The nutritional demands of very prolonged exercise in man

Extreme events reveal an alimentary limit on sustained maximal human energy expenditure

The limits on maximum sustained energy expenditure are unclear but are of interest because they constrain reproduction, thermoregulation, and physical activity. Here, we show that sustained expenditure in humans, measured as maximum sustained metabolic scope (SusMS), is a function of event duration. We compiled measurements of total energy expenditure (TEE) and basal metabolic rate (BMR) from human endurance events and added new data from adults running ~250 km/week for 20 weeks in a transcontinental race. For events lasting 0.5 to 250+ days, SusMS decreases curvilinearly with event duration, plateauing below 3× BMR. This relationship differs from that of shorter events (e.g., marathons). Incorporating data from overfeeding studies, we find evidence for an alimentary energy supply limit in humans of ~2.5× BMR; greater expenditure requires drawing down the body's energy stores. Transcontinental race data suggest that humans can partially reduce TEE during long events to extend endurance.

How much exercise should be promoted to raise total daily energy expenditure and improve health?

Despite longstanding recognition of the benefits of a physically active lifestyle, there remains ambiguity regarding exactly how much exercise should be promoted to raise total energy expenditure (TEE) and improve health. This review provides a brief summary of the dose-response relationship between physical activity and relative risk of morbidity and mortality; mechanisms through which exercise drives an increase in TEE; the highest reported levels of TEE measured via doubly labelled water; and the potential impact of non-compliance and confounders in moderating the contribution of exercise to increase TEE. Cohort studies provide a compelling argument that 'more is better' regarding the exercise dose for increasing TEE, that increasing TEE is protective for health, and that this is mediated through increased cardiorespiratory fitness. However, growing evidence shows that ever increasing volumes of weekly physical activity may reverse the cost-benefit seen with more modest doses. Animal and human studies show that the elevation in TEE associated with increasing exercise volume is commonly less than expected, due to physiological confounders. Further, there is considerable evidence of behavioural non-compliance to planned exercise in all but the most highly motivated athletes. Therefore, inbuilt defence mechanisms may safeguard against TEE being elevated to maximum levels.

100 Years Since Scott Reached the Pole: A Century of Learning About the Physiological Demands of Antarctica

The 1910–1913 Terra Nova Expedition to the Antarctic, led by Captain Robert Falcon Scott, was a venture of science and discovery. It is also a well-known story of heroism and tragedy since his quest to reach the South Pole and conduct research en route, while successful was also fateful. Although Scott and his four companions hauled their sledges to the Pole, they died on their return journey either directly or indirectly from the extreme physiological stresses they experienced. One hundred years on, our understanding of such stresses caused by Antarctic extremes and how the body reacts to severe exercise, malnutrition, hypothermia, high altitude, and sleep deprivation has greatly advanced. On the centenary of Scott's expedition to the bottom of the Earth, there is still controversy surrounding whether the deaths of those five men could have, or should have, been avoided. This paper reviews present-day knowledge related to the physiology of sustained man-hauling in Antarctica and contrasts this with the comparative ignorance about these issues around the turn of the 20th century. It closes by considering whether, with modern understanding about the effects of such a scenario on the human condition, Scott could have prepared and managed his team differently and so survived the epic 1,600-mile journey. The conclusion is that by carrying rations with a different composition of macromolecules, enabling greater calorific intake at similar overall weight, Scott might have secured the lives of some of the party, and it is also possible that enhanced levels of vitamin C in his rations, albeit difficult to achieve in 1911, could have significantly improved their survival chances. Nevertheless, even with today's knowledge, a repeat attempt at his expedition would by no means be bound to succeed.

