Several studies point to the need for carbohydrate intake (CHOs) to improve athlete performance and recovery. Thus, the supplement industry offers a wide variety of CHO-based products such as beverages, gels, candies, gums and bars, many of which are considered processed and/or ultraprocessed. Few studies have studied the role of food, rather than supplement, in relation to athlete performance or health. Thus, this review aimed to compare food intake versus carbohydrate supplementation in health and sports performance. Supplements offer advantages such as adequate amounts of carbohydrates with less volume when compared to food, practicality and the possibility of positively influencing the athlete (due to the psychological aspect). On the other hand, fruits, fruit juices, dehydrated fruits, roots, tubers and cereals are cheaper, more natural, healthier and more palatable alternatives. When compared to supplements, raisins, bananas and watermelon juice are good alternatives during long exercises, because they offer carbohydrates and a wide range of antioxidants, essential for the reduction of muscle pain and the recovery of the athlete. However, the studies show no difference in performance when comparing food (raisins, bananas, watermelon juice) and supplements/solutions of isolated carbohydrates. Chocolate milk seems to be a good alternative in post workout when compared to placebo drinks with similar composition of protein, CHO and lipid, to help in glycogen replacement and muscle fiber recovery. Those effects are attributed not only to the presence of CHOs, but also to antioxidants and to other nutrients that act in synergy on muscle recovery.