Author(s): Alireza Naderi ; Nathan Gobbi ; Ajmol Ali (corresponding author) [3,*]; Erfan Berjisian ; Amin Hamidvand ; Scott C. Forbes ; Majid S. Koozehchian ; Raci Karayigit ; Bryan Saunders [2,9]
Carbohydrate (CHO) provision for exercise performance has become a requisite for competitive athletes, with the amount of CHO required intrinsically linked to the intensity and duration of exercise . CHO may be consumed pre-exercise, during exercise, and post-exercise throughout training and competition, each of which will have implications as to the efficacy of the physiological responses and adaptations. There is some suggestion that periodised CHO ingestion may be beneficial for endurance athletes throughout training , though evidence to support this theory currently remains limited. Pre-exercise CHO ingestion can begin in the days leading into the exercise event to ensure that muscle glycogen stores are maximized [3,4]. Additionally, CHO ingestion provided up to 3–4 h prior to exercise is likely to increase muscle glycogen content. During exercise, CHO intake maintains blood glucose and/or provides fuel for oxidation, thus sparing muscle and liver glycogen [5,6]. Finally, CHO taken post-exercise aims to replenish both muscle and liver glycogen stores . The speed of recovery depends on the timing and quantity of CHO , such that rapid and large quantities of CHO may be required to optimise performance during a subsequent exercise bout performed within hours of the previous exercise bout . Thus, CHO ingestion is an important nutritional aspect to consider for both training and competition.
CHO supplements have become commonplace among athletic populations, with numerous commercially available products, including cereal bars, gels, drinks and powders, considered effective evidence-based CHO sources to improve endurance exercise performance [10,11]. Despite the practicalities of employing such CHO-rich products, particularly during exercise, a ‘food-first’ approach to CHO ingestion for exercise may be of great relevance since acquiring CHO via dietary sources will also lead to co-ingestion of other important macro- (e.g., proteins and lipids) and micro- (e.g., vitamins and minerals) nutrients which are of benefit to athletes [12,13,14]. Further, athletes may wish to prioritise food over supplements for a multitude of personal reasons, including food choices (e.g., animal or plant-based), taste, gastrointestinal discomfort, cost, sustainability, behaviour, health and religion [12,15,16,17,18]. Dietary sources of CHO are numerous, including lentils, bananas, oats, honey, raisins, potatoes, rice, pasta. Each of these foods has its unique macronutrient and micronutrient content that will modify the speed at which they increase glucose in the bloodstream (i.e., their glycaemic index [GI]). The GI is a rating system based upon how much blood glucose is increased by ingesting specific foods, categorized into low-to-moderate and high GI foods. Foods with different GI values lead to a different metabolic response ; however, the GI of a pre-exercise meal has no clear benefit for endurance performance . In contrast, high-GI CHO foods ingested during recovery between exercise bouts may accelerate post-exercise muscle glycogen storage  and improve subsequent exercise performance . Thus, different CHO-food sources with different GI may be more or less efficient for exercise performance and glycogen replenishment when recovery time is short. However, the feasibility of implementing each dietary CHO source for pre-exercise, during exercise, and for post-exercise consumption is an important consideration for athletes. This narrative review aimed to determine whether a food-first approach to CHO provision for endurance exercise is an appropriate means to fuel endurance exercise and optimise performance compared to traditional CHO supplements.
2. Pre-Exercise CHO Ingestion
Initial studies tested different pre-exercise GI foods on substrate utilization and exercise performance mediated by different insulin responses, with equivocal findings between low- and high-GI foods [23,24]. While some evidence showed positive effects after consuming low-GI foods, other studies reported no difference between pre-exercise low-GI foods compared to high-GI foods [20,25]. The consumption of 1–4 g·kg[sup.-1] body mass (BM) of CHO is generally recommended 1 to 4 h prior to endurance exercise (Figure 1) . Pre-exercise food selection depends on various factors such as sex, training status, and/or habitual dietary intake of endurance athletes ; however, regardless of individuals’ choices, pre-exercise ingestion of CHO appears to be important. For example, combining a 2.5 g CHO·kg[sup.-1] BM meal before exercise with a CHO drink (6.9% CHO) during exercise was better for performance compared to CHO ingestion during exercise alone, or no CHO (placebo) during a run to exhaustion at 70%V?Omax  (Table 1). Aandahl et al.  compared a high (3 g·kg BM) and low (0.5 g·kg[sup.-1] BM) CHO pre-exercise meal ingested ~3.5 h before exercise on physiological variables and time-to-exhaustion during a graded exercise test. Recreational and well-trained endurance athletes were recruited and also performed a trial while fasting. The high-CHO meal improved exercise performance relative to the low-CHO meal and the fasting state, although no differences in physiological responses were shown. These performance effects were evident for both trained and recreational athletes, demonstrating that a high CHO pre-exercise meal appears to be better for performance than a low-CHO meal or nothing.
When considering pre-exercise CHO intake, many individuals will indicate foods such as potatoes, rice, and pasta as “typical” CHO sources. Potatoes are predominantly composed of water with only ~20 g of CHO per 100 g of boiled potato. Both white and brown rice consist predominantly of water (~69–70%) and contain an average of 28 g and 26 g of CHO per 100 g. White or “refined” pasta is composed of ~67% water, and 100 g of plain cooked spaghetti provides approximately 26 g of CHO. Cooked lentils are another CHO food  and are composed of ~19.5% CHO. All these are viable options as pre-exercise CHO meal options for athletes aiming to optimise their exercise performance, although athletes should be aware that they are relatively low in CHO per total volume, with only 20–30% comprised of CHO (Figure 2).
Thomas et al.  recruited eight trained cyclists who pedalled to exhaustion at 65–70% V?O[sub.2max] following the ingestion of either lentils, potatoes, glucose or water only, provided 1 h before exercise. Each meal provided 1 g·kg[sup.-1] BM of CHO. The volunteers ingested approximately 70 g of CHO, meaning they had to consume ~650 g of cooked potatoes and ~430 g of cooked lentils. Plasma glucose peaked ~45 min after ingestion with potatoes, likely due to its high-GI leading to the rapid absorption of CHO. The plasma glucose and insulin responses were lower following lentils ingestion, and CHO oxidation was lower during exercise with lentils compared to the glucose and potato conditions. Importantly, time-to-exhaustion was greater in the lentil condition compared to the other CHO conditions and water, while the glucose and potato conditions did not significantly improve performance compared to water. These findings suggests that lentils may be an effective pre-exercise CHO food source to be ingested alone, or as part of a mixed-CHO meal, if ingested 1–3 h before exercise, and may enhance metabolic responses (higher fat oxidation, lower insulin, and CHO oxidation)  during submaximal exercise compared to other CHO food sources.
Bananas are a CHO-rich fruit containing a mixture of glucose, fructose and sucrose. Mitchell et al.  compared various sources of pre-exercise (-60 min) CHO ingestion in trained runners in a hot environment (32 °C, 65% relative humidity). The CHO conditions included banana slurries (banana and water; 54 g CHO), a CHO solution mixture of glucose and fructose (54 g CHO), a high fructose corn syrup solution (72 g CHO), a glucose-only solution (54 g CHO), a saccharose and glucose mixture solution (54 g CHO), and a placebo drink (water identical in flavour, texture and colour). The different types of CHO altered the blood glucose response compared to the placebo drink, although this had no influence on 10 km running performance with no differences between any condition. A higher fluid retention was shown with the glucose/fructose and glucose-only solutions, likely due to the high sodium content . The lack of a performance improvement between CHO forms compared to placebo is perhaps unsurprising, since CHO ingestion prior to short-duration exercise (<1 h) may not be necessary , and makes it difficult to speculate as to the efficacy of pre-exercise CHO from bananas.
Raisins are a type of sun-dried grape and a rich source of CHO . Kern et al.  compared the pre-exercise ingestion of raisins to a CHO sport gel on 45 min cycling at 70% V?O[sub.2max], followed by a 15 min performance time-trial (TT). Eight trained endurance cyclists ingested 1 g·kg[sup.-1] BM CHO from either raisins or sports gel 45 min prior to the test and showed a similar amount of total work carried out between the raisin and sports gel, meaning that pre-exercise CHO provision via raisins and sports gels produced an equal power output during the exercise. Thus, raisins appear to be an appropriate alternative pre-exercise CHO food source to CHO supplements, though more confirmatory studies are warranted.
Oats are a rich source of CHO, providing ~68 g CHO per 100 g . Paul et al.  examined the effects of three isoenergetic pre-exercise meals consisting of oats (containing 41.5 g CHO), wheat (containing 53.9 g CHO) and corn cereals (containing 54.7 g CHO) plus skimmed milk, compared to a fasting control trial. Twelve healthy adults ingested the pre-exercise meals 90 min before 90 min of steady-state cycling at 60% V?O[sub.2peak] followed by a 6.4 km TT. There was no performance improvement with any meal compared to the fasted trial, though it must be acknowledged that there was ~12 g less CHO in the oat meal versus the other meals. Despite no performance effect, the feeling of fatigue was greater in the fasted trial, measured using the profile of mood states (POMS) questionnaire, than in the other treatments. Jones et al.  compared three available “cost-effective” oat- and wheat-based CHO meals relative to a commercial sports bar. Eight endurance-trained males ingested four isoenergetic meals including (i) a semi-liquid oat-based combination (77% CHO), (ii) a semi-liquid oat-based CHO (68% CHO), (iii) a semi-liquid wheat-based CHO) (75% CHO), and (iv) a dense solid, fructose-based sports bar (69% CHO). Meals were provided 2 h before a 60 min self-paced cycle ergometer test. Regardless of which meal was ingested, there was no difference in heart rate, oxygen consumption, respiratory exchange ratio or exercise performance. These data suggest that each CHO source was equally beneficial for this type of exercise, although this study is limited by the lack of a control treatment to determine whether CHO is beneficial compared to no CHO. Kirwan et al.  investigated the effect of oat-based breakfast meals provided 45 min prior to a cycle to exhaustion at 60% V?O[sub.2peak] in recreationally active women. The breakfasts consisted of sweetened whole-grain rolled oats (75 g CHO + 7 g fibre), sweetened whole-oat flour (75 g CHO + 3 g fibre) or 300 mL of water as a control. Exercise performance improved by 16% and 10% in the rolled and flour oat conditions compared to control, with no difference between meals. In a similar study, 75 g CHO in regular whole grain rolled oats mixed with 300 mL of water improved cycling exercise to exhaustion at 60% V?O[sub.2peak] compared to water alone (control) when ingested 45 min before exercise . Another study by the same research group showed that 75 g of CHO ingested as rolled oats improved cycling time-to-exhaustion at 60% V?O[sub.2peak] compared to control, while 75 g in puffed rice did not. The data from these studies suggest that oats may be a suitable pre-exercise CHO source for endurance exercise. Importantly, oats are often consumed mixed with other foods such as honey, banana, milk, cherries and chia seeds to enhance palatability. Work is needed to consider these kinds of mixed meals on metabolism and exercise performance.
