Effect of carbohydrate feeding frequencies and dosage on muscle glycogen use during exercise

Nine men were studied during three 4-h cycling bouts to determine the effect of frequency and dosage of solid carbohydrate (CHO) feedings (86 g) on muscle glycogen utilization and exercise performance. In the frequency trial (F), the subjects ingested 10.75 g of CHO along with 200 ml of water at 30-min intervals; in the dosage trial (D), the subjects ingested 21.5 g of CHO with 400 ml of water at 60-min intervals. During the control trial (C), the subjects ingested 400 ml of an artificially sweetened placebo at 60-min intervals. Respiratory exchange ratios were significantly elevated in both trials D and F (P less than 0.05). Blood glucose was significantly elevated in trial D 20 min post-feeding but had returned to control levels by 50 min. In trial F, blood glucose was maintained at a constant level throughout the entire 4 h. In trial C, blood glucose declined steadily during the entire 4 h. Despite the differences in blood glucose levels between the three trials, there were no significant differences in the rate of muscle glycogen utilization in any of the trials (D = 82.9 +/- 6.6 [SE] mmol X kg-1 vs C = 80.9 +/- 6.9 mmol X kg-1 vs F = 74.4 +/- 12.2 mmol X kg-1). In a sprint ride (100% VO2max) to exhaustion at the end of each trial, the subjects performed significantly longer in trial F compared to C (120.97 +/- 9.6 vs 81.0 +/- 7.1 s).(ABSTRACT TRUNCATED AT 250 WORDS)     

Effect of pre-exercise carbohydrate feedings on endurance cycling performance

Six men were studied to compare the effects of pre-exercise carbohydrate feedings on endurance performance and muscle glycogen utilization during prolonged exercise. Trials consisted of a cycling ride to exhaustion at 75% maximal oxygen uptake preceded by the ingestion of either 75 g of glucose in 350 ml of water (GLU), 75 g of fructose in 350 ml of water (FRU), or 350 ml of an artificially sweetened and flavored placebo (CON). No differences were observed between trials for oxygen uptake, respiratory exchange ratio, heart rate, or exercise time to exhaustion (CON = 92.7 +/- 5.2 min, FRU = 90.6 +/- 12.4, and GLU = 92.8 +/- 11.3, mean +/- SE). Blood glucose was elevated as a result of the GLU feeding, but fell rapidly with the onset of exercise, reaching a low of 4.02 +/- 0.34 mmol X l-1 at 15 min of exercise. Serum insulin also increased following the GLU feeding but had returned to pre-drink levels by 30 min of exercise. No differences in blood glucose and insulin were observed between FRU and CON. Muscle glycogen utilization during the first 30 min of exercise (CON = 46.3 +/- 8.2 mmol X kg-1 wet weight, FRU = 56.3 +/- 3.0 mmol X kg-1 wet weight, GLU = 50.0 +/- 4.9 mmol X kg-1 wet weight) and total glycogen use (CON = 93.4 +/- 11.1, FRU = 118.8 +/- 10.9, and GLU = 99.5 +/- 4.3) were similar in the three trials.(ABSTRACT TRUNCATED AT 250 WORDS)     

Glycaemic control, muscle glycogen and exercise performance in IDDM athletes on diets of varying carbohydrate content.

The aim of this study was to examine the effects of a high carbohydrate diet on glycaemic control, resting muscle glycogen levels and exercise performance in athletes with insulin dependent diabetes (IDDM). Seven trained (mean +/- S.D., VO2max 50.3 +/- 7.4 ml/kg/min) IDDM males consumed a high carbohydrate diet (HCD) or a normal mixed diet (NMD) for 3 week periods in a randomised crossover trial with a one week wash-out. Carbohydrate provided 59% or 50% of total energy intake, respectively, on the two diets. Fasting plasma lipids, mean blood glucose (over 96 h), fructosamine and muscle glycogen were measured and insulin use recorded. Exercise performance was evaluated by a 15 min time trial following a 50 min pre-loading block. Statistical significance was assessed using two tailed paired Student t-tests. Mean blood glucose was 10% higher on HCD than NMD (p = 0.005), fructosamine levels were 375 +/- 54 and 353 +/- 51 (mol/L on HCD and NMD, resp., p = 0.04) and daily insulin requirements were 15% higher on HCD than NMD (p = 0.02). Fasting blood lipids were similar on the two diets. Muscle glycogen was significantly lower on HCD than NMD (88.2 +/- 19.2 and 95.6 +/- 14.6 mmol/kg ww, respectively, p = 0.02). Exercise completed during the time trial was 6% less on HCD than on NMD (p = 0.007). An increased carbohydrate intake for three weeks, in IDDM athletes, is associated with a deterioration in glycaemic control, increased insulin requirements, decreased muscle glycogen and reduced exercise performance. These data do not support recommendations for IDDM athletes to consume a high carbohydrate diet, at least not when glycaemic control worsens upon following this advice, as was observed in this short-term study.     

