Carbohydrate ingestion and muscle glycogen depletion during marathon and ultramarathon racing

  • Timothy D. Noakes
  • Estelle V. Lambert
  • Michael I. Lambert
  • Penelope S. McArthur
  • Kathryn H. Myburgh
  • A. J. Spinndler Benade
Article

Summary

Two studies were undertaken to characterize the effects of carbohydrate ingestion on fuel/hormone response to exercise and muscle glycogen utilization during prolonged competitive exercise. In study 1, eighteen subjects were divided into three groups, matched for maximum oxygen consumption (\(\dot V_{{\text{O}}_{{\text{2 max}}} } \)) and blood lactate turnpoint. All subjects underwent a 3-day carbohydrate (CHO) depletion phase, followed by 3 days of CHO loading (500–600 g·day−1). During the race, the groups drank either 2% glucose (G), 8% glucose polymer (GP), or 8% fructose (F). Muscle biopsies were performed before and after the race and venous blood was sampled before and at regular intervals during the race. In study 2, eighteen subjects divided into 2 matched groups ingested either a 4% G or 10% GP solution during a 56 km race. Despite significantly greater CHO ingestion by GP and F in study 1 and by GP in study 2, blood glucose, free fatty acids and insulin concentrations, muscle glycogen utilization and running performance were not different between groups. These studies show (i) that hypoglycaemia is uncommon in athletes competing in races of up to 56 km provided they CHO-load before and ingest a minimum of 10 g CHO·h−1 during competition; (ii) that neither the amount (10 g vs 40 g·h−1) nor the type of carbohydrate (G vs GP vs F) has any effect on the extent of muscle glycogen depletion or running performance in matched subjects racing over distances up to 56 km.

