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What Happens When You Workout But Eat Little? The Surprising Risks

4 min read

Studies involving endurance athletes have shown that significant caloric restriction can cause a substantial performance reduction, sometimes by nearly 8% in just a couple of weeks. So, what happens when you workout but eat little, and what are the surprising, and often serious, consequences for your body?

Quick Summary

Exercising while undereating can lead to muscle loss, decreased performance, hormonal shifts, and a slower metabolism as the body enters a survival state to conserve energy.

Key Points

  • Muscle Loss: Exercising with little food forces the body to break down muscle tissue for energy, slowing metabolism.

  • Metabolic Slowdown: The body adapts to prolonged calorie restriction by lowering its resting metabolic rate to conserve energy, hindering further weight loss.

  • Decreased Performance: Insufficient carbohydrates lead to depleted glycogen stores, resulting in reduced strength, endurance, and power during workouts.

  • Hormonal Disruption: Chronic undereating can cause hormonal imbalances, leading to menstrual dysfunction in women and decreased testosterone in men.

  • Increased Injury Risk: Low energy availability and hormonal changes can weaken bones and increase the risk of fractures and stress-related injuries.

  • Prioritize Recovery: Proper post-workout nutrition with carbs and protein is crucial for muscle repair, glycogen replenishment, and avoiding prolonged soreness.

  • Balanced Fueling: Sustainable weight loss and fitness gains require a balanced, nutrient-dense diet with a moderate calorie deficit, not extreme restriction.

In This Article

The Body's Response to Low Energy Availability

When you consistently expend more energy through exercise than you consume from food, your body enters a state of low energy availability (LEA). While a moderate caloric deficit can be effective for weight loss, an extreme or prolonged deficit triggers a survival mechanism. Your body views the combination of high energy output and low energy intake as a period of famine and begins to prioritize essential life-sustaining functions over athletic performance and muscle maintenance.

Short-Term Effects of Undereating

In the short term, undereating while working out can have immediate and noticeable impacts:

  • Fatigue and Lethargy: With inadequate fuel, your blood sugar levels can drop, leading to feelings of dizziness, lightheadedness, and general fatigue, making workouts feel more difficult and less productive.
  • Decreased Performance: Without enough carbohydrates to replenish muscle glycogen stores, your energy reserves are depleted, resulting in reduced endurance, strength, and power output during training sessions.
  • Poor Recovery: Proper nutrition is essential for muscle repair and growth. Insufficient protein and carbohydrates post-workout can slow the recovery process, leaving you feeling sore and achy for longer.
  • Mental Fog and Mood Swings: The brain requires a steady supply of glucose to function optimally. A lack of energy can lead to brain fog, poor concentration, and irritability.

The Serious Risks of Chronic Undereating

If short-term undereating progresses into a chronic state, the health risks become far more severe. This prolonged state of low energy availability is medically recognized as Relative Energy Deficiency in Sport (RED-S), affecting both men and women.

Potential Health Consequences

  • Muscle Atrophy: When your body needs energy but doesn't have enough incoming calories, it can break down metabolically active muscle tissue for fuel. This cannibalization of muscle not only reduces strength but also lowers your basal metabolic rate.
  • Metabolic Adaptation: The body adapts to a consistently low calorie intake by slowing down its metabolism to conserve energy. This makes it harder to lose weight and easier to regain it once normal eating resumes, often leading to a frustrating weight-loss plateau.
  • Hormonal Imbalances: Prolonged undereating can disrupt hormonal function. In women, this can lead to menstrual dysfunction and even amenorrhea (loss of periods), which can seriously impact long-term fertility and bone health. In men, it can reduce testosterone levels and suppress the reproductive system.
  • Compromised Bone Health: Hormonal disruptions, particularly low estrogen in women, can lead to decreased bone mineral density and an increased risk of stress fractures and osteoporosis over time.
  • Weakened Immune System: Exercise can temporarily suppress the immune system. When combined with insufficient nutrients, this can lead to increased susceptibility to illness and delayed recovery from infections.

