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March 1, 20260 citations

Menstrual Cycle Phase Does Not Affect Carbohydrate Supplementation Ergogenic Effect After Heavy Intensity Cycling.

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PFPablo R. Fleitas-PaniaguaLRLetizia RasicaRARafael A Azevedo

Key Points

  • To assess the impact of carbohydrate supplementation on endurance and fatigue during heavy intensity exercise across menstrual cycle phases.
  • Participants performed a step-ramp-test to estimate gas exchange threshold and maximal metabolic steady state.
  • Each performed four 90-min cycling bouts at a constant power output during two phases of the menstrual cycle.
  • Carbohydrate or placebo beverages were consumed during the exercise sessions.
  • A 4 km time trial was conducted post-exercise to evaluate performance changes.
  • Time trial performance improved with carbohydrate supplementation (F-CHO and L-CHO) compared to placebo (F-PLA and L-PLA) across both phases.
  • Greater decline in muscle twitch performance was noted with carbohydrate supplementation compared to placebo.
  • No significant differences in ratings of perceived exertion, fatigue, or leg pain were found between menstrual phases.

Abstract

To investigate whether carbohydrates (CHO) supplementation affects endurance performance, perceived and performance fatigability responses following a constant power output (PO) heavy intensity exercise bout across mid-follicular and mid-luteal menstrual cycle phases. Twelve recreationally trained females completed: (i) a step-ramp-step test to estimate gas exchange threshold (GET) and maximal metabolic steady state (MMSSest); (ii) 4 constant-PO bouts for 90 min at Δ20% between GET and MMSSest randomly repeated twice in the mid-follicular and twice in the mid-luteal menstrual cycle phase, drinking either a CHO (F-CHO and L-CHO) or a placebo (F-PLA and L-PLA) beverage. A subsequent 4 km time trial (TT) was performed after each session. Rating of perceived exertion (RPE), rating of fatigue (RoF), dyspnea, leg pain, changes in isometric maximal voluntary contraction (IMVC), voluntary activation (VA), low-frequency fatigue (Db10:100), and potentiated twitch (Qtwpot) were measured in all sessions. The 4 km TT was better (p = 0.005) after F-CHO (9.9 ± 2.1 min) and L-CHO (9.8 ± 2.0 min) compared to F-PLA (10.4 ± 2.6 min) and L-PLA (10.0 ± 1.9 min) similarly for both phases. F-CHO (-46% ± 12%) and L-CHO (-50% ± 12%) showed greater decline compared to F-PLA (-43% ± 12%) and L-PLA (-43% ± 14%) for Qtwpot (p = 0.044). L-CHO (10 (9-10)) showed greater values compared to L-PLA (9 (8-9)) for dyspnea (p = 0.020). No differences were observed for IMVC, VA, Db10:100, RPE, RoF or leg pain. In recreationally trained females: (i) no differences in endurance performance or performance fatigability are observed between the mid-follicular and mid-luteal menstrual cycle phases if 4 km TT is performed after 90 min at Δ20% between GET and MMSSest; and (ii) CHO supplementation improves endurance performance and affects performance fatigability similarly across these menstrual cycle phases.

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Cite This Study

Fleitas-Paniagua et al. (2026) studied this question.

synapsesocial.com/papers/69a3d8e7ec16d51705d30369https://doi.org/10.1111/sms.70240
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Recommended but Not High Carbohydrate Dose Improves Performance After Heavy‐ but Not Moderate‐Intensity Exercise in Recreationally Trained Participants2026 · 1 citations
  2. 2No Influence of Menstrual Phase on Substrate Oxidation Following Submaximal Aerobic Exercise in the Fed State2026
  3. 3Cardiovascular and metabolic responses during HIIT across menstrual cycle phases in eumenorrheic females compared to men2026
  4. 4No Effect of Menstrual Phase on Appetite-Regulatory Parameters After a Moderate-Intensity Exercise Session2025 · 3 citations
  5. 5No Effects of Carbohydrate Ingestion on Muscle Metabolism or Performance During Short‐Duration High‐Intensity Intermittent Exercise2024 · 7 citations