Chocolate milk for recovery from exercise: a systematic review and meta-analysis of controlled clinical trials.
Journal
European journal of clinical nutrition
ISSN: 1476-5640
Titre abrégé: Eur J Clin Nutr
Pays: England
ID NLM: 8804070
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
received:
12
09
2017
accepted:
18
04
2018
revised:
28
03
2018
pubmed:
21
6
2018
medline:
12
8
2020
entrez:
21
6
2018
Statut:
ppublish
Résumé
Chocolate milk (CM) contains carbohydrates, proteins, and fat, as well as water and electrolytes, which may be ideal for post-exercise recovery. We systematically reviewed the evidence regarding the efficacy of CM compared to either water or other "sport drinks" on post-exercise recovery markers. PubMed, Scopus, and Google scholar were explored up to April 2017 for controlled trials investigating the effect of CM on markers of recovery in trained athletes. Twelve studies were included in the systematic review (2, 9, and 1 with high, fair and low quality, respectively) and 11 had extractable data on at least one performance/recovery marker [7 on ratings of perceived exertion (RPE), 6 on time to exhaustion (TTE) and heart rate (HR), 4 on serum lactate, and serum creatine kinase (CK)]. The meta-analyses revealed that CM consumption had no effect on TTE, RPE, HR, serum lactate, and CK (P > 0.05) compared to placebo or other sport drinks. Subgroup analysis revealed that TTE significantly increases after consumption of CM compared to placebo [mean difference (MD) = 0.78 min, 95% confidence interval (CI): 0.27, 1.29, P = 0.003] and carbohydrate, protein, and fat-containing beverages (MD = 6.13 min, 95% CI: 0.11, 12.15, P = 0.046). Furthermore, a significant attenuation on serum lactate was observed when CM was compared with placebo (MD = -1.2 mmol/L, 95% CI: -2.06,-0.34, P = 0.006). CM provides either similar or superior results when compared to placebo or other recovery drinks. Overall, the evidence is limited and high-quality clinical trials with more well-controlled methodology and larger sample sizes are warranted.
Sections du résumé
BACKGROUND/OBJECTIVES
Chocolate milk (CM) contains carbohydrates, proteins, and fat, as well as water and electrolytes, which may be ideal for post-exercise recovery. We systematically reviewed the evidence regarding the efficacy of CM compared to either water or other "sport drinks" on post-exercise recovery markers.
SUBJECTS/METHODS
PubMed, Scopus, and Google scholar were explored up to April 2017 for controlled trials investigating the effect of CM on markers of recovery in trained athletes.
RESULTS
Twelve studies were included in the systematic review (2, 9, and 1 with high, fair and low quality, respectively) and 11 had extractable data on at least one performance/recovery marker [7 on ratings of perceived exertion (RPE), 6 on time to exhaustion (TTE) and heart rate (HR), 4 on serum lactate, and serum creatine kinase (CK)]. The meta-analyses revealed that CM consumption had no effect on TTE, RPE, HR, serum lactate, and CK (P > 0.05) compared to placebo or other sport drinks. Subgroup analysis revealed that TTE significantly increases after consumption of CM compared to placebo [mean difference (MD) = 0.78 min, 95% confidence interval (CI): 0.27, 1.29, P = 0.003] and carbohydrate, protein, and fat-containing beverages (MD = 6.13 min, 95% CI: 0.11, 12.15, P = 0.046). Furthermore, a significant attenuation on serum lactate was observed when CM was compared with placebo (MD = -1.2 mmol/L, 95% CI: -2.06,-0.34, P = 0.006).
CONCLUSION
CM provides either similar or superior results when compared to placebo or other recovery drinks. Overall, the evidence is limited and high-quality clinical trials with more well-controlled methodology and larger sample sizes are warranted.
Identifiants
pubmed: 29921963
doi: 10.1038/s41430-018-0187-x
pii: 10.1038/s41430-018-0187-x
doi:
Types de publication
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
835-849Références
Shirreffs SM, Watson P, Maughan RJ. Milk as an effective post-exercise rehydration drink. Br J Nutr. 2007;98:173–80.
doi: 10.1017/S0007114507695543
Pascoe DD, Costill DL, Fink WJ, Robergs RA, Zachwieja JJ. Glycogen resynthesis in skeletal muscle following resistive exercise. Med Sci Sports Exerc. 1993;25:349–54.
