ClinicalTrials.gg
CompletedNCT07933315Updated Nov 12, 2026

Effects of Fasted and Fed Exercise on Fat and Carbohydrate Oxidation During Exercise in Male Soccer Players

An interventional study of Moderate-Intensity Cycling Under Fasted and Fed Conditions in Metabolism Changes, Exercise and Energy Metabolism, sponsored by Hacettepe University. Completed at 1 site in Turkey (Türkiye). Open to male participants aged 18 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by Hacettepe University · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Registered 8 months after the study started (first participant enrolled Feb 2026, registered Oct 2026).
Updated Nov 12, 2026Newly registeredGo to Updates ↓

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Phase
Not applicable
Study type
Interventional
Enrollment
11
Allocation
Not applicable
Ages
18 Years to 35 Years
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 101 studies in Motor Activity by Hacettepe University — 24 open to participants now, 24 under way, none of them phase 3. Motor Activity · Hacettepe University.

Enrollment
68th of 71
11 · median 36
Started
2026
with 8 others
No phase
70 of 101
17 open now
Registered
100th of 101
by date

Among the 101 studies in Motor Activity by Hacettepe University, this one is the 68th largest by enrollment of the 71 interventional ones that give a count, is one of 9 that started in 2026, is one of 70 with no phase, and was the 100th registered.

Motor Activity

9,812 studies on the registry are indexed under Motor Activity; 1,917 are open to participants now.

Browse Motor Activity studies →

Open to participants now

24 of the 101 studies in Motor Activity by Hacettepe University are open now, in 1 country. Recruiting first, the newest first:

19 more — sign in →

By country, each count listing its studies:

All 24 open studies →

Where they have run

Who these studies take

Of the 1,204 Motor Activity studies recruiting now, 518 (43%) set no upper age limit and 538 (45%) stop at 75 or younger; 180 take children under 18; 421 take healthy volunteers.

This study: 18 Years to 35 Years · male · healthy volunteers too.

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02

Study summary

The goal of this study was to determine whether eating before exercise changes how male soccer players use fat and carbohydrate for energy. This study also examined how consistent these measurements are when the same exercise test was repeated on separate days. The main questions it aimed to answer were:

Were measurements of fat and carbohydrate use during exercise consistent across two tests performed after an overnight fast?

Did fat and carbohydrate use during exercise differ between fasted and fed conditions?

Participants attended the laboratory on four occasions after fasting overnight for 10-12 hours, had their body composition and maximal aerobic fitness measured, and completed a practice cycling session during the first visit.

During the second and third visits, all participants completed a 30-minute cycling test at a moderate intensity following overnight fasting to establish the test-retest reproducibility of metabolic measurements.

During the fourth visit, they completed two 30-minute cycling tests: one before eating and another one hour after an unrestricted meal of pasta and meatballs. During cycling test, participants wore a mask so researchers could measure their breathing gases and estimate how much fat and carbohydrate they used for energy.

Read the detailed description

This study was designed to investigate the reproducibility of exercise substrate oxidation measurements and to compare metabolic responses to moderate-intensity exercise under fasted and fed conditions in trained male soccer players. A repeated-measures, within-participant design was employed, incorporating separate test-retest assessments and a fixed-sequence comparison of fasting and feeding conditions. The study was conducted during the off-season to minimize potential variations in training load and competitive match demands.

Participants attended the laboratory on four separate occasions under standardized experimental conditions. All visits were scheduled at the same time of day following a 10-12-hour overnight fast to minimize potential circadian and nutritional influences on metabolic responses. Participants were instructed to avoid strenuous exercise, alcohol, and caffeine for at least 24 hours before each visit and to maintain comparable dietary intake before experimental trials.

During the first laboratory visit, body composition was assessed using dual-energy X-ray absorptiometry (DXA), followed by a maximal incremental cycling test to determine maximal oxygen uptake (VO2max). Following a two-hour recovery period, participants completed a 20-minute familiarization session at 60% of VO2max to become accustomed to the experimental exercise protocol.

The second and third laboratory visits consisted of identical 30-minute submaximal cycling trials performed at 60% of VO2max under overnight-fasted conditions. These sessions were conducted to establish the test-retest reproducibility of metabolic measurements before the main experimental comparison.

