The DOI matches its Crossref record; 71 of the 71 references it cites were found in a registry or an index.
Human Muscle Glycogen Metabolism During Exercise: Effect of Carbohydrate Supplementation
Abstract
Carbohydrate (CHO) ingestion during exercise, in the form of CHO-electrolyte beverages, leads to performance benefits during prolonged submaximal and variable intensity exercise. However, the mechanism underlying this ergogenic effect is less clear. Euglycaemia and oxidation of blood glucose at high rates late in exercise and a decreased rate of muscle glycogen utilisation (i.e. glycogen 'sparing') have been proposed as possible mechanisms underlying the ergogenic effect of CHO ingestion. The prevalence of one or the other mechanism depends on factors such as the type and intensity of exercise, amount, type and timing of CHO ingestion, and pre-exercise nutritional and training status of study participants. The type and intensity of exercise and the effect of these on blood glucose, plasma insulin and catecholamine levels, may play a major role in determining the rate of muscle glycogen utilisation when CHO is ingested during exercise. The ingestion of CHO (except fructose) at a rate of > 45 g/h, accompanied by a significant increase in plasma insulin levels, could lead to decreased muscle glycogen utilisation (particularly in type I fibres) during exercise. Endurance training and alterations in pre-exercise muscle glycogen levels do not seem to affect exogenous glucose oxidation during submaximal exercise. Thus, at least during low intensity or intermittent exercise, CHO ingestion could result in reduced muscle glycogen utilisation in well trained individuals with high resting muscle glycogen levels. Further research needs to concentrate on factors that regulate glucose uptake and energy metabolism in different types of muscle fibres during exercise with and without CHO ingestion.
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“The mode of exercise and whether or not carbohydrates were ingested during exercise seem to be interrelated determinants of equal importance on utilising muscle glycogen during physical work [73].”
From Regulation of Energy Substrate Metabolism in Endurance Exercise (2021) · cites this paper as [73]
In the citing paper
“In contrast, the majority of cycling-based investigations suggest that this phenomenon is not likely to provide an ergogenic benefit when carbohydrates are ingested [73]”
From Regulation of Energy Substrate Metabolism in Endurance Exercise (2021) · cites this paper as [73]
Citations
Cites
Muscle glycogen utilization during prolonged strenuous exercise when fed carbohydrate
Coyle, E. F., Coggan, A. R., Hemmert, M. K., & Ivy, J. L. (1986) · Journal of Applied Physiology · doi:10.1152/jappl.1986.61.1.165 · Cited by 1,022
Influence of graded dehydration on hyperthermia and cardiovascular drift during exercise
Montain, S. J., & Coyle, E. F. (1992) · Journal of Applied Physiology · doi:10.1152/jappl.1992.73.4.1340 · Cited by 769
Muscle Glycogen during Prolonged Severe Exercise
Hermansen, L., Hultman, E., & Saltin, B. (1967) · Acta Physiologica Scandinavica · doi:10.1111/j.1748-1716.1967.tb03719.x · Cited by 752
Metabolic Characteristics of Fibre Types in Human Skeletal Muscle
Essén, B., Jansson, E., Henriksson, J., Taylor, A. W., & Saltin, B. (1975) · Acta Physiologica Scandinavica · doi:10.1111/j.1748-1716.1975.tb10038.x · Cited by 582
Carbohydrate feeding during prolonged strenuous exercise can delay fatigue
Coyle, E. F., Hagberg, J. M., Hurley, B. F., Martin, W. H., Ehsani, A. A., & Holloszy, J. O. (1983) · Journal of Applied Physiology · doi:10.1152/jappl.1983.55.1.230 · Cited by 487
A Study of the Glycogen Metabolism during Exercise in Man
Bergström, J., & Hultman, E. (1967) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.3109/00365516709090629 · Cited by 426
Reversal of fatigue during prolonged exercise by carbohydrate infusion or ingestion
Coggan, A. R., & Coyle, E. F. (1987) · Journal of Applied Physiology · doi:10.1152/jappl.1987.63.6.2388 · Cited by 392
Fluid and carbohydrate ingestion independently improve performance during 1 h of intense exercise
BELOW, P. R., MORA-RODR??GUEZ, R., GONZ??LEZ-ALONSO, J., & COYLE, E. F. (1995) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-199502000-00009 · Cited by 352
1 Carbohydrate Ingestion During Prolonged Exercise