Effect of hypoxia on heart glycogen utilization during exercise

An investigation was made into the effects of physical exercise upon heart glycogen change in rats exposed to decreased barometric pressure in hypobaric chamber simulating the effects of 3,000 m and 5,000 m altitude. Blood and cardiac tissue samples were examined after 1 h and 5 h of treadmill running at sea level and at 3,000 m, and after 1 h at 5,000 m. At sea level, cardiac glycogen level showed a classic biphasic evolution which was not affected by running. At 3,000 m, 1 h of running promoted an initial increase of 16% from control values, while a secondary decrease of 15% was measured after 5 h of running. Running for 1 h at 5,000 m induced a total depletion in cardiac glycogen level, the latter being depressed by 90% from control values. Free fatty acid (FFA) plasma level was increased by physical exercise at all barometric pressures, but the response was gradually enhanced by hypoxia. These data indicate that heart glycogen utilization during prolonged physical exercise is stimulated by acute altitude exposure, which suppresses the sparing effect observed at sea level upon dependence of enhanced FFA availability. The great differences in cardiac glycogen utilization support the views that enhanced glycogenolysis during hypoxia is promoted by different parameters, thus affecting various pathways. The slight decrease at 3,000 m suggests a moderate increase in anaerobic metabolism while the exhaustion observed after 1 h of running at 5,000 m indicates a decrease in cellular respiration response and enhanced heart anaerobic metabolism.     

Effect of carbohydrate feeding during recovery from prolonged running on muscle glycogen metabolism during subsequent exercise

This study examined the effect of carbohydrate (CHO) intake during a 4 h recovery from prolonged running on muscle glycogen metabolism during subsequent exercise. On 2 occasions, 7 male subjects ran for 90 min at 70 % maximum oxygen uptake VO(2 max) on a motorized treadmill (R1) followed by a 4 h rest period (REC) and a 15 min run (R2) consisting of 5 min at 60 % and 10 min at 70 % VO(2 max) During REC, each subject ingested a total of 2.7 l of an isotonic solution containing either 50 g of CHO (LOW) or 175 g of CHO (HIGH). Biopsy samples were obtained from the vastus lateralis immediately after R1, REC and R2. During REC, a higher muscle glycogen resynthesis was observed in HIGH when compared with LOW trial (75 +/- 20 vs. 31 +/- 11 mmol x kg dry matter (dm) -1, respectively; p < 0.01). Muscle glycogen utilization during R2 was similar between the HIGH and LOW trials (39 +/- 10 vs. 46 +/- 11 mmol x kg dm -1, respectively). These results suggest that ingestion of a large amount of CHO at frequent intervals during recovery from exercise does not affect the rate of muscle glycogen utilization during subsequent exercise.     

Effects of 4 h preexercise carbohydrate feedings on cycling performance

This study determined the effects of consuming three different amounts of liquid carbohydrate 4 h before exercise on the metabolic responses during exercise and on exercise performance. Four hours before exercise subjects consumed either 45 (L) or 156 (M) g of carbohydrate in isocaloric feedings and either 0 (P) or 312 (H) g of carbohydrate. Interval cycling was undertaken for 95 min, followed by a performance trial. Blood glucose had reached basal 1 h after all feedings; blood insulin had reached basal 3 h after ingestion of P, L, and M but was still 84% higher for H at the start of exercise. During exercise insulin averaged 48% higher for H than P. Blood glucose decreased 16% during exercise for P, L, and M, whereas for H there was a transient drop the first 15 min of exercise, after which glucose increased and remained constant throughout exercise. More carbohydrate oxidation occurred during exercise for H vs P, whereas results were similar for L and M. Ingestion of H improved performance by 15% as compared with P, whereas performance was similar for L and M. These results indicate that, despite elevated insulin at the start of and during exercise, consumption of 312 g of carbohydrate 4 h before moderately intense prolonged exercise can improve performance, perhaps via an enhancement of carbohydrate oxidation.     

