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Why Are Marathon Runners Underweight? The Science of Performance and Health

5 min read

A 2014 study found that the optimal Body Mass Index (BMI) for male marathon runners dropped to between 19 and 20, significantly lower than for shorter-distance athletes. This trend highlights a defining physiological characteristic of the sport and explains why are marathon runners underweight, linking a lean physique directly to improved endurance performance.

Quick Summary

Endurance athletes often appear very lean due to the demands of extensive training and nutrition strategies that prioritize a low body fat percentage for peak performance. However, there is a fine line between healthy leanness and a potentially dangerous energy deficit.

Key Points

  • Enhanced Running Efficiency: A low body fat percentage improves a runner's power-to-weight ratio, requiring less energy per stride and increasing overall running economy.

  • Improved Thermoregulation: A leaner physique helps the body dissipate heat more effectively during long runs, preventing heat-related fatigue.

  • High-Volume Training: The demanding training schedules of marathoners lead to a very high caloric expenditure, which naturally contributes to low body fat over time.

  • Crucial Role of Nutrition: A balanced diet rich in carbohydrates for fuel and protein for recovery is essential for supporting the high energy demands of marathon training.

  • Risk of Relative Energy Deficiency in Sport (RED-S): An energy deficit, often stemming from under-fueling, can lead to hormonal imbalances, bone density loss, and a weakened immune system.

  • Strategic Weight Management: For performance and health, weight should be managed gradually, preferably in the off-season, and combined with strength training to build lean muscle mass.

In This Article

For many, the sight of a marathon runner brings to mind a lean, almost slender physique. This often leads to questions about their overall health and body weight. The reason behind this body type is not a simple case of being thin, but a complex interplay between genetics, high-volume training, and a precise nutritional strategy geared toward maximum efficiency and performance. A low body fat percentage is, for elite marathoners, a functional asset that optimizes their ability to cover long distances quickly and efficiently. However, there is a critical distinction to be made between a healthy, functional leanness and an unhealthy, under-fueled state.

The Performance Advantage of a Lean Physique

For endurance athletes, every extra ounce of weight requires more energy to carry over 26.2 miles. A low body fat percentage translates directly into an improved "power-to-weight ratio," a key determinant of running speed and endurance.

Running Economy

Carrying less weight means a runner requires less energy per stride to lift their body against gravity. As running coach Matt Fitzgerald explains, "Running is really just a form of jumping". Less mass to lift repeatedly over thousands of steps significantly improves a runner's economy, allowing them to sustain a faster pace for longer periods. This is a primary reason why elite runners are so lean.

Thermoregulation

Beyond a better power-to-weight ratio, a leaner body with less insulating fat tissue is more efficient at dissipating heat. During long, intense runs, the body generates a significant amount of heat. The ability to cool down effectively helps prevent heat-related fatigue and stress, allowing athletes to maintain their performance.

Genetics and High-Volume Training

While training and nutrition are crucial, genetic makeup also plays a significant role in determining a marathon runner's physique.

Genetic Predisposition

Certain genetic profiles are more commonly associated with elite endurance athletes. For example, some individuals have a higher percentage of slow-twitch muscle fibers, which are more efficient for endurance activities and tend to be smaller than fast-twitch fibers. Genes such as ACTN3 and ACE have also been linked to muscle fiber composition and cardiovascular efficiency, respectively, giving some runners a natural advantage toward a lean, enduring body type.

High Calorie Expenditure

Elite marathoners train for hours each day, logging weekly mileage that results in a massive caloric expenditure. This consistent, high-volume training burns a vast number of calories, leading to a naturally low body fat percentage over time. Their bodies are trained to metabolize fat and carbohydrates efficiently, relying primarily on glycogen stores during high-intensity efforts. The body's adaptation to these long-distance demands drives the lean, endurance-optimized physique.

The Nutritional Tightrope: Fueling for Endurance

Maintaining the balance between leanness for performance and having enough energy to prevent burnout is a tightrope walk managed by precise nutritional planning. Runners must consume a high volume of nutrient-dense food to fuel their training and recovery.

  • Carbohydrates: As the body's preferred fuel for endurance, a high-carbohydrate diet is essential for replenishing glycogen stores in the muscles and liver. Skipping carbs can lead to fatigue and poor performance.
  • Protein: Adequate protein intake is vital for muscle repair and recovery after strenuous training sessions. Elite runners require a steady supply of protein throughout the day to support muscle health.
  • Healthy Fats: While a low-fat diet is not recommended, incorporating healthy fats from sources like nuts, seeds, and avocados provides sustained energy and aids in hormonal balance.