One study investigated the effect of a pre-exercise meal containing rice on 21 km running performance in eight endurance-trained male runners . Meals were provided 2 h prior to exercise and consisted of a non-CHO low energy jelly (control), or one of two dishes equivalent in calories and CHO content (61%), namely a high-GI meal containing 92 g of jasmine rice and a low-GI meal containing no rice. A CHO-electrolyte drink (6.6% glucose) was also provided every 2.5 km throughout the exercise at 2 mL·kg[sup.-1] BM in all trials (total ~74 g CHO). Time-to-complete the 21 km run was not different between the CHO meals, although only the rice-based meal improved performance compared to control. These data provide some evidence to suggest that a pre-exercise CHO meal containing rice may be a useful strategy for endurance exercise performance. However, rice contains a substantial amount of water, meaning that to obtain CHO intakes of 30 g it would be necessary to ingest approximately 106 g of white rice or 116 g of brown rice (Figure 2). This may trigger some gastric discomfort due to the amount of food needed to achieve the desired quantity of CHO, and individuals are encouraged to determine their individual response to consumption of this food.
Traditional CHO food sources such as pasta, lentils, potato and rice may be interesting CHO sources to implement pre-exercise, although individuals should be wary of the amount of CHO in some of these as they are relatively low compared to other sources (Figure 2). This means that the consumption of large quantities of food may be necessary to achieve the desired CHO levels (e.g., ~150 g of potatoes per 30 g of CHO; Figure 2), but this could lead to gastric discomfort . More studies are needed to determine whether a single CHO source like pasta, lentils, rice, or potato alone is a more viable pre-exercise CHO loading strategy versus mixed high CHO meals. Bananas may also be considered as a pre-exercise CHO snack to be ingested <2 h before exercise for those athletes that feel hungry close to exercise. Furthermore, those wishing to add supplemental CHO to foods to achieve the desired CHO dose may do so .
Table 1: Summary of studies exploring the effects of pre-exercise CHO food ingestion on endurance exercise performance.
Thomas et al. 
8 trained male cyclists (V?O[sub.2max]: 62.5 ± 3.7 mL·kg[sup.-1]·min[sup.-1])
Cycling to exhaustion at 65–70% V?O[sub.2max]
L: 1 g·kg[sup.-1] CHO from lentils (LGI)P: 1 g·kg[sup.-1] CHO potato (HGI)G:1 g·kg[sup.-1] CHO glucoseW: Water
1 h before exercise
?L vs. G?L vs. P?L vs. W
Paul et al. 
12 healthy adults(six women V?O[sub.2peak]: 50.6 ± 4.3; six men V?O[sub.2peak]:58.3 ± 5.1 mL·kg[sup.-1]·min[sup.-1]
90 min of steady statecycling at 60% V?O[sub.2peak] followed by a 6.4 km TT
Oats (O): 41.5 g CHO, 5.7 g fibre, 3.8 g fat, 10 g proteinWheat (W): 53.9 g CHO, 7.2 g fibre, 1.4 g fat, 7.2 g proteinCorn (C): 54.7 g CHO, 0.7 g fibre, 0 g fat, 4.5 g proteinFasted (F)
90 min before cycling
?O vs. W vs. C
Chryssanthopoulos et al. 
10 male recreational runners(V?O[sub.2max]: 58.6 ± 1.9 mL·kg[sup.-1]·min[sup.-1])
Treadmill running at 70% V?O[sub.2max] to exhaustion
M + C: Pre-exercise 2.5 g·kg[sup.-1] BM CHO [white bread, jam, cornflakes, sugar, skimmed milk, orange juice], and CHO drinks during exercise [6.9% CHO: dextrose, maltodextrin, and glucose syrup]P + C: Pre-exercise PL and CHO ingestion during exerciseP + P: Pre-exercise PL and PL drink during exercise
3 h before exercise and during exercise
?M + C vs. P + C?M + C vs. P + P?P + C vs. P + P
Jones et al. 
8 endurance trained males
60 min self-paced cycle
(Combo): Semi-liquid oat-based CHO/fat/protein combination (77% CHO, 7% protein and 5% fat) [Oatmeal, sugar, whole wheat, brown sugar, dried bananas, barley flakes, wheat farina, almonds, and guar gum](O): Semi-liquid, oat-based CHO (68% CHO,14% protein and 1.7% fat) [Whole-grained rolled oats, calcium carbonate, and guar gum](W): Semi-liquid wheat-based CHO (75% CHO, 11% protein) [Wheat farina, wheat germ, salt, guar gum (460 kcal](Bar): Dense solid, fructose-based CHO/protein/vitamin (69% CHO, 14% protein, 3% fat) [High fructose corn syrup, fruit juice concentrate, oat bran, malto-dextrins, milk protein, banana, cashew butter, rice]
2 h before the test
?Combo vs. O vs. W vs. Bar
Kirwan et al. 
6 recreationally active women(V?O[sub.2max]: 48.3 ± 3.0 mL·kg[sup.-1]·min[sup.-1])
TTE at 60% V?O2max
(R): 75 g CHO [sweetened whole-grain rolled oats with 7 g fibre + 300 mL water](F): 75 g CHO [sweetened whole-oat flour with 3 g fibre + 300 mL water](C): Control [Water]
45 min before exercise
?R vs. C?F vs. C
Mitchell et al. 
10 trained runners (V?O[sub.2max]: 59.35 ± 2.46 mL·kg[sup.-1]·min[sup.-1])
10 km treadmill run
HGF: 72 g CHO high fructose corn syrup solutionLFG: 54 g CHO low volume glucose/fructoseGLU: 54 g CHO glucose solutionSUG: 54 g CHO sucrose/glucose mixtureBAN: 54 g CHO banana with water (900 mL)WP: Water PL
1 h before exercise
?HGF vs. LFG vs. GLU vs. SUG vs. BAN vs. WP
Kirwan et al. 
6 males(V?O[sub.2peak]: 54.3 ± 1.2 mL·kg[sup.-1]·min[sup.-1])
Cycling to exhaustion at 60% V?O[sub.2peak]
(O): 75 g CHO [rolled oats as a moderate GI meal (~61) + 300 mL water](P): 75 g CHO [Puffed rice as a HGI meal (~82) + 300 mL of water](C): Control [Water]
45 min before exercise
?O vs. C?P vs. C
Chryssanthopoulos et al. 
10 male recreational runners(V?O[sub.2max]: 63.5 ± 2.3 mL·kg[sup.-1]·min[sup.-1])
Treadmill running at 70% V?O[sub.2max] to exhaustion
M + C: Pre-exercise 2.5 g·kg[sup.-1] BM CHO [white bread, jam, cornflakes, sugar, skimmed milk, orange juice], and CHO drinks during exercise [6.9% CHO: dextrose, maltodextrin, and glucose syrup]M + W: Pre-exercise 2.5 g·kg[sup.-1] BM CHO [white bread, jam, cornflakes, sugar, skimmed milk, orange juice], and water during exerciseP + W: Pre-exercise PL and water during exercise
3 h before exercise and during exercise
?M + C vs. P + W?M + W vs. P + W
Kern et al. 
8 endurance-trained cyclists4 males (V?O[sub.2max]: 64.1 ± 3.4 mL·kg[sup.-1]·min[sup.-1]) and 4 females (V?O[sub.2max]: 47.5 ± 10.6 mL·kg[sup.-1]·min[sup.-1])
Cycling for 45 min at 70% V?O[sub.2max] followed by 15 min performance trial
R: 1 g·kg[sup.-1] BW CHO raisinS: 1 g·kg[sup.-1] BW CHO sport gel
45 min before exercise
?R vs. S
Chen et al. 
8 endurance-trained male runners (V?O[sub.2max]: 58.5 ± 1.6 mL·kg[sup.-1]·min[sup.-1])
21 km performance run on a level treadmill
HGI meal: [92 g jasmine rice, 90 g parsnips, 265 g orange soda, 55 g canned lychees, 40 g ham, 35 g fish sticks, 80 g egg, 573 g water]LGI meal: [290 g clear chicken broth, 251 g soymilk, 54 g hardboiled egg, 38 g fish sticks, 46 g green peas, 81 g mungbean thread noodles, 467 g water]CON: Control [9 g low-energy sugar-free jelly]
2 h before the test meal was consumed and 2 mL·kg[sup.-1] BM of 6.6% CHO solution was consumed immediately before exercise and every 2.5 km afterward
?LGI vs. HGI:?HGI vs. CON
Aandahl et al. 
11 well-trained (V?O[sub.2max]: 71.9 ± 5.1 mL·kg[sup.-1]·min[sup.-1]) and 10 recreationally trained (V?O[sub.2max]: 46.9 ± 2.5 mL·kg[sup.-1]·min[sup.-1]) men
Five submaximal 5 min constant-velocity bouts of increasing intensity and a graded exercise test to measure TTE (running on a tread-mill)
High CHO meal: 3 g·kg[sup.-1] BM CHO [white bread, jam, skimmed milk, oats, banana, and raisins]Low CHO meal: 0.5 g·kg[sup.-1] BM [yogurt, almonds, and avocado]Fasted state
3.5 h before the exercise
?High CHO meal vs. low CHO meal?High CHO vs. fasted state
CHO carbohydrate, V?O[sub.2max] maximal oxygen consumption, V?O[sub.2peak] peak oxygen consumption, TT time-trial, TTE time to exhaustion, VA voluntary activation, CAR central activation ratio, MVC maximum voluntary contraction, sMVC sustained MVC, WE work economy, HGI high-glycaemic index, LGI low-glycaemic index.
3. CHO Ingestion during Exercise
In addition to pre-exercise CHO intake, CHO ingestion during endurance exercise is considered essential to maintaining performance. When a meal was provided pre-exercise (2.5 g CHO·kg[sup.-1] BM) and CHO given during exercise, the time-to-exhaustion during endurance exercise was 12% greater than when CHO was provided before exercise only, and 22% greater compared to a placebo . When exercise lasts between 1 and 3 h, ingesting 30–60 g·h[sup.-1] of CHO is commonly recommended . Isotonic CHO drinks containing multiple CHOs at a dose of 60–90 g·h[sup.-1] during exercise have been suggested to enhance endurance capacity when activity is extended above 3 h [1,45]. These larger doses of mixed CHO (e.g., glucose and fructose in a 2:1 ratio ) promote increased CHO absorption via two different gut transporters. Endurance athletes tend to favour transportable CHO supplements such as hydrogels, shots, bars, and chews during competition [42,46] because of higher gastrointestinal tolerability, CHO absorption and oxidation rates . However, endurance athletes may see eating CHO-rich fruits and foods as a natural and cost-effective source for supplying CHO during exercise. Naturally, an important consideration is that these foods should be easily transportable for an athlete.
Bananas could be an excellent CHO source (fructose: glucose ratio of ~1:1) during exercise . Nieman et al.  compared banana ingestion to a CHO drink on exercise metabolism and performance (Table 2). They reported no significant difference in blood glucose, blood lactate or 75 km cycling TT performance when 14 trained cyclists ingested 200 mg·kg[sup.-1] BM of CHO every 15 min from either bananas or a 6% CHO sports drink. Participants did report feeling significantly fuller and more bloated when consuming bananas, which may be due to the high fibre intake (~15 g). Although this did not modify exercise performance here, this may become a greater issue during longer distances requiring more CHO intake. In another study, two types of bananas (Cavendish and mini yellow) and a 6% CHO beverage led to similar performance times during a 75 km cycling TT, although none were improved compared to water alone . The same research group also compared banana ingestion to pear ingestion or water alone during a 75 km cycling TT . Twenty male cyclists ingested 400 mg·kg[sup.-1] BM CHO from either banana or pear alongside 5 mL·kg[sup.-1] BM of water, or water alone, 20 min prior to initiating exercise. A further 150 mg·kg[sup.-1] BM of CHO was ingested every 15 min throughout the test. Performance times for the banana and pear treatments were faster than water alone. These data suggest that bananas may be a good CHO source during exercise to improve endurance exercise performance. However, more research should determine the rate of CHO oxidation and exercise performance with banana ingestion compared to commonly employed CHO supplements during different types of endurance exercise tests. The size of bananas makes them easily transportable and an excellent CHO option during endurance exercise, though athletes may wish to bear in mind that they are delicate and could be damaged or undergo browning, thus making them less palatable to some individuals. Furthermore, carrying the number of bananas required to fuel prolonged exercise may not always be practical, especially for runners or during competition. Nonetheless, those engaged in endurance exercise may wish to replace a number of CHO supplements with bananas depending upon how many they can practically carry on them (Figure 3A).
