Dietary carbohydrate, muscle glycogen content, and endurance performance in well-trained women
Abstract
This study examined the ability of well-trained eumenorrheic women to increase muscle glycogen content and endurance performance in response to a high-carbohydrate diet (HCD; ∼78% carbohydrate) compared with a moderate-carbohydrate diet (MD; ∼48% carbohydrate) when tested during the luteal phase of the menstrual cycle. Six women cycled to exhaustion at ∼80% maximal oxygen uptake (V˙o 2 max) after each of the randomly assigned diet and exercise-tapering regimens. A biopsy was taken from the vastus lateralis before and after exercise in each trial. Preexercise muscle glycogen content was high after the MD (625.2 ± 50.1 mmol/kg dry muscle) and 13% greater after the HCD (709.0 ± 44.8 mmol/kg dry muscle). Postexercise muscle glycogen was low after both trials (MD, 91.4 ± 34.5; HCD, 80.3 ± 19.5 mmol/kg dry muscle), and net glycogen utilization during exercise was greater after the HCD. The subjects also cycled longer at ∼80%V˙o 2 max after the HCD vs. MD (115:31 ± 10:47 vs. 106:35 ± 8:36 min:s, respectively). In conclusion, aerobically trained women increased muscle glycogen content in response to a high-dietary carbohydrate intake during the luteal phase of the menstrual cycle, but the magnitude was smaller than previously observed in men. The increase in muscle glycogen, and possibly liver glycogen, after the HCD was associated with increased cycling performance to volitional exhaustion at ∼80%V˙o 2 max.
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CHO loading using a similar pattern and amount of carbohydrate intake during the mid-luteal phase fails to change resting muscle glycogen concentrations or only documents a modest increase of 13%, compared to what is generally reported for male athletes (18-47%) or female athletes during the follicular phase (17-31%).
“CHO loading using a similar pattern and amount of carbohydrate intake during the mid-luteal (ML) phase failed to change resting muscle glycogen concentrations [182] or only documented a modest increase (13%) [186] compared to what is generally reported for male athletes (18–47%) [185,187–191] or female athletes during the follicular phase (17–31%) [184,185].”
From International society of sports nutrition position stand: nutritional concerns of the female athlete (2023) · cites this paper as [185]
Carbohydrate loading at 8.4-9.0 g/kg body weight/day increases resting muscle glycogen concentration in the mid-follicular phase of the menstrual cycle.
“carbohydrate loading (8.4–9.0 g.kg body weight−1.d−1) has been shown to increase resting muscle glycogen concentration in the mid-follicular (MF) phase of the menstrual cycle [184,185].”
From International society of sports nutrition position stand: nutritional concerns of the female athlete (2023) · cites this paper as [185]
Increasing carbohydrate intake increases glycogen storage to a lesser extent in women when compared with men.
“It has been reported that increasing carbohydrate intake increases glycogen storage to a lesser extent in women when compared with men [84]”
From Regulation of Energy Substrate Metabolism in Endurance Exercise (2021) · cites this paper as [84]
CHO loading (8.4-9 g CHO/kg BW/day) in the mid-luteal phase results in no change to a small increase (13%) in muscle glycogen, which could potentially enhance performance.
“To that end, CHO loading (8.4–9 g CHO/kg BW/day) in the mid-luteal phase has resulted in no change to a small increase (13%) in muscle glycogen, which could potentially enhance performance [57,58].”
From Considerations of Low Carbohydrate Availability (LCA) to Relative Energy Deficiency in Sport (RED-S) in Female Endurance Athletes: A Narrative Review (2023) · cites this paper as [57]
Cites
Body composition from fluid spaces and density: analysis of methods. 1961.
Siri, W. E. (1994) · PubMed · Cited by 2,556 · see citing works
Romijn, J. A., Coyle, E. F., Sidossis, L. S., Gastaldelli, A., Horowitz, J. F., Endert, E., & Wolfe, R. R. (1993) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1993.265.3.e380 · Cited by 1,747 · see citing works
Diet, muscle glycogen and physical performance.
Bergström, J., Hermansen, L., Hultman, E., & Saltin, B. (1967) · Acta Physiologica Scandinavica · doi:10.1111/j.1748-1716.1967.tb03720.x · Cited by 1,740 · cited 3× · see citing works
“400 mmol/kg dm, compared with MDs (7, 13, 20, 21, 34).”
BackgroundSelf-citationTable of nonprotein respiratory quotient: an update.
