Benefits
Carbohydrate fuel before and during endurance exercise
In 10 cyclists, a waxy starch taken 30 minutes before 2 hours of cycling allowed more work in the final ride than placebo and about the same as glucose. In later trials of hydrothermally modified waxy maize starch, sprints after 3 hours of cycling and 5 km run times were no better than with a glucose or sugar drink, and no better than placebo in two runner trials.
Smaller early rise in blood glucose and insulin, both markers
In 12 young adults at rest, 50 g of uncooked waxy maize starch gave lower 4 hour glucose and insulin responses than a maltodextrin and sucrose mix, mostly in the first hour. In 9 cyclists, the modified starch peaked lower than maltodextrin for glucose (7.4 versus 9.5 mM) and far lower for insulin. These are blood markers, not measures of performance.
More fat burned during exercise, a fuel marker
Compared with sugar, dextrose or maltodextrin drinks, the modified starch raised blood markers of fat breakdown and fat oxidation in cycling and running trials, by about a third in one. This is a shift in fuel use, not a performance result: in runners, fat breakdown inside fat tissue did not change, and no trial linked the shift to better times.
Muscle glycogen refill after hard exercise, measured by biopsy
In 8 cyclists eating a high-carbohydrate diet for 12 hours after draining exercise, muscle glycogen rose by a similar amount whether the carbohydrate came from waxy starch, glucose or maltodextrin, and rose less with high-amylose resistant starch. Glycogen is a marker, and next-day time trial work did not differ between any of the carbohydrates.
Soccer skill tests late in a simulated match
In 11 university soccer players, a hydrothermally modified corn starch taken before a simulated match and at halftime kept dribbling time from slowing versus baseline, unlike dextrose, and passing penalty time was lower than with dextrose. Repeated sprint ability was similar. This single small trial did not state in its abstract that the starch was waxy maize.
Stomach symptoms during hard exercise and after bedtime use
In 10 cyclists drinking the modified starch before and during about 3 hours of riding, nausea during the closing sprints was higher than with a glucose and sucrose drink with both the matched dose and the halved during-exercise dose. Taken before sleep in 14 runners, it did not change stomach symptoms the next morning.
Mechanism of action
Branched amylopectin and digestion speed
A mutation in the gene for granule-bound starch synthase I means waxy maize makes almost no amylose, leaving starch that is 95 to 100 percent branched amylopectin. Uncooked waxy maize granules are digested slowly from the inside out. How the starch is processed matters: in one oxidation study, cooked (gelatinized) amylopectin was used during exercise to the same extent as glucose, while raw amylopectin was used less.
Hydrothermal modification and slower glucose release
Heat and moisture treatment turns waxy maize starch into a high molecular weight starch that releases glucose over a longer period. In a resting and exercise study, blood glucose stayed above baseline for 90 minutes with a processed high-amylopectin starch, versus 60 minutes with uncooked cornstarch and 30 minutes with dextrose. The same property is used in medical foods that extend overnight fasting.
Lower insulin and the shift toward fat use
Insulin restrains fat release, so the smaller insulin rise after the modified starch is the proposed reason fat oxidation is higher. A runner trial found that fat breakdown inside abdominal fat tissue did not change, so where the extra fat comes from is not settled, and the shift has not translated into better performance in the trials published.
Clinical trials
Controlled crossover trial; 1 g/kg of glucose, waxy starch (botanical source not named in the abstract), resistant starch or an artificially sweetened placebo 30 minutes before 90 minutes of steady cycling and a 30 minute self-paced performance ride; PubMed lists non-US-government support (Goodpaster et al. 1996, Int J Sports Med)
10 male college-age competitive cyclists.
Work in the performance ride was higher after waxy starch (428 kJ) or glucose (434 kJ) than after placebo (403 kJ, p < 0.05), and resistant starch tended higher (p < 0.09). Waxy starch did not outperform glucose. Glucose raised resting serum glucose and insulin more than the starches; during exercise, glucose, insulin, C-peptide and glucagon were similar across trials.
Crossover trial; after glycogen-lowering cycling, 12 hours of refeeding (about 3000 kcal, 65 percent carbohydrate) with all carbohydrate from glucose, maltodextrin, waxy starch (described as 100 percent amylopectin) or resistant starch (100 percent amylose); vastus lateralis biopsies and a 30 minute time trial 24 hours later (Jozsi et al. 1996, Int J Sports Med)
8 male cyclists, average age 22.