Honey is a natural food made by honeybees via nectar sourced from flowers . CHO is the main constituent of honey (~80–85%), including fructose, glucose, small amounts of sucrose, and varying amounts of maltose based on the botanical source of the different regions of honey breeding . Two studies have shown performance benefits with honey ingestion during endurance cycling  and running . Earnest et al.  showed similar performance improvements when amateur cyclists ingested 15 g of CHO from sports gels (dextrose, high GI: 100) or honey (low-GI: 35) every 16 km during a 64 km cycling TT compared to a water-only trial. Both CHO treatments allowed participants to generate more power during the last 16 km. There was a lack of blinding due to the absence of a matching placebo in colour and taste, which means modified performance may have been due to placebo effects . Nevertheless, these data do show promise for the use of honey as a CHO source during exercise and may lead to improvements similar to those seen with traditional CHO supplements. Honey certainly appears more effective than no CHO. Honey may be a particularly interesting option during exercise when high CHO quantities are required due to its high CHO content (Figure 1), and glucose and fructose constitution. It is well-recognized that CHO beverages containing both glucose and fructose at doses of 60–90 g·h[sup.-1] may augment endurance exercise capacity compared to glucose alone. Adding fructose to glucose would increase CHO oxidation and enhance the gastric emptying rate due to a higher absorption rate via two different intestinal transporters since glucose transport is saturated at ~60 g·h[sup.-1] [1,61]. Honey can easily be transported, either diluted in water or in small portable plastic sachets which athletes can chew while exercising. However, honey is considered a high FODMAP food due to its high fructose content  and may need to be tested by athletes in training sessions to minimize the potential risk of gastrointestinal distress, while in addition it is not suitable for vegan athletes. Similar to bananas, honey could replace some, or all, CHO supplements during exercise (Figure 3B).
Raisins are a natural CHO source that can be ingested during exercise (glucose and fructose~1.1:1 ratio [63,64,65]). Rietschier et al.  provided 10 male endurance-trained athletes 1.1 g·kg[sup.-1] BM CHO from either six servings of 28 g raisin or 26 g sport jellybeans every 20 min during a 120 min intense cycle followed by a 10 km TT. Both forms of CHO maintained similar blood glucose levels during exercise, with no significant difference in TT performance. However, the lack of a placebo or control condition in either study is a limitation that does not allow us to draw any definitive conclusions on whether raisins may be more or less effective than commercial CHO sources. Too et al.  compared raisin ingestion to CHO-rich sport chews and water drinks. Eleven competitive endurance runners were provided 500 mg·kg[sup.-1] BM before exercise and 200 mg·kg[sup.-1] BM every 20 min throughout 80 min treadmill running at 75% V?O[sub.2max] followed by a 5 km TT. There were no significant metabolic or performance differences between the raisins and sport chew trials; however, both CHO trials led to a greater performance compared to water alone. Corinthian currant , a dried grape derived from black grapes, has also shown similar performance improvements compared to a glucose drink (1.5 g·kg[sup.-1] BM) during a cycle to exhaustion at 95% V?O[sub.2max] following 90 min of cycling at 60–70% V?O[sub.2max]. These data provide evidence that raisins can be considered an alternative to common CHO supplements during endurance exercise. They are also CHO dense (Figure 2), easily transportable as either food or drink, and are generally well-tolerated without significant gastrointestinal discomfort [54,55].
Transportability and digestibility are key when considering CHO ingestion throughout exercise. Although foods such as potatoes, rice and pasta in their own right might be appropriate CHO sources during exercise, practical limitations might not allow their implementation in practice. For example, Salvador et al.  compared the performance effects of CHO obtained from mashed potatoes with an equivalent of CHO from a gel. Cyclists performed 120 min of intermittent cycling at 60–85% V?O[sub.2peak] before a TT to complete 6 kJ·kg[sup.-1] BM and ingested 15 g of CHO from potato or a CHO gel every 15 min throughout the intermittent test. To obtain 15 g of CHO within each form, participants had to ingest 128.5 g of mashed potato but only 23 g of CHO gel. TT performance was improved with CHO compared to water alone but did not differ between CHO supplement forms. Although this suggests that potato ingestion throughout the exercise was equally effective as a CHO gel, potato ingestion was associated with more gastrointestinal discomfort during the test, likely due to the greater volume ingested. Furthermore, the transport of potatoes in mashed (or any) form is far less feasible than a CHO gel, although anecdotally cyclists are known to transport baked potatoes on long rides for fuel. A similar conclusion could be reached for pasta and rice. Although rice cakes may be considered an alternative form of rice consumption, leading to similar performance times as CHO provision in gels , these are often made from glutinous rice powder, and it is debatable whether these can still be considered a whole food. Thus, while some data support the potential use of potatoes as a CHO source during exercise, individuals should be wary of their difficulty in transport and the quantity needed to attain suggested ingestion rates of 60–90 g·h[sup.-1] (Figure 1).
Collectively, these studies show that food-based sources such as banana, honey and raisins are excellent alternative CHO sources to be ingested during exercise. They are as effective as commercial-based CHO supplements such as gels and sports drinks to improve prolonged endurance performance [35,49,51,52,53,54,56,63,67]. However, the higher potential gastrointestinal distress risk related to a greater fructose ratio, fibre content and quantity to meet standard CHO doses (60–90 g·h[sup.-1]) with CHO foods compared to CHO supplements may highlight the more effective role of CHO supplements to be ingested during exercise [63,67,68]. Moreover, it is not clear if CHO provided at the range of 90–120 g·h[sup.-1] from food-based sources can still improve endurance performance without any gastrointestinal discomfort. Furthermore, studies have yet to compare CHO absorption and oxidation rates of food-based CHO sources with different GI responses versus isotonic CHO drinks.
Nevertheless, athletes can ingest a combination of foods and supplements to achieve their CHO requirements during exercise (Figure 3). In fact, food sources can be fortified with CHO to provide the desired amount. Reynolds et al.  showed that a natural CHO source of apple puree fortified with maltodextrin to provide an equal dose of glucose to a sports drink providing 60 g·h[sup.-1] in a 2:1 glucose-to-fructose ratio was equally effective for ~15 min TT performance following 120 min cycling.
4. Post-Exercise CHO Ingestion
Following endurance exercise the replenishment of CHO is critical, particularly when recovery time between exercise sessions is limited (<4 h). CHO provision at 1–1.2 g·kg[sup.-1] BM is recommended to maximize muscle glycogen replenishment and storage to optimise subsequent exercise performance . High-GI CHO foods have been suggested to be preferable to low GI CHO foods to optimize post-exercise glycogen replenishment [21,70], mediated by higher insulin responses , which may augment subsequent endurance performance  (Table 3). Wong et al.  compared high and low-GI CHO foods during 4 h recovery after 90 min constant pace running at 70% V?O[sub.2max] in endurance-trained runners. Twenty min after the first test, participants ingested either a high-GI meal (GI = 77) or a low-GI meal (GI = 37), both providing 1.5 g·kg[sup.-1] BM CHO. The subsequent endurance running capacity was 15% greater following the high-GI versus low-GI meal. Stevenson et al.  compared high versus low isocaloric GI CHO foods providing 8 g·kg[sup.-1] BM CHO across four meals during 24 h recovery after 90 min running on a treadmill at 70% V?O[sub.2max]. The next day’s run to exhaustion at 70% V?O[sub.2max] was longer following low-GI vs. high-GI foods; this may have been due to a higher fat oxidation during the exercise following the low-GI diet . The discrepancy between these results for high and low GI meals could be explained by the different CHO loading amounts (1.5 g·kg[sup.-1] BM vs. 8 g·kg[sup.-1] BM) and recovery times (24 h vs. 4 h) within these two studies [22,70]. Longer recovery times to ingest higher CHO amounts from low-GI CHO sources may highlight the potential metabolic benefits of low-GI CHO for endurance athletes.
Various high CHO food sources are available for endurance athletes to ingest during the short-term recovery period (Figure 1). In this regard, Murdoch et al.  investigated the effect of banana ingestion provided in either solid or slurry form (1.1 g·kg[sup.-1] BM CHO) following a 90 min run and 90 min cycle on subsequent exercise capacity. Eight highly trained triathlon athletes ingested the bananas or a placebo drink in the 20 min recovery time following the initial 180 min of exercise, before performing a cycle to exhaustion at 70% V?O[sub.2max]. TTE was 16 (slurried form) and 18 (solid form) min greater with the bananas compared to placebo, with no difference between the CHO forms. Although intriguing, the very short recovery time between endurance tests precluded any solid conclusions regarding banana ingestion for recovery and performance in the hours following an initial exercise bout, or subsequent next-day performance. Ahmad et al.  showed that participants could cover more distance during a 20 min running TT following an initial run at 65% V?O[sub.2max] in the heat (31 °C, 70% relative humidity) before a 2 h rehydration phase when they were provided a honey beverage (6.8% CHO content equivalent to compensate 150% of body weight loss) compared to plain water. Thus, honey ingestion might be an interesting CHO source when recovery time is short, though it is unclear if it is as effective as traditional CHO supplement sources as a recovery aid.
Flynn et al.  recruited male and female recreational athletes to ingest either potato-based foods or various CHO supplements (both providing 1.6 g·kg[sup.-1] BM CHO) following a 90 min cycle; after 4 h recovery, they performed a 20 km cycling TT. There were no differences in muscle glycogen synthesis rate or time-trial performance between the CHO sources . Cramer et al.  also showed no difference in muscle glycogen synthesis rates and 20 km TT endurance performance between a high-CHO fast-food diet and CHO supplements ingested during the 4 h recovery period between two exercise bouts. These data suggest that the ingestion of CHO-rich foods, such as potatoes, is equally effective for the recovery of muscle glycogen and subsequent exercise performance as traditional CHO supplements (Table 3).
Chocolate milk is a popular food-based sports beverage and comprises approximately ~11–14% CHO . Chocolate milk may be an appropriate CHO beverage to support post-exercise muscle glycogen re-synthesis , and improve subsequent endurance exercise performance [75,76]. Several studies have compared chocolate milk versus a CHO-replacement fluid and fluid replacement drink during varying recovery periods (2–18 h) after exercise, with beneficial effects on subsequent performance compared to both CHO-replacement fluid and a fluid replacement drink [75,76,77,78]. Two recent meta-analyses and systematic reviews concluded that chocolate milk can increase muscle glycogen storage as much as an isocaloric CHO drink , and can improve exercise time-to-exhaustion compared to a placebo beverage, with no differences compared to a CHO sport drinks . Since milk contains other important macronutrients (protein and fats) and has better hydrating properties than water , chocolate milk may be an interesting post-exercise CHO-replenishment strategy for athletes.
