Ask the Experts: Marathon Nutrition Q+A with Ruth McKean

Hi everyone

ASICS Target 26.2 dietician and ASICS PRO Team member Ruth McKean will be online between 1pm and 2pm today to answer queries about marathon nutrition.

Ruth is a leading sports dietician and a member of the British Dietetic Association and Health Professional Council. She is also an advisor to the Scottish Institute of Sport, specialising in helping athletes of all levels prepare nutritionally for competition. She is also a former Scottish National 5,000m champion!

If you're wondering what to eat and when in training or racing - and afterwards, Ruth's got the answers. 

We're opening the discussion now so Ruth will be able to get stuck in straight away at 1pm - so get posting!

Alice
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Comments

  • Hi Ruth

    One dilemma I have is whether to eat breakfast before my marathon.  When I do my long runs I tend to have a big (pasta) meal the night before but then just get up and go out running.  That's what I did today on my 22 mile training run.  Then I had a gel at 10 miles and half a one at 17 miles.  The difference I guess is that on Marathon day I can't just run from the front door, there will be hanging about and getting to start etc.  I can find that even if I eat a couple of hours before a run I can end up with a stitch though.  Any tips - should I just not bother with breakfast, or eat something small and easily digested (a banana??)?

    Also in terms of water I tend just to drink from my own water bottle and don't bother with water stations at races - but I guess concerned that I could perform better if I did take on board more liquid....

    I'm running Brighton  - I ran Windermere last year but found that a bit easier logistically as it was a 'small' race so could get to start later etc.

    Thanks

  • E mmyE mmy ✭✭✭

    Hi Ruth - after any long run/race I really struggle to eat anything for the rest of the day. I've tried fruit, quinoa and veggies, bread, just proteins but they all make me want to throw up. I've tried soya chocolate milk but it's still making me feel sick.

    Do you have any ideas/suggestions?

    Also, could you give us an example of a typical "diet" for the days leading up to a marathon?

  • Hi - I am a T2 diabetic (controlled by Metformin/exercise) and have that old dilema about the dietry requirements of a distance runner (doing the D33 Ultra in Aberdeen tomorrow) and balancing those needs with diabetes which often results in conflicting advice. The problem: I find the thought of food/carbo gels etc repellent the further I run, yet know I need to take on fuel to stave off keytone acidosis (and afterwards I sometimes feel nausia for a couple hours) I suspect you might not have experience with diabetic running directly, but do you know of any surveys / any researchers which have looked into dietry balance and distance running for T2 diabetics. There are plenty for T1 but assume insulin dependence. Any help appreciated - oh, and happy to be a guinea pig!

    Cheers - @tentsmuir.

  • Hi Ruth

    3 meals per day used to be suffice. Now I am very hungry between 10-11am, 3-4pm and 9-11pm, even though I've had a decent breakfast, lunch and dinner. I run 40-50 miles pw, usually 6:00/7pm in the week and 10am saturday and very early on a Sunday.

    What should I be snacking on? I get an urge for crisps, cake and other rubbish.

    It's nearly 12 midday and I've been starving for 2 hours!

    B/fast - 3 weetabix

    Lunch - 2 rounds of sandwiches (tuna/cheese) + apple + banana

    Dinner - pasta or rice dish with vegetables. once per week with chicken or fish.

  • Ruth - question about fuelling for an early morning race. I had a trail race last Sunday 9am start, but did not feel hungry enough at 7-7.30am to eat a good breakfast (oats, cereals etc). I think this is because I had too much to eat the night before! How important is what we eat the night before relative to what we eat an hour or so before an early morning race. Thanks.
  • Hi Ruth

     I am training for the Brighton Marathon and struggling with my nutrition. I am losing more weight than I want as I am clearly not taking on enough carbs. Is there an easy way of ensuring that I eat enough of the right foods daily to maintain a good weight during this month of longer runs? 

     I have heard that you should keep grazing throughout the day so have started snacking on fruit and nuts regularly as well as increasing the carbs and protein in my three main meals. 

     Hope you can help. Thanks! 

  • Hi Ruth, I'm training for the VLM and it's been going really well. However in the past couple of days I've been struck down with a virus (runny nose, cough, feeling exhausted). Luckily it hasn't put me off my food! Is there anything I can do nutrition-wise that might help me to get over this? I should be running 20 miles on Sunday if at all possible but at the moment I'm struggling to walk to my local shop and back. Many thanks!
  • Hi Ruth,

    I have suffered from GI issues during a couple of recent races, with stomach cramps and emergency portaloo visits costing me PBs (as well as being unwelcome experiences in their own right!). It's not always a problem but I'm not sure how best to prevent it and would really appreciate some guidance on a dietary strategy for the 3 days or so pre-race to guard against this. I'm keen to avoid the Imodium strategy because I want to avoid tampering with bodily systems as much as possible, so any guidance as to what to eat/drink and when would be really useful. I'm sure pre-race anxiety and the physical stress of racing also play a part and would also be interested in your views on those if possible. Thanks in advance for your advice and your time.
  • Hi all 

    Thank you for all your posts, I will do my very best to get through these in the next hour.  

