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Sampson G, Morton JP, Areta JL. Mind the gap: limited knowledge of carbohydrate guidelines for competition in an international cohort of endurance athletes. J Nutr Sci 2023; 12:e68. [PMID: 37457680 PMCID: PMC10345785 DOI: 10.1017/jns.2023.49] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Accepted: 05/28/2023] [Indexed: 07/18/2023] Open
Abstract
Despite the well-documented role of carbohydrate (CHO) in promoting endurance exercise performance, endurance athletes typically fail to meet current recommendations in competition. Adequate nutrition knowledge is key to drive athletes' behaviour, but the current level of knowledge in this population is not known. The present study assessed knowledge of CHO for competition in an international cohort of endurance athletes using the Carbohydrates for Endurance Athletes in Competition Questionnaire (CEAC-Q). The CEAC-Q was completed by 1016 individuals (45 % female), from the United Kingdom (40 %), Australia/New Zealand (22 %), the United States of America/Canada (18 %) and other countries (21 %). Total CEAC-Q scores were 50 ± 20 % (mean ± sd), with no differences in scores between the five subsections (10 ± 5 points, P < 0⋅001). Based on typical knowledge and frequency of correct answers, we defined questions with low (0-39 %), moderate (40-69 %) and high (70-100 %) knowledge at a population level. Knowledge deficiencies were identified in questions related to CHO metabolism (Low: 2 out of 5 questions (2/5), Moderate: 3/5), CHO-loading (Low: 2/5, Moderate: 1/5), pre-event CHO (Low: 2/5, Moderate: 2/5), CHO during exercise (Moderate: 4/5) and CHO for recovery (Low: 3/5, Moderate: 1/5). Current CHO amounts recommendations were identified correctly for CHO-loading, pre-competition meal, during competition >2⋅5 h) and post-competition recovery by 28% (Low), 45 % (Moderate), 48 % (Moderate), and 29 % (Low), respectively. Our findings indicate that endurance athletes typically have limited knowledge of carbohydrate guidelines for competition, and we identify specific knowledge gaps that can guide targeted nutrition education to improve knowledge as an initial step towards optimal dietary practice.
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Affiliation(s)
- Gemma Sampson
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Tom Reilly Building, Byrom St, Campus, Liverpool L3 3AF, UK
| | - James P. Morton
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Tom Reilly Building, Byrom St, Campus, Liverpool L3 3AF, UK
| | - Jose L. Areta
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Tom Reilly Building, Byrom St, Campus, Liverpool L3 3AF, UK
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Kinrade EJ, Galloway SDR. Dietary Observations of Ultra-Endurance Runners in Preparation for and During a Continuous 24-h Event. Front Physiol 2021; 12:765888. [PMID: 34899391 PMCID: PMC8652078 DOI: 10.3389/fphys.2021.765888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Accepted: 10/20/2021] [Indexed: 11/13/2022] Open
Abstract
Carbohydrate (CHO) intake recommendations for events lasting longer than 3h indicate that athletes should ingest up to 90g.h.−1 of multiple transportable carbohydrates (MTC). We examined the dietary intake of amateur (males: n=11, females: n=7) ultra-endurance runners (mean age and mass 41.5±5.1years and 75.8±11.7kg) prior to, and during a 24-h ultra-endurance event. Heart rate and interstitial glucose concentration (indwelling sensor) were also tracked throughout the event. Pre-race diet (each 24 over 48h) was recorded via weighed intake and included the pre-race meal (1–4h pre-race). In-race diet (24h event) was recorded continuously, in-field, by the research team. Analysis revealed that runners did not meet the majority of CHO intake recommendations. CHO intake over 24–48h pre-race was lower than recommended (4.0±1.4g·kg−1; 42±9% of total energy), although pre-race meal CHO intake was within recommended levels (1.5±0.7g·kg−1). In-race CHO intake was only in the 30–60g·h−1 range (mean intake 33±12g·h−1) with suboptimal amounts of multiple transportable CHO consumed. Exercise intensity was low to moderate (mean 68%HRmax 45%VO2max) meaning that there would still be an absolute requirement for CHO to perform optimally in this ultra-event. Indeed, strong to moderate positive correlations were observed between distance covered and both CHO and energy intake in each of the three diet periods studied. Independent t-tests showed significantly different distances achieved by runners consuming ≥5 vs. <5g·kg−1 CHO in pre-race diet [98.5±18.7miles (158.5±30.1km) vs. 78.0±13.5miles (125.5±21.7km), p=0.04] and ≥40 vs. <40g·h−1 CHO in-race [92.2±13.9miles (148.4±22.4km) vs. 74.7±13.5miles (120.2±21.7km), p=0.02]. Pre-race CHO intake was positively associated with ultra-running experience, but no association was found between ultra-running experience and race distance. No association was observed between mean interstitial glucose and dietary intake, or with race distance. Further research should explore approaches to meeting pre-race dietary CHO intake as well as investigating strategies to boost in-race intake of multiple transportable CHO sources. In 24-h ultra-runners, studies examining the performance enhancing benefits of getting closer to meeting pre-race and in-race carbohydrate recommendations are required.
