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GI Problems, Nutrition + Health, Running, Sports Nutrition

Training the Gut for Athletic Activity Part II: Fueling During Activity

January 23, 2024by RebeccaLeave a Comment

The author fueling on the run, Oct. 2023

I recently shared a primer on training the gut and fueling during exercise in Part I of this training the gut and fueling athletic activities series. This is a both a performance as well as digestive health topic that’s pertinent to endurance athletes, and particularly runners. As many athletes are beginning their early season race training, it’s a good time to start practicing and dialing in nutrition, because it will significantly impact performance for the months going forward.

Last time in part I, we laid the groundwork for what training the gut is and why it is important, as well as a brief discussion on under-fueling, both during exercise and throughout the day, and its consequences.

Today, we’ll delve a little deeper into how much fuel you should be consuming during exercise, and what factors might affect how much and what type of additional nutrition you take on while moving.

How much to Fuel During Exercise

You may have read that elite athletes such as professional cyclists on the world tour level are now aiming to ingest upwards of 120 g/h of carbohydrates. This is true and a showcase of what is occurring at the top end of performance fueling, as well as what’s needed to compete at an elite level. This is also what is most helpful for performance during intense ultra endurance events where athletes spend upwards of six hours on the bike, often at tempo or threshold efforts for much of that time.

For you, what’s important to remember is that your need for and rate of carbohydrate use depends largely on intensity. If you are exercising at a lower intensity, which is more common in many athletes and those doing longer races, you will likely need less carbohydrates. Similarly, how long you will be racing matters. A short but intense half marathon will require less carbohydrates per hour than a marathon that’s raced at similar but slightly lower intensity. That means instead of aiming for 120 grams per hour of carbohydrates, there is a large range depending on intensity and time, to the tune of 30-90+ grams of carbohydrate consumed per hour.

So the answer as to “how much” will depend on your race distance, how long you’ll take to complete that distance, weather, and other factors such as your fuel tolerance, gut training, and practicality.

You can find any number of articles on the internet giving specifics of how much you should fuel per hour during your particular goal distance. But these are broad numbers and aren’t specific to you. For specifics for your situation and performance goals, it is always best to work with a knowledgeable sports nutrition professional. See the end of this article for more information about individual consultations.

The author fueling on the run, circa 2014.

What Types of Fuel During Exercise

Now, what about the choice of fuel you choose to consume during exercise? I’ve met many athletes that say they prefer “real food,” whether that’s a small handful of raisins, dates or dried apricots, a banana, homemade nut butter and fruit bars, a rice cake (popular in cycling), or even something like a peanut butter and jelly sandwich.

On the flip side, there are ample sports nutrition products to choose from on the market–in many cases there are too many options–hence the confusion. There are “real food” gels, various sugar-containing gels, drinks and drink mixes, sport beans and candies, gummies and chews, and bars.

What you choose to consume during exercise will depend on your goals, your tolerance and gut training, convenience, and other factors like personal preference. For instance, if you’re aiming for an Olympic Trials qualifying time in the marathon, you’re likely going to be choosing a quick-absorbing carbohydrate fuel that’s convenient like a sports drink or gel.

If you’re training for a 100 mile ultra run, and your pace and intensity is much slower, you may opt away from gels altogether and make your own sweet potato and maple syrup packs, or even pack a PB&J, stop for a real meal at an aid station, etc.

And if you’re just out for a slow Sunday long run or ride, and you’re not currently gearing up for a target race, you might have a pocket full of dates, a banana, or a rice cake or homemade energy balls that contain both slower absorbing carbohydrates and perhaps some fat.

Based on how much you will be fueling per hour, the types of sugar in your chosen fuel will also start to matter, as there will be a need for carbohydrates from both glucose and fructose to increase absorption and utilization, once you start to consume above 45 grams of carbohydrates per hour (Rowlands et al 2015).

There is no right answer in terms of what fuel you choose–but there is a correct fuel for the purpose of that day, and for the amount of fuel you need for that day.

Fueling During Exercise and Its Effect on Digestion and the GI

Finally, let’s turn to the topic of fueling during exercise and how it affects both digestion and GI function more generally.

