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Effects of Food Intake Sequence on Substrate Utilisation and Endurance Performance

Effects of Manipulating Food Intake Sequence in the Pre-exercise Meal on Substrate Utilisation and Endurance Performance in Athletes

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07503990
Enrollment
18
Registered
2026-03-31
Start date
2026-04-01
Completion date
2026-06-09
Last updated
2026-06-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Endurance Exercise, Healthy Participants, Substrate Metabolism

Keywords

food order, meal sequence, glucose metabolism, substrate utilisation, sport nutrition

Brief summary

The goal of this clinical trial is to understand how consuming a pre-exercise meal in different food intake sequences affects substrate utilisation and endurance exercise performance in healthy trained athletes. Specifically, the main questions it aims to answer are: * Does consuming the pre-exercise meal in different food intake sequences alter the whole-body utilisation of fat and CHO at rest and during prolonged exercise at moderate to heavy intensities? * Does consuming the pre-execise meal in different food intake sequences alter time-trial performance? * Does consuming the pre-exercise meal in different food intake sequences alter other metabolic and physiological responses before, during or after exercise (i.e., blood glucose, blood lactate, heart rate (HR), ratings of perceived exertion (RPE), appetite)? To address these questions, researchers will compare eating the dietary sources of rapidly absorbed CHO at the end (CHO-last meal pattern) or at the start (CHO-first meal pattern) of a standardised pre-exercise meal, in a randomised, counterbalanced, crossover design. Two hours after starting the pre-exercise meal, participants will perform a 60-min submaximal test on a cycling ergometer at two different intensities (30 min at 90% of the ventilatory threshold (VT) 1 and 30 min at 50% VT1-VT2), followed by a 10-km cycling time trial (TT). In the screening visit participants will: * Be screened for cardiometabolic conditions * Perform an 8-12-min graded exercise test to determine their maximal pulmonary oxygen uptake (VO2max) and non-invasive submaximal anchors of performance (VT 1 and VT 2) * Be familiarised to the experimental procedures In experimental visits participants will: * Follow guidelines pertaining to dietary intake, exercise and sleep in the previous 24 hours * Have a standardised test meal in either the CHO-last or CHO-first food intake sequence * Have 3 drops of capillary blood (0,9 µL in total) collected to measure glucose and lactate pre-meal, 15, 30, 45, 60, 90 and 120 min post-meal, every 15 min during submaximal exercise and post-TT * Breathe into an indirect calorimetry mask for 5 min pre-meal, 15, 30, 45, 60, 90 and 120 min post-meal, every 15 min during submaximal exercise and post-TT * Wear a HR monitor continuously during submaximal exercise and the TT * Rate their appetite on visual analogue scales pre-meal, 15, 30, 45, 60, 90 and 120 min post-meal, and 30 min post-TT * Rate their perceived exertion on RPE scales every 15 min during submaximal exercise, post-TT and 30 min post-TT. Data will be compared within-participant between food intake sequences using linear mixed-effects models with random intercepts, to account for repeated measurements, interindividual variability, and potential missing data.

Interventions

Skyr yoghurt, whey protein and almonds over \~5 min, immediately followed by white bread, strawberry jam, banana and pulp-free orange juice over \~10 min.

White bread, strawberry jam, banana and pulp-free orange juice over \~10 min, immediately followed by skyr yoghurt, whey protein and almonds over \~5 min.

Sponsors

Universidade do Porto
Lead SponsorOTHER
Federação Portuguesa de Futebol
CollaboratorUNKNOWN
Fundação para a Ciência e a Tecnologia
CollaboratorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
SINGLE (Outcomes Assessor)

Masking description

Although participants and the researcher delivering the test meal will be able to see the ingredients and the order in which they are consumed, outcome assessors of subjective (e.g. RPE, appetite) and performance data will be blinded to the intervention sequence. Furthermore, participants will be blinded to their performance results during both study sessions.

Intervention model description

This study is designed as a randomised, counterbalanced, crossover, superiority trial with two groups. Block randomization will be performed by an external researcher with a 1:1 allocation ratio, and allocation concealment will be ensured through the use of sequentially numbered, opaque, sealed envelopes.