Key words

Carbohydrates Ultramarathon Glycogen Fructose Performance 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Ahlborg B (1967) Blood glucose during prolonged physical exercise in man. Forvarsmedicin 3:3–13Google Scholar
  2. Ahlborg B, Bergstrom J, Ekelund L-G, Hultman E (1967) Muscle glycogen and muscle electrolytes during prolonged physical exercise. Acta Physiol Scand 70:129–142Google Scholar
  3. Ahlborg G, Felig P (1976) Influence of glucose ingestion on fuel-hormone response during prolonged exercise. J Appl Physiol 41:683–688Google Scholar
  4. Benade AJS, Jansen CR, Rogers GG, Wyndham CH, Strydom NB (1973) The significance of an increased RQ after sucrose ingestion during prolonged aerobic exericse. Pflügers Arch 324:199–206Google Scholar
  5. Bergstrom J, Hermansen L, Hultman E, Saltin B (1967) Diet, muscle glycogen and physical performance. Acta Physiol Scand 71:140–150Google Scholar
  6. Bergstrom J, Hultman E (1967) A study of the glycogen metabolism during exercise in man. Scand J Clin Lab Invest 19:218–228Google Scholar
  7. Bjorkman O, Sahlin K, Hagenfeldt L, Wahren J (1984) Influence of glucose and fructose ingestion on the capacity for long-term exercise in well-trained men. Clin Physiol 4:483–494Google Scholar
  8. Bonen A, Malcolm SA, Kilgour RD, MacIntyre KP, Belcastro AN (1981) Glucose ingestion before and during intense exercise. J Appl Physiol 50:766–771Google Scholar
  9. Brooke JD, Davies GJ, Green LF (1975) The effects of normal and glucose syrup work diets on the performance of racing cyclists. J Sports Med Phys Fit 15:257–265Google Scholar
  10. Christensen EH, Hansen O (1939) Hypoglykämie, Arbeitsfähigkeit und Ermüdung. Skand Arch Physiol 81:172–179Google Scholar
  11. Coyle EF, Hagberg JM, Hurley BF, Martin WH, Ehsani AA, Holloszy JO (1983) Carbohydrate feeding during prolonged strenuous exercise can delay fatigue. J Appl Physiol 55:230–235Google Scholar
  12. Coyle EF, Coggan AR, Hemmert MK, Ivy JL (1986) Muscle glycogen utilization during prolonged strenuous exercise when fed carbohydrate. J Appl Physiol 61:165–172Google Scholar
  13. Davies CTM (1980) Effects of air resistance on the metabolic cost and performance of cycling. Eur J Appl Physiol 45:245–254Google Scholar
  14. Davies CTM, Thompson MW (1979) Aerobic performance of female marathon and male ultra-marathon athletes. Eur J Appl Physiol 41:233–245Google Scholar
  15. Davies CTM, Thompson MW (1986) Physiological responses to prolonged exercise in ultra-marathon athletes. J Appl Physiol 61:611–17Google Scholar
  16. Evans WS, Phinney SD, Young VR (1982) Suction applied to a muscle biopsy maximizes sample size. Med Sci Sports Ex 14:101–102Google Scholar
  17. Felig P, Cherif A, Minagawa A, Wahren J (1982) Hypoglycemia during prolonged exercise in normal men. N Engl J Med 306:895–900Google Scholar
  18. Fenn CE, Maughan RJ (1985) Factors limiting endurance exercise in hot and cold environments. Proc Nutr Soc 44:72AGoogle Scholar
  19. Fielding RA, Costill DL, Fink WJ, King DS, Hargreaves M, Kovaleski JE (1985) Effect of carbohydrate feeding frequencies and dosage on muscle glycogen use during exericse. Med Sci Sports Exerc 17:462–465Google Scholar
  20. Fruth JM, Gisolfi CV (1983) Effects of carbohydrate consumption on endurance performance: fructose vs glucose. In: Fox EL (ed) Nutrient utilization during exercise. Ross Laboratories, Columbus, pp 68–77Google Scholar
  21. Giles D, MacLaren D (1984) Effects of caffeine and glucose ingestion on metabolic and respiratory functions during prolonged exercise. J Sports Sci 2:35–46Google Scholar
  22. Good CA, Kramer H, Somogyi M (1933) The determination of glycogen. J Biol Chem 100:485–491Google Scholar
  23. Gordon B, Kohn LA, Levine SA, Matton M, Scriver W de M, Whiting WB (1925) Sugar content of the blood in runners following a marathon race. JAMA 85:508–509Google Scholar
  24. Hargreaves M, Costill DL, Coggan AR, Fink WJ, Nishibata I (1984) Effect of carbohydrate feedings on muscle glycogen utilization and exercise performance. Med Sci Sports Exerc 16:219–222Google Scholar
  25. Hargreaves M, Costill DL, Katz A, Fink WJ (1985) Effect of fructose ingestion on muscle glycogen usage during exercise. Med Sci Sports Exerc 17:360–363Google Scholar
  26. Ivy JL, Costill DL, Fink WJ, Lower RW (1979) Influence of caffeine and carbohydrate feedings on endurance performance. Med Sci Sports 11:6–11Google Scholar
