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Sports Nutrition: Fads, Facts and Fallacies

The average American, spends 24 hours a week online. That includes many athletes who spend a lot of time surfing the Web, looking for answers to their nutrition questions. They generally find way too much conflicting information and end up more confused than ever. Hence, the goal of this article is to offer science-based answers to a few popular sports nutrition questions and share some food for thought.

Carbohydrates

We have all heard trendy comments about carbs: They’re a waste of calories, sugar is evil. Fact? No…

Are carbs a waste of calories, with little nutritional value?

The answer depends on your definition of “carbs.” Many athletes define carbs as sugar-filled baked goods and foods made with refined white flour, such as pasta, bagels, bread. In reality, carbohydrates include all types of sugars and starches. Carbs are in fruit, vegetables, beans (pinto, lima, garbanzo, etc.), grains (wheat, rice, barley, corn), and milk. These “quality carbs” add important nutrients to a sports diet.

Should athletes cut out sugar?

Sure, if that means cutting out EXCESS sugar. But if you plan is to cut out all sugar, technically speaking, you would need to stop eating any form of carbohydrate (fruit, veggies, grains), given those foods end up as sugar (glucose) in your body. That sugar fuels your muscles and brain. You’ll also need to cut out performance-enhancing sport drinks and gels.

Please judge a food based on all the nutrients that accompany the sugar, more so than just the sugar content. Some sugary foods are nutrient-rich. The natural and added sugar in chocolate milk, in combination with the milk’s protein, make chocolate milk an excellent recovery food. (The sugar refuels the muscles; the protein builds and repairs the muscles.)

If your goal is to cut out added sugar, you might want to think moderation, rather than all or nothing. US Dietary Guidelines say 10% of calories can come from added sugar. Eating a small sweet a day will not ruin your health forever.

Athletes who report a desire to cut out sugar commonly have a love-hate relationship with (too much) sugar. While they may believe sugar is addictive, a standard reason for overdosing on sugar relates to hunger. The body of a hungry athlete screams for quick energy: sugar. One way to curb sugar-cravings is to eat a satisfying protein-rich breakfast and lunch. By curbing hunger, you’ll enhance your chances of being able to choose quality carbs later in the day. Yes, eating enough breakfast can (and does) impact and improve your evening food choices. Give it a try?

Protein

Many of today’s athletes believe protein should dominate a sports diet. True? Not quite.

What percent of my calories should come from protein?

Dietary guidelines recommend 10% to 15% of daily calories should come from protein. In truth, athletes should base their protein needs on body weight, not percent of calories. The target for most athletes is about 0.5 to 0.75 grams of protein per pound of body weight (1.0-1.5 g pro/kg) per day. Athletes who restrict calories or are new to lifting weights might need a bit more protein—but most hungry athletes consume that much—plus more—within the context of daily food choices.

Can I get enough protein without protein shakes, bars and powders? Yes!

I rarely meet athletes who consume too little protein. Those who might benefit from a supplement include athletes with anorexia (who consume too little of most nutrients), dieting vegetarian athletes who fail to consume adequate plant protein within their restricted calorie budget. That is, for 125 calories, you can consume 25 grams of protein from a can of tuna but less than 4 g protein from the dollop (0.25 cup) of hummus on a salad.

Can vegan athletes perform as well as meat-eaters?

For certain, as long as they consume adequate protein, iron, calcium and B-12, among other nutrients. Not hard to do if the vegan is eating responsibly (i.e., not living on “vegan” Coke & potato chips). They might even perform better when they shift from a meat-based to plant-based diet. Plant proteins (such as beans, lentils, and hummus) offer both protein (to build and repair muscles) and carbohydrate (to fuel muscles).

To optimally fuel muscles, athletes who train about an hour a day need about 2.25 to 3.5 g carb/pound of body weight, depending on the intensity of the workout. For a 150-pound athlete, this comes to about 340 to 525 grams of carb a day (1,360 to 2,100 calories from carb). To hit that goal, starchy beans and grains should be the foundation of each meal and snack. Vegan athletes can easily hit that target, while many meat-focused or carb-avoidant athletes end up needlessly fatigued when meat/fish/chicken and salads displace starches and grains. No wonder many athletes report performing better when they switch to a vegan diet!

