The Effect of Sodium Alginate and Pectin Added to a Carbohydrate Beverage on Endurance Performance, Substrate Oxidation and Blood Glucose Concentration: A Systematic Review and Meta-analysis

dc.contributor.authorSutehall, Shaun
dc.contributor.authorMuniz-Pardos, Borja
dc.contributor.authorBosch, Andrew
dc.contributor.authorPitsiladis, Yannis
dc.date.accessioned2022-07-08T07:15:06Z
dc.date.available2022-07-08T07:15:06Z
dc.date.issued2022-06-21
dc.date.updated2022-06-26T03:13:05Z
dc.description.abstractIntroduction Scientific and public interest in the potential ergogenic effects of sodium alginate added to a carbohydrate (CHO) beverage has increased in the last ~ 5 years. Despite an extensive use of this technology by elite athletes and recent research into the potential effects, there has been no meta-analysis to objectively elucidate the effects of adding sodium alginate to a CHO beverage on parameters relevant to exercise performance and to highlight gaps in the literature. Methods Three literature databases were systematically searched for studies investigating the effects of sodium alginate added to CHO beverage during prolonged, endurance exercise in healthy athletes. For the systematic review, the PROSPERO guidelines were followed, and risk assessment was made using the Cochrane collaboration’s tool for assessing the risk of bias. Additionally, a random-effects meta-analysis model was used to determine the standardised mean difference between a CHO beverage containing sodium alginate and an isocaloric control for performance, whole-body CHO oxidation and blood glucose concentration. Results Ten studies were reviewed systematically, of which seven were included within the meta-analysis. For each variable, there was homogeneity between studies for performance (n = 5 studies; I2 = 0%), CHO oxidation (n = 7 studies; I2 = 0%) and blood glucose concentration (n = 7 studies; I2 = 0%). When compared with an isocaloric control, the meta-analysis demonstrated that there is no difference in performance (Z = 0.54, p = 0.59), CHO oxidation (Z = 0.34, p = 0.71) and blood glucose concentration (Z = 0.44, p = 0.66) when ingesting a CHO beverage containing sodium alginate. The systematic review revealed that several of the included studies did not use sufficient exercise intensity to elicit significant gastrointestinal disturbances or demonstrate any ergogenic benefit of CHO ingestion. Risk of bias was generally low across the included studies. Conclusions This systematic review and meta-analysis demonstrate that the current literature indicates no benefit of adding sodium alginate to a CHO beverage during exercise. Further research is required, however, before firm conclusions are drawn considering the range of exercise intensities, feeding rates and the apparent lack of benefit of CHO reported in the current literature investigating sodium alginate.en_US
dc.identifier.apacitationSutehall, S., Muniz-Pardos, B., Bosch, A., & Pitsiladis, Y. (2022). The Effect of Sodium Alginate and Pectin Added to a Carbohydrate Beverage on Endurance Performance, Substrate Oxidation and Blood Glucose Concentration: A Systematic Review and Meta-analysis. <i>Sports Medicine - Open</i>, 21(1), 82. http://hdl.handle.net/11427/36631en_ZA
dc.identifier.chicagocitationSutehall, Shaun, Borja Muniz-Pardos, Andrew Bosch, and Yannis Pitsiladis "The Effect of Sodium Alginate and Pectin Added to a Carbohydrate Beverage on Endurance Performance, Substrate Oxidation and Blood Glucose Concentration: A Systematic Review and Meta-analysis." <i>Sports Medicine - Open</i> 21, 1. (2022): 82. http://hdl.handle.net/11427/36631en_ZA
dc.identifier.citationSutehall, S., Muniz-Pardos, B., Bosch, A. & Pitsiladis, Y. 2022. The Effect of Sodium Alginate and Pectin Added to a Carbohydrate Beverage on Endurance Performance, Substrate Oxidation and Blood Glucose Concentration: A Systematic Review and Meta-analysis. <i>Sports Medicine - Open.</i> 21(1):82. http://hdl.handle.net/11427/36631en_ZA