Vlahoyiannis et al.  investigated the effects of a high and low-GI post-exercise meal on subsequent sleep quality and next-day 5 km cycling TT performance. Recreationally trained men performed a sprint interval exercise before immediately consuming either a high-GI (GI = 109) meal, consisting of jasmine rice and vegetables, or a low-GI meal (GI = 52), consisting of parboiled rice and vegetables; both meals provided 2 g·kg[sup.-1] BM CHO. Next-day 5 km cycling performance was not different between meals, despite increased sleep duration and sleep efficiency, and reduced sleep onset latency, following the high-GI meal. The lack of a performance effect may be due to the exercise duration (7–8 min), which may be too short to be substantially influenced by a high- or low-GI meal. This study  is limited by the lack of a control trial in which no dietary CHO was provided following the sprint exercise, though the finding that a high-GI diet might improve aspects of sleep is intriguing and warrants further investigation. More studies are needed to examine the effects of CHO-based foods with different GI indexes to determine the optimal scenario under which to employ high- or low-GI CHO foods for recovery.
While high-GI foods may promote muscle glycogen synthesis when a short recovery time is needed between two exercise sessions, muscle glycogen optimization over a 24 h recovery time is more dependent on the total CHO dose ingestion. More recently, eight male endurance athletes ingested 24 h high CHO meals with doses of 5, 7 and 10 g·kg[sup.-1] BM in a crossover study design after a 90 min glycogen depletion cycling test . The results indicated that while 7–10 g·kg[sup.-1] BM of CHO foods managed to restore muscle glycogen to pre-exercise levels, 5 g·kg[sup.-1] BM of high CHO foods was insufficient to saturate muscle glycogen storage to the pre-exercise level . Food-based CHO sources appear to be an effective alternative to commercial CHO supplements for post-exercise glycogen resynthesis and subsequent endurance performance improvement (Figure 1). High-GI foods may be preferable when there is a short recovery period between exercise bouts, while total CHO consumed appears more critical when longer recovery periods are possible. Further, it is important to highlight that CHO co-ingested with protein after exercise may enhance glycogen synthesis but only when the added energy of protein is ingested in addition to, not in replacement of, carbohydrates .
Table 3: Summary of studies exploring the effects of post-exercise CHO food ingestion on performance.
Murdoch et al. 
8 highly trained male triathletes (run V?O[sub.2max]: 68.1 ± 5.4 mL·kg[sup.-1]·min[sup.-1] and bike V?O[sub.2max]: 67.1 ± 2.6 mL·kg[sup.-1]·min[sup.-1])
90 min run (R1) followed by 90 min of cycling, both at 70% V?O[sub.2max].Thereafter, workloads increased by ~5% V?O[sub.2max] until exhaustion (R2)
SL: Slurry of three bananas with waterSO: Three solid bananas with waterPL: Artificially sweetened, flavoured, and coloured drink
During 20 min rest period between two bouts
?SL vs. PL?SO vs. PL
Stevenson et al. 
9 male recreational athletes (V?O[sub.2max]: 62.1 ± 2.2 mL·kg[sup.-1]·min[sup.-1])
Running for 90 min at 70% V?O[sub.2max] (R1), after an overnight fast, running to exhaustion at V?O[sub.2max] (R2)
72% CHO, 11% fat,17% protein)GI = 35
During 24 h recovery
?LGI vs. HGI: during R2
Wong et al. 
7 endurance-trained male runners (V?O[sub.2max]: 61.0 ± 5.7 mL·kg[sup.-1]·min[sup.-1])
Running at 70% V?O[sub.2max] on alevel treadmill for 90 min (R1), followed by a 4 hrecovery and a further exhaustive run at the same speed (R2)
HGI: [100 g baked potato, 55 g tomato sauce, 75 g white bread, 50 g low fat, processed cheese, 50 g watermelon, 150 g 7 up]LGI: [65 g cooked macaroni, 30 g apple slices, 30 g canned chick-peas, 50 g low-fat cheese slice, 150 g fruit-flavoured yogurt, 250 mL apple juice]
20 min after R1(4 h recovery period)
?HGI vs. LGI
Cramer et al. 
Eleven recreationally active males (V?O[sub.2max]: 4.2 ± 0.4 mL·kg[sup.-1]·min[sup.-1],309 ± 32 Wmax)
90 min glycogen depletion ride included a 10 min warm-up at 55%Wmax followed by a series of 10 intervals (2 min at 80% Wmax followed by 4 min at 50%Wmax). After the interval series, participants completed 8 min at 60% Wmax, followed by a final 12 min at 50%Wmax20 km cycling TT
SS: Gatorade, Kit’s Organic, Cliff Shot Bloks, Cytomax, Power Bar Recovery, and Power Bar Energy Chews (1.54 ± 0.27 g·kg[sup.-1] CHO, 0.24 ± 0.04 g·kg[sup.-1] fat, and 0.18 ± 0.03 g·kg[sup.-1] protein)FF: Hotcakes, Hash brown, orange juice, hamburgers, Coke, and Fries (1.54 ± 0.27 g·kg[sup.-1] CHO, 0.24 ± 0.04 g·kg[sup.-1] fat, and 0.18 ± 0.03 g·kg[sup.-1] protein)
0 and 2 h post-exercise (total 4 h recovery)
?SS vs. FF20 km TT
Ahmad et al. 
10 male recreational runners(V?O[sub.2max]: 51.7 ± 4.1 mL·kg[sup.-1]·min[sup.-1])
A glycogen depletion phase: 65% V?O[sub.2max] run in the heat (R1), 2 h recovery, 20 min running TT (R2)
Honey drink (HD) or plain water with an amount equivalent to 150% of body weight loss in 3 boluses (60%, 50%, and 40% subsequently)Honey dosage: 6.8% CHO
During the 2 h rehydration phase, subjects drank either plain water or honey drink (HD), equivalent to 150% of the body at 0, 30, and 60 min
?HD vs. PL in R2
Vlahoyiannis et al. 
10 recreationally trained males
Morning CMJ test, aVRT and a 5 km cycling TT
HGI (109): jasmine and vegetables, supplying approximately 2 g·kg[sup.-1] CHOLGI (52): parboiled rice vegetables, supplying approximately 2 g·kg[sup.-1] CHO
?HGI vs. LGI:5 km TT, VRT and CMJ
Flynn et al. 
8 males (V?O[sub.2peak]: 56.7 ± 4.2 mL·kg[sup.-1]·min[sup.-1]) and 8 females (V?O[sub.2peak]: 46.5 ± 6.6 mL·kg[sup.-1]·min[sup.-1])
90 min cycling glycogen depletion trial, rested for 4 h, 20 km cycling TT
SS: 1.6 g·kg[sup.-1] BM CHO sport supplementP: 1.6 g·kg[sup.-1] BM CHO potato-based food
0 and 2 h post-exercise (total 4 h recovery)
?P vs. SS20 km TT
CHO carbohydrate, VO[sub.2max] maximal oxygen consumption, V?O[sub.2peak] peak oxygen consumption, CMJ countermovement jump, TT time-trial, VRT visual reaction test, Wmax Maximal power output, FF fast food, SS sport supplements.
5. Limitations and Future Directions
Scientific support for a food-first approach to CHO supplementation for endurance exercise performance is scarce, though some data do suggest that many foods are suitable CHO sources for endurance athletes. Nonetheless, strong conclusions are hindered by small samples sizes and a lack of appropriate controls, since many studies compared CHO intake in foods to water-only conditions. Many of the studies discussed here evaluated exercise performance using cycling protocols which, although suitable for cyclists, may not be applicable to runners or cross-country skiers who may be more affected by a full stomach should they aim to ingest recommended CHO doses via foods. Additionally, most studies recruited recreational or low-level athletes. Although these populations can still provide important information, results may not be directly applicable to top-level athletes due to training adaptations including CHO transport via training the gut . More well-designed experimental studies with sufficient samples sizes to determine statistical significance and comparisons against “gold-standard” commercial CHO products such as bars, gels, drinks and powders are required to establish the extent to which these food sources can be considered optimal CHO for endurance exercise performance. This includes determining their efficacy as a pre-exercise, during exercise and post-exercise CHO source. It is particularly important that future lab-based studies investigating CHO provision throughout exercise provide these foods to adequately saturate different gut CHO transportable to accelerate higher CHO absorption and oxidation during training and competition. Further, future research is warranted to explore sex-based differences with regard to fuel utilization using different CHO foods before, during, and after endurance exercise. In addition, it is important to determine the extent to which these foods are tolerated by athletes across a wide range of different exercise modalities using validated questionnaires to determine feelings of stomach fullness and discomfort. Furthermore, the effectiveness of sustainably sourced CHO foods should be considered a priority for research in light of growing numbers of individuals in search of ethical alternatives.
A CHO-rich diet can optimise muscle glycogen stores and aid endurance exercise performance. While current recommendations for CHO ingestion commonly focus on energy and sports drinks, many athletes may wish to take a food-first approach where viable, although it must be noted that there are both pros and cons to this approach (Figure 4). Aside from CHO, many of these food sources provide protein, fats and fibres, vitamins and other micronutrients such as polyphenols that may also benefit endurance athletes. Direct research on many of the dietary CHO sources discussed here and endurance exercise is limited. All CHO sources could be considered interesting as compositions of meal plans throughout training and during the days leading up to competition to ensure muscle glycogen stores are maximized, although high-GI foods may be superior to low-GI foods to rapidly resynthesise muscle glycogen following exercise, and should thus be prioritised during intense competition. Although most of these CHO-rich foods appear equally effective for exercise performance compared to favoured CHO supplements such as drinks, gels and bars, not all of these food sources are equally viable during exercise due to difficulties in achieving the necessary quantities and ease of transport. Likewise, gastrointestinal discomfort appears more common with some of these food choices, likely due to the large quantities required to obtain recommended CHO doses. Endurance athletes can use the information provided herein to decide which CHO food source they may wish to trial before, during and/or following training and/or competition.
A.N., B.S., N.G., A.A., E.B., A.H., S.C.F., M.S.K. and R.K. wrote the first draft of the review; A.N., B.S. and A.A. revised the original review. All authors have read and agreed to the published version of the manuscript.
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
The authors declare no conflict of interest.
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content.
1. A. Jeukendrup A Step Towards Personalized Sports Nutrition: Carbohydrate Intake During Exercise., 2014, 44,pp. 25-33. DOI: https://doi.org/10.1007/s40279-014-0148-z.
2. S.G. Impey; M.A. Hearris; K.M. Hammond; J.D. Bartlett; J. Louis; G.L. Close; J.P. Morton Fuel for the Work Required: A Theoretical Framework for Carbohydrate Periodization and the Glycogen Threshold Hypothesis., 2018, 1031,p. 48. DOI: https://doi.org/10.1007/s40279-018-0867-7.
3. K. Madsen; P. Pedersen; P. Rose; E.A. Richter Carbohydrate Supercompensation and Muscle Glycogen Utilization During Exhaustive Running in Highly Trained Athletes., 1990, 61,pp. 467-472. DOI: https://doi.org/10.1007/BF00236069.
4. W.M. Sherman; D.L. Costill; W.J. Fink; J.M. Miller Effect of Exercise-Diet Manipulation on Muscle Glycogen and Its Subsequent Utilization During Performance., 1981, 2,pp. 114-118. DOI: https://doi.org/10.1055/s-2008-1034594. PMID: https://www.ncbi.nlm.nih.gov/pubmed/7333741.
5. E.F. Coyle; A.R. Coggan; M.K. Hemmert; J.L. Ivy Muscle Glycogen Utilization During Prolonged Strenuous Exercise When Fed Carbohydrate., 1986, 61,pp. 165-172. DOI: https://doi.org/10.1152/jappl.1918.104.22.168.