doi: 10.1249/00005768-199303000-00009
el-Sayed MS, Rattu AJ, Roberts I. Effects of carbohydrate feeding before and during prolonged exercise on subsequent maximal exercise performance capacity. Int J Sport Nutr. 1995;5:215–24.
doi: 10.1123/ijsn.5.3.215
Temesi J, Johnson NA, Raymond J, Burdon CA, O’Connor HT. Carbohydrate ingestion during endurance exercise improves performance in adults. J Nutr. 2011;141:890–7. https://doi.org/10.3945/jn.110.137075 .
doi: 10.3945/jn.110.137075
pubmed: 21411610
Jeukendrup A, Brouns F, Wagenmakers AJ, Saris WH. Carbohydrate-electrolyte feedings improve 1 h time trial cycling performance. Int J Sports Med. 1997;18:125–9. https://doi.org/10.1055/s-2007-972607 .
doi: 10.1055/s-2007-972607
pubmed: 9081269
Davison GW, McClean C, Brown J, Madigan S, Gamble D, Trinick T, et al. The effects of ingesting a carbohydrate-electrolyte beverage 15min prior to high-intensity exercise performance. Res Sports Med. 2008;16:155–66. https://doi.org/10.1080/15438620802103155 .
doi: 10.1080/15438620802103155
pubmed: 18785059
Andersen G, Orngreen MC, Preisler N, Jeppesen TD, Krag TO, Hauerslev S, et al. Protein-carbohydrate supplements improve muscle protein balance in muscular dystrophy patients after endurance exercise: a placebo-controlled crossover study. Am J Physiol Regul Integr Comp Physiol. 2015;308:R123–130. https://doi.org/10.1152/ajpregu.00321.2014 .
doi: 10.1152/ajpregu.00321.2014
pubmed: 25411362
Howarth KR, Moreau NA, Phillips SM, Gibala MJ. Coingestion of protein with carbohydrate during recovery from endurance exercise stimulates skeletal muscle protein synthesis in humans. J Appl Physiol. 2009;106:1394–402. https://doi.org/10.1152/japplphysiol.90333.2008 .
doi: 10.1152/japplphysiol.90333.2008
pubmed: 19036894
Wong SH, Chen Y. Effect of a carbohydrate-electrolyte beverage, lemon tea, or water on rehydration during short-term recovery from exercise. Int J Sport Nutr Exerc Metab. 2011;21:300–10.
doi: 10.1123/ijsnem.21.4.300
Saunders MJ, Kane MD, Todd MK. Effects of a carbohydrate-protein beverage on cycling endurance and muscle damage. Med Sci Sports Exerc. 2004;36:1233–8.
doi: 10.1249/01.MSS.0000132377.66177.9F
Saunders MJ, Luden ND, Herrick JE. Consumption of an oral carbohydrate-protein gel improves cycling endurance and prevents postexercise muscle damage. J Strength Cond Res. 2007;21:678–84.
pubmed: 17685703
Skillen RA, Testa M, Applegate EA, Heiden EA, Fascetti AJ, Casazza GA. Effects of an amino acid carbohydrate drink on exercise performance after consecutive-day exercise bouts. Int J Sport Nutr Exerc Metab. 2008;18:473–92.
doi: 10.1123/ijsnem.18.5.473
Ivy JL, Goforth HW Jr., Damon BM, McCauley TR, Parsons EC, Price TB. Early postexercise muscle glycogen recovery is enhanced with a carbohydrate-protein supplement. J Appl Physiol. 2002;93:1337–44. https://doi.org/10.1152/japplphysiol.00394.2002 .
doi: 10.1152/japplphysiol.00394.2002
pubmed: 12235033
Berardi JM, Price TB, Noreen EE, Lemon PW. Postexercise muscle glycogen recovery enhanced with a carbohydrate-protein supplement. Med Sci Sports Exerc. 2006;38:1106–13. https://doi.org/10.1249/01.mss.0000222826.49358.f3 .
doi: 10.1249/01.mss.0000222826.49358.f3
pubmed: 16775553
Jentjens R, Jeukendrup AE. Determinants of post-exercise glycogen synthesis during short-term recovery. Sports Med. 2003;33:117–44.
doi: 10.2165/00007256-200333020-00004
Wiswedel I, Hirsch D, Kropf S, Gruening M, Pfister E, Schewe T, et al. Flavanol-rich cocoa drink lowers plasma F 2-isoprostane concentrations in humans. Free Radic Biol Med. 2004;37:411–21.