The effect of fluid and carbohydrate feedings during intermittent cycling exercise

The purpose of this study was to determine the effect of ingesting water or carbohydrates solutions on physiologic function and performance during 1.6 h of intermittent cycling exercise in the heat (dry bulb temperature = 33 degrees C). Thirteen male subjects (24 to 35 yr) completed four separate rides. Each ride consisted of intermittent steady-state cycling (at 55 and 65% VO2max) interspersed with five rest periods. A timed 480 revolution cycling task completed each experimental session. During each rest period, subjects consumed 2 ml.kg-1 body weight of water placebo or solutions of 5% glucose polymer, 6% sucrose/glucose, or 7% glucose polymer/fructose. Beverages were administered in double-blind, counter-balanced order. No differences were observed among subjects in response to beverage treatments for changes in plasma concentrations of total proteins, sodium, potassium, lactate, or in osmolality, percent change in plasma volume, heart rate, oxygen uptake, respiratory exchange ratio, rating of perceived exertion, sweat rate, rectal temperature, or mean skin temperature. Compared to water placebo, the carbohydrate treatments produced higher plasma glucose values following 1 h cycling (P less than 0.01). Mean (SD) times for the 480 revolution cycling task: water placebo = 432 (43) s; glucose polymer = 401 (52) s; *sucrose/glucose = 384 (39) s; and *glucose polymer/fructose = 375 (30) s, where = P less than 0.001 compared to water placebo. Physiologic function was similarly maintained during exercise by all beverage treatments, while ingestion of sucrose/glucose and glucose polymer/fructose resulted in improved end-exercise cycling performance.     

Effect of fructose ingestion on muscle glycogen usage during exercise

Eight healthy males were studied to compare the effects of preexercise fructose and glucose ingestion on muscle glycogen usage during exercise. Subjects performed three randomly assigned trials, each involving 30 min of cycling exercise at 75% VO2max. Forty-five min prior to commencing each trial, subjects ingested either 50 g of glucose (G), 50 g of fructose (F), or sweet placebo (C). No differences in VO2 or respiratory exchange ratio were observed between the trials. Blood glucose was elevated (P less than 0.05) as a result of the glucose feeding. With the onset of exercise, blood glucose declined rapidly during G, reaching a nadir of 3.18 +/- 0.15 (SE) mmol X 1(-1) at 20 min of exercise. This value was lower (P less than 0.05) than the corresponding values in F (3.79 +/- 0.20) and C (3.99 +/- 0.18). No differences in exercise blood glucose levels were observed between F and C. Muscle glycogen utilization was greater (P less than 0.05) during G (55.4 +/- 3.3 mmol X kg-1 w.w.) than C (42.8 +/- 4.2). No difference was observed between F (45.6 +/- 4.3) and C. There was a trend (P = 0.07) for muscle glycogen usage to be lower during F than G. These results suggest that the adverse effects of preexercise glucose ingestion are, in general, not observed with either fructose or sweet placebo.     

Exogenous carbohydrate spares muscle glycogen in men and women during 10 h of exercise

PURPOSE: The purpose of the study was to evaluate the effects of carbohydrate (CHO) supplementation on whole-body and net muscle substrate use during 10 h of discontinuous exercise, simulating occupational settings in men and women. METHODOLOGY: Recreationally trained subjects (N = 7 males, N = 6 females) performed a graded exercise test on a treadmill (TM) and cycle ergometer (CE) to determine ventilatory threshold (VT) and V O2peak. In a double-blind, randomized crossover design, subjects received either CHO [20% maltodextrin (0.6 g.kg FFM.h)] or flavored placebo (PLA) drink each hour across 10 h of exercise. Exercise intensity was 71.3 +/- 3% and 72.4 +/- 4% VT for TM and CE, respectively. Hourly exercise included 9 min of upper-body ergometery, 19 min of cycling, and 20 min of treadmill walking, with a 1-min transition between modes, followed by a 10-min rest and feeding period. The protocol was selected to simulate arduous occupational settings. Vastus lateralis biopsies were obtained before and after exercise. Expired gases were collected every other hour to establish average rates of whole-body CHO and fat oxidation. Blood glucose (BG) was measured continuously. RESULTS: Whole-body CHO oxidation was maintained during CHO trial compared with the PLA trial. Net muscle glycogen use was 52% higher for the PLA trial (176.0 +/- 16.7, 117.0 +/- 20.9 and 164.5 +/- 11.0, 133.8 +/- 10.9 mmol.kg w.w. for PLA and CHO, respectively, P < 0.05). There were no significant sex-specific differences in glycogen use, whole-body substrate oxidation, or BG values. CONCLUSION: The ingestion of CHO during long-duration exercise decreases net muscle glycogen use while better maintaining whole-body carbohydrate oxidation, and potentially increasing performance in field settings. There are limited differences in sex-specific substrate oxidation.     