Glycogen rose less with resistant starch (+90.8 mmol/kg dry weight) than with glucose (+197.7), maltodextrin (+136.7) or waxy starch (+171.8), p < 0.05. Total work in the time trial and blood lactate after it did not differ between any of the four carbohydrates.
Randomized, double-blind crossover trial; 1 g/kg of high molecular weight hydrothermally modified waxy maize starch or maltodextrin 30 minutes before 150 minutes of cycling at 70 percent of peak oxygen uptake and within 10 minutes after it, with a final ride to exhaustion; product and funder not named in the abstract, PubMed lists non-US-government support (Roberts et al. 2011, Nutrition)
9 trained male cyclists, average age 30, after a 10 hour fast.
Serum glucose peaked lower with the starch (7.4 versus 9.5 mM, p ≤ 0.01) and insulin far lower (2.5 versus 20.3 microIU/mL, p < 0.001), while non-esterified fatty acids (p < 0.01) and glycerol (p < 0.05) were higher. These are metabolic markers; the abstract reports no result for the ride to exhaustion.
Randomized crossover trial; a sucrose and glucose drink versus UCAN hydrothermally modified waxy maize starch, each 60 g before and 60 g per hour during exercise, plus a lower starch dose of 30 g per hour; about 3 hours of cycling ending in 10 maximal sprints; product donated by The UCAN Co. and Dymatize, supported by Florida State University, authors declare no conflict (Baur et al. 2016, Nutrients)
10 male cyclists.
Sprint performance did not differ between the matched starch and sugar drinks; both likely beat the lower starch dose by about 4 to 5 percent. The starch raised fat oxidation (about 32 percent at the matched dose) and lowered carbohydrate oxidation, but nausea during the sprints was higher with both starch doses than with the sugar drink.
Randomized crossover trial; 75 g of UCAN low glycemic index modified starch, 75 g of a glucose-based drink or a noncaloric placebo 30 minutes before 30 minutes at 60 percent and 30 minutes at 75 percent of maximal oxygen uptake and a 5 km time trial; PubMed lists NIH extramural and non-US-government support (Baur et al. 2018, Med Sci Sports Exerc)
10 trained male runners.
Before exercise, glucose and insulin rose more with the glucose drink than with UCAN (p < 0.0001), and fat oxidation was less suppressed with UCAN. Fat breakdown measured by microdialysis in abdominal fat tissue did not differ at rest or while running, and running performance did not differ between UCAN, glucose and placebo.
Double-blind, randomized, placebo-controlled crossover trial; 75 g SuperStarch (66 g carbohydrate), 75 g of a glucose-based drink or a noncaloric placebo within 30 minutes before sleep; next-morning metabolism, graded exercise and a 5 km time trial; UCAN donated the starch, no external funding apart from modest help from a Skidmore student fund, authors declare no conflict (Dudar et al. 2020, Nutrients)
14 trained endurance athletes (8 men, 6 women), average age 28.
5 km time trial performance did not differ (p = 0.94), nor did resting metabolism, blood glucose or stomach symptoms. Carbohydrate use during the graded test only tended to be higher after the starch (p = 0.16).
Randomized crossover trial; hydrothermally modified corn starch or the same energy as dextrose (0.7 g/kg per hour, 8 percent carbohydrate) before the match and at halftime; the abstract does not name the product, its waxy maize origin, funding or a registry number, while a registry entry by the same investigator (NCT02667340) describes Superstarch versus glucose with performance as the primary outcome (Quinones and Lemon 2019, Int J Sport Nutr Exerc Metab)
11 male university varsity soccer players, average age 22.
Repeated sprint performance was similar (p > 0.05). Dribbling slowed versus baseline with dextrose (15.63 versus 14.43 s) but not with the starch, and passing penalty time was lower with the starch (4.27 versus 7.73 s, p = 0.004). Blood glucose was lower 15 and 30 minutes after the starch, and the respiratory exchange ratio was lower in the first half.
Randomized crossover feeding trial; 50 g of available carbohydrate as uncooked waxy maize starch, a maltodextrin and sucrose mix, or white bread, with glucose, insulin, energy expenditure and appetite followed for 4 hours; starch supplied by Tate and Lyle, funded by the US Army Natick Soldier RDECOM (Sands et al. 2009, Nutr Res)
12 young, lean, insulin-sensitive adults (6 men, 6 women).
Waxy maize gave lower 4 hour glucose and insulin responses than the maltodextrin mix (p < 0.001), driven by the first hour, and a lower insulin response than white bread (p < 0.05). Energy expenditure and appetite did not differ between treatments.