The Dangers of Unhealthy Low Body Weight (RED-S)

An unhealthy approach to weight management, often driven by the misconception that lighter is always better, can have severe health consequences. This condition is known as Relative Energy Deficiency in Sport (RED-S), where the body does not have enough energy to support training and normal bodily functions.

Consequences of RED-S

  • Increased Risk of Injury: With insufficient energy, bone density can decrease, leading to an increased risk of stress fractures and other injuries.
  • Hormonal Disruption: In women, it can cause irregular or absent menstrual cycles (amenorrhea), which can harm bone health and fertility. In men, low testosterone can result.
  • Weakened Immune System: Malnutrition weakens the body's immune response, making athletes more susceptible to illness and delaying recovery.
  • Poor Performance and Fatigue: Ironically, a severe energy deficit will harm, not improve, performance, leading to chronic fatigue and slower race times.

Healthy vs. Unhealthy Low Weight

Aspect Healthy Leanness Unhealthy Leanness (RED-S)
Body Fat % Low, but within healthy athletic range (e.g., 8–15% for men, 14–20% for women) Below the healthy threshold, potentially impacting hormonal function
Performance Optimized; high power-to-weight ratio and efficiency Decreased; slower times and premature fatigue
Injuries Controlled; strength training and proper recovery minimize risk High risk; stress fractures and overuse injuries are common
Hormones Balanced; normal reproductive function and healthy endocrine system Disruptions; amenorrhea in women, low testosterone in men
Energy Levels High; fueled by a consistent, nutrient-dense diet Low; chronic fatigue and irritability due to energy deficit

Balancing Weight and Performance for Health

Achieving and maintaining a healthy body weight for performance requires a balanced and sustainable approach. It's about optimizing body composition, not just dropping pounds.

Strategic Weight Management

If weight loss is a goal, it should be done gradually and during the off-season, not during peak training. Aiming for a loss of 0.5 to 1 pound per week is a safe and sustainable target. Focus on consuming nutrient-dense whole foods and avoid excessive calorie restriction, which can compromise recovery and performance.

The Role of Strength Training

Endurance training alone can lead to muscle loss if not balanced with strength work. Incorporating resistance training builds lean muscle, which is denser than fat and helps increase power output while supporting joints and bones, thus reducing injury risk.

Conclusion

Ultimately, a marathon runner's lean physique is a result of a combination of physiological, genetic, and training-induced adaptations. While a low body fat percentage can enhance performance, it is the result of a healthy and strategic approach to training and nutrition, not a goal achieved through deprivation. The focus for runners should always be on fueling for performance and overall health. Pushing leanness to an unhealthy extreme through insufficient fueling leads to performance decline and serious long-term health complications like RED-S. For more information, runners can find valuable guidance on sites like Johns Hopkins Medicine, which offers extensive resources on runner's diets.

Frequently Asked Questions

There is a difference between being naturally lean and being unhealthy or malnourished. While many elite runners have very low body fat, being underweight to the point of a chronic energy deficit is unhealthy and can lead to serious health problems like Relative Energy Deficiency in Sport (RED-S).

Yes, a lower body fat percentage improves a runner's efficiency and power-to-weight ratio. Carrying less excess weight requires less energy and allows for better heat dissipation, which can lead to faster times, particularly over long distances.

Carbohydrates are the primary fuel source for endurance running. A high-carb diet is critical for replenishing muscle glycogen stores and providing the sustained energy needed for training and races. Undereating carbs can lead to fatigue and poor performance.

RED-S is a syndrome caused by insufficient energy intake relative to energy expenditure. It can affect both men and women and has wide-ranging health consequences, including hormonal disruptions, bone density loss, and a weakened immune system.

Inadequate fueling can lead to health problems such as stress fractures, anemia, poor recovery, frequent illnesses, and hormonal imbalances like irregular periods in women.

Healthy weight management involves a balanced diet focused on nutrient-dense foods and consuming enough calories to meet training demands. Any weight loss should be slow and controlled, ideally during the off-season, to avoid negative health impacts.

Strength training is crucial for building and maintaining lean muscle mass, which protects bones and joints, improves running form, and reduces the risk of injury. It helps achieve a healthy body composition rather than simple weight loss.

Yes, genetics can influence factors like muscle fiber composition and metabolism, which contribute to an individual's natural body type. Certain genes have been linked to endurance capabilities and leaner body compositions.

References

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Medical Disclaimer

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