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Carbohydrates and Endurance Exercise: A Narrative Review of a Food First Approach.

PMID 36986096 (2023): 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 36986096

Carbohydrates and Endurance Exercise: A Narrative Review of a Food First Approach.

Nutrients2023 • DOI 10.3390/nu15061367
Evidence C60/100
Action 2: Consider

Worth trying if it fits your goal and context.

ELI5

In plain language

Carbohydrate (CHO) supplements such as bars, gels, drinks and powders have become ubiquitous as effective evidence-based CHO sources that improve endurance exercise performance. (narrative review; well-trained cyclists).

In this narrative review, the abstract suggests a positive relationship with 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: Carbohydrate (CHO) supplements such as bars, gels, drinks and powders have become ubiquitous as effective evidence-based CHO sources that improve endurance exercise performance.
  • In this narrative review, the abstract suggests a positive relationship with Time-trial performance.
  • Population: well-trained cyclists.
  • Protocol cues (full paper): 200 mg • 400 mg • 150 mg • 500 mg • 4 h • 3.5 h.

Protocol

Protocol (as reported)

  • Intervention/exposure: carbohydrate, carb.
  • Dose/time/duration cues found in the full paper: 200 mg • 400 mg • 150 mg • 500 mg • 4 h • 3.5 h • 1 h • 45 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 (well-trained cyclists) 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: narrative review (placebo-controlled, crossover).
  • Population: well-trained cyclists.
  • Outcomes measured: Time to exhaustion, Time-trial performance, Fat oxidation.
  • Protocol cues (paper): 200 mg • 400 mg • 150 mg • 500 mg • 4 h • 3.5 h • 1 h • 45 min.
  • Source: PubMed PMID 36986096 (2023) — Nutrients.

Full paper

What the full paper adds

  • Design features (paper): placebo-controlled, crossover.
  • Participants (paper): well-trained cyclists.
  • More protocol detail (paper): 200 mg • 400 mg • 150 mg • 500 mg • 4 h • 3.5 h • 1 h • 45 min.

Results excerpt

What the abstract reports

Palatability may be another barrier to the ingestion of some of these CHO-rich foods.

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