6. J.T. Gonzalez; C.J. Fuchs; J.A. Betts; L.J. van Loon Liver Glycogen Metabolism During and after Prolonged Endurance-Type Exercise., 2016, 311,pp. E543-E553. DOI: https://doi.org/10.1152/ajpendo.00232.2016.
7. R. Jentjens; A. Jeukendrup Determinants of Post-Exercise Glycogen Synthesis During Short-Term Recovery., 2003, 33,pp. 117-144. DOI: https://doi.org/10.2165/00007256-200333020-00004. PMID: https://www.ncbi.nlm.nih.gov/pubmed/12617691.
8. A. Naderi; E.P. de Oliveira; T.N. Ziegenfuss; M.E.T. Willems Timing, Optimal Dose and Intake Duration of Dietary Supplements with Evidence-Based Use in Sports Nutrition., 2016, 20,pp. 1-12. DOI: https://doi.org/10.20463/jenb.2016.0031.
9. A. Naderi; M.H. Samanipour; A. Sarshin; S.C. Forbes; M.S. Koozehchian; E. Franchini; R. Reale; E. Berjisian; E.P. de Oliveira; H. Miraftabi et al. Effects of Two Different Doses of Carbohydrate Ingestion on Taekwondo-Related Performance During a Simulated Tournament., 2021, 18,p. 40. DOI: https://doi.org/10.1186/s12970-021-00434-4. PMID: https://www.ncbi.nlm.nih.gov/pubmed/34044858.
10. D.A. Baur; M.J. Saunders Carbohydrate Supplementation: A Critical Review of Recent Innovations., 2021, 121,pp. 23-66. DOI: https://doi.org/10.1007/s00421-020-04534-y. PMID: https://www.ncbi.nlm.nih.gov/pubmed/33106933.
11. M. Sareban; D. Zügel; K. Koehler; P. Hartveg; M. Zügel; U. Schumann; J.M. Steinacker; G. Treff Carbohydrate Intake in Form of Gel Is Associated with Increased Gastrointestinal Distress but Not with Performance Differences Compared with Liquid Carbohydrate Ingestion During Simulated Long-Distance Triathlon., 2016, 26,pp. 114-122. DOI: https://doi.org/10.1123/ijsnem.2015-0060.
12. N.A. Burd; J.W. Beals; I.G. Martinez; A.F. Salvador; S.K. Skinner Food-First Approach to Enhance the Regulation of Post-Exercise Skeletal Muscle Protein Synthesis and Remodeling., 2019, 49,pp. 59-68. DOI: https://doi.org/10.1007/s40279-018-1009-y.
13. M.S. Costa; L.T. Toscano; L.L.T. Toscano; V.R. Luna; R.A. Torres; J.A. Silva; A.S. Silva Ergogenic Potential of Foods for Performance and Recovery: A New Alternative in Sports Supplementation? A Systematic Review., 2022, 62,pp. 1480-1501. DOI: https://doi.org/10.1080/10408398.2020.1844137. PMID: https://www.ncbi.nlm.nih.gov/pubmed/33226268.
14. D.A. Bonilla; A. Perez-Idarraga; A. Odriozola-Martinez; R.B. Kreider The 4r’s Framework of Nutritional Strategies for Post-Exercise Recovery: A Review with Emphasis on New Generation of Carbohydrates., 2020, 18, 103. DOI: https://doi.org/10.3390/ijerph18010103.
15. R. Thurecht; F. Pelly Key Factors Influencing the Food Choices of Athletes at Two Distinct Major International Competitions., 2020, 12, 924. DOI: https://doi.org/10.3390/nu12040924.
16. S.T. Moran; C. Dziedzic; G.R. Cox Feeding Strategies of a Female Athlete During an Ultraendurance Running Event., 2011, 21,pp. 347-351. DOI: https://doi.org/10.1123/ijsnem.21.4.347. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21813918.
17. D.M. Lis; D. Kings; D.E. Larson-Meyer Dietary Practices Adopted by Track-and-Field Athletes: Gluten-Free, Low Fodmap, Vegetarian, and Fasting., 2019, 29,pp. 236-245. DOI: https://doi.org/10.1123/ijsnem.2018-0309. PMID: https://www.ncbi.nlm.nih.gov/pubmed/30632437.
18. F.E. Pelly; R.L. Thurecht; G. Slater Determinants of Food Choice in Athletes: A Systematic Scoping Review., 2022, 8,p. 77. DOI: https://doi.org/10.1186/s40798-022-00461-8.
19. S.L. Wee; C. Williams; K. Tsintzas; L. Boobis Ingestion of a High-Glycemic Index Meal Increases Muscle Glycogen Storage at Rest but Augments Its Utilization During Subsequent Exercise., 2005, 99,pp. 707-714. DOI: https://doi.org/10.1152/japplphysiol.01261.2004.
20. C.A. Burdon; I. Spronk; H.L. Cheng; H.T. O’Connor Effect of Glycemic Index of a Pre-Exercise Meal on Endurance Exercise Performance: A Systematic Review and Meta-Analysis., 2017, 47,pp. 1087-1101. DOI: https://doi.org/10.1007/s40279-016-0632-8.
21. L.M. Burke; G.R. Collier; M. Hargreaves Muscle Glycogen Storage after Prolonged Exercise: Effect of the Glycemic Index of Carbohydrate Feedings., 1993, 75,pp. 1019-1023. DOI: https://doi.org/10.1152/jappl.1922.214.171.1249.
22. S.H. Wong; Y.J. Chen; W.M. Fung; J.G. Morris Effect of Glycemic Index Meals on Recovery and Subsequent Endurance Capacity., 2009, 30,pp. 898-905. DOI: https://doi.org/10.1055/s-0029-1237710. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20013559.
23. S. Heung-Sang Wong; F.H. Sun; Y.J. Chen; C. Li; Y.J. Zhang; W. Ya-Jun Huang Effect of Pre-Exercise Carbohydrate Diets with High Vs Low Glycemic Index on Exercise Performance: A Meta-Analysis., 2017, 75,pp. 327-338. DOI: https://doi.org/10.1093/nutrit/nux003.
24. M.A. Hearris; K.M. Hammond; J.M. Fell; J.P. Morton Regulation of Muscle Glycogen Metabolism During Exercise: Implications for Endurance Performance and Training Adaptations., 2018, 10, 298. DOI: https://doi.org/10.3390/nu10030298.
25. Y.J. Chen; S.H. Wong; C.K. Wong; C.W. Lam; Y.J. Huang; P.M. Siu Effect of Preexercise Meals with Different Glycemic Indices and Loads on Metabolic Responses and Endurance Running., 2008, 18,pp. 281-300. DOI: https://doi.org/10.1123/ijsnem.18.3.281.
26. D.T. Thomas; K.A. Erdman; L.M. Burke Position of the Academy of Nutrition and Dietetics, Dietitians of Canada, and the American College of Sports Medicine: Nutrition and Athletic Performance., 2016, 116,pp. 501-528. DOI: https://doi.org/10.1016/j.jand.2015.12.006. PMID: https://www.ncbi.nlm.nih.gov/pubmed/26920240.
27. J.A. Rothschild; A.E. Kilding; D.J. Plews Pre-Exercise Nutrition Habits and Beliefs of Endurance Athletes Vary by Sex, Competitive Level, and Diet., 2021, 40,pp. 517-528. DOI: https://doi.org/10.1080/07315724.2020.1795950.
28. C. Chryssanthopoulos; C. Williams Pre-Exercise Carbohydrate Meal and Endurance Running Capacity When Carbohydrates Are Ingested During Exercise., 1997, 18,pp. 543-548. DOI: https://doi.org/10.1055/s-2007-972679.
29. M.H. Aandahl; D.A. Noordhof; A.E. Tjonna; O. Sandbakk Effect of Carbohydrate Content in a Pre-Event Meal on Endurance Performance-Determining Factors: A Randomized Controlled Crossover-Trial., 2021, 3,p. 664270. DOI: https://doi.org/10.3389/fspor.2021.664270. PMID: https://www.ncbi.nlm.nih.gov/pubmed/34124659.
30. F.S. Atkinson; K. Foster-Powell; J.C. Brand-Miller International Tables of Glycemic Index and Glycemic Load Values: 2008., 2008, 31,pp. 2281-2283. DOI: https://doi.org/10.2337/dc08-1239.
31. D.E. Thomas; J.R. Brotherhood; J.C. Brand Carbohydrate Feeding before Exercise: Effect of Glycemic Index., 1991, 12,pp. 180-186. DOI: https://doi.org/10.1055/s-2007-1024664.
32. M. Kaviani; P.D. Chilibeck; J. Jochim; J. Gordon; G.A. Zello The Glycemic Index of Sport Nutrition Bars Affects Performance and Metabolism During Cycling and Next-Day Recovery., 2019, 66,pp. 69-79. DOI: https://doi.org/10.2478/hukin-2018-0050. PMID: https://www.ncbi.nlm.nih.gov/pubmed/30988841.
33. J.B. Mitchell; W.A. Braun; F.X. Pizza; M. Forrest Pre-Exercise Carbohydrate and Fluid Ingestion: Influence of Glycemic Response on 10-Km Treadmill Running Performance in the Heat., 2000, 40,pp. 41-50.
34. M.J. Schuster; X. Wang; T. Hawkins; J.E. Painter A Comprehensive Review of Raisins and Raisin Components and Their Relationship to Human Health., 2017, 50,pp. 203-216. DOI: https://doi.org/10.4163/jnh.2017.50.3.203.
35. M. Kern; C.J. Heslin; R.S. Rezende Metabolic and Performance Effects of Raisins Versus Sports Gel as Pre-Exercise Feedings in Cyclists., 2007, 21,pp. 1204-1207.
36. U.S. Department of Agriculture Agricultural Research Service: USDA National Nutrient Database for Standard Reference [article online], 2007. Release 20.. Available online: http://www.ars.gov/ba/bhnrc/ndl <date-in-citation content-type="access-date" iso-8601-date="2008-5-20">(accessed on 20 May 2008)</date-in-citation>.
37. G.L. Paul; J.T. Rokusek; G.L. Dykstra; R.A. Boileau; D.K. Layman Preexercise Meal Composition Alters Plasma Large Neutral Amino Acid Responses During Exercise and Recovery., 1996, 64,pp. 778-786. DOI: https://doi.org/10.1093/ajcn/64.5.778.
38. D.J. Paddon-Jones; D.R. Pearson Cost-Effectiveness of Pre-Exercise Carbohydrate Meals and Their Impact on Endurance Performance., 1998, 12,pp. 90-94.
39. J.P. Kirwan; D. O’Gorman; W.J. Evans A Moderate Glycemic Meal before Endurance Exercise Can Enhance Performance., 1998, 84,pp. 53-59. DOI: https://doi.org/10.1152/jappl.19126.96.36.199. PMID: https://www.ncbi.nlm.nih.gov/pubmed/9451617.
40. J.P. Kirwan; D.J. O’Gorman; D. Cyr-Campbell; W.W. Campbell; K.E. Yarasheski; W.J. Evans Effects of a Moderate Glycemic Meal on Exercise Duration and Substrate Utilization., 2001, 33,pp. 1517-1523. DOI: https://doi.org/10.1097/00005768-200109000-00015. PMID: https://www.ncbi.nlm.nih.gov/pubmed/11528341.
