Nutrition, Hydration, & Performance in Combat Sports
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University of Mississippi eGrove Electronic Theses and Dissertations Graduate School 1-1-2020 Making The Cut: Nutrition, Hydration, & Performance In Combat Sports Katharine Halfacre Follow this and additional works at: https://egrove.olemiss.edu/etd Recommended Citation Halfacre, Katharine, "Making The Cut: Nutrition, Hydration, & Performance In Combat Sports" (2020). Electronic Theses and Dissertations. 1859. https://egrove.olemiss.edu/etd/1859 This Dissertation is brought to you for free and open access by the Graduate School at eGrove. It has been accepted for inclusion in Electronic Theses and Dissertations by an authorized administrator of eGrove. For more information, please contact [email protected]. MAKING THE CUT: NUTRITION, HYDRATION, & PERFORMANCE IN COMBAT SPORTS A Dissertation presented in partial fulfillment of requirements for the degree of Doctor of Philosophy in the Department of Nutrition and Hospitality Management The University of Mississippi By KATHARINE L. HALFACRE May 2020 Copyright Katharine L. Halfacre 2020 ALL RIGHTS RESERVED ABSTRACT This study investigated nutrition, hydration, supplementation, and body composition in relation to performance among mixed martial arts athletes practicing rapid weight loss. Mixed martial arts athletes practice intentional dehydration and nutritional fasting to achieve rapid weight loss, a practice that can damage health and performance. Male mixed martial arts athletes practicing rapid weight loss participated in the study during a week of competition which was not the same for all athletes. Food/activity journals were collected to assess nutrition, fasting, and supplementation. Urine specific gravity was assessed at baseline, weigh-ins, and endpoint. Body composition and punch velocity were assessed at baseline and endpoint. Competition result and self-rated performance data were also recorded. Descriptive statistics, Pearson correlations, ANOVA, and t-tests were utilized to determine the significance of relationships between variables. Of the participants who completed the study, eight (88.9%) were dehydrated at the official weigh-ins to qualify for competition, with one (11.1%) failing to achieve euhydration prior to competition. Among the sample of nine mixed martial arts athletes, significant weight loss was observed (M=14.54 lb, SD=4.21 lb). Changes in punching velocity were negatively correlated with fasting duration (r=-0.763, p<.05). Self-rated performance was positively correlated with changes in punching velocity (r=0.676, p<.05) and negatively correlated with endpoint USG (r=-0.678, p<.05). These findings suggest shorter fasting periods may be ii beneficial to combat sports athletes practicing rapid weight loss. However, a study of these factors across a larger sample is warranted before drawing definitive conclusions. iii DEDICATION I dedicate this dissertation to my daughter Scarlett, may you be strong, brave, and unique. I cannot wait to meet you. To my husband, Mykel, for his unwavering support, positivity, and wonderful skills at brewing coffee and mixing cocktails, I dedicate this dissertation to you. I also dedicate this research to the combat sports fighters of the past, present, and future. This research honors the sacrifices you make in your pursuit for greatness. iv LIST OF ABBREVIATIONS AND SYMBOLS ABC Association of Boxing Commissions and Combative Sports AF Activity factor ALEA Acute Low Energy Availability AMPK AMP-activated protein kinase BF% Body fat percentage BMR Basal metabolic rate BW Body weight CLA Conjugated linoleic acid CSAC California State Athletic Commission DHA Docosahexaenoic acid EEE Exercise energy expenditure EPA Eicosapentaenoic acid FFA Free fatty acids FFM Fat-free mass IOC International Olympic Committee ISAK International Society for the Advancement of Kinanthropometry LEA Low Energy Availability MMA Mixed Martial Arts v NCAA National Collegiate Athletic Association NDSR Nutritional Data System for Research RED-S Relative energy deficiency in sport RWL Rapid weight loss TEA Total energy availability TEE Total energy expenditure TEF Thermic effect of food TKD Taekwondo URTI Upper respiratory tract infection USG Urine specific gravity vi ACKNOWLEDGEMENTS The guidance and support of Dr. Kathy Knight, Dr. Melinda Valliant, Dr. David Joung, and Dr. Martha Bass were vital in the formulation, execution, and reporting of this research project. I am very grateful for their contributions. Dr. Knight, I could not imagine going through this process with anyone else. You were an extremely supportive supervisor, and I sincerely appreciate your willingness to offer your wisdom while providing me absolute freedom to research a niche topic that was important to me. vii TABLE OF CONTENTS ABSTRACT………………………………………………………………………………………ii DEDICATION……………………………………………………………………………………iv LIST OF ABBREVIATIONS AND SYMBOLS………………………………………………....v ACKNOWLEDGEMENTS……………………………………………………………………...vii LIST OF TABLES……………………………………………..