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Xiaocai Shi, Mary K. Horn, Kris L. Osterberg, John R. Stofan,, Jeffrey J. Zachwieja, Craig A. Horswill, Dennis H. Passe, and Robert Murray

This study investigated whether different beverage carbohydrate concentration and osmolality would provoke gastrointestinal (GI) discomfort during intermittent, high-intensity exercise. Thirty-six adult and adolescent athletes were tested on separate days in a double-blind, randomized trial of 6% and 8% carbohydrate-electrolytes (CHO-E) beverages during four 12-min quarters (Q) of circuit training that included intermittent sprints, lateral hops, shuttle runs, and vertical jumps. GI discomfort and fatigue surveys were completed before the first Q and immediately after each Q. All ratings of GI discomfort were modest throughout the study. The cumulative index for GI discomfort, however, was greater for the 8% CHO-E beverage than for the 6% CHO-E beverage at Q3 and Q4 (P < 0.05). Averaging across all 4 quarters, the 8% CHO-E treatment produced significantly higher mean ratings of stomach upset and side ache. In conclusion, higher CHO concentration and osmolality in an ingested beverage provokes stomach upset and side ache.

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Mahdi Sareban, David Zügel, Karsten Koehler, Paul Hartveg, Martina Zügel, Uwe Schumann, Jürgen Michael Steinacker, and Gunnar Treff

The ingestion of exogenous carbohydrates (CHO) during prolonged endurance exercise, such as long-distance triathlon, is considered beneficial with regard to performance. However, little is known about whether this performance benefit differs among different forms of CHO administration. To this end, the purpose of our study was to determine the impact of CHO ingestion from a semisolid source (GEL) on measures of performance and gastrointestinal (GI) comfort compared with CHO ingestion from a liquid source (LIQ). Nine well-trained triathletes participated in this randomized crossover study. Each participant completed a 60-min swim, 180-min bike exercise, and a 60-min all-out run in a laboratory environment under 2 conditions, once while receiving 67.2 ± 7.2 g · h−1 (M ± SD) of CHO from GEL and once while receiving 67.8 ± 4.2 g · h−1 of CHO from LIQ. The amount of fluid provided was matched among conditions. Respiratory exchange ratio (RER), blood glucose, and lactate as well as GI discomfort were assessed at regular intervals during the experiment. The distance covered during the final all-out run was not significantly different among participants ingesting GEL (11.81 ± 1.38 km) and LIQ (11.91 ± 1.53 km; p = .89). RER, blood glucose, and lactate did not differ significantly at any time during the experiment. Seven participants reported GI discomfort with GEL, and no athlete reported GI discomfort with LIQ (p = .016). This study suggests that administration of GEL does not alter long-distance triathlon performance when compared with LIQ, but GEL seems to be associated with reduced GI tolerance. Athletes should consider this a potential disadvantage of GEL administration during long-distance triathlon.

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Christopher L. Melby, Kristen L. Osterberg, Alyssa Resch, Brenda Davy, Susan Johnson, and Kevin Davy

Thirteen physically active, eumenorrheic, normal-weight (BMI ≤ 25 kg/m2) females, aged 18–30 years, completed 4 experimental conditions, with the order based on a Latin Square Design: (a) CHO/Ex: moderate-intensity exer-· cise (65% V̇O2peak) with a net energy cost of ~500 kcals, during which time the subject consumed a carbohydrate beverage (45 g CHO) at specific time intervals; (b) CHO/NoEx: a period of time identical to (a) but with subjects consuming the carbohydrate while sitting quietly rather than exercising; (c) NoCHO/ Ex: same exercise protocol as condition (a) during which time subjects consumed a non-caloric placebo beverage; and (d) NoCHO/NoEx: same as the no-exercise condition (b) but with subjects consuming a non-caloric placebo beverage. Energy expenditure, and fat and carbohydrate oxidation rates for the entire exercise/sitting period plus a 90-min recovery period were determined by continuous indirect calorimetry. Following recovery, subjects ate ad libitum amounts of food from a buffet and were asked to record dietary intake during the remainder of the day. Total fat oxidation (exercise plus recovery) was attenuated by carbohydrate compared to placebo ingestion by only ~4.5 g. There was a trend (p = .08) for a carbohydrate effect on buffet energy intake such that the CHO/Ex and CHO/NoEx energy intakes were lower than the NoCHO/Ex and NoCHO/NoEx energy intakes, respectively (mean for CHO conditions: 683 kcal; NoCHO conditions: 777 kcal). Average total energy intake (buffet plus remainder of the day) was significantly lower (p < .05) following the conditions when carbohydrate was consumed (CHO/Ex = 1470 kcal; CHO/NoEx = 1285 kcal) compared to the noncaloric placebo (NoCHO/Ex =1767 kcal; NoCHO/ NoEx = 1660 kcal). In conclusion, in young women engaging in regular exercise, ingestion of 45 g of carbohydrate during exercise only modestly suppresses total fat oxidation during exercise. Furthermore, the ingestion of carbohydrate with or without exercise resulted in a lower energy intake for the remainder of the day

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Matthew R. Nelson, Robert K. Conlee, and Allen C. Parcell

