Impact of Dietary Carbohydrate Restriction versus Energy Restriction on Exogenous Carbohydrate Oxidation during Aerobic Exercise.

Individuals with high physical activity levels, such as athletes and military personnel, are likely to experience periods of low muscle glycogen content. Reductions in glycogen stores are associated with impaired physical performance. Lower glycogen stores in these populations are likely due to sustained aerobic exercise coupled with sub-optimal carbohydrate or energy intake. Consuming exogenous carbohydrate during aerobic exercise may be an effective intervention to sustain physical performance during periods of low glycogen. However, research is limited in the area of carbohydrate recommendations to fuel performance during periods of sub-optimal carbohydrate and energy intake. Additionally, the studies that have investigated the effects of low glycogen stores on exogenous carbohydrate oxidation have yielded conflicting results. Discrepancies between studies may be the result of glycogen stores being lowered by restricting carbohydrate or restricting energy intake. This narrative review discusses the influence of low glycogen status resulting from carbohydrate restriction versus energy restriction on exogenous carbohydrate oxidation and examines the potential mechanism resulting in divergent responses in exogenous carbohydrate oxidation. Results from this review indicate that rates of exogenous carbohydrate oxidation can be maintained when glycogen content is lower following carbohydrate restrictions, but may be reduced following energy restriction. Reductions in exogenous carbohydrate oxidation following energy restriction appear to result from lower insulin sensitivity and glucose uptake. Exogenous carbohydrate may thus be an effective intervention to sustain performance following short-term energy adequate carbohydrate restriction, but may not be an effective ergogenic aid when glycogen stores are low due to energy restriction. Published by Oxford University Press on behalf of the American Society for Nutrition 2021.