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Review
Glycemic Index in Sport Nutrition
Luca Mondazzi, MD, Enrico Arcelli, MD
Mapei Sport Service and Research Centre, Castellanza (VA) (L.M.), School of Exercise Science, University of Milan (E.A.), Milan,
ITALY
Key words: glycemic index, sport nutrition, glycogen recovery, glycogen loading, lipid oxidation, CHO oxidation
Carbohydrates (CHO) can be classified on the basis of their glycemic index (GI), and the use of this
classification has been increasingly supported by science. Because of its impact on blood glucose and insulin
responses following the ingestion of CHO foods, the GI has been studied in many fields of medicine, including
sport nutrition. As a new tool in sport nutrition, glycemic index manipulation has been evaluated to improve the
first and second phases of glycogen recovery, glycogen load, and exercise metabolism, including control of
rebound hypoglycemia and, it is interesting to note, stimulation of lipid oxidation for longer availability of
glucose sources during endurance exercise.
Although attractive, the use of GI in sport nutrition has received only partial support from available
experimental evidence. At the biochemical level, consistent evidence has been attained to suggest that GI
manipulation can determine variations in adipocyte lipolysis, plasma free fatty acids levels, and lipid and CHO
oxidation rates during exercise. However, when the effects of GI manipulation have been assessed at the
functional level, the results have been inconsistent, with evidence of improved exercise performance in some
studies, but not in many others. The purpose
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