    Wonder women

    Thanks for post. I would most definitely eat breakfast before a marathon although if you struggle with volume the monring of the race then you should ensure you have eaten sufficient carbs in the days or certainly the day before the marathon and a larger meal before bed which you are currently doing. The morning of the marathon some people have to get up extra early to eat (as much as four hours before) and then something like a banana or sports drink as a snack 1-2 hours (or sip sports drink up to the start but don’t overdo these before the start)  but if this not possible try foods that will be quickly absorbed and leave stomach quickly like a liquid meal replacement such as slimfast drink with a gel or if you can manage the meal replacement with perhaps 1 slice of white bread with jam and cut of the crusts and nibble on this and chew food well! If you chew food well you will start digesting it in your mouth (you can only start digesting carbs in mouth this cannot happen for fats or protein). Avoid fruit juice, milk, carbonated soft drinks such as lemonade and if going to use sports drinks sip these do not gulp. In summary a low fat (quicker to digest) and light in volume is your best bet but I do think you will run better by eating breakfast as this will top up carbs before race. Practise this a few time in practise races before actual marathon. All the very best.

     
  • Hi Emma Have you tried just fluid such as full sugar diluting juice or even a sports drink? Until you feel you can eat? Just sip on this for the first hour and make sure the temperture of this drink is appealing to you. Another tip that works for many is present food in really small portions such as a sandwich with crusts cut off and cut into small nibble type chunks or a small pot of yoghurt with half a banana chopped into it then try and build up to eating some toast. A typical diet in the days leading up to a marathon would be high in carbs, low in fat (so the fat does not displace the carbs as fats and too much protein can fill you up)Breakfast: 2 cups of cereal with semi or skimmed milk with piece of fruit and a 2 slices of toast with jam/honey and glass of fruit juice. Example snacks: one mid-morning , one mid afternoon  and one before bed
    • 500ml smoothie & cereal bar
    • Cereal bar & large banana & pot of low fat yogurt
    • Bowl of cereal
    • Toast/crumpets/English muffins with sugar spreads
    Lunch: Baked beans in jacket potato and glass of fruit juice and a cup of canned fruit & yoghurt of wishEvening meal: Pasta, rice based meal with low fat sauce and small amount of meat, fish or nuts if wish. If carb needs are even more sip on a sugar containing diluting juice.

    You should be aiming at 10grams of carbs per kilogram of your body mass using these sorts of foods, use food labels to work this out. You need to practice this to see if carb loading works for you (if carrying extra weight reduce this to 8grams of carbs per kilogram body mass so if you weight 65kg then you would aim for around 520g for 3 days before a race over 18miles)  however if you have unstable diabetes, issues with fats in your bloods and you already have a very high carb diet then you would not need/recommend you   do this.

    I hope this helps.

  • Hello Ruth,

    I seem to remember (sometime back) there being some talk about using a protein:carbohydrate drink during exercise rather than as a recovery drink.  What's the current thinking on this?

    Thanks. 

  • Tentsmuir

    As you may have already read, the advice for those with diabetes are similar to those without durind these sorts of races and the fact you struggle to eat is no different to some other runners without diabetes (not sure if that makes you feel better or not!) but you are also aware you need to take more care than most non-diabetic runners as you should not run in the presence of hyperglycaemia and ketosis and if feeling like you are going low in a race you need to mention it to someone straight away before you struggle to do this (as i am sure you know). You may also need to reduce your meds before this sort of exercise and I would not recommend you carb load unless you tightly monitor your blood glucose but even then the response  to increased carbs can be erratic and you should have a word with GP before you would do this. So basically advice is you need to take food on board if want to do these races, these ultra races needs carbs to prevent ketosis and you should start feeding glucose regularly from early on in the race,  if you do this this should prime your body to receive glucose and  it may be better tolerated and less risk of going low: have you tried a carb/protein mix drinks (high 5, isostar, powerbar all do these now) say aim for 200ml per hour  or if struggle with a sports drink a 1:1 ratio of orange breakfast juice  with water and add a electrolyte  tablet  with no flavour (high five salts tablets have no flavour) or even coke diluted down and tablet added if needed and alongside this say every  15mins a jelly sweet or something like a power bar shot or even regular foods such as rice crispie tyre cereal bars (these seem to be popular amongst some distance runners during long races) and just nibble. I do feel you are going have  to practise eating/drinking until you manage this otherwise these races are not going to be kind to you. If you let yourself get too dehydrated then this could cause more problems when you start consuming food.