Fat

While fat has been shunned for years, it is now popular. Here’s what athletes want to know about dietary fat…

To lose undesired body fat, should I train my body to burn more fat?

Don’t bother! Burning fat differs from losing body fat. You might burn 800 calories doing two hours of fat-burning exercise, and then can easily replace it all by devouring a big meal. No fat loss there!

A wiser plan is to lose fat when you are sleeping (not when exercising), by eating less at dinner to create a calorie deficit for the day. That way, you can surround your workouts with fuel, and optimize your ability to train well. Weight is more of a calorie-game than a fat-burning game.

What about the high-fat keto diet for losing weight?

Keto advocates often rave they can lose weight without feeling hunger. True, a high fat diet is very satiating. But what happens after the diet? I’ve heard stories of keto dieters succumbing to carb-binges and rapid weight regain. My recommendation: Embark only on a food plan you want to maintain for the rest of your life. Meeting with a sports registered dietitian can help you learn effective weight management skills.

What about a keto diet for endurance athletes?

Some ultra-runners and ultra-athletes embrace a keto diet. By burning fat for fuel, they can eat less during long events and experience less intestinal distress. More research is needed on keto-athletes who have fat-adapted for several months (many studies are for less than one month): Can they perform better than carb-eaters? Current research suggests keto athletes might perform as well as carb eaters—but not better than. That’s a lot of dietary restriction for questionable performance benefits. That said, each athlete is an experiment of one and no one diet suits everyone.


Sports Nutritionist Nancy Clark, MS, RD counsels both casual and competitive athletes at her private practice in the Boston-area. Her best-selling Sports Nutrition Guidebook answers most nutrition questions and can help you eat to win. Visit NancyClarkRD.com for more information.

pretzels

Winning the War Against Snack Attacks

“I wish I didn’t have snack attacks. I eat way too much chocolate…”

“I eat only healthy foods during the day. My snacking problem starts the minute I get home from work. Chips are my downfall…”

“I try hard to not snack after dinner, but I have a bad habit of getting into the ice cream…”

Day after day, I hear athletes complain about their (seemingly) uncontrollable snacking habits. Some believe they are hopelessly, and helplessly, addicted to chocolate. Others believe eating between meals is sinful & fattening; snacking is just plain wrong. Some equate snacking to doing drugs. They bemoan they are addicted to sugar and can’t eat just one cookie. Snacking is all or nothing.

Despite the popular belief that snacking is bad, the truth is that snacking can be helpful for active people. Athletes get hungry and need to eat at least every three to four hours. That means, if you have breakfast at 7:00, you’ll be ready for food by 10:00 or 11:00, particularly if you exercise in the morning. By 3:00 p.m., you will again want more food. For students and others who exercise mid to late afternoon, a pre-exercise snack is very important to provide the fuel needed to have an effective workout.

The trick is to make snacks a part of your sports diet—preferably with an early lunch at 11:00 that replaces the morning snack. (Why wait to eat at noon when you are hungry now?) and a second lunch instead of afternoon sweets, to energize the end of your work or school day. A planned wholesome meal is far better than succumbing to sugary snacks or stimulant drinks.

Snacking problems commonly occur when athletes under-eat meals, only to over-indulge in snacks. Inadequate breakfasts and lunches can easily explain why snacks can contribute 20 to 50 percent of total calories for the day. Fingers crossed those snacks are nutrient-rich!

To easily and painlessly resolve nutrient-poor snack attacks, eat before you get too hungry. Hungry athletes (and all people, for that matter) tend to crave sweets (and fats) and can easily eat too many donuts, chocolate chip cookies, candy bars—foods with sugar (for quick energy) and fat (for concentrated calories).That honking big muffin can easily win out over a piece of fruit, hands down!