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Affiliation(s)
- Emma J Kinrade
- Department of Occupational Therapy and Human Nutrition and Dietetics, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom
| | - Stuart D R Galloway
- Physiology, Exercise and Nutrition Research Group, Faculty of Health Sciences and Sport, University of Stirling, Stirling, United Kingdom
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Doherty C, Keogh A, Davenport J, Lawlor A, Smyth B, Caulfield B. An evaluation of the training determinants of marathon performance: A meta-analysis with meta-regression. J Sci Med Sport 2019; 23:182-188. [PMID: 31704026 DOI: 10.1016/j.jsams.2019.09.013] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2018] [Revised: 03/29/2019] [Accepted: 09/17/2019] [Indexed: 01/25/2023]
Abstract
OBJECTIVES Marathoners rely on expert-opinion and the anecdotal advice of their peers when devising their training plans for an upcoming race. The accumulation of results from multiple scientific studies has the potential to clarify the precise training requirements for the marathon. The purpose of the present study was to perform a systematic review, meta-analysis and meta-regression of available literature to determine if a dose-response relationship exists between a series of training behaviours and marathon performance. DESIGN Systematic review, meta-analysis and meta-regression. METHODS A systematic search of multiple literature sources was undertaken to identify observational and interventional studies of elite and recreational marathon (42.2km) runners. RESULTS Eighty-five studies which included 137 cohorts of runners (25% female) were included in the meta-regression, with average weekly running distance, number of weekly runs, maximum running distance completed in a single week, number of runs ≥32km completed in the pre-marathon training block, average running pace during training, distance of the longest run and hours of running per week used as covariates. Separately conducted univariate random effects meta-regression models identified a negative statistical association between each of the above listed training behaviours and marathon performance (R2 0.38-0.81, p<0.001), whereby increases in a given training parameter coincided with faster marathon finish times. Meta-analysis revealed the rate of non-finishers in the marathon was 7.27% (95% CI 6.09%-8.65%). CONCLUSIONS These data can be used by athletes and coaches to inform the development of marathon training regimes that are specific to a given target finish time.
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Affiliation(s)
- Cailbhe Doherty
- Insight Centre for Data Analytics, University College Dublin, Ireland; School of Public Health, Physiotherapy and Population Science, University College Dublin, Dublin, Ireland.
| | - Alison Keogh
- Insight Centre for Data Analytics, University College Dublin, Ireland; School of Public Health, Physiotherapy and Population Science, University College Dublin, Dublin, Ireland
| | - James Davenport
- Insight Centre for Data Analytics, University College Dublin, Ireland; School of Public Health, Physiotherapy and Population Science, University College Dublin, Dublin, Ireland
| | - Aonghus Lawlor
- Insight Centre for Data Analytics, University College Dublin, Ireland
| | - Barry Smyth
- Insight Centre for Data Analytics, University College Dublin, Ireland
| | - Brian Caulfield
- Insight Centre for Data Analytics, University College Dublin, Ireland; School of Public Health, Physiotherapy and Population Science, University College Dublin, Dublin, Ireland
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Pugh JN, Kirk B, Fearn R, Morton JP, Close GL. Prevalence, Severity and Potential Nutritional Causes of Gastrointestinal Symptoms during a Marathon in Recreational Runners. Nutrients 2018; 10:nu10070811. [PMID: 29937533 PMCID: PMC6073243 DOI: 10.3390/nu10070811] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Revised: 06/15/2018] [Accepted: 06/20/2018] [Indexed: 01/02/2023] Open
Abstract
The purpose of the present study was to investigate the prevalence of gastrointestinal symptoms (GIS) amongst recreational runners during a marathon race, and potential nutritional factors that may contribute. Recreational runners of the 2017 Liverpool (n = 66) and Dublin (n = 30) marathons were recruited. GIS were reported post-marathon and we considered GIS in the 7 days prior to the marathon and during the marathon using the Gastrointestinal Symptom Rating Scale (GSRS). Nutritional intake was recorded using food diaries for the day before the race, morning of the race, and during the race; 43% of participants reported moderate (≥4) GIS in the 7 days prior to the marathon and 27% reported moderate symptoms during the marathon with most common symptoms being flatulence (16%) during training, and nausea (8%) during the marathon race. Correlations between all nutritional intake and GIS were not statistically significant (p > 0.05). There were significant correlations between total GIS score (r = 0.510, p < 0.001), upper GIS score (r = 0.346, p = 0.001) and lower GIS score (r = 0.483, p < 0.001) in training and during the marathon. There appears to be a modest prevalence of GIS in recreational runners, in the week prior to a marathon and during marathon running, although there was no association with nutritional intake before or during the race.
