How nutrition affects recovery and performance for running, OCR, and endurance sports
Thomas Solomon, PhD.
Updated onReading time approx 4 minutes (800 words).
What you’ll learn:
Food is the fuel your body runs on. No fuel, no energy, no go, no recovery.
Eating enough — and getting carbs and protein in the right amounts — is likely to improve performance and recovery. Not eating enough (low energy availability) is likely to hurt both.
Curious about the how and why? Scroll down for the details, the nuances, and the nerdy bits.
What is nutrition?
Nutrition is food. Not magic. Real food. It’s non-negotiable — without it, you will literally grind to a halt. For marathon runners, trail runners, ultra runners, obstacle course (OCR) racers, and any endurance athletes, food is a core tool in the recovery toolbox.
I’ve written deep-dive reviews that walk through what to eat and when. Check them out:
→ Recovery nutrition starts with a healthy eating pattern.
→ The “post-exercise nutrition window” is your between-session period for nutrient optimisation.
→ Eating carbohydrate replenishes muscle glycogen.
→ Eating protein supports muscle protein synthesis to repair and build tissue.
I’ve also written deep-dive reviews on “fat burning”, “fueling for the work required”, and the low-carb vs. high-carb saga. Check them out:
→ What are fat oxidation rates and why do they matter?
→ Increasing fat burning during exercise — acute manipulations of carbohydrate availability.
→ Does a low-carb, high-fat diet offer a performance advantage to an endurance athlete?
→ Understanding the “carb wars” using context and perspective.
What is the scientific evidence on the effect of nutrition on recovery and athletic performance?
Maintaining a healthy eating pattern and enough energy intake supports health, recovery, and consistency.
Timing and dose matter in the space between sessions: carbohydrates help replenish muscle glycogen and protein supports muscle repair and rebuilding.
Combining carbohydrate with protein between your sessions can add a small extra boost for recovery.
But, there’s no need to stress. Eating a wide variety of colorful foods across and within all food groups, spreading meals through the day, and including carbs, fats, and protein at each meal or snack will keep most people on track.
Plus, the “urgency” to refuel depends on the time since you last ate and the time until your next workout. If your next workout is days away, rapid post-exercise carbs are not urgent — regular meals will restore glycogen. If your pre-workout meal had plenty of protein, immediate protein after is also less urgent.
Can nutrition enhance recovery and athletic performance?
Nutrition — eating food — is very likely to reduce muscle soreness after exercise and improve the restoration of performance.
Low-carb approaches can impair running economy and performance, while higher carbohydrate intake supports recovery between sessions and regular carb intake during exercise can improve performance. For muscle-damaging work, protein supplements slightly improve the recovery of performance, and higher daily protein supports gains in strength and muscle size — with benefits flattening around 1.6 grams per kilogram per day.
Effect sizesA standardized measure of the magnitude of an effect of an intervention. Unlike p-values, effect sizes show how large the effect is and indicate how meaningful it might be. Common effect size measures include standardised mean difference (SMD), Cohen’s d, Hedges’ g, eta-squared, and correlation coefficients. range from small to large, depending on the outcome measured.
For carbs and protein, effects look similar in males and females, but females are under-represented in studies, so more research is needed.
Carb effects appear similar in trained athletes and untrained folks. Protein effects may be larger in trained athletes — probably because more training makes protein more relevant to performance and recovery.
Keep in mind: there is moderate to high heterogeneityHeterogeneity shows how much the results in different studies in a meta-analysis vary from each other. It is measured as the percentage of variation (the I2 value). A rule of thumb: if I2 is roughly 25%, that indicates low heterogeneity (good), 50% is moderate, and 75% indicates high heterogeneity (bad). High heterogeneity means there’s more variability in effects between studies and, therefore, a less precise overall effect estimate. (variability) in study designs and effects between studies, and some risk of biasRisk of bias in a meta-analysis refers to the potential for systematic errors in the studies included in the analysis. Such errors can lead to misleading/invalid results, and unreliable conclusions. This can arise because of issues with the way participants are selected (randomisation), how data is collected and analysed, and how the results are reported.. So, the overall certainty of evidenceCertainty of evidence tells us how confident we are that the published results accurately reflect the true effect. It’s based on factors like study design, risk of bias, consistency, directness, precision, and publication bias. Low certainty means more doubt and less confidence, and that future studies could easily change the conclusions. High certainty means that the current evidence is so strong and consistent that future studies are unlikely to change conclusions. is moderateA moderate quality of evidence means that, in general, studies in this field have some limitations. This could be due to somewhat inconsistent effects between studies, a moderate range of effect sizes between studies, and/or a moderate risk of bias (caused by a small to medium number of studies, small to medium numbers of participants, poorly described randomization processes, some missing data, some inappropriate methods/statistics). When the quality of evidence is moderate, there is some doubt and only moderate confidence in the overall effect of an intervention, and future studies could change overall conclusions. The best way to improve the quality of evidence is for scientists to conduct large, well-controlled, high-quality randomized controlled trials.. Therefore, additional high-quality randomised controlled trialsThe “gold standard” approach for determining whether a treatment has a causal effect on an outcome of interest. In such a study, a sample of people representing the population of interest is randomised to receive the treatment or a no-treatment placebo (control), and the outcome of interest is measured before and after the exposure to treatment/control. are needed to increase the certainty (confidence) in the overall effect sizes reported in meta-analysesA meta-analysis quantifies the overall effect size of a treatment by compiling effect sizes from all known studies of that treatment..