Athletes who report they “eat well during the day but get into trouble with snacks at night” need to understand the problem is not the evening snacks but having eaten too little during the active part of their day. Snacking is the symptom; getting too hungry is commonly the problem. One way to eliminate a mid-morning snack attack is to have a protein-rich, satiating breakfast (such as 3 eggs + avocado toast + a latte for 500-600 calories) as opposed to just a packet of oatmeal (only 100-150 calories). Enjoy soup + sandwich for lunch (500-700 calories), not just a salad with grilled chicken (only 300 calories).

Identifying hunger

Do you spend too much time thinking about food all day? If so, your brain is telling you it wants some fuel. Thinking about food nudges you to eat. If you were to never think about food, you’d waste away to nothing.

Other hunger signals include feeling droopy, moody, cold, bored (I’m eating this popcorn just because I’m bored), unable to focus, and easily irritated. If you fail to honor these hunger signals, they will escalate into a growling stomach (too hungry) and an all-out snack attack. Prevent hunger; eat enough during the active part of your day.

Please remember that hunger does not mean “Oh no, I’m going to eat and get fat.” Hunger is simply a request for fuel. Just as a light on the dashboard of your car signals when your car needs gas, your brain sends you hunger signals when your body is low on fuel. To not eat when you are hungry is abusive to your body (and mind) and puts your body into muscle-breakdown mode, which is counter-productive for athletes.

Losing weight without daytime hunger

Even if you want to lose undesired body fat, you should eat enough to feel satiated during the active part of your day. You can lose weight (“diet”) at night when you are sleeping. This is opposite to how most athletes eat: They diet by day, then attack the snacks at night. They eat the whole pint of ice cream, too many chocolates, and/or non-stop chips. Winning the war against hunger requires white knuckles. Not sustainable and not fun. The better bet is to fuel by day and diet at night by eliminating high-calorie evening snacks.

Dieting athletes commonly report the most concerns about snack attacks. As one rower complained, “I’m hungry all the time.” If that sounds like you, and you feel hungry within the hour after you eat a meal, experiment with eating heartier meals. For help figuring out a food plan that works for you, I encourage you to meet with a registered dietitian (RD) who specializes in sports nutrition. The referral network at www.SCANdpg.org can help you find a local sports nutrition professional.

Winning the war against snack attacks

I encourage my clients to convert snacktime into mealtime. Instead of reaching for cookies, candy, caffeine, and other typical snack foods, they opt for a peanut butter & banana sandwich for an early lunch at 10:00 or 11:00ish. (As long as they have a flexible eating schedule, no need to eat a donut just to bridge the gap to the more traditional eating time of noon.) They then can enjoy a later second lunch at 2:00 to 3:00ish, which gives them energy to be productive throughout the last hours of the workday.

By enjoying two lunches instead of snack foods + one lunch, they generally end up eating more quality calories and fewer sweets. If their meal schedule is inflexible, I nudge them to at least snack on mini-meals instead of sweets:

  • Whole-grain English muffin + nut butter
  • Oatmeal cooked in milk + dates
  • Hummus + baby carrots.

The benefits of being well-fed are fewer snack attacks, more energy, and easier weight management. Give it a try?


Sports Nutritionist Nancy Clark, MS, RD counsels both casual and competitive athletes in the Boston-area (Newton; 617-795-1875). The new 6th edition of her best-selling Sports Nutrition Guidebook offers additional information on how to manage snack attacks. Visit NancyClarkRD.com. For her online workshop, visit NutritionSportsExerciseCEUs.com.

Nutrition concept in tag cloud

Sports Nutrition Updates

Sports nutrition was a hot topic at this years’ annual Food & Nutrition Conference & Exposition (FNCE), hosted by the Academy of Nutrition and Dietetics, the nation’s largest group of nutrition professionals. Here are a few highlights, to keep you up to date with current sports nutrition recommendations.

Performance enhancers

  • Sport supplements that promise improved performance are always tantalizing. If they make as little as 0.5 to 1% improvement, the supplement is deemed to “work.” While scientists want well-controlled research studies to prove effectiveness, athletes respond very quickly to anecdotes—and often spend lots of money on what might be just a glimmer of hope. (In the four months leading up to the Olympics in 2000, one athlete spent $3,480 on supplements!)
  • The Australian Institute of Sport is creating a website for grouping supplements according to effectiveness: Group A (proven to enhance performance), Group B (deserves more research), Group C (little proof of meaningful benefits) and Group D (Banned).  Check it out at www.ais.gov.au/nutrition/supplementsThe helpful information can help guide your supplement choices.

