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Nutrition Diet: Is it better to run on ketones or glucose?

4 min read

A 2019 study on world-class athletes found that while ketogenic-diet runners showed improved aerobic capacity, carbohydrate-fueled groups saw better race-time improvements. This critical finding helps clarify the long-debated question: Is it better to run on ketones or glucose?

Quick Summary

Analyzes the metabolic differences between using glucose and ketones as fuel for running. It compares their effects on performance, intensity, and endurance, outlining fueling strategies for different types of runners and athletic goals.

Key Points

  • Glucose for Speed: For high-intensity efforts and shorter races, glucose is the most efficient and rapid fuel source, but stores are limited.

  • Ketones for Endurance: Ketones provide a stable and sustained energy supply from abundant fat stores, ideal for low-to-moderate intensity, ultra-endurance events after adaptation.

  • The Metabolic Trade-off: Running on ketones is less metabolically efficient for power output and speed compared to glucose, as it requires more oxygen for the same amount of energy.

  • Adaptation is Key: Becoming fat-adapted to efficiently run on ketones takes several weeks and can cause initial fatigue and a drop in high-intensity performance.

  • Fueling for Your Goal: A high-carb approach is typically recommended for competitive, high-intensity performance, while a keto-adapted strategy might suit ultra-endurance athletes.

  • Metabolic Flexibility is Optimal: The ideal state is to have the flexibility to switch between using glucose and fat efficiently, depending on the demands of the workout or race.

In This Article

The Basics: How Your Body Gets Energy

Your body can produce energy from a variety of fuel sources, but for runners, the two primary ones are glucose and ketones. Understanding how each is created and utilized is the first step in determining which is the right fuel for your specific athletic goals.

The Glucose Pathway

Glucose is the body's most readily available energy source, derived primarily from carbohydrates. When you consume carbs, they are broken down into glucose, which is then used immediately for energy or stored in your muscles and liver as glycogen. For high-intensity, short-duration activities, glucose is the king of fuels because it can be converted to ATP (the body's energy currency) very quickly through a process called glycolysis.

Pros of using glucose for running:

  • High-intensity performance: Powers the fast, anaerobic movements required for sprints, surges, and pushing pace during a race.
  • Rapid energy: Provides a fast and potent energy source that can be readily topped up with sports drinks, gels, and other simple carbs during a run.
  • Brain function: The brain primarily runs on glucose, and an ample supply is crucial for focus and preventing mental fatigue during long events.

Cons of using glucose for running:

  • Limited storage: Glycogen stores are limited and can be depleted during long-duration activities, leading to "hitting the wall" or "bonking".
  • Energy fluctuations: Consuming simple carbs can cause blood sugar spikes and subsequent crashes, leading to inconsistent energy levels.

The Ketone Pathway

Ketones, or ketone bodies, are produced by the liver from fatty acids when carbohydrate intake is very low, as seen during fasting or following a ketogenic diet. This metabolic state, known as ketosis, shifts the body's primary fuel source from glucose to fat. The liver converts fat into ketones, which can be used by the brain, muscles, and other tissues for energy.

Pros of using ketones for running:

  • Sustained energy: Provides a more stable and consistent energy supply, avoiding the blood sugar spikes and crashes associated with carbs.
  • Abundant fuel source: The body's fat stores are virtually limitless compared to glycogen, making fat-burning an attractive option for ultra-endurance events.
  • Enhanced fat oxidation: Keto-adaptation improves the body's ability to burn fat, sparing limited glycogen stores for critical moments.

Cons of using ketones for running:

  • Slower energy: Fat oxidation is a slower process and cannot provide the same burst of energy as glucose for high-intensity efforts.
  • Reduced performance at high intensity: Research shows that fat-adapted athletes lose their "fast gear," and performance can be compromised at higher speeds.
  • Difficult adaptation: Transitioning to ketosis can be challenging, causing a period of fatigue, lethargy, and general poor performance often called the "keto flu".