Péronnet, F., & Massicotte, D. (1991) · PubMed · Cited by 1,177 · see citing works
Percutaneous Needle Biopsy of Skeletal Muscle in Physiological and Clinical Research
Bergström, J. P. (1975) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.3109/00365517509095787 · Cited by 1,159 · see citing works
Harris, R. C., Hultman, E., & Nordesjö, L. ‐. (1974) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.3109/00365517409082477 · Cited by 857 · see citing works
Self-citationMuscle Glycogen Synthesis after Exercise : an Enhancing Factor localized to the Muscle Cells in Man
BERGSTRÖM, J., & HULTMAN, E. (1966) · Nature · doi:10.1038/210309a0 · Cited by 473 · see citing works
Self-citationGender differences in substrate for endurance exercise
Tarnopolsky, L. J., MacDougall, J. D., Atkinson, S. A., Tarnopolsky, M. A., & Sutton, J. R. (1990) · Journal of Applied Physiology · doi:10.1152/jappl.1990.68.1.302 · Cited by 470 · cited 3× · see citing works
“Recent, well-controlled, gender-comparison studies have matched male and female endurance athletes for many of the following parameters: maximal oxygen uptake [V̇O2max; expressed per kg lean body mass (LBM)]; preexercise dietary intake; exercise training volume, intensity, and history; and controlled-for menstrual sta…”
BackgroundDiet, muscle glycogen, and endurance performance
Karlsson, J., & Saltin, B. (1971) · Journal of Applied Physiology · doi:10.1152/jappl.1971.31.2.203 · Cited by 440 · see citing works
Fuel metabolism in men and women during and after long-duration exercise
Horton, T. J., Pagliassotti, M. J., Hobbs, K., & Hill, J. O. (1998) · Journal of Applied Physiology · doi:10.1152/jappl.1998.85.5.1823 · Cited by 370 · cited 3× · see citing works
“Recent, well-controlled, gender-comparison studies have matched male and female endurance athletes for many of the following parameters: maximal oxygen uptake [V̇O2max; expressed per kg lean body mass (LBM)]; preexercise dietary intake; exercise training volume, intensity, and history; and controlled-for menstrual sta…”
BackgroundSherman, W., Costill, D., Fink, W., & Miller, J. (1981) · International Journal of Sports Medicine · doi:10.1055/s-2008-1034594 · Cited by 325 · see citing works
Gender differences in leucine kinetics and nitrogen balance in endurance athletes
Phillips, S. M., Atkinson, S. A., Tarnopolsky, M. A., & MacDougall, J. D. (1993) · Journal of Applied Physiology · doi:10.1152/jappl.1993.75.5.2134 · Cited by 281 · see citing works
Carbohydrate loading and metabolism during exercise in men and women
Tarnopolsky, M. A., Atkinson, S. A., Phillips, S. M., & MacDougall, J. D. (1995) · Journal of Applied Physiology · doi:10.1152/jappl.1995.78.4.1360 · Cited by 275 · cited 9× · see citing works
“In the present study, the percent CHO intake was 48 and 78% in the MD and HCD, respectively, as opposed to 57 and 75% in the previous study (40).”
BackgroundResultInfluentialCarbohydrate-Loading and Exercise Performance: An Update
Hawley, J. A., Schabort, E. J., Noakes, T. D., & Dennis, S. C. (1997) · Sports Medicine · doi:10.2165/00007256-199724020-00001 · Cited by 263 · see citing works
Nilsson, L. H., & Hultman, E. (1973) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.3109/00365517309084355 · Cited by 263 · see citing works
Self-citationPerspectives in Exercise Science and Sports Medicine
Lamb, D. R. (1988) · Cited by 262 · see citing works
Muscle Glycogen and Muscle Electrolytes during Prolonged Physical Exercise<sup>1</sup>
Ahlborg, B., Bergström, J., Ekelund, L., & Hultman, E. (1967) · Acta Physiologica Scandinavica · doi:10.1111/j.1748-1716.1967.tb03608.x · Cited by 235 · see citing works
Self-citationThe Menstrual Cycle and Exercise: Performance, Muscle Glycogen, and Substrate Responses
Nicklas, B., Hackney, A., & Sharp, R. (1989) · International Journal of Sports Medicine · doi:10.1055/s-2007-1024913 · Cited by 194 · cited 2× · see citing works
“(24) measured muscle glycogen content after a bout of depleting exercise and again after 3 days of rest and a controlled diet (,56% CHO) in both menstrual phases in moderately trained women (V̇O2max 44.”
