Story
cofactor · 3
The second half of a full marathon runs on the glycogen in your legs: in endurance events over about 90 minutes, exhaustion usually arrives together with very low muscle glycogen, and starting with more can postpone fatigue by about 20%; in runs of 60 to 90 minutes the extra glycogen goes unused. Eating somewhat more starchy food for a few days before the race is enough to raise glycogen, without starving first and then flooding.
Sugar eaten during a long run has to pass through transporters on the cells of the small intestine before it reaches the muscles; that door has a ceiling, and the excess stays in the gut and causes bloating and diarrhea, so eating more is not always better. The gut can be trained, too: in a randomized trial of 25 runners, eating sugary gels or food repeatedly while running over two weeks cut gut symptoms by about 60%.
Endurance training increases the mitochondrial enzymes in muscle, so at the same pace you can use more fat and less glycogen, and glycogen is exactly what runs short in the second half of a marathon. Endurance athletes who train a lot do about 80% of their training at low intensity; this describes how athletes train, and applying it to novices is an inference.
contrast · 3
Adding distance for a first half marathon follows the same logic as starting to run: the heart and lungs catch up within weeks, tendon and bone far more slowly. Among runners preparing for a half marathon, those who suddenly raised their weekly distance by 20% to 60% had more injuries in the first 21 days, while following a rule of adding 10% a week did not reduce injuries in a randomized trial of novices.
In a long race, drinking more than you lose is more dangerous than running short of salt: it dilutes the sodium in your blood, which is exercise-associated hyponatremia. Sports drinks are hypotonic too, so drinking too much of them is not protective, and when fluid intake is excessive, extra salt cannot prevent it. At the finish of the 2002 Boston Marathon, 13% of runners had hyponatremia, linked to weight gain during the race and finishing in more than 4 hours.
Headache, nausea or a change in mental state during or after a long race may be heat illness, or it may be hyponatremia from drinking so much that blood sodium is diluted; a bystander cannot tell them apart, and the two can occur together. Any change in mental state is an emergency: call emergency services now, cool the person on the spot in hot weather, and if they have been drinking all along and weigh more rather than less, give them nothing more to drink.