41. Y.J. Chen; S.H. Wong; C.O. Chan; C.K. Wong; C.W. Lam; P.M. Siu Effects of Glycemic Index Meal and Cho-Electrolyte Drink on Cytokine Response and Run Performance in Endurance Athletes., 2009, 12,pp. 697-703. DOI: https://doi.org/10.1016/j.jsams.2008.05.007. PMID: https://www.ncbi.nlm.nih.gov/pubmed/18789762.
42. B. Pfeiffer; T. Stellingwerff; A.B. Hodgson; R. Randell; K. PÖTtgen; P. Res; A.E. Jeukendrup Nutritional Intake and Gastrointestinal Problems During Competitive Endurance Events., 2012, 44,pp. 344-351. DOI: https://doi.org/10.1249/MSS.0b013e31822dc809. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21775906.
43. T. Podlogar; S. Cirnski; S. Bokal; N. Verdel; J.T. Gonzalez Addition of Fructose to a Carbohydrate-Rich Breakfast Improves Cycling Endurance Capacity in Trained Cyclists., 2022, 32,pp. 439-445. DOI: https://doi.org/10.1123/ijsnem.2022-0067. PMID: https://www.ncbi.nlm.nih.gov/pubmed/36041732.
44. C. Chryssanthopoulos; C. Williams; A. Nowitz; C. Kotsiopoulou; V. Vleck The Effect of a High Carbohydrate Meal on Endurance Running Capacity., 2002, 12,pp. 157-171. DOI: https://doi.org/10.1123/ijsnem.12.2.157.
45. D.I. Bourdas; A. Souglis; E.D. Zacharakis; N.D. Geladas; A.K. Travlos Meta-Analysis of Carbohydrate Solution Intake During Prolonged Exercise in Adults: From the Last 45+ Years’ Perspective., 2021, 13, 4223. DOI: https://doi.org/10.3390/nu13124223.
46. M. Guillochon; D.S. Rowlands Solid, Gel, and Liquid Carbohydrate Format Effects on Gut Comfort and Performance., 2017, 27,pp. 247-254. DOI: https://doi.org/10.1123/ijsnem.2016-0211.
47. S. Arribalzaga; A. Viribay; J. Calleja-Gonzalez; D. Fernandez-Lazaro; A. Castaneda-Babarro; J. Mielgo-Ayuso Relationship of Carbohydrate Intake During a Single-Stage One-Day Ultra-Trail Race with Fatigue Outcomes and Gastrointestinal Problems: A Systematic Review., 2021, 18, 5737. DOI: https://doi.org/10.3390/ijerph18115737.
48. A. Naderi; S. Rezaei; A. Moussa; K. Levers; C.P. Earnest Fruit for Sport., 2018, 74,pp. 85-98. DOI: https://doi.org/10.1016/j.tifs.2018.02.013.
49. D.C. Nieman; N.D. Gillitt; D.A. Henson; W. Sha; R.A. Shanely; A.M. Knab; L. Cialdella-Kam; F. Jin Bananas as an Energy Source during Exercise: A Metabolomics Approach., 2012, 7, e37479. DOI: https://doi.org/10.1371/journal.pone.0037479.
50. D.C. Nieman; N.D. Gillitt; W. Sha; D. Esposito; S. Ramamoorthy Metabolic Recovery from Heavy Exertion Following Banana Compared to Sugar Beverage or Water Only Ingestion: A Randomized, Crossover Trial., 2018, 13, e0194843. DOI: https://doi.org/10.1371/journal.pone.0194843.
51. D.C. Nieman; N.D. Gillitt; W. Sha; M.P. Meaney; C. John; K.L. Pappan; J.M. Kinchen Metabolomics-Based Analysis of Banana and Pear Ingestion on Exercise Performance and Recovery., 2015, 14,pp. 5367-5377. DOI: https://doi.org/10.1021/acs.jproteome.5b00909. PMID: https://www.ncbi.nlm.nih.gov/pubmed/26561314.
52. C.P. Earnest; S.L. Lancaster; C.J. Rasmussen; C.M. Kerksick; A. Lucia; M.C. Greenwood; A.L. Almada; P.A. Cowan; R.B. Kreider Low vs. High Glycemic Index Carbohydrate Gel Ingestion During Simulated 64-Km Cycling Time Trial Performance., 2004, 18,pp. 466-472. PMID: https://www.ncbi.nlm.nih.gov/pubmed/15320674.
53. H.L. Rietschier; T. Henagan; C. Earnest; B. Baker; C. Cortez; L.K. Stewart Sun-Dried Raisins Are a Cost-Effective Alternative to Sports Jelly Beans in Prolonged Cycling., 2011, 25,pp. 3150-3156. DOI: https://doi.org/10.1519/JSC.0b013e31820f5089. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21881533.
54. B.W. Too; S. Cicai; K. Hockett; E. Applegate; B. Davis; G.A. Casazza Natural Versus Commercial Carbohydrate Supplementation and Endurance Running Performance., 2012, 9,p. 27. DOI: https://doi.org/10.1186/1550-2783-9-27. PMID: https://www.ncbi.nlm.nih.gov/pubmed/22704463.
55. C.K. Deli; A. Poulios; K. Georgakouli; K. Papanikolaou; A. Papoutsis; M. Selemekou; V. Karathanos; D. Draganidis; A. Tsiokanos; Y. Koutedakis et al. The Effect of Pre-Exercise Ingestion of Corinthian Currant on Endurance Performance and Blood Redox Status., 2018, 36,pp. 2172-2180. DOI: https://doi.org/10.1080/02640414.2018.1442781.
56. A.F. Salvador; C. McKenna; R. Alamilla; R. Cloud; A. Keeble; A. Miltko; S. Scaroni; J. Beals; A. Ulanov; R. Dilger et al. Potato Ingestion Is as Effective as Carbohydrate Gels to Support Prolonged Cycling Performance., 2019, 127,pp. 1651-1659. DOI: https://doi.org/10.1152/japplphysiol.00567.2019. PMID: https://www.ncbi.nlm.nih.gov/pubmed/31622159.
57. E.I. Ramsay; S. Rao; L. Madathil; S.K. Hegde; M.P. Baliga-Rao; T. George; M.S. Baliga Honey in Oral Health and Care: A Mini Review., 2019, 61,pp. 32-36. DOI: https://doi.org/10.1016/j.job.2018.12.003.
58. S.P. Hills; P. Mitchell; C. Wells; M. Russell Honey Supplementation and Exercise: A Systematic Review., 2019, 11, 1586. DOI: https://doi.org/10.3390/nu11071586.
59. N.S. Ahmad; F.K. Ooi; M.S. Ismail; M. Mohamed Effects of Post-Exercise Honey Drink Ingestion on Blood Glucose and Subsequent Running Performance in the Heat., 2015, 6,p. e24044. DOI: https://doi.org/10.5812/asjsm.24044.
60. C.J. Beedie; A.J. Foad The Placebo Effect in Sports Performance: A Brief Review., 2009, 39,pp. 313-329. DOI: https://doi.org/10.2165/00007256-200939040-00004. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19317519.
61. C.P. Earnest; J. Rothschild; C.R. Harnish; A. Naderi Metabolic Adaptations to Endurance Training and Nutrition Strategies Influencing Performance., 2018, 27,pp. 134-146. DOI: https://doi.org/10.1080/15438627.2018.1544134.
62. J.S. Barrett Extending Our Knowledge of Fermentable, Short-Chain Carbohydrates for Managing Gastrointestinal Symptoms., 2013, 28,pp. 300-306. DOI: https://doi.org/10.1177/0884533613485790. PMID: https://www.ncbi.nlm.nih.gov/pubmed/23614962.
63. R.A. Shanely; D.C. Nieman; P. Perkins-Veazie; D.A. Henson; M.P. Meaney; A.M. Knab; L. Cialdell-Kam Comparison of Watermelon and Carbohydrate Beverage on Exercise-Induced Alterations in Systemic Inflammation, Immune Dysfunction, and Plasma Antioxidant Capacity., 2016, 8, 518. DOI: https://doi.org/10.3390/nu8080518. PMID: https://www.ncbi.nlm.nih.gov/pubmed/27556488.
64. Ghrairi; Fatma; L. Lahouar; E.A. Amira; F. Brahmi; A. Ferchichi; L. Achour; S. Said Physicochemical Composition of Different Varieties of Raisins (Vitis vinifera L.) from Tunisia., 2013, 43,pp. 73-77. DOI: https://doi.org/10.1016/j.indcrop.2012.07.008.
65. G. Williamson; A. Carughi Polyphenol Content and Health Benefits of Raisins., 2010, 30,pp. 511-519. DOI: https://doi.org/10.1016/j.nutres.2010.07.005.
66. K. Ishihara; H. Taniguchi; N. Akiyama; Y. Asami Easy to Swallow Rice Cake as a Carbohydrate Source During Endurance Exercise Suppressed Feelings of Thirst and Hunger without Changing Exercise Performance., 2020, 66,pp. 128-135. DOI: https://doi.org/10.3177/jnsv.66.128.
67. K.M. Reynolds; T. Clifford; S.A. Mears; L.J. James A Food First Approach to Carbohydrate Supplementation in Endurance Exercise: A Systematic Review., 2022, 32,pp. 296-310. DOI: https://doi.org/10.1123/ijsnem.2021-0261.
68. G.L. Close; A.M. Kasper; N.P. Walsh; R.J. Maughan “Food First but Not Always Food Only”: Recommendations for Using Dietary Supplements in Sport., 2022, 32,pp. 371-386. DOI: https://doi.org/10.1123/ijsnem.2021-0335. PMID: https://www.ncbi.nlm.nih.gov/pubmed/35279015.
69. K.M. Reynolds; L.A. Juett; J. Cobb; C.J. Hulston; S.A. Mears; L.J. James Apple Puree as a Natural Fructose Source Provides an Effective Alternative to Artificial Fructose Sources for Fuelling Endurance Cycling Performance in Males., 2022, 2,pp. 205-217. DOI: https://doi.org/10.3390/nutraceuticals2030015.
70. E. Stevenson; C. Williams; G. McComb; C. Oram Improved Recovery from Prolonged Exercise Following the Consumption of Low Glycemic Index Carbohydrate Meals., 2005, 15,pp. 333-349. DOI: https://doi.org/10.1123/ijsnem.15.4.333.
71. S.D. Murdoch; T.L. Bazzarre; I.P. Snider; A.H. Goldfarb Differences in the Effects of Carbohydrate Food Form on Endurance Performance to Exhaustion., 1993, 3,pp. 41-54. DOI: https://doi.org/10.1123/ijsn.3.1.41.
72. S. Flynn; A. Rosales; W. Hailes; B. Ruby Males and Females Exhibit Similar Muscle Glycogen Recovery with Varied Recovery Food Sources., 2020, 120,pp. 1131-1142. DOI: https://doi.org/10.1007/s00421-020-04352-2. PMID: https://www.ncbi.nlm.nih.gov/pubmed/32215726.
73. M.J. Cramer; C.L. Dumke; W.S. Hailes; J.S. Cuddy; B.C. Ruby Postexercise Glycogen Recovery and Exercise Performance Is Not Significantly Different between Fast Food and Sport Supplements., 2015, 25,pp. 448-455. DOI: https://doi.org/10.1123/ijsnem.2014-0230.
74. L.M.R. Loureiro; R. de Melo Teixeira; I.G.S. Pereira; C.E.G. Reis; T.H.M. da Costa Effect of Milk on Muscle Glycogen Recovery and Exercise Performance: A Systematic Review., 2021, 43,pp. 43-52. DOI: https://doi.org/10.1519/SSC.0000000000000595.