During the fourth visit, conducted at least 72 hours after the preceding trial, participants completed two 30-minute cycling bouts at the same relative exercise intensity. The first bout was performed following an overnight fast. One hour after completing this bout, participants consumed an ad libitum meal consisting of pasta and meatballs. A second cycling bout was performed one hour after meal consumption, corresponding to two hours after completion of the initial exercise bout. The order of conditions was fixed, with the fasted trial always preceding the fed trial.

Respiratory gas exchange was continuously monitored during the submaximal exercise trials using an automated metabolic measurement system. Measurements obtained during predefined exercise intervals were used to characterize metabolic responses and evaluate the influence of feeding status during moderate-intensity exercise.

03

Conditions studied

  • Metabolism Changes
  • Exercise
  • Energy Metabolism
  • Nutritional Intervention
  • Metabolic Flexibility

Browse trials for

Keywords

  • Substrate oxidation
  • nutritional status
  • metabolic flexibility
  • soccer
  • metabolism
04

Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male soccer players aged 18-35 years,
  • Minimum of 4 years of continuous training at a professional or semi-professional level,
  • between 18.5 and 24.9 kg·m-²,
  • Non-smoker,
  • Free from musculoskeletal injuries or any diagnosed metabolic,
  • Cardiovascular diseases that could interfere with exercise performance or metabolic assessments

Exclusion criteria

Exclusion Criteria:

  • Female individuals or individuals aged \<18 or >35 years,
  • Fewer than 4 years of continuous soccer training at a professional or semi-professional level,
  • \<18.5 or >24.9 kg·m-²,
  • Current smoking
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
11 participants (actual)

Study arms

  • Experimental
    Fasted and Fed Exercise in Male Soccer Players

    All participants completed the same protocol. Following baseline assessments and familiarization, participants performed two 30-minute cycling tests at 60% of maximal oxygen uptake on separate days after a 10-12-hour overnight fast to assess test-retest reproducibility. During the final visit, participants completed a 30-minute cycling test at the same intensity after an overnight fast. One hour after completing this bout, they consumed an ad libitum meal of pasta and meatballs. One hour after meal ingestion, they completed a second 30-minute cycling test at the same intensity. Respiratory gases were measured during all cycling tests to calculate fat and carbohydrate oxidation rates.

    Other: Moderate-Intensity Cycling Under Fasted and Fed Conditions

Interventions

  • OtherModerate-Intensity Cycling Under Fasted and Fed Conditions

    Participants completed 30 minutes of cycling on an electronically braked cycle ergometer at a workload corresponding to 60% of maximal oxygen uptake after a 10-12-hour overnight fast. One hour after completing the fasted exercise bout, participants consumed an ad libitum meal consisting of pasta and meatballs. One hour after meal ingestion, they completed a second 30-minute cycling bout at the same workload under fed conditions. Both bouts were performed during the same laboratory visit in a fixed sequence, with fasted exercise preceding fed exercise. Respiratory gases were measured during both bouts, and data from minutes 10-15 and 25-30 were used to calculate fat and carbohydrate oxidation rates.

06

What researchers measure

Primary outcomes

  1. Fat Oxidation Rate During Fasted and Fed Exercise

    Fat oxidation rate (g/min) was calculated from oxygen uptake and carbon dioxide production measured by indirect calorimetry during cycling at 60% of V̇O₂max. Rates were calculated for two predefined periods, minutes 10-15 and 25-30, and compared between fasted and fed conditions.

    Time frame: At 10-15 and 25-30 minutes after the start of each 30-minute cycling bout performed under fasted and fed conditions at Visit 4.

  2. Carbohydrate Oxidation Rate During Fasted and Fed Exercise

    Carbohydrate oxidation rate (g/min) was calculated from oxygen uptake and carbon dioxide production measured by indirect calorimetry during cycling at 60% of V̇O₂max. Rates were calculated for two predefined periods, minutes 10-15 and 25-30, and compared between fasted and fed conditions.

    Time frame: At 10-15 and 25-30 minutes after the start of each 30-minute cycling bout performed under fasted and fed conditions at Visit 4.

Secondary outcomes

  1. Energy Expenditure During Fasted and Fed Exercise

    Energy expenditure was calculated from oxygen uptake and carbon dioxide production measured by indirect calorimetry during cycling at 60% of V̇O₂max. Rates were calculated for two predefined periods, minutes 10-15 and 25-30, and compared between fasted and fed conditions.

