# Carbohydrate Storage and Supplementation Strategies for Peak Performance in Cross‐Country Skiing

**Authors:** Niels Ørtenblad, H.‐C. Holmberg, Lars Nybo, Kasper D. Gejl

PMC · DOI: 10.1111/sms.70242 · Scandinavian Journal of Medicine & Science in Sports · 2026-02-26

## TL;DR

This paper reviews how carbohydrate storage and intake affect performance in cross-country skiing, focusing on glycogen metabolism and optimal supplementation strategies.

## Contribution

The paper synthesizes current evidence on carbohydrate utilization and glycogen metabolism specific to cross-country skiing and related endurance sports.

## Key findings

- Carbohydrate availability and glycogen levels significantly influence muscle function and fatigue in endurance sports.
- Optimal glycogen restoration requires sufficient carbohydrate intake and recovery time between training sessions.
- Exercise intensity and duration affect glycogen utilization rates and metabolic demands in cross-country skiing.

## Abstract

Carbohydrates are essential for sustaining performance in most competitive exercise, fueling both anaerobic glycolysis during high‐intensity efforts and aerobic metabolism during prolonged activity. Numerous factors contribute to muscle fatigue and exercise performance; still, carbohydrate and muscle glycogen contents are agreed to have an essential role in sustaining prolonged exercise at moderate‐to‐high intensities. To maintain consistent training and competition performance, elite athletes under certain conditions consume adequate carbohydrates between sessions to restore liver and muscle glycogen and possibly supplement during prolonged workouts to delay depletion. Effective glycogen restoration requires both sufficient carbohydrate intake and adequate recovery time. Understanding how glycogen levels fluctuate during intense or prolonged exercise, the rate at which stores are utilized, and the optimal amount and timing of carbohydrate intake for replenishment is essential. Here we examine the role of carbohydrate availability and utilization in competitive cross‐country skiing, which is characterized by exceptionally high whole‐body energy turnover with varying loads on the upper‐ and lower‐body muscles as well as fluctuating physiological demands determined by course profile, snow conditions, sub‐technique, and race format. This narrative review synthesizes existing evidence on the role of muscle glycogen contents and carbohydrate intake in muscle function and fatigue mechanisms, with a particular focus on cross‐country skiing and herein biathlon and Nordic combined. Additionally, we explore how exercise influences glycogen metabolism, the factors regulating glycogen utilization, and training adaptation in order to clarify physiological underpinnings and practical implications for endurance athletes.

## Full-text entities

- **Genes:** INS (insulin) [NCBI Gene 3630] {aka IDDM, IDDM1, IDDM2, ILPR, IRDN, MODY10}, PPARGC1A (PPARG coactivator 1 alpha) [NCBI Gene 10891] {aka LEM6, PGC-1(alpha), PGC-1alpha, PGC-1v, PGC1, PGC1A}, CS (citrate synthase) [NCBI Gene 1431], SLC2A5 (solute carrier family 2 member 5) [NCBI Gene 6518] {aka GLUT-5, GLUT5}, SLC5A1 (solute carrier family 5 member 1) [NCBI Gene 6523] {aka D22S675, NAGT, SGLT-1, SGLT1}, PRKAA1 (protein kinase AMP-activated catalytic subunit alpha 1) [NCBI Gene 5562] {aka AMPK, AMPK alpha 1, AMPKa1}, MAPK14 (mitogen-activated protein kinase 14) [NCBI Gene 1432] {aka CSBP, CSBP1, CSBP2, CSPB1, EXIP, Mxi2}
- **Diseases:** of muscle (MESH:D019042), gastrointestinal (GI) symptoms (MESH:D012817), Fatigue (MESH:D005221), stroke (MESH:D020521), diarrhea (MESH:D003967), nausea (MESH:D009325), glycogen (MESH:D006008), hypoglycemia (MESH:D007003), gastrointestinal discomfort (MESH:D005767), bloating (MESH:C535647)
- **Chemicals:** lactate (MESH:D019344), Glycogen (MESH:D006003), water (MESH:D014867), blood glucose (MESH:D001786), Ca2+ (-), fatty acid (MESH:D005227), Carbohydrate (MESH:D002241), lipid (MESH:D008055), ATP (MESH:D000255), fructose (MESH:D005632), Glucose (MESH:D005947)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12946687/full.md

## References

85 references — full list in the complete paper: https://tomesphere.com/paper/PMC12946687/full.md

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Source: https://tomesphere.com/paper/PMC12946687