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NO BENEFIT OF INGESTING A LOW-DOSE KETONE MONOESTER SUPPLEMENT ON COGNITIVE PERFORMANCE IN TRAINED FEMALES

Abstract

BACKGROUND: β-hydroxybutyrate is one of three substrates that the brain can preferentially oxidize for meeting energetic demands. Ketone monoesters (KME) allow for the rapid elevation in circulating β-hydroxybutyrate levels without following a low-carbohydrate diet or prolonged fasting and some past work with KME have shown potential to mitigate cognitive decrements in states of fatigue, but no studies have yet been conducted in a female cohort. METHODS: Following a familiarization session and a baseline session without a mental fatiguing protocol (MF), 12 trained females completed two experimental sessions, consisting of a battery of cognitive tests (psychomotor vigilance test (PVT), task-switching, incongruent flanker) performed before (PRE) and after (POST) MF. In a counter-balanced crossover design, a ketone monoester (KME, ~188 mg·kg-1 body mass) or non-caloric placebo (PLA) were ingested before MF. Markers of cognitive performance (speed and correct responses per second), blood β-hydroxybutyrate, glucose, and lactate, and subjective markers of perceived cognitive load and fatigue were collected at PRE and POST.RESULTS: KME ingestion significantly increased blood β-hydroxybutyrate (P<0.001; ~1.8 mM), decreased glucose (P<0.001; ~0.6 mM), and attenuated a ~34% rise in lactate at POST compared to PLA (P=0.04). MF significantly increased perceived cognitive workload and fatigue for both experimental trials in comparison to the control (P<0.05) but did not impair any of the cognitive variables assessed (all P>0.05). Although ingestion of a KME increased perceptions of cognitive performance compared to PLA (KME, 7.8 vs. PLA, 5.5; P=0.05), no differences were observed between groups for markers of cognition.CONCLUSION: Although changes in blood markers mimic those observed in past KME investigations, compared with PLA, KME ingestion did not affect cognitive performance following a MF protocol in trained females.

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