Vitamin Zzz, aka Sleep

  • Sleep is one of the best performance enhancers. Lack of sleep has detrimental effects on performance. Athletes with good sleep quality are able to train harder, recover faster, and perform better. And take note:  if you think you can drink coffee at night and still sleep fine, think again. Brain wave studies suggest otherwise…
  • How much sleep is enough? More than 6 hours a night. Very few athletes can perform well with less than that. Top athletes commonly strive to get 8 to 10 hours of sleep each day, including a nap between 1:00 and 4:00 pm. (A later nap results in poorer sleep that night). Teens should target 8 to 10 hours and adults 7 to 9 hours. Lack of sleep can significantly impact your diet. After two nights with only 4 to 5 hours of sleep, the appetite increases about 20%. You’ll likely find yourself snacking more than usual (on fatty foods), eating fewer fruits and veggies, and consuming ~385 additional calories. Yikes!
  • For good sleep information, visit centreforsleep.com and take the Athletes’ Sleep Screening Questionnaire. Athletes who understand the benefits of sleep tend to sleep about 20 minutes more. I hope this holds true for you!

Muscle building tactics

  • When it comes to building muscle, you want to surround your workout with food, so you can get the most benefits from your efforts. Intermittent Fasters, take note: if you lift weights in a fasted state (without having eaten any pre-exercise fuel), the muscle-building effect of exercise is not enough to out-weigh the muscle breakdown that happens in a fasted state. Eat before you train!
  • Many athletes assume if they fail to eat within 45 minutes of lifting weights, the anabolic  (muscle-building) window slams shut. Wrong. Refueling either 1 or 3 hours post-exercise generates a similar gain in muscle protein synthesis. For the average exerciser, the effect of post-exercise protein timing on muscle growth is relatively small. For competitive body builders, the gain is also small but perhaps meaningful, so most prefer to err on the side of caution.
  • Consuming post-exercise protein stimulates insulin secretion, as does carbohydrate. (Did you know that whey protein stimulates more insulin than white bread?) Insulin reduces muscle breakdown and enhances glycogen replacement. Refueling with a combination of protein + carb is best for athletes who do two-a-day workouts, to optimize glycogen replacement. Athletes who do only one workout and refuel with a sports diet based on grains, starchy vegetables and fruits can replenish depleted glycogen stores over the course of 24 hours.
  • Does eating extra protein build bigger muscles? The body incorporates only a limited amount of protein into new muscle tissue. Spacing out protein intake by consuming 20 grams of protein every 3 hours (four times a day) is preferable to eating 80 grams in one dose. More specifically, athletes want to target 0.2-0.25 g pro/lb. body weight (0.4 to 0.55 g/kg) four times a day. This target varies from person to person. Vegans, for example, will want to consume a higher amount to get adequate leucine, an amino acid that triggers muscle growth.

Eating disorders in male athletes

  • Eating disorders (EDs) are not just a female problem. About 9% of male athletes—as compared to about 21% of female athletes—struggle with food issues and restrict their food intake to lose undesired body fat. The lack of fuel available to support normal bodily functions impacts bone health and reproductive function in men, just as it does in women. In men, low energy availability can lead to low testosterone, poor semen quality, reduced sperm count, and slower sperm motility. In women, it shows up as loss of regular menses (amenorrhea), hence infertility.
  • Compared to female athletes, male athletes can withstand more of a severe deficit before the appearance of symptoms such as low testosterone, bone stress injuries, and reduced bone density/poor bone health (osteoporosis). To reverse the energy deficit, athletes need to boost their energy intake, which can be easier said than done for those struggling with eating issues and fears of “getting fat.” One way to consume the recommended 350 additional calories per day is to break two energy bars into small bites, and nibble on them over the course of several hours. Men seem to be able to reverse the hormonal imbalance within days, while women can take months. Reversibility of bone density is not guaranteed.