From research studies, we see that:

There is a greater reduction in markers of damage done to the lower GI –damage resulting in injury to the cells lining the small intestine and causing “leaky gut” or intestinal permeability, where larger molecules than ideal get through into the bloodstream and cause inflammation and symptoms–when athletes took in glucose compared to just water during two hours of running (Martinez et al, 2023).
There are improvements in carbohydrate malabsorption after two weeks of gut training with carbohydrate from a supplement during exercise (as opposed to taking in no carbohydrates or in that particular study, taking in carbohydrates from “real food”.)
There is a significant reduction in GI discomfort both during and after exercise in those that consume carbohydrates during exercise and have undergone gut training protocols.
Performance can be improved. From some field data from professional cycling teams, the higher the amount of carbohydrates that were taken per hour of exercise, the faster the finishing time of the athletes (Viribay, 2022)
- On this note, in a study of trained Mountain Trail Ultra runners consuming between 60 and 120 grams per hour of carbohydrate, there was a lower rate of perceived exertion when consuming 120 gr/hr CHO.
- Consuming the higher amount of carbohydrates during their race also lowered markers of muscle damage after the race for these athletes when compared to consuming lower amounts of carbohydrate. (Viribay et al, 2020)

So far in this series, we’ve shared about the dangers of under-fueling both during and outside of activity, the advantages of fueling and training the gut on both digestion and performance, a brief overview of how much and what type of fuels to consume, and the knowledge that for every person has unique variables to work with, so for best results, tailoring your fueling plan to your needs and race goals is best. In the coming weeks, I’m planning to continue this topic of fueling sports performance in more detail. Stay tuned!

Learn More

Conditions I specialize in include all digestive health imbalances and disorders, endurance athlete sports nutrition, vegan/vegetarian diets, intuitive eating, and autoimmune diseases.

If you’d like to learn more about how you can improve your symptoms of imbalance, I’d love to speak with you in a quick phone consultation!

References:

Martinez, I.G., Mika, A.S., et al. (2023). The effect of Gut-Training and Feeding-Challenge on Markers of Gastrointestinal Status in Response to Endurance Exercise: A Systematic Literature Review. Sports Medicine, 53, 1175-1200. doi:10.1007/s40279-023-01841-0.
Rowlands, D. S., Houltham, S., Musa-Veloso, K., Brown, F., Paulionis, L., & Bailey, D. (2015). Fructose-Glucose Composite Carbohydrates and Endurance Performance: Critical Review and Future Perspectives. Sports medicine (Auckland, N.Z.), 45(11), 1561–1576. https://doi.org/10.1007/s40279-015-0381-0
Viribay, A., Arribalzaga, S., Mielgo-Ayuso, J., Castañeda-Babarro, A., Seco-Calvo, J., & Urdampilleta, A. (2020). Effects of 120 g/h of Carbohydrates Intake during a Mountain Marathon on Exercise-Induced Muscle Damage in Elite Runners. Nutrients, 12(5), 1367. https://doi.org/10.3390/nu12051367
Viribay, A. (2022). “Training the gut in pro cycling and elite running.” WE Sports Nutrition Pre-Conference, 18 Oct. 2022.

GI Problems, Nutrition + Health, Running, Sports Nutrition

Aspects of Training the Gut for Athletic Activity: Part I

November 30, 2023by Rebecca1 Comment

runner running — Photo by Clique Images on Unsplash

Today, let’s address training the gut and fueling during your run. This is a digestive health topic that’s pertinent to endurance athletes, particularly runners. While many athletes are wrapping up their fall season right about now, taking a little seasonal workout slow down, and/or making race plans for the new year, it’s a good time to also start thinking about nutrition and how it impacts performance for the months going forward.

Underfueling during exercise and throughout the day

Generally speaking, the general trend among runners, as compared to cyclists and triathletes, is that runners tend to under fuel during activity, despite ample science making a case for adding an energy source during long runs. It’s also very common for endurance athletes across many sports to be under fueling throughout the day(s) in their entire eating pattern, for just how much they are moving their bodies.

There are a few reasons why runners in particular might be under fueling during activity specifically:

Blood flow changes during exercise, leading to more blood flow to the skeletal muscle and extremities and less blood flow to the GI tract, along with a shift in the GI nervous system control. These two combined can lead to more exercise-associated GI symptoms, which many hope to avoid.
Additionally, exercise load including intensity, type of exercise, and duration, can lead to more GI symptoms. Runners especially tend to suffer more because running is an impact sport and there is a lot of jostling of the GI organs while running. The longer and harder the effort, the worse and more frequent GI discomfort will be (2).
Heat and humidity also tend to increase GI symptoms (2).
Another reason may be due to confusion and/or not understanding how fueling can help. A recent conversation with a runner revealed that he had initially believed that not fueling during any training runs when he was marathon training would be beneficial because he theorized that if he then added fuel only on marathon race day, the fuel would work better. This is certainly not the only belief that an individual can have.

Training the Gut

It’s quite common for athletes to say they don’t tolerate fuel so they don’t add any hydration or energy source during running or training. Additionally, many athletes also avoid eating or drinking before training because if they do so, it also causes GI distress.

Contrary to the belief that one should avoid fueling before or during training due to currently experiencing GI discomfort, nearly everyone can benefit from training the gut (1). So first, what is training the gut?

