinks
o
E
~ c:(o
just before low-intensity exercise.
(D GI disorders are induced by altered GI blood flow,
~1 changes in gut permeability, disturbed GI-tract motility,
psychological effects ( 'stress') and pharmacological agents
(Green, 1992). One of the most common theories includes
o an exercise-induced reduction in blood flow. The HBCD-
B c D based sports drink was associated with the shortest GET
A
Drink (Fig. 2) and the least flatulence (Fig. 3) among the test
drinks.
Fig. 4. Number of belches after drinking CHO-based sports drinks. A,
Water; B, HBCD; C, DEI 6; D, Glucose. Different superscript letters mean Postprandial blood glucose increased with the ingestion
significant difference (p < O.05). of the sports drinks containing CHO, but decreased with
the ingestion of water (Fig. 5). There were no obvious dif-
at rest (Takii et al., In press). Therefore, we additionally ferences in the increase in postprandial blood glucose
investigated the GET of a HBCD-based sports drink and levels among the three sports drinks. These results sug-
the effects of ingesting such a drink on GI disorders during gested that HBCD was digested and absorbed easily as well
exercise. The HBCD-based sports drink tended to be trans- as other CHOS (Fig. 5). Therefore, with the HBCD-based
ferred faster than glucose- and dextrin-based sports drink sports drink, the decrease in the volume of blood due to
during exercise (Fig. 2). Moreover, GI disorders, such as perspiration during exercise was thought to be reduced.
flatulence and the mean number of belches, after ingest- This result should lead to a reduction in GI disorders.
ing the drink, were significantly (p < 0.05) attenuated Moreover, if liquid stays in the stomach for a long time,
compared with other drinks (Figs. 3, 4). In addition, RPE the stomach itself could swing with a large amplitude. This
in the later stage of exercise tended to be lower with the leads to stretching of ligaments in the abdominal area. If
HBCD-based sports drink (data not shown), which suggests there is a large amount of residual liquid in the stomach,
A Sports Drink Based on Highly Branched Cychc Dextrin 43 1

belching and lateroabdominal stitches will be easily gen- Med. Sci. Sports Exerc. , 17, 456-461.
Astrand, P.O. and Saltin, B. (1964). Plasma and red cell volume after
erated (Peters et al., 1993; Plunkett & Hopkins, 1999). In
prolonged severe exercise. J. Appl. Physiol., 19, 829-832.
this experiment, the fewest number of belches was observed
Brouns, F., Saris, W.H.M. and Rehrer. N.J. (1987). Abdominal com-
with the HBCD-based drink (Fig. 4). These results suggest plaints and gastrointestinal function during long-lasting exercise.
that subjects who ingested a HBCD-based sports drink Int. J. Sports Med., 8, 175-189.
might have experienced few GI disorders because the Buskirk, T., Iampietro, P.F. and Bass, D.E. ( 1 958). Work performance
after dehydration: effects of physical conditioning and heat acclima-
HBCD-based sports drink was transported from the
tization. J. Appl. Physiol., 12, 189-194.
stomach faster than other drinks. Costill, D.L. and Sparks, K.E. (1973). Rapid fluid replacement fol-
The present results regarding GET during exercise coin- lowing thermal dehydration. J. Appl. Physiol. , 34, 299-303.
cided with those at rest, as reported previously (Takii et Costill, D.L., Baranam, G., Eddy, D. and Fink, W.J. ( 1974). Alternation
al., In press). HBCD is a polymer of 900 glucose residues in red cell volume following exercise and dehydration. J. Appl.
