Hydrogel Carbohydrate-Electrolyte Beverage Does Not Improve Glucose Availability, Substrate Oxidation, Gastrointestinal Symptoms or Exercise Performance, Compared With a Concentration and Nutrient-Matched Placebo

in International Journal of Sport Nutrition and Exercise Metabolism

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Alan J. McCubbinMonash University

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Anyi ZhuMonash University

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Stephanie K. GaskellMonash University

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Ricardo J.S. CostaMonash University

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The impact of a carbohydrate-electrolyte solution with sodium alginate and pectin for hydrogel formation (CES-HGel), was compared to a standard CES with otherwise matched ingredients (CES-Std), for blood glucose, substrate oxidation, gastrointestinal symptoms (GIS; nausea, belching, bloating, pain, regurgitation, flatulence, urge to defecate, and diarrhea), and exercise performance. Nine trained male endurance runners completed 3 hr of steady-state running (SS) at 60% V˙O2max, consuming 90 g/hr of carbohydrate from CES-HGel or CES-Std (53 g/hr maltodextrin, 37 g/hr fructose, 16% w/v solution) in a randomized crossover design, followed by an incremental time to exhaustion (TTE) test. Blood glucose and substrate oxidation were measured every 30 min during SS and oxidation throughout TTE. Breath hydrogen (H2) was measured every 30 min during exercise and every 15 min for 2 hr postexercise. GIS were recorded every 15 min throughout SS, immediately after and every 15-min post-TTE. No differences in blood glucose (incremental area under the curve [mean ± SD]: CES-HGel 1,100 ± 96 mmol·L−1·150 min−1 and CES-Std 1,076 ± 58 mmol·L−1·150 min−1; p = .266) were observed during SS. There were no differences in substrate oxidation during SS (carbohydrate: p = .650; fat: p = .765) or TTE (carbohydrate: p = .466; fat: p = .633) and no effect of trial on GIS incidence (100% in both trials) or severity (summative rating score: CES-HGel 29.1 ± 32.6 and CES-Std 34.8 ± 34.8; p = .262). Breath hydrogen was not different between trials (p = .347), nor was TTE performance (CES-HGel 722 ± 182 s and CES-Std: 756 ± 187 s; p = .08). In conclusion, sodium alginate and pectin added to a CES consumed during endurance running does not alter the blood glucose responses, carbohydrate malabsorption, substrate oxidation, GIS, or TTE beyond those of a CES with otherwise matched ingredients.

The authors are with the Department of Nutrition, Dietetics and Food, Monash University, Notting Hill, VIC, Australia.

McCubbin (alan.mccubbin@monash.edu) is the corresponding author.
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  • Ashton, T., Young, I.S., Davison, G.W., Rowlands, C.C., McEneny, J., van Blerk, C., … Jackson, S.K. (2003). Exercise-induced endotoxemia: The effect of ascorbic acid supplementation. Free Radical Biology & Medicine, 35(3), 284291. PubMed ID: 12885590 doi:10.1016/S0891-5849(03)00309-5

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bate, J.P., Irving, P.M., Barrett, J.S., & Gibson, P.R. (2010). Benefits of breath hydrogen testing after lactulose administration in analysing carbohydrate malabsorption. European Journal of Gastroenterology & Hepatology, 22(3), 318326. PubMed ID: 19636251 doi:10.1097/MEG.0b013e32832b20e8

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Borg, G.A. (1982). Psychophysical bases of perceived exertion. Medicine & Science in Sports & Exercise, 14(5), 377381. PubMed ID: 7154893

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Buchman, A.L., Killip, D., Ou, C.N., Rognerud, C.L., Pownall, H., Dennis, K., & Dunn, J.K. (1999a). Short-term vitamin E supplementation before marathon running: A placebo-controlled trial. Nutrition, 15(4), 278283. PubMed ID: 10319359 doi:10.1016/S0899-9007(99)00005-2

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Buchman, A.L., O’Brien, W., Ou, C.N., Rognerud, C.L., Alvarez, M., Dennis, K., & Ahn, C. (1999b). The effect of arginine or glycine supplementation on gastrointestinal function, muscle injury, serum amino acid concentrations and performance during a marathon run. International Journal of Sports Medicine, 20(5), 315321. PubMed ID: 10452229 doi:10.1055/s-2007-971137

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Costa, R.J., Oliver, S.J., Laing, S.J., Waiters, R., Bilzon, J.L., & Walsh, N.P. (2009). Influence of timing of postexercise carbohydrate-protein ingestion on selected immune indices. International Journal of Sport Nutrition and Exercise Metabolism, 19(4), 366384. PubMed ID: 19827462 doi:10.1123/ijsnem.19.4.366

