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Carbohydrates for endurance.pdf - First Endurance

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Intro: Energy <strong>for</strong> <strong>endurance</strong> exercise is<br />

primarily fueled by fats and carbohydrates, with<br />

carbohydrate utilization increasing as the intensity<br />

of the exercise increases. Thus, carbohydrates are<br />

crucial to competitive <strong>endurance</strong> exercise<br />

per<strong>for</strong>mance. In addition to food based<br />

carbohydrates, there are many different energy<br />

supplements marketed <strong>for</strong> sport, which are<br />

available in a variety of <strong>for</strong>ms. These<br />

carbohydrate supplements are available as a result<br />

of demand based upon experiential and research<br />

based evidence, but understanding when your<br />

body needs each carb and in which amount<br />

depends on three key areas: capacity, conversion<br />

and type.<br />

Capacity: At rest, the human body typically<br />

has enough carbohydrates to fuel 3 hrs of exercise<br />

at a rate of 10kcal/hr which includes blood,<br />

muscle, and liver glycogen stores totaling 1,520 to<br />

2,020kcal. The conversion of carbohydrates to<br />

energy is highly efficient compared to fats and<br />

protein. Thus, carbohydrates are a great fuel<br />

source, but our storage capacity, even with<br />

training, is generally insufficient to meet the<br />

demands of competitive <strong>endurance</strong> sports.<br />

Conversion: The ability to rapidly replenish<br />

carbohydrates after training, and the ability to<br />

consume and convert ingested carbohydrates into<br />

a usable <strong>for</strong>m of carbohydrate is important in<br />

allowing you to train and compete at your best.<br />

Ingestion of the wrong carbohydrates at the wrong<br />

time, or ingesting too little carbohydrate can<br />

E3 Nutrition<br />

In<strong>for</strong>mation <strong>for</strong> Energy,<br />

Exercise and <strong>Endurance</strong><br />

Vol.1, No.10 March 2003<br />

<strong>Endurance</strong> Research Board<br />

Sally Warner MA Ph.D. Neal Henderson MS CSCS Erik Pardiyak Ph.D.<br />

Ph.D. Exercise Physiology MS Kinesiology & Applied Physiology Ph.D. Engineering<br />

Expert Level USA Cycling Coach USA Triathlon – Expert Coach Inside Triathlon writer<br />

