ReviewNutrients2014
Pre-exercise nutrition: the role of macronutrients, modified starches and supplements on metabolism and endurance performance.
Review in Nutrients, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
46 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Fed, not fasted: is carbohydrate mouth rinsing still ergogenic? A three-level meta-analysis.Journal of the International Society of Sports Nutrition · 2025Pooled it
- The Ergogenic Effects of Acute Carbohydrate Feeding on Resistance Exercise Performance: A Systematic Review and Meta-analysis.Sports medicine (Auckland, N.Z.) · 2022Pooled it
- The effect of acute exercise on pre-prandial ghrelin levels in healthy adults: A systematic review and meta-analysis.Peptides · 2021Pooled it
- Influence of Nitrate Supplementation on Endurance Cyclic Sports Performance: A Systematic Review.Nutrients · 2020Pooled it
- The effects of environmental hypoxia on substrate utilisation during exercise: a meta-analysis.Journal of the International Society of Sports Nutrition · 2019Pooled it
- Effect of Glycemic Index of a Pre-exercise Meal on Endurance Exercise Performance: A Systematic Review and Meta-analysis.Sports medicine (Auckland, N.Z.) · 2017Pooled it
- A systematic review and meta-analysis of carbohydrate benefits associated with randomized controlled competition-based performance trials.Journal of the International Society of Sports Nutrition · 2016Pooled it
- Exercise-induced stress behavior, gut-microbiota-brain axis and diet: a systematic review for athletes.Journal of the International Society of Sports Nutrition · 2016Pooled it
- Influence of Diets Differing in Macronutrient Composition on Metabolic Regulation During Exercise in Adults with Type 1 Diabetes.Nutrients · 2025Trial
- Effects of Grape Seed Extract Supplementation on Endothelial Function and Endurance Performance in Basketball Players.International journal of environmental research and public health · 2022Trial
- Metabolic, hormonal and performance effects of isomaltulose ingestion before prolonged aerobic exercise: a double-blind, randomised, cross-over trial.Journal of the International Society of Sports Nutrition · 2021Trial
- Effects of high-carbohydrate versus mixed-macronutrient meals on female soccer physiology and performance.European journal of applied physiology · 2021Trial
- Effects of a commercially available branched-chain amino acid-alanine-carbohydrate-based sports supplement on perceived exertion and performance in high intensity endurance cycling tests.Journal of the International Society of Sports Nutrition · 2020Trial
- Anaerobic Performance after a Low-Carbohydrate Diet (LCD) Followed by 7 Days of Carbohydrate Loading in Male Basketball Players.Nutrients · 2019Trial
- Carbohydrate Storage and Supplementation Strategies for Peak Performance in Cross-Country Skiing.Scandinavian journal of medicine & science in sports · 2026Review
- The effects of short-term consumption of a Western diet on aerobic exercise performance in bank voles with inherently distinct metabolic rates.Experimental physiology · 2026Article
- Nutritional considerations for athletes with diabetes: optimizing performance and glycemic control.Frontiers in nutrition · 2026Review
- The effects and post-exercise energy metabolism characteristics of different high-intensity interval training in obese adults.Scientific reports · 2025Article
- Nutritional Intake and Timing of Marathon Runners: Influence of Athlete's Characteristics and Fueling Practices on Finishing Time.Sports medicine - open · 2025Article
- Mechanism of Action and Beneficial Effects of Probiotics in Amateur and Professional Athletes.Food science & nutrition · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Endurance athletes rarely compete in the fasted state, as this may compromise fuel stores. Thus, the timing and composition of the pre-exercise meal is a significant consideration for optimizing metabolism and subsequent endurance performance. Carbohydrate feedings prior to endurance exercise are common and have generally been shown to enhance performance, despite increasing insulin levels and reducing fat oxidation. These metabolic effects may be attenuated by consuming low glycemic index carbohydrates and/or modified starches before exercise. High fat meals seem to have beneficial metabolic effects (e.g., increasing fat oxidation and possibly sparing muscle glycogen). However, these effects do not necessarily translate into enhanced performance. Relatively little research has examined the effects of a pre-exercise high protein meal on subsequent performance, but there is some evidence to suggest enhanced pre-exercise glycogen synthesis and benefits to metabolism during exercise. Finally, various supplements (i.e., caffeine and beetroot juice) also warrant possible inclusion into pre-race nutrition for endurance athletes. Ultimately, further research is needed to optimize pre-exercise nutritional strategies for endurance performance.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.