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Costa, R.J., Snipe, R., Camoes-Costa, V., Scheer, V., & Murray, A. (2016). The impact of gastrointestinal symptoms and dermatological injuries on nutritional intake and hydration status during ultramarathon events. Sports Medicine Open, 2, 16. doi:10.1186/s40798-015-0041-9

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Costa, R.J.S., Camões-Costa, V., Snipe, R.M.J., Dixon, D., Russo, I., & Huschtscha, Z. (2019a). The impact of exercise-induced hypohydration on intestinal integrity, function, symptoms, and systemic endotoxin and inflammatory responses. Journal of Applied Physiology, 126(5), 12811291. PubMed ID: 30896356 doi:10.1152/japplphysiol.01032.2018

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Costa, R.J.S., Gaskell, S.K., & McCubbin, A.J. (2019b). Exertional-heat stress associated gastrointestinal perturbations during Olympic sports: Management strategies for athletes preparing and competing in the 2020 Tokyo Olympic Games. Temperature. Advance online publication doi:10.1080/23328940.2019.1597676

    • Search Google Scholar
    • Export Citation
  • Costa, R.J.S., Miall, A., Khoo, A., Rauch, C., Snipe, R., Camoes-Costa, V., & Gibson, P. (2017a). Gut-training: The impact of two weeks repetitive gut-challenge during exercise on gastrointestinal status, glucose availability, fuel kinetics, and running performance. Applied Physiology, Nutrition, and Metabolism, 42(5), 547557. doi:10.1139/apnm-2016-0453

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Costa, R.J.S., Snipe, R.M.J., Kitic, C.M., & Gibson, P.R. (2017b). Systematic review: Exercise-induced gastrointestinal syndrome-implications for health and intestinal disease. Alimentary Pharmacology & Therapeutics, 46(3), 246265. PubMed ID: 28589631 doi:10.1111/apt.14157

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gaskell, S.K., Snipe, R.M.J., & Costa, R.J.S. (2019a). Test re-test reliability of a modified visual analogue scale assessment tool for determining incidence and severity of gastrointestinal symptom in response to exercise stress. International Journal of Sport Nutrition and Exercise Metabolism, 22:19.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gaskell, S.K., Taylor, B., Muir, J.G., & Costa, R.J.S. (2019b). The impact of a 24-h low FODMAP diet on exercise-associated gastrointestinal symptoms and breath hydrogen responses in endurance athletes. International Journal of Sport Nutrition and Exercise Metabolism, 29(S1), S1.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • George, M., & Abraham, T.E. (2007). pH sensitive alginate-guar gum hydrogel for the controlled delivery of protein drugs. International Journal of Pharmaceutics, 335(1–2), 123129. PubMed ID: 17147980 doi:10.1016/j.ijpharm.2006.11.009

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gill, S.K., Allerton, D.M., Ansley-Robson, P., Hemmings, K., Cox, M., & Costa, R.J. (2016). Does short-term high dose probiotic supplementation containing Lactobacillus casei attenuate exertional-heat stress induced endotoxaemia and cytokinaemia? International Journal of Sport Nutrition and Exercise Metabolism, 26(3), 268275. PubMed ID: 26568577 doi:10.1123/ijsnem.2015-0186

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gillum, T.L., Dumke, C.L., & Ruby, B.C. (2006). Muscle glycogenolysis and resynthesis in response to a half Ironman triathlon: A case study. International Journal of Sports Physiology and Performance, 1(4), 408413. PubMed ID: 19124898 doi:10.1123/ijspp.1.4.408

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Horner, K.M., Schubert, M., Desbrow, B., Byrne, N.M., & King, N.A. (2015). Acute exercise and gastric emptying: a meta-analysis and implications for appetite control. Sports Medicine, 45(5), 659678. PubMed ID: 25398225 doi:10.1007/s40279-014-0285-4

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Jentjens, R.L., Moseley, L., Waring, R.H., Harding, L.K., & Jeukendrup, A.E. (2004). Oxidation of combined ingestion of glucose and fructose during exercise. Journal of Applied Physiology, 96(4), 12771284. PubMed ID: 14657042 doi:10.1152/japplphysiol.00974.2003

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Jentjens, R.L., Underwood, K., Achten, J., Currell, K., Mann, C.H., & Jeukendrup, A.E. (2006). Exogenous carbohydrate oxidation rates are elevated after combined ingestion of glucose and fructose during exercise in the heat. Journal of Applied Physiology, 100(3), 807816. PubMed ID: 16282436 doi:10.1152/japplphysiol.00322.2005

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Jeukendrup, A. (2014). A step towards personalized sports nutrition: Carbohydrate intake during exercise. Sports Medicine, 44(Suppl. 1), S25S33. doi:10.1007/s40279-014-0148-z

