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. 2018 Feb 10;76(4):243–259. doi: 10.1093/nutrit/nuy001

Table 2.

Dietary and exercise interventions that influence muscle glycogen synthesis

Intervention Response Reference
Regular training + diet high in CHO content (>8 g/kg BW/d) Supercompensated muscle glycogen stores compared with the start of training and greater than if a low-CHO diet is consumed Ahlborg and Brohult (1967)54
Classic glycogen loading: 3 d of hard training on a low-CHO diet (<5 g/kg BW/d) followed by 3 d of tapered training on a high-CHO diet Supercompensated muscle glycogen stores compared with before the intervention but training is very difficult both physically and psychologically during the low-CHO phase Bergstrom et al. (1967)33 and (1972)55
Modified glycogen loading: 3-d taper on a high-CHO diet with 24-h rest prior to competitions Supercompensated muscle glycogen stores similar to the classic loading regimen Sherman et al. (1981)56; Bussau et al. (2002)57
Train low, compete high: purposefully reduce daily CHO intake or train after an overnight fast or withhold CHO intake during and for 2 h following a hard training session to promote adaptations that result in glycogen supercompensation Training low reduces the capacity to train hard and makes training psychologically challenging. No clear evidence of additional benefits to glycogen stores or performance Bartlett et al. (2015)58; Burke (2010)59
Train high, sleep low: train with high CHO availability in the evening, no CHO replacement prior to sleep, train with low CHO availability in the morning Evidence of improved performance compared with consuming a consistently high-CHO diet during training. Performance benefits could be due to higher muscle glycogen Hawley (2014)60; Marquet et al. (2016)61,62; Yeo et al. (2008)63
Protein supplementation When dietary CHO intake is not adequate, consuming 0.3–0.4 g protein/kg BW has been shown to augment glycogen synthesis Betts and Williams (2010)64; Ivy et al. (2002)65
Creatine loading Some studies found enhanced muscle glycogen storage with creatine loading, whereas other studies found no effect Roberts et al. (2016)66; Sewell et al. (2008)67
Fat loading, train low >2 weeks on a high-fat, low-CHO diet increases muscle fat oxidation and spares muscle glycogen during moderate-intensity exercise (eg, 60% VO2max). However, fat loading can impair muscle CHO oxidation and performance at higher intensities Bartlett et al. (2015)58’ Burke and Kiens (2006)68

Abbreviations: BW, body weight; CHO, carbohydrate; VO2max, maximal oxygen consumption.