Keto diet

  • A ketogenic sports diet (moderate protein, very low carb, very high fat) appeals to some athletes. Yet, we need more research to understand the fine details of adaptation to the keto diet and the role of keto supplements. (Supplement sales vastly exceed the science!) Stay tuned; perhaps we’ll have more answers from next year’s FNCE!

Reprinted with permission from Nancy Clark.


Sports Nutritionist Nancy Clark, MS, RD counsels both casual and competitive athletes at her office in Newton, MA (617-795-1875). The new 6th edition of her best selling Sports Nutrition Guidebook addresses today’s questions and concerns about what to eat. For more information, visit NancyClarkRD.com. For her online workshop, visit NutritionSportsExerciseCEUs.com.

vegan plate

Can Vegan Athletes Become Elite Athletes?

Fact or Fiction: The vegan diet is unlikely to support optimal performance in athletes? 

Fiction! No evidence suggests a nutritionally balanced vegan diet impairs athletic performance (1,2). Google vegan athletes; you’ll find an impressive list of Olympians and elite athletes from many sports (football, basketball, tennis, rowing, etc.). That said, vegans (and vegetarians) could choose a diet that helps them be powerful athletes, but do they?

Some vegans eat too many salads, sweet potatoes & berries (or chips and candy), but not enough beans, nuts, and seeds. They eliminate animal protein but fail to replace it with enough plant protein. Weight-conscious vegan athletes who restrict calories often reduce their intake of protein and other nutrients. Hence, dieting vegan athletes need to be extra vigilant to consume a menu supportive of their needs.

Two keys to thriving on a balanced vegan (and vegetarian) sports diet are to consume:

  1. adequate vitamins and minerals (in particular iron, zinc, calcium, iodine, vitamins D and B-12) as well as omega-3 fats, and
  2. adequate protein from a variety of plant foods that offer a variety of amino acids (the building blocks of protein).

The amino acid leucine is of particular importance for athletes. Leucine is an essential amino acid your body cannot make, so you need to get it from food. Leucine triggers muscles to grow. It also can help prevent the deterioration of muscle with age. When you lift weights, you stimulate the muscles to take up leucine (and other amino acids); this triggers muscular growth. Hence, leucine is a very important component of an athlete’s diet!

The richest sources of leucine are animal foods, such as eggs, milk, fish, and meats. When a meat-eating athlete swaps beef for beans and other plant-proteins (hummus, quinoa, nuts, tofu, etc.), the swap commonly reduces leucine intake by about 50%. Hence, vegan athletes need to pay attention to getting enough high-quality plant-proteins that offer the optimal amount of leucine (about 2.5 grams per meal or snack). That means, vegans want to consistently enjoy soy, beans, legumes, seeds and/or nuts regularly at every meal and snack. Don’t have just oatmeal for breakfast; add soy milk and walnuts.  Don’t snack on just an apple; slather apple slices with peanut butter. Enjoy it with a swig of soy or pea milk instead of almond milk.

This table compares the leucine content of plant and animal foods. Note that when you swap animal-based protein for plant-based protein (such as trade eggs for peanut butter, or dairy milk for soy milk), you’ll likely need to eat more calories of plant-foods to get the same amount of leucine as in animal foods:

Animal food Leucine

(g)

Calories Plant food (swap) Leucine

(g)

Calories
Eggs, 2 large 1.1 155 Peanut butter, 2 Tb 0.5 190
Milk, 8 oz 1.0 120 Soy milk, lowfat 0.5 105
Tuna, 5-oz can 2.3 120 Black beans, 1/2 c 0.7 110
Chicken, 3 oz cooked 2.1 150 Tofu, extra firm, 6 oz 1.4 140
Cheese, 1 oz 0.6 115 Almonds, 3/4 oz. 0.3 120
Beef, 5 oz ckd 3.8 265 Lentils, 1 cup 1.3 225

 How much protein and leucine do you need?