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lambert, G.P., Broussard, L.J., Mason, B.L., Mauermann, W.J., & Gisolfi, C.V. (2001). Gastrointestinal permeability during exercise: Effects of aspirin and energy-containing beverages. Journal of Applied Physiology, 90(6), 20752080. PubMed ID: 11356768 doi:10.1152/jappl.2001.90.6.2075

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Layer, P., Peschel, S., Schlesinger, T., & Goebell, H. (1990). Human pancreatic secretion and intestinal motility: Effects of ileal nutrient perfusion. American Journal of Physiology: Gastrointestinal and Liver Physiology, 258(2 Pt 1), G196G201. PubMed ID: 1689548 doi:10.1152/ajpgi.1990.258.2.G196

    • Search Google Scholar
    • Export Citation
  • Lee, K.Y., & Mooney, D.J. (2012). Alginate: Properties and biomedical applications. Progress in Polymer Science, 37(1), 106126. PubMed ID: 22125349 doi:10.1016/j.progpolymsci.2011.06.003

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Maughan, R.J., & Leiper, J.B. (1996). Methods for the assessment of gastric emptying in humans: An overview. Diabetes Medicine, 13(9 Suppl. 5), S6S10.

    • Search Google Scholar
    • Export Citation
  • Miall, A., Khoo, A., Rauch, C., Snipe, R.M.J., Camões-Costa, V., Gibson, P.R., & Costa, R.J.S. (2018). Two weeks of repetitive gut-challenge reduce exercise-associated gastrointestinal symptoms and malabsorption. Scandinavian Journal of Medicine & Science in Sports, 28(2), 630640. PubMed ID: 28508559 doi:10.1111/sms.12912

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mudie, D.M., Murray, K., Hoad, C.L., Pritchard, S.E., Garnett, M.C., Amidon, G.L., … Marciani, L. (2014). Quantification of gastrointestinal liquid volumes and distribution following a 240 mL dose of water in the fasted state. Molecular Pharmaceutics, 11(9), 30393047. PubMed ID: 25115349 doi:10.1021/mp500210c

    • Crossref
    • Search Google Scholar
    • Export Citation
  • O’Brien, M.J., Viguie, C.A., Mazzeo, R.S., & Brooks, G.A. (1993). Carbohydrate dependence during marathon running. Medicine & Science in Sports & Exercise, 25(9), 10091017.

    • Search Google Scholar
    • Export Citation
  • Parkman, H.P., Hasler, W.L., Barnett, J.L., & Eaker, E.Y. (2003). Electrogastrography: A document prepared by the gastric section of the American Motility Society Clinical GI Motility Testing Task Force. Neurogastroenterology & Motility, 15(2), 89102. PubMed ID: 12680908 doi:10.1046/j.1365-2982.2003.00396.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Péronnet, F., & Massicotte, D. (1991). Table of nonprotein respiratory quotient: An update. Canadian Journal of Sport Sciences, 16(1), 2329.

    • Search Google Scholar
    • Export Citation
  • Pfeiffer, B., Stellingwerff, T., Hodgson, A.B., Randell, R., Pottgen, K., Res, P., & Jeukendrup, A.E. (2012). Nutritional intake and gastrointestinal problems during competitive endurance events. Medicine & Science in Sports & Exercise, 44(2), 344351. PubMed ID: 21775906 doi:10.1249/MSS.0b013e31822dc809

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Pugh, J.N., Sage, S., Hutson, M., Doran, D.A., Fleming, S.C., Highton, J., … Close, G.L. (2017). Glutamine supplementation reduces markers of intestinal permeability during running in the heat in a dose-dependent manner. European Journal of Applied Physiology, 117(12), 25692577. PubMed ID: 29058112 doi:10.1007/s00421-017-3744-4

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Roberts, J.D., Suckling, C.A., Peedle, G.Y., Murphy, J.A., Dawkins, T.G., & Roberts, M.G. (2016). An exploratory investigation of endotoxin levels in novice long distance triathletes, and the effects of a multi-strain probiotic/prebiotic, antioxidant intervention. Nutrients, 8(11), E733. PubMed ID: 27869661 doi:10.3390/nu8110733

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Shing, C.M., Peake, J.M., Lim, C.L., Briskey, D., Walsh, N.P., Fortes, M.B., … Vitetta, L. (2014). Effects of probiotics supplementation on gastrointestinal permeability, inflammation and exercise performance in the heat. European Journal of Applied Physiology, 114(1), 93103. PubMed ID: 24150782 doi:10.1007/s00421-013-2748-y