  27. Ivy JL, Miller W, Dover EV, Goodyear LJ, Sherman WM, Farrell S, Williams H (1983) Endurance improved by ingestion of a glucose polymer supplement. Med Sci Sports Exerc 15:466–471Google Scholar
  28. Jones NL, Campbell EJM (1982) Clinical exercise testing. WB Saunders, London, pp 235–239Google Scholar
  29. Koivisto VA, Harkonen M, Karonen S-L, Groop PH, Elovaimio R, Ferrannini E, Sacca L, Defronzo RA (1985) Glycogen depletion during prolonged exercise: influence of glucose, fructose or placebo. J Appl Physiol 58:731–737Google Scholar
  30. Krzentowski G, Jandrain B, Pirnay F, Mosora F, Lacroix M, Luyckx AS, Lefebvre PJ (1984) Availability of glucose given orally during exercise. J Appl Physiol 56:315–320Google Scholar
  31. Levine L, Evans WJ, Cadarette BS, Fischer EC, Bullen BA (1983) Fructose and glucose ingestion and muscle glycogen use during submaximal exercise. J Appl Physiol 55:1767–1771Google Scholar
  32. Levine SA, Gordon B, Derick CL (1924) Some changes in the blood following a marathon race. JAMA 82:1778–1779Google Scholar
  33. Maron MB, Horvath SM (1978) The marathon: a history and review of the literature. Med Sci Sports Exerc 10:137–150Google Scholar
  34. Massicotte D, Peronnet F, Allah C, Hillare-Marcel C, Ledoux M, Brisson G (1986) Metabolic response to [13C] glucose and [13C] fructose ingestion during exercise. J Appl Physiol 61:1180–1184Google Scholar
  35. Matter M, Stitfall T, Graves J, Myburgh K, Adams B, Jacobs P, Noakes TD (1987) The effect of iron and folate therapy on maximal exercise performance in female marathon runners with iron and folate deficiency. Clin Sci 72:184–191Google Scholar
  36. McArthur PS, Noakes TD, Gevers W, Millar R (1983) Studies of the metabolic basis of fatigue during marathon and ultramarathon races. S A J Res Sport Phys Ed Rec 6:49–57Google Scholar
  37. Noakes TD, McArthur PS (1985) Carbohydrate metabolism during prolonged exercise-experimental studies to determine the optimum carbohydrate replacement solution for prolonged exercise. S Afr Sports Med 28:7–12Google Scholar
  38. Noakes TD, Koeslag JH, McArthur PS (1983) Hypoglycemia during exericse. N Engl J Med 308:279–280Google Scholar
  39. Noakes TD, Nathan M, Irving RA, van Zyl Smit R, Meisser P, Kotzenberg G, Victor T (1985) Physiological and biochemical measurements during a 4-day surf-ski marathon. S Afr Med J 67:212–216Google Scholar
  40. Noakes TD, Schwartz P, Cohen J (1986) Prevention of hypoglycaemia during prolonged exercise by ingestion of carbohydrate-rich solutions. S Afr Med J 69:475–476Google Scholar
  41. Noma A, Okabe H, Kita M (1973) A new colorimetric microdetermination of free fatty acids in serum. Clin Chim Acta 43:317–320Google Scholar
  42. Owen MD, Kregel KC, Wall PT, Gisolfi CV (1986) Effects of ingesting carbohydrate beverages during exercise in the heat. Med Sci Sports Exerc 18:568–575Google Scholar
  43. Pirnay F, Lacroix M, Mosora F, Luyckx A, Lefebvre P (1977a) Glucose oxidation during prolonged exercise evaluated with naturally-labelled [13C] glucose. J Appl Physiol 43:258–261Google Scholar
  44. Pirnay F, Lacroix M, Mosora F, Luyckx A, Lefebvre P (1977b) Effect of glucose ingestion on energy substrate utilization during prolonged muscular exercise. Eur J Appl Physiol 36:247–254Google Scholar
  45. Pirnay F, Crielaard JM, Pallikarakis N, Lacroix M, Mosora F, Krzentowski G, Luyckx AS, Lefebvre PJ (1982) Fate of exogenous glucose during exercise of different intensities in humans. J Appl Physiol 53:1620–1624Google Scholar
  46. Scrimgeour AG, Noakes TD, Adams BJ, Myburgh KH (1986) The influence of weekly training distance on fractional utilization of maximal aerobic capacity in marathon and ultramarathon runners. Eur J Appl Physiol 55:202–209Google Scholar
  47. Wells CL, Schrader TA, Stern JR, Krahenbuhl GS (1985) Physiological responses to a 20-mile run under three fluid-replacement treatments. Med Sci Sports Exerc 17:364–369Google Scholar

Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • Timothy D. Noakes
    • 1
  • Estelle V. Lambert
    • 2
  • Michael I. Lambert
    • 2
  • Penelope S. McArthur
    • 2
  • Kathryn H. Myburgh
    • 2
  • A. J. Spinndler Benade
    • 2
  1. 1.Sport Science Centre, Department of PhysiologyUniversity of Cape Town Medial SchoolObservatorySouth Africa
  2. 2.MRC Research Institute for Nutritional DiseasesTygerbergSouth Africa

Personalised recommendations