Nutritional ketosis alters fuel preference and thereby endurance performance in athletes

Cox PJ, Kirk T, Ashmore T, Willerton K, Evans R, Smith A, Murray AJ, Stubbs B, West J, McLure SW, King MT, Dodd MS, Holloway C, Neubauer S, Drawer S, Veech RL, Griffin JL, Clarke K (2016) Cell Metabolism
Title and abstract of Nutritional ketosis alters fuel preference and thereby endurance performance in athletes

Key Takeaway

Ketone ester drinks increased blood ketones and improved cycling performance by 2% in trained athletes, representing a significant ergogenic effect.

Summary

Landmark study examining the effects of ketone ester supplementation on endurance exercise performance in elite athletes.

Methods

  • Randomized crossover design
  • 39 high-performance cyclists
  • Ketone ester drink vs carbohydrate/fat control
  • 30-minute cycling time trial

Key Results

  • Blood ketones elevated to ~3-5 mM
  • 2% improvement in distance covered (411m)
  • Altered substrate utilization
  • Glycogen sparing observed
  • No GI issues at tested dose

Limitations

  • Short duration performance test
  • Elite athlete population
  • Single dose tested
  • Expensive supplement

Related Interventions

Related Studies

Source

View on PubMed →

DOI: 10.1016/j.cmet.2016.07.010