Effects of caffeine, fructose, and glucose ingestion on muscle glycogen utilization during exercise

Five competitive cyclists were used to determine the effects of fluid intake (16 ml.kg-1) consisting of: (i) non-nutrient control (CON); (ii) fructose (1 g.kg-1) before exercise (FRU); (iii) caffeine (5 mg.kg-1) before exercise (CAF); (iv) glucose (1 g.kg-1) during exercise (GLU); and (v) fructose/caffeine before and glucose during exercise (CFG) on blood glucose, free fatty acids, muscle glycogen, and other parameters. Exercise consisted of 90 min of cycling at 65 to 70% VO2max. Following exercise, blood glucose was found to be significantly (P less than 0.05) higher for CFG and GLU (117 and 109 mg%) compared to CON, CAF, and FRU (92, 89, and 86 mg%). Blood free fatty acids rose (P less than 0.05) further for CON (1,336), CAF (1,126), and FRU (1,034) over CFG (737) and GLU (714 mumol.l-1). Muscle glycogen utilization was greater (P less than 0.05) for CON (91) vs CAF (63) and GLU (62 mumol/g-1 wet muscle weight). It was concluded that GLU and CAF decrease muscle glycogen utilization, FRU is likely to cause gastric upset, and ingestion of multiple substances produces the greatest variability in muscle glycogen utilization and may provide added endurance benefits in some individuals.     

Effect of frequency of carbohydrate feedings on recovery and subsequent endurance run

PURPOSE: This study examined the effect of feeding pattern of a high glycemic index (GI) meal during a short-term recovery on subsequent endurance capacity. METHODS: Eight men ran at 70% .VO2max on a level treadmill for 90 min (T1) on two occasions, followed by 4-h recovery (R) and a further exhaustive run at the same speed (T2). During the R, subjects consumed a prescribed meal with a GI of 77 in either a "gorging" (GOR) or "nibbling" (NIB) intake pattern, providing 1.5 g carbohydrate (CHO) per kilogram body mass. In the GOR trial, the foods were consumed in a single bolus, 20 min after the end of T1. In the NIB trial, the same quantity of food was ingested in three equal portions; the first consumed 20 min after the end of T1 and the remainder at hourly intervals thereafter. RESULTS: The run time during T2 was similar between trials (GOR vs NIB: 68.1 +/- 8.2 vs 66.8 +/- 8.7 min, P > 0.05). However, CHO utilization was lower and fat utilization higher during T2 in the GOR trial compared with the NIB trial (GOR vs NIB: CHO: 94.4 +/- 11.4 vs 117.6 +/- 10.6 g, P < 0.05; FAT: 55.9 +/- 8.0 vs 44 +/- 8.6 g, P < 0.01). CONCLUSIONS: These results suggest that serial consumption of a high GI meal during a 4-h recovery increased the reliance on CHO oxidation for energy provision during a subsequent run when compared with a single feeding. However, there was no difference in the duration of the exhaustive run after the recovery between the GOR and NIB trials.     

