Although research findings are inconclusive, several wellcontrolled studies support the theory that phosphate salt supplementation may enhance functional capacity of the aerobic energy system. The results of these studies indicate that the improvement in aerobic metabolism is caused by an increase in erythrocyte 2,3-DPG, which decreases the affinity of hemoglobin for oxygen, what facilitates the release of oxygen to muscle tissue during exercise (Cade et al., 1979; 1984; Farber et al., 1984; 1987; Gibby et al., 1978). Other authors that conducted similar research did not show any changes in this metabolite after phosphate salt intake (Bredle et al., 1988; Kreider et al., 1990). Most of the current research evaluating the ergogenic effects of phosphate salts refers to the early experiments of Cade et al., 1984. They reported a significant (p < 0.05) increase in the concentration of erythrocyte 2,3-DPG (13. 00 vs. 13.92 mg·g Hb-1) in a group supplemented with phosphate salts. Additionally, a 6 to12% increase in VO2max was observed for subjects given phosphate salts. Similar results were reported by Stewart et al., 1990, who evaluated the effects of sodium phosphate intake on VO2max, time to volitional exhaustion, the concentration of 2,3-DPG, and serum inorganic phosphate concentration in 8 well-trained cyclists. The experimental procedure in this study included sodium phosphate intake of 3.6 g·day-1 or a placebo over a 3-day period. After the supplementation protocol, the exercise tests were repeated, and a 7-day rest period was incorporated. Following the 7-day rest period, the entire procedure was performed once again. The obtained results showed insignificant changes in resting 2,3-DPG concentration, yet the post- exercise 2,3-DPG values were significantly (p < 0.05) higher in the group supplemented with sodium phosphate. Additionally, a significant (p < 0.01) increase in VO2max was registered in the subjects that were given phosphate salts. A similar experiment was conducted by Kreider et al. (1990), where the effects of phosphate salt intake on VO2max, VO2 at the ventilation threshold, and the 5-mile run time were evaluated. The results of this experiment showed a 9% increase in VO2max (73.9 ± 5.0 vs. 80.3 ± 4.0 ml·kg-1·min-1) and a 12 % improvement in VO2VAT (58.0 ± 4.0 vs. 64. 8 ± 2.0 ml·kg-1·min-1) in subjects supplemented with sodium phosphate. The concentration of 2,3-DPG was not considered in this research. On the contrary, research conducted by Bredle et al., 1988 showed no changes in 2, 3-DPG and VO2max in a group of athletes supplemented with phosphate salts for 4 days, with a dose of 5.7 g·day-1. Brennan et al. (2001) documented similar findings to the Bredle study in a group of well-trained cyclists (VO2max = 60.6 ± 4.4 ml·kg-1·min-1), who were supplemented with sodium diphosphate (4 g·day-1). The results of our study are in accordance to those obtained by Cade et al., 1984, Stewart et al., 1990 and Kreider et al. (1990). The experiment showed a significant (p < 0.05) increase in VO2max following sodium triphosphate intake for 6 days, with a dose of 50mg·kgFFM-1·d-1. Significant (p < 0.05) changes in VO2max were registered for both absolute and relative values. Further supplementation with phosphate salts, with a dose of 25mg·kgFFM-1·d-1, over a period of 21 days, did not increase the level of aerobic power, yet in comparison to baseline level, the changes in absolute and relative values of VO2max were significant, respectively. Our research confirms that changes in VO2max obtained in a short- term supplementation procedure can be maintained for a longer period of time by continued intake of phosphate salts in smaller doses. This protocol also increased the ventilation threshold. VO2max decreased in the 3rd phase of the research by 1.4%, in comparison to the second phase of the experiment, yet these values were significantly higher in relation to baseline values. A significant improvement in VO2VAT in the group supplemented with phosphate salts caused a shift in VAT towards much higher loads. In the 2nd and 3rd phases of the experiment, a 5.4% increase in PVAT, in comparison to baseline values was registered (280.4 vs. 295W). The intake of sodium triphosphate caused a delay in the drastic increase of carbon dioxide concentration in the blood (pCO2), stimulating respiration. The delay in hyperventilation, aimed at the removal of excess CO2 from the body, indicates a better supply of oxygen to muscle tissues in the supplemented group. One of the indexes of tissue oxygen saturation includes oxygen pressure (pO2) in capilarized blood. According to Dempsey et al., 1971, an increase in erythrocyte 2,3-DPG is accompanied by a simultaneous rise in capillary pO2. The changes in rest and post-exercise values of capillary pO2 were insignificant in the group that was given sodium phosphate, yet a tendency for an increase in this variable, due to supplementation, was observed. A similar tendency was registered in the resting concentration of 2,3-DPG in group S. The statistical analysis showed a significant relationship between the resting concentration of 2,3-DPG (2,3-DPGrest) and VO2max. There were no significant changes in post-exercise concentration of 2,3-DPG (2,3-DPGmax) and values of delta (∆) 2,3-DPG in group S, yet a slight decrease in these variables occurred in the second and third phases of the experiment. The decrease in these variables could have been caused by a significant (p < 0.05) increase in peak power output (Pmax) in group S. After 6 days of supplementation (50mg·kgFFM-1·d-1), a insignificant rise in Pmax occurred, yet the continued intake of sodium phosphate for 3 weeks (25mg·kgFFM-1·d-1) caused a significant (p < 0.05) increase in this variable. An increase in Pmax caused a drop in post-exercise pH, which may have influenced the concentration of 2,3-DPG (2,3-DPGpost). According to Bard and Teasdale, 1979, a decrease in blood pH by 0.010 units causes a simultaneous (4%) drop in 2,3-DPG concentration. Additionally, the level of erythrocyte 2,3-DPG can be modified by the serum concentration of inorganic phosphates (P). This is confirmed in our research by the significant relationship between the concentration of inorganic phosphates (P) in blood serum and the level of 2,3-DPGrest (r = 0.49; p = 0.01). In case of hypophosphatemia, a drop in the concentration of 2,3-DPG occurs, while under conditions of hyperphosphatemia, the opposite takes place (Lichtman et al. 1971; Card and Brain, 1973). Not all research conducted with phosphate loading confirm this relationship. Cade et al., 1984, after 3 days of supplementation with phosphate salts, observed a significant ( p< 0.05) increase in the resting level of serum phosphates, as well as a rise in the concentration of 2,3-DPG. In a similar experiment, Kreider et al. (1990) also registered a significant increase (17%) in resting concentration of blood serum inorganic phosphates after supplementation, yet changes in 2,3-DPG were not analyzed. Bredle et al., 1988 also showed a significant increase (35%) in the concentration of blood serum phosphates after 4 days of supplementation with calcium phosphate, however, they did not show significant changes in 2,3-DPG, P50, pH and VO2max. In a research project conducted by Mannix et al. (1990), with a single intake of calcium phosphate, a significant increase in the concentration of serum phosphates (13%) and 2,3-DPG (11%) occurred, yet no changes in VO2max or heart muscle work capacity were registered. In a more recent experiment, Bremner et al., 2002 showed significant relationships between the concentration of inorganic phosphates in the blood and erythrocyte phosphate level, as well as the erythrocyte concentration of phosphates and the level of 2,3-DPG. No relationship was observed between the concentration of blood serum phosphates and erythrocyte 2,3-DPG level. The applied 6-day supplementation protocol in our research caused a significant (30%) increase in the concentration of phosphates in blood serum, as well as a 25% rise in erythrocyte 2,3-DPG. The authors suggest that the increase in 2,3-DPG is most likely the effect of increased concentration of erythrocyte phosphates. In our research project a continuous rise in serum inorganic phosphate (P) concentration was observed in the group supplemented with sodium phosphate. During the second phase of research, a significant blood serum (p < 0.05) increase in inorganic phosphates (P) occurred (0.8 ± 0.16 vs. 1.0 ± 0.22 mmol·l-1). Continued intake of sodium phosphate in the third phase of the experiment caused a further increase in this variable, yet it was insignificant in comparison to the previous phase, however it was significant (p < 0.05) in relation to initial values. It must be indicated that the initial concentration of serum inorganic phosphates (P) in group S equaled 0.8 ± 0.16 mmol·l-1, which indicates a state of hypophosphatemia, which occurs when serum P concentration falls below 0.9 mmol·l-1. In athletes, such a state is most often caused by incomplete recovery from training and competition, or dietary phosphate deficiency. In the control group, the concentration of P was in the lower range of daily allowance and equaled (0.95 ± 0.09 mmol·l-1). On the other hand, a significant relationship detected between the serum concentration of inorganic phosphates and VO2max, as well as P and VO2VAT, indicates that the effectiveness of phosphate loading depends on the initial concentration of P in the blood. The available data regarding ergogenic benefits of phosphate salts are predominantly related to short-term supplementation, lasting from 3 to 6 days. The majority of these projects were based on the assumption presented by Cade et al., 1984, who suggested that longer supplementation protocols are not justified, since continued intake of phosphate salts does not further increase the level of 2,3-DPG, nor does it change VO2max. This phenomenon could be explained by the hormonal regulation of blood serum concentration of inorganic phosphates. A key role is played here by the parathyroid hormone (PTH), which increases the elimination of phosphates through the kidneys. Long-term intake of phosphate salts causes an increased secretion of parathyroid hormone, which increases the elimination of phosphates through urine (Chase and Aurback, 1968). Our research suggests that the time of phosphate supplementation should consider the initial concentration of blood serum inorganic phosphates and changes in this variable throughout the supplementation protocol. Calvo, 1988 conducted an experiment in which he analyzed the influence of a 1g dose of phosphate salts on the concentration of blood inorganic phosphate and calcium, as well as PTH concentration. The results indicated a significant (p < 0.05) increase in the concentration of phosphates, and no changes in the level of calcium and PTH. Silverberg et al., 1986 also showed a significant increase in the concentration of blood inorganic phosphates, and a lack of change in the level of serum calcium and PTH, 1 hour after a single intake of 1g of sodium phosphate. Continued intake of phosphate salts for 5 days, in a dose of 2g/d, caused a significant increase in the concentration of PTH. Most research (Silverberg et al., 1986; Calvo, 1988), thus, confirm that a transition state of increased