Physiol., 37, 912-916.
with an average molecular mass of 160,000 Da. HBCD
Craig, F.N. and Cummings, E.G. (1966). Dehydration and muscular
contains few glucose, di-, and oligo-saccharides (DE Iess
work. J. Appl. Physiol., 34, 299-303.
than 2) (Takata et al., 1996, 1997), since it has a very narrow Green, G. (1992). Gastrointestinal disorders in the athlete. Clin.
molecular distribution. The osmotic pressure of I O% HBCD Sports Med., 11, 453-470.
solution is only 9 mOsm. Therefore, it can be used to Nagao, Y., Kodama, H., Yonezawa, T., Taguchi, A., Fujino, S.,
Nakahara, K., Haruma, K. and Fushiki, T. ( 1998). Correlation
produce a sports drink without greatly increasing the
between the drinkability of beer and gastric emptying. Biosci.
osmotic pressure. Since the GET of an ingested drink is
Biotechnol. Biochem., 62, 846-851 .
mainly influenced by its osmotic pressure, we prepared a Noble, B.J., Borg, G.A, Jacobs, I., Ceci, R. and Kaiser, P. (1983). A
sports drink using HBCD. The results of this study suggest category-ratio perceived exertion scale: relationship to blood and
that the minimal GI disorders in subjects who ingest a muscle lactates and heart rate. Med. Sci. Sports Exerc. , 15, 523-528.
Peters, H.P., van Schelven, F.W., Verstappen, P.A., de Boer, R.W.,
HBCD-based sports drink might due to its short GET.
Bol, E., Rrich, W.B., van der Togt, C.R. and de Vries, W.R. (1 993).
We found that the HBCD-based sports drink had a short Gastrointestinal problems as a function of carbohydrate and mode
GET and scarcely induced any GI disorder. When consumed of exercise. Med. Sci. Sports Exerc., 25, 121 1-1224.
during exercise, the number of belches was significantly Plunkett, B.T. and Hopkins, W.G., (1999). Investigation of the side
low (Fig. 4). A shorter GET (Fig. 2) and a lower flatulence pam "stitch" induced by running after fluid ingestion. Med. Sci.
score (Fig. 3) were also observed. Furthermore, the subjects Sports Exerc., 31, 1 169-1 175.
Rehrer, N.J., van Kemenade, M., Meester, W., Brouns, F. and Saris,
showed a lower RPE during exercise (data not shown). We W.H.M. (1992). Gastrointestinal complaints in relation to dietary
previously reported that HBCD could enhance the intake in triathletes. Int. J. Sports Nutr., 2, 48-59.
endurance capacity of mice (Takii et al., 1999). Our present Ribish, P.M. and Herbert, W.G. ( 1 970). Effects of rapid weight reduc-
results suggest that HBCD might be an excellent ingredi- tion and subsequent rehydration upon the physical working capacity
of wrestlers. Res. Q., 41, 536-541.
ent as a sports ergogenic aid. Further investigations are
Takata, H., Takaha, T., Okada, S., Hizukuri, S., Takagi, M. and
needed, since an exercise performance test was not per- Imanaka, T. (1996). Structure of cyclic glucan produced from
formed in athletes in this study. amylopectin by Bacillus stearothemophilus branching enzyme.
In conclusion, the present results suggest that, similar Carbohydr Res., 295, 91-101.
to the previous results at rest (Takii et al., In press), an Takata, H., Takaha, T., Nakamura, H., Fujii, K., Okada. S., Takagi,
M, and Imanaka, T. (1997). Production and some properties of a
HBCD-based sports drink generated few GI disorders in
dextrin with a narrow size distribution by cyclization reaction of
untrained men during exercise due to its short GET. branching enzyme. J. Ferment. Bioeng., 84, 1 19-123.
Takii, H., Ishihara, K., Kometani, T., Okada, S, and Fushiki, T.
Acknowledgements We thank all of the subjects who participated in ( 1999). Enhancement of swimming endurance in mice by highly
the experiments. We also thank Dr. Shigetaka Okada for his kind branched cyclic dextrin. Biosci. Biotechnol. Biochem., 63,
advice and Dr. Takashi Nakae for his technical assistance.
2045-2052.
Takii, H., Nagao-Takii, Y., Kometani, T., Nishimura, T., Nakae, T.,
Ref erences Kuriki, T, and Fushiki, T. Fluids containing a highly branched cyclic
Armstrong, L.E., Costill, D.L, and Fink, W.J. (1985). Influence of dextrin influence the gastric emptying rate. Int. J. Sports Med. ,
diuretic-induced dehydration on competitive running performance. 25, Inpress.

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