Acute endurance exercise performance
Evidence basis: randomised trials
Carbohydrate intake during prolonged exercise improves performance on average.
Population: Adults performing prolonged endurance exercise in controlled studies of carbohydrate intake versus placebo or control.
Research details
Summary
A 96-study meta-analysis of carbohydrate solutions found an overall performance SMD of 0.43 (95% CI 0.35 to 0.51). A later 136-study review also found benefits, with larger effects during longer events and on time-to-exhaustion tests than time trials. These findings support a context-dependent fueling strategy, not a universal product or dose.
Why this certainty
Moderate because large controlled-study syntheses support an acute performance effect. Protocol heterogeneity and differences between laboratory capacity and competition limit precision and generalization.
Limitations
Studies varied in training status, duration, comparator and formulation, and the reviews include overlapping trials. Time-to-exhaustion tests are not identical to real-world race performance; findings do not establish the same effect for every food or personal gut tolerance. The reviews synthesize controlled intervention studies; random allocation was not confirmed for every included trial in the retrieved material.
Effect estimate
Endurance-performance SMD 0.43 (95% CI 0.35 to 0.51), 96-study review.

