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J Athl Train. 1994 September; 29(3): 244-246, 249-250, 253-254.
PMCID: PMC1317793

Carbohydrate Strategies for Injury Prevention

Abstract

Prevention of injury involves identifying risk factors that would predispose one to injury and developing strategies to attenuate or eliminate their presence. Because muscle glycogen depletion is associated with fatigue and injury, it should be treated as a possible risk factor. Muscle glycogen stores are derived almost entirely from carbohydrate intake. Because there is a limited capacity to store muscle glycogen, and because muscle glycogen is the predominant fuel in exercise of moderate to severe intensity, the nutritional focus should be on carbohydrate consumption. Easy-to-follow nutritional strategies should be employed that will maximize muscle glycogen stores and delay the onset of fatigue. Individuals involved in activities lasting less than 60 minutes need to consume an adequate amount of carbohydrate daily and a pre-event meal before the start of the activity. However, individuals participating in activities longer than 60 minutes or participating in activities requiring repeated bouts of high intensity exercise need to: 1) consume an adequate amount of carbohydrate daily, 2) practice carbohydrate loading, 3) consume the pre-event meal, and 4) ingest carbohydrates immediately before, during, and after the activity.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Armstrong RB. Muscle damage and endurance events. Sports Med. 1986 Sep-Oct;3(5):370–381. [PubMed]
  • Armstrong RB, Ogilvie RW, Schwane JA. Eccentric exercise-induced injury to rat skeletal muscle. J Appl Physiol Respir Environ Exerc Physiol. 1983 Jan;54(1):80–93. [PubMed]
  • Bangsbo J, Nørregaard L, Thorsøe F. The effect of carbohydrate diet on intermittent exercise performance. Int J Sports Med. 1992 Feb;13(2):152–157. [PubMed]
  • Bergström J, Hermansen L, Hultman E, Saltin B. Diet, muscle glycogen and physical performance. Acta Physiol Scand. 1967 Oct-Nov;71(2):140–150. [PubMed]
  • Bergström J, Hultman E. A study of the glycogen metabolism during exercise in man. Scand J Clin Lab Invest. 1967;19(3):218–228. [PubMed]
  • Blom PC, Høstmark AT, Vaage O, Kardel KR, Maehlum S. Effect of different post-exercise sugar diets on the rate of muscle glycogen synthesis. Med Sci Sports Exerc. 1987 Oct;19(5):491–496. [PubMed]
  • Coggan AR. Plasma glucose metabolism during exercise in humans. Sports Med. 1991 Feb;11(2):102–124. [PubMed]
  • Costill DL. Carbohydrate nutrition before, during, and after exercise. Fed Proc. 1985 Feb;44(2):364–368. [PubMed]
  • Costill DL, Hargreaves M. Carbohydrate nutrition and fatigue. Sports Med. 1992 Feb;13(2):86–92. [PubMed]
  • Costill DL, Pascoe DD, Fink WJ, Robergs RA, Barr SI, Pearson D. Impaired muscle glycogen resynthesis after eccentric exercise. J Appl Physiol (1985) 1990 Jul;69(1):46–50. [PubMed]
  • Coyle EF. Timing and method of increased carbohydrate intake to cope with heavy training, competition and recovery. J Sports Sci. 1991 Summer;9(Spec No):29–52. [PubMed]
  • Fridén J, Sjöström M, Ekblom B. A morphological study of delayed muscle soreness. Experientia. 1981 May 15;37(5):506–507. [PubMed]
  • Fry RW, Morton AR, Keast D. Overtraining in athletes. An update. Sports Med. 1991 Jul;12(1):32–65. [PubMed]
