Fructose and Sucrose Intake Increase Exogenous  Carbohydrate Oxidation during Exercise.

Jorn Trommelen, Cas J Fuchs, Milou Beelen, Kaatje Lenaerts, Asker E Jeukendrup, Naomi M Cermak, Luc J C van Loon

Journal: Nutrients 2017;9(2):167

PMID: 28230742

Plain Language Summary

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During prolonged exercise, the metabolic rate and energy requirement increase severalfold. Carbohydrate oxidation provides energy to muscles during exercise. In this randomised cross-over, double-blind study, researchers examined the effects of fructose or sucrose co-ingestion with glucose on exogenous carbohydrate oxidation rates during prolonged exercise in ten trained male cyclists. The administration of glucose with fructose or sucrose resulted in fewer gastrointestinal complaints than the administration of glucose alone. Co-ingestion of fructose or sucrose with glucose may enhance gastric absorption of carbohydrates and decrease the accumulation of carbohydrates in the gastrointestinal tract, which may explain lower gastrointestinal complaints among participants. Fructose co-ingestion increased exogenous carbohydrate oxidation rate during prolonged exercise by 35-55% more than glucose. Compared to glucose administration alone, fructose or sucrose co-administration also increased plasma lactate production and oxidation. The study concludes that fructose and sucrose can serve as functional ingredients in sports drinks to provide energy during prolonged exercise. As this study only focused on whole-body exogenous oxidation rates, more research is still needed to identify specific oxidation sites. Nevertheless, this study's findings can help healthcare professionals understand how different types of sugar can provide energy during prolonged exercise.

Abstract

Peak exogenous carbohydrate oxidation rates typically reach ~1 g∙min-1 during exercise when ample glucose or glucose polymers are ingested. Fructose co-ingestion has been shown to further increase exogenous carbohydrate oxidation rates. The purpose of this study was to assess the impact of fructose co-ingestion provided either as a monosaccharide or as part of the disaccharide sucrose on exogenous carbohydrate oxidation rates during prolonged exercise in trained cyclists. Ten trained male cyclists (VO2peak: 65 ± 2 mL∙kg-1∙min-1) cycled on four different occasions for 180 min at 50% Wmax during which they consumed a carbohydrate solution providing 1.8 g∙min-1 of glucose (GLU), 1.2 g∙min-1 glucose + 0.6 g∙min-1 fructose (GLU + FRU), 0.6 g∙min-1 glucose + 1.2 g∙min-1 sucrose (GLU + SUC), or water (WAT). Peak exogenous carbohydrate oxidation rates did not differ between GLU + FRU and GLU + SUC (1.40 ± 0.06 vs. 1.29 ± 0.07 g∙min-1, respectively, p = 0.999), but were 46% ± 8% higher when compared to GLU (0.96 ± 0.06 g∙min-1: p < 0.05). In line, exogenous carbohydrate oxidation rates during the latter 120 min of exercise were 46% ± 8% higher in GLU + FRU or GLU + SUC compared with GLU (1.19 ± 0.12, 1.13 ± 0.21, and 0.82 ± 0.16 g∙min-1, respectively, p < 0.05). We conclude that fructose co-ingestion (0.6 g∙min-1) with glucose (1.2 g∙min-1) provided either as a monosaccharide or as sucrose strongly increases exogenous carbohydrate oxidation rates during prolonged exercise in trained cyclists.

Address: NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre, P.O. Box 616, 6200 MD Maastricht, The Netherlands. [email protected].; NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre, P.O. Box 616, 6200 MD Maastricht, The Netherlands. [email protected].; NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre, P.O. Box 616, 6200 MD Maastricht, The Netherlands. [email protected].; NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre, P.O. Box 616, 6200 MD Maastricht, The Netherlands. [email protected].; School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK. [email protected].; NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre, P.O. Box 616, 6200 MD Maastricht, The Netherlands. [email protected].; NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre, P.O. Box 616, 6200 MD Maastricht, The Netherlands. [email protected].
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