Glucose-fructose likely improves gastrointestinal comfort and endurance running performance relative to glucose-only

Scand J Med Sci Sports. 2015 Dec;25(6):e613-20. doi: 10.1111/sms.12386. Epub 2014 Dec 30.

Abstract

This study aimed to determine whether glucose-fructose (GF) ingestion, relative to glucose-only, would alter performance, metabolism, gastrointestinal (GI) symptoms, and psychological affect during prolonged running. On two occasions, 20 runners (14 men) completed a 120-min submaximal run followed by a 4-mile time trial (TT). Participants consumed glucose-only (G) or GF (1.2:1 ratio) beverages, which supplied ∼ 1.3 g/min of carbohydrate. Substrate use, blood lactate, psychological affect [Feeling Scale (FS)], and GI distress were measured. Differences between conditions were assessed using magnitude-based inferential statistics. Participants completed the TT 1.9% (-1.9; -4.2, 0.4) faster with GF, representing a likely benefit. FS ratings were possibly higher and GI symptoms were possibly-to-likely lower with GF during the submaximal period and TT. Effect sizes for GI distress and FS ratings were relatively small (Cohen's d = ∼0.2 to 0.4). GF resulted in possibly higher fat oxidation during the submaximal period. No clear differences in lactate were observed. In conclusion, GF ingestion - compared with glucose-only - likely improves TT performance after 2 h of submaximal running, and GI distress and psychological affect are likely mechanisms. These results apply to runners consuming fluid at 500-600 mL/h and carbohydrate at 1.0-1.3 g/min during running at 60-70% VO2peak .

Keywords: Endurance; exercise; exogenous; nutrition.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Affect / drug effects
  • Athletic Performance / physiology
  • Colic / prevention & control
  • Cross-Over Studies
  • Defecation / drug effects
  • Double-Blind Method
  • Eructation / prevention & control
  • Female
  • Flatulence / prevention & control
  • Fructose / metabolism
  • Fructose / pharmacology*
  • Gastrointestinal Tract / drug effects*
  • Glucose / metabolism
  • Glucose / pharmacology*
  • Humans
  • Lactic Acid / blood
  • Male
  • Nausea / prevention & control
  • Oxidation-Reduction / drug effects
  • Physical Endurance / drug effects*
  • Running / physiology*
  • Running / psychology

Substances

  • Fructose
  • Lactic Acid
  • Glucose