BackgroundTarnopolsky, M. A., Bosman, M., Macdonald, J. R., Vandeputte, D., Martin, J., & Roy, B. D. (1997) · Journal of Applied Physiology · doi:10.1152/jappl.1997.83.6.1877 · Cited by 190 · see citing works
Physiological effects of tapering in highly trained athletes
Shepley, B. R., MacDOUGALL, J. D., Cipriano, N., Sutton, J. R., Tarnopolsky, M. A., & Coates, G. (1992) · Journal of Applied Physiology · doi:10.1152/jappl.1992.72.2.706 · Cited by 166 · see citing works
Muscle Glycogen Synthesis in Relation to Diet Studied in Normal Subjects
Hultman, E., & Bergström, J. P. (1967) · Acta Medica Scandinavica · doi:10.1111/j.0954-6820.1967.tb11504.x · Cited by 156 · see citing works
Self-citationRegulation of glucose transport into skeletal muscle
Holloszy, J. O., & Hansen, P. A. (1996) · Reviews of physiology, biochemistry and pharmacology · doi:10.1007/3-540-61343-9_8 · Cited by 151 · see citing works
Effects of endurance exercise training on muscle glycogen accumulation in humans
Greiwe, J. S., Hickner, R. C., Hansen, P. A., Racette, S. B., Chen, M. M., & Holloszy, J. O. (1999) · Journal of Applied Physiology · doi:10.1152/jappl.1999.87.1.222 · Cited by 147 · see citing works
Nutritional survey of highly trained women runners
Deuster, P. A., Kyle, S., Moser, P., Vigersky, R. A., Singh, A. P., & Schoomaker, E. (1986) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/44.6.954 · Cited by 120 · see citing works
Effects of menstrual cycle on metabolic responses to exercise
Bonen, A., Haynes, F. J., Watson-Wright, W. M., Sopper, M. M., Pierce, G. N., Low, M. P., & Graham, T. E. (1983) · Journal of Applied Physiology · doi:10.1152/jappl.1983.55.5.1506 · Cited by 120 · see citing works
Effect of estradiol on tissue glycogen metabolism and lipid availability in exercised male rats
Kendrick, Z. V., & Ellis, G. S. (1991) · Journal of Applied Physiology · doi:10.1152/jappl.1991.71.5.1694 · Cited by 114 · cited 2× · see citing works
“Rodent data suggest that the reproductive hormones may augment glycogen synthesis and resting muscle glycogen contents (10, 22, 37).”
BackgroundRegulation of glucose transport in skeletal muscle 1
Barnard, R. J., & YOUNGREN, J. F. (1992) · The FASEB Journal · doi:10.1096/fasebj.6.14.1426762 · Cited by 100 · see citing works
Prior, J. C., Vigna, Y. M., Schulzer, M., Hall, J. E., & Bonen, A. (1990) · PubMed · Cited by 82 · see citing works
Adamo, K. B., Tarnopolsky, M. A., & Graham, T. E. (1998) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1998.275.2.e229 · Cited by 65 · see citing works
Effects of the Menstrual Cycle on Resting Muscle Glycogen Content
Hackney, A. (1990) · Hormone and Metabolic Research · doi:10.1055/s-2007-1004994 · Cited by 59 · cited 2× · see citing works
“Hackney (15) measured a higher resting muscle glycogen content in the LP compared with the FP (439 6 21 vs.”
BackgroundCarbohydrate Metabolism of the Liver in Normal Man under Varying Dietary Conditions
Nilsson, L. H., Fürst, P., & Hultman, E. (1973) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.3109/00365517309084356 · Cited by 58 · see citing works
Self-citationPersistence of supercompensated muscle glycogen in trained subjects after carbohydrate loading
Goforth, H. W., Arnall, D. A., Jr., Bennett, B. L., & Law, P. G. (1997) · Journal of Applied Physiology · doi:10.1152/jappl.1997.82.1.342 · Cited by 42 · see citing works
Dietary carbohydrate intake and endurance exercise performance of trained female cyclists
Keeffe, K. A. O., Keith, R. E., Wilson, G. D., & Blessing, D. L. (1989) · Nutrition Research · doi:10.1016/s0271-5317(89)80027-2 · Cited by 35 · see citing works
Effects of Natural and Synthetic Estrogens and Progestins on Glycogen Deposition in Female Mice
Carrington, L. J., & Bailey, C. J. (2008) · Hormone Research · doi:10.1159/000180045 · Cited by 33 · see citing works
Dietary Intake of Women Runners
Pate, R. R., Sargent, R. G., Baldwin, C., & Burgess, M. L. (1990) · International Journal of Sports Medicine · doi:10.1055/s-2007-1024838 · Cited by 29 · see citing works
Gluconeogenesis and Hepatic Glycogen Formation in Relation to the Rat Estrous Cycle
Sladek, C. D. (1974) · Hormone and Metabolic Research · doi:10.1055/s-0028-1093856 · Cited by 21 · see citing works
MacLean, D. A., Spriet, L. L., & Graham, T. E. (1992) · Canadian Journal of Physiology and Pharmacology · doi:10.1139/y92-053 · Cited by 15 · see citing works