doi: 10.1016/j.freeradbiomed.2004.05.013
Watson P, Love TD, Maughan RJ, Shirreffs SM. A comparison of the effects of milk and a carbohydrate-electrolyte drink on the restoration of fluid balance and exercise capacity in a hot, humid environment. Eur J Appl Physiol. 2008;104:633–42.
doi: 10.1007/s00421-008-0809-4
Macdougall JD, Ray S, Sale DG, Mccartney N, Lee P, Garner S. Muscle substrate utilization and lactate production during weightlifting. Can J Appl Physiol. 1999;24:209–15.
doi: 10.1139/h99-017
Josse AR, Atkinson SA, Tarnopolsky MA, Phillips SM. Increased consumption of dairy foods and protein during diet-and exercise-induced weight loss promotes fat mass loss and lean mass gain in overweight and obese premenopausal women. J Nutr. 2011;141:1626–34.
doi: 10.3945/jn.111.141028
Wilkinson SB, Tarnopolsky MA, MacDonald MJ, MacDonald JR, Armstrong D, Phillips SM. Consumption of fluid skim milk promotes greater muscle protein accretion after resistance exercise than does consumption of an isonitrogenous and isoenergetic soy-protein beverage. Am J Clin Nutr. 2007;85:1031–40.
doi: 10.1093/ajcn/85.4.1031
Boirie Y, Dangin M, Gachon P, Vasson M-P, Maubois J-L, Beaufrère B. Slow and fast dietary proteins differently modulate postprandial protein accretion. Proc Natl Acad Sci. 1997;94:14930–5.
doi: 10.1073/pnas.94.26.14930
Dangin M, Guillet C, Garcia‐Rodenas C, Gachon P, Bouteloup‐Demange C, Reiffers‐Magnani K, et al. The rate of protein digestion affects protein gain differently during aging in humans. J Physiol. 2003;549:635–44.
doi: 10.1113/jphysiol.2002.036897
Salejda AM, Krasnowska G. Effect of dietary rapeseed oil and humus-containing mineral preparation on cholesterol and cholesterol oxidation products content in pork. Eur Food Res Technol. 2016; 242:1441–6. https://doi.org/10.1007/s00217-016-2644-x .
doi: 10.1007/s00217-016-2644-x
Lunn WR, Pasiakos SM, Colletto MR, Karfonta KE, Carbone JW, Anderson JM, et al. Chocolate milk and endurance exercise recovery: Protein balance, glycogen, and performance. Med Sci Sports Exerc. 2012;44:682–91. https://doi.org/10.1249/MSS.0b013e3182364162.
doi: 10.1249/MSS.0b013e3182364162.
pubmed: 21904247
Karp JR, Johnston JD, Tecklenburg S, Mickleborough TD, Fly AD, Stager JM. Chocolate milk as a post-exercise recovery aid. Int J Sport Nutr Exerc Metab. 2006;16:78–91.
doi: 10.1123/ijsnem.16.1.78
Ferguson-Stegall L, McCleave EL, Ding Z, Doerner PG 3rd, Wang B, Liao YH, et al. Postexercise carbohydrate-protein supplementation improves subsequent exercise performance and intracellular signaling for protein synthesis. J Strength Cond Res. 2011;25:1210–24. https://doi.org/10.1519/JSC.0b013e318212db21 .
doi: 10.1519/JSC.0b013e318212db21
pubmed: 21522069
Gilson SF, Saunders MJ, Moran CW, Moore RW, Womack CJ, Todd MK. Effects of chocolate milk consumption on markers of muscle recovery following soccer traininfg: a randomized cross-over study. J Int Soc Sports Nutr. 2010;7:19. https://doi.org/10.1186/1550-2783-7-19 .
doi: 10.1186/1550-2783-7-19
Fraga CG, Actis-Goretta L, Ottaviani JI, Carrasquedo F, Lotito SB, Lazarus S, et al. Regular consumption of a flavanol-rich chocolate can improve oxidant stress in young soccer players. Clin Dev Immunol. 2005;12:11–17.
doi: 10.1080/10446670410001722159
Spaccarotella KJ, Andzel WD. The effects of low fat chocolate milk on postexercise recovery in collegiate athletes. J Strength Cond Res. 2011;25:3456–60. https://doi.org/10.1519/JSC.0b013e3182163071.
doi: 10.1519/JSC.0b013e3182163071.
pubmed: 22080318
Pritchett KL, Pritchett RC, Green JM, Katica C, Combs B, Eldridge M, et al. Comparisons of post-exercise chocolate milk and a commercial recovery beverage following cycling training on recovery and performance. J Exerc Physiol Online. 2011;14:29–39.