    Start with a simple strategy: something small every 15minutes, get watch to beep if need and build on this. Like you mentioned the research is often for insulin dependent diabetes and the advice for insulin dependent is also similar to non diabetics although insulin adjustment before race is more of a problem for some but they also need to start off with good/normal blood sugar reading and then the aim is to maintain this so you may have to do a lot of monitor in some races and long runs just to get a feel for how your body reacts so you can then race with a bit more knowledge of what your blood sugars are doing during these events.

    Best of luck next weekend and hope there is something above which may help.

  • Thanks so much Ruth - really helpful, as is reading the replies to everyone else's questions.
  • Hi Richard

    For athletes running anything over 25miles, I have always found they do much better with 3 meals and 2-3 snacks  each day so if don’t wish to increase calories too much this just means splitting that lunch time sandwich into two (one for afternoon snack or have mid-morning). However,  looking at your food intake you do seem to eat very little for someone running your weekly mileage and protein is on the low side, do you include pulses or legumes such as beans or nuts in your meals which don’t include fish or chicken? This may be useful to you if you do not or have a glass of milk with meal. I do think calcium also needs to go up so adding an extra bowl of cereal before bed (does not need to be large) and a pot of yoghurt, custard, that glass of mmilk at evening meal or rice pudding at other times during the day would help and this would also increase your protein by around 10g each day with these changes alone (an egg has about 8g of protein as a comparison) and calcium by about 400mg.

    I would snack on fruit & nuts (unsalted nuts would also increase protein and other minerals which are on the low side in your example diet), yoghurts, fruit salad, glass of milk or smoothie , small sandwich so one slice of bread with honey/jam filling and before bead some toast or bowl of cereal or bowl of rice pudding with some tinned fruit.  Add one snack mid-morning and one mid-afternoon and if can one before bed , if struggle with volume small portions to start with.

    I think you would benefit from the above in terms of training gains as your recovery would be better.

    This should stop you feeling so hungry!

     
  • Anthony Cassidy wrote (see)
    Ruth - question about fuelling for an early morning race. I had a trail race last Sunday 9am start, but did not feel hungry enough at 7-7.30am to eat a good breakfast (oats, cereals etc). I think this is because I had too much to eat the night before! How important is what we eat the night before relative to what we eat an hour or so before an early morning race. Thanks.
    If this is the case then less to eat the night before as you are not needing to carb load for this sort of race but eating before is important as blood sugars will be low and this is likely to effect performance. As wonder women has mentioned this advice may help you also but even a couple of slices of toast or taking half an hour to eat those oats may work for you. Start with very small amounts and work up on this to a small breakfast, does not need to be large but I would aim for 50g of carbs in this per race meal.
  • ClaireLB wrote (see)

    Hi Ruth

     I am training for the Brighton Marathon and struggling with my nutrition. I am losing more weight than I want as I am clearly not taking on enough carbs. Is there an easy way of ensuring that I eat enough of the right foods daily to maintain a good weight during this month of longer runs? 

     I have heard that you should keep grazing throughout the day so have started snacking on fruit and nuts regularly as well as increasing the carbs and protein in my three main meals. 

     Hope you can help. Thanks! 


    The fact you have started grazing is great and I would not want to suggest you increase this until you see how this affects your weight (in case you gain more than you want! ).So weigh yourself a couple of times per week (first thing in the morning after first pee) to monitor this. Aim 3 meals and 2-3 snacks per day any of the ones I have suggested in above posts would be great as well as your fruit and nuts. Eat a couple of hours before runs as well as snack or main meal after.

    You appear to be doing the right thing.image 

  • Ruth,

    I'm not sure about calorie intake / expenditure: I'm a tad short, and have always been a little overweight, though 2 years ago I followed a juice-based plan and lost 2 stone between new year and London in April. I've kept that off since, but can't shift any more.

    I usually run 25-35 miles per week, and my Garmin suggests I burn 3 to 4000 calories a week running. I appreciate I do eat/drink some of that back on, but when my scales say I have a BMR of 1400 only, I'm not sure what I can do! am I really burning half my BMR with a 7 mile run?!!!

    I weigh myself once a week and keep track of it, and cannot find any link between anything!

    My diet is generally sensible, I don't do fast food, and eat plenty of meat and veg etc. I rarely drink these days too - might have had 6 pints this year so far..!

    Cheers

    Jimbo

  • Thank you Ruth. Much appreciated.
  • Ruth,

    I am running the brighton marathon and staying in a hotel the night before, the race start at 9 and I am not sure what time I should eat breakfast and what sort of foods would be good.  On my long runs now I am able to eat porridge or weetabix at least an hour before the run of approx 22 miles and taking 2 gels on the way.

