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Human trials

More fat oxidation, a higher oxygen cost

Low carbohydrate, high fat diet impairs exercise economy and negates the performance benefit from intensified training in elite race walkers

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Fasting Free source summary: https://fastingfree.com/education/burke-2017-ketogenic-racewalking/

PLAIN-LANGUAGE SUMMARY

What it found

Fat oxidation rose, but oxygen cost increased at race-relevant speeds. Race performance improved 6.6% and 5.3% in the carbohydrate-supported groups; the ketogenic estimate was −1.6% (90% CI −8.5% to 5.3%), with no clear improvement.

Keep these limits in view

Preference allocation, repeated participation, small groups, and varying race conditions limit causal certainty. Elite male race walking over three weeks does not establish outcomes for recreational training, women, or long-term adaptation.

Understand the context

Evidence type
Controlled feeding and training intervention; preference-based allocation
Population or scope
International-level male race walkers at supervised training camps
Sample or coverage
21 individual athletes; 29 diet-camp datasets and 26 paired race datasets
Study duration or data period
Three weeks of intensified training, with testing before and after
Comparison
Ketogenic food versus consistently high carbohydrate availability or carbohydrate intake varied around training; energy and protein were similar.
Measured outcomes
Exercise oxygen cost, peak aerobic capacity, fuel oxidation, and performance in an official 10 km race walk.

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