PMID- 29098657
OWN - NLM
STAT- MEDLINE
DCOM- 20181112
LR  - 20190318
IS  - 1179-2035 (Electronic)
IS  - 0112-1642 (Linking)
VI  - 48
IP  - 2
DP  - 2018 Feb
TI  - Post-exercise Ingestion of Carbohydrate, Protein and Water: A Systematic Review 
      and Meta-analysis for Effects on Subsequent Athletic Performance.
PG  - 379-408
LID - 10.1007/s40279-017-0800-5 [doi]
AB  - BACKGROUND: Athletes may complete consecutive exercise sessions with limited 
      recovery time between bouts (e.g. </= 4 h). Nutritional strategies that optimise 
      post-exercise recovery in these situations are therefore important. OBJECTIVE: 
      This two-part review investigated the effect of consuming carbohydrate (CHO) and 
      protein with water (W) following exercise on subsequent athletic 
      (endurance/anaerobic exercise) performance. DATA SOURCES: Studies were identified 
      by searching the online databases SPORTDiscus, PubMed, Web of Science and Scopus. 
      STUDY ELIGIBILITY CRITERIA AND INTERVENTIONS: Investigations that measured 
      endurance performance (>/= 5 min duration) </= 4 h after a standardised exercise bout 
      (any type) under the following control vs. intervention conditions were included: 
      Part 1: W vs. CHO ingested with an equal volume of W (CHO + W); and, Part 2: 
      CHO + W vs. protein (PRO) ingested with CHO and an equal volume of W 
      (PRO + CHO + W), where CHO or energy intake was matched. STUDY APPRAISAL AND 
      SYNTHESIS METHODS: Publications were examined for bias using the Rosendal scale. 
      Random-effects meta-analyses and meta-regression analyses were conducted to 
      evaluate intervention efficacy. RESULTS: The quality assessment yielded a 
      Rosendal score of 63 +/- 9% (mean +/- standard deviation). Part 1: 45 trials 
      (n = 486) were reviewed. Ingesting CHO + W (102 +/- 50 g CHO; 0.8 +/- 0.6 g 
      CHO kg(-1) h(-1)) improved exercise performance compared with W (1.6 +/- 0.7 L); 
      %(Delta) mean power output = 4.0, 95% confidence interval 3.2-4.7 (I (2) = 43.9). 
      Improvement was attenuated when participants were 'Fed' (a meal 2-4 h prior to 
      the initial bout) as opposed to 'Fasted' (p = 0.012). Part 2: 13 trials (n = 125) 
      were reviewed. Ingesting PRO + CHO + W (35 +/- 26 g PRO; 0.5 +/- 0.4 g PRO kg(-1)) 
      did not affect exercise performance compared with CHO + W (115 +/- 61 g CHO; 
      0.6 +/- 0.3 g CHO.kg body mass(-1) h(-1); 1.2 +/- 0.6 L); %(Delta) mean power 
      output = 0.5, 95% confidence interval - 0.5 to 1.6 (I (2) = 72.9). CONCLUSIONS: 
      Athletes with limited time for recovery between consecutive exercise sessions 
      should prioritise CHO and fluid ingestion to enhance subsequent athletic 
      performance. PROSPERO REGISTRATION NUMBER: CRD42016046807.
FAU - McCartney, Danielle
AU  - McCartney D
AD  - School of Allied Health Sciences and Menzies Health Institute Queensland, 
      Griffith University, Gold Coast, Parklands Drive, Southport, QLD, 4222, 
      Australia. danielle.mccartney@griffithuni.edu.au.
FAU - Desbrow, Ben
AU  - Desbrow B
AD  - School of Allied Health Sciences and Menzies Health Institute Queensland, 
      Griffith University, Gold Coast, Parklands Drive, Southport, QLD, 4222, 
      Australia.
FAU - Irwin, Christopher
AU  - Irwin C
AD  - School of Allied Health Sciences and Menzies Health Institute Queensland, 
      Griffith University, Gold Coast, Parklands Drive, Southport, QLD, 4222, 
      Australia.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PT  - Systematic Review
PL  - New Zealand
TA  - Sports Med
JT  - Sports medicine (Auckland, N.Z.)
JID - 8412297
RN  - 0 (Dietary Carbohydrates)
RN  - 059QF0KO0R (Water)
SB  - IM
MH  - Adult
MH  - Animals
MH  - *Athletic Performance
MH  - Child
MH  - *Dietary Carbohydrates/metabolism
MH  - Exercise
MH  - Female
MH  - Humans
MH  - Male
MH  - Mice
MH  - Physical Endurance/*physiology
MH  - Rats
MH  - *Water/metabolism
EDAT- 2017/11/04 06:00
MHDA- 2018/11/13 06:00
CRDT- 2017/11/04 06:00
PHST- 2017/11/04 06:00 [pubmed]
PHST- 2018/11/13 06:00 [medline]
PHST- 2017/11/04 06:00 [entrez]
AID - 10.1007/s40279-017-0800-5 [pii]
AID - 10.1007/s40279-017-0800-5 [doi]
PST - ppublish
SO  - Sports Med. 2018 Feb;48(2):379-408. doi: 10.1007/s40279-017-0800-5.