Historical analysis of participation in 161 km ultramarathons in North America

Participation trends in 100 m (161 km) ultramarathon running competitions in North America were examined from race results from 1977 through 2008. A total of 32, 352 finishes accounted for by 9815 unique individuals were identified. The annual number of races and number of finishes increased exponentially over the study period. This growth in number of finishes occurred through a combination of (1) an increase in participation among runners >40 years of age from less than 40% of the finishes prior to the mid-1980s to 65-70% of the finishes since 1996, (2) a growth (p < 0.0001) in participation among women from virtually none in the late 1970s to nearly 20% since 2004, and (3) an increase in the average annual number of races completed by each individual to 1.3. While there has been considerable growth in participation, the 161 km ultramarathon continues to attract a relatively small number of participants compared with running races of shorter distances.

[The value of preventive advice and examination focusing on cardiovascular events and injury for novice runners]

Novice runners often seek advice from a physician about training responsibly. Common concerns include sudden cardiac arrest, advice on running injuries and how to avoid these events. Cardiologic screening and ergometry are only beneficial if the athlete has a high-risk profile. In the world of running, there are many myths regarding the prevention ofinjuries. Many recommendations on the use of running shoes, supportive insoles, running on soft or hard surfaces and the value of stretching have been made based on empirical evidence. The actual effects of these recommendations on injury prevention, however, have not been evaluated sufficiently. The value of preventive examination of structural and locomotor elements is also unclear at this time. Progression of training load in which the duration and intensity of training increases by less than 10% per week, appears to be the most reasonable way to prevent running injuries.

The GRONORUN study: is a graded training program for novice runners effective in preventing running related injuries? Design of a Randomized Controlled Trial

BACKGROUND

Running is a popular form of recreational exercise. Beside the positive effects of running on health and fitness, the risk of a running related injury has to be considered. The incidence of injuries in runners is high and varies from 30-79%. However, few intervention studies on prevention of running related injuries have been performed and none of these studies involved novice runners.

METHODS

GRONORUN (Groningen Novice Running) is a two armed randomized controlled trial, comparing the effects of two different training programs for novice runners on the incidence of running related injuries. Participants are novice runners, who want to train for a four mile running event. The control group will train according a standard 8 week training program. The intervention group will use a more gradual, 13 week training program which is based on "the ten percent training rule". During the thirteen week follow up participants register information on running and RRI's in an internet based running log. The primary outcome measure is RRI. An injury is defined as a musculoskeletal ailment of the lower extremity or back, causing a restriction of running for at least one week.

DISCUSSION

The GRONORUN trial is the first randomized controlled trial to study a preventive intervention in novice runners. Many different training programs for novice runners are offered, but none are evidence based.

The effect of a combined high-intensity strength and speed training program on the running and jumping ability of soccer players

The purpose of this study was to investigate the effect of a combined heavy-resistance and running-speed training program performed in the same training session on strength, running velocity (RV), and vertical-jump performance (VJ) of soccer players. Thirty-five individuals were divided into 3 groups. The first group (n = 12, COM group) performed a combined resistance and speed training program at the same training session, and the second one (n = 11, STR group) performed the same resistance training without speed training. The third group was the control group (n = 12, CON group). Three jump tests were used for the evaluation of vertical jump performance: squat jump, countermovement jump, and drop jump. The 30-m dash and 1 repetition maximum (1RM) tests were used for running speed and strength evaluation, respectively. After training, both experimental groups significantly improved their 1RM of all tested exercises. Furthermore, the COM group performed significantly better than the STR and the CON groups in the 30-m dash, squat jump, and countermovement jump. It is concluded that the combined resistance and running-speed program provides better results than the conventional resistance training, regarding the power performance of soccer players.

Kinematic and dynamic analysis of running under conditions of variable gravity

A new training system was designed and realised by the engineer G. Scuderi: a centrifugal track for runners. The principal advantage of this track is to increase the forces on athlete during the run with an effect very similar to that of an "artificial gravity", so the athlete can develop more muscle power. A multibody numerical model of a runner was developed to analyse the behaviour of the athlete on the centrifugal track. The multibody model was calibrated by experimental analysis; in fact, the joint angles were measured by a digital image processing system and introduced as input in the numerical simulation. The numerical results obtained are the values of many kinematic and dynamic variables, in particular the ground reaction force and the moments in the hip, knee, and ankle joints. A comparison between the normal running and that on the centrifugal track was carried out, demonstrating the validity of training on the latter. The results of the numerical simulation confirm that the power developed during running on the track, and the corresponding work performed by the joints, is considerably greater than that found during normal running.

Diagnosis and prevention of hyponatremia at an ultradistance triathlon

OBJECTIVE

To evaluate a method of medical care at an ultradistance triathlon, with the aim of reducing the incidence of hyponatremia.

DESIGN

Descriptive research.

SETTING

New Zealand Ironman triathlon (3.8 km swim, 180 km cycle, 42.2 km run).

PARTICIPANTS

117 of 134 athletes seeking medical care after the triathlon (involving 650 race starters).

INTERVENTIONS

A prerace education program on appropriate fluid intake was undertaken. The number of support stations was decreased to reduce the availability of fluid. A body weight measurement before the race was introduced as a compulsory requirement, so that weight change during the race could be included in the triage assessment. An on-site laboratory was established within the race medical tent.

