Carbohydrate feeding during exercise
Open accessAbstract
Carbohydrate ingestion can improve endurance capacity and performance. Since the 1980s, research has focused on optimizing the delivery strategies of these carbohydrates. The optimal dose of carbohydrate is still subject to debate, but recent evidence suggests that there may be a dose–response effect as long as the carbohydrate ingested is also oxidized and does not result in gastrointestinal distress. Oxidation rates of a single type of carbohydrate do not exceed 60 g·h−1. However, when multiple transportable carbohydrates are ingested (i.e. glucose and fructose), these oxidation rates can be increased significantly (up to 105 g·h−1). To achieve these high oxidation rates, carbohydrate needs to be ingested at high rates and this has often been associated with poor fluid delivery as well as gastrointestinal distress. However, it has been suggested that using multiple transportable carbohydrates may enhance fluid delivery compared with a single carbohydrate and may cause relatively little gastrointestinal distress. More research is needed to investigate the practical applications of some of the recent findings discussed in this review.
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Combinations of glucose and sucrose or maltodextrin and fructose promote greater exogenous rates of carbohydrate oxidation when compared to single sources of carbohydrate.
“Interestingly, combinations of glucose and sucrose or maltodextrin and fructose have been reported to promote greater exogenous rates of carbohydrate oxidation when compared to situations when single sources of carbohydrate are ingested [55–63].”
From ISSN exercise & sports nutrition review update: research & recommendations (2018) · cites this paper as [56]
The “Multiple transportable carbohydrates” section reports very high exogenous oxidation rates with maltodextrins plus fructose and explains that oxidation of a single carbohydrate is limited to approximately 60 g/h. It reports glucose plus sucrose plus fructose, however, not glucose plus sucrose as a two-carbohydrate combination; our copy does not establish that specific comparison. (LLM, conf=0.86)
Experimental — accuracy not yet measuredA ratio of 1-1.2 maltodextrin to 0.8-1.0 fructose seems to support the greatest rates of carbohydrate oxidation during exercise.
“These studies generally indicate a ratio of 1–1.2 for maltodextrin to 0.8–1.0 fructose seems to support the greatest rates of carbohydrate oxidation during exercise.”
From ISSN exercise & sports nutrition review update: research & recommendations (2018) · cites this paper as [56]
In “Multiple transportable carbohydrates” (page unavailable), the paper reports very high oxidation rates with maltodextrins plus fructose. It does not specify the claimed 1–1.2 to 0.8–1.0 ratio; it says the highest rates observed were with glucose plus fructose. (LLM, conf=0.87)
Experimental — accuracy not yet measuredDifferent types of carbohydrates can be oxidized at different rates in skeletal muscle due to the involvement of different transporter proteins that result in carbohydrate uptake.
“It is now well established that different types of carbohydrates can be oxidized at different rates in skeletal muscle due to the involvement of different transporter proteins that result in carbohydrate uptake [55–59].”
From ISSN exercise & sports nutrition review update: research & recommendations (2018) · cites this paper as [56]
The 'Oxidation of ingested carbohydrate' section says carbohydrate types can be oxidized at different rates. The 'Multiple transportable carbohydrates' section links transporter proteins to intestinal absorption and subsequent oxidation, but does not establish that different transporters govern carbohydrate uptake by skeletal muscle. (LLM, conf=0.87)
Experimental — accuracy not yet measuredProviding carbohydrate (230-350 mL of a 6-8% carbohydrate solution) at regular intervals (every 10-12 min) can optimize performance and maintain blood glucose levels during continuous aerobic exercise.
“Most research has employed study designs that integrate some form of continuous aerobic exercise, and within these studies it has been consistently demonstrated that providing carbohydrate (230–350 mL of a 6–8% carbohydrate solution) at regular intervals (every 10–12 min) can optimize performance and maintain blood glucose levels [48, 49].”
