PMID- 12834574 OWN - NLM STAT- MEDLINE DCOM- 20031112 LR - 20191107 IS - 1537-890X (Print) IS - 1537-890X (Linking) VI - 2 IP - 4 DP - 2003 Aug TI - The role of dietary macronutrients in optimizing endurance performance. PG - 194-201 AB - We have evaluated the evidence underlying certain key nutritional recommendations for endurance sporting activities. A relatively high daily carbohydrate (CHO) intake (> 6 g/kg/d) and CHO ingestion (30-60 g/h) during exercise appears to delay the onset of fatigue. However, the mechanisms of this effect are governed in part by an attenuation of effort perception, rather than solely as a consequence of delaying an impending energy crisis. CHO loading and ingestion also impart some neuroprotection from fatigue during prolonged exercise, as well as high-intensity, intermittent exercise. In addition, the individual response to short-term (5- to 6-day) ingestion of a high-fat diet (> 60% of calories from fat) followed by 1-day CHO loading seems to vary widely, and is most likely to be of benefit only during ultra-endurance activities. Furthermore, CHO and protein intake in the postexercise period aid in protein synthesis and restoration of muscle glycogen stores. However, athletes and their advisors must be prepared to try various nutritional strategies in order to optimize both performance and training. FAU - Lambert, Estelle V AU - Lambert EV AD - UCT/MRC Research Unit for Exercise Science and Sports Medicine, Departments of Human Biology, Faculty of Health Sciences, University of Cape Town, PO Box 115, Newlands, 7725 South Africa. vlambert@sports.uct.ac.za FAU - Goedecke, Julia H AU - Goedecke JH LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Sports Med Rep JT - Current sports medicine reports JID - 101134380 RN - 0 (Dietary Carbohydrates) RN - 0 (Dietary Fats) RN - 0 (Dietary Proteins) SB - IM MH - *Diet MH - Dietary Carbohydrates/metabolism MH - Dietary Fats/metabolism MH - Dietary Proteins/metabolism MH - Humans MH - Physical Endurance/*physiology MH - Sports RF - 54 EDAT- 2003/07/02 05:00 MHDA- 2003/11/13 05:00 CRDT- 2003/07/02 05:00 PHST- 2003/07/02 05:00 [pubmed] PHST- 2003/11/13 05:00 [medline] PHST- 2003/07/02 05:00 [entrez] AID - 10.1249/00149619-200308000-00005 [doi] PST - ppublish SO - Curr Sports Med Rep. 2003 Aug;2(4):194-201. doi: 10.1249/00149619-200308000-00005.