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Open Access 09-07-2022 | Systematic Review

The Ergogenic Effects of Acute Carbohydrate Feeding on Resistance Exercise Performance: A Systematic Review and Meta-analysis

Authors: Andrew King, Eric Helms, Caryn Zinn, Ivan Jukic

Published in: Sports Medicine | Issue 11/2022

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Abstract

Background

Carbohydrate (CHO) ingestion has an ergogenic effect on endurance training performance. Less is known about the effect of acute CHO ingestion on resistance training (RT) performance and equivocal results are reported in the literature.

Objective

The current systematic review and meta-analysis sought to determine if and to what degree CHO ingestion influences RT performance.

Methods

PubMed, MEDLINE, SportDiscus, Scopus, and CINAHL databases were searched for peer-reviewed articles written in English that used a cross-over design to assess the acute effect of CHO ingestion on RT performance outcomes (e.g., muscle strength, power, and endurance) in healthy human participants compared to a placebo or water-only conditions. The Cochrane Collaboration’s risk of bias tool and GRADE approaches were used to assess risk of bias and certainty of evidence, respectively. Random effects meta-analyses were performed for total training session volume and post-exercise blood lactate and glucose. Sub-group meta-analysis and meta-regression were performed for categorical (session and fast durations) and continuous (total number of maximal effort sets, load used, and CHO dose) covariates, respectively.

Results

Twenty-one studies met the inclusion criteria (n = 226 participants). Pooled results revealed a significant benefit of CHO ingestion in comparison to a placebo or control for total session training volume (standardised mean difference [SMD] = 0.61). Sub-group analysis revealed a significant benefit of CHO ingestion during sessions longer than 45 min (SMD = 1.02) and after a fast duration of 8 h or longer (SMD = 0.39). Pooled results revealed elevated post-exercise blood lactate (SMD = 0.58) and blood glucose (SMD = 2.36) with CHO ingestion. Meta-regression indicated that the number of maximal effort sets, but not CHO dose or load used, moderates the effect of CHO ingestion on RT performance (beta co-efficient [b] = 0.11). Carbohydrate dose does not moderate post-exercise lactate accumulation nor do maximal effort sets completed, load used, and CHO dose moderate the effect of CHO ingestion on post-exercise blood glucose.

Conclusions

Carbohydrate ingestion has an ergogenic effect on RT performance by enhancing volume performance, which is more likely to occur when sessions exceed 45 min and where the fast duration is ≥ 8 h. Further, the effect is moderated by the number of maximal effort sets completed, but not the load used or CHO dose. Post-exercise blood lactate is elevated following CHO ingestion but may come at the expense of an extended time-course of recovery due to the additional training volume performed. Post-exercise blood glucose is elevated when CHO is ingested during RT, but it is presently unclear if it has an impact on RT performance.

