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Regulation of Muscle Glycogen Metabolism during Exercise: Implications for Endurance Performance and Training Adaptations
Open accessAbstract
Since the introduction of the muscle biopsy technique in the late 1960s, our understanding of the regulation of muscle glycogen storage and metabolism has advanced considerably. Muscle glycogenolysis and rates of carbohydrate (CHO) oxidation are affected by factors such as exercise intensity, duration, training status and substrate availability. Such changes to the global exercise stimulus exert regulatory effects on key enzymes and transport proteins via both hormonal control and local allosteric regulation. Given the well-documented effects of high CHO availability on promoting exercise performance, elite endurance athletes are typically advised to ensure high CHO availability before, during and after high-intensity training sessions or competition. Nonetheless, in recognition that the glycogen granule is more than a simple fuel store, it is now also accepted that glycogen is a potent regulator of the molecular cell signaling pathways that regulate the oxidative phenotype. Accordingly, the concept of deliberately training with low CHO availability has now gained increased popularity amongst athletic circles. In this review, we present an overview of the regulatory control of CHO metabolism during exercise (with a specific emphasis on muscle glycogen utilization) in order to discuss the effects of both high and low CHO availability on modulating exercise performance and training adaptations, respectively.
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“Mechanistically, low initial muscle glycogen reduces substrate availability by limiting glycogen phosphorylase activity and indirectly downregulates carbohydrate oxidation via reduced activation of pyruvate dehydrogenase (78).”
From Carbohydrate ingestion during prolonged exercise and net skeletal muscle glycogen utilization: A meta-analysis. (2026) · cites this paper as [78]
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“Glycogen is currently not only considered an energy substrate but also a regulator of the signaling pathways that regulate exercise-induced adaptations.”
From Carbohydrate Availability and Physical Performance: Physiological Overview and Practical Recommendations (2019) · cites this paper as [13]
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The Governor has a sweet tooth – Mouth sensing of nutrients to enhance sports performance
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Akerstrom, T. C. A., Birk, J. B., Klein, D. K., Erikstrup, C., Plomgaard, P., Pedersen, B. K., & Wojtaszewski, J. F. P. (2006) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2006.02.057 · Cited by 75
Oxidation of Solid versus Liquid CHO Sources during Exercise
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Human skeletal muscle pyruvate dehydrogenase kinase activity increases after a low-carbohydrate diet
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Marchand, I., Tarnopolsky, M., Adamo, K. B., Bourgeois, J. M., Chorneyko, K., & Graham, T. E. (2007) · The Journal of Physiology · doi:10.1113/jphysiol.2006.122457 · Cited by 71
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The regulation of muscle glycogen: the granule and its proteins
Graham, T. E., Yuan, Z., Hill, A. K., & Wilson, R. J. (2010) · Acta Physiologica · doi:10.1111/j.1748-1716.2010.02131.x · Cited by 69
CHO Oxidation from a CHO Gel Compared with a Drink during Exercise
Pfeiffer, B., Stellingwerff, T., Zaltas, E., & Jeukendrup, A. E. (2010) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181e0efe6 · Cited by 69
Effect of carbohydrate ingestion on metabolism during running and cycling
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Kasper, A. M., Cocking, S., Cockayne, M., Barnard, M., Tench, J., Parker, L., McAndrew, J., Langan‐Evans, C., Close, G. L., & Morton, J. P. (2016) · European Journal of Sport Science · doi:10.1080/17461391.2015.1041063 · Cited by 61
Self-citationMeasurement of gluconeogenesis in exercising men by mass isotopomer distribution analysis
Trimmer, J. K., Schwarz, J., Casazza, G. A., Horning, M. A., Rodriguez, N., & Brooks, G. A. (2002) · Journal of Applied Physiology · doi:10.1152/japplphysiol.01050.2001 · Cited by 58
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No superior adaptations to carbohydrate periodization in elite endurance athletes
GEJL, K. D., THAMS, L. B., HANSEN, M., ROKKEDAL-LAUSCH, T., PLOMGAARD, P., NYBO, L., LARSEN, F. J., CARDINALE, D. A., JENSEN, K., HOLMBERG, H.-C., et al. (2017) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000001377 · Cited by 57
Effects of 7 wk of endurance training on human skeletal muscle metabolism during submaximal exercise
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Glycogen Content of Individual Muscle Fibres in Man
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Self-citationThe impact of sleeping with reduced glycogen stores on immunity and sleep in triathletes
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Carbohydrate mouth rinsing has no effect on power output during cycling in a glycogen-reduced state
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Zhang, X., O’Kennedy, N., & Morton, J. P. (2015) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.2014-0215 · Cited by 10
Self-citation
Flagged first, then by citations
1 of the 120 references couldn’t be matched to a known paper.
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Egan, B., & Sharples, A. P. (2023) · Physiological Reviews · doi:10.1152/physrev.00054.2021 · Cited by 278
Muscle Glycogen Metabolism and High-Intensity Exercise Performance: A Narrative Review
Vigh-Larsen, J. F., Ørtenblad, N., Spriet, L. L., Overgaard, K., & Mohr, M. (2021) · Sports Medicine · doi:10.1007/s40279-021-01475-0 · Cited by 169
Gut-Muscle Axis Exists and May Affect Skeletal Muscle Adaptation to Training
Przewłócka, K., Folwarski, M., Kaźmierczak-Siedlecka, K., Skonieczna‐Żydecka, K., & Kaczor, J. J. (2020) · Nutrients · doi:10.3390/nu12051451 · Cited by 166
Exercise-induced oxidative stress and melatonin supplementation: current evidence
Kruk, J., Aboul-Enein, B., & Duchnik, E. (2021) · Journal of Physiological Sciences · doi:10.1186/s12576-021-00812-2 · Cited by 125
Burke, L. M., Hawley, J. A., Jeukendrup, A., Morton, J. P., Stellingwerff, T., & Maughan, R. J. (2018) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.2018-0289 · Cited by 132
Self-citation
Metadata
- Authors
- Hearris, M., Hammond, K., Fell, J., & Morton, J.
- Affiliations
- Liverpool John Moores University (GB)
- Corresponding author
- Morton, James
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2018-03-02
- Volume
- 10
- Issue
- 3
- Pages
- 298
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC5872716
- OpenAlex
- W2792934062
- Cited by
- 252
- References
- 120
- Citations by year
- 2026: 30 · 2025: 31 · 2024: 34 · 2023: 26 · 2022: 38 · 2021: 40 · 2020: 27 · 2019: 17 · 2018: 9
- FWCI
- 2.61
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Liverpool John Moores University (acceptedVersion)
- e-space (Manchester Metropolitan University) (acceptedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- GlaxoSmithKline
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Muscle metabolism and nutrition
- Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Keywords
- muscle glycogen metabolism, glycogenolysis, carbohydrate oxidation, endurance performance, training effects, carbohydrate availability, glycogen storage, allosteric regulation, hormonal regulation, exercise intensity
- MeSH terms
- Adaptation, Physiological, Animals, Dietary Carbohydrates, Energy Metabolism, Glycogen, Humans, Muscle Contraction, Oxidation-Reduction, Phenotype, Physical Endurance, Signal Transduction, Muscle, Skeletal, Diet, Carbohydrate-Restricted
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