  • Gibson H, Edwards RH. Muscular exercise and fatigue. Sports Med. 1985 Mar-Apr;2(2):120–132. [PubMed]
  • Gollnick PD, Armstrong RB, Sembrowich WL, Shepherd RE, Saltin B. Glycogen depletion pattern in human skeletal muscle fibers after heavy exercise. J Appl Physiol. 1973 May;34(5):615–618. [PubMed]
  • Grassino AE, Clanton T. Mechanisms of muscle fatigue. Monaldi Arch Chest Dis. 1993;48(1):94–98. [PubMed]
  • Hargreaves M. Carbohydrates and exercise. J Sports Sci. 1991 Summer;9(Spec No):17–28. [PubMed]
  • Hasson SM, Barnes WS. Effect of carbohydrate ingestion on exercise of varying intensity and duration. Practical implications. Sports Med. 1989 Dec;8(6):327–334. [PubMed]
  • Hermansen L, Hultman E, Saltin B. Muscle glycogen during prolonged severe exercise. Acta Physiol Scand. 1967 Oct-Nov;71(2):129–139. [PubMed]
  • Houtkooper L. Food selection for endurance sports. Med Sci Sports Exerc. 1992 Sep;24(9 Suppl):S349–S359. [PubMed]
  • Ivy JL, Katz AL, Cutler CL, Sherman WM, Coyle EF. Muscle glycogen synthesis after exercise: effect of time of carbohydrate ingestion. J Appl Physiol (1985) 1988 Apr;64(4):1480–1485. [PubMed]
  • Jacobs I, Westlin N, Karlsson J, Rasmusson M, Houghton B. Muscle glycogen and diet in elite soccer players. Eur J Appl Physiol Occup Physiol. 1982;48(3):297–302. [PubMed]
  • Leatt PB, Jacobs I. Effect of glucose polymer ingestion on glycogen depletion during a soccer match. Can J Sport Sci. 1989 Jun;14(2):112–116. [PubMed]
  • Kvitne RS, Jobe FW. The diagnosis and treatment of anterior instability in the throwing athlete. Clin Orthop Relat Res. 1993 Jun;(291):107–123. [PubMed]
  • Layzer RB. Muscle metabolism during fatigue and work. Baillieres Clin Endocrinol Metab. 1990 Sep;4(3):441–459. [PubMed]
  • Newham DJ, Mills KR, Quigley BM, Edwards RH. Pain and fatigue after concentric and eccentric muscle contractions. Clin Sci (Lond) 1983 Jan;64(1):55–62. [PubMed]
  • Newham DJ, Jones DA, Clarkson PM. Repeated high-force eccentric exercise: effects on muscle pain and damage. J Appl Physiol (1985) 1987 Oct;63(4):1381–1386. [PubMed]
  • Rogers MA, Stull GA, Apple FS. Creatine kinase isoenzyme activities in men and women following a marathon race. Med Sci Sports Exerc. 1985 Dec;17(6):679–682. [PubMed]
  • Roxin LE, Hedin G, Venge P. Muscle cell leakage of myoglobin after long-term exercise and relation to the individual performances. Int J Sports Med. 1986 Oct;7(5):259–263. [PubMed]
  • Sherman WM, Costill DL. The marathon: dietary manipulation to optimize performance. Am J Sports Med. 1984 Jan-Feb;12(1):44–51. [PubMed]
  • Sjöström M, Fridén J, Ekblom B. Endurance, what is it? Muscle morphology after an extremely long distance run. Acta Physiol Scand. 1987 Jul;130(3):513–520. [PubMed]
  • Taimela S, Kujala UM, Osterman K. Intrinsic risk factors and athletic injuries. Sports Med. 1990 Apr;9(4):205–215. [PubMed]
  • Warhol MJ, Siegel AJ, Evans WJ, Silverman LM. Skeletal muscle injury and repair in marathon runners after competition. Am J Pathol. 1985 Feb;118(2):331–339. [PubMed]
  • Vøllestad NK, Sejersted OM. Biochemical correlates of fatigue. A brief review. Eur J Appl Physiol Occup Physiol. 1988;57(3):336–347. [PubMed]

Articles from Journal of Athletic Training are provided here courtesy of National Athletic Trainers Association