The menstrual cycle and exercise: performance, muscle glycogen, and substrate responses

Six eumenorrheic females (age = 26.3 +/- 2.4 yrs; X +/- SE) exercised until exhaustion (EE; 70% VO2max) at the midluteal (LP, 7-8 days after ovulation) and midfollicular (FP, days 7-8) phases of their menstrual cycles. Phases were confirmed by estradiol and progesterone concentrations. Each EE test was preceded by a depletion exercise bout (DE; 90 min, 60% VO2max and 4 x 1 min, 100% VO2max) and 3 days of rest/diet control. Muscle biopsies 1% (vastus lateralis) were taken post-DE, pre-EE, and post-EE and then analyzed for glycogen content. There was a strong tendency (P less than 0.07) for EE duration to be greater during LP (139.2 +/- 14.9 min) than FP (126 +/- 17.5 min). Glycogen repletion (pre-EE minus post-DE) following DE was greater (P = 0.05) during the LP than FP (88.2 +/- 4.7 vs 72.8 +/- 5.7 mumol/g w. w. muscle). However, EE glycogen utilization (pre-EE minus post-EE/EE time) did not differ between phases (LP = 0.41 +/- 0.08 mumol/g w. w. muscle/min vs FP = 0.33 +/- 0.11 mumol/g w. w. muscle/min; P = 0.17). The results suggest that exercise performance and muscle glycogen content are enhanced during the LP of the menstrual cycle. These findings imply athletic performance may be affected by the phases of the menstrual cycle.     

RPE, blood glucose, and carbohydrate oxidation during exercise: effects of glucose feedings

This study examined the effects of glucose ingestion on differentiated and undifferentiated ratings of perceived exertion (RPE) during prolonged cycling exercise. On two occasions, seven trained males cycled for 180 min on a Monark cycle ergometer at 70% peak VO2 (VO2peak). Subjects consumed an 8% glucose/electrolyte drink (G) or a flavored water placebo (P) every 15 min throughout exercise. Measurement of RPE, ventilation (VE), oxygen uptake (VO2), respiration rate (RR), respiratory exchange ratio (RER), heart rate (HR), and venous blood sample collection preceded ingestion of the drink. Subjects were homogenous with respect to height, weight, and VO2peak. RPE for the legs and overall body were significantly attenuated (P less than 0.05) during the last 45 min of exercise. Plasma glucose and insulin were higher (P less than 0.05) in G than in P at virtually all time points. CHO oxidation and work rate were maintained throughout exercise in G but not during the last 30 min of exercise in P (P less than 0.05). Percent changes in plasma volume, plasma lactate, HR, VE, RR, and RPE for the chest were not different between conditions (P greater than 0.05). The data suggest that ingestion of carbohydrate beverages during endurance cycling can maintain plasma glucose and CHO oxidation during the latter stages of prolonged exercise. As a result, it appears that a relationship exists between attenuation of ratings of perceived exertion (especially in the legs), blood glucose, and CHO oxidation late in prolonged exercise. The mechanism for this probably involves the increased availability of blood-borne glucose to serve as substrate for brain and/or muscle energy metabolism during a time when endogenous stores of carbohydrate are low.     

Meal frequency of pre-exercise carbohydrate feedings

This study compared the effect of single and multiple carbohydrate feedings before exercise on biochemical and physiological responses during exercise. Eight males performed 3 runs for 1 h at 70 % VO(2max) after consuming a meal containing 2.5 g carbohydrate per kg body mass in a single dose 3 h before exercise (SF), the same meal in 5 equal doses at 3, 2.5, 2, 1.5, and 1 h before exercise (MF), or a liquid placebo 3 h before exercise (P). RER and carbohydrate oxidation rates were higher in SF and MF compared to P trials, but there was no difference between SF and MF trials. Pre-exercise insulin was 2.0- and 3.4- fold higher in SF and MF, respectively, compared to P, and 1.7-fold higher in MF compared to SF. Glycerol and NEFA were higher in P compared to SF and MF trials before and at the end of exercise. In conclusion, a carbohydrate meal containing 2.5 g . kg(-1) ingested in doses over 3 h before running produced higher hyperinsulinemia pre-exercise than that produced when the meal was consumed in a single dose. Nevertheless, estimated carbohydrate utilization and adipose tissue lipolysis during exercise after multiple feedings seemed to be as high as after a single feeding.     