From International society of sports nutrition position stand: nutrient timing (2017) · cites this paper as [49]
The sections on prolonged exercise and high-intensity exercise report that carbohydrate feeding can improve endurance performance and help maintain blood glucose during prolonged exercise. The optimal-dose section reports performance benefits with carbohydrate intake, but does not establish the claimed 230–350 mL of a 6–8% solution every 10–12 minutes as an optimal regimen; it says the optimal dose remains uncertain. Page numbers are unavailable in our copy. (LLM, conf=0.88)
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Sorted by citations
ISSN exercise & sports nutrition review update: research & recommendations
Kerksick, C. M., Wilborn, C. D., Roberts, M. D., Smith-Ryan, A., Kleiner, S. M., Jäger, R., Collins, R., Cooke, M., Davis, J. N., Galvan, E., et al. (2018) · Journal of the International Society of Sports Nutrition · doi:10.1186/s12970-018-0242-y · Cited by 945 · see citing works
International society of sports nutrition position stand: caffeine and performance
Goldstein, E. R., Ziegenfuss, T., Kalman, D., Kreider, R., Campbell, B., Wilborn, C., Taylor, L., Willoughby, D., Stout, J., Graves, B. S., et al. (2010) · Journal of the International Society of Sports Nutrition · doi:10.1186/1550-2783-7-5 · Cited by 686 · see citing works
International society of sports nutrition position stand: nutrient timing
Kerksick, C. M., Arent, S., Schoenfeld, B. J., Stout, J. R., Campbell, B., Wilborn, C. D., Taylor, L., Kalman, D., Smith-Ryan, A. E., Kreider, R. B., et al. (2017) · Journal of the International Society of Sports Nutrition · doi:10.1186/s12970-017-0189-4 · Cited by 622 · see citing works
International Society of Sports Nutrition position stand: Nutrient timing
Kerksick, C., Harvey, T., Stout, J., Campbell, B., Wilborn, C., Kreider, R., Kalman, D., Ziegenfuss, T., Lopez, H., Landis, J., et al. (2008) · Journal of the International Society of Sports Nutrition · doi:10.1186/1550-2783-5-17 · Cited by 456 · see citing works
A Step Towards Personalized Sports Nutrition: Carbohydrate Intake During Exercise
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Self-citationNutrition for endurance sports: Marathon, triathlon, and road cycling
Jeukendrup, A. E. (2011) · Journal of Sports Sciences · doi:10.1080/02640414.2011.610348 · Cited by 388 · see citing works
Self-citationThe use of carbohydrates during exercise as an ergogenic aid
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Nutritional Intake and Gastrointestinal Problems during Competitive Endurance Events
PFEIFFER, B., STELLINGWERFF, T., HODGSON, A. B., RANDELL, R., PÖTTGEN, K., RES, P., & JEUKENDRUP, A. E. (2012) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31822dc809 · Cited by 287 · see citing works
Self-citationStellingwerff, T., & Cox, G. R. (2014) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2014-0027 · Cited by 246 · see citing works
A Review of Factors Influencing Athletes’ Food Choices
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Carbohydrate and exercise performance: The role of multiple transportable carbohydrates
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Self-citationInfluence of Mouth Rinsing a Carbohydrate Solution on 1-h Running Performance
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The Effect of Carbohydrate Gels on Gastrointestinal Tolerance during a 16-km Run
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Smith, J. W., Zachwieja, J. J., Péronnet, F., Passe, D. H., Massicotte, D., Lavoie, C., & Pascoe, D. D. (2010) · Journal of Applied Physiology · doi:10.1152/japplphysiol.91394.2008 · Cited by 103 · see citing works
Costa, R. J. S., Gill, S. K., Hankey, J., Wright, A., & Marczak, S. (2014) · British Journal of Nutrition · doi:10.1017/s0007114514000907 · Cited by 99 · see citing works
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Curvilinear Dose–Response Relationship of Carbohydrate (0–120 g·h−1) and Performance
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Optimal Composition of Fluid‐Replacement Beverages
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Self-citationOxidation of Solid versus Liquid CHO Sources during Exercise
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Self-citationArcher, E., Lavie, C. J., & Hill, J. O. (2018) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2018.06.002 · Cited by 76 · see citing works
CHO Oxidation from a CHO Gel Compared with a Drink during Exercise
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Self-citationEffect of carbohydrate feeding on the bone metabolic response to running
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Carbon stable‐isotope tracking in breath for comparative studies of fuel use
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Exogenous CHO Oxidation with Glucose Plus Fructose Intake during Exercise
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Self-citationNutrition for Female Soccer Players—Recommendations
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Nutrition and elite young athletes.
