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Nutrition & hydration

Day-to-day fueling for someone who lifts and runs: energy needs, macronutrients in g/kg, timing around training, carbohydrate loading, fluids and sodium, and the few supplements with good evidence. Race-day fueling is in endurance, fuel use by intensity in energy systems, and vitamins, minerals and iron in vitamins & minerals. Values are for healthy adults; see a doctor or a sports dietitian for anything clinical.

Energy balance

Total daily energy expenditure (TDEE) is basal metabolic rate (BMR) times a physical activity level (PAL). Weight is stable when intake matches TDEE.

BMR: Mifflin-St Jeor (1990)

mm body mass in kg, hh height in cm, aa age in years. Derived from 498 healthy adults aged 19–78 (normal weight and obese); it predicts resting needs, not an individual's exact value.

BMRmen=10 m+6.25 h−5 a+5BMRwomen=10 m+6.25 h−5 a−161(kcal/day)\text{BMR}_\text{men} = 10\,m + 6.25\,h - 5\,a + 5 \qquad \text{BMR}_\text{women} = 10\,m + 6.25\,h - 5\,a - 161 \quad (\text{kcal/day})

If you know fat-free mass (FFM), the same paper gives REE=19.7 FFM+413\text{REE} = 19.7\,\text{FFM} + 413.

Activity factor (PAL)

TDEE=BMR×PAL\text{TDEE} = \text{BMR} \times \text{PAL}
Lifestyle (FAO/WHO/UNU 2001)PALExample
sedentary or light activity1.40–1.69desk job, little exercise
active or moderately active1.70–1.99desk job plus ~1 h/day running or lifting
vigorous2.00–2.40manual job or 2+ h/day hard training

PAL above 2.40 is hard to sustain for long. Watches and apps estimate exercise energy with large errors; treat any TDEE as a starting point and adjust from 2–3 weeks of body-mass trend.

Energy per gram

Nutrientkcal/gkJ/g
carbohydrate417
protein417
fat937
alcohol729

Energy availability and REDs

Energy availability (EA) is the energy left for the rest of the body after exercise, per kg of fat-free mass.

EA=EI−EEEFFM(kcal/kg FFM/day)\text{EA} = \frac{\text{EI} - \text{EEE}}{\text{FFM}} \quad (\text{kcal/kg FFM/day})

EI is energy intake, EEE exercise energy expenditure. Low EA (LEA) drives REDs (Relative Energy Deficiency in Sport, formerly RED-S): hormonal, bone, immune, metabolic and mental-health effects plus worse training and performance, in women and men.

EA (kcal/kg FFM/day)Reading (Loucks' reference bands from lab studies in sedentary women; IOC 2023 plays them down)
≥ 45enough for maintenance and normal body function
30–45reduced; typical of deliberate fat loss
≤ 30LEA with health effects in the original studies
~9–25range where men appear to show effects
Caveat (IOC 2023)Detail
not a diagnostic cut-off30 came from short-term lab studies in small groups of sedentary women; meant as a guide
individual differencesthe EA that causes problems varies between people, sexes and body systems
measurement errorEI, EEE and FFM are all hard to measure in free-living athletes
red flags beat numbersmissed or absent periods, low libido, recurrent bone stress injury, illness, stalled training, low mood

Macronutrients

Targets scale with body mass and training load, not with a fixed percentage of energy.

Carbohydrate by training load (ACSM/AND/DC 2016)

LoadExampleg/kg/day70 kg runner
lightlow intensity or skill work3–5210–350 g
moderate~1 h/day moderate exercise5–7350–490 g
high1–3 h/day moderate to high intensity6–10420–700 g
very highover 4–5 h/day moderate to high intensity8–12560–840 g

These are for days when session quality matters. Easy days and fat-loss phases can sit lower; some athletes deliberately train with low carbohydrate availability for specific sessions.