It’s the digestive system version of what you’re doing day after day and week after week with training the body to run longer distances and more intense paces. Back when I began running, there wasn’t any information available on the topic of “training the gut,” but it was a common recommendation to take carbohydrate fuel during training and races longer than about 90 minutes. That recommendation hasn’t changed, but depending on what event you’re training for, it will be helpful to train the gut to tolerate more fuel. This is a gradual process performed over several different long efforts rather than just testing out your race day fuel once or twice before an event, or not fueling at all.

Why is training the gut important?

Ever watch (or simply read about) one of those eating competitions like “how many hot dogs can you eat in a certain amount of time?” The amount of food consumed by the top competitors is fairly unbelievable, right? You can bet those individuals cannot eat like that all the time. They have to train their body to tolerate that amount of food. That is an extreme example, but when we look at endurance sports, what we see is that when you fuel consistently and correctly, and depending on the length of time you’ll be competing and at what intensity, fuel A LOT during activity, what we see is better results during the event and better recovery in the days afterwards (3).

Let’s look at an example from athletics rather than eating competitions.

If you’re watching the Tour de France or any other professional cycling these days, amongst the top athletes in the sport of road cycling, staying in the peloton (or riding in front of it!) is almost as much a fueling competition as it is an athletic competition. Riders these days are training their bodies to tolerate upwards of 120 grams of carbohydrate per hour (3). The standard gel packet of endurance fuel has about 24-30 grams of carbs, so for reference that’s about five gels an hour, to give you some perspective.

While that level of fueling is not necessary for everyone for every context (intensity and time of activity matters a lot), it is the amount of fueling –and gut training to be able to take in that amount of sugar—that is leading to top results on the world tour level.

Some Practical Why’s for You

The body can only store a certain amount of glycogen (stored glucose or carbohydrates) in the muscle and liver, and for most endurance events that are lengthy and have some intensity, carbohydrate is going to be the primary type of macronutrient that your body is burning. When we fuel correctly with adequate carbohydrates during activity, you’ll be sparing yourself from depleting all the stored muscle and liver glycogen, and utilizing it from the fuel you ingest during activity instead. This is also why we see better recovery after exercise from those that fuel more during exercise – because the body doesn’t have to go to all the work of restoring as much of the depleted glycogen stores (3).

So what are the other benefits to training the gut?

Repetitive exposure to nutrition both before and during exercise leads to better tolerance of the fuel you’re consuming. Training the gut can also improve GI function during exercise, and reduce how often you might experience the all-too-common exercise-associated GI symptoms, as well as their severity. For all those athletes that have a finicky GI, some of these GI symptoms that gut training can improve or reduce include (2):

Gut discomfort
Upper GI symptoms like burping, belching, nausea and indigestion
Carbohydrate malabsorption (ever feel like you’re fueling during an event and it’s simply not being absorbed)?
Gut microbiome dysbiosis and inflammation
Changes in GI motility (having to go urgently, or on the flip side, being constipated)
Changes in capacity (how much food you can tolerate)

Likewise, the adaptations to training the gut around and during exercise can also result in improved performance (2). This is because consuming a higher carbohydrate amount both during exercise and as part of a daily eating pattern lead to enhanced glucose availability.

Learn More

In the coming weeks, I’m planning to continue this topic of fueling sports performance and gut training in more detail. Stay tuned!

If you’d like to know more, I work with clients in individual nutrition consultations, and as a Licensed Dietician / Nutritionist and Certified Nutrition Specialist, use medical nutrition therapy, integrative health measures, and a root cause approach to heal imbalanced health conditions.
Conditions I specialize in include all digestive health imbalances and disorders, endurance athlete sports nutrition, vegan/vegetarian diets, intuitive eating, and autoimmune diseases.

If you’d like to learn more about how you can improve your symptoms of imbalance, I’d love to speak with you in a quick phone consultation!

References

Jeukendrup A. E. (2017). Training the Gut for Athletes. Sports medicine (Auckland, N.Z.), 47(Suppl 1), 101–110. https://doi.org/10.1007/s40279-017-0690-6
Martinez, I.G., Mika, A.S., et al. (2023). The effect of Gut-Training and Feeding-Challenge on Markers of Gastrointestinal Status in Response to Endurance Exercise: A Systematic Literature Review. Sports Medicine, 53, 1175-1200. doi:10.1007/s40279-023-01841-0.
Viribay, A., Arribalzaga, S., Mielgo-Ayuso, J., Castañeda-Babarro, A., Seco-Calvo, J., & Urdampilleta, A. (2020). Effects of 120 g/h of Carbohydrates Intake during a Mountain Marathon on Exercise-Induced Muscle Damage in Elite Runners. Nutrients, 12(5), 1367. https://doi.org/10.3390/nu12051367

Nutrition + Health, Running

Four Types of Digestion – Which Do You Have?