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Affiliation(s)
- Jamie N Pugh
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool L3 5UA, UK.
| | - Ben Kirk
- School of Health Sciences, Liverpool Hope University, Liverpool L16 9JD, UK.
| | - Robert Fearn
- Homerton University Hospital NHS Foundation Trust, London E9 6SR, UK.
| | - James P Morton
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool L3 5UA, UK.
| | - Graeme L Close
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool L3 5UA, UK.
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Bataineh MF, Al-Nawaiseh AM, Abu Altaieb MH, Bellar DM, Hindawi OS, Judge LW. Impact of carbohydrate mouth rinsing on time to exhaustion during Ramadan: A randomized controlled trial in Jordanian men. Eur J Sport Sci 2018; 18:357-366. [PMID: 29364063 DOI: 10.1080/17461391.2017.1420236] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Mouth rinsing using a carbohydrate (CHO) solution has been suggested to improve physical performance in fasting participants. This study examined the effects of CHO mouth rinsing during Ramadan fasting on running time to exhaustion and on peak treadmill speed (Vpeak). In a counterbalanced crossover design, 18 sub-elite male runners (Age: 21 ± 2 years, Weight: 68.1 ± 5.7 kg, VO2max: 55.4 ± 4.8 ml/kg/min) who observed Ramadan completed a familiarization trial and three experimental trials. The three trials included rinsing and expectorating a 25 mL bolus of either a 7.5% sucrose solution (CHO), a flavour and taste matched placebo solution (PLA) for 10 s, or no rinse (CON). The treatments were performed prior to an incremental treadmill test to exhaustion. Three-day dietary and exercise records were obtained on two occasions and analysed. Anthropometric characteristics were obtained and recorded for all participants. A main effect for mouth rinse on peak velocity (Vpeak) (CHO: 17.6 ± 1.5 km/h; PLA: 17.1 ± 1.4 km/h; CON: 16.7 ± 1.2 km/h; P < .001, ηp2 = 0.49) and time to exhaustion (CHO: 1282.0 ± 121.3 s; PLA: 1258.1 ± 113.4 s; CON: 1228.7 ± 98.5 s; P = .002, ηp2 = 0.41) was detected, with CHO significantly higher than PLA (P < .05) and CON (P < .05). Oxygen consumption, heart rate, respiratory exchange ratio, and rating of perceived exertion were not significantly different between treatments or trials (P > .05). Energy availability from dietary analysis, body weight, and fat-free mass did not change during the last two weeks of Ramadan (P > .05). This study concludes that carbohydrate mouth rinsing improves running time to exhaustion and peak treadmill speed under Ramadan fasting conditions.