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Self-citationHoney Supplementation and Exercise: A Systematic Review
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Ispoglou, T., O'Kelly, D., Angelopoulou, A., Bargh, M. J., O'Hara, J. P., & Duckworth, L. C. (2015) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000000882 · Cited by 41 · see citing works
Bourdas, D. I., Souglis, A. G., Zacharakis, E. D., Geladas, N. D., & Travlos, A. K. (2021) · Nutrients · doi:10.3390/nu13124223 · Cited by 44 · see citing works
Quantifying the Effect of Carbohydrate Mouth Rinsing on Exercise Performance
Peart, D. J. (2016) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000001741 · Cited by 37 · see citing works
Young, A., Berryman, C. E., Kenefick, R. W., Derosier, A. N., Margolis, L. M., Wilson, M. A., Carrigan, C. T., Murphy, N. E., Carbone, J. W., Rood, J. C., et al. (2018) · Frontiers in Physiology · doi:10.3389/fphys.2018.00830 · Cited by 37 · see citing works
Hartley, C., Carr, A., Bowe, S. J., Bredie, W. L. P., & Keast, R. S. J. (2022) · Sports Medicine · doi:10.1007/s40279-022-01658-3 · Cited by 34 · see citing works
Plasma deuterium oxide accumulation following ingestion of different carbohydrate beverages
Currell, K., Urch, J., Cerri, E., Jentjens, R. L. P. G., Blannin, A. K., & Jeukendrup, A. E. (2008) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/h08-084 · Cited by 31 · see citing works
Self-citationCarbohydrate Oxidation from a Drink during Running Compared with Cycling Exercise
Pfeiffer, B., Stellingwerff, T., Zaltas, E., Hodgson, A. B., & Jeukendrup, A. E. (2010) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181ebc488 · Cited by 31 · see citing works
Self-citationCosta, R. J. S., Swancott, A. J. M., Gill, S. K., Hankey, J., Scheer, V., Murray, A. M., & Thake, D. (2013) · Coventry University Open Collections (Coventry university) · doi:10.5923/j.sports.20130302.03 · Cited by 31 · see citing works
King, A. J., O'Hara, J. P., Arjomandkhah, N., Rowe, J., Morrison, D. J., Preston, T., & King, R. F. (2019) · European Journal of Applied Physiology · doi:10.1007/s00421-019-04106-9 · Cited by 31 · see citing works
Burleigh, M. C., Sculthorpe, N. F., Henriquez, F. L., & Easton, C. (2020) · PLoS ONE · doi:10.1371/journal.pone.0243755 · Cited by 28 · see citing works
Prins, P., Noakes, T. D., Buga, A., Gerhart, H. D., Cobb, B. M., D’Agostino, D. P., Volek, J. S., Buxton, J. D., Heckman, K., Plank, E. N., et al. (2025) · American Journal of Physiology-Cell Physiology · doi:10.1152/ajpcell.00583.2024 · Cited by 27 · see citing works
Cooper, R., Naclerio, F., Allgrove, J. E., & Larumbe‐Zabala, E. (2013) · European Journal of Sport Science · doi:10.1080/17461391.2013.813972 · Cited by 25 · see citing works
The New Carbohydrate Intake Recommendations
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Self-citationCarbohydrate supplementation: A critical review of recent innovations
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Effects of honey on exercise performance and health components: A systematic review
Yusof, A., Ahmad, N. S., M.S., A. H., & Khong, T. K. (2018) · Science & Sports · doi:10.1016/j.scispo.2018.02.007 · Cited by 20 · see citing works
Optimal Composition of Fluid‐Replacement Beverages
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Self-citationKillian, L. A., Muir, J. G., Barrett, J. S., Burd, N. A., & Lee, S. Y. (2021) · Frontiers in Nutrition · doi:10.3389/fnut.2021.637160 · Cited by 21 · see citing works
Irritable bowel syndrome is underdiagnosed and ineffectively managed among endurance athletes
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Pellicer-Caller, R., Vaquero‐Cristóbal, R., González-Gálvez, N., Abenza‐Cano, L., Horcajo, J., & Marcos, R. D. L. V. (2023) · Nutrients · doi:10.3390/nu15122700 · Cited by 16 · see citing works
Siegler, J. C., Page, R. M., Turner, M. C., Mitchell, N., & Midgley, A. W. (2013) · Journal of the International Society of Sports Nutrition · doi:10.1186/1550-2783-10-29 · Cited by 15 · see citing works