blood concentration of P does not cause hypocalcaemia, and does not increase the concentration of PTH. On the other hand, prolonged hyperphosphatemia significantly affects the blood concentration of these variables. In our research, group S showed significant changes (p < 0.05) in serum concentration of Ca following long-term sodium phosphate intake (Table 1). A lack of significant changes in the concentration of Ca following the first 6 days of supplementation was most likely the effect of a low blood serum P concentration. After the 6-day supplementation protocol with tri-sodium phosphate, a significant increase in VEmax was registered (p < 0.05). This variable continued to increase during the next 3 weeks of supplementation, yet the changes were statistically insignificant. When compared to baseline values, the changes in VEmax, after the long-term phosphate salt intake were statistically significant (p < 0.05). The increase in VEmax in group S may be explained by improved function of the diaphragm. This assumption can be partially confirmed by the research of Aubier et al., 1985, where the effects of hypophosphatemia on the function of the diaphragm in patients (n = 8) with severe respiratory inefficiency were analyzed. A high relationship (r = 0.73) between blood concentration of phosphates and transdiaphragmatic pressure was observed. These results indicate that hypophosphatemia impairs the function of the diaphram. Several authors indicate an ergogenic effect of phosphate salt intake on heart efficiency at rest, as well as during exercise. This hypothesis is based on the fact that hypophosphatemia decreases stroke volume (Fuller et al., 1978; O’Connor et al., 1977; Rubin and Naris, 1990). O’Connor et al., 1977 suggest that the increased contractibility of the heart muscle is caused by increased concentration of cell ATP, which is low during hypophosphatemia. Animal research confirmed the data on improved heart work capacity following phosphate salt intake (Darsee et al., 1978; Stoff, 1982). Several other research projects, which used sodium or calcium phosphate intake, showed a significant decrease of cardiac output and stroke volume during exercise of moderate intensity (Farber et al., 1984; Lunne et al. 1990; Moore et al. 1981), and significant improvements in these variables during endurance exercise with maximal intensity (Kreider, 1992). Bredle et al., 1988 indicated a significant (p < 0.05) increase in serum inorganic phosphate concentration and heart function, following 4 days of supplementation with 176 mmol·day-1 of calcium phosphate. A significant (p < 0.05) decrease in cardiac output was registered during an endurance exercise protocol, conducted at 70% of VO2max. There were no changes in 2,3-DPG and VO2max values, yet a significant (p < 0.05) increase was observed in arteriovenous oxygen difference, which suggests a better supply of oxygen to the tissues. This data indicates that phosphate salt intake may improve the function of the cardio-respiratory system. The analysis of heart rate (HR) in our research indicated significant changes in resting and exercising heart rates in the group of cyclists supplemented with sodium phosphate. The changes in exercise heart rate may be explained by increased stroke volume and improved contractibility of the heart muscle. These assumptions can be confirmed by Kreider et al. (1992), who showed that sodium phosphate intake significantly improves the functioning of the heart muscle. Echocardiographic evaluations in a group of cyclists supplemented with phosphate salts, indicated a significant (4%) increase in stroke volume during this period of time. The analysis of results in group S also showed an improvement in oxygen pulse (O2/HR), which is a non-invasive index of evaluating work capacity of the cardio-respiratory system; and simultaneously, a good indicator of physical fitness in endurance sport disciplines. Other than improving the supply of oxygen to the tissues, phosphate salt intake may improve the acid-base balance during intensive exercise. Phosphates are very active in buffering processes and participate in the acid-base balance of blood plasma, as well as inside the muscle cells. The buffering capacity of phosphates is rather low in the extracellular fluids, yet they play a significant role in the intracellular fluids, where the concentration of phosphates is much higher (Avioli, 1988). Some authors suggest that the intake of sodium phosphate may increase the buffering capacity of muscle cells, and may increase work capacity during exercise of high intensity (Cade et al., 1984; Kreider, 1992; Miller et al., 1991). For example, Cade et al., 1984 showed that phosphate salt intake lowered lactate concentration during exercise of submaximal intensity. Other research projects indicated a shift of lactate threshold towards higher loads (Kreider et al. 1990; 1992; Miller et al. 1991). Similar results were presented by Stewart et al., 1990, who showed a minor but significant decrease in (p < 0.05) post-exercise lactate concentration after an endurance exercise protocol, following 3 days of sodium phosphate intake. The supplementation protocol applied in our research did not confirm the buffering properties of phosphate salts. The analysis of resting and post-exercise lactate concentrations, and the level of LT, showed no significant changes in these variables due to supplementation. There were also no significant changes in the acid-base variables in the S group. The only significant (p < 0.05) changes occurred in the resting values of base excess (BErest) and in the extracellular fluids (BEecfrest) during the third phase of the experiment. |