Postexercise Muscle Glycogen Synthesis with Combined Glucose and Fructose Ingestion
Abstract
PURPOSE: To evaluate the efficacy of using combined glucose and fructose (GF) ingestion as a means to stimulate short-term (4 h) postexercise muscle glycogen synthesis compared to glucose only (G). METHODS: On two separate occasions, six endurance-trained men performed an exhaustive glycogen-depleting exercise bout followed by a 4-h recovery period. Muscle biopsy samples were obtained from the vastus lateralis muscle at 0, 1, and 4 h after exercise. Subjects ingested carbohydrate solutions containing G (90 g x h(-1)) or GF (G = 60 g x h(-1); F = 30 g x h(-1)) commencing immediately after exercise and every 30 min thereafter. RESULTS: Immediate postexercise muscle glycogen concentrations were similar in both trials (G = 128 +/- 25 mmol x kg(-1) dry muscle (dm) vs GF = 112 +/- 16 mmol x kg(-1) dm; P > 0.05). Total glycogen storage during the 4-h recovery period was 176 +/- 33 and 155 +/- 31 mmol x kg(-1) dm for G and GF, respectively (G vs GF, P > 0.05). Hence, mean muscle glycogen synthesis rates during the 4-h recovery period did not differ between the two conditions (G = 44 +/- 8 mmol x kg(-1) dm x h(-1) vs GF = 39 +/- 8 mmol x kg(-1) dm x h(-1), P > 0.05). Plasma glucose and serum insulin responses during the recovery period were similar in both conditions, although plasma lactate concentrations were significantly elevated during GF compared to G (by approximately 0.8 mmol x L(-1), P < 0.05). CONCLUSIONS: Glucose and glucose/fructose (2:1 ratio) solutions, ingested at a rate of 90 g x h(-1), are equally effective at restoring muscle glycogen in exercised muscles during the recovery from exhaustive exercise.
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Post-exercise lactate concentrations are greater following fructose-glucose co-ingestion than following glucose (polymers) only.
“Indeed, we (Fuchs et al. 2016; Trommelen et al. 2016) and others (Wallis et al. 2008; Rosset et al. 2017b) have previously observed greater post‐exercise lactate concentrations following fructose‐glucose co‐ingestion, compared to glucose (polymers) only.”
From Fructose co‐ingestion to increase carbohydrate availability in athletes (2019) · cites this paper as Wallis et al. 2008
Even with large, recommended carbohydrate ingestion rates (≥1.2 g/kg/h) provided at frequent intervals, there are no differences between the effects of ingestion of glucose (polymers) and fructose (sucrose) mixtures vs. glucose (polymers) alone on post-exercise muscle glycogen repletion rates.
“Based on these studies it can be concluded that even with large, recommended carbohydrate ingestion rates (≥1.2 g/kg/h) provided at frequent intervals, there are no differences between the effects of ingestion of glucose (polymers) and fructose (sucrose) mixtures vs. glucose (polymers) alone on post‐exercise muscle glycogen repletion rates (Wallis et al. 2008; Fuchs et al. 2016; Trommelen et al. 2”
From Fructose co‐ingestion to increase carbohydrate availability in athletes (2019) · cites this paper as Wallis et al. 2008
Ingesting 90 g of carbohydrate in a 2:1 ratio of glucose to fructose during a 4-h post-exercise recovery phase did not enhance muscle glycogen resynthesis compared with glucose alone.
“finding that ingesting 90 g of carbohydrate (~ 1.2 g·kg⁻1·h⁻1) in a 2:1 ratio of glucose to fructose during a 4-h post-exercise recovery phase did not enhance muscle glycogen resynthesis compared with glucose alone”
From Nutritional Strategies to Improve Post-exercise Recovery and Subsequent Exercise Performance: A Narrative Review (2025) · cites this paper as [21]
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References 35 · Cited by 51
- Authors
- WALLIS, G. A., HULSTON, C. J., MANN, C. H., ROPER, H. P., TIPTON, K. D., & JEUKENDRUP, A. E.
- Affiliations
- University of Birmingham (GB)
- Birmingham Women's Hospital (GB)
- Heartlands Hospital (GB)
- Venue
- Medicine & Science in Sports & Exercise
- Published
- 2008-10
- Volume
- 40
- Issue
- 10
- Pages
- 1789-1794
- ISSN
- 0195-9131 (ISSN-L)
- OpenAlex
- W2058416803
- Cited by
- 51
- References
- 35
- Citations by year
- 2025: 4 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 7 · 2019: 6 · 2018: 3 · 2017: 3 · 2016: 3 · 2015: 2 · 2014: 1 · 2013: 8 · 2012: 2
- FWCI
- 0.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medicine & Science in Sports & Exercise (publishedVersion)
- PubMed (publishedVersion)
- Stirling Online Research Repository (University of Stirling) (submittedVersion, public-domain)
- 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
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Keywords
- muscle glycogen synthesis, glucose, fructose, carbohydrate intake, post-exercise recovery, glycogen depletion, exhaustive exercise, plasma lactate, insulin response, plasma glucose, vastus lateralis, endurance-trained men
- MeSH terms
- Adult, Blood Glucose, Fatigue, Fructose, Glucose, Glycogen, Humans, Insulin, Lactates, Male, Exercise, Muscle, Skeletal
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