Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Mar 11;15(6):1367.
doi: 10.3390/nu15061367.

Carbohydrates and Endurance Exercise: A Narrative Review of a Food First Approach

Affiliations
Review

Carbohydrates and Endurance Exercise: A Narrative Review of a Food First Approach

Alireza Naderi et al. Nutrients. .

Abstract

Carbohydrate (CHO) supplements such as bars, gels, drinks and powders have become ubiquitous as effective evidence-based CHO sources that improve endurance exercise performance. However, athletes are increasingly turning to more cost-effective 'food-first' approaches for CHO ingestion to improve exercise performance. Mixed CHO foods including cooked lentils, oats, honey, raisins, rice, and potatoes are all effective pre-exercise CHO food sources. Caution is advised when selecting some of these foods as a primary CHO source, as some athletes may be prone to gastrointestinal discomfort-especially regarding those foods where the quantities required for recommended CHO intake may be voluminous (e.g., potatoes). Palatability may be another barrier to the ingestion of some of these CHO-rich foods. Although most of these CHO-rich foods appear effective for exercise performance or recovery when consumed pre- and post-exercise, not all are viable to ingest during exercise due to difficulties in the quantities required, transport, and/or gastrointestinal discomfort. Raisins, bananas and honey may be particularly useful CHO foods for consumption during exercise, as they are easily transportable. Athletes should trial CHO food sources before, during and/or following training before implementation during competition.

Keywords: carbohydrates; cycling; endurance athletes; exercise performance; running; sport foods.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Examples of food-first options for pre- and post-exercise carbohydrate (CHO) provision for a 70 kg individual. Pre-exercise options can be from various CHO food sources with varying glycaemic index (GI), while post-exercise CHO provision can be high-GI.
Figure 2
Figure 2
Amount (in g) of food sources that are required to achieve 30 g of carbohydrate (CHO). CHO dense foods such as honey, raisins and oats require far less total food than rice, bananas, pasta, potatoes or lentils to achieve 30 g of CHO.
Figure 3
Figure 3
Examples of supplementation-only, food-only, and a combination of the two to provide 90 g·h−1 of carbohydrate (CHO) during exercise. Athletes can choose to replace some, or all, of their supplemental CHO with food choices. Panel (A): Bananas. Panel (B): Honey.
Figure 4
Figure 4
Some pros and cons of a food-first approach to carbohydrate supplementation for endurance exercise.

References

    1. Jeukendrup A. A Step Towards Personalized Sports Nutrition: Carbohydrate Intake During Exercise. Sports Med. 2014;44:25–33. doi: 10.1007/s40279-014-0148-z. - DOI - PMC - PubMed
    1. Impey S.G., Hearris M.A., Hammond K.M., Bartlett J.D., Louis J., Close G.L., Morton J.P. Fuel for the Work Required: A Theoretical Framework for Carbohydrate Periodization and the Glycogen Threshold Hypothesis. Sports Med. 2018;1031:48. doi: 10.1007/s40279-018-0867-7. - DOI - PMC - PubMed
    1. Madsen K., Pedersen P., Rose P., Richter E.A. Carbohydrate Supercompensation and Muscle Glycogen Utilization During Exhaustive Running in Highly Trained Athletes. Eur. J. Appl. Physiol. Occup. Physiol. 1990;61:467–472. doi: 10.1007/BF00236069. - DOI - PubMed
    1. Sherman W.M., Costill D.L., Fink W.J., Miller J.M. Effect of Exercise-Diet Manipulation on Muscle Glycogen and Its Subsequent Utilization During Performance. Int. J. Sports Med. 1981;2:114–118. doi: 10.1055/s-2008-1034594. - DOI - PubMed
    1. Coyle E.F., Coggan A.R., Hemmert M.K., Ivy J.L. Muscle Glycogen Utilization During Prolonged Strenuous Exercise When Fed Carbohydrate. J. Appl. Physiol. 1986;61:165–172. doi: 10.1152/jappl.1986.61.1.165. - DOI - PubMed