Properly Fueling for Performance vs. Undereating

Aspect Properly Fueled Workout Under-Fueled Workout
Energy Source Uses readily available glycogen and fat stores, along with incoming carbohydrates. Depletes limited glycogen stores and then breaks down muscle and fat for energy.
Performance Supports peak performance, strength, and endurance. Leads to fatigue, weakness, and decreased power output.
Recovery Facilitates muscle repair and glycogen replenishment with post-workout protein and carbs. Impairs muscle recovery, leading to prolonged soreness and hindered growth.
Body Composition Builds or maintains lean muscle mass while losing fat when in a moderate deficit with sufficient protein. Risks significant muscle loss as the body scavenges for fuel, even if fat loss occurs.
Metabolism Sustains a healthy metabolic rate and prevents compensatory slowdowns. Can trigger metabolic adaptation, slowing the metabolism and stalling progress.
Mental State Promotes stable energy levels, focus, and improved mood. Can cause brain fog, mood swings, and a constant obsession with food.

Rebuilding Your Relationship with Fuel

For those who have been undereating and exercising, a reversal strategy is necessary. This involves gradually increasing your caloric intake and focusing on nutrient-dense foods to repair metabolic damage and restore proper bodily function.

  • Prioritize Protein: A high-protein diet is crucial for preserving muscle mass and promoting repair, especially during a caloric deficit. Aim for a consistent intake of protein-rich foods throughout the day.
  • Embrace Carbohydrates: Carbohydrates are your body's preferred energy source. Include complex carbs like whole grains and sweet potatoes for sustained energy and simple carbs post-workout for quick glycogen replenishment.
  • Mindful Deficit: If weight loss is the goal, create a moderate and sustainable calorie deficit. A slow and steady approach minimizes metabolic damage and prioritizes fat loss over muscle loss. A registered dietitian can provide personalized guidance to ensure a healthy deficit.
  • Don't Fear Fats: Healthy fats from sources like avocados, nuts, and olive oil are essential for hormone regulation and overall health. They also promote satiety.
  • Stay Hydrated: Water is critical for all bodily functions, including nutrient transport and temperature regulation. Dehydration can severely impact performance and health.
  • Listen to Your Body: Pay attention to biofeedback signals like energy levels, sleep quality, and mood. If you feel constantly tired or irritable, it's a sign that your body needs more fuel. A gradual increase in calories can lead to improved energy and performance.

Conclusion

Exercising while undereating is a counterproductive strategy that can derail your fitness goals and pose significant health risks. What starts as an effort to lose weight or get fitter can lead to a vicious cycle of decreased performance, muscle loss, and metabolic slowdown. The body requires adequate fuel to function and adapt to training stress. By adopting a balanced, nutrient-dense diet and respecting your body's energy needs, you can move away from damaging cycles of restriction and toward a healthier, more sustainable path to achieving your fitness aspirations.


Source: For further reading on the effects of low energy availability and performance, consult systematic reviews such as this study available on the NIH website.


Frequently Asked Questions

While you may see initial weight loss due to fluid and glycogen depletion, this strategy is not sustainable and can lead to significant muscle loss, a slower metabolism, and other health issues in the long run.

The effects can be felt almost immediately. Symptoms like lightheadedness, fatigue, and decreased power output can appear within a few workouts, especially during intense sessions.

Metabolic adaptation is the body's natural survival response to a prolonged, severe calorie deficit. To conserve energy, the body lowers its basal metabolic rate, making further weight loss difficult and weight regain easier.

Early signs often include persistent fatigue, poor workout performance, delayed recovery, sleep disturbances, irritability, and in women, menstrual irregularities.

A high protein intake is the best defense against muscle loss during a calorie deficit, but it cannot fully counteract the damaging effects of a severely restricted diet. Proper calorie intake is still essential.

It is best to consume a balanced meal with carbohydrates and protein 2-4 hours before. For a quicker option, a smaller snack with easily digestible carbs and some protein 30-60 minutes prior can also be effective.

While some studies suggest it can increase fat burning, exercising on an empty stomach can also lead to muscle loss and decreased performance, especially for intense or prolonged workouts. Proper pre-workout fueling is generally recommended for optimal results.

References

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Medical Disclaimer

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