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Post-exercise Ingestion of Carbohydrate, Protein and Water: A Systematic Review and Meta-analysis for Effects on Subsequent Athletic Performance.

PMID 29098657 (2018): carbohydrate, carb — Time to exhaustion, Time-trial performance, Fat oxidation (study note for endurance athletes).

Last updated/Feb 23, 2026, 10:34 PM

Study note • PMID 29098657

Post-exercise Ingestion of Carbohydrate, Protein and Water: A Systematic Review and Meta-analysis for Effects on Subsequent Athletic Performance.

Sports medicine (Auckland, N.Z.)2018 • DOI 10.1007/s40279-017-0800-5
Evidence B81/100
Action 1: Default

Low risk + high feasibility for most athletes.

ELI5

In plain language

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. (systematic review / meta-analysis; n=486 athletes).

In this systematic review / meta-analysis, the abstract doesn’t find a clear benefit for Time-trial performance. Treat this as a signal, not a guarantee; confirm methods and context in the full paper.

Takeaways

What the abstract suggests

  • Study question: 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.
  • In this systematic review / meta-analysis, the abstract doesn’t find a clear benefit for Time-trial performance.
  • Population: n=486 athletes.
  • Protocol cues (title/abstract): 4 h • 5 min.

Protocol

Protocol (as reported)

  • Intervention/exposure: carbohydrate, carb.
  • Dose/time/duration cues in abstract/title: 4 h • 5 min.
  • Outcomes: Time to exhaustion, Time-trial performance, Fat oxidation.
  • Replication note: abstracts often omit adherence and timing; confirm details before changing training or supplementation.

Fit

Who it helps, and who should skip it

Who it helps

  • Athletes similar to the study population (n=486 athletes) working on fueling.
  • Athletes who can measure Time to exhaustion, Time-trial performance, Fat oxidation with a repeatable workout or time-trial effort.

Who should skip

  • If you have symptoms or conditions that make the intervention risky, get professional guidance.
  • If you’re near race day and can’t safely test, defer the experiment.

Methods

What the study actually did

  • Design: systematic review / meta-analysis.
  • Population: n=486 athletes.
  • Outcomes measured: Time to exhaustion, Time-trial performance, Fat oxidation.
  • Protocol cues mentioned: 4 h • 5 min.
  • Source: PubMed PMID 29098657 (2018) — Sports medicine (Auckland, N.Z.).

Results excerpt

What the abstract reports

Part 1: 45 trials (n = 486) were reviewed.

Note: excerpts are short; for full context, read the paper.

Limits

Limitations & bias

  • Abstract-only summaries can miss critical details (population, protocol, adherence, and context).
  • Reviews and consensus statements mix protocols and populations; recommendations may not match your exact constraints.
  • If your context differs (elite vs recreational; cycling vs running), adjust expectations and be conservative.
  • This is performance information, not medical advice.

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Sources