Self-citationControl Mechanisms for the Synthesis of Glycogen in Striated Muscle
Adolfsson, S., & Ahrén, K. (1971) · Advances in experimental medicine and biology · doi:10.1007/978-1-4613-4609-8_23 · Cited by 11 · see citing works
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TARNOPOLSKY, M. A. (2008) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31816212ff · Cited by 354 · see citing works
Pre-exercise carbohydrate and fat ingestion: effects on metabolism and performance
Hargreaves, M., Hawley, J. A., & Jeukendrup, A. (2004) · Journal of Sports Sciences · doi:10.1080/0264041031000140536 · Cited by 178 · see citing works
Devries, M. C. (2016) · Experimental Physiology · doi:10.1113/ep085369 · Cited by 151 · see citing works
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Tarnopolsky, M. A., Zawada, C., Richmond, L. B., Carter, S., Shearer, J., Graham, T., & Phillips, S. M. (2001) · Journal of Applied Physiology · doi:10.1152/jappl.2001.91.1.225 · Cited by 138 · see citing works
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Holtzman, B., & Ackerman, K. E. (2021) · Sports Medicine · doi:10.1007/s40279-021-01508-8 · Cited by 111 · see citing works
Sex differences and considerations for female specific nutritional strategies: a narrative review
Wohlgemuth, K. J., Arieta, L. R., Brewer, G. J., Hoselton, A. L., Gould, L. M., & Smith-Ryan, A. E. (2021) · Journal of the International Society of Sports Nutrition · doi:10.1186/s12970-021-00422-8 · Cited by 111 · see citing works
Regulation of Energy Substrate Metabolism in Endurance Exercise
Alghannam, A. F., Ghaith, M. M., & Alhussain, M. H. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18094963 · Cited by 104 · see citing works
“It has been reported that increasing carbohydrate intake increases glycogen storage to a lesser extent in women when compared with men [84], albeit these observations are likely to be attributable to the difference in total energy intake [85].”
BackgroundInternational society of sports nutrition position stand: nutritional concerns of the female athlete
Sims, S. T., Kerksick, C. M., Smith-Ryan, A. E., Janse de Jonge, X. A. K., Hirsch, K. R., Arent, S. M., Hewlings, S. J., Kleiner, S. M., Bustillo, E., Tartar, J. L., et al. (2023) · Journal of the International Society of Sports Nutrition · doi:10.1080/15502783.2023.2204066 · Cited by 91 · see citing works
“resting muscle glycogen concentrations [182] or only documented a modest increase (13%) [186] compared to what is generally reported for male athletes (18–47%) [185,187– JOURNAL OF THE INTERNATIONAL SOCIETY OF SPORTS NUTRITION 401”
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McLay, R. T., Thomson, C. D., Williams, S. M., & Rehrer, N. J. (2007) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.17.2.189 · Cited by 76 · see citing works
Gender Differences in Carbohydrate Metabolism and Carbohydrate Loading
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- Authors
- Walker, J. L., Heigenhauser, G. J. F., Hultman, E., & Spriet, L. L.
- Affiliations
- University of Guelph (CA)
- McMaster University (CA)
- Division of Clinical Chemistry, Huddinge University Hospital, Huddinge S-141 86, Sweden
- ORCID
- Spriet, Lawrence L.
- Venue
- Journal of Applied Physiology
- Publisher
- American Physiological Society
- Published
- 2000-06-01
- Volume
- 88
- Issue
- 6
- Pages
- 2151-2158
- ISSN
- 0161-7567 (ISSN-L)
- 8750-7587
- 1522-1601
- OpenAlex
- W2171084521
- Cited by
- 105
- References
- 38
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 7 · 2023: 6 · 2022: 5 · 2021: 8 · 2020: 6 · 2019: 4 · 2018: 1 · 2017: 1 · 2016: 4 · 2015: 4 · 2014: 2 · 2013: 5 · 2012: 3
- FWCI
- 0.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Applied Physiology (publishedVersion)
- PubMed (publishedVersion)
- 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 › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- dietary carbohydrates, muscle glycogen, endurance performance, high-carbohydrate diet, menstrual cycle, luteal phase, eumenorrheic women, glycogen utilization, liver glycogen, cycling to exhaustion, sex differences, well-trained athletes
- MeSH terms
- Adult, Bicycling, Blood, Dietary Carbohydrates, Dietary Fats, Female, Glycogen, Hormones, Humans, Muscles, Oxidation-Reduction, Physical Education and Training, Physical Endurance
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