Protocol Registration

The original protocol was prospectively registered on the Open Science Framework (Project identifier: https://​doi.​org/​10.​17605/​OSF.​IO/​HJFBW).
Appendix
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Literature
1.
Romijn J, Coyle E, Sidossis L, Gastaldelli A, Horowitz J, Endert E, et al. Regulation of endogenous fat and carbohydrate metabolism in relation to exercise intensity and duration. Am J Physiol Endocrinol Metab. 1993;265(3):E380–91.CrossRef
2.
van Loon LJ, Greenhaff PL, Constantin-Teodosiu D, Saris WH, Wagenmakers AJ. The effects of increasing exercise intensity on muscle fuel utilisation in humans. J Physiol. 2001;536(1):295–304.PubMedPubMedCentralCrossRef
3.
Vigh-Larsen JF, Ørtenblad N, Spriet LL, Overgaard K, Mohr M. Muscle glycogen metabolism and high-intensity exercise performance: a narrative review. Sports Med. 2021;51(9):1855–74.PubMedCrossRef
4.
Kraemer WJ, Ratamess NA, French DN. Resistance training for health and performance. Curr Sports Med Rep. 2002;1(3):165–71.PubMedCrossRef
5.
Ormsbee MJ, Bach CW, Baur DA. Pre-exercise nutrition: the role of macronutrients, modified starches and supplements on metabolism and endurance performance. Nutrients. 2014;6(5):1782–808.PubMedPubMedCentralCrossRef
6.
Cermak NM, van Loon LJ. The use of carbohydrates during exercise as an ergogenic aid. Sports Med. 2013;43(11):1139–55.PubMedCrossRef
7.
Rothschild JA, Kilding AE, Plews DJ. What should I eat before exercise? Pre-exercise nutrition and the response to endurance exercise: Current prospective and future directions. Nutrients. 2020;12(11):3473.PubMedCentralCrossRef
8.
Cholewa JM, Newmire DE, Zanchi NE. Carbohydrate restriction: friend or foe of resistance-based exercise performance? Nutrition. 2019;60:136–46.PubMedCrossRef
9.
Egan B, Zierath JR. Exercise metabolism and the molecular regulation of skeletal muscle adaptation. Cell Metab. 2013;17(2):162–84.PubMedCrossRef
10.
Hargreaves M, Spriet LL. Skeletal muscle energy metabolism during exercise. Nat Metab. 2020;2(9):817–28.PubMedCrossRef
11.
Koopman R, Manders RJ, Jonkers RA, Hul GB, Kuipers H, van Loon LJ. Intramyocellular lipid and glycogen content are reduced following resistance exercise in untrained healthy males. Eur J Appl Physiol. 2006;96(5):525–34.PubMedCrossRef
12.
MacDougall JD, Ray S, Sale DG, McCartney N, Lee P, Garner S. Muscle substrate utilization and lactate production during weightlifting. Can J Appl Physiol. 1999;24(3):209–15.PubMedCrossRef
13.
Tesch PA, Colliander EB, Kaiser P. Muscle metabolism during intense, heavy-resistance exercise. Eur J Appl Physiol Occup Physiol. 1986;55(4):362–6.PubMedCrossRef
14.
Pascoe D, Costill DL, Fink WJ, Robergs RA, Zachweija JJ. Glycogen resynthesis in skeletal muscle following resistive exercise. Med Sci Sports Exerc. 1993;25:349–54.PubMedCrossRef
15.
Robergs RA, Pearson DR, Costill DL, Fink WJ, Pascoe DD, Benedict MA, et al. Muscle glycogenolysis during differing intensities of weight-resistance exercise. J Appl Physiol. 1991;70(4):1700–6.PubMedCrossRef
16.
Ørtenblad N, Nielsen J. Muscle glycogen and cell function–location, location, location. Scand J Med Sci Sports. 2015;25:34–40.PubMedCrossRef
17.
Nielsen J, Schrøder H, Rix C, Ørtenblad N. Distinct effects of subcellular glycogen localization on tetanic relaxation time and endurance in mechanically skinned rat skeletal muscle fibres. J Physiol. 2009;587(14):3679–90.PubMedPubMedCentralCrossRef
18.