Muscle glycogen utilization and the expression of relative exercise intensity

Previous research has shown that the rate of muscle glycogen utilization is related to exercise intensity expressed relative to maximal aerobic power (%VO2max). The purpose of this study was to compare the relationship between glycogen utilization and %VO2max to that between glycogen utilization and intensity expressed relative to the onset of blood lactate accumulation (%OBLA) during cycle exercise. It was hypothesized that the rate of glycogen utilization would be related more closely to intensity expressed as %OBLA than to intensity expressed as %VO2max. Nineteen subjects (15 males and 4 females) performed two separate tests to determine VO2max and OBLA during continuous incremental exercise. On a third occasion biopsies were taken from the m. vastus lateralis before and after 30 min of exercise at randomly assigned intensities ranging from 50-80% VO2max, corresponding to 67-117% OBLA. There was a large inter-subject variation in aerobic fitness with VO2max ranging from 34 to 66 mL.kg-1.min-1 and OBLA ranging from 64-84% VO2max. Absolute VO2max and the VO2 at OBLA were correlated strongly (r = 0.90). The change in glycogen concentration during the 30-min exercise bout ranged from an increase of 58 to a depletion of 200 mmol glucose units.kg-1 dry muscle weight. Neither absolute nor relative glycogen utilization was significantly related to the exercise intensity expressed as either %VO2max or %OBLA. Stepwise multiple regression was used to identify variables which could account for the variation in glycogen depletion.(ABSTRACT TRUNCATED AT 250 WORDS)     

Effects of exercise mode on muscle glycogen restorage during repeated days of exercise

The purpose of this study was to examine differences in muscle glycogen storage during three successive days of running or cycling. In a crossover design, seven male subjects performed two 3-d trials of either running (trial R) or cycling (trial C) for 60 min at 75% VO2max. Biopsy samples were obtained before and after each day's exercise from the gastrocnemius (trial R) or vastus lateralis (trial C) muscle. Diets in the 2 d preceding and during each trial contained 5 g carbohydrate.kg-1.d-1 and 14,475 +/- 402 kJ.d-1. Mean pre-exercise glycogen content (mmol.kg-1 wet wt.) was significantly reduced in both trials on day 3 (103.4 +/- 6.0) when compared to day 1 and day 2 (119.9 +/- 6.8 and 116.4 +/- 5.7, respectively). Day 1 glycogen reduction was significantly greater in trial C (P less than 0.03), and glycogen restorage was greater (P less than 0.02) only in trial C between the 1st and 2nd d. On day 3, spectrophotometric analysis of PAS strains showed that pre-exercise glycogen content in either muscle group was significantly (P less than 0.01) less in Type I as compared to Type II fibers. This difference in fiber glycogen storage did not appear to be attributable to muscle damage as negligible leukocyte infiltration and low blood CK levels were obtained. No difference between modes were observed for CK values throughout the trials. These data suggest that the depressed glycogen storage before the 3rd d of exercise was due to the moderate carbohydrate intake.     

Effects of carbohydrate ingestion on gastric emptying and exercise performance

In an effort to determine the effects of 5 (CHO-5), 6 (CHO-6), and 7.5 (CHO-7.5) percent carbohydrate solutions on gastric emptying and performance, 8 trained male cyclists performed 4 trials of intermittent (7- x ;12-min bout) cycling at 70% VO2max. A final 12-min self-paced "performance" ride was performed on an isokinetic ergometer (Fitron) interfaced with a computer to provide total work output. A water placebo (WP) was used as a control. Each 12-min ride was followed by 3-min rest, during which a drink was consumed (8.5 ml.kg-1; mean total = 1,336 ml.2 h-1). Blood samples were taken at 0, 25, 55, 85, and 115 min for blood glucose analysis. Following the performance ride, gastric residue was obtained by intubation and aspiration. Of the original 1,336 ml ingested during each trial, the volumes emptied by the stomach for the four trials were 1,306 +/- 76, 1,262 +/- 82, 1,288 +/- 75, and 1,278 +/- 77 ml (+/- SE) for WP, CHO-5, CHO-6, and CHO-7.5, respectively. Only the volume in the CHO-5 trial was significantly different from WP. The performance data showed that in all of the CHO trials, significantly more work was produced compared to the WP trial (CHO-5 = 1.98 +/- 0.09 x 10(5) Nm vs WP = 1.83 +/- 0.11 x 10(5) Nm). There were no significant differences in performance between any of the CHO trials.(ABSTRACT TRUNCATED AT 250 WORDS)     

Oxidation of carbohydrate feedings during prolonged exercise: current thoughts, guidelines and directions for future research