Clarke, N. D., Campbell, I. T., Drust, B., Evans, L., Reilly, T. P., & MacLaren, D. P. M. (2012) · Journal of Sports Sciences · doi:10.1080/02640414.2012.665941 · Cited by 13 · see citing works
MULTIPLE TRANSPORTABLE CARBOHYDRATES AND THEIR BENEFITS
Jeukendrup, A. E. (2013) · Cited by 13 · see citing works
Self-citationPerformance Nutrition for Young Athletes
Smith, J. W., & Jeukendrup, A. E. (2013) · Elsevier eBooks · doi:10.1016/b978-0-12-396454-0.00055-2 · Cited by 14 · see citing works
Self-citationThe Effect of Oral Carbohydrate Solutions on the Performance of Swimmers
Afshari, L., Mohammadi, S., Shakerian, S., & Amani, R. (2014) · Annals of Applied Sport Science · doi:10.18869/acadpub.aassjournal.2.3.13 · Cited by 12 · see citing works
O uso do carboidrato antes da atividade física como recurso ergogênico: revisão sistemática
Fontan, J. D. S., & Amadio, M. B. (2015) · Revista Brasileira de Medicina do Esporte · doi:10.1590/1517-86922015210201933 · Cited by 12 · see citing works
Does Carbohydrate Intake During Endurance Running Improve Performance? A Critical Review
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Nutritional strategies in an elite wheelchair marathoner at 3900 m altitude: a case report
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The challenge of regulating doping and non-doping ‘performance-enhancing strategies’ in elite sports
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Kozlowski, K. F., Ferrentino, A. R., & Cerny, F. (2020) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000003297 · Cited by 10 · see citing works
Yogurt Drink Effectively Rehydrates Athletes After a Strenuous Exercise Session
Niksefat, M., Akbari‐Fakhrabadi, M., Mousavi, Z., Ziaee, V., Fallah, J., & Memari, A. H. (2019) · Acta Medica Bulgarica · doi:10.2478/amb-2019-0008 · Cited by 9 · see citing works
The Metabolic Flexibility of Hovering Vertebrate Nectarivores
Welch, K. C., Myrka, A. M., Ali, R. S., & Dick, M. F. (2018) · Physiology · doi:10.1152/physiol.00001.2018 · Cited by 9 · see citing works
Hoogeveen, I. J., de Boer, F., Boonstra, W. F., van der Schaaf, C. J., Steuerwald, U., Sibeijn‐Kuiper, A., Vegter, R. J. K., van der Hoeven, J. H., Heiner-Fokkema, M. R., Clarke, K., et al. (2020) · Journal of Inherited Metabolic Disease · doi:10.1002/jimd.12302 · Cited by 7 · see citing works
Carbohydrate Ingestion on Exercise Metabolism and Physical Performance
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Aitkenhead, R., Waldron, M., Conway, G. E., Horner, K. M., & Heffernan, S. M. (2025) · Nutrients · doi:10.3390/nu17030443 · Cited by 7 · see citing works
Arévalo, C. (2013) · Informes de la Construcción · doi:10.3989/ic.12.006 · Cited by 6 · see citing works
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Carbohydrate Oral Rinsing, Cycling Performance and Individual Complex Carbohydrate Taste Sensitivity
Hartley, C., Carr, A. J., Roberts, S., Bredie, W. L. P., & Keast, R. (2024) · Nutrients · doi:10.3390/nu16030459 · Cited by 5 · see citing works
Makiel, K., Targosz, A., Kosowski, P., & Suder, A. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26199500 · Cited by 7 · see citing works
Traditional and Modern Means of Recovery in Sports: Survey on a Sample of Athletes
Elena, S., Niculescu, G., & Cecilia, G. (2014) · Procedia - Social and Behavioral Sciences · doi:10.1016/j.sbspro.2014.02.252 · Cited by 4 · see citing works
Hydration habits in elite futsal players during official games
nez, J. V. G. I. A.-J. E., Yuste, J. L., a-Pellicer, J. J. G. I., rez-Jorge, J. A. P. E., & n, F. J. L. O. P.-R. A. (2011) · 体力科學 · doi:10.7600/jspfsm.60.311 · Cited by 4 · see citing works
Wolfe, A. S., Brandt, S., Krause, I. A., Mavison, R. W., Aponte, J. A., & Ferguson-Stegall, L. M. (2016) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000001733 · Cited by 4 · see citing works
Wilson, P. B. (2025) · Sports Medicine · doi:10.1007/s40279-025-02372-6 · Cited by 4 · see citing works
Burd, N. A., Jeukendrup, A. E., Reid, M. B., Burke, L. M., Stear, S. J., & Castell, L. M. (2011) · British Journal of Sports Medicine · doi:10.1136/bjsports-2011-090560 · Cited by 3 · see citing works