Why marathon migrants get away with high metabolic ceilings: towards an ecology of physiological restraint

Animals usually are not willing to perform at levels, or for lengths of time, of which they should be maximally capable. In stating this, exercise performance and inferred capacity are gauged with respect to body size and the duration of particular levels of energy expenditure. In such relative terms, the long-term metabolic ceiling of ca. 7 times basal metabolic rate in challenged but energy-balanced individuals may be real and general, because greater performance over long periods requires larger metabolic machinery that is ever more expensive to maintain. Avian marathon migrants relying on stored fuel (and therefore not in energy balance) that work for 9 consecutive days at levels of 9-10 times basal metabolic rate are exceptional performers in terms of the 'relative expenditure' on 'duration of a particular activity' curve nevertheless. Here I argue that metabolic ceilings in all situations (energy balanced or not) have their origin in the fitness costs of high performance levels due to subsequently reduced survival, which then precludes the possibility of future reproduction. The limits to performance should therefore be studied relative to ecological context (which includes aspects such as pathogen pressure and risk of overheating), which determines the severity of the survival punishment of over-exertion. I conclude that many dimensions of ecology have determined at which performance levels (accounting for time) individual animals, including human athletes, begin to show physiological restraint. Using modern molecular techniques to assay wear and tear, in combination with manipulated work levels in different ecological contexts, might enable experimental verification of these ideas.

The limits of endurance exercise

A skeletal design which favours running and walking, including the greatest ratio of leg length to body weight of any mammal; the ability to sweat and so to exercise vigorously in the heat; and greater endurance than all land mammals other than the Alaskan Husky, indicates that humans evolved as endurance animals. The development of tools to accurately measure time and distance in the nineteenth century inspired some humans to define the limits of this special capacity. Beginning with Six-Day Professional Pedestrian Races in London and New York in the 1880s, followed a decade later by Six-Day Professional Cycling Races - the immediate precursor of the first six-day Tour de France Cycliste race in 1903, which itself inspired the 1928 and 1929 4,960 km "Bunion Derbies" between Los Angeles and New York across the breadth of the United States of America - established those unique sporting events that continue to challenge the modern limits of human endurance. But an analysis of the total energy expenditure achieved by athletes competing in those events establishes that none approaches those reached by another group - the explorers of the heroic age of polar exploration in the early twentieth century. Thus the greatest recorded human endurance performances occurred during the Antarctic sledding expeditions led by Robert Scott in 1911/12 and Ernest Shackleton in 1914/16. By man-hauling sleds for 10 hours daily for approximately 159 and 160 consecutive days respectively, members of those expeditions would have expended close to a total of 1,000,000 kcal. By comparison completing a Six-Day Pedestrian event (55,000 kcal) or the Tour de France (168,000 kcal), or cycling (180,000 kcal) or running (340,000 kcal) across America, requires a considerably smaller total energy expenditure. Thus the limits of human endurance were set at the start of the twentieth century and have not recently been approached. Given good health and an adequate food supply to prevent starvation and scurvy, these limits are set by the mind, not by the body. For it is the mind that determines who chooses to start and who best stays the distance.

Consumo de carboidratos e lipídios no desempenho em exercícios de ultra-resistência

A nutrição é uma importante ferramenta dentro da prática desportiva. Dentre as modalidades esportivas, a nutrição exerce uma grande influência nos chamados "esportes de desafio", que são as provas de ultra-resistência ou de longa duração. O custo energético de uma prova de ultra-resistência pode variar de 5.000 a 18.000kcal por dia. É amplamente aceito que o consumo de carboidratos antes e durante exercícios prolongados irá retardar o aparecimento da fadiga, poupando o glicogênio hepático e muscular e fornecendo glicose diretamente para os músculos em atividade. Recomenda-se que a dieta de atletas de ultra-resistência possua 70% ou mais, ou de 7 a 10 gramas por quilo de peso corporal de carboidratos. Porém, apesar da melhora apresentada com a nutrição bem planejada, alguns pesquisadores procuram desenvolver novas intervenções nutricionais, visando a melhora do rendimento, que continuam a ser estudadas, como a suplementação com lipídios, através do consumo de triglicerídeos de cadeia média (TCM) ou de dietas ricas em lipídios nos dias que antecedem a competição. Sendo assim, esta revisão possui como objetivo elucidar como os carboidratos e os lipídios podem influenciar o desempenho nos exercícios de ultra-resistência.