Thomas K, Morris P, Stevenson E. Improved endurance capacity following chocolate milk consumption compared with 2 commercially available sport drinks. Appl Physiol, Nutr Metab. 2009;34:78–82. https://doi.org/10.1139/H08-137.
doi: 10.1139/H08-137.
Pritchett K, Bishop P, Pritchett R, Green M, Katica C. Acute effects of chocolate milk and a commercial recovery beverage on postexercise recovery indices and endurance cycling performance. Appl Physiol Nutr Metab. 2009;34:1017–22. https://doi.org/10.1139/H09-104.
doi: 10.1139/H09-104.
pubmed: 20029509
Azadbakht L, Fard NRP, Karimi M, Baghaei MH, Surkan PJ, Rahimi M, et al. Effects of the dietary approaches to stop hypertension (DASH) eating plan on cardiovascular risks among type 2 diabetic patients: a randomized crossover clinical trial. Diabetes Care. 2011;34:55–57.
doi: 10.2337/dc10-0676
Papacosta E, Nassis GP, Gleeson M. Effects of acute postexercise chocolate milk consumption during intensive judo training on the recovery of salivary hormones, salivary SIgA, mood state, muscle soreness, and judo-related performance. Appl Physiol Nutr Metab. 2015;40:1116–22. https://doi.org/10.1139/apnm-2015-0243
doi: 10.1139/apnm-2015-0243
pubmed: 26513005
Potter J, Fuller B. The effectiveness of chocolate milk as a post-climbing recovery aid. J Sports Med Phys Fitness. 2015; 55:1438–44.
Upshaw AU, Wong TS, Bandegan A, Lemon PW. Cycling time trial performance 4h following glycogen-lowering exercise is enhanced similarly with recovery non-dairy chocolate beverages vs chocolate milk. Int J Sport Nutr Exerc Metab 2016;26:65–70. https://doi.org/10.1123/ijsnem.2015-0056 .
doi: 10.1123/ijsnem.2015-0056
Higgins JPT, Green S, Cochrane Collaboration. Cochrane handbook for systematic reviews of interventions. Chichester: Wiley-Blackwell; 2008.
doi: 10.1002/9780470712184
Higgins J, Thompson SG. Quantifying heterogeneity in a meta‐analysis. Stat Med. 2002;21:1539–58.
doi: 10.1002/sim.1186
Egger M, Smith GD, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315:629–34.
doi: 10.1136/bmj.315.7109.629
Morato PN, Rodrigues JB, Moura CS, e Silva FGD, Esmerino EA, Cruz AG, et al. Omega-3 enriched chocolate milk: a functional drink to improve health during exhaustive exercise. J Funct Foods. 2015;14:676–83. https://doi.org/10.1016/j.jff.2015.02.034.
doi: 10.1016/j.jff.2015.02.034.
Abd El-Khair AA. Optimization of a new version of chocolate milk for endurance performance and post-exercise recovery. J Appl Sci Res. 2009;5:482–9.
Ferguson-Stegall L, McCleave E, Ding Z, Doerner Iii PG, Liu Y, Wang B, et al. Aerobic exercise training adaptations are increased by postexercise carbohydrate-protein supplementation. J Nutr Metab 2011; 2011:623182. https://doi.org/10.1155/2011/623182 .
doi: 10.1155/2011/623182
Mitchell CJ, Oikawa SY, Ogborn DI, Nates NJ, MacNeil LG, Tarnopolsky M, et al. Daily chocolate milk consumption does not enhance the effect of resistance training in young and old men: a randomized controlled trial. Appl Physiol Nutr Metab. 2015;40:199–202. https://doi.org/10.1139/apnm-2014-0329 .
doi: 10.1139/apnm-2014-0329
pubmed: 25610954
Alberici JC, Farrell PA, Kris-Etherton PM, Shively CA. Effects of preexercise candy bar ingestion on glycemic response, substrate utilization, and performance. Int J Sport Nutr. 1993;3:323–33.
doi: 10.1123/ijsn.3.3.323
Pritchett K, Pritchett R. Chocolate milk: a post-exercise recovery beverage for endurance sports. Med Sport Sci. 2012; 59:127–34.