Self-citationYang, J., Han, Q., Liu, Q., Li, T., Shao, Y., Sui, X., & Wang, Q. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1183460 · Cited by 3 · see citing works
Regenerationsmanagement und Ernährung
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Sugar-Sweetened Beverages and Hydration
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Effect of Honey on Measurable Sport
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Sports Nutrition and Dairy Products
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Nutritional Strategies for Olympic Biathletes: A Practical Review
Gawełczyk, M., Kaszuba, M., & Petr, M. (2025) · Nutrients · doi:10.3390/nu17213385 · Cited by 1 · see citing works
The effect of carbohydrate ingestion on the experience of fatigue during prolonged exercise
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Effect of the Glycemic Index of Meals on Physical Exercise: A Case Report
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Darnell, M. (2015) · D-Scholarship@Pitt (University of Pittsburgh) · Cited by 1 · see citing works
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Novas perspetivas sobre o rácio de hidratos de carbono em indivíduos com Diabetes Tipo 2 no desporto
Novo, T. R. (2022) · Acta Portuguesa de Nutrição · doi:10.21011/apn.2022.3011
Carbohydrate Ingestion During Exercise
Jeukendrup, A. E. (2013) · Wiley eBooks · doi:10.1002/9781118692318.ch9 · Cited by 1 · see citing works
Self-citationNutritional Considerations for Performance and Rehabilitation
Matthews, H., & Matthews, M. J. (2010) · Wiley eBooks · doi:10.1002/9781118685150.ch14 · Cited by 1 · see citing works
Use of Honey in Sports Medicine
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Effects of acute nutritional interventions on athletic performance
Vandenbogaerde, T. J. (2010) · Tuwhera (Auckland University of Technology)
Carbohydrate intake and metabolism during prolonged endurance exercise
Pfeiffer, B. (2010) · University of Birmingham Institutional Research Archive (University of Birmingham)
THE INFLUENCE OF HIGH FRUCTOSE CORN SYRUP ON ENDURANCE EXERCISE METABOLISM
Rauk, E. L. (2014) · Montana State University ScholarWorks (Montana State University)
Methods to optimise substrate utilisation during endurance performance.
McCafferty, S. P. (2011) · Enlighten: Theses (The University of Glasgow)
The ergogenic effects of glucose and fructose coingestion during prolonged cycling
Baur, D. (2013) · JMU Scholoraly Commons (James Madison University)
The independent and combined effects of carbohydrate and caffeine ingestion on cycling performance
Acker, T. L. (2010) · JMU Scholoraly Commons (James Madison University)
Decker, K. (2017) · JMU Scholoraly Commons (James Madison University)
Hladick, N. J. (2017) · JMU Scholoraly Commons (James Madison University)
Thème 1. Glucides, boissons énergétiques et performance : stratégies pour les sports olympiques
Jeukendrup, A. E., & Baker, L. B. (2012) · INSEP-Éditions eBooks · doi:10.4000/books.insep.1188
Self-citationRamyar, A., & Moshkelgosha, E. (2017) · DOAJ (DOAJ: Directory of Open Access Journals)
- Authors
- Jeukendrup, A. E.
- Affiliations
- University of Birmingham (GB)
- Corresponding author
- Jeukendrup, Asker E.
- Venue
- European Journal of Sport Science
- Publisher
- Wiley
- Published
- 2008-03
- Volume
- 8
- Issue
- 2
- Pages
- 77-86
- ISSN
- 1536-7290 (ISSN-L)
- 1746-1391
- OpenAlex
- W2151105859
- Cited by
- 115
- References
- 82
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 2 · 2023: 6 · 2022: 3 · 2021: 4 · 2020: 10 · 2019: 7 · 2018: 7 · 2017: 4 · 2016: 5 · 2015: 7 · 2014: 11 · 2013: 13 · 2012: 3
- FWCI
- 3.65
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Sport Science (publishedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Health Sciences › Medicine › Physiology › Thermoregulation and physiological responses
- Keywords
- carbohydrate intake, physical activity, endurance performance, carbohydrate oxidation, glucose, fructose, dose-response relationship, gastrointestinal distress, fluid delivery
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