    Time frame: At 10-15 and 25-30 minutes after the start of each 30-minute cycling bout performed under fasted and fed conditions at Visit 4.

  2. Respiratory Exchange Ratio During Fasted and Fed Exercise

    Respiratory exchange ratio (RER) was calculated as the ratio of carbon dioxide production (V̇CO₂) to oxygen uptake (V̇O₂), measured by indirect calorimetry during cycling at 60% of V̇O₂max. Mean RER values were calculated for minutes 10-15 and 25-30 of each exercise bout and compared between fasted and fed conditions.

    Time frame: At 10-15 and 25-30 minutes after the start of each 30-minute cycling bout performed under fasted and fed conditions at Visit 4.

  3. Heart Rate During Exercise

    Heart rate, expressed in beats per minute (bpm), was assessed during 30-minute cycling bouts at 60% of maximal oxygen uptake under fasted and fed conditions. Heart rate responses were compared between nutritional conditions and across exercise time points.

    Time frame: At 10-15 and 25-30 minutes after the start of each 30-minute cycling bout performed under fasted and fed conditions at Visit 4.

Other outcomes

  1. Test-Retest Reproducibility of Fat Oxidation Rate During Submaximal Exercise

    Fat oxidation rate (g/min) was calculated from respiratory gas exchange measurements obtained using indirect calorimetry during two identical 30-minute cycling trials at 60% of V̇O₂max under overnight-fasted conditions. Reproducibility between trials was evaluated using the intraclass correlation coefficient (ICC), coefficient of variation (CV%), standard error of measurement (SEM), and smallest detectable change at the 95% confidence level (SDC95).

    Time frame: 10-15 and 25-30 minutes after the onset of each 30-minute cycling trial performed at 60% of V̇O₂max under overnight-fasted conditions at Visits 2 and 3 (test and retest, respectively).

  2. Test-Retest Reproducibility of Carbohydrate Oxidation Rate During Submaximal Exercise

    Carbohydrate oxidation rate (g/min) was calculated from respiratory gas exchange measurements obtained using indirect calorimetry during two identical 30-minute cycling trials at 60% of V̇O₂max under overnight-fasted conditions. Reproducibility between trials was evaluated using the intraclass correlation coefficient (ICC), coefficient of variation (CV%), standard error of measurement (SEM), and smallest detectable change at the 95% confidence level (SDC95).

    Time frame: 10-15 and 25-30 minutes after the onset of each 30-minute cycling trial performed at 60% of V̇O₂max under overnight-fasted conditions at Visits 2 and 3 (test and retest, respectively).

  3. Test-Retest Reproducibility of Respiratory Exchange Ratio During Submaximal Exercise

    Respiratory exchange ratio (RER; dimensionless) was determined from the ratio of carbon dioxide production to oxygen uptake measured using indirect calorimetry during two identical 30-minute cycling trials at 60% of V̇O₂max under overnight-fasted conditions. Reproducibility between trials was evaluated using the intraclass correlation coefficient (ICC), coefficient of variation (CV%), standard error of measurement (SEM), and smallest detectable change at the 95% confidence level (SDC95).

    Time frame: 10-15 and 25-30 minutes after the onset of each 30-minute cycling trial performed at 60% of V̇O₂max under overnight-fasted conditions at Visits 2 and 3 (test and retest, respectively).