How to use this: Aim to eat enough overall energy each day; build meals around carbohydrate-rich staples plus a protein source; include fats you enjoy; and adjust urgency to eat again based on the time until your next session. If your next hard session is soon, prioritize a carb-focused meal or snack after training and include a decent protein source; if the next session is far away, just return to your regular meal pattern. For daily protein, target a total intake near 1.6 grams per kilogram of body weight per day across several meals — more is not always better.
Full list of meta-analyses examining nutrition for recovery
Here are the meta-analyses I've summarised above:
The effect of protein intake on athletic performance: a systematic review and meta-analysis. Zhao et al. (2024) Front Nutr.
The ergogenic effects of acute carbohydrate feeding on endurance performance: a systematic review, meta-analysis and meta-regression. Ramos-Campo DJ, Clemente-Suárez VJ, Cupeiro R, Benítez-Muñoz JA, Andreu Caravaca L, Rubio-Arias JÁ. Crit Rev Food Sci Nutr. 2023
Effect of Soy Protein Supplementation on Muscle Adaptations, Metabolic and Antioxidant Status, Hormonal Response, and Exercise Performance of Active Individuals and Athletes: A Systematic Review of Randomised Controlled Trials. Zare R, Devrim-Lanpir A, Guazzotti S, Ali Redha A, Prokopidis K, Spadaccini D, Cannataro R, Cione E, Henselmans M, Aragon AA. . 2023
Effects of Timing and Types of Protein Supplementation on Improving Muscle Mass, Strength, and Physical Performance in Adults Undergoing Resistance Training: A Network Meta-Analysis. Zhou HH, Liao Y, Zhou X, Peng Z, Xu S, Shi S, Liu L, Hao L, Yang W. Int J Sport Nutr Exerc Metab. 2023
The impact of dietary protein supplementation on recovery from resistance exercise-induced muscle damage: A systematic review with meta-analysis. Alice G. Pearson, Karen Hind & Lindsay S. Macnaughton. Eur J Clin Nutr. 2022
The Ergogenic Effects of Acute Carbohydrate Feeding on Resistance Exercise Performance: A Systematic Review and Meta-analysis. Andrew King, Eric Helms, Caryn Zinn, Ivan Jukic. Sports Med. 2022
Systematic review and meta-analysis of protein intake to support muscle mass and function in healthy adults. Everson A Nunes, Lauren Colenso-Semple, Sean R McKellar, Thomas Yau, Muhammad Usman Ali, Donna Fitzpatrick-Lewis, Diana Sherifali, Claire Gaudichon, Daniel Tomé, Philip J Atherton, Maria Camprubi Robles, Sandra Naranjo-Modad, Michelle Braun, Francesco Landi, Stuart M Phillips. J Cachexia Sarcopenia Muscle. 2022
Muscle Protein Synthesis Responses Following Aerobic-Based Exercise or High-Intensity Interval Training with or Without Protein Ingestion: A Systematic Review.. Reza Bagheri, Isabelle Robinson, Sajjad Moradi, Jessica Purcell, Elita Schwab, Tharindie Silva, Brooke Baker & Donny M. Camera. Sports Medicine. 2022
Effects of the ketogenic diet on performance and body composition in athletes and trained adults: a systematic review and Bayesian multivariate multilevel meta-analysis and meta-regression. Ana Clara C Koerich, Fernando Klitzke Borszcz, Arthur Thives Mello, Ricardo Dantas de Lucas, Fernanda Hansen. Crit Rev Food Sci Nutr. 2022
The Effect of a Ketogenic Low-Carbohydrate, High-Fat Diet on Aerobic Capacity and Exercise Performance in Endurance Athletes: A Systematic Review and Meta-Analysis.
Cao J, Lei S, Wang X, Cheng S.
Nutrients. 2021
A systematic review and meta-analysis: Effects of protein hydrolysate supplementation on fat-free mass and strength in resistance-trained individuals.
Shen M, Zhang W, Wu G, Zhu L, Qi X, Zhang H.
Crit Rev Food Sci Nutr. 2021
Pre-Sleep Casein Supplementation, Metabolism, and Appetite: A Systematic Review.
Dela Cruz J, and Kahan D.
Nutrients. 2021
Performance effects of periodized carbohydrate restriction in endurance trained athletes – a systematic review and meta-analysis.
Gejl KD, Nybo L.
J Int Soc Sports Nutr. 2021
Does Protein Supplementation Support Adaptations to Arduous Concurrent Exercise Training? A Systematic Review and Meta-Analysis with Military Based Applications.