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Affiliation(s)
- Mo'ath F Bataineh
- a Department of Sport Rehabilitation , Hashemite University , Zarqa , Jordan
| | - Ali M Al-Nawaiseh
- a Department of Sport Rehabilitation , Hashemite University , Zarqa , Jordan
| | | | - David M Bellar
- c School of Kinesiology , University of Louisiana at Lafayette , Lafayette , LA , USA
| | - Omar S Hindawi
- a Department of Sport Rehabilitation , Hashemite University , Zarqa , Jordan
| | - Lawrence W Judge
- d School of Kinesiology , Ball State University , Muncie , IN , USA
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Papadopoulou SK, Xyla EE, Methenitis S, Feidantsis KG, Kotsis Y, Pagkalos IG, Hassapidou MN. Nutrition strategies before and during ultra-endurance event: A significant gap between science and practice. Scand J Med Sci Sports 2017; 28:881-892. [DOI: 10.1111/sms.13006] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/30/2017] [Indexed: 12/16/2022]
Affiliation(s)
- S. K. Papadopoulou
- Department of Nutrition and Dietetics; Technological Institute of Thessaloniki; Thessaloniki Greece
| | - E. E. Xyla
- Department of Nutrition and Dietetics; Technological Institute of Thessaloniki; Thessaloniki Greece
| | - S. Methenitis
- Department of Nutrition and Dietetics; Technological Institute of Thessaloniki; Thessaloniki Greece
- Athletics Laboratory; School of Physical Education and Sport Science; National and Kapodistrian University of Athens; Athens Greece
| | - K. G. Feidantsis
- Department of Nutrition and Dietetics; Technological Institute of Thessaloniki; Thessaloniki Greece
- Department of Biology; Aristotle University of Thessaloniki; Thessaloniki Greece
| | - Y. Kotsis
- Department of Nutrition and Dietetics; Faculty of Health Sciences and Education; Harokopio University; Athens Greece
| | - I. G. Pagkalos
- Department of Nutrition and Dietetics; Technological Institute of Thessaloniki; Thessaloniki Greece
- Department of Electrical & Computer Engineering; Aristotle University of Thessaloniki; Thessaloniki Greece
| | - M. N. Hassapidou
- Department of Nutrition and Dietetics; Technological Institute of Thessaloniki; Thessaloniki Greece
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Cândido RF, Barboza SD, Rogerio ADP, da Mota GR, Mendes EL. Dieta elevada em carboidratos complexos minimiza necessidade de suplementação durante jogo‐treino de rúgbi: foco no sistema imune. Revista Brasileira de Ciências do Esporte 2017. [DOI: 10.1016/j.rbce.2016.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Abstract
Wilson, PB. Does carbohydrate intake during endurance running improve performance? A critical review. J Strength Cond Res 30(12): 3539-3559, 2016-Previous review articles assessing the effects of carbohydrate ingestion during prolonged exercise have not focused on running. Given the popularity of distance running and the widespread use of carbohydrate supplements, this article reviewed the evidence for carbohydrate ingestion during endurance running. The criteria for inclusion were (a) experimental studies reported in English language including a performance task, (b) moderate-to-high intensity exercise >60 minutes (intermittent excluded), and (c) carbohydrate ingestion (mouth rinsing excluded). Thirty studies were identified with 76 women and 505 men. Thirteen of the 17 studies comparing a carbohydrate beverage(s) with water or a placebo found a between-condition performance benefit with carbohydrate, although heterogeneity in protocols precludes clear generalizations about the expected effect sizes. Additional evidence suggests that (a) performance benefits are most likely to occur during events >2 hours, although several studies showed benefits for tasks lasting 90-120 minutes; (b) consuming carbohydrate beverages above ad libitum levels increases gastrointestinal discomfort without improving performance; (c) carbohydrate gels do not influence performance for events lasting 16-21 km; and (d) multiple saccharides may benefit events >2 hours if intake is ≥1.3 g·min Given that most participants were fasted young men, inferences regarding women, adolescents, older runners, and those competing in fed conditions are hampered. Future studies should address these limitations to further elucidate the role of carbohydrate ingestion during endurance running.
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Affiliation(s)
- Patrick B Wilson
- Human Movement Sciences, Old Dominion University, Norfolk, Virginia
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Abstract
OBJECTIVES To describe the nutrition behaviors, perceptions, and beliefs of marathoners. METHODS A survey-based study was conducted with 422 recent marathon finishers (199 men, 223 women). Participants reported their running background, demographics, diets followed, supplements used, and food/fluid intake during their most recent marathon (median 7 days prior), as well as beliefs about hydration, fueling, and sources of nutrition information. RESULTS Median finishing times were 3:53 (3:26-4:35) and 4:25 (3:50-4:59) h:min for men and women during their most recent marathon. Most participants (66.1%) reported typically following a moderate-carbohydrate, moderate-fat diet, while 66.4% carbohydrate-loaded prior to their most recent marathon. Among 139 participants following a specific diet over the past year, the most common were vegetarian/vegan/pescatarian (n = 39), Paleolithic (n = 16), gluten-free (n = 15), and low-carbohydrate (n = 12). Roughly 35% of participants took a supplement intended to improve running performance over the past month. Women were more likely to follow specific diets (39.0% vs. 26.1%), while men were more likely to recently use performance-enhancing supplements (40.2% vs. 30.0%). Most participants (68.3%) indicated they were likely or very likely to rely on a structured plan to determine fluid intake, and 75% were confident in their ability to hydrate. At least 35.6% of participants thought they could improve marathon performance by 8% or more with nutrition interventions. Scientific journals ranked as the most reliable source of nutrition information, while running coaches ranked as the most likely source to be utilized. CONCLUSIONS Findings from this investigation, such as diets and supplements utilized by marathoners, can be used by practitioners and researchers alike to improve the dissemination of scientifically-based information on nutrition and marathon running.