dc.identifier.ris TY - Journal Article AU - Sutehall, Shaun AU - Muniz-Pardos, Borja AU - Bosch, Andrew AU - Pitsiladis, Yannis AB - Introduction Scientific and public interest in the potential ergogenic effects of sodium alginate added to a carbohydrate (CHO) beverage has increased in the last ~ 5 years. Despite an extensive use of this technology by elite athletes and recent research into the potential effects, there has been no meta-analysis to objectively elucidate the effects of adding sodium alginate to a CHO beverage on parameters relevant to exercise performance and to highlight gaps in the literature. Methods Three literature databases were systematically searched for studies investigating the effects of sodium alginate added to CHO beverage during prolonged, endurance exercise in healthy athletes. For the systematic review, the PROSPERO guidelines were followed, and risk assessment was made using the Cochrane collaboration’s tool for assessing the risk of bias. Additionally, a random-effects meta-analysis model was used to determine the standardised mean difference between a CHO beverage containing sodium alginate and an isocaloric control for performance, whole-body CHO oxidation and blood glucose concentration. Results Ten studies were reviewed systematically, of which seven were included within the meta-analysis. For each variable, there was homogeneity between studies for performance (n = 5 studies; I2 = 0%), CHO oxidation (n = 7 studies; I2 = 0%) and blood glucose concentration (n = 7 studies; I2 = 0%). When compared with an isocaloric control, the meta-analysis demonstrated that there is no difference in performance (Z = 0.54, p = 0.59), CHO oxidation (Z = 0.34, p = 0.71) and blood glucose concentration (Z = 0.44, p = 0.66) when ingesting a CHO beverage containing sodium alginate. The systematic review revealed that several of the included studies did not use sufficient exercise intensity to elicit significant gastrointestinal disturbances or demonstrate any ergogenic benefit of CHO ingestion. Risk of bias was generally low across the included studies. Conclusions This systematic review and meta-analysis demonstrate that the current literature indicates no benefit of adding sodium alginate to a CHO beverage during exercise. Further research is required, however, before firm conclusions are drawn considering the range of exercise intensities, feeding rates and the apparent lack of benefit of CHO reported in the current literature investigating sodium alginate. DA - 2022-06-21 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - Sports Medicine - Open KW - Hydrogel KW - Carbohydrate KW - Endurance KW - Exercise KW - Systematic KW - Meta-analysis KW - Performance LK - https://open.uct.ac.za PY - 2022 T1 - The Effect of Sodium Alginate and Pectin Added to a Carbohydrate Beverage on Endurance Performance, Substrate Oxidation and Blood Glucose Concentration: A Systematic Review and Meta-analysis TI - The Effect of Sodium Alginate and Pectin Added to a Carbohydrate Beverage on Endurance Performance, Substrate Oxidation and Blood Glucose Concentration: A Systematic Review and Meta-analysis UR - http://hdl.handle.net/11427/36631 ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s40798-022-00472-5
dc.identifier.urihttp://hdl.handle.net/11427/36631
dc.identifier.vancouvercitationSutehall S, Muniz-Pardos B, Bosch A, Pitsiladis Y. The Effect of Sodium Alginate and Pectin Added to a Carbohydrate Beverage on Endurance Performance, Substrate Oxidation and Blood Glucose Concentration: A Systematic Review and Meta-analysis. Sports Medicine - Open. 2022;21(1):82. http://hdl.handle.net/11427/36631.en_ZA
dc.language.rfc3066en
dc.rights.holderThe Author(s)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.sourceSports Medicine - Openen_US
dc.source.journalissue1en_US
dc.source.journalvolume21en_US
dc.source.pagination82en_US
dc.source.urihttps://sportsmedicine-open.springeropen.com/
dc.subjectHydrogelen_US
dc.subjectCarbohydrateen_US
dc.subjectEnduranceen_US
dc.subjectExerciseen_US
dc.subjectSystematicen_US
dc.subjectMeta-analysisen_US
dc.subjectPerformanceen_US
dc.titleThe Effect of Sodium Alginate and Pectin Added to a Carbohydrate Beverage on Endurance Performance, Substrate Oxidation and Blood Glucose Concentration: A Systematic Review and Meta-analysisen_US
dc.typeJournal Articleen_US
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