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What happens if you run a lot but don't eat enough?

4 min read

According to a 2022 Boston Marathon survey, 42% of female runners and 18% of male runners showed signs of low energy availability. This highlights a serious concern: what happens if you run a lot but don't eat enough? The consequences are far-reaching, affecting everything from performance to long-term health.

Quick Summary

Running without sufficient fuel leads to depleted energy stores, poor performance, and increased risk of injury and illness. Long-term underfueling can result in Relative Energy Deficiency in Sport (RED-S), which negatively impacts multiple bodily systems, causing hormonal imbalances, weakened bones, and a slower metabolism.

Key Points

  • Underfueling Risks: Not eating enough while running can lead to serious health issues, including Relative Energy Deficiency in Sport (RED-S).

  • Performance Decline: Expect decreased endurance, strength, and motivation, along with slower recovery times due to depleted glycogen stores.

  • Injury Potential: Long-term energy deficits weaken bones and muscles, significantly increasing the risk of stress fractures and other injuries.

  • Hormonal and Metabolic Chaos: Underfueling can cause hormonal imbalances, disrupt metabolism, and potentially lead to weight gain as the body hoards energy.

  • Mental Health Impact: Low blood sugar negatively affects cognitive function, causing brain fog, mood swings, irritability, and potentially disordered eating.

  • Fueling Strategy: To avoid underfueling, prioritize carbohydrates, protein, and healthy fats, and eat both before and after your runs to support performance and recovery.

  • Listen to Your Body: Pay attention to warning signs like chronic fatigue, frequent illness, and persistent soreness, and adjust your nutrition accordingly.

In This Article

For runners, maintaining adequate energy intake to match expenditure is crucial for both health and performance. While a short-term, controlled calorie deficit may be part of a weight management plan, chronic underfueling can have significant detrimental effects on the body.

The Core Problem: Relative Energy Deficiency in Sport (RED-S)

Underfueling can lead to Relative Energy Deficiency in Sport (RED-S), a condition where the body's energy intake is insufficient to support the energy expended through exercise and daily life. This can negatively impact multiple physiological systems in both male and female athletes. Originally known as the female athlete triad, which focused on low energy availability, menstrual dysfunction, and poor bone health, the concept of RED-S now encompasses a broader range of health and performance issues affecting all genders.

Detrimental Impacts on Performance and Recovery

Insufficient energy intake hinders a runner's ability to perform. Low carbohydrate availability depletes glycogen stores, leading to premature fatigue and reduced intensity during runs. This can significantly slow progress and make training feel much harder. Recovery is also compromised, as the body lacks the necessary nutrients like protein and carbohydrates to repair muscle tissue and replenish energy stores post-workout, increasing the risk of overtraining.

Increased Risk of Injury

Underfueling makes runners more susceptible to injuries. Adequate nutrition, including calcium and protein, is essential for maintaining bone and muscle health. Low energy availability can disrupt hormone levels, weakening bones and increasing the likelihood of stress fractures. Fatigue and reduced coordination resulting from underfueling can also lead to accidents and poor running form, further contributing to injury risk. Muscle repair is also impaired, exacerbating the cycle of injury.

Hormonal and Metabolic Dysfunction

Chronic energy deficits can force the body into a survival state, slowing down metabolism to conserve energy. This can sometimes lead to a plateau or even weight gain, despite reduced calorie intake. Hormonal imbalances are also common, impacting reproductive health, bone density, and mood. For women, this can manifest as irregular or absent menstrual cycles, a significant indicator of energy deficiency. Men can also experience decreased testosterone levels.

Cognitive and Mental Health Effects

The brain requires a steady supply of glucose, and underfueling can lead to cognitive impairment, including mental fog, difficulty concentrating, and mood swings. Irritability and a reduced sense of well-being can also occur. Furthermore, an unhealthy relationship with food and exercise can develop or worsen, potentially leading to disordered eating patterns.