Protein

GuidelineValueSource
daily, most exercisers1.4–2.0 g/kgISSN 2017
daily, joint statement1.2–2.0 g/kgACSM/AND/DC 2016
point of diminishing returns for muscle gain~1.6 g/kg (upper CI ~2.2)Morton et al. 2018 meta-analysis
per meal0.25–0.4 g/kg, or 20–40 gISSN nutrient timing 2017
leucine per dose700–3,000 mgISSN 2017
spacingevery 3–4 h across the dayISSN 2017
before sleep30–40 g caseinISSN 2017
energy deficithigher, see body compositionHelms 2014, ISSN 2017

Fat

GuidelineValueSource
usual range20–35% of energyACSM/AND/DC 2016
avoid chronicallyunder 20% of energy: harder to meet fat-soluble vitamin and essential fatty acid needsACSM/AND/DC 2016
before and during hard sessionskeep fat and fiber low for gut comfortACSM/AND/DC 2016

Watch for: carbohydrate periodised to the session, protein spread through the day, practical meals.

Sports Nutrition - Presented by Louise Burke (opens in a new tab) (Athletics Coach, YouTube)

Nutrient timing

WhenWhatAmount
2–4 h beforefluid to pale urine5–10 mL/kg
1–4 h before (sessions over 60 min)carbohydrate-rich meal, low in fat, fiber and protein1–4 g/kg
under 45 min exercisenothing needednone
45–75 min, high intensitysmall amounts or a carbohydrate mouth rinsesmall
1–2.5 hcarbohydrate30–60 g/h
over 2.5–3 hglucose + fructose mixesup to 90 g/h
under 8 h between two hard sessionscarbohydrate, early and often1.0–1.2 g/kg/h for 4 h
after a key sessionhigh-quality protein0.25–0.3 g/kg (15–25 g)

Amounts from ACSM/AND/DC 2016; race-day plans are in endurance.

The anabolic window

ClaimEvidence
protein 0–2 h after lifting boosts muscle protein synthesistrue (ISSN 2017)
you must eat within 30–60 min or lose gainsoverstated: muscle stays sensitive to protein for at least 24 h
timing matters when daily protein is adequateat best minimal (ISSN 2017; Aragon and Schoenfeld 2013)
timing matters for glycogenyes, when the next hard session is under 8 h away
training fasted in the morningeat protein soon after; the pre-meal gap is already long

Carbohydrate loading

For events over 90 min of sustained or intermittent work (marathon, long triathlon), fill glycogen beforehand. For shorter races, normal daily fueling (7–12 g/kg in the 24 h before) is enough.

ItemGuideline (ACSM/AND/DC 2016)
amount10–12 g/kg/day
duration36–48 h before the event
trainingtaper at the same time
food choicelow fiber and low residue: white bread, rice, pasta, juice, jam, honey
side effectbody mass rises because glycogen is stored with water
practicetrial it before a long training run, never first on race week

Body composition

GoalGuidelineSource
fat loss: deficit~250–500 kcal/day below needsACSM/AND/DC 2016
fat loss: rate0.5–1% body mass per weekHelms et al. 2014
fat loss: rate to protect FFM and performanceunder 1% body mass per weekACSM/AND/DC 2016
fat loss: protein2.3–3.1 g/kg fat-free massHelms et al. 2014; ISSN 2017
fat loss: fat15–30% of energyHelms et al. 2014
muscle gain: surplus~10–20% above maintenanceIraki et al. 2019
muscle gain: rate (novice, intermediate)~0.25–0.5% body mass per week; slower if advancedIraki et al. 2019
muscle gain: protein1.6–2.2 g/kgIraki et al. 2019
muscle gain: fat0.5–1.5 g/kgIraki et al. 2019

Keep EA well above 30 kcal/kg FFM/day while cutting, and time deficits for easier training blocks, not race build-ups.

Hydration

Daily needs

Total water includes drinks and the water in food, for temperate climates and moderate activity. Training and heat add sweat losses on top.

SourceMenWomen
NASEM AI (total water, 19–50 y)3.7 L/day2.7 L/day
EFSA AI (total water, adults)2.5 L/day2.0 L/day

Sweat rate

sweat rate (L/h)=(mpre−mpost)+Vdrunk−Vurinet\text{sweat rate (L/h)} = \frac{(m_\text{pre} - m_\text{post}) + V_\text{drunk} - V_\text{urine}}{t}

Masses in kg (1 kg ≈ 1 L sweat), volumes in L, tt in hours. Weigh nude or in the same dry kit, bladder empty before, towel dry after.

