<p>As the popularity of marathons increases globally, understanding the implications of these innovations on athlete performance and health becomes crucial. Wearable technology has emerged as a pivotal tool for monitoring physiological parameters, optimizing training loads, and preventing injuries, thereby enhancing overall performance. Furthermore, advancements in athletic wear materials can significantly improve comfort and efficiency, potentially reducing the risk of musculoskeletal injuries during training and competition. The article also discusses the physiological impacts of marathon running, including the effects on joint health and cardiovascular recovery, highlighting both the benefits and risks associated with long-distance running. By synthesizing current research, the review identifies key challenges, such as the need for individualized training regimens and technology integration into traditional training practices. This article aims to provide a comprehensive overview of how wearable technology and material innovations can be leveraged to enhance the marathon experience for athletes while also addressing the associated health considerations.</p> Graphical Abstract <p></p>