A Message for Endurance Athletes & the Rest of us Too!
By Kelley Herring
At a recent event, I was introduced to a man named Paul. He said he was interested to meet me, because he was having problems with his health. He thought I might provide some advice that would help him.
My first impression was that he certainly “looked” very healthy…
His skin was tan, which would indicate good vitamin D status. His blue eyes were bright. And most importantly – at least from outward appearances – he had a lean body composition, with good vascularity and muscle definition. He also told me he is an “endurance athlete” and trains by running 40 – 60 miles per week.
But I soon learned his outward appearance and athletic achievements were not a reflection of what was going on inside. At the age of 53, Paul had recently suffered his second heart attack. This led to open heart surgery and the placement of two stents. He also told me he had suffered yet another cardiac “scare” just last week!
Of course, my first question was: What are you eating?
Like many endurance athletes, Paul has been fueling his body with a high carbohydrate diet since he began running in his 20’s. Pasta, bread, rice, potatoes and energy drinks were his go-to fuels to power his runs. When I asked about protein, he said he eats “low-fat meats” like chicken, cod and tuna.
It was obvious Paul believes he “needs” rapidly-digestible carbohydrates to fuel his exercise regimen. He was also suffering from a common bout of misinformation about the role of dietary fats – particularly animal fats – in the development of cardiovascular disease.
Paul thought he was doing all the right things to prevent a heart attack. But it has clearly not helped him. In fact, it has almost cost him his life – twice!
Paul’s story is actually quite common. For years we were told that animal fats – not carbs – are the main instigators of heart disease. We were also sold the incorrect notion that we need a constant supply of fast-burning carbs to sustain long-duration workouts.
But nothing could be further from the truth…
Burning “Dirty Fuel” Creates Heart-Harming Byproducts
The truth is the combination of a high-carbohydrate diet coupled with long-duration endurance training is the PERFECT formula for heart disease.
Paul told me not to worry about all those carbs he was consuming – because he “burns them off” every time he goes for a run. That part is true. But it’s how they burn that cause the problems. Compared to dietary fat, carbohydrates are a very dirty metabolic fuel. And as they “burn” they create FIVE harmful byproducts linked to heart disease. Let’s take a look…
- Triglycerides are a form of fat found in your blood and a critical measure of cardiovascular health. A study published in Circulation shows high triglycerides can increase heart disease risk by 61%.1 And when you consume fructose, not only does it increase triglycerides… it also impairs their removal.2
- Free Radicals areunstable molecules are missing an electron. To make themselves whole, they “steal” electrons from healthy tissues. This causes a chain reaction of damage – known as oxidative stress – that can mutate your very DNA and contribute to EVERY chronic disease, including heart disease. Researchers at Kobe University examined the roles of fructose and glucose in the production of free radicals. When the scientists introduced glucose, free radicals increased 568%.3 And while that seems like a lot… it’s only a fraction of what happens in the presence of fructose, which caused free radicals to soar 4,704%!4
- Uric acid is well known for triggering painful gout, kidney stones and joint swelling. But it also boosts a hormone that makes your blood vessels contract. A Duke University study recorded a 33% increase in uric acid levels within 30 minutes of consuming fructose.5 Another study showed that subjects who consumed the amount of fructose an average American adolescent consumes daily… had 77% greater risk for “extreme” high blood pressure!6
- VLDL Cholesterol is a particularly dangerous kind of cholesterol. And unlike the “fluffy” beachball particles of cholesterol which your body needs, very low-density lipoprotein (VLDL) particles are so tiny they can slip between the cell walls of your arteries, causing inflammation, plaque and heart disease. And it is fructose that provides the building blocks for these deadly particles!7 A study published in American Journal of Clinical Nutrition recorded an average 72% VLDL increase in one month, following the introduction of a high-fructose diet!8
- Or consider Apo-B, which is even smaller and more dangerous than VLDL.A UC Davis study showed that fructose raised Apo-B levels 807% higher than glucose!9
Burning carbohydrates as a primary source of fuel creates harmful byproducts that pose a serious risk to the health of your heart. And the more carbs you burn, the more heart-harming compounds you create!