Eligibility

Sex/Gender
MALE
Age
18 Years to 64 Years
Healthy volunteers
Yes

Inclusion criteria

* Adult (18-64 years old) * Men * Endurance-trained athletes (meeting training and performance caliber criteria ≥Tier 2; McKay et al., 2022) * Healthy (meeting the

Exclusion criteria

for medical conditions) * Normal glucose tolerant according to the latest criteria established by the American Diabetes Association (2024): HbA1c \<5.7%, fasting plasma glucose \<5.6 mmol/L (100 mg/dL) or 2-h plasma glucose \<7.8 mmol/L (140 mg/dL) during a 75-g OGTT * Able and willing to provide informed consent and safely comply with study procedures

Design outcomes

Primary

MeasureTime frameDescription
Whole-body fat oxidationEvery 15 minutes post-meal (0-120 minutes), every 15 minutes throughout the subsequent standardised exercise protocol (120-180 minutes)Difference between CHO-last and CHO-first meal patterns in the whole-body fat oxidation rate (g/min) over time adjusted for baseline, measured by indirect calorimetry.
Time-trial performanceImmediately upon completion of the time trial subsequent to the post-meal resting period (0-120 minutes) and standardised exercise protocol (120-180 minutes)Difference between CHO-last and CHO-first meal patterns in the time to complete (min:sec) a 10-km cycling TT, assessed using a validated cycle ergometer.

Secondary

MeasureTime frameDescription
Time-trial power outputImmediately upon completion of the time trial subsequent to the post-meal resting period (0-120 minutes) and standardised exercise protocol (120-180 minutes)Difference between CHO-last and CHO-first meal patterns in the average power output (W) during a 10-km cycling TT, assessed using a validated cycle ergometer.
Whole-body CHO oxidationEvery 15 minutes post-meal (0-120 minutes), every 15 minutes throughout the subsequent standardised exercise protocol (120-180 minutes)Difference between CHO-last and CHO-first meal patterns in the whole-body CHO oxidation rate (g/min) over time adjusted for baseline, measured by indirect calorimetry.
Respiratory exchange ratio (RER)Every 15 minutes post-meal (0-120 minutes), every 15 minutes throughout the subsequent standardised exercise protocol (120-180 minutes)Difference between CHO-last and CHO-first meal patterns in the RER over time adjusted for baseline, measured by indirect calorimetry.
Energy expenditureEvery 15 minutes post-meal (0-120 minutes), every 15 minutes throughout the subsequent standardised exercise protocol (120-180 minutes)Difference between CHO-last and CHO-first meal patterns in the energy expenditure rate (kcal/min) over time adjusted for baseline, measured by indirect calorimetry.
Blood glucose concentrationsEvery 15 minutes post-meal in the first hour (0-60 min), every 30 minutes in the second hour (60-120 min), every 15 minutes throughout the standardised exercise protocol (120-180 min) and immediately upon completion of the subsequent time trialDifference between CHO-last and CHO-first meal patterns in the capillary blood glucose concentrations (mmol/L) over time adjusted for baseline, measured by a validated glucometer.
Blood lactate concentrationsEvery 15 minutes post-meal in the first hour (0-60 min), every 30 minutes in the second hour (60-120 min), every 15 minutes throughout the standardised exercise protocol (120-180 min) and immediately upon completion of the subsequent time trialDifference between CHO-last and CHO-first meal patterns in the capillary blood lactate concentrations (mmol/L) over time adjusted for baseline, measured by a validated lactate meter.
Heart RateContinuously throughout the standardised exercise protocol (120-180 minutes) and subsequent time trialDifference between CHO-last and CHO-first meal patterns in the heart rate (bpm) over time adjusted for baseline, assessed as 15-minute averages during exercise using a validated heart rate monitor.
Ratings of perceived exertion (RPE)Every 15 minutes during the standardised exercise protocol (120-180 minutes), immediately upon completion of the subsequent time trial, 30 minutes after completion of the time trialDifference between CHO-last and CHO-first meal patterns in the absolute RPE over time, assessed during and after exercise using the validated modified Borg's 0-10 scale.
Subjective appetite ratingsEvery 15 minutes post-meal in the first hour (0-60 minutes), every 30 minutes in the second hour (60-120 minutes), and 30 minutes after completion of the time trialDifference between CHO-last and CHO-first meal patterns in the appetite ratings (mm) over time adjusted for baseline, assessed at rest and after exercise using validated 100-mm visual analogue scales.

Countries

Portugal

Contacts

PRINCIPAL_INVESTIGATORRita Giro

FCNAUP, University of Porto; Federação Portuguesa de Futebol

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 11, 2026