75. W.R. Lunn; S.M. Pasiakos; M.R. Colletto; K.E. Karfonta; J.W. Carbone; J.M. Anderson; N.R. Rodriguez Chocolate Milk and Endurance Exercise Recovery: Protein Balance, Glycogen, and Performance., 2012, 44,pp. 682-691. DOI: https://doi.org/10.1249/MSS.0b013e3182364162.
76. J.R. Karp; J.D. Johnston; S. Tecklenburg; T.D. Mickleborough; A.D. Fly; J.M. Stager Chocolate Milk as a Post-Exercise Recovery Aid., 2006, 16,pp. 78-91. DOI: https://doi.org/10.1123/ijsnem.16.1.78.
77. K. Pritchett; P. Bishop; R. Pritchett; M. Green; C. Katica Acute Effects of Chocolate Milk and a Commercial Recovery Beverage on Postexercise Recovery Indices and Endurance Cycling Performance., 2009, 34,pp. 1017-1022. DOI: https://doi.org/10.1139/H09-104. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20029509.
78. K. Thomas; P. Morris; E. Stevenson Improved Endurance Capacity Following Chocolate Milk Consumption Compared with 2 Commercially Available Sport Drinks., 2009, 34,pp. 78-82. DOI: https://doi.org/10.1139/H08-137.
79. M. Amiri; R. Ghiasvand; M. Kaviani; S.C. Forbes; A. Salehi-Abargouei Chocolate Milk for Recovery from Exercise: A Systematic Review and Meta-Analysis of Controlled Clinical Trials., 2019, 73,pp. 835-849. DOI: https://doi.org/10.1038/s41430-018-0187-x.
80. R.J. Maughan; P. Watson; P.A. Cordery; N.P. Walsh; S.J. Oliver; A. Dolci; N. Rodriguez-Sanchez; S.D. Galloway A Randomized Trial to Assess the Potential of Different Beverages to Affect Hydration Status: Development of a Beverage Hydration Index., 2016, 103,pp. 717-723. DOI: https://doi.org/10.3945/ajcn.115.114769. PMID: https://www.ncbi.nlm.nih.gov/pubmed/26702122.
81. A. Vlahoyiannis; G. Aphamis; E. Andreou; G. Samoutis; G.K. Sakkas; C.D. Giannaki Effects of High vs. Low Glycemic Index of Post-Exercise Meals on Sleep and Exercise Performance: A Randomized, Double-Blind, Counterbalanced Polysomnographic Study., 2018, 10, 1795. DOI: https://doi.org/10.3390/nu10111795.
82. K. Namma-Motonaga; E. Kondo; T. Osawa; K. Shiose; A. Kamei; M. Taguchi; H. Takahashi Effect of Different Carbohydrate Intakes within 24 Hours after Glycogen Depletion on Muscle Glycogen Recovery in Japanese Endurance Athletes., 2022, 14, 1320. DOI: https://doi.org/10.3390/nu14071320. PMID: https://www.ncbi.nlm.nih.gov/pubmed/35405933.
83. L.M. Margolis; J.T. Allen; A. Hatch-McChesney; S.M. Pasiakos Coingestion of Carbohydrate and Protein on Muscle Glycogen Synthesis after Exercise: A Meta-Analysis., 2021, 53,pp. 384-393. DOI: https://doi.org/10.1249/MSS.0000000000002476. PMID: https://www.ncbi.nlm.nih.gov/pubmed/32826640.
84. A.E. Jeukendrup Training the Gut for Athletes., 2017, 47,pp. 101-110. DOI: https://doi.org/10.1007/s40279-017-0690-6. PMID: https://www.ncbi.nlm.nih.gov/pubmed/28332114.
Figures and Tables
Figure 1: Examples of food-first options for pre- and post-exercise carbohydrate (CHO) provision for a 70 kg individual. Pre-exercise options can be from various CHO food sources with varying glycaemic index (GI), while post-exercise CHO provision can be high-GI. [Please download the PDF to view the image]
Figure 2: Amount (in g) of food sources that are required to achieve 30 g of carbohydrate (CHO). CHO dense foods such as honey, raisins and oats require far less total food than rice, bananas, pasta, potatoes or lentils to achieve 30 g of CHO. [Please download the PDF to view the image]
Figure 3: Examples of supplementation-only, food-only, and a combination of the two to provide 90 g·h[sup.-1] of carbohydrate (CHO) during exercise. Athletes can choose to replace some, or all, of their supplemental CHO with food choices. Panel (A): Bananas. Panel (B): Honey. [Please download the PDF to view the image]
Figure 4: Some pros and cons of a food-first approach to carbohydrate supplementation for endurance exercise. [Please download the PDF to view the image]
Table 2: Summary of studies exploring the effects of CHO foods ingestion during exercise on performance.
Earnest et al. 
9 endurance-trained amateur males
64 km cycling TT on a cycle ergometer
Honey (H): (LGI = 35)Dextrose (D): (HGI = 100)PL: Artificially flavoured placebo
15 g of gel (honey, dextrose, or PL) with 250 mL water consumed every 16 km.
?H vs. PL?D vs. PL?H vs. D
Rietschier et al. 
10 male endurance-trained cyclists and triathletes(V?O[sub.2max]: >45 mL·kg[sup.-1]·min[sup.-1])
2 h cycling followed by a 10 km TT
1.1 g·kg[sup.-1] CHO from either six servings of 28 g raisin (R) or 26 g sports jellybeans (SJB)
Every 20 min during the 120 min cycling
? R vs. SJB
Too et al. 
11 healthy competitive male runners (V?O[sub.2max]: 58.2 ± 4.8 mL·kg[sup.-1]·min[sup.-1])
80 min treadmill running at 75% V?O[sub.2max] followed by a 5 km TT
Raisin (R): 0.7 g·kg[sup.-1] CHOSport chew (SP): 0.7 g·kg[sup.-1] CHO
Pre-exercise: 0.5 g·kg[sup.-1] CHO and every 20 min during exercise: 0.2 g·kg[sup.-1] CHO
?R vs. W?SP vs. W
Nieman et al. 
14 trained cyclists(V?O[sub.2max]: 58.7 ± 5.2 mL·kg[sup.-1]·min[sup.-1])
75 km cycling TT
0.2 g·kg[sup.-1] CHO from bananas (B) or CHO beverage (CB)
Every 15 min throughout exercise.
?B vs. CB
Nieman et al. 
20 male cyclists(V?O[sub.2max]: 51.0 ± 1.4 mL·kg[sup.-1]·min[sup.-1])
75 km cycling TT
BAN: 0.4 g·kg[sup.-1] CHO from ripe Cavendish bananasPR: 0.4 g·kg[sup.-1] CHO from bosc pearsW: Water only
20 min before exercise and 0.15 g·kg[sup.-1] CHO from BAN or PR every 15 min during exercise
?BAN vs. W?PR vs. W
Nieman et al. 
20 cyclists14 males(V?O[sub.2max]: 47.0 ± 1.5 mL·kg[sup.-1]·min[sup.-1])6 females(V?O[sub.2max]: 46.5 ± 2.8 mL·kg[sup.-1]·min[sup.-1])
75 km cycling TT
CB: 0.4 g·kg[sup.-1] CHO from ripe Cavendish bananasMB: 0.4 g·kg[sup.-1] CHO from mini-yellow bananasSB: 6% Sugar beverageW: Water only
20 min before exercise and 0.2 g·kg[sup.-1] CHO from one of the two banana types or the 6% sugar beverage every 15 min during exercise
?CB vs. MB vs. SB vs. W
Deli et al. 
11 healthy recreationally trained male (n = 9) and female (n = 2) adults (V?O[sub.2max]: 46.2 ± 1.9 mL·kg[sup.-1]·min[sup.-1])
90 min of cycling at 60–70% V?O[sub.2max], followed by a TT at 95% V?O[sub.2max] to exhaustion
Corinthian currants (CC)GL: CHO glucose-drinkW: Water only
1.5 g·kg [sup.-1] CHO 30 min pre-exercise (7 mL·kg[sup.-1] BM)3 mL·kg[sup.-1] BM every 20 min during the 90 min trial, and 7 mL·kg[sup.-1] BM within 15 min after exercise
?CC vs. GL vs. W
Salvador et al. 
12 cyclists(V?O[sub.2peak]: 60.7 ± 9.0 mL·kg[sup.-1]·min[sup.-1])
2 h cycle at 60–85% V?O2[sub.peak] followed by a cycling TT (6 kJ·kg[sup.-1] BM)
P: 548 g of potato for 120 g of CHOSports gels (SG): 184 g for 120 g CHOW: Water only
Servings to provide 15 g every 15 min during the test (128 g potato and 23 g SG per serving)
?P vs. W?SG vs. W?P vs. SG
CHO carbohydrate, V?O[sub.2max] maximal oxygen consumption, V?O[sub.2peak] peak oxygen consumption, TT time-trial, TTE time to exhaustion, HGI high-glycaemic index, LGI low-glycaemic index meal.
 Department of Exercise Physiology, Borujerd Branch, Islamic Azad University, Borujerd 6915136111, Iran
 Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Rheumatology Division, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo 01246-903, SP, Brazil
 School of Sport, Exercise and Nutrition, Massey University, Auckland 0745, New Zealand
 Department of Exercise Physiology, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran 1415563117, Iran
 Department of Biological Sciences in Sport, Faculty of Sport Sciences and Health, Shahid Beheshti University, Tehran 1983969411, Iran
 Department of Physical Education Studies, Faculty of Education, Brandon University, Brandon, MB R7A6A9, Canada
 Department of Kinesiology, Jacksonville State University, Jacksonville, AL 36265, USA
 Faculty of Sport Sciences, Ankara University, Gölbasi, Ankara 06830, Turkey
 Institute of Orthopaedics and Traumatology, Faculty of Medicine FMUSP, University of São Paulo, São Paulo 01246-903, SP, Brazil
[*] Correspondence: email@example.com; Tel.: +64-9-213-6414
COPYRIGHT 2023 MDPI AG
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2023 Gale, Cengage Learning. All rights reserved.