    What would you recommend to eat the night before and in the morning ?

    Thanks

    James

  • KatyB wrote (see)
    Hi Ruth, I'm training for the VLM and it's been going really well. However in the past couple of days I've been struck down with a virus (runny nose, cough, feeling exhausted). Luckily it hasn't put me off my food! Is there anything I can do nutrition-wise that might help me to get over this? I should be running 20 miles on Sunday if at all possible but at the moment I'm struggling to walk to my local shop and back. Many thanks!


    Hi Katy,

    Glad to hear training has been going well this far. Be careful you do not overdo it when not feeling great. If you are running and heart rate and or resting pulse in not as it should be then perhaps rest will be the best option. Getting sufficent sleep would also be top tip! Good diet is so important day to day (and more important than supplements) as there in no  supplement known to work for sure to help immunity  but in the first 24-48hours you can hit this with zinc supplement, sold for this in shops but I would only take this for up to 7 days, you may also want to take a vitamin D supplement (25ug) until the marathon and by that time you can stop as we might get some sunshine! (vitamin D linked to immunity and you cannot absorb any vit D until about April in the country), echinacea  is also a supplement  you could try but think the zinc and vitamin D may help more. If you have lost too much weight too quickly this can also affect immunity. You should ultimately listen to your body and if struggling to walk to the shop this may be a sign that you are very run down.

    Hope you start feeling better very soon.

    Ruth

  • Thank you for the great advice Ruth image
  • aeon wrote (see)

    Hi Ruth, I have suffered from GI issues during a couple of recent races, with stomach cramps and emergency portaloo visits costing me PBs (as well as being unwelcome experiences in their own right!). It's not always a problem but I'm not sure how best to prevent it and would really appreciate some guidance on a dietary strategy for the 3 days or so pre-race to guard against this. I'm keen to avoid the Imodium strategy because I want to avoid tampering with bodily systems as much as possible, so any guidance as to what to eat/drink and when would be really useful. I'm sure pre-race anxiety and the physical stress of racing also play a part and would also be interested in your views on those if possible. Thanks in advance for your advice and your time.

    Hi
    Thanks for this post. The most useful recommendation is to avoid solid food 3 hours before a race, use liquid foods, you may also find a low fibre diet in the 2 (even 3 days) before is useful (although may mean it takes a couple of days for normal bowel patterns to return after). This means white bread, pasta etc, little fruit and veg no wholegrain cereals (although a soluble fibre such as porridge is likely to be fine), and certainly avoid caffeine and try and have toilet visit before running. I know some runners where this advice works really well and for others meds appears to be the one thing that works. Also do not chew chewing gum etc for at least a day before. A low fibre diet is not recommended day to day but if this works then for key races this may be useful for you. You can get some vitamins  through different fruit juices and use liquid meal replacement as well as foods mentioned above. I do hope this works for you.

  • Hi Ruth, some great advice bing posted on here - you're a very quicker typer too! I'm getting a bit bored with sandwiches, are tortilla wraps any good as a subsitute for bread or not enough carbs?
  • Other than protein what would you recommend to speed up muscle repair? Having recently suffered from a sprained metatasal joint do you recommend any foods/ supliments to promote tendon and ligament healing?
  • Thanks Ruth, very much appreciated!
  • FerrousFerret wrote (see)

    Hello Ruth,

    I seem to remember (sometime back) there being some talk about using a protein:carbohydrate drink during exercise rather than as a recovery drink.  What's the current thinking on this?

    Thanks. 

    Hi there

    More sports company's are doing this now and my take on this is for iron man or ultra running (distance more than a marathon ) or multi day races then I think this is very useful stategy (because of muscle breakdown it is logical to have amino acids in the blood when this is going on and also doing these races it can hard to get enough carbs and protein at this time is useful) but for events under the 4 hours carbs is still the way forward for the moment!

  • kittenkat wrote (see)

    How much do you consider commercially branded sports and recovery drinks, gels etc are really necessary in endurance sport?

    After all water and jelly babies have seen some of us achieve for years image

    Thanks,

    Kate 

    Kate, they are nothing special other than they often have what  you need in ready made package! but with the mix of right foods you can get all you need in a race (carbs, fluid and when need salt) so jelly babies and water works but if need the salt (and often people don't but the salt and small amount of glucose in drinks help absorp water quicker so sports drinks and isotonic gels do work really well for this). It really comes down to what works for you.
  • Hi all,

    Thank you for such great questions - and thank you Ruth for answering them! We'll be back soon with another marathon webchat, but until then, happy running!

    Alice

  • Cheers very interesting thanks.image
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