QuantityTypical valueSource
sweat rate0.5–2.0 L/h; 0.3–2.4 L/h reportedBaker 2017; ACSM/AND/DC 2016
sweat sodium~50 mmol/L (~1 g/L) average; 10–90 mmol/L rangeACSM/AND/DC 2016; Baker 2017

Guidelines

PhaseGuidelineSource
before5–10 mL/kg 2–4 h before, until urine is pale yellowACSM/AND/DC 2016
duringdrink to keep the loss under 2% of body massACSM 2007; ACSM/AND/DC 2016
duringnever drink so much that you gain weightACSM/AND/DC 2016
after1.25–1.5 L per kg lost (125–150% of the deficit), with sodium, spread over timeACSM/AND/DC 2016
checkpale-yellow urine and a steady morning body massACSM/AND/DC 2016

Urine color is a rough guide only: a large drink dilutes it quickly. Caffeine does not cause extra urine or sweat loss during exercise (ODS).

Sodium, electrolytes and hyponatraemia

PointDetail
who needs sodium during exercisesweat rate over 1.2 L/h, salty sweat, or sessions over 2 h (ACSM/AND/DC 2016)
after exercisedon't restrict sodium; it helps you keep the fluid you drink
units1 mmol sodium = 23 mg; salt (NaCl) = 2.5 × sodium
compare productscheck mg sodium per liter on the label against ~1,000 mg/L average sweat loss
crampusually fatigue; heavy salty sweaters in the heat may be more prone (ACSM/AND/DC 2016)

Exercise-associated hyponatraemia

Blood sodium under 135 mmol/L, mostly from drinking more than you sweat, made worse by large sodium losses and plain water.

Risk factors (ACSM/AND/DC 2016)Symptoms, mostly below 130 mmol/L
recreational pace: low sweat rate, many chances to drinkbloating, puffiness, weight gain during the event
smaller body and lower sweat rate (women more often)nausea, vomiting, headache
drinking beyond sweat and urine lossesconfusion, delirium, seizures
overdrinking in the hours or days beforerespiratory distress, collapse; can be fatal

Watch for: how researchers measure sweat rate and why over-drinking is the bigger danger for recreational runners.

Hydration and Athletic Performance with Dr. Stavros Kavouras (opens in a new tab) (Jordan Sullivan Dietitian, YouTube)

Caffeine and creatine

Caffeine

ItemValueSource
effective dose3–6 mg/kg (210–420 mg at 70 kg)ISSN 2021; IOC 2018
lowest effective dosemaybe 2 mg/kgISSN 2021
timing~60 min before; gum works fasterISSN 2021
peak and half-lifepeak within ~45 min; half-life 4–5 hODS
very high doses9 mg/kg: many side effects, no extra benefitISSN 2021
side effectsanxiety, jitters, fast heart rate, gut upset, poor sleepISSN 2021; FDA
general daily limit400 mg/day for most healthy adultsFDA
brewed coffee113–247 mg per 355 mL (12 fl oz)FDA
pure powderabout 1,200 mg can cause seizures; don't use powdersFDA
habitual usersbenefit still seen; no need to withdrawISSN 2021

With a 4–5 h half-life, afternoon and evening doses can disturb sleep (ODS).

Creatine monohydrate

ItemValueSource
maintenance3–5 g/dayISSN 2017; IOC 2018
optional loading~0.3 g/kg/day (~20 g in 4 doses) for 5–7 daysISSN 2017; IOC 2018
no loading3–5 g/day fills muscle in 3–4 weeksISSN 2017
works forrepeated high-intensity efforts, strength and power, training volumeIOC 2018; ODS
endurance runninglittle direct benefit; weight gain can hurtODS
side effect+1–2 kg body mass, mainly waterIOC 2018
safetysafe long term in healthy adults (studies up to 5 years)ISSN 2017

Supplements: what has evidence

Food first. Supplements are for a confirmed deficiency, convenience, or one of a few performance aids, and carry a doping risk from contamination (see third-party testing).

