Is keto good for endurance athletes?

This question is about NutritionRunning and Cycling

Sarah Achleithner

No, at this time, limited research shows no clear performance benefits to athletes following a ketogenic diet — endurance or otherwise [

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The keto diet is a high fat, very low carb diet, where carbohydrate intake is typically limited to 30-50g per day. The keto diet has two big downsides for athletes: limited glucose availability and increased oxygen demands. Although fat burning increases following a keto diet, endurance capacity in keto-adapted athletes still appears to be limited by glucose availability [

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]. A keto-adapted athlete will simply have less glucose available to fuel a long ride than a carbohydrate-fed competitor, and research to date suggests that this impairs performance, even if carbohydrate is temporarily restored pre-ride [

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Another reason why keto is inferior to higher carbohydrate diets for endurance performance is that ATP (energy) production from fatty acids requires more oxygen than ATP production from glucose [

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]. Higher oxygen demands during exercise equate to lower efficiency, thus limiting the potential performance benefits for athletes following a strict ketogenic diet.

Keto spelled out in food on a brown background

[1] Kerksick, C. M., Wilborn, C. D., Roberts, M. D., Smith-Ryan, A., Kleiner, S. M., Jäger, R., Collins, R., Cooke, M., Davis, J. N., Galvan, E., Greenwood, M., Lowery, L. M., Wildman, R., Antonio, J., & Kreider, R. B. (2018). ISSN exercise & sports nutrition review update: research & recommendations. Journal of the International Society of Sports Nutrition, 15(1).

https://doi.org/10.1186/s12970-018-0242-y

[2] McSwiney, F. T., Doyle, L., Plews, D. J., & Zinn, C. (2019). Impact Of Ketogenic Diet On Athletes: Current Insights. Open access journal of sports medicine, 10, 171–183.

https://doi.org/10.2147/OAJSM.S180409

[3] Burke, L. M., Sharma, A. P., Heikura, I. A., Forbes, S. F., Holloway, M., McKay, A., Bone, J. L., Leckey, J. J., Welvaert, M., & Ross, M. L. (2020). Crisis of confidence averted: Impairment of exercise economy and performance in elite race walkers by ketogenic low carbohydrate, high fat (LCHF) diet is reproducible. PloS one, 15(6), e0234027. https://doi.org/10.1371/journal.pone.0234027

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