Cat II cyclist Professional Triathlete Bike fitting specialist<br />

Professional Mountainbiker National Caliber Nordic Skier Cat I Cyclist<br />

impair per<strong>for</strong>mance both in the short term and<br />

long term.<br />

Type: The biochemical structure of the<br />

carbohydrate, the absorption process, the size of<br />

the food particle, the degree of processing, the<br />

contents and timing of the previous meal, and the<br />

co-ingestion of fat, fiber, or protein affect a<br />

carbohydrates absorption and glycemic index.<br />

(Guezennec, 1995)<br />

What exactly is the glycemic index?<br />

Based on a 50g-portion size, the glycemic index<br />

(GI) of a carbohydrate represents the magnitude<br />

of the increase in blood sugar that occurs after<br />

ingestion of the carbohydrate. What glycemic<br />

index does not define is the portion size of the<br />

carbohydrate meal ingested (whether the portion<br />

size is 5g or 500g GI is not affected), but portion<br />

size can affect blood sugar. <strong>Carbohydrates</strong> with a<br />

higher GI cause a higher rush of sugar into your<br />

blood than carbohydrates with low GI. Elevated<br />

blood sugar causes insulin to be secreted to help<br />

modulate the sugar and subsequent sugar crash<br />

follows. Glycemic Load measures the GI<br />

multiplied by the total carbohydrate content<br />

giving a more practical and accurate<br />

determination of blood sugar response. A<br />

complete list of GI <strong>for</strong> foods can be found at<br />

http://www.mendosa.com/advanced_GI_GL_data.<br />

xls<br />

How do sugars differ? Conventional<br />

wisdom says that since all carbohydrates are


eventually digested and absorbed as glucose, the<br />

original food source of the sugar, whether a bean<br />

or a candy bar, matters little. Sugar is sugar.<br />

Sucrose is sucrose. Not exactly!<br />

Fructose has a GI of 20±5 and is a simple sugar<br />

(monosaccharide) like glucose and galactose.<br />

Natural sources of fructose include honey and<br />

fruits. Fructose is 75% sweeter than glucose and<br />

is generally found in honey and fruits in addition<br />

to its many uses as a food-sweetening additive. It<br />

is often preferred over straight glucose and<br />

sucrose as an energy source, since it is absorbed<br />

more slowly into the bloodstream and, there<strong>for</strong>e,<br />

has a less erratic effect on blood sugar levels.<br />

Diabetics or those that are very sensitive to<br />

changes in blood sugar find fructose to be<br />

advantageous. But, as a result of its slow<br />

absorption, beverages that contain only fructose<br />

can cause gastric upset. Research suggests that<br />

fructose is more tolerable when combined with<br />

sucrose and glucose. Avoid beverages that list<br />

“high fructose corn syrup” as primary ingredients<br />

as they will slow fluid uptake and not provide<br />

optimal sugars to support exercise energy<br />

requirements.<br />

Galactose is a simple sugar that has recently<br />

shown up in sports drinks. Lactose is the primary<br />

sugar in dairy products and is composed of one<br />

molecule of glucose and one of galactose.<br />

Because of its galactose content, it is more slowly<br />

absorbed into the bloodstream than pure glucose<br />

and is there<strong>for</strong>e more blood-sugar-friendly. *The<br />

GI of Galactose could not be found on any of the<br />

official GI lists, though G-Push (a popular sports<br />

drink) does claim that Galactose is absorbed<br />

quickly like glucose without a subsequent increase<br />

in insulin release.<br />

Glucose: In terms of immediate use of<br />

carbohydrate within the body, glucose (a<br />

monosaccharide) with a GI of 99±3 is the most<br />

important. Glucose can be directly absorbed by<br />

the small intestine and directly transported to the<br />

cells to be metabolized. Glucose can also be<br />

stored as glycogen (chains of glucose) within<br />

muscles and the liver, and can also be converted<br />

to fats <strong>for</strong> energy storage. During exercise,<br />

consumption of glucose allows the body to<br />

maintain an adequate supply of carbohydrate <strong>for</strong><br />

metabolism. Glucose is often called dextrose<br />

when it is added to foods. The body eventually<br />

breaks down all sugars and carbohydrates into<br />

glucose, which is the <strong>for</strong>m in which sugar enters<br />

cells to be used <strong>for</strong> energy.<br />

Sucrose with a GI of 68±5 (otherwise known as<br />

table sugar) is composed of one molecule of<br />

glucose and one molecule of fructose. This is the<br />

white sugar that comes in many <strong>for</strong>ms, such as<br />

powdered or granulated. It is usually made from<br />

refining extracts of sugar beets or sugar cane.<br />

Maltodextrin a.k.a. Glucose polymers GI=99±3:<br />

Lactose GI=46±2<br />

Maltose GI=105±12<br />

Honey GI=55±5<br />

Gatorade® GI=78±13<br />

notes from the<br />

<strong>Endurance</strong> Research Board<br />

Timing and type of carbohydrate intake:<br />

One must also consider the timing of<br />

consumption to be crucial to the carbohydrate’s<br />

effectiveness. Pre exercise it is very important to<br />

maximize muscle glycogen stores.<br />

<strong>Carbohydrates</strong> are most beneficial during<br />

exercise bouts greater than 30 minutes in length.<br />

Remember that more of a good thing is not<br />

always better. Too much sugar too fast will<br />

decrease absorption of fluids and carbohydrates<br />

and will cause GI distress and bloating/cramping.<br />

Properly <strong>for</strong>mulated sports drinks (6%<br />

carbohydrate or 14g/8oz) are more rapidly<br />

absorbed and are more effective at replacing<br />

fluids than water, soft drinks or juice. Gatorade<br />

Sport Science recommends supplementing 30-60<br />

grams of carbohydrates per hour of exercise<br />

(Coggan & Coyle, 1991; Murray et al., 1991).<br />

This is equivalent to 32 – 64 ounces of a 6%<br />

sports drink per hour. Consuming carbohydrates<br />

in liquid <strong>for</strong>m is optimal <strong>for</strong> absorption during<br />

<strong>endurance</strong> exercise because it not only ensures<br />

rehydration but also a more consistent sugar<br />

concentration than sugars in solid <strong>for</strong>m. Gels are<br />

another option and should be used consistently<br />

during exercise along with fluids to avoid the<br />

pitfalls of the blood sugar rollercoaster.<br />

By Sally Warner MA, Ph.D.<br />

Why is glycemic index important? From the<br />

corresponding graph it is clearly evident that the<br />

GI can affect your primary fuel supply quite<br />

dramatically. Consuming a high GI carbohydrate<br />

prior to a race or workout can cause your blood<br />

sugar to spike, then quickly fall below optimal<br />

levels, while a low GI carbohydrate can help<br />

stabilize your energy release. Your body’s<br />

physiological response to carbohydrates differs<br />

considerably be<strong>for</strong>e, during and after your<br />

workouts, making it critical to chose the


Blood Glucose (mmol/l)<br />

8<br />

7<br />

6<br />

5<br />

4<br />

3<br />

2<br />

1<br />

0<br />

appropriate fuel <strong>for</strong> the appropriate response.<br />

(More on this in our recommendation section) Recommendations: The depletion of<br />