Performance supplements with good evidence (IOC 2018)

SupplementProtocolHelpsWatch
caffeine3–6 mg/kg ~60 min beforeendurance (5–150 min), 1–2 min efforts, repeated sprintsnausea, anxiety, insomnia
creatine3–5 g/day (loading optional)strength, single and repeated efforts under 150 s1–2 kg gain
nitrate (beetroot juice)5–9 mmol (310–560 mg) 2–3 h beforetime trials under 40 min, 12–40 min team sportoccasional gut upset
beta-alanine~65 mg/kg/day in 0.8–1.6 g doses every 3–4 h for 10–12 weeksefforts of 30 s to 10 min (~0.2–3%)tingling, rash
sodium bicarbonate0.2–0.4 g/kg 60–150 min beforesprints of ~60 s; less benefit past 10 mingut distress, lots of sodium

AIS Sports Supplement Framework, Group A

Group A typeExamples
sports foodssports drinks, gels, bars, confectionery, electrolyte supplements, protein powders, liquid meals
medical supplementsiron, calcium, vitamin D, zinc, folate (only for a diagnosed need)
performance supplementscaffeine, beta-alanine, nitrate, sodium bicarbonate, creatine, glycerol
GroupMeaningExamples
Bemerging or mixed evidence; use in research or clinical monitoringvitamin C, fish oil, collagen, probiotics, tart-cherry polyphenols
Cevidence not supportive, or no researchBCAAs, vitamin E, magnesium oxide, HMB, tyrosine
Dbanned or high contamination risk; don't useDMAA, ephedrine, DHEA, SARMs such as ostarine

Alcohol and recovery

EffectDetailSource
energy7 kcal/g, suppresses fat oxidation, prompts unplanned eatingACSM/AND/DC 2016
before or during trainingworse metabolism, thermoregulation and skill; effects outlast feeling drunkACSM/AND/DC 2016
glycogenimpairs refuelling after exerciseACSM/AND/DC 2016
rehydrationsuppresses antidiuretic hormone, so more urineACSM/AND/DC 2016
muscle protein synthesis1.5 g/kg (~12 drinks) after training cut it 24% with protein, 37% with carbohydrateParr et al. 2014
coldperipheral vasodilation, heat lossACSM/AND/DC 2016
practicalminimize alcohol after key sessions and when injured; eat protein and carbohydrate firstACSM/AND/DC 2016

Food labels

US Nutrition Facts

ItemRule (FDA)
serving sizeevery number is per serving; multiply if you eat more
%DV basis2,000 kcal/day general guide; athletes often eat more
5% DV or lesslow in that nutrient
20% DV or morehigh in that nutrient
get less ofsaturated fat, sodium, added sugars
get more offiber, vitamin D, calcium, iron, potassium

US Nutrition Facts label (2016 format) for a cereal: 8 servings, serving 2/3 cup (55 g), 230 calories, total fat 8 g, sodium 160 mg, carbohydrate 37 g with 4 g fiber and 10 g added sugars, protein 3 g, plus vitamin D, calcium, iron and potassium with % Daily Value Image: U.S. Food and Drug Administration, public domain, via Wikimedia Commons (opens in a new tab).

UK front-of-pack colors (per 100 g)

NutrientLow (green)High (red)
total fat≤ 3 gover 17.5 g
saturated fat≤ 1.5 gover 5 g
total sugars≤ 5 gover 22.5 g
salt≤ 0.3 gover 1.5 g (0.6 g sodium)

Amber sits between the two. For training, "red" carbohydrate or sugar can be exactly what you want before or during a long session.

Recipes

TDEE and macros for a 70 kg runner

A worked day for a 30-year-old man, 178 cm, ~15% body fat, running about an hour a day plus two lifting sessions a week.

BMR  = 10(70) + 6.25(178) - 5(30) + 5    = 1,668 kcal
PAL  = 1.75 (active)
TDEE = 1,668 x 1.75                        ≈ 2,920 kcal
 
Carbohydrate  6 g/kg x 70  = 420 g  x 4 = 1,680 kcal  (58%)
Protein     1.6 g/kg x 70  = 112 g  x 4 =   448 kcal  (15%)
Fat         remainder      =  88 g  x 9 =   790 kcal  (27%, 1.25 g/kg)
 
Energy availability check
FFM  = 70 x 0.85 = 59.5 kg;  EEE (watch) ≈ 700 kcal
EA   = (2,920 - 700) / 59.5 ≈ 37 kcal/kg FFM/day   (above 30: fine)
 
Protein per meal: 0.3 g/kg ≈ 21 g, x 4 meals + 28 g evening
Same runner, 60 kg woman, 165 cm: BMR = 1,320 kcal

Check the body-mass trend after 2–3 weeks and adjust, and move carbohydrate up on long-run days (6–10 g/kg) and down on rest days (3–5 g/kg).