But there’s another kind of fuel that not only burns cleaner, it also produces MUCH more energy…
Fat: The High-Octane, Clean-Burning Fuel
Calories are a measure of the amount of “energy” contained in a food.
You might know that one gram of carbohydrate has four calories, while a gram of fat contains nine. By this measure, fat provides 125% more energy than carbohydrates. But calories are not the most accurate measure of energy. They must still be converted to a more basic form of fuel, known as adenosine triphosphate (ATP).
ATP is the “energy currency” for every cell. And nothing creates more ATP than fat!
The number of ATP molecules – therefore the amount of pure cellular energy – produced from various fuels depends on how many carbon atoms are chained together in the fuel source.
Glucose and Fructose produce exactly 36 ATP
Medium-Chain Fatty Acids produce an average 50 ATP
Long-Chain Fatty Acids produce an average 155 ATP
By this measure, fat is a FAR more efficient fuel than sugar. And it gets even better, because 95% of the flabby fat stored on your belly, butt, hips and thighs is in the form of triglycerides… and every TRI-glyceride holds THREE long chain fatty acids.
That means every molecule of body fat you burn produces 465 units of ATP!
Endurance Athletes: Enjoy a Fat-Fueled Diet Burn More Fat & Protect Your Heart
It should therefore be no surprise that a recent study published in Metabolism: Clinical and Experimental found that endurance athletes – who are fueled by dietary fat instead of carbs – become incredible at torching through body fat!
In the study, researchers took 20 ultra-endurance runners, age 21-45 who were top competitors in long distance running events (31 miles or more) and divided them into two groups – low carb and high carb.
The 10 low-carb athletes consumed a diet consisting of 10 percent carbs, 19 percent protein and 70 percent fat. The 10 high-carb athletes consumed a diet that was 59 percent carbs, 14 percent protein and 25 percent fat. In all other respects, the athletes were similar.
The researchers measured “gas exchange” to determine the athletes’ maximum oxygen intake, which relates to carb- and fat-burning rates. On average, the low-carb runners’ peak fat-burning rate was 2.3 times higher than that of the high-carb athletes!10
And despite the lower carb intake, the fat-burning athletes had normal muscle glycogen levels. Glycogen is a form of carbohydrates stored in muscle tissue to provide energy on demand. These athletes also broke down roughly the same level of glycogen as the high-carb runners during the long run, and synthesized the same amount of glycogen in their muscles during recovery.
Lead researcher, Dr. Jeff S. Volek says:
“The blueprint for becoming ‘fat- or keto-adapted’ is hard wired into our genetic code. However, traditional ‘healthy’ diets with carbohydrates as the dominant nutrient prevent this alternative metabolic operating system from ever booting up. Restricting carbs allows the program to reboot and enables many athletes to achieve improved levels of health and performance.”
Flip the Food Pyramid for Better Performance & Health
The overwhelming evidence that a low-carb, high-fat diet is the way to optimum health extends also to sports nutrition. It’s high time for athletes make the critical fuel shift to fat to optimize their endurance training, and most importantly, protect their long-term health.
And of course, the same holds true for the rest of us, regardless of our “athletic” prowess. A diet rich in healthy fats and protein and very low in carbs is that which your body is designed to operate. Not only will it improve your energy levels… it’s also best for your health and longevity!
Read more of Kelley Herring’s Health & Wellness articles on our Discover Blog.
Ed Note: Need some kitchen inspiration? Grab Kelley’s free guide – Instant Pot Keto Dinners – made exclusively with Paleo-and-Keto ingredients, for quick and delicious meals that taste just as good – of not better – than your restaurant favorites. Get your free guide here.
1 Gaizano et al. Triglycerides and coronary disease. Circulation. 1997;96:2520-2525
Tchernof A1, Després JP. Pathophysiology of human visceral obesity: an update. Physiol Rev. 2013 Jan;93(1):359-404. doi: 10.1152/physrev.00033.2011.