A 150-pound vegan athlete who seriously wants to build muscle should plan to eat about 20 grams of protein with 2.5 grams leucine every 3-4 hours during the day. (If you weigh more or less than 150 pounds, adjust that target accordingly.)  Here’s a sample 1,800-calorie vegan diet (read that, weight reduction diet for most athletes, both male and female) that offers adequate protein at every meal —but not always 2.5 grams leucine. To be a dieting vegan athlete requires some menu planning. Some dieters choose to be “mostly vegan.” This flexibility allows for leucine-rich milk, eggs & fish.

Sample 1,800 calorie Vegan Diet Leucine Protein Calories
B.     2 slices whole wheat toast 0.5 g 10. g 200
         2 tablespoons peanut butter 0.5 8 200
         1 cup soy milk 0.5 7 100
Sn: 1 medium apple trace 0.5 100
L:     Salad: greens plus vegetables 0.3 4 50
         1/2 cup chick peas 0.8 6 100
         1/4 cup sunflower seeds 0.9 12 350
         1 tablespoon oil 100
Sn:   1/3 cup hummus 0.2 3 100
         10 baby carrots trace 0.5 50
D:    1/3 cake tofu 1.1 12 100
         1 cup cooked brown rice 0.4 6 250
         2 cups broccoli

 

0.5 7 100
Total for the day: 10 76 1,800
 

Target for the day:

 

2.5 g /meal

 

65-108

 

1,800

Note: I have not included fake meats such as the Impossible Burger or Beyond Burger in this menu. Those are ultra-processed foods that have a questionable place in any diet. I have also not included almond milk (a poor source of protein) nor supplements with leucine. You want to choose whole foods; they come with a matrix of nutrients that boost protein synthesis and can better invest in your health, recovery and overall well being.


Nancy Clark MS RD counsels both casual & competitive athletes at her Boston-area office (617-795-1875). The new 2019 edition of her best selling Nancy Clark’s Sports Nutrition Guidebook is available at www.NancyClarkRD.com, as is info about her popular online workshop.

For additional information about a vegan sports diet:

1) Wirnitzer, K. et al. 2018. Health Status of Female and Male Vegetarian and Vegan Endurance Runners Compared to Omnivores—Results from the NURMI Study (Step 2).  Nutrients 11(1):29  doi: 10.3390/nu11010029 (Free access)

2) Rogerson, D. 2017. Vegan diets: Practical advice for athletes and exercisers. J Int Soc Sports Nutr 14: 36  doi: 10.1186/s12970-017-0192-9 (Free access)

Carbs-Bread

Sports Nutrition: Carbs in the News

Too many of today’s athletes believe carbohydrates are “bad.” If that’s true, what does the latest sports nutrition research say? The following studies, presented at the American College of Sports Medicine’s 66th Annual Meeting (Orlando FL, May 2019) indicate sports scientists agree that carbohydrates (grains, fruits, veggies; sugars, starches) can be health- and performance-enhancing sport foods. As you may (or may not) know, ACSM is a professional organization for sport science researchers, exercise physiologists, dietitians, doctors, and health-care providers for athletes (www.ACSM.org).  Here are some answers to questions posed by ACSM researchers.

Does sugar cause diabetes?

No. The problem is less about sugar, and more about lack of exercise. Most fit people can enjoy a little sugar without fear of health issues. Muscles in fit bodies burn the sugar for fuel. In unfit bodies, the sugar accumulates in the blood. Fitness reduces the risk of developing Type 2 diabetes.

In a 6-week training study to boost fitness, 35 middle-aged men with over-weight or obesity did either endurance cycling, weight lifting, or high-intensity interval training. Regardless of the kind of exercise, all types of training improved the bodies’ ability to utilize glucose with less insulin.

These subjects had blood glucose levels within the normal range at the start of the study; their glucose levels improved with exercise. While we need more research to fine-tune the types of exercise that best manage blood glucose, rest assured that living an active lifestyle is a promising way to reduce your risk of type 2 diabetes.

Can natural foods replace ultra-processed commercial sports drinks and foods?