Pre-race breakfast

For a 70 kg runner racing at 09:00: ~2 g/kg carbohydrate 3 h before, low fat and fiber. Values from USDA FoodData Central.

TimeFoodCarbohydrate
06:00white toast, 120 g (about 4 slices)65 g
06:00jam, 40 g28 g
06:00banana, 120 g peeled27 g
06:00honey in tea or on toast, 20 g16 g
06:00–07:00water or electrolyte drink, 350–700 mL (5–10 mL/kg)–
08:40optional: a gel or a few sips of sports drink (check the label)–
total~12 g protein, ~5 g fat, ~630 kcal~137 g (2.0 g/kg)

Only 1 h before? Halve it: 2 bananas (240 g) and 20 g honey give ~71 g (1 g/kg). Use foods you have tested in training.

Marathon carb-load day

One of the two days before a marathon: 10 g/kg for a 70 kg runner is 700 g carbohydrate. Low fiber on purpose; USDA values, cooked weights.

MealFoodsCarbohydrate
breakfastwhite toast 150 g, jam 40 g, honey 20 g, banana 120 g, 2% milk 300 mL168 g
snack2 bananas (240 g), Greek yogurt 170 g, honey 30 g85 g
lunchwhite rice 450 g, white toast 60 g160 g
snackwhite toast 100 g, jam 40 g82 g
dinnerpasta 500 g with tomato sauce, white toast 60 g186 g
evening2% milk 300 mL, honey 20 g31 g
total~115 g protein (1.6 g/kg), ~35 g fat, ~3,600 kcal712 g (10.2 g/kg)

Swap in juice, rice cakes, sports drink or sweets if the volume is too much. Keep salt normal and drink to thirst.

Sweat-rate test

Run it in race-like conditions; repeat in hot and cool weather.

  1. Empty your bladder, weigh nude: record mprem_\text{pre}.
  2. Train 60–90 min at race effort; weigh bottles before and after (1 g = 1 mL) to get VdrunkV_\text{drunk}.
  3. Don't pee during the session, or measure it: VurineV_\text{urine}.
  4. Towel dry, weigh nude: mpostm_\text{post}.
  5. Compute sweat rate and % body mass lost.
m_pre 70.0 kg, m_post 68.9 kg, drank 0.5 L, urine 0, 75 min
 
Sweat loss = (70.0 - 68.9) + 0.5 - 0 = 1.6 L
Sweat rate = 1.6 L / 1.25 h           = 1.28 L/h
Mass lost  = 1.1 / 70.0               = 1.6 %   (under 2 %)
Rehydrate  = 1.1 kg x 1.25-1.5        = 1.4-1.65 L, with salt
Sodium     = 1.6 L x ~1 g/L           ≈ 1.6 g lost (average sweat)

Plan to drink enough to stay under 2% loss, not to replace every milliliter; if you gained mass, drink less.

Post-workout snacks

Aim for 0.25–0.3 g/kg protein (18–21 g at 70 kg). Add carbohydrate at 1.0–1.2 g/kg/h if the next hard session is under 8 h away. USDA values.

SnackProteinCarbohydrateBest for
Greek yogurt 200 g, banana 120 g, honey 20 g20 g51 gafter lifting
2% milk, 600 mL20 g30 gquick, portable (chilled)
white toast 100 g, jam 30 g, 2% milk 400 mL23 g95 gtwo sessions in a day
pasta 300 g cooked, 2% milk 250 mL26 g104 gafter a long run

Daily plate template

The Athlete's Plate (USOPC and UCCS) scales the carbohydrate share of each meal to the day's training.

DayGrains and starchesVegetables and fruitLean protein
easy, taper or fat loss~25%~50%~25%
moderate (your baseline)~37.5%~37.5%~25%
hard, race or carb-load~50%~25%~25%

Every plate adds a small fat portion (about 1 tablespoon of oil, nuts, seeds, avocado or cheese), a drink (water, milk or a dairy alternative) and flavourings. Three or four plates like this, each with protein, cover most days.

References