Multiple Transportable Carbohydrates During Exercise: Current Limitations and Directions for Future Research
1Athletics Department, Nebraska Athletic Performance Laboratory, University of Nebraska-Lincoln, Lincoln, Nebraska.
Multiple transportable carbohydrates (MTC) enhance carbohydrate absorption and performance during prolonged exercise. However, research limitations highlight the need for studies in running, field settings, and diverse populations.
Area of Science:
- Sports Science
- Human Physiology
- Nutritional Science
Background:
- Multiple transportable carbohydrates (MTC) utilize distinct intestinal transporters for absorption.
- MTC ingestion during prolonged exercise may enhance absorption, oxidation, and performance while reducing gastrointestinal distress.
Purpose of the Study:
- To review MTC mechanisms and evaluate existing research.
- To identify methodological limitations in MTC studies and guide future research.
Main Methods:
- Systematic review of 27 articles on MTC during exercise.
- Evaluation based on participant characteristics, exercise type, treatment, blinding, and nutrition status.
Main Results:
- MTC ingestion increased exogenous carbohydrate oxidation, reduced GI distress, and improved cycling performance (≥2.5 hours) at high intake rates (≥1.2 g·min⁻¹).
- Limitations include underrepresentation of running, field studies, women, and adolescents.
- High carbohydrate intake rates may have exaggerated GI distress and performance decrements.
Conclusions:
- MTC offers benefits for endurance athletes, particularly cyclists at high intake levels.
- Future research should focus on running, team sports, diverse demographics, field conditions, and varied intake protocols.
- Optimizing MTC strategies requires addressing current methodological gaps.
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