Although it is known that carbohydrate (CHO) feedings during exercise improve endurance performance, the effects of different feeding strategies are less clear. Studies using (stable) isotope methodology have shown that not all carbohydrates are oxidised at similar rates and hence they may not be equally effective. Glucose, sucrose, maltose, maltodextrins and amylopectin are oxidised at high rates. Fructose, galactose and amylose have been shown to be oxidised at 25 to 50% lower rates. Combinations of multiple transportable CHO may increase the total CHO absorption and total exogenous CHO oxidation. Increasing the CHO intake up to 1.0 to 1.5 g/min will increase the oxidation up to about 1.0 to 1.1 g/min. However, a further increase of the intake will not further increase the oxidation rates. Training status does not affect exogenous CHO oxidation. The effects of fasting and muscle glycogen depletion are less clear. The most remarkable conclusion is probably that exogenous CHO oxidation rates do not exceed 1.0 to 1.1 g/min. There is convincing evidence that this limitation is not at the muscular level but most likely located in the intestine or the liver. Intestinal perfusion studies seem to suggest that the capacity to absorb glucose is only slightly in excess of the observed entrance of glucose into the blood and the rate of absorption may thus be a factor contributing to the limitation. However, the liver may play an additional important role, in that it provides glucose to the bloodstream at a rate of about 1 g/min by balancing the glucose from the gut and from glycogenolysis/gluconeogenesis. It is possible that when large amounts of glucose are ingested absorption is a limiting factor, and the liver will retain some glucose and thus act as a second limiting factor to exogenous CHO oxidation.     

The effect of food matrix on carbohydrate utilization during moderate exercise.

The effect of food matrix on carbohydrate utilization during moderate exercise. Med. Sci. Sports Exerc., Vol. 24, No. 3, pp. 320-326, 1992. To determine the effect of food type and form on the rate of assimilation and utilization of a meal given before exercise, five physically active adult males walked for 4 h on a 10% uphill graded treadmill at 40% VO2max. After a 12-h fast, and 30 min before exercise, subjects ingested 70 g of liquid glucose (G), a refined "hot cereal" (R), a refined "hot cereal" with water-soluble fiber (R/F), an oat bar (O), or placebo (P). Meals R/F, R, and O had significantly lower (P less than 0.05) peak plasma glucose responses than meal G (0.8, 0.9, 1.0, and 2.4 mmol.l-1, respectively). Meals R, O, and R/F had significantly lower (P less than 0.01) peak insulin responses than meal G (135, 150, 190, and 340 pmol.l-1, respectively). All meals except P contained an extrinsic tracer of 200 mg UL-13C-glucose. Mean (+/- SD) total recovery of the administered dose of 13C for all meals was 81 +/- 2%. Both O (34 +/- 4% dose.h-1) and R/F (30 +/- 3% dose.h-1) had significantly lower peak recoveries than did meal G (41 +/- 5% dose.h-1). Meal R/F had a significantly lower (P less than 0.05) rate of exogenous glucose oxidation than meal G during the first hour of exercise. These data suggest that meal R/F slows the rate of assimilation and utilization of exogenous glucose, but does not alter the cumulative 4-h utilization.     

The effect of carbohydrate diet on intermittent exercise performance.

To determine the effect of a carbohydrate-(CHO) enriched diet on long-term, intermittent exercise performance, seven professional soccer players (mean maximum oxygen uptake: 60.6 (range: 56.0-65.1) ml.min-1.kg-1) were tested twice. The standardized test consisted initially of a field part (6856 m) followed by treadmill running to exhaustion. The relative work rates were 65, 57 and 81% of maximum oxygen uptake during the field test, and during the first and last part of the treadmill running, respectively. The players ingested a diet containing either 39% (C-diet) or 65% carbohydrate (CHO-diet) during the two days prior to each test. The order of the diets was assigned randomly. Neither blood lactate nor glucose concentrations at exhaustion differed after the two diets. The total mean running distance after the CHO-diet was 17.1 km, which was 0.9 km longer (p less than 0.05) than after the C-diet. Nevertheless, three subjects had a difference in running distance of less than 420 m. In contrast to the remaining players, these players had a higher RER-value during treadmill running in association with the CHO-diet. The mean CHO intake of 46% in the normal diet of the players was below the Nordic Nutritional Recommendation. In conclusion, performance during intermittent running was enhanced following the ingestion of a CHO enriched diet for two days. However, not all players benefited from the CHO-diet perhaps because they, in contrast to the other players, responded with a higher utilization of CHO after the CHO-diet.