PMID- 19910651 OWN - NLM STAT- MEDLINE DCOM- 20100129 LR - 20191111 IS - 1526-484X (Print) IS - 1526-484X (Linking) VI - 19 IP - 5 DP - 2009 Oct TI - The effect of carbohydrate gels on gastrointestinal tolerance during a 16-km run. PG - 485-503 AB - Two studies were conducted to investigate gastrointestinal (GI) tolerance of high carbohydrate (CHO) intakes during intense running. The first study investigated tolerance of a CHO gel delivering glucose plus fructose (GLU+FRC) at different rates. The second study investigated tolerance of high intakes of glucose (GLU) vs. GLU+FRC gel. Both studies used a randomized, 2-treatment, 2-period crossover design: Endurance-trained men and women (Study 1: 26 men, 8 women; 37 +/- 11 yr; 73 +/- 9 kg; 1.76 +/- 0.07 m. Study 2: 34 men, 14 women; 35 +/- 10 yr; 70 +/- 9 kg; 1.75 +/- 0.09 m) completed two 16-km outdoor-runs. In Study 1 gels were administered to provide 1.0 or 1.4 g CHO/min with ad libitum water intake every 3.2 km. In Study 2 GLU or GLU+FRC gels were given in a double-blind manner to provide 1.4 g CHO/min. In both studies a postexercise questionnaire assessed 17 symptoms on a 10-point scale (from 0 to 9). For all treatments, GI complaints were mainly scored at the low end of the scale. In Study 1 mean scores ranged from 0.00 +/- 0.00 to 1.12 +/- 1.90, and in Study 2, from 0.00 +/- 0.0 to 1.27 +/- 1.78. GI symptoms were grouped into upper abdominal, lower abdominal, and systemic problems. There were no significant treatment differences in these categories in either study. In conclusion, despite high CHO gel intake, and regardless of the blend (GLU vs. GLU+FRC), average scores for GI symptoms were at the low end of the scale, indicating predominantly good tolerance during a 16-km run. Nevertheless, some runners (~10-20%) experienced serious problems, and individualized feeding strategies might be required. FAU - Pfeiffer, Beate AU - Pfeiffer B AD - School of Sport and Exercise Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, United Kingdom. FAU - Cotterill, Alexandra AU - Cotterill A FAU - Grathwohl, Dominik AU - Grathwohl D FAU - Stellingwerff, Trent AU - Stellingwerff T FAU - Jeukendrup, Asker E AU - Jeukendrup AE LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - Int J Sport Nutr Exerc Metab JT - International journal of sport nutrition and exercise metabolism JID - 100939812 RN - 0 (Dietary Carbohydrates) RN - 0 (Gels) RN - 30237-26-4 (Fructose) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Administration, Oral MH - Adult MH - Cross-Over Studies MH - Dietary Carbohydrates/*administration & dosage/adverse effects MH - Drinking MH - Female MH - Fructose/administration & dosage/adverse effects MH - Gastrointestinal Diseases/etiology MH - Gastrointestinal Tract/drug effects/metabolism/*physiology MH - *Gels MH - Glucose/administration & dosage/adverse effects MH - Humans MH - Male MH - Oxidation-Reduction MH - Oxygen Consumption MH - Physical Endurance/drug effects/*physiology MH - Running/*physiology MH - Task Performance and Analysis EDAT- 2009/11/17 06:00 MHDA- 2010/01/30 06:00 CRDT- 2009/11/14 06:00 PHST- 2009/11/14 06:00 [entrez] PHST- 2009/11/17 06:00 [pubmed] PHST- 2010/01/30 06:00 [medline] AID - 10.1123/ijsnem.19.5.485 [doi] PST - ppublish SO - Int J Sport Nutr Exerc Metab. 2009 Oct;19(5):485-503. doi: 10.1123/ijsnem.19.5.485.