……………………………...….ix CHAPTER I: INTRODUCTION………………………………………………………………….1 CHAPTER 2: REVIEW OF LITERATURE…………………………………………...…………3 CHAPTER 3: METHODS……………………………………………………...………………..22 CHAPTER 4: RESULTS……………………………………………………………………..….31 CHAPTER 5: DISCUSSION……………………………………………………….……………46 BIBLIOGRAPHY………………………………………………………………………………..59 LIST OF APPENDICES…………………………………………………………………………97 VITA……………………………………………………………………………………………106 viii LIST OF TABLES 1. VARIABLE DEFINITIONS AND MEASUREMENTS………………………...…….……29 2. HYPOTHESES AND STATISTICAL ANALYSIS…………………………………..…….30 3. SAMPLE CHARACTERISTICS AT VARIOUS STAGES OF RAPID WEIGHT LOSS....32 4. FREQUENCIES FOR RAPID WEIGHT LOSS PARAMETER AMONG MMA ATHLETES………………………………………………………………………………….34 5. ONE-WAY ANOVA FOR CHANGES IN BODY COMPOSITION DURING RWL……..37 6. PEARSON’S R: NUTRITION, HYDRATION, BODY COMPOSITION, SUPPLEMENTATION, & PERFORMANCE………………………………………………40 7. INDEPENDENT-SAMPLES T-TESTS FOR IMPROVED PUNCHING VELOCITY…....43 8. INDEPENDENT-SAMPLES T-TESTS FOR SELF-RATED PERFORMANCE………….45 ix CHAPTER 1 INTRODUCTION Combat sports competitions, which include boxing, kickboxing, wrestling, judo, jujitsu, karate, taekwondo (TKD), and mixed martial arts (MMA), are often separated into weight divisions to promote fairness in competition. However, this encourages fighters to attempt to gain a competitive edge through rapid weight loss (RWL) and refeeding, a practice that involves voluntary dehydration, fasting, and other behavioral strategies aimed at achieving significant weight loss prior to qualifying for weight-class competition (Brito et al., 2012; Coswig, Fukuda, & Vecchio, 2015; Fleming & Costarelli, 2007; Langan-Evans, Close, & Morton, 2011; Matthews & Nicholas, 2016; Pallares et al., 2016; Pettersson, Eckstrom, & Berg, 2012; Pettersson, Ekstrom, & Berg, 2013; Reljic et al., 2015; Timpmann, Oopik, Paasuke, Medijainen, & Ereline, 2008). RWL is common among combat sports athletes of all age groups (Brito et al., 2012). Though, the safety of RWL among this population is unclear and yet to be placed under scientific scrutiny, the practice has been linked to hospitalization (Carroll, 2018; MMANewPL, 2017) and death (Cruz, 2013; Rondina, 2017; Zidan, 2014). Fighters modify their nutrition, hydration, and behavior during training to “make weight,” the process of achieving enough weight loss to compete in a lighter weight class. Despite its seeming importance, there appears to be no consensus opinion on which nutritional strategies produce the best results for health and performance. Hydration is central to the RWL and refeeding process, and athletes practice several different strategies to lose water weight, 1 including but not limited to the use of diuretics and saunas, as well as exercising in sauna suits (Brito et al., 2012; Franchini et al., 2012; Matthews & Nicholas, 2016), to remove large amounts of body water through perspiration and urine in order to make weight. These practices, as well as the general practice of RWL, present risks and rewards for combat sports athletes seeking a competitive edge. This analysis aims to identify the nutritional and behavioral practices utilized by combat sports athletes in order to “make the cut,” achieving a weigh-in weight that does not exceed the maximum allowable weight in their weight class. It is also important to identify the consequences of this practice on the physical and cognitive ability of combat sports athletes. Research Objectives and Specific Questions The purpose of this study is to analyze how hydration, nutrition, dietary supplementation, and body composition are associated with athletic performance among MMA athletes practicing RWL. This research aims to answer these specific questions: 1. What is the status of MMA fighters pertaining to dehydration, acute energy availability, dietary supplementation, and body composition at different stages of combat preparation? 2. What associations exist between hydration, nutrition, dietary supplementation, and acute changes to weight and body composition among MMA fighters? 3. Are changes in performance after refeeding correlated with acute body composition changes, nutrition, and hydration status among MMA fighters? 4. How are hydration, acute energy availability, dietary supplementation, and acute changes in weight and body composition related to objective and perceived performance among MMA fighters? 2 CHAPTER 2 REVIEW OF LITERATURE Although RWL and refeeding to quickly regain weight are familiar practices among combat sports athletes of all age groups (Brito et al., 2012), the practice has been