Glycemic Response<br />

10 20 30 40 50 60 70 80 90 100<br />

Time (minutes)<br />

notes from the<br />

<strong>Endurance</strong> Research Board<br />

High Glycemic<br />

Low Glycemic<br />

Glucose Regulation:<br />

While the availability of carbohydrate <strong>for</strong> use<br />

within the cells is extremely important, much of<br />

the regulation of glucose concentration rests not<br />

solely with the type of carbohydrates ingested,<br />

but in the hormonal regulation of glucose.<br />

Among the hormones that are especially<br />

important to glucose concentrations are insulin,<br />

glucagon, epinephrine, and cortisol. Exercise, in<br />

addition to carbohydrate type and timing of<br />

ingestion, also modulates the release of these<br />

hormones. As you can see, there is a whole lot<br />

more to carbohydrate than just simple sugars and<br />

complex carbohydrates. One of the more<br />

important tools that an athlete can use to<br />

differentiate the potential impact that a given type<br />

of carbohydrate will have on insulin release and<br />

subsequent carbohydrate uptake (especially when<br />

not exercising) is the glycemic index (GI). Foods<br />

with a higher glycemic index will be broken<br />

down into glucose faster, and will cause a greater<br />

surge in insulin release, which works to speed the<br />

transport of glucose into the cells. Foods with a<br />

lower glycemic index will more slowly be<br />

converted to glucose, and will cause a smaller<br />

release of insulin. Immediately be<strong>for</strong>e exercise<br />

and when resting, you should consume more<br />

foods with a lower glycemic index. During<br />

exercise, and immediately after exercise, it is<br />

better to consume foods with a higher glycemic<br />

index. Overall, many nutritionists will suggest<br />

that the GI is just splitting hairs, and that<br />

consuming adequate carbohydrate is most<br />

important. If you've already got the right amount,<br />

though, getting the right type can help boost your<br />

per<strong>for</strong>mance to the next level!<br />

By Neal Henderson MS CSCS<br />

carbohydrate stores within the body leads to<br />

bonking, which hinders your ability to race and/or<br />

train hard. The ability to rapidly replenish<br />

carbohydrates after training, and the ability to<br />

consume and convert ingested carbohydrates into<br />

a usable <strong>for</strong>m of carbohydrate is important in<br />

allowing you to train and compete at the your<br />

best. Ingestion of the wrong carbohydrates at the<br />

wrong time, or ingesting too little carbohydrate<br />

can impair per<strong>for</strong>mance both in the short term and<br />

long term.<br />

Be<strong>for</strong>e: The most important pre exercise<br />

consideration is to make sure you have topped off<br />

your carbohydrate stores. The second thing to<br />

consider is making certain you DO NOT consume<br />

high GI foods or drinks just prior to racing.<br />

Consumption of lower GI foods 30-60 min prior<br />

to an <strong>endurance</strong> exercise bout tends to promote<br />

some positive effects during exercise including: 1)<br />

Minimizing the hypoglycemia that occurs at the<br />

start of exercise. 2) Increasing the concentration<br />

of fatty acids in the blood. 3) Increases fat<br />

oxidation and reducing reliance on carbohydrate<br />

fuel. This carbohydrate sparing prolongs your<br />

<strong>endurance</strong> and helps prevent the ‘bonk’.<br />

During: The GI of a food consumed during<br />

exercise is probably less important than at other<br />

times because the insulin response to<br />

carbohydrate ingestion is suppressed during<br />

exercise. Much research has focused on<br />

carbohydrate drinks and foods during exercise to<br />

slow the depletion of the body’s carbohydrate<br />

stores and thus delay the onset of fatigue.<br />

Exercise-induced elevation in epinephrine<br />

depresses the release of insulin from the pancreas.<br />

Thus, concerns about carbohydrate feedings<br />

increasing insulin and depressing fatty acid<br />

availability is less likely to occur when<br />

carbohydrate is fed during exercise. The jury is<br />

still out on the ideal type of carbohydrates during<br />

exercise, though in theory since insulin is<br />

modulated and high GI carbohydrates enter the<br />

blood stream quicker, it makes sense to stick to a<br />

high GI carbohydrate. The best advise is to stick<br />

to what you are used to.<br />

After: Following exercise your primary concern<br />

is to replenish lost glycogen stores. The ability to<br />

replenish these stores fully determines how ready<br />

you will be <strong>for</strong> the next workout. It is at this time<br />

where a high GI carbohydrate has the ability to<br />

shuttle glycogen into the cells quicker and more


efficiently than low or moderate GI<br />

carbohydrates. If you have access to a high GI<br />

carb, then grab it, if not grab any carbohydrate<br />

you can get your hands on and swallow it down<br />

with water.<br />

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Brand Miller, J.C. (1994). Importance of glycemic<br />

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Metabolic changes induced by sustained exhaustive<br />

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Glycemic Index scores: www.mendosa.com

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