Purpose: Diet composition influences acid-base status of the body. This may become more relevant as renal functional capacity declines with aging. We examined the effects of low (LD) versus high dietary acid load (HD) on blood acid-base status and exercise performance.Methods: Participants included 22 adolescents (AD), 33 young adults (YA) and 33 elderly (EL), who followed a 7-day LD and HD in a randomized order. At the end of both diet periods the subjects performed a cycle ergometer test (3x10 min at 35%, 55%, 75%, and (except EL) until exhaustion at 100% of VO 2 max). At the beginning of, and after the diet periods, blood samples were collected at rest and after all workloads. VO 2 , RER and HR were monitored during cycling.
Results:In YA and EL, bicarbonate (HCO 3 -) and base excess (BE) decreased over the HD period, and HCO 3 -, BE and pH were lower at rest after HD compared to LD. In YA and EL women, HCO 3 -and BE were lower at submaximal workloads after HD compared to LD. In YA women, the maximal workload was 19 % shorter and maximal VO 2 , RER and HR lower after HD compared to LD.
Conclusions:Our data uniquely suggests that better renal function is associated with higher availability of bases, which may diminish exercise-induced acidosis and improve maximal aerobic performance. Differences in glomerular filtration rate between the subject groups likely explains the larger effects of dietary acid load in the elderly compared to younger subjects and in women compared to men.