Ørtenblad N, Nielsen J, Saltin B, Holmberg HC. Role of glycogen availability in sarcoplasmic reticulum Ca2+ kinetics in human skeletal muscle. J Physiol. 2011;589(3):711–25.PubMedCrossRef
19.
Nielsen J, Cheng AJ, Ørtenblad N, Westerblad H. Subcellular distribution of glycogen and decreased tetanic Ca2+ in fatigued single intact mouse muscle fibres. J Physiol. 2014;592(9):2003–12.PubMedPubMedCentralCrossRef
20.
Hokken R, Laugesen S, Aagaard P, Suetta C, Frandsen U, Ørtenblad N, et al. Subcellular localization-and fibre type-dependent utilization of muscle glycogen during heavy resistance training in elite power and weightlifters. Acta Physiol. 2020;231(2): e13561.
21.
Knapik JJ, Meredith CN, Jones BH, Suek L, Young VR, Evans WJ. Influence of fasting on carbohydrate and fat metabolism during rest and exercise in men. J App Physiol. 1988;64(5):1923–9.CrossRef
22.
Rothman DL, Magnusson I, Katz LD, Shulman RG, Shulman GI. Quantitation of hepatic glycogenolysis and gluconeogenesis in fasting humans with 13C NMR. Science. 1991;254(5031):573–6.PubMedCrossRef
23.
Nilsson LH, Hultman E. Liver glycogen in man–the effect of total starvation or a carbohydrate-poor diet followed by carbohydrate refeeding. Scand J Clin Lab Invest. 1973;32(4):325–30.PubMedCrossRef
24.
Chryssanthopoulos C, Williams C, Nowitz A, Bogdanis G. Skeletal muscle glycogen concentration and metabolic responses following a high glycaemic carbohydrate breakfast. J Sports Sci. 2004;22(11–12):1065–71.PubMedCrossRef
25.
Wee S-L, Williams C, Tsintzas K, Boobis L. Ingestion of a high-glycemic index meal increases muscle glycogen storage at rest but augments its utilization during subsequent exercise. J App Physiol. 2005;99(2):707–14.CrossRef
26.
Taylor R, Price T, Katz L, Shulman R, Shulman G. Direct measurement of change in muscle glycogen concentration after a mixed meal in normal subjects. Am J Physiol Endocrinol Metab. 1993;265(2):E224–9.CrossRef
27.
Coyle EF, Coggan A, Hemmert M, Lowe R, Walters T. Substrate usage during prolonged exercise following a preexercise meal. J App Physiol. 1985;59(2):429–33.CrossRef
28.
Haff GG, Lehmkuhl MJ, McCoy LB, Stone MH. Carbohydrate supplementation and resistance training. J Strength Cond Res. 2003;17(1):187–96.PubMed
29.
Jeukendrup AE. Carbohydrate intake during exercise and performance. Nutrition. 2004;20(7–8):669–77.PubMedCrossRef
30.
Chambers E, Bridge M, Jones D. Carbohydrate sensing in the human mouth: effects on exercise performance and brain activity. J Physiol. 2009;587(8):1779–94.PubMedPubMedCentralCrossRef
31.
Gant N, Stinear CM, Byblow WD. Carbohydrate in the mouth immediately facilitates motor output. Brain Res. 2010;1350:151–8.PubMedCrossRef
32.
Laurenson DM, Dubé DJ. Effects of carbohydrate and protein supplementation during resistance exercise on respiratory exchange ratio, blood glucose, and performance. J Clin Transl Endocrinol. 2015;2(1):1–5.PubMed
33.
Aoki MS, Pontes FL Jr, Navarro F, Uchida MC, Bacurau RFP. Carbohydrate supplementation fails to revert the deleterious effects of endurance exercise upon subsequent strength performance. Rev Bras Med Esporte. 2003;9(5):288–92.
34.
Haff G, Koch A, Potteiger J, Kuphal K, Magee L, Green S, et al. Carbohydrate supplementation attenuates muscle glycogen loss during acute bouts of resistance exercise. Int J Sport Nutr Exerc Metab. 2000;10(3):326–39.PubMedCrossRef
35.
Haff G, Schroeder C, Koch A, Kuphal K, Comeau M, Potteiger J. The effects of supplemental carbohydrate ingestion on intermittent isokinetic leg exercise. J Sports Med Phys Fitness. 2001;41(2):216–22.PubMed