In Delayed Onset Muscle Soreness (DOMS), muscles become sore 24 to 48 hours after eccentric and unaccustomed activity. Fiber stiffness, due to decreased muscle glycogen, may predispose muscle to greater damage during eccentric exercise. This study sought to determine if inadequate carbohydrate intake following a protocol to decrease muscle glycogen would increase DOMS after 15 min of downhill running. Thirty-three male subjects (age, 18–35 years) were randomized into 3 groups for testing over a 7-day period. The depletion (DEP) group (n = 12) underwent a glycogen depletion protocol prior to a 15-min downhill run designed to induce DOMS. The repletion (FED) group (n = 10) underwent a glycogen depletion protocol followed by a carbohydrate repletion protocol (>80% CHO) prior to downhill running. The third (ECC) group (n = 11) performed only the downhill running protocol. Subjective muscle soreness, isometric force production, relaxed knee angle, and thigh circumference were measured pretreatment and on days 1, 2, 3, 4, and 6 post treatment. Subjective muscle soreness for all groups increased from 0 cm pretreatment to 3.05 ± 0.72 cm (on a 10-cm scale) on day 1 post treatment (p < .05). All groups were significantly different from baseline measurements until day 4 post treatment. Each group experienced a decline in isometric force from 281 ± 45 N pre-to 253 ± 13 N on day 1 post treatment (p < .05). The decrease in isometric force persisted in all groups for 4 days post treatment. Increases in thigh circumference and relaxed knee angle elevations in all 3 groups were statistically different (p < .05) from pretreatment until day 4. No differences were noted between groups for any of the parameters examined. In the current study, 15 min of downhill running is sufficient to cause DOMS with the associated functional and morphological changes; however, inadequate carbohydrate intake after a glycogen depleting exercise does not appear to exacerbate DOMS and the associated symptoms.

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Paula Robson-Ansley, Martin Barwood, Clare Eglin, and Les Ansley

Fatigue is a predictable outcome of prolonged physical activity; yet its biological cause remains uncertain. During exercise, a polypeptide messenger molecule inter-leukin-6 (IL-6) is actively produced. Previously, it has been demonstrated that administration of recombinant IL-6 (rhIL-6) impairs 10-km run performance and heightened sensation of fatigue in trained runners. Both high carbohydrate diets and carbohydrate ingestion during prolonged exercise have a blunting effect on IL-6 levels post endurance exercise. We hypothesized that carbohydrate ingestion may improve performance during a prolonged bout of exercise as a consequence of a blunted IL-6 response. Seven recreationally trained fasted runners completed two 90-min time trials under CHO supplemented and placebo conditions in a randomized order. The study was of a double-blinded, placebo-controlled, cross-over study design. Distance covered in 90 min was significantly greater following exogenous carbohydrate ingestion compared with the placebo trial (19.13 ± 1.7 km and 18.29 ± 1.9 km, respectively, p = .0022). While post exercise IL-6 levels were significantly lower in the CHO trial compared with the placebo trial (5.3 ± 1.9 pg·mL−1 and 6.6 ± 3.0 pg·mL−1, respectively; p = .0313), this difference was considered physiologically too small to mediate the improvement in time trial performance.

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Karen Reznik Dolins, Carol N. Boozer, Felicia Stoler, Matthew Bartels, Ronald DeMeersman, and Isobel Contento

This study measured the effect of variable carbohydrate intake on time to exhaustion, variations in heart rate (HR), respiratory exchange ratio (RER), and rating of perceived exertion (RPE) in female endurance cyclists during an exercise trial. Subjects were 11 eumenorrheic women with maximal oxygen consumption (VO2max) 60.1 ± 5.1 ml/kg who habitually cycled at least 100 miles per week. In a crossover design, each woman was randomly assigned to a eucaloric diet providing 8, 5, or 3 g of CHO/kg of body weight. Subjects cycled at least 100 miles while adhering to the diet for 6 days. The exercise trial was performed on the 7th day, consisting of a 60 min cycle at 70% VO2max, followed by an increase in intensity to 90% VO2max until that intensity could no longer be maintained. Results indicated no difference in mean time to exhaustion, heart rate, or RPE. RER increased over time-elapsed (F = 40.4, p < .001) and across diets (F = 6.1, p = .015). Conclusions: Female endurance cyclists did not experience a difference in time to exhaustion, HR, or RPE with different levels of CHO intake during an endurance trial. RER varied with diet at submaximal intensities. Further research is needed to determine the optimal level of CHO intake for this population.

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Cathal Cassidy, Kieran Collins, and Marcus Shortall

significantly to energy production ( Beasley, 2015 ). A high dietary carbohydrate intake can increase muscle glycogen stores within 24 hr ( Bussau et al., 2002 ). Accordingly, current precompetition nutritional guidelines recommend 7.0 g/kg of carbohydrate to be consumed on the day before the competition

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Katherine Elizabeth Black, Alistair David Black, and Dane Frances Baker

databases (Web of Science, PubMed, and SPORTDiscus) were searched using the search terms Rugby AND (Nutrition or Diet or Energy OR Macronutrients OR Carbohydrate OR Protein OR Fat). Any additional relevant literature was obtained from the reference lists of the published papers. The inclusion criteria were

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Ronald J. Maughan, Phillip Watson, Philip A.A. Cordery, Neil P. Walsh, Samuel J. Oliver, Alberto Dolci, Nidia Rodriguez-Sanchez, and Stuart D.R. Galloway

) has recently been proposed to summarize such effects ( Maughan et al., 2016 ), and recently, it was demonstrated that body mass and sex do not influence the BHI ( Sollanek et al., 2018 ). Under resting euhydrated conditions, it appears that the carbohydrate, protein, and electrolyte content of

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Liam Anderson, Graeme L. Close, Ryland Morgans, Catherine Hambly, John Roger Speakman, Barry Drust, and James P. Morton

, EI, and Macronutrient Intake Mean daily EE and energy intake (EI) was 2894 and 3160 (381) kcal, respectively. A day-by-day assessment of energy and macronutrient intake is also displayed in Table  2 . The GK consumed no form of carbohydrate (CHO) during training sessions or games, and fluid intake