Coggan, A. R., & Coyle, E. F. (1991) · Exercise and Sport Sciences Reviews · doi:10.1249/00003677-199101000-00001 · Cited by 293
Carbohydrate feedings before, during, or in combination improve cycling endurance performance
Wright, D. A., Sherman, W. M., & Dernbach, A. R. (1991) · Journal of Applied Physiology · doi:10.1152/jappl.1991.71.3.1082 · Cited by 259
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Lopes, A. M., Rios, M. J., Beleza, J., Carvalho, D., Monteiro, S. B., Montanha, T., Martins, S., Guimarães, J. T., Fernandes, R. J., Magalhães, J., et al. (2023) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) · Cited by 7
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The performance effect of early versus late carbohydrate feedings during prolonged exercise
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Notbohm, H. L., Feuerbacher, J. F., Papendorf, F., Friese, N., Jacobs, M. W., Predel, H., Zacher, J., Bloch, W., & Schumann, M. (2021) · Journal of the International Society of Sports Nutrition · doi:10.1186/s12970-021-00439-z · Cited by 8
Arévalo, C. (2013) · Informes de la Construcción · doi:10.3989/ic.12.006 · Cited by 8
Metabolic and Performance Responses to Carbohydrate Intake During Exercise
Vargas, A. (2000) · Nutrition in exercise and sport · doi:10.1201/9781420037180.ch6 · Cited by 6
Sanz, J. D. S., Díaz, I. M., Casado, C. M., Poncela, A. V., & Lorenzana, A. (2013) · Informes de la Construcción · doi:10.3989/ic.12.025 · Cited by 7
Quirino, E. L. D. O., Gonçalves, M. D. C. R., de Oliveira, C. V. C., dos Santos, E. P., & Silva, A. S. (2012) · Sport Sciences for Health · doi:10.1007/s11332-012-0119-4 · Cited by 5
NUTRITION NEEDS FOR TEAM SPORT
Williams, C., & Nicholas, C. W. (1998) · Cited by 5
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Pitt, J. P., Bracken, R. M., Scott, S. N., Fontana, F. Y., Skroče, K., & McCarthy, O. M. (2022) · Journal of Sports Sciences · doi:10.1080/02640414.2022.2118944 · Cited by 4
Ahmad, N. S., Ooi, F. K., Ismail, M. S., & Mohamed, M. (2015) · Asian Journal of Sports Medicine · doi:10.5812/asjsm.6(2)2015.24044 · Cited by 4
Nutrient Timing for Resistance Exercise
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Samsani, A. N. M., Foong, K., Chen, C. K., & Ismail, M. S. (2021) · Sains Malaysiana · doi:10.17576/jsm-2021-5008-13 · Cited by 5
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Giesel, V. T., Reche, M., Pizzolato, L. S., de Araújo, L. C., Scalco, R., Corleta, H. V. E., & Capp, E. (2008) · Growth Hormone & IGF Research · doi:10.1016/j.ghir.2008.08.008 · Cited by 3
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[Evaluation of the seriousness of acute pancreatitis].
Martínez, J., & Pérez‐Mateo, M. (2004) · PubMed · Cited by 2
The effect of carbohydrate mouth rinse on a 30-minute arm cranking performance
Andersson, H., SINCLAIR, J. K., Knight, A., Buscombe, R. M., Edmonds, C. J., & Bottoms, L. M. (2016) · Comparative Exercise Physiology · doi:10.3920/cep150032 · Cited by 2
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Koehler, K. (2016) · Springer eBooks · doi:10.1007/978-3-319-29728-6_3 · Cited by 2
Zhang, P., Gu, Z., Xu, K., Zhao, Y., Chen, G., & Dai, J. (2026) · Frontiers in Physiology · doi:10.3389/fphys.2026.1746392 · Cited by 1
Wee, S. L., Williams, C., Tsintzas, K., Boobis, L., Stevenson, E., Astbury, N. M., Simpson, E. J., Taylor, M. A., Technol, S., Chlup, R., et al. (2006) · Cited by 1
Self-citationWelikonich, M. J., Nagle, E. F., Goss, F. L., Robertson, R. J., & Crawford, K. (2011) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000401616.33013.0d · Cited by 1
Endocrine and Metabolic Responses to Exercise
Tsintzas, K., & Macdonald, I. A. (2012) · Springer eBooks · doi:10.1007/978-0-85729-754-9_1 · Cited by 1
Self-citationCarbohydrates plus protein reduces oxidative stress after single bout of aerobic exercise
Ferreira, D. D. S., Toscano, L. T., Rocha, L. L. L., Cerqueira, G. S., de França, A. C. L., dos Santos, M. A. P., & Silva, A. S. (2017) · Journal of Human Sport and Exercise · doi:10.14198/jhse.2017.124.07 · Cited by 1
Zehr, R. (2019) · Scholarship@Western (Western University) · Cited by 1
Little, J. P. (2007) · University Library - University of Saskatchewan (University of Saskatchewan) · Cited by 1
Vera, S. (2022) · Digital Archive @ GSU · doi:10.57709/4295930 · Cited by 1
Walker, C. (2014) · ChesterRep (University of Chester) · Cited by 1
Effects Of Carbohydrate Supplementation On Variable-intensity Exercise Responses In Boys And Men