07

Study locations

1 site
  • Faculty of Sports Science
    Ankara, 06900, Turkey (Türkiye)
08

References and documents

Publications

  • Newell ML, Wallis GA, Hunter AM, Tipton KD, Galloway SDR. Metabolic Responses to Carbohydrate Ingestion during Exercise: Associations between Carbohydrate Dose and Endurance Performance. Nutrients. 2018 Jan 3;10(1):37. doi: 10.3390/nu10010037. PubMed 29301367 ↗
  • Wallis GA, Yeo SE, Blannin AK, Jeukendrup AE. Dose-response effects of ingested carbohydrate on exercise metabolism in women. Med Sci Sports Exerc. 2007 Jan;39(1):131-8. doi: 10.1249/01.mss.0000241645.28467.d3. PubMed 17218895 ↗
  • Jeukendrup AE, Wagenmakers AJ, Stegen JH, Gijsen AP, Brouns F, Saris WH. Carbohydrate ingestion can completely suppress endogenous glucose production during exercise. Am J Physiol. 1999 Apr;276(4):E672-83. doi: 10.1152/ajpendo.1999.276.4.E672. PubMed 10198303 ↗
  • Wingfield HL, Smith-Ryan AE, Melvin MN, Roelofs EJ, Trexler ET, Hackney AC, Weaver MA, Ryan ED. The acute effect of exercise modality and nutrition manipulations on post-exercise resting energy expenditure and respiratory exchange ratio in women: a randomized trial. Sports Med Open. 2015 Jun;2:11. doi: 10.1186/s40798-015-0010-3. PubMed 26213682 ↗
  • Ormsbee MJ, Bach CW, Baur DA. Pre-exercise nutrition: the role of macronutrients, modified starches and supplements on metabolism and endurance performance. Nutrients. 2014 Apr 29;6(5):1782-808. doi: 10.3390/nu6051782. PubMed 24787031 ↗
  • Bishop DJ, Lee MJ, Picard M. Exercise as Mitochondrial Medicine: How Does the Exercise Prescription Affect Mitochondrial Adaptations to Training? Annu Rev Physiol. 2025 Feb;87(1):107-129. doi: 10.1146/annurev-physiol-022724-104836. Epub 2025 Feb 3. PubMed 39656953 ↗
  • Hetlelid KJ, Plews DJ, Herold E, Laursen PB, Seiler S. Rethinking the role of fat oxidation: substrate utilisation during high-intensity interval training in well-trained and recreationally trained runners. BMJ Open Sport Exerc Med. 2015 Aug 21;1(1):e000047. doi: 10.1136/bmjsem-2015-000047. eCollection 2015. PubMed 27900134 ↗
  • Venables MC, Achten J, Jeukendrup AE. Determinants of fat oxidation during exercise in healthy men and women: a cross-sectional study. J Appl Physiol (1985). 2005 Jan;98(1):160-7. doi: 10.1152/japplphysiol.00662.2003. Epub 2004 Aug 27. PubMed 15333616 ↗
  • Achten J, Jeukendrup AE. Maximal fat oxidation during exercise in trained men. Int J Sports Med. 2003 Nov;24(8):603-8. doi: 10.1055/s-2003-43265. PubMed 14598198 ↗
  • Goodpaster BH, Sparks LM. Metabolic Flexibility in Health and Disease. Cell Metab. 2017 May 2;25(5):1027-1036. doi: 10.1016/j.cmet.2017.04.015. PubMed 28467922 ↗
  • Egan B, Zierath JR. Exercise metabolism and the molecular regulation of skeletal muscle adaptation. Cell Metab. 2013 Feb 5;17(2):162-84. doi: 10.1016/j.cmet.2012.12.012. PubMed 23395166 ↗
  • Furrer R, Hawley JA, Handschin C. The molecular athlete: exercise physiology from mechanisms to medals. Physiol Rev. 2023 Jul 1;103(3):1693-1787. doi: 10.1152/physrev.00017.2022. Epub 2023 Jan 5. PubMed 36603158 ↗
  • Fritzen AM, Lundsgaard AM, Kiens B. Tuning fatty acid oxidation in skeletal muscle with dietary fat and exercise. Nat Rev Endocrinol. 2020 Dec;16(12):683-696. doi: 10.1038/s41574-020-0405-1. Epub 2020 Sep 22. PubMed 32963340 ↗
  • Hargreaves M, Spriet LL. Skeletal muscle energy metabolism during exercise. Nat Metab. 2020 Sep;2(9):817-828. doi: 10.1038/s42255-020-0251-4. Epub 2020 Aug 3. PubMed 32747792 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2026 to primary completion in Jul 2026, 5 months.

Of 5,158 non-industry interventional studies with no phase under Motor Activity, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 36. This study's 5 months is below that.

Counting every sponsor, half of 5,218 studies reached it within 17 months; a quarter within 7 and three quarters within 36.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 21, 2026
First posted
Nov 12, 2026
StartActual
Feb 9, 2026
Primary completionActual
Jul 20, 2026
CompletionActual
Jul 20, 2026
Last update
Nov 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07933315
Responsible party
Muhammed Mustafa Atakan (Associate Professor, Hacettepe University) — Principal investigator
First posted
Nov 12, 2026
Start date
Feb 9, 2026
Primary completion
Jul 20, 2026
Completion
Jul 20, 2026
Last update
Nov 12, 2026

Study contacts

Muhammed M Atakan, Associate Professor
principal investigator · Hacettepe University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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