36.
Fairchild TJ, Dillon P, Curtis C, Dempsey AR. Glucose ingestion does not improve maximal isokinetic force. J Strength Cond Res. 2016;30(1):194–9.PubMedCrossRef
37.
Vincent K, Clarkson P, Freedson P, DeCheke M. Effect of a pre-exercise liquid, high carbohydrate feeding on resistance exercise performance. Med Sci Sports Exerc. 1993;25(5):S194.CrossRef
38.
Haff G, Stone M, Warren B, Keith R, Johnson R, Nieman D, et al. The effect of carbohydrate supplementation on multiple sessions and bouts of resistance exercise. J Strength Cond Res. 1999;13(2):111–7.
39.
Lambert CP, Flynn MG, Boone JB Jr, Michaud TJ, Rodriguez-Zayas J. Effects of carbohydrate feeding on multiple-bout resistance exercise. J Strength Cond Res. 1991;5(4):192–7.
40.
Krings B, Rountree J, McAllister M, Cummings P, Peterson T, Fountain B, et al. Effects of acute carbohydrate ingestion on anaerobic exercise performance. J Int Soc Sports Nutr. 2016;13(1):40.PubMedPubMedCentralCrossRef
41.
Smith JW, Krings BM, Shepherd BD, Waldman HS, Basham SA, McAllister MJ. Effects of carbohydrate and branched-chain amino acid beverage ingestion during acute upper body resistance exercise on performance and postexercise hormone response. Appl Physiol Nutr Metab. 2018;43(5):504–9.PubMedCrossRef
42.
Kulik JR, Touchberry CD, Kawamori N, Blumert PA, Crum AJ, Haff GG. Supplemental carbohydrate ingestion does not improve performance of high-intensity resistance exercise. J Strength Cond Res. 2008;22(4):1101–7.PubMedCrossRef
43.
Wilburn DT, Machek SB, Cardaci TD, Hwang PS, Willoughby DS. Acute maltodextrin supplementation during resistance exercise. J Sports Sci Med. 2020;19(2):282–8.PubMedPubMedCentral
44.
Wax B, Brown SP, Webb HE, Kavazis AN. Effects of carbohydrate supplementation on force output and time to exhaustion during static leg contractions superimposed with electromyostimulation. J Strength Cond Res. 2012;26(6):1717–23.PubMedCrossRef
45.
Wax B, Kavazis AN, Brown SP. Effects of supplemental carbohydrate ingestion during superimposed electromyostimulation exercise in elite weightlifters. J Strength Cond Res. 2013;27(11):3084–90.PubMedCrossRef
46.
Oliver JM, Almada AL, Van Eck LE, Shah M, Mitchell JB, Jones MT, et al. Ingestion of high molecular weight carbohydrate enhances subsequent repeated maximal power: a randomized controlled trial. PLoS ONE. 2016;11(9):e0163009.PubMedPubMedCentralCrossRef
47.
Henselmans M, Bjørnsen T, Hedderman R, Vårvik F. The effect of carbohydrate intake on strength and resistance training performance: a systematic review. Nutrients. 2022;14(4):856.PubMedPubMedCentralCrossRef
48.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372: n71.PubMedPubMedCentralCrossRef
49.
Sterne JAC, Savović J, Page MJ, Elbers RG, Blencowe NS, Boutron I, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ. 2019;366: l4898.PubMedCrossRef
50.
51.
Thomas D, Erdman K, Burke L. Position of the academy of nutrition and dietetics, dietitians of Canada, and the American College of Sports Medicine: nutrition and athletic performance. J Acad Nutr Diet. 2016;116(3):501–28.PubMedCrossRef
52.
53.
Atkins D, Best D, Briss PA, Eccles M, Falck-Ytter Y, Flottorp S, et al. Grading quality of evidence and strength of recommendations. BMJ. 2004;328(7454):1490.PubMedCrossRef
54.
Miller JR, Van Hooren B, Bishop C, Buckley JD, Willy RW, Fuller JT. A systematic review and meta-analysis of crossover studies comparing physiological, perceptual and performance measures between treadmill and overground running. Sports Med. 2019;49(5):763–82.PubMedCrossRef