Table: Proper Fueling vs. Underfueling for Runners

Aspect Proper Fueling (Adequate Intake) Underfueling (Low Energy Availability)
Energy Consistent and sustained energy levels for daily activities and training. Early fatigue, sluggishness, and hitting the 'wall.'
Performance Improvements in speed, strength, and endurance; better training adaptations. Stagnant progress or decreased performance; inability to maintain intensity.
Recovery Efficient muscle repair and glycogen replenishment; reduced soreness. Delayed recovery; prolonged muscle soreness; increased risk of overtraining.
Injury Risk Lower risk of injury due to strong bones and healthy muscle tissue. High risk of stress fractures and recurring injuries due to bone and muscle breakdown.
Metabolism Healthy, functioning metabolism that effectively burns calories for energy. Slowed metabolism as the body conserves energy.
Mood & Focus Improved mood and mental clarity; better concentration. Increased irritability, mood swings, and 'brain fog.'
Hormones Balanced hormone levels, supporting reproductive and overall health. Disruptions in hormone production (e.g., estrogen, testosterone, thyroid).
Immune System Stronger immune system, leading to fewer illnesses. Weakened immune function, causing frequent colds and infections.

How to Avoid Underfueling

Preventing underfueling involves a balanced and informed approach to nutrition.

  • Match Intake to Output: Energy needs vary based on training volume and intensity. Using resources like sports nutrition calculators or consulting a registered dietitian can help determine individual calorie requirements. For instance, a runner covering 90 minutes might need 22-24 calories per pound of body weight.
  • Prioritize Carbohydrates: Carbohydrates are the primary fuel source for runners and should be a cornerstone of the diet, especially before and during intense efforts. Good sources include whole grains, fruits, starchy vegetables, and energy gels during longer runs.
  • Don't Neglect Protein and Healthy Fats: Protein is essential for muscle repair, and healthy fats provide energy and support nutrient absorption. Include sources like lean meats, eggs, fish, nuts, and avocados.
  • Fuel Around Workouts: Consuming a carbohydrate-rich snack before running and a combination of carbs and protein within 30-60 minutes after is crucial for replenishing glycogen and aiding muscle recovery.
  • Listen to Your Body: Pay attention to signs like persistent fatigue, increased injuries, and mood changes, as they can indicate underfueling.
  • Stay Hydrated: Proper hydration and electrolyte balance are also important, as dehydration can worsen underfueling symptoms.

Conclusion

Running offers numerous benefits, but it's vital to fuel your body adequately to support training and overall health. Chronic underfueling poses significant risks, including increased injury, hormonal imbalances, and negative mental health impacts. Prioritizing a performance-based fueling strategy over restrictive eating allows runners to achieve their goals sustainably and maintain their well-being. For further guidance on sports nutrition, resources like those provided by REI Co-op can be helpful.

Frequently Asked Questions

RED-S is a syndrome affecting athletes of all genders where low energy availability, caused by inadequate energy intake relative to energy expenditure, leads to impaired physiological functions, health problems, and decreased performance.

Common signs include unexplained fatigue, frequent illnesses, recurring injuries like stress fractures, irregular or absent periods (in females), mood swings, poor concentration, and persistent soreness.

Yes. While a calorie deficit typically leads to weight loss, a severe, chronic deficit can cause the metabolism to slow down drastically. In survival mode, the body hoards calories, which can stall weight loss and, in some cases, lead to weight gain.

A runner's calorie needs vary based on weight, sex, and activity level. Long-distance runners can require between 19 and 30 calories per pound of body weight per day, depending on their mileage and intensity.

Before a run, focus on easy-to-digest carbohydrates like a banana or toast. After a run, eat a combination of carbohydrates and protein within 30-60 minutes to replenish glycogen and repair muscles. A smoothie with fruit and protein powder is a great option.

Long-term effects can include decreased bone density and osteoporosis, hormonal imbalances, impaired cardiovascular health, chronic fatigue, compromised immune function, and mental health issues like anxiety and depression.

RED-S affects both men and women. While low energy availability is more prevalent in female athletes and can cause menstrual cycle disruption, men also experience hormonal issues, including decreased testosterone, and face similar health and performance consequences.

References

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Medical Disclaimer

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