Saunders MJ. Carbohydrate-protein intake and recovery from endurance exercise: Is chocolate milk the answer? Curr Sports Med Rep. 2011;10:203–10. https://doi.org/10.1249/JSR.0b013e318223ccb4.
doi: 10.1249/JSR.0b013e318223ccb4.
pubmed: 23531895
Spaccarotella KJ, Andzel WD. Building a beverage for recovery from endurance activity: a review. J Strength Cond Res. 2011;25:3198–204. https://doi.org/10.1519/JSC.0b013e318212e52f .
doi: 10.1519/JSC.0b013e318212e52f
pubmed: 21993044
Volpe. Recovery beverages: A review of two recent studies. ACSM’s Health Fit J. 2007;11:33–34. https://doi.org/10.1249/01.FIT.0000288540.54363.e4.
doi: 10.1249/01.FIT.0000288540.54363.e4.
Saunders MJ. Glycogen replenishment with chocolate milk consumption. Curr Sports Med Rep. 2011;10:390 https://doi.org/10.1249/JSR.0b013e318237c0ed.
doi: 10.1249/JSR.0b013e318237c0ed.
pubmed: 22071401
Bellar D, LeBlanc NR, Murphy K, Moody KM, Buquet G. The impact of chocolate goat’s and cow’s milk on postresistance exercise endocrine responses and isometric mid-thigh pull performance. J Diet Suppl. 2016;13:560–9. https://doi.org/10.3109/19390211.2015.1124164 .
doi: 10.3109/19390211.2015.1124164
Jeukendrup AE. Carbohydrate intake during exercise and performance. Nutrition. 2004;20:669–77. https://doi.org/10.1016/j.nut.2004.04.017 .
doi: 10.1016/j.nut.2004.04.017
pubmed: 15212750
Pritchett KL, Pritchett RC, Bishop P. Nutritional strategies for post-exercise recovery: a review. South Afr J Sports Med. 2011;23:20–25.
doi: 10.17159/2078-516X/2011/v23i1a370
Valentine RJ, Saunders MJ, Todd MK, St. Laurent TG. Influence of carbohydrate-protein beverage on cycling endurance and indices of muscle disruption. Int J Sport Nutr Exerc Metab. 2008;18:363–78.
doi: 10.1123/ijsnem.18.4.363
Zawadzki KM, Yaspelkis BB 3rd, Ivy JL. Carbohydrate-protein complex increases the rate of muscle glycogen storage after exercise. J Appl Physiol. 1992;72:1854–9. https://doi.org/10.1152/jappl.1992.72.5.1854 .
doi: 10.1152/jappl.1992.72.5.1854
pubmed: 1601794
Bergstrom J, Hermansen L, Hultman E, Saltin B. Diet, muscle glycogen and physical performance. Acta Physiol Scand. 1967;71:140–50. https://doi.org/10.1111/j.1748-1716.1967.tb03720.x .
doi: 10.1111/j.1748-1716.1967.tb03720.x
pubmed: 5584523
Davis JM, Bailey SP, Woods JA, Galiano FJ, Hamilton MT, Bartoli WP. Effects of carbohydrate feedings on plasma free tryptophan and branched-chain amino acids during prolonged cycling. Eur J Appl Physiol Occup Physiol. 1992;65:513–9.
doi: 10.1007/BF00602357
Saunders MJ. Coingestion of carbohydrate-protein during endurance exercise: influence on performance and recovery. Int J Sport Nutr Exerc Metab. 2007;17:S87–S103.
doi: 10.1123/ijsnem.17.s1.s87
Hickson R, Rennie M, Conlee R, Winder W, Holloszy J. Effects of increased plasma fatty acids on glycogen utilization and endurance. J Appl Physiol. 1977;43:829–33.
doi: 10.1152/jappl.1977.43.5.829
Brechtel K, Dahl DB, Machann J, Bachmann OP, Wenzel I, Maier T, et al. Fast elevation of the intramyocellular lipid content in the presence of circulating free fatty acids and hyperinsulinemia: a dynamic 1H-MRS study. Magn Reson Med. 2001;45:179–83.
doi: 10.1002/1522-2594(200102)45:2<179::AID-MRM1023>3.0.CO;2-D
Bloomer RJ, Goldfarb AH. Can nutritional supplements reduce exercise-induced skeletal muscle damage? Strength Cond J. 2003;25:30–37.
doi: 10.1519/00126548-200310000-00005
Saunders MJ, Luden ND, Herrick JE. Consumption of an oral carbohydrate-protein gel improves cycling endurance and prevents postexercise muscle damage. J Strength Cond Res. 2007;21:678–84. https://doi.org/10.1519/r-20506.1 .
doi: 10.1519/r-20506.1
pubmed: 17685703