REF-333 · Hearris et al., 2022 · Journal of Applied Physiology, · Paper · PubMed

13C-glucose-fructose labeling reveals comparable exogenous CHO oxidation during exercise when consuming 120 g/h in fluid, gel, jelly chew, or coingestion

Blimited evidenceMeasured on trained to highly trained athletesWritten before October 2026, being re-checked

Participants

n=9 trained male cyclists.

Protocol

Randomized repeated-measures design. Each trial was preceded by 24 h of high CHO intake (8 g/kg) and a pre-exercise meal (2 g/kg). 180 min cycling at 95% lactate threshold, then an exercise capacity test at 150% lactate threshold, consuming 120 g/h CHO (1:0.8 maltodextrin or glucose : fructose) in four randomized formats:

1

DRINK — fluid

2

GEL — semisolid gel

3

CHEW — solid jelly chew

4

MIX — coingestion of the forms

Key Results

FormatPeak exo-CHO oxidation (g/min)Oxidation efficiencyExercise capacity at 150% LT (s)
DRINK1.56 ± 0.1672 ± 8%446 ± 350
GEL1.58 ± 0.1372 ± 5%529 ± 396
CHEW1.59 ± 0.0875 ± 5%596 ± 416
MIX1.66 ± 0.0275 ± 6%469 ± 395
No significant differences between formats in peak exogenous oxidation, oxidation efficiency or exercise capacity (all P > 0.05)
Minimal GI distress reported in all conditions despite 120 g/h
Peak exogenous oxidation of 1.56-1.66 g/min is roughly 94-100 g/h (arithmetic: g/min × 60) of the 120 g/h ingested
First study to measure exogenous CHO oxidation with stable isotopes under feeding strategies (pre-exercise CHO feeding, mixed forms during exercise) commonly adopted by elite endurance athletes

Practical Application

Delivery form is athlete preference: in 9 trained male cyclists riding 180 min at 95% LT, 120 g/h of 1:0.8 maltodextrin/glucose:fructose gave the same peak exogenous oxidation (1.56-1.66 g/min), the same oxidation efficiency (72-75%) and the same subsequent exercise capacity whether taken as drink, gel, chew or a mix, with minimal GI distress — pick the form the athlete tolerates and will actually eat.
120 g/h in a 1:0.8 ratio is a practically tolerable strategy for high CHO availability and oxidation (authors' conclusion) — in trained males who had eaten a high-CHO day (8 g/kg) and a pre-exercise meal (2 g/kg) beforehand.
Inference, not tested: mixing forms (MIX) is a sensible default for long events because it spreads palatability fatigue; the study did not test palatability or events longer than 3 h, and MIX's numerically highest oxidation was not statistically different from the other forms.
Not from this paper: the base's ratio rule — 1:0.8 maltodextrin (or glucose):fructose rather than 2:1 for intakes ≥90 g/h — is carried by SYNTH-02; this study used 1:0.8 throughout and did not compare ratios.

Limitations

All-male, small sample (n=9)
3 h exercise — ultra-length palatability and tolerance challenges not captured
Every trial followed 24 h of high CHO intake and a pre-exercise meal; tolerance of 120 g/h without that preparation was not tested
Exercise capacity values are highly variable (SDs comparable to means); the "no difference" is a small-sample null
How this entry was checked and changed
Why this level

regraded 2026-09-26 from A: crossover with 13C tracer, n=9

Content correction 2026-09-27
"gut-trained athletes" -> deleted; the abstract says trained males after 24 h high-CHO intake (8 g/kg) and a pre-exercise meal (2 g/kg), added to Protocol.
"1:0.8 preferred over legacy 2:1 for intakes ≥90 g/h" -> relabelled "Not from this paper" (SYNTH-02); the study used 1:0.8 only.
"MIX reduces palatability fatigue over 5-6 h events" -> relabelled inference; palatability and >3 h not tested. "~95-100 g/h" -> stated as arithmetic from 1.56-1.66 g/min.
Added the exercise-capacity result (150% LT test, no difference between forms, all P > 0.05).
Resync 2026-09-28: Duplicate PMID line -> removed.