55.
Jukic I, García Ramos A, Helms E, McGuigan M, Tufano J. Acute effects of cluster and rest redistribution set structures on mechanical, metabolic, and perceptual fatigue during and after resistance training: a systematic review and meta-analysis. Sports Med. 2020;50(12):2209–36.PubMedCrossRef
56.
Jukic I, Van Hooren B, Ramos AG, Helms ER, McGuigan MR, Tufano JJ. The effects of set structure manipulation on chronic adaptations to resistance training: a Systematic review and meta-analysis. Sports Med. 2021;51(5):1061–86.PubMedCrossRef
57.
58.
Schwarzer G, Carpenter JR, Rücker G. Meta-analysis with R. New York: Springer; 2015.CrossRef
59.
Viechtbauer W. Conducting meta-analyses in R with the metafor package. J Stat Softw. 2010;36(3):1–48.CrossRef
60.
Veroniki AA, Jackson D, Viechtbauer W, Bender R, Bowden J, Knapp G, et al. Methods to estimate the between-study variance and its uncertainty in meta-analysis. Res Synth Methods. 2016;7(1):55–79.PubMedCrossRef
61.
Knapp G, Hartung J. Improved tests for a random effects meta-regression with a single covariate. Stat Med. 2003;22(17):2693–710.PubMedCrossRef
62.
IntHout J, Ioannidis JP, Borm GF. The Hartung-Knapp-Sidik-Jonkman method for random effects meta-analysis is straightforward and considerably outperforms the standard DerSimonian-Laird method. BMC Med Res Methodol. 2014;14(1):1–12.CrossRef
63.
Borenstein M, Hedges LV, Higgins JP, Rothstein HR. Introduction to meta-analysis. New York: Wiley; 2011.
64.
Cohen J. Statistical power analysis for the behavioral sciences. New York: Academic press; 1988.
65.
Fu R, Gartlehner G, Grant M, Shamliyan T, Sedrakyan A, Wilt TJ, et al. Conducting quantitative synthesis when comparing medical interventions: AHRQ and the Effective Health Care Program. J Clin Epidemiol. 2011;64(11):1187–97.PubMedCrossRef
66.
67.
68.
Chandler J, Cumpston M, Li T, Page M, Welch V. Cochrane handbook for systematic reviews of interventions. Hoboken: Wiley; 2019.
69.
Rountree JA, Krings BM, Peterson TJ, Thigpen AG, McAllister MJ, Holmes ME, et al. Efficacy of carbohydrate ingestion on crossfit exercise performance. Sports. 2017;5(3):61.PubMedCentralCrossRef
70.
71.
Ballard TP, Melby CL, Camus H, Cianciulli M, Pitts J, Schmidt S, et al. Effect of resistance exercise, with or without carbohydrate supplementation, on plasma ghrelin concentrations and postexercise hunger and food intake. Metab Clin Exp. 2009;58(8):1191–9.PubMedCrossRef
72.
73.
Bird SP, Mabon T, Pryde M, Feebrey S, Cannon J. Triphasic multinutrient supplementation during acute resistance exercise improves session volume load and reduces muscle damage in strength-trained athletes. Nutr Res. 2013;33(5):376–87.PubMedCrossRef
74.
Bin Naharudin MN, Yusof A, Shaw H, Stockton M, Clayton DJ, James LJ. Breakfast omission reduces subsequent resistance exercise performance. J Strength Cond Res. 2019;33(7):1766–72.PubMedCrossRef
75.
Naharudin M, Adams J, Richardson H, Thomson T, Oxinou C, Marshall C, et al. Viscous placebo and carbohydrate breakfasts similarly decrease appetite and increase resistance exercise performance compared to a control breakfast in trained males. Br J Nutr. 2020;124:1–25.CrossRef
76.
Pöchmüller M, Schwingshackl L, Colombani PC, Hoffmann G. A systematic review and meta-analysis of carbohydrate benefits associated with randomized controlled competition-based performance trials. J Int Soc Sports Nutr. 2016;13(1):27.PubMedPubMedCentralCrossRef