2 Kazumi T, Vranic M, Steiner G. Triglyceride kinetics: effects of dietary glucose, sucrose, or fructose alone or with hyperinsulinemia. Am J Physiol. 1986 Mar;250(3 Pt 1):E325-30.
3 Sakai, M. Oimomi M. Experimental Studies on the Role of Fructose in the Development of Diabetic Complications. Kobe J. Med. Sci., Vol. 48, No. 5 pp. 125-136, 2002 Dicarbomyl free radical formation: Glucose: 568% | Fructose: 4,704% — Hydroxyl free radical formation: Glucose: 167% | Fructose: 2,230% | 568+167 / 2 = 368 | 4,704 + 2,230 /2 = 3467
4 https://www.jci.org/articles/view/37385/table/4 Fasting Oxidized LDL | glucose 0.7% | fructose 12.8% | 1,728% increase
6 Jalal DI, Smits G, Johnson RJ, Chonchol M. Increased Fructose Associates with Elevated Blood Pressure. Journal of the American Society of Nephrology : JASN. 2010;21(9):1543-1549. doi:10.1681/ASN.2009111111.
7 Schaefer EJ. Lipoproteins, nutrition, and heart disease. Am J Clin Nutr. 2002 Feb; 75(2):191-212
V. Thirunavukkarasu, A. T. Anitha Nandhini, and C. V. Anuradha, Effect of -Lipoic Acid on Lipid Profile in Rats Fed a High-Fructose Diet, Experimental Diabesity Research, vol. 5, no. 3, pp. 195-200, 2004. doi:10.1080/15438600490486778
8 Lê KA, Faeh D, Stettler R, Ith M, Kreis R, Vermathen P, Boesch C, Ravussin E, Tappy LA 4-wk high-fructose diet alters lipid metabolism without affecting insulin sensitivity or ectopic lipids in healthy humans.
9 Stanhope, K, et al. Consuming fructose-sweetened, not glucose-sweetened, beverages increases visceral adiposity and lipids and decreases insulin sensitivity in overweight/obese humans. J Clin Invest. 2009 May 1; 119(5): 1322–1334.
Fasting apo-B | glucose 3% | fructose 27.2% | 807%
Stanhope K. et al. Consumption of Fructose and High Fructose Corn Syrup Increase Postprandial Triglycerides, LDL-Cholesterol, and Apolipoprotein-B in Young Men and Women. The Journal of Clinical Endocrinology & Metabolism, Volume 96, Issue 10, 1 October 2011, Pages E1596–E1605, https://doi.org/10.1210/jc.2011-1251
Lamarche B, et al. A-I and B levels and the risk of ischemic heart disease during a five-year follow-up of men in the Québec cardiovascular study. Circulation. 1996 Aug 1;94(3):273-8.
Whites Seth S. Martin et al. Diabetes. Apolipoprotein B but not LDL Cholesterol Is Associated With Coronary Artery Calcification in Type 2 Diabetic Diabetes August 2009 vol. 58 no. 8 1887-1892 doi: 10.2337/db08-1794
Walldius G, Jungner I, Holme I, Aastveit A. High apolipoprotein B, low apolipoprotein A-I, and improvement in the prediction of fatal myocardial infarction (AMORIS study): a prospective study. Lancet. 2001 Dec 15;358(9298):2026-33.
10 Jeff S. Volek, Daniel J. Freidenreich, Catherine Saenz, Laura J. Kunces, Brent C. Creighton, Jenna M. Bartley, Patrick M. Davitt, Colleen X. Munoz, Jeffrey M. Anderson, Carl M. Maresh, Elaine C. Lee, Mark D. Schuenke, Giselle Aerni, William J. Kraemer, Stephen D. Phinney. Metabolic characteristics of keto-adapted ultra-endurance runners. Metabolism, 2015; DOI: 10.1016/j.metabol.2015.10.028