Yes, standard (natural) foods can be fine alternatives to commercial sport fuels. Look no farther than bananas! In a study, trained cyclists who enjoyed bananas (for carbs) plus water (for fluid) during a 46 mile (75 km) bike ride performed just as well as those who consumed a sports drink with an equivalent amount of carbs plus water.

Natural foods offer far more than just fuel; they contain abundant bioactive compounds that have a positive impact on health and performance.  For example, after the ride with bananas, the cyclists had lower levels of oxylipins (bioactive compounds that increase with excessive inflammation) compared to the sports drink ride. Athletes who believe commercial sports foods and fuel are better than standard foods overlook the benefits from the plethora of bioactive compounds found in real foods.

Are potatoes—an easy-to-digest sports fuel—a viable alternative to commercial gels?

Yes. In a study, trained cyclists ate breakfast and soon thereafter competed in a 2-hour cycling challenge that was then followed by a time trial. For fuel, the subjects consumed either potato puree, gels, or water. The results suggest 1) both emptied similarly from the gut, and 2) potatoes are as good as gels for supporting endurance performance.

The cyclists completed the time trial in about 33 minutes when they ate the potato or the gel. This is six minutes faster than with plain water. Any fuel is better than no fuel!

Is fruit juice a healthful choice for athletes?

Yes, fruit juice can be an excellent source of carbohydrate to fuel muscles. Colorful juices (such as grape, cherry, blueberry, orange) also offer anti-inflammatory phytochemicals called polyphenols. In a study, subjects did muscle-damaging exercise and then consumed a post-exercise and a bedtime protein recovery drink that included either pomegranate juice, tart cherry juice, or just sugar. The protein-polyphenol beverages boosted muscle recovery better than the sugar beverage.

Does carbohydrate intake trigger intestinal distress for ultra-marathoners?

Not always. During a 37 mile (60-kilometer) ultra-marathon, 33 runners reported their food and fluid intake. They consumed between 150 to 360 calories (37-90 g carb) per hour, with an average of 240 calories (60 g) per hour. This meets the recommendation for carbohydrate intake during extended exercise (240-360 calories; 60-90 g carb/hour). The majority (73%) of runners reported some type of gut issues. Of those, 20% of the complaints were ranked serious. Interestingly, the GI complaints were not linked to carbohydrate intake or to gut damage. In fact, a higher carbohydrate intake potentially reduced the risk of gut injury. (More research is needed to confirm this.) Unfortunately, runners cannot avoid all factors (such as jostling, dehydration, and nerves) that can trigger intestinal problems.

We know that consuming carb during extended exercise enhances performance, but does it matter if endurance athletes consume a slow-digesting or a fast-digesting carbohydrate prior to extended exercise?

Likely not, but this can depend on how long you are exercising, and how often you want to consume carbohydrate. Well-trained runners consumed 200 calories of carbohydrate in UCAN (slow-digesting) vs. Cytocarb (fast-digesting) prior to a 3-hour moderate run during which they consumed just water. At the end of the run, they did an intense sprint to fatigue. The sprint times were similar, regardless of the type of pre-run fuel.

That said, the slow digesting carb provided a more stable and consistent fuel source that maintained blood glucose concentration during the long run. Hence, endurance athletes want to experiment with a variety of beverages to determine which ones settle best and help them feel good during extended exercise. A slow-digesting carb can help maintain stable blood glucose levels without consuming fuel during the run. Fast-digesting carbs need carbohydrate supplementation throughout the exercise to maintain normal blood glucose.

Concluding comments: These studies indicate carbohydrate can help athletes perform well. To be sure your muscles are fully fueled, include some starchy food (wholesome cereal, grain, bread, etc.) as the foundation of each meal. Consuming carbs from just fruit or veggies will likely leave you with inadequately replenished muscle glycogen. Think twice before choosing a chicken Caesar salad for your recovery meal.


Nancy Clark, MS, RD counsels both casual and competitive athletes at her office in Newton, MA (617-795-1875). Her newly updated Sports Nutrition Guidebook is now available in a new sixth edition. For more information, visit NancyClarkRD.com. For her popular online workshop, visit NutritionSportsExerciseCEUs.com.