Chapman S, Chung HC, Rawcliffe AJ, Izard R, Smith L, Roberts JD.
Nutrients. 2021
Protein supplementation increases adaptations to endurance training: A systematic review and meta-analysis.
Lin YN, Tseng TT, Knuiman P, Chan WP, Wu SH, Tsai CL, Hsu CY.
Clin Nutr. 2020
Coingestion of Carbohydrate and Protein on Muscle Glycogen Synthesis after Exercise: A Meta-analysis
Margolis LM, Allen JT, Hatch-McChesney A, Pasiakos SM.
Med Sci Sports Exerc. 2020
Effects of pre-sleep protein consumption on muscle-related outcomes - A systematic review.
Reis CEG, Loureiro LMR, Roschel H, da Costa THM.
J Sci Med Sport. 2020
A review of the ketogenic diet for endurance athletes: performance enhancer or placebo effect?
Bailey CP, Hennessy E.
J Int Soc Sports Nutr . 2020
Fruit supplementation reduces indices of exercise-induced muscle damage: a systematic review and meta-analysis.
Doma K, Gahreman D, Connor J. Eur J Sport Sci. 2020
The Effect of Ingesting Carbohydrate and Proteins on Athletic Performance: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Kloby Nielsen LL, Tandrup Lambert MN, Jeppesen PB.
Nutrients. 2020
The Role of Muscle Mass Gain Following Protein Supplementation Plus Exercise Therapy in Older Adults with Sarcopenia and Frailty Risks: A Systematic Review and Meta-Regression Analysis of Randomized Trials.
Liao CD, Chen HC, Huang SW, Liou TH.
Nutrients. 2019
Impact of cow's milk intake on exercise performance and recovery of muscle function: a systematic review.
Alcantara JMA, Sanchez-Delgado G, Martinez-Tellez B, Labayen I, Ruiz JR.
J Int Soc Sports Nutr. 2019
Chocolate milk for recovery from exercise: a systematic review and meta-analysis of controlled clinical trials.
Amiri M, Ghiasvand R, Kaviani M, Forbes SC, Salehi-Abargouei A. Eur J Clin Nutr. 2019
An Evidence-Based Approach for Choosing Post-exercise Recovery Techniques to Reduce Markers of Muscle Damage, Soreness, Fatigue, and Inflammation: A Systematic Review With Meta-Analysis. Dupuy O, Douzi W, Theurot D, Bosquet L, Dugué B. Front Physiol. 2018
The Effect of Whey Protein Supplementation on the Temporal Recovery of Muscle Function Following Resistance Training: A Systematic Review and Meta-Analysis. Davies RW, Carson BP, Jakeman PM.
Nutrients. 2018
Post-exercise Ingestion of Carbohydrate, Protein and Water: A Systematic Review and Meta-analysis for Effects on Subsequent Athletic Performance.
McCartney D, Desbrow B, Irwin C.
Sports Med. 2018
Supplementation Strategies to Reduce Muscle Damage and Improve Recovery Following Exercise in Females: A Systematic Review.
Köhne JL, Ormsbee MJ, McKune AJ.
Sports (Basel). 2016
Effects of protein supplements on muscle damage, soreness and recovery of muscle function and physical performance: a systematic review.
Pasiakos SM, Lieberman HR, McLellan TM.
Sports Med. 2014
Effects of protein in combination with carbohydrate supplements on acute or repeat endurance exercise performance: a systematic review.
McLellan TM, Pasiakos SM, Lieberman HR.
Sports Med. 2014
Protein supplementation augments the adaptive response of skeletal muscle to resistance-type exercise training: a meta-analysis.
Cermak NM, Res PT, de Groot LC, Saris WH, van Loon LJ.
Am J Clin Nutr. 2012
Effects of ingesting protein in combination with carbohydrate during exercise on endurance performance: a systematic review with meta-analysis.
Stearns RL, Emmanuel H, Volek JS, Casa DJ.
J Strength Cond Res. 2010
Who is Thomas Solomon?
My knowledge has been honed following 20+ years of running, cycling, hiking, cross-country skiing, lifting, and climbing, 15+ years of academic research at world-leading universities and hospitals, and 10+ years advising and coaching in athletic performance and lifestyle change.
I have a BSc in Biochemistry, a PhD in Exercise Science, and over 90 peer-reviewed publications in medical journals.
I'm also an ACSM-certified Exercise Physiologist (ACSM-EP), an ACSM-certified Personal Trainer (ACSM-CPT), a VDOT-certified Distance Running Coach, and a UKVRN Registered Nutritionist (RNutr).
Since 2002, I’ve conducted biomedical research in exercise and nutrition and have taught and led university courses in exercise physiology, active recovery, biochemistry, and molecular medicine.
And, with my personal experience of competing on the track (800m to 10,000m), the road (5 k to marathon), on the trails, and in the mountains, by foot, bicycle, cross-country ski, and during obstacle course races (OCR), I deeply understand what it's like to train and compete — I've been there, done it, and gotten sweat, mud, and tears on my t-shirt.