Consuming carbohydrate quantities of 1 to 4 g·kg-1 BM in the 1 to 4 h before exercise is recommended for exercise lasting > 60 min; combining glucose and fructose carbohydrates sources can benefit endurance performance. During exercise lasting > 60 min, carbohydrate intake ranging from 30 to 90 g·h-1 are recommended.What is the carbohydrate loading technique? ›
Carb loading involves two major components: increasing the carbs you eat and decreasing the amount you exercise. Carb intake can range from 2.3–5.5 grams per pound (5–12 grams per kg) of body weight per day, but experts often recommend a narrower range of 3.6–4.5 grams per pound (8–10 grams per kg).What is the usual advice for carbohydrate intake after an endurance based exercise bout to optimize muscle glycogen resynthesis? ›
To maximize glycogen resynthesis after exercise, a carbohydrate supplement in excess of 1.0 g x kg(-1) body wt should be consumed immediately after competition or a training bout. Continuation of supplementation every two hours will maintain a rapid rate of storage up to six hours post exercise.What is carbohydrate loading a dietary and exercise strategy used to maximize? ›
Carbohydrate loading, commonly referred to as carb-loading, or carbo-loading, is a strategy used by endurance athletes, such as marathoners and triathletes, to maximize the storage of glycogen (or energy) in the muscles and liver.What is carbohydrate loading a training technique used by some endurance athletes? ›
Carbohydrate loading is the use of a dietary technique used primarily by endurance athletes before participation in prolonged events such as the marathon. It involves ingestion of high-carbohydrate foods or drinks for 1–3 days before competition to increase muscle glycogen stores.What is a general guideline for carbohydrate consumption during endurance exercise quizlet? ›
Consuming 30-60 grams of carbs during strenuous endurance activity that lasts 1hr+ can delay fatigue by 30 to 60 min.What is a plan of carbohydrate ingestion before during and after exercise for endurance athletes? ›
Ingest 1-1.5 grams of carbohydrate per kilogram body weight during the first 30 minutes after endurance exercise and every 2 hours for at least 4-6 hours after that. Ingesting carbohydrate late in an endurance bout may be beneficial if recovery time before subsequent exercise is limited (<one day).What advice you would give an endurance athlete post exercise to ensure that they maximize glycogen resynthesis? ›
It's recommended that athletes repeat an intake of 1-1.2g of carbohydrate per kg of body weight per hour for the first 4 hours post-event to stimulate high rates of glycogen synthesis, and then resume to normal carbohydrate intake to meet their needs for that day.What is the recommended immediate intake of carbohydrates to maximize the restoration of glycogen following exercise? ›
The recommendations for optimizing or achieving glycogen restoration is consuming 1.0-1.5 g of carbohydrate per kilogram of body weight per hour within the first two hours and should continue for 4 to 6 hours after exercise.How does carbohydrate loading improve performance? ›
Carbohydrates are broken down by the body and turned into glycogen; which is stored in muscles. Carbohydrate loading is believed to place high amounts of glycogen into muscles in turn aiding in physical performance and long-term endurance.
The purpose of consuming higher-than-normal amounts of carbohydrates, a.k.a. carb-loading, is to bolster glycogen stores. Athletes typically carb-load in preparation for long endurance events so that they have an uninterrupted energy supply up until when they reach the finish line.What is carbohydrate loading and how can it affect exercise performance? ›
Carbohydrate loading increases muscle glycogen stores, giving individuals more energy at their disposal to use during exercise. Eating sufficient carbohydrates also helps to build muscle mass and prevent muscle loss.What are the goals of carbohydrate loading? ›
The purpose of carbohydrate loading is to supersaturate with glycogen the muscles to be used in competition. The competition should be longer than 30 to 60 min. to fully utilize the glycogen stores.What are the three stages of carbo loading? ›
Carbo-loading increases stored glycogen stores in the body. The three phases are depletion, tapering, and loading.What is the purpose of carbohydrate loading in preparing for an endurance event? ›
The concept of carb loading aims to increase the stored muscle glycogen in an effort to prolong endurance and/or improve performance.What is the purpose of carbohydrate ingestion after endurance exercise? ›
In general, during exercise longer than 2 h, carbohydrate feeding will prevent hypoglycemia, will maintain high rates of carbohydrate oxidation, and increase endurance capacity compared with placebo ingestion.In which performance types of physical activity would benefit the most from carbohydrate loading? ›
This strategy is useful to a person playing sports like athletes, marathon runners, swimmers, cycling, and cross-country skiing. Carbohydrate loading is mostly preferred to events that may require muscle activity for around 90 minutes.What are the four major training methods used by endurance athletes? ›
The major methods of aerobic training are tempo training, aerobic interval training, fartlek training, and anaerobic interval training (discussed later in the chapter).Why is consuming carbohydrates important if I am involved in physical activity for over 60 minutes? ›
During exercise lasting more than 60 minutes, an intake of carbohydrate is required to top up blood glucose levels and delay fatigue.Are carbohydrates the main source of energy for moderate to high intensity exercise? ›
During moderate-intensity exercise, roughly half of the energy is derived from glycogen, while the other half comes from glucose in the blood and fatty acids. Carbohydrates (glucose/glycogen) serve as the primary source of fuel as duration and intensity increase.
Athletes seem to benefit from 200 to 300 g of carbohydrates consumed 3–4 h before the athletic event. Pregame meal targets to prepare the athlete for the upcoming event, providing him with carbohydrates, electrolytes and water. Carbohydrates are essential to maintain blood glucose levels and maximise glycogen stores.What types of carbohydrates are best to consume before during and immediately after exercise? ›
Good sources of carbohydrates include whole grains (whole grain bread, whole wheat pasta, oatmeal, and brown rice), starchy vegetables (sweet potato, potato, corn, carrots) and fruits (banana, apple, strawberries)What is the benefits of ingesting carbohydrates before and after a workout exercise? ›
Increased dietary carbohydrate intake in the days before competition increases muscle glycogen levels and enhances exercise performance in endurance events lasting 90 min or more. Ingestion of carbohydrate 3-4 h before exercise increases liver and muscle glycogen and enhances subsequent endurance exercise performance.What are the guidelines for carbohydrate intake before during and between sporting events? ›
For exercise lasting 1-2 hours, consuming 30-60 grams of carbohydrates per hour is recommended to improve performance. For up to 3 hours an athlete should aim for 60-90g carbohydrates per hour, but for events >3 hours, the body can effecitvely use up to 120g/hour.What strategy is used by runners to maximize carbohydrates intakes for muscle energy storage in preparation for long run and race? ›
Some athletes use a special technique called carbohydrate loading to pack their muscles with glycogen before important events. It is generally used for activities that last more than 90 minutes, such as marathons, triathlons, cross-country bike races, and so forth.What are the post performance dietary considerations of an endurance athlete? ›
They should also consume some simple carbohydrates such as white bread straight after the event, followed by a meal with complex carbohydrates and protein (such as tuna and brown rice) around an hour after performance. This will help them to recover and adapt after the marathon.What foods would you consume to help fuel endurance exercises? ›
Ideally, fuel up two hours before you exercise by:
Eating healthy carbohydrates such as whole-grain cereals (with low-fat or skim milk), whole-wheat toast, low-fat or fat-free yogurt, whole grain pasta, brown rice, fruits and vegetables.
Fuel with 30 to 60 g carbohydrate, low in fat and fiber, within an hour before practice. Do thIS DURING pRaCtICE: • Remember that you can consume 30 to 60 g carbohydrate per hour during exercise as well.When should carbohydrates be consumed after exercise is completed for the best results? ›
Your body needs carbs to fuel your working muscles. Protein is there to help build and repair. Get a combination of the protein and carbs in your body 1 to 4 hours pre-workout and within approximately 60 minutes post-workout.What is a type of exercise that can benefit from carbohydrate loading? ›
Make Sure You'll Actually Benefit from a Carb Load
If you will be performing exercise lasting more than 90 minutes without breaks, such as running or cycling, you may benefit from this nutrition strategy.
Carbohydrates are the body's main source of energy for athletic events. Carbohydrate feedings before exercise can help to restore glycogen stores, which may be called upon during prolonged training and in high-intensity competition. Carbohydrate meals should be low fat, easily digested, and tolerated by the athlete.What is carbohydrate loading the strategy for training muscles to increase? ›
Carb loading is a nutritional strategy most often used by endurance athletes to increase stored energy in the form of glycogen for better performance. Carbohydrates, which provide the glycogen, are consumed in high amounts a few days or directly ahead of a competition or training session.What is the most important role carbohydrate plays during exercise? ›
Consuming carbohydrates during exercise lasting longer than 60 minutes ensures that the muscles receive adequate amounts of energy, especially during the later stages of the competition or workout. This has also been found to improve performance.What is the function of a carbohydrate Why do I need this before a workout? ›
Carbohydrate foods are your bodies go to source of energy when you're in training. Including carbohydrates in every meal, especially in the run up to your challenge, will help keep your muscle energy (glycogen) levels topped up.How much carbohydrates should be consumed during exercise? ›
During exercise athletes should consume 30–60 g carbohydrates per hour (or 0.7 g/kg of body weight) in order to maintain blood glucose levels. This is of extreme importance when the event lasts more than an hour and it takes place in extreme environmental conditions (cold, heat or high altitude).Is recommended that endurance athletes consume 30 60g of carbohydrates per hour during exercise? ›
For exercise lasting 1-2 hours, consuming 30-60 grams of carbohydrates per hour is recommended to improve performance. For up to 3 hours an athlete should aim for 60-90g carbohydrates per hour, but for events >3 hours, the body can effecitvely use up to 120g/hour.What is the general recommendation for carbohydrate intake during exercise lasting 1 to 2.5 hours? ›
For exercise lasting 1-2 hours, 30 g/h is probably sufficient. With increasing duration, it is recommended to increase the intake up to 60 g/h and beyond 2.5h even up to 90 g/h.What amount of carbohydrates are needed to take during exercise? ›
During a workout, carbohydrates fuel your brain and muscles. Carbs for the average workout — If you are in good shape and want to fuel a daily, light-intensity workout, eat about 3 to 5 grams of carbohydrates for every kilogram of body weight.Why is it important to consume carbohydrate immediately after exercise? ›
Consuming a carbohydrate snack as soon as possible after training will allow the body to start replenishing glycogen stores in the body. Additionally, consuming a couple of mixed meals high in carbohydrates within six hours after training or a competition ensures that the muscles continue with glycogen restoration.What are 5 examples of high carbohydrate foods? ›
Carbohydrates are found in a wide array of both healthy and unhealthy foods—bread, beans, milk, popcorn, potatoes, cookies, spaghetti, soft drinks, corn, and cherry pie.
How Many Carbs Should You Consume Pre-Training? The general recommendations from the Academy, DC, and ACSM is to consume one to four grams of carbohydrates per kilogram of body weight in the hours before any prolonged exercise ( >60 minutes in duration).Why should endurance athletes consume a high (> 55 %) carbohydrate diet? ›
Endurance athletes often employ a high-carbohydrate diet in order to enhance exercise performance, increase recovery, and maintain levels of muscle glycogen.How much carbohydrate should someone who is undertaking 1 hour of moderate exercise per day consume? ›
If you exercise for between one and two hours, it is advised to take 30 grams of carbohydrates per hour. For exercise between two and three hours, the amount is 60 grams and for longer 90 grams is recommended. Your body can't absorb more (or much more) than 90 grams of carbs per hour.Why is eating meal with plenty of carbohydrates 3 to 4 hours before exercising ideal? ›
Ideally, a person should eat a meal rich in complex carbohydrates and protein around 2–3 hours before exercising. Waiting a few hours after eating allows the body enough time to digest the meal.What type of carbohydrates are recommended to be taken 2 hours before exercise? ›
Ideally, fuel up two hours before you exercise by:
Eating healthy carbohydrates such as whole-grain cereals (with low-fat or skim milk), whole-wheat toast, low-fat or fat-free yogurt, whole grain pasta, brown rice, fruits and vegetables.
For simple carbohydrates, the ratio of carbon-to-hydrogen-to-oxygen in the molecule is 1:2:1. This formula also explains the origin of the term “carbohydrate”: the components are carbon ( “ carbo”) and the components of water ( “ hydrate”).What are the best simple carbs before workout? ›
Pre-workout simple carb options can include cereal with milk, jam on toast, pretzels, raisins (or dried fruit) and granola bars. Sports drinks, fruit pouches, carbohydrate mixes, energy gels and chews are best in close proximity to your event/training.What happens if you lift weights but don t eat enough protein? ›
Your body needs protein to build and repair tissues, so if you aren't eating enough, your muscles won't have the material they need to grow. You could feel “punch drunk” after working out, your arms and other muscles might ache more than usual, and your body may even feel generally weaker.What is the best time to eat carbs? ›
It is best to be consuming carbohydrates at night
The bottom line is that consuming your carbohydrates at dinner and before bed might be better. There's a lot of research to support that.