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Sims, S.T., van Vliet, L., Cotter, J.D., & Rehrer, N.J. (2007). Sodium loading aids fluid balance and reduces physiological strain of trained men exercising in the heat. Medicine & Science in Sports & Exercise, 39(1), 123130. PubMed ID: 17218894 doi:10.1249/01.mss.0000241639.97972.4a

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Snipe, R.M.J., & Costa, R.J.S. (2018). Does the temperature of water ingested during exertional-heat stress influence gastrointestinal injury, symptoms, and systemic inflammatory profile? Journal of Science & Medicine in Sport, 21(8), 771776. PubMed ID: 29371075 doi:10.1016/j.jsams.2017.12.014

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Snipe, R.M.J., Khoo, A., Kitic, C.M., Gibson, P.R., & Costa, R.J.S. (2018a). The impact of exertional-heat stress on gastrointestinal integrity, gastrointestinal symptoms, systemic endotoxin and cytokine profile. European Journal of Applied Physiology, 118(2), 389400. doi:10.1007/s00421-017-3781-z

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Snipe, R.M.J., Khoo, A., Kitic, C.M., Gibson, P.R., & Costa, R.J.S. (2018b). The impact of mild heat stress during prolonged running on gastrointestinal integrity, gastrointestinal symptoms, systemic endotoxin and cytokine profiles. International Journal of Sports Medicine, 39(4), 255263. doi:10.1055/s-0043-122742

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Stellingwerff, T., & Cox, G.R. (2014). Systematic review: Carbohydrate supplementation on exercise performance or capacity of varying durations. Applied Physiology, Nutrition, and Metabolism, 39(9), 9981011. doi:10.1139/apnm-2014-0027

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Strid, H., Simrén, M., Störsrud, S., Stotzer, P.O., & Sadik, R. (2011). Effect of heavy exercise on gastrointestinal transit in endurance athletes. Scandinavian Journal of Gastroenterology, 46(6), 673677. PubMed ID: 21366388 doi:10.3109/00365521.2011.558110

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Sutehall, S., Muniz-Pardos, B., Bosch, A.N., Di Gianfrancesco, A., & Pitsiladis, Y.P. (2018). Sports drinks on the edge of a new era. Current Sports Medicine Reports, 17(4), 112116. PubMed ID: 29629968 doi:10.1249/JSR.0000000000000475

    • Crossref
    • Search Google Scholar
    • Export Citation
  • ter Steege, R.W., Van der Palen, J., & Kolkman, J.J. (2008). Prevalence of gastrointestinal complaints in runners competing in a long-distance run: an internet-based observational study in 1281 subjects. Scandinavian Journal of Gastroenterology, 43(12), 14771482. PubMed ID: 18777440 doi:10.1080/00365520802321170

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Thomas, D.T., Erdman, K.A., & Burke, L.M. (2016). American College of Sports Medicine Joint Position Statement. Nutrition and athletic performance. Medicine & Science in Sports & Exercise, 48(3), 543568. PubMed ID: 26891166 doi:10.1249/MSS.0000000000000852

    • Search Google Scholar
    • Export Citation
  • van Avesaat, M., Troost, F.J., Ripken, D., Hendriks, H.F., & Masclee, A.A. (2015). Ileal brake activation: Macronutrient-specific effects on eating behavior? International Journal of Obesity, 39(2), 235243. PubMed ID: 24957485 doi:10.1038/ijo.2014.112

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Van Citters, G.W., Lin, H.C. (2006). Ileal brake: Neuropeptidergic control of intestinal transit. Current Gastroenterology Reports, 8(5), 367373. PubMed ID: 16968603 doi:10.1007/s11894-006-0021-9

    • Crossref
    • Search Google Scholar
    • Export Citation
  • van Nieuwenhoven, M.A., Brouns, F., & Brummer, R.J. (1999a). The effect of physical exercise on parameters of gastrointestinal function. Neurogastroenterology & Motility, 11(6), 431439. doi:10.1046/j.1365-2982.1999.00169.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • van Nieuwenhoven, M.A., Wagenmakers, A.J.M., Senden, J.M.G., & Brummer, R.J. (1999b). Performance of the [13C]-acetate gastric emptying breath test during physical exercise. European Journal of Clinical Investigation, 29(11), 922928. doi:10.1046/j.1365-2362.1999.00546.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • van Wijck, K., Wijnands, K.A., Meesters, D.M., Boonen, B., van Loon, L.J., Buurman, W.A., … Poeze, M. (2014). l-Citrulline improves splanchnic perfusion and reduces gut injury during exercise. Medicine & Science in Sports & Exercise, 46(11), 20392046. PubMed ID: 24621960 doi:10.1249/MSS.0000000000000332

    • Crossref
    • Search Google Scholar
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