It is well-established that consuming exogenous carbohydrate during prolonged physical activity improves performance. [1,2] The role of exogenous carbohydrate intake is hypothesised to provide additional substrate for oxidation [3] specifically influencing performance by decreasing endogenous liver glycogen utilisation and preventing hypoglycaemia. [4,5] Early research cited the maximum rate of exogenous carbohydrate oxidation to be ~1 g/min. [1] It was hypothesised that oxidation rates higher than 1 g/min were achieved by overcoming a limitation of a single carbohydrate at the intestinal absorption sites (SGLT-1) [6,7] by utilising alternative carbohydrate transporters located in the intestine, such as GLUT5 for fructose. [5] This suggests the potential for improved performance.However, to date, only a handful of studies have investigated the effects of multiple carbohydrate (glucose or maltodextrin and fructose) ingestion on cycling performance parameters and whether the difference in exogenous carbohydrate oxidation between a multiple carbohydrate drink and single carbohydrate drink results in an improved performance. [7,8] In the first of these studies, a laboratory trial by Currell and Jeukendrup, [7] a marked improvement in cycling performance was attained when a multiple carbohydrate drink, containing mixed carbohydrates, was ingested compared to that of a single carbohydrate drink which contained a GP only. The authors concluded that the mechanism for the improvement in performance was due to the increased exogenous carbohydrate oxidation rate, which allowed a greater amount of carbohydrate to enter systemic circulation for subsequent oxidation by the working muscles. Similarly, O'Brien and Rowlands [9] have shown that higher rates of exogenous carbohydrate oxidation with a multiple carbohydrate drink result in an improvement in performance over and above that of when an isocaloric single carbohydrate with concomitant lower oxidation rate is ingested. Furthermore, the studies by Rowlands et al. [10] and Currell and Jeukendrup [7] measured endogenous a carbohydrate oxidation rates in addition to performance parameters, however, exogenous oxidation rates were not measured and it was assumed that the oxidation rate of the multiple CHO drink ingested was higher.The present study aimed to determine if a superior performance is attained when a multiple carbohydrate drink is ingested. Specifically, time trial performances were compared in a single group of highly trained cyclists to determine whether a multiple carbohydrate drink (glucose: fructose in a 2:1 ratio) confers a performance advantage over that of a single carbohydrate drink (glucose-polymer only), the physiological parameters of lactate, insulin and glucose concentrations, substrate oxidation (total, endogenous and exogenous) and respiratory exchange, will be measured, which may explain the underlying mechanisms that relate to any performance differences.
Methods
Study DesignA double-blind randomised crossover design was employed in the study. The d...