NCT07298863

Brief Summary

Metabolic flexibility is the ability to properly switch between fat and carbohydrate stores to use for energy under different conditions (rest, feeding, exercise). Impairments in metabolic flexibility, also known as metabolic inflexibility, have been suggested to be an underlying cause of metabolic disease, like type 2 diabetes. Long-term low fluid intake may increase the risk of type 2 diabetes due to insulin resistance, a form of metabolic inflexibility. Further, low fluid intake has been shown to impair the ability to switch fuel preference during exercise. While there is some evidence that low fluid intake may lead to impaired metabolic flexibility, more information is needed. Therefore, the purpose of this study is to evaluate the impact of hydration status on substrate preference at rest and during exercise at varying intensities (light and moderate). Further, we will examine whether biological sex and menstrual cycle phase impact hydration and metabolism under these same conditions.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
74

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Nov 2025

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 5, 2025

Completed
19 days until next milestone

First Submitted

Initial submission to the registry

November 24, 2025

Completed
29 days until next milestone

First Posted

Study publicly available on registry

December 23, 2025

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2026

Completed
29 days until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2026

Completed
Last Updated

March 3, 2026

Status Verified

February 1, 2026

Enrollment Period

5 months

First QC Date

November 24, 2025

Last Update Submit

February 27, 2026

Conditions

Keywords

hydrationmetabolismfluid retention

Outcome Measures

Primary Outcomes (1)

  • Respiratory Exchange Ratio

    VCO2 / VO2 measured using indirect calorimetry measured by metabolic cart (Moxus or similar device) while exercising on cycle ergometer.

    Measured over the course of exercise bouts performed during the exercise and experimental trials. Compared across DEH, EUH-H2O, and EUH-Electrolyte arms.

Secondary Outcomes (23)

  • Body Mass

    Exercise Trial- following bladder void at baseline, post 1st and 2nd 30 min exercise sessions, and post 20 min rest Experimental Trial-following bladder void at baseline, post 10 min rest, post 1st and 2nd 30 min exercise sessions, and post 20 min rest

  • Plasma copeptin concentration

    Exercise trial- Post 10 min rest, pre-exercise bout. Experimental trial- Post 10 min rest, pre indirect calorimetry; post 1st and 2nd 30 min exercise bout; post 20 min rest.

  • Plasma osmolality

    Exercise trial- Post 10 min rest, pre-exercise bout. Experimental trial- Post 10 min rest, pre indirect calorimetry; post 1st and 2nd 30 min exercise bout; post 20 min rest.

  • Blood glucose

    At medical screening to determine eligibility. Exercise trial- Post 10 min rest, pre-exercise bout. Experimental trial- Post 10 min rest, pre indirect calorimetry; post 1st and 2nd 30 min exercise bout; post 20 min rest.

  • Blood lactate

    Exercise trial- Post 10 min rest, pre-exercise bout. Experimental trial- Post 10 min rest, pre indirect calorimetry; post 1st and 2nd 30 min exercise bout; post 20 min rest.

  • +18 more secondary outcomes

Study Arms (3)

Dehydrated control trial

OTHER

Fluid restriction during exercise and for remaining 24 hours

Other: Exercise TrialOther: Experimental Trial

Euhydrated with water

OTHER

Euhydrated with water to account for sweat loss and to maintain hydration over 24-hour period

Other: Exercise TrialOther: Experimental Trial

Euhydrated with electrolyte beverage

EXPERIMENTAL

Euhydrated with electrolyte beverage (220 mg sodium in 20 oz) to account for sweat loss and to maintain hydration over 24-hour period

Other: Exercise TrialOther: Experimental Trial

Interventions

Perform steady-state cycling exercise for approximately 1 hour at 70-80% of maximal heart rate

Dehydrated control trialEuhydrated with electrolyte beverageEuhydrated with water

24h after exercise trial, following assigned 24h hydration plan, perform indirect calorimetry followed by 30 min of light cycling (\~50% VO2 max) then 30 min of moderate-high cycling (\~80% VO2 max).

Dehydrated control trialEuhydrated with electrolyte beverageEuhydrated with water

Eligibility Criteria

Age18 Years - 35 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Subject is male or female
  • If female, subject is not pregnant (based on self-report)
  • If female, subject has stopped taking birth control medication or removed long-acting reversible contraceptive \>6 months at start of the study
  • If female, subject has normal menstrual cycle (21-35 days)
  • If female, subject is willing to track their menstrual cycle
  • If female, subject has a smartphone compatible for application to track menstrual cycle (female only) and/or wearable data (females and males)
  • Subject is 18-35 years of age, inclusive
  • Subject body mass index (BMI) is between 18.5-25 kg/m2
  • Subject is at least recreationally active (engaged in moderate-intensity, intermittent, or steady-state exercise at least 3 days per week for at least 60 min at a time)
  • Subject is accustomed to cycling for at least 60 min
  • Subject does not smoke (or has quit for at least 6 months)
  • Subject is not taking medication that may interfere with the study (e.g., diuretics, laxatives, or weight loss drugs)
  • Subject has no health conditions that would interfere with the study as indicated on the general health questionnaire (GHQ) e.g. cardiovascular, renal, or metabolic diseases
  • Subject is not actively involved in weight loss intervention (dieting and/or anti-obesity medications)
  • Subject is not allergic to adhesives (e.g., medical tape)
  • +7 more criteria

You may not qualify if:

  • Subject has participated in a clinical trial within the past 30 days
  • Subject has participated in any PepsiCo trial within past 36 months
  • Subject has a condition or is taking medication that the investigator believes would interfere with his/her ability to provide informed consent, comply with the study protocol, which might confound the interpretation of the study results, or put the person at undue risk
  • Subject is allergic to alcohol (alcohol pre pads are used for blood draws
  • If female, subject is taking birth control medication or has long-acting reversible contraceptive
  • If male, subject is undergoing hormone therapy to alter testosterone levels (injections, transdermal patch, pill, etc.)
  • Subject is employed by, or has a parent, guardian, or other immediate family member employed by a company that manufactures any products that compete with any Gatorade product. If subject is unsure if a company would be considered a competitor to Gatorade, they will be asked to please let the study investigator know the name of the other company and the nature of their relationship to that company before they sign the informed consent.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Gatorade Sports Science Institute

Valhalla, New York, 10595, United States

RECRUITING

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
CROSSOVER
Model Details: Randomized, controlled, cross-over study (counterbalanced).
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 24, 2025

First Posted

December 23, 2025

Study Start

November 5, 2025

Primary Completion

April 1, 2026

Study Completion

April 30, 2026

Last Updated

March 3, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share

Locations