5 min. and 140.6 min. Race time was significantly associated

with personal best time in a 100 km ultra-marathon for both the supplementation and the control group, with Pearson correlation coefficients of 0.77 and 0.81 (p < 0.05 for both), respectively. The corresponding mean (95% CI) difference in personal best time between the groups was 71.0 (-33.2 to 175.1) min (p = 0.17). Due to the similar mean differences in race time and personal best time in a 100 km ultra-marathon between the two groups, and the significant association between the race time and the personal best time in a 100 km ultra-marathon, we performed a linear regression controlling for personal best time in a 100 km ultra-marathon as a potential confounder for the difference between 100 km race times. The resulting mean (SE) race time difference of 5.5 (±28.6) min. remained no longer statistically significant when adjusted for the personal best time in a 100 Temsirolimus cost km ultra-marathon. Energy balance and fluid intake The athletes in the amino acid group consumed 8.5 (±3.2) L of fluids during the run, the runners in the control group 7.9 (±3.5) L (p > 0.05). Energy intake, energy expenditure and energy balance were not different

between the two groups (Table 4). The athletes in the amino acid group ingested significantly more protein compared to the control group. The energy deficit was significantly related to the decrease LY2603618 concentration in body mass of the runners in the amino acid group (Pearson r = 0.7, p = 0.003). The additional effect (Cohen’s ƒ2) of the amino acid supplementation Thiamet G on the association between the loss of body mass and the energy deficit was 0.018. In the amino acid group, body mass decreased by 1.8 (±1.6) kg, in the control group by 1.9 (±2.0) kg (p > 0.05). No associations between the 100 km race time and the change in body mass have been observed in the two groups. Table 4 Comparison of energy

balance and nutrient intake of the participants during the race   Amino acids (n = 14) Control (n = 13) Energy expenditure (kcal) 7,160 (844) 7,485 (621) Energy intake (kcal) 3,311 (1,450) 2,590 (1,334) Energy balance (kcal) – 3,848 (1,369) – 4,894 (1,641) Intake of carbohydrates (g) 755.7 (354.8) 608.8 (326.4) Intake of protein (g) 79.9 (12.7) ** 26.7 (22.0) Intake of fat (g) 5.1 (4.8) 7.0 (7.1) Results are presented as mean (SD). Athletes in the amino acid group ingested highly significantly more protein compared to the control group. ** = p < 0.01. Changes in serum variables Plasma concentrations of creatine kinase, urea and myoglobin decreased significantly in the two groups (Table 5). The changes from post- to pre-race (Δ) were no different between the two groups. The post-race values for creatine kinase, serum urea and myoglobin were 2,637 (±1,278) %, 175 (±32) %, and 14,548 (±8,522) % higher than the pre-race values in the amino acid group; and 2,749 (±1,962) %, 168 (±38) %, and 13,435 (±10,724) % in the control group (p < 0.01).