77.
Temesi J, Johnson NA, Raymond J, Burdon CA, O’Connor HT. Carbohydrate ingestion during endurance exercise improves performance in adults. J Nutr. 2011;141(5):890–7.PubMedCrossRef
78.
Grgic J, Trexler ET, Lazinica B, Pedisic Z. Effects of caffeine intake on muscle strength and power: a systematic review and meta-analysis. J Int Soc Sports Nutr. 2018;15(1):11.PubMedPubMedCentralCrossRef
79.
Trexler ET, Persky AM, Ryan ED, Schwartz TA, Stoner L, Smith-Ryan AE. Acute effects of citrulline supplementation on high-intensity strength and power performance: a systematic review and meta-analysis. Sports Med. 2019;49(5):707–18.PubMedCrossRef
80.
Rodríguez-Rosell D, Yáñez-García JM, Sánchez-Medina L, Mora-Custodio R, González-Badillo JJ. Relationship between velocity loss and repetitions in reserve in the bench press and back squat exercises. J Strength Cond Res. 2020;34(9):2537–47.PubMedCrossRef
81.
82.
Rodríguez-Rosell D, Yáñez-García JM, Torres-Torrelo J, Mora-Custodio R, Marques MC, González-Badillo JJ. Effort index as a novel variable for monitoring the level of effort during resistance exercises. J Strength Cond Res. 2018;32(8):2139–53.PubMedCrossRef
83.
Goforth HW Jr, Arnall DA, Bennett BL, Law PG. Persistence of supercompensated muscle glycogen in trained subjects after carbohydrate loading. J Appl Physiol. 1997;82(1):342–7.PubMedCrossRef
84.
Jacobs I. Lactate concentrations after short, maximal exercise at various glycogen levels. Acta Physiol Scand. 1981;111(4):465–9.PubMedCrossRef
85.
Ferguson BS, Rogatzki MJ, Goodwin ML, Kane DA, Rightmire Z, Gladden LB. Lactate metabolism: historical context, prior misinterpretations, and current understanding. Eur J Appl Physiol. 2018;118(4):691–728.PubMedCrossRef
86.
Sánchez-Medina L, González-Badillo JJ. Velocity loss as an indicator of neuromuscular fatigue during resistance training. Med Sci Sports Exerc. 2011;43(9):1725–34.PubMedCrossRef
87.
Morcillo JA, Jiménez-Reyes P, Cuadrado-Peñafiel V, Lozano E, Ortega-Becerra M, Párraga J. Relationships between repeated sprint ability, mechanical parameters, and blood metabolites in professional soccer players. J Strength Cond Res. 2015;29(6):1673–82.PubMedCrossRef
88.
Keul J, Haralambie G, Bruder M, Gottstein H. The effect of weight lifting exercise on heart rate and metabolism in experienced weight lifters. Med Sci Sports. 1978;10(1):13–5.PubMed
89.
Hargreaves M, Costill DL, Coggan A, Fink WJ, Nishibata I. Effect of carbohydrate feedings on muscle glycogen utilization and exercise performance. Med Sci Sports Exerc. 1984;16(3):219–22.PubMedCrossRef
90.
Hopewell S, McDonald S, Clarke M, Egger M. Grey literature in meta-analyses of randomized trials of health care interventions. Cochrane Database Syst Rev. 2007;2007(2):Mr000010.PubMedCentral
91.
92.
Betts JA, Gonzalez JT, Burke LM, Close GL, Garthe I, James LJ, et al. PRESENT 2020: text expanding on the checklist for proper reporting of evidence in sport and exercise nutrition trials. Int J Sport Nutr Exerc Metab. 2020;30(1):2–13.PubMedCrossRef
Metadata
Title
The Ergogenic Effects of Acute Carbohydrate Feeding on Resistance Exercise Performance: A Systematic Review and Meta-analysis
Authors
Andrew King
Eric Helms
Caryn Zinn
Ivan Jukic
Publication date
09-07-2022
Publisher
Springer International Publishing
Published in
Sports Medicine / Issue 11/2022
Print ISSN: 0112-1642
Electronic ISSN: 1179-2035
DOI
https://doi.org/10.1007/s40279-022-01716-w

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