Dietary Carbohydrates Influence the Performance Outcomes of Short-Term Heat Acclimation

Med Sci Sports Exerc. 2025 Sep 1;57(9):1947-1957. doi: 10.1249/MSS.0000000000003726. Epub 2025 Apr 18.

Abstract

Purpose: Studies on heat acclimation (HA) involving high-intensity exercise report impairments in time trial (TT) performance in the heat immediately after HA. This study aimed to determine whether a high-carbohydrate (HC) diet could enhance 3.22-km run TT performance in the heat following exercise-intensive short-term HA.

Methods: Fourteen healthy military-age males were assigned to either an HC diet (70% kcal carbohydrate (CHO), n = 7) or lower CHO comparison (COMP, 35% kcal CHO, n = 7) to be consumed during and for 1 wk after a 6-d HA protocol.

Results: Baseline descriptive statistics, heat tolerance, and run performance were similar between groups ( P > 0.05). Both groups acclimated, showing reduced heart rate, rectal and skin temperature, and increased sweat rate (each P ≤ 0.03) during heat stress testing 1 and 5 d after HA. The HC group demonstrated a faster TT (959 ± 103 s vs 1067 ± 172, P = 0.02, g = 0.71) than COMP 1 d post-HA. HC showed improved TT performance from baseline at 1 d ( P = 0.01, g = 0.59) and 5 d post-HA ( P = 0.04, g = 0.59). The HC group showed greater TT improvement at 1 d (-7.0 ± 4.9% vs -0.7 ± 4.7%, P = 0.03, g = 1.23) and 5 d post-HA (-8.4 ± 4.9% vs -2.8 ± 3.9%, P = 0.01, g = 1.18), with no group differences in HA outcomes or relative strain during TT.

Conclusions: Insufficient CHO intake during heavy daily exertion in unacclimated heat stress, such as in short-term HA, may affect post-HA performance outcomes unless addressed with additional CHO consumption.

Keywords: FATIGUE; NUTRITION; READINESS; WARFIGHTER.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Acclimatization* / physiology
  • Adult
  • Athletic Performance* / physiology
  • Dietary Carbohydrates* / administration & dosage
  • Heart Rate / physiology
  • Hot Temperature*
  • Humans
  • Male
  • Military Personnel
  • Running* / physiology
  • Skin Temperature
  • Sweating / physiology
  • Thermotolerance* / physiology
  • Young Adult

Substances

  • Dietary Carbohydrates