REF-1550 · Hammond et al., 2019 · The Journal of Physiology · Paper · PubMed

Does cutting carbohydrate after a double add signal?

Nine men: no clear difference in four muscle signals at about 12 or 3 g/kg, and a bone-resorption marker higher on the low diets. One day, markers only, every arm trained twice.

Main caveat: Abstract only. No copy in PubMed Central or Europe PMC; biopsy times, order, diet records and effect sizes were not read.
thin evidenceMeasured on a mixed group

Nine men ran 8 × 5 min at 85% VO2peak in the morning and again in the afternoon, 3.5 h between sessions, under three diets: high carbohydrate (HCHO, about 12 g/kg, energy availability about 60 kcal/kg fat-free mass), reduced carbohydrate with high fat (LCHF, about 3 g/kg, about 60 kcal/kg) and reduced carbohydrate with reduced energy (LCAL, about 3 g/kg, about 20 kcal/kg).

Glycogen fell to about 200 mmol/kg dry weight straight after the afternoon session in all three arms, then stood at 171, 194 and 316 mmol/kg dry weight 17 h later, lower in both restricted arms than in HCHO.

The signalling readouts rose with exercise and showed comparable responses across arms. βCTX after exercise was lower in HCHO than in the other two, and the exercise rise in IL-6 was larger in LCAL than in the other two.

The authors conclude that, with glycogen kept at 200-350 mmol/kg dry weight, restricting carbohydrate and energy for under a day after exercise does not add to these signals, while carbohydrate around the sessions blunts a marker of bone resorption.

Our reading: useful against the idea that restriction of this depth after a double buys extra signal at the time points sampled, and it fits the idea that a low glycogen threshold matters more than the restriction itself. It does not show what happens over weeks.

Protocol

Who: nine men; age, VO2peak and training history are not in the abstract.
Sessions: 8 × 5 min at 85% VO2peak running, morning and afternoon, 3.5 h between them; 80 min of interval work across the day, before warm-up and recoveries (our arithmetic).
Diets: as above. PubMed's text for the LCHF carbohydrate dose is garbled and reads as about 3 g/kg by its parallel with LCAL and the arm's name; the dose should be checked against the paper.
Measures: muscle glycogen; p38MAPK phosphorylation; PGC-1α, p53 and CPT1 mRNA; circulating βCTX and IL-6. Biopsy and blood timing beyond "immediately post" and "17 h" are not in the abstract.
Funding and interests: Crossref lists the English Institute of Sport as funder; PubMed flags non-US government support. Conflict statements were not in what was read.

Key Results

MeasureHCHOLCHFLCAL
Carbohydrate (g/kg)~12~3~3
Energy availability (kcal/kg fat-free mass)~60~60~20
Glycogen straight after the afternoon session (mmol/kg dw)~200~200~200
Glycogen at 17 h (mmol/kg dw; read in the order LCHF, LCAL, HCHO of the sentence)316171194
p38MAPK phosphorylation after the afternoon sessionroserose, comparablerose, comparable
PGC-1α, p53, CPT1 mRNAroserose, comparablerose, comparable
βCTX after exerciselower (P < 0.05)higher than HCHOhigher than HCHO
IL-6 rise with exercisesmaller than LCALsmaller than LCALlarger (P < 0.05)
No clear difference, not "the same." The authors write "comparable" and "similar"; no equivalence test appears in the abstract, and n = 9.
A loose range. The authors state glycogen was kept within 200-350 mmol/kg dry weight, while the abstract's own 17-h values for the restricted arms are 171 and 194. Whether those count as inside the range cannot be resolved from the abstract.
No fold-changes or βCTX values are printed, so the size of the bone-marker difference is not known from what was read.

Mechanisms

Measured: similar exercise-induced signalling and mRNA across three diets; lower βCTX with high carbohydrate regardless of energy availability; larger IL-6 with low energy.
Authors' interpretation: the extra muscle adaptation sometimes linked to carbohydrate restriction may depend on how low absolute glycogen goes, and restriction within the 200-350 range does not reach that point. The same within-day swings in carbohydrate could matter for bone in the long term. The first is a proposal this study did not test from below; the second is a projection from a one-day marker.
Authors' statement: the bone-marker effect did not depend on energy availability or on circulating IL-6.
Not reported in the abstract: bone density, stress injury, mitochondrial content or enzyme activity, whole-body adaptation, performance.

Practical Application

Does cutting carbohydrate after a double add signal? Nine men: no clear difference in four muscle signals at about 12 or 3 g/kg, and a bone-resorption marker higher on the low diets. One day, markers only, every arm trained twice.
Good for: a reason not to expect extra signal from going short on carbohydrate after two hard interval sessions, at least in this glycogen range.
Good for: a marker-level reason for caution on repeated low-carbohydrate double days and bone. A marker, not a stress fracture.
Not good for: deciding between one session and two. No single-session arm exists.
Not good for: performance. Nothing in the abstract tests whether the next session or a training block went better or worse.
Not good for: women, who were not studied here.
Not from this paper: eating enough carbohydrate on double days is what the base's fuelling guides already advise; this adds a mechanism reading, not a dose.

Limitations

Abstract only. No copy in PubMed Central or Europe PMC; biopsy times, order, diet records and effect sizes were not read.
n = 9 men, status unstated, with several outcomes.
Acute. Under 24 h of dietary contrast; mRNA and phosphorylation at set time points are not adaptation.
A marker for bone. βCTX reflects resorption over hours and says nothing directly about bone strength or injury.
Restriction came with a high-fat diet in LCHF, so carbohydrate and fat moved together in that comparison.
No single-session or rest arm in what was read, so the double itself is not tested, nor is its gap.
How this entry was checked and changed
Why this level

(from the abstract) — mechanistic laboratory study with no performance outcome, in the rubric's own words. No copy in PubMed Central or Europe PMC, so biopsy timing, diet delivery and exact effect sizes were not read