September 20, 2022by RebeccaLeave a Comment

What’s considered “normal” in our modern culture doesn’t necessarily mean it’s healthy or optimal.

As a pathway to optimal health and performance, optimal digestion is one of my main focuses as a clinical nutritionist. Why?

Because the fire element in the body is responsible for all forms of transformation internally – digestion, absorption, assimilation, creation of digestive enzymes, maintaining balanced body temperature and metabolism, providing energy, supporting regular and balanced elimination, deep sleep, mental clarity, stability, and groundedness, cellular communication, and zest for life.

Among many others.

In nearly all cases, the root cause of weight gain or stagnation, inflammation, muscle and joint pain, fatigue, anxiety and depression, hormone imbalances and monthly or menopausal symptoms, are all rooted in the condition of the digestive system’s ability to optimally transform food into a healthy body and mind.

So with that as a preface, there are four main types of digestion. Which you currently experience?

Irregular or Erratic Digestion:

This digestive pattern swings from very fast to very slow, with both ravenous hunger and lack of appetite, depending on the day or time of day.
There is both sluggish and rapid digestion; for example constipation to diarrhea, and/or being quick to hunger, and quick to satisfy, with the ability to only eat very small meals before feeling full, but perhaps a tendency to overeat.
May have a tendency to easily skip meals or forget to eat.
Hunger can be quite delayed after waking in the morning.
Symptoms such as gas, bloating, heaviness, rumbling or gurgling in the tummy or lower bowel.
Fatigue throughout the day or week, or crashes of energy after meals or feeling immediately cold after meals.
Frequently experiencing anxiety, fear, indecisiveness, or scattered thoughts.

Slow Digestion:

This digestive pattern is marked by its sluggishness. Undigested food has a tendency to sit in the GI for too long, and hunger isn’t often present.
Hunger can be quite delayed after waking in the morning, and you may have the tendency to skip breakfast or have only coffee for breakfast (not so great for blood sugar balance!)
May have a tendency to easily skip meals or feel like you can only eat small meals at a time, and quickly feel full and heavy.
May eat out of habit or have a tendency to eat emotionally.
Symptoms such as heaviness, fatigue, excess weight, slow elimination trending towards constipation, nausea, low appetite with perhaps some overeating, excess saliva, coughing, respiratory problems, and/or low mood.

Fast Digestion:

This digestive pattern is fast and sharp. Food is often digested very quickly. The fire is on too high!
Hunger can come rapidly after eating; You might eat a full meal and feel ready for another 30 minutes to two hours later, instead of the four to six hours that occurs with optimal digestion.
Because the fire is turned up, there is a tendency towards having a low weight, even though you can eat a lot.
Elimination trends towards loose stools and diarrhea.
You never miss a meal, become “hangry” easily, and may snack frequently between meals.
Symptoms such as excess dryness in the throat, mouth or lips, reflux and heartburn, anemia, and/or low energy.
Skin Irritations such as eczema, psoriasis, rashes, hives, or acne.
Frequent irritability, frustration, short temper or being extremely hard on yourself.

Balanced Digestion – The optimal state of digestion

Hunger is experienced routinely, about 30 minutes to 1 hour prior to each of the day’s three meals, in anticipation of food.
A healthy appetite; being ready for a morning meal by 7-9 am, feeling hungry again 3-6 hours later and at steady 3-6 hour intervals throughout the day.
Steady energy throughout the day with no fatigue or big drops in energy after eating or mid-afternoon, or difficulty waking up or getting going 30 minutes after waking.
One to three bowel movements daily, which pass easily and are formed like a banana
- no visible food, mucus, fatty film, or off colors
Clear skin, free of acne, itchy, inflammation, and rashes
Focused mind and inspired thinking
Your athletic performance is reflective of your training
Balanced hormones and menstrual cycle (if a menstruating female) with no PMS or menopausal symptoms

Which Type of Digestion Do You Have?

The ability to take food and break it down into nutrients, and assimilate it into the body to be used as energy is the basis for building healthy body tissue (and thus a healthy body!)

The goal for each of us is balanced digestion, and the stable mood, and smooth and efficient symptoms that come with it. This is possible for everyone.

When we are ready to embrace positive adjustments in our diet and lifestyle, we can see long-standing patterns shift, hormones and weight balance, sleep patterns become deeper and restorative, and acceptance, zest for life, and optimal performance return.

Did you find your digestion isn’t working optimally based on your symptoms? If you’d like to learn more about how you can fix it, I’d love to speak with you in a quick phone consultation! Or learn more about your digestion in some of my other articles on the topic of optimal digestion and gut health.