Pitchford, L. M., Craft, K. A., & Mahon, A. D. (2010) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000385616.18106.17
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Williams, C. (2001) · KARGER eBooks · doi:10.1159/000059807
Self-citationde Sousa, M. V. (2010) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.5.2010.tde-23032011-180416
Carbohydrate intake and metabolism during prolonged endurance exercise
Pfeiffer, B. (2010) · University of Birmingham Institutional Research Archive (University of Birmingham)
Prumm, K. T. (2014) · Tuwhera (Auckland University of Technology)
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Bottoms, L. M., Westhead, R., Evans, J., Blyth, J., Sleet, T., & SINCLAIR, J. K. (2014) · Comparative Exercise Physiology · doi:10.3920/cep140018
Warrick, E., King, R. F., & O'Hara, J. P. (2009) · Journal of the International Society of Sports Nutrition · doi:10.1186/1550-2783-6-s1-p15
oxidation during prolonged treadmill running C)glucose and endogenous energy substrate
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Palmer, G. S., Borghouts, L. B., Noakes, T. D., & Hawley, J. A. (2015)
running and cycling Effect of carbohydrate ingestion on metabolism during
Hawley, J. A., Bruce, C. R., GARNHAM, A. P., Ramaekers, M., Hespel, P., Proeyen, K. V., Szlufcik, K., Nielens, H., Deldicque, L., Dyck, R. V., et al. (2015)
Wee, S. L. (1999) · Loughborough University Institutional Repository (Loughborough University)
Rieth, N., Brésillion, S., Piton, A., Pérès, G., & Billat, V. L. (2001) · Science & Sports · doi:10.1016/s0765-1597(00)00036-8
Campbell, B. I. (2013) · CRC Press eBooks · doi:10.1201/b16045-8
Laskuvarjojääkärikomppanian varusmiesten hyppyperuskoulutuskurssin fyysinen kuormittavuus
Kalliomaa, R. (2014) · Doria (University of Helsinki)
Abbey, E. L. (2009) · VTechWorks (Virginia Tech)
The ergogenic effects of glucose and fructose coingestion during prolonged cycling
Baur, D. (2013) · JMU Scholoraly Commons (James Madison University)
Nutrition, Hydration, Metabolism, and Thinness
Glace, B. (2008) · Orthopaedic Section, APTA, Inc. eBooks · doi:10.17832/isc.2008.18.3.2
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Tanaka, M., Umeda, T., Takahashi, I., Kasai, R., Matsuda, M., Iwane, K., Okubo, N., Wada, N. A., Iwabuchi, K., & Nakaji, S. (2013) · Institutional Repositories DataBase (IRDB)
King, A. J., Mellor, A. J., & O'Hara, J. P. (2019) · Journal of The Royal Naval Medical Service · doi:10.1136/jrnms-105-34
Nutrient Timing Programs in Sport: A Case Study Approach
Kerksick, C. M. (2011) · CRC Press eBooks · doi:10.1201/b11210-18
Péronnet, F., & Bourdon, É. (2007) · Springer eBooks · doi:10.1007/978-2-287-33475-7_37
La dieta chetogenica nella preservazione della massa muscolare
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전, 유., & 여, 효. (2025) · 한국체육학회지 · doi:10.23949/kjpe.2025.9.64.5.20
Bradshaw, L., Moreno‐Cabañas, A., Spellanzon, B., Hutchins, K., Collins, A. J., Buniam, J., der Stede, T. V., Mallinson, J. E., Tsintzas, K., Derave, W., et al. (2026) · The Journal of Physiology · doi:10.1113/jp290897
Self-citation
Metadata
- Authors
- Tsintzas, K., & Williams, C.
- Affiliations
- Loughborough University (GB)
- Corresponding author
- Tsintzas, Kostas
- ORCID
- Tsintzas, Kostas
- Venue
- Sports Medicine
- Published
- 1998
- Volume
- 25
- Issue
- 1
- Pages
- 7-23
- ISSN
- 0112-1642 (ISSN-L)
- OpenAlex
- W2056589074
- Cited by
- 161
- References
- 71
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 5 · 2020: 5 · 2019: 4 · 2018: 3 · 2017: 2 · 2016: 4 · 2015: 14 · 2014: 7 · 2013: 10 · 2012: 5
- FWCI
- 1.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sports Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Muscle metabolism and nutrition
- Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Keywords
- muscle glycogen metabolism, carbohydrate intake, ergogenic aids, glycogen sparing, normoglycemia, plasma insulin, catecholamines, muscle fiber type, endurance training, submaximal exercise, intermittent exercise, glucose uptake
- MeSH terms
- Beverages, Bicycling, Blood Glucose, Catecholamines, Dietary Carbohydrates, Electrolytes, Energy Metabolism, Physical Exertion, Fructose, Glucose, Glycogen, Humans, Insulin, Nutritional Status, Oxidation-Reduction, Physical Endurance, Physical Fitness, Running, Muscle, Skeletal, Muscle Fibers, Slow-Twitch, Dietary Supplements
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