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Affiliation(s)
- Patrick B Wilson
- a Human Movement Sciences , Old Dominion University , Norfolk , VA , USA
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Abstract
Stride length analysis represents an easy method for assessing race walking kinematics. However, the stride parameters emerging from such an analysis have never been used to design a training protocol aimed at increasing stride length. With this aim, we investigated the effects of stride frequency manipulation during three weeks of uphill (2%) training on stride length at iso-efficiency speed. Twelve male race walkers were randomly allocated to one of two training groups: stride frequency manipulation (RWM, n=6) and free stride frequency (RWF, n=6). Results. Kinematic parameters measured before and after the 3-week training in RWM showed increased stride length (4.54%; p<0.0001) and contact time (4.58%; p<0.001); inversely, a decreased stride frequency (4.44%; p<0.0001) and internal work (7.09%; p<0.05) were found. In RWF the effect of the training showed a decrease in stride length (1.18%; p<0.0001) and contact time (<1%; p<0.0001) with respect to baseline conditions and an increased stride frequency and internal work of 1.19% (p<0.0001). These results suggest that using slopes (2%) as RWM could help coaches to provide some training methods that would improve an athlete's performance, through increasing stride length without altering his or her race walking technique or metabolic demands.
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Affiliation(s)
- J Padulo
- University e-Campus, Novedrate ITALY ; Tunisian Research Laboratory "Sports Performance Optimization" National Centre of Medicine and Science in Sport, Tunis, Tunisia
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Schmid W, Knechtle B, Knechtle P, Barandun U, Rüst CA, Rosemann T, Lepers R. Predictor variables for marathon race time in recreational female runners. Asian J Sports Med 2012; 3:90-8. [PMID: 22942994 PMCID: PMC3426727 DOI: 10.5812/asjsm.34704] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2011] [Accepted: 12/29/2011] [Indexed: 11/16/2022] Open
Abstract
PURPOSE We intended to determine predictor variables of anthropometry and training for marathon race time in recreational female runners in order to predict marathon race time for future novice female runners. METHODS Anthropometric characteristics such as body mass, body height, body mass index, circumferences of limbs, thicknesses of skin-folds and body fat as well as training variables such as volume and speed in running training were related to marathon race time using bi- and multi-variate analysis in 29 female runners. RESULTS The marathoners completed the marathon distance within 251 (26) min, running at a speed of 10.2 (1.1) km/h. Body mass (r=0.37), body mass index (r=0.46), the circumferences of thigh (r=0.51) and calf (r=0.41), the skin-fold thicknesses of front thigh (r=0.38) and of medial calf (r=0.40), the sum of eight skin-folds (r=0.44) and body fat percentage (r=0.41) were related to marathon race time. For the variables of training, maximal distance ran per week (r=- 0.38), number of running training sessions per week (r=- 0.46) and the speed of the training sessions (r= - 0.60) were related to marathon race time. In the multi-variate analysis, the circumference of calf (P=0.02) and the speed of the training sessions (P=0.0014) were related to marathon race time. Marathon race time might be partially (r(2)=0.50) predicted by the following equation: Race time (min)=184.4 + 5.0 x (circumference calf, cm) -11.9 x (speed in running during training, km/h) for recreational female marathoners. CONCLUSIONS Variables of both anthropometry and training were related to marathon race time in recreational female marathoners and cannot be reduced to one single predictor variable. For practical applications, a low circumference of calf and a high running speed in training are associated with a fast marathon race time in recreational female runners.
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Affiliation(s)
- Wiebke Schmid
- Gesundheitszentrum St. Gallen, St. Gallen, Switzerland
| | - Beat Knechtle
- Gesundheitszentrum St. Gallen, St. Gallen, Switzerland
- Institute of General Practice and Health Services Research, University of Zurich, Zurich, Switzerland
- Corresponding Author:Address: Facharzt FMH für Allgemeinmedizin Gesundheitszentrum St. Gallen, Vadianstrasse 26, 9001 St. Gallen, Switzerland. E-mail:
| | | | | | - Christoph Alexander Rüst
- Institute of General Practice and Health Services Research, University of Zurich, Zurich, Switzerland
| | - Thomas Rosemann
- Institute of General Practice and Health Services Research, University of Zurich, Zurich, Switzerland
| | - Romuald Lepers
- INSERM U887, University of Undy, Faculty of Sport Sciences, Dijon, France
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