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תזונה ותוספים Fructose Coingestion Does Not Accelerate Postexercise Muscle Glycogen Repletion.

Mike Bikov

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Med Sci Sports Exerc. 2015 Nov 24. [Epub ahead of print]

Fructose Coingestion Does Not Accelerate Postexercise Muscle Glycogen Repletion.

Trommelen J1, Beelen M, Pinckaers PJ, Senden JM, Cermak NM, van Loon LJ.
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Abstract
BACKGROUND:
Post-exercise muscle glycogen repletion is largely determined by the systemic availability of exogenous carbohydrate provided.

PURPOSE:
This study aimed to assess the effect of the combined ingestion of fructose and glucose on post-exercise muscle glycogen repletion when optimal amounts of carbohydrate are ingested.

METHODS:
Fourteen male cyclists (age: 28±6 y; Wmax: 4.8±0.4 W·kg) were studied on 3 different occasions. Each test day started with a glycogen-depleting exercise session. This was followed by a 5 h recovery period, during which subjects ingested 1.5 g·kg·h glucose (GLU), 1.2 g·kg·h glucose + 0.3 g·kg·h fructose (GLU+FRU), or 0.9 g·kg·h glucose + 0.6 g·kg·h sucrose (GLU+SUC). Blood samples and gastrointestinal distress questionnaires were collected frequently and muscle biopsies were obtained at 0, 120, and 300 min after cessation of exercise to measure muscle glycogen content.

RESULTS:
Plasma glucose responses did not differ between treatments (ANOVA, P=0.096), but plasma insulin and lactate concentrations were elevated during GLU+FRU and GLU+SUC when compared to GLU (P<0.01). Muscle glycogen content immediately following exercise averaged 207±112, 219±107 and 236±118 mmol·kg dry weight in the GLU, GLU+FRU and GLU+SUC treatment, respectively (P=0.362). Carbohydrate ingestion increased muscle glycogen concentrations during 5 h of post-exercise recovery to 261±98, 289±130 and 315±103 mmol·kg dry weight in the GLU, GLU+FRU and GLU+SUC treatment, respectively (P<0.001), with no differences between treatments (time x treatment, P=0.757).

CONCLUSION:
Combined ingestion of glucose plus fructose does not further accelerate post-exercise muscle glycogen repletion in trained cyclists when ample carbohydrate is ingested. Combined ingestion of glucose (polymers) plus fructose or sucrose reduces gastrointestinal complaints when ingesting large amounts of carbohydrate.
 
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