Performance Showdown: Ketones vs. Glucose

The optimal fuel depends largely on the intensity and duration of your run. The science indicates that for high-intensity efforts, glucose is superior, while for prolonged, steady-state, lower-intensity running, fat adaptation offers some benefits. A key concept here is metabolic flexibility—the ability to switch efficiently between fuel sources depending on need.

Fueling for Intensity vs. Endurance

  • For high-intensity running and racing (e.g., 5K to half-marathon): Most evidence points to a carbohydrate-dominant fueling strategy. The quick energy from glucose is necessary to sustain high speeds and power surges. Studies have shown performance decreases in high-intensity runs for keto-adapted athletes.
  • For ultra-endurance events (e.g., ultra-marathons): The ability to tap into vast fat reserves is a significant advantage, potentially reducing the need for constant carbohydrate intake during the race. Some ultra-runners thrive on a fat-adapted strategy, though they may sacrifice top-end speed.

Comparison Table: Ketones vs. Glucose for Running

Feature Glucose (Carb-Fueled) Ketones (Keto-Adapted)
Primary Fuel Source Carbohydrates stored as glycogen Fat, converted to ketones
Best For High-intensity efforts, speed, shorter races Lower-intensity, long-duration, ultra-endurance
Energy Output Rapid, high ATP output Slower, consistent, sustained energy
Energy Spikes/Crashes Potential for blood sugar fluctuations Stable energy levels, no bonking
Fuel Stores Limited glycogen stores (~2000 kcal) Abundant fat stores (virtually unlimited)
Required Oxygen Less oxygen needed per unit of energy More oxygen needed per unit of energy
Adaptation Period Immediate, constant access Requires several weeks of adaptation
Common Side Effects Stomach issues from gels/drinks Potential for fatigue, "keto flu" during adaptation

The Role of Ketone Supplements

Exogenous ketone supplements provide a way to raise ketone levels in the blood without strict dietary adherence. Some research suggests they may offer an extra energy supply and help spare glycogen stores, potentially benefiting performance. However, the evidence on their ergogenic effects in humans is limited, and they are not a substitute for proper fueling.

Conclusion: Which Fuel is Right for Your Run?

The ultimate answer is that it depends on your athletic goals and individual physiology. For runners seeking top-end speed and race performance in events under three hours, a carbohydrate-based diet remains the gold standard, as it provides the quick, powerful fuel needed for high-intensity efforts. However, for ultra-endurance athletes who compete at lower intensities and want to leverage vast fat stores, a well-managed keto-adapted strategy is a viable option. For most casual runners and those focused on health and weight management, cultivating metabolic flexibility—being able to utilize both fuel sources effectively—is the most beneficial approach. Always remember to experiment with any new fueling strategy during training, not on race day.

For more in-depth scientific research on the effects of ketogenic diets and athletic performance, a systematic review is available via the National Institutes of Health.

Frequently Asked Questions

For races that require high-intensity efforts, such as a 5k or a marathon, a ketogenic diet is generally not recommended. The quick energy from glucose is necessary for speed and maintaining pace, and fat oxidation cannot match this metabolic speed.

The process of becoming 'keto-adapted,' where your body becomes efficient at burning fat for fuel, can take several weeks. During this period, you may experience reduced energy and performance.

Yes, for many ultra-endurance athletes, a fat-adapted state can help prevent 'hitting the wall.' This is because your body taps into its vast fat stores for energy instead of relying on limited glycogen stores.

Exogenous ketones can raise blood ketone levels without strict dietary adherence and may offer an alternative fuel source. However, research on their performance-enhancing effects in humans is limited, and they should not replace a sound fueling strategy.

No, a balanced high-carb diet is widely considered a healthy and effective fueling strategy for many runners, especially those focused on performance. The key is to choose complex carbohydrates for sustained energy and use simple carbs strategically during runs.

Even when keto-adapted, many endurance athletes find it beneficial to strategically time carbohydrate intake during long runs or races to fuel higher-intensity efforts. Some coaches advise against staying strictly keto during heavy training blocks.

The best strategy depends on your goals. For speed and high performance, a carb-dominant approach is superior. For long-duration, low-intensity running and potentially better fat-burning, keto-adaptation is a valid alternative. Many casual runners benefit most from a flexible approach.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.