The Effects of Sodium Phosphate Supplementation on the Cardiorespiratory System and Gross Efficiency during Exercise under Hypoxia in Male Cyclists: A Randomized, Placebo-Controlled, Cross-Over Study

Nutrients. 2021 Oct 11;13(10):3556. doi: 10.3390/nu13103556.

Abstract

The main aim of this study was to evaluate the effects of six days of tri-sodium phosphate (SP) supplementation on the cardiorespiratory system and gross efficiency (GE) during exercise under hypoxia in cyclists. Twenty trained male cyclists received SP (50 mg·kg-1 of fat-free mass/day) or placebo for six days in a randomized, cross-over study, with a three-week washout period between supplementation phases. Before and after each supplementation phase, the subjects performed an incremental exercise test to exhaustion under normobaric hypoxia (FiO2 = 16%, ~2500 m). It was observed that short-term SP supplementation led to a decrease in heart rate, an increase in stroke volume, and an improvement in oxygen pulse (VO2/HR) during low and moderate-intensity exercise under hypoxia. These changes were accompanied by an increase in the serum inorganic phosphate level by 8.7% (p < 0.05). No significant changes were observed in serum calcium levels. GE at a given workload did not change significantly after SP supplementation. These results indicated that SP promotes improvements in the efficiency of the cardiorespiratory system during exercise in a hypoxic environment. Thus, SP supplementation may be beneficial for endurance exercise in hypoxia.

Keywords: altitude; athletes; cardiorespiratory system; ergogenic aids; gross efficiency; hypoxia; myocardium; phosphate loading.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Bicycling / physiology*
  • Cardiorespiratory Fitness / physiology*
  • Cross-Over Studies
  • Dietary Supplements*
  • Double-Blind Method
  • Exercise Test
  • Heart Rate / drug effects
  • Humans
  • Hypoxia / physiopathology*
  • Hypoxia / therapy
  • Male
  • Oxygen Consumption / drug effects
  • Phosphates / blood
  • Phosphates / pharmacology*
  • Physical Endurance / drug effects
  • Stroke Volume / drug effects

Substances

  • Phosphates
  • sodium phosphate