MAIN OUTCOME MEASURES

Numbers of athletes and diagnoses, including the incidence of symptomatic hyponatremia (defined as symptoms of hyponatremia in association with a pretreatment plasma sodium concentration [Na] < 135 mmol/L); weight changes; and changes in [Na].

RESULTS

The common diagnoses in the 117 athletes receiving attention were exercise-associated collapse (27%), musculoskeletal complaints (26%), and dehydration (12%). There was a significant reduction in the number of athletes receiving medical care for hyponatremia, from 25 of the 114 athletes who received care in 1997 (3.8% of race starters) to 4 of the 117 athletes who received care in 1998 (0.6% of race starters). Mean weight change among athletes in the 1998 race was -3.1 kg, compared with -2.6 kg in 1997.

CONCLUSION

A preventive strategy to decrease the incidence of hyponatremia, including education on fluid intake and appropriate placement of support stations, was associated with a decrease in the incidence of symptomatic hyponatremia.

The gender difference in distance running performance has plateaued: an analysis of world rankings from 1980 to 1996

PURPOSE

Annual world rankings from 1980-1996 were used i) to determine if the gender difference in distance running events has stabilized, and ii) to examine whether the relative decline in pace as race distance increases is different between men and women. World best (WB) and 100th best times in the 1500 m and the marathon (42 km) for each of the 17 years were the indices used to represent overall trends in men's vis-à-vis women's distance running.

METHODS

These data were analyzed using regression analyses to develop and compare gender-specific equations. In the 1500 m, the gender difference in WB times (11.1 +/- 1.1%) was consistent from 1980 to 1996, and the slight rate of improvement in event depth (i.e., 100th rankings) was similar for men and women.

RESULTS

In the marathon, the gender difference in WB times (11.2 +/- 0.9%) was essentially the same as for the 1500 m. In 1980, the marathon was a fairly new event for the women, having only just been sanctioned by the International Amateur Athletics Federation (IAAF). As a consequence, the depth of the field increased quickly from 1980 to 1984. Since the mid-1980s, the rate of improvement for women in 100th-ranked times has leveled off to equal that of men. The average declines in relative pace for men and women from the 1500 m to the 10 km to the marathon were found to be remarkably similar with no diminishing of the gender difference as race distance increased.

CONCLUSIONS

Based on worldwide indices of competitive distance running, the gender difference in distance running performance has plateaued in recent years. Concomitantly, over the past decade, opportunities for women to train and compete have approached parity with those of men. It is likely that the current gender difference in performance will remain fairly constant because of biological differences between men and women that give men an advantage in distance running.

Predicting competition performance in long-distance running by means of a treadmill test

PURPOSE

The purpose of this study was to examine the power of 16 parameters beside the individual anaerobic threshold (IAT) in predicting performance in various competition distances.

METHODS

This study examined 427 competitive runners to test the prediction probability of the IAT and other parameters for various running distances. All runners (339 men, 88 women; ages, 32.5 +/- 10.14 yr; training, 7.1 +/- 5.53 yr; training distance, 77.9 +/- 35.63 km.wk-1) performed an increment test on the treadmill (starting speed, 6 or 8 km.h-1; increments, 2 km.h-1; increment duration, 3 min to exhaustion). The heart rate (HR) and the lactate concentrations in hemolyzed whole blood were measured at rest and at the end of each exercise level. The IAT was defined as the running speed at a net increase in lactate concentration 1.5 mmol.L-1 above the lactate concentration at LT.

RESULTS

Significant correlations (r = 0.88-0.93) with the mean competition speed were found for the competition distances and could be increased using stepwise multiple regression (r = 0.953-0.968) with a set of additional parameters from the training history, anthropometric data, or the performance diagnostics.

CONCLUSIONS

The running speed at a defined net lactate increase thus produces an increasing prediction accuracy with increasing distance. A parallel curve of the identity straight lines with the straight lines of regression indicates the independence of at least a second independent performance determining factor.

Bench stepping and running in women. Changes in fitness and injury status

BACKGROUND

The purpose of this investigation was to evaluate injury rates and changes in VO2peak in women associated with aerobic exercise (bench stepping and running).

METHODS

A pretest post-test repeated measures design was used to evaluate changes in VO2peak after training for 10 weeks, 3 days per week, for 1 hour per session. Injury incidence was monitored by questionnaires throughout the training program.

SETTING

All testing and training took place at Auburn University Montgomery, Montgomery, AL, USA.

PARTICIPANTS

The subjects were women enrolled in university physical activity courses. The exercise groups consisted of 23 women who performed bench exercise and 15 who performed running-jogging. Eleven subjects served as non-exercising controls.

INTERVENTION

The 10-week exercise training program served as the intervention.

MEASURES

Subjects were both pre- and post-tested for VO2peak by open circuit calorimetry. Body composition was estimated from a 7-site skinfold equation. A daily injury log was maintained to evaluate injury status.

RESULTS

A repeated measures ANOVA found similar significant improvements in VO2peak for both the bench and running groups with no change for the control group. An evaluation of the injuries graded II or higher found 0.29 injuries per 100 hrs for the bench group and 0.66 injuries per 100 hrs for the running group. When all complaints were considered (grade I to grade IV) the rates increased to 2.44 per 100 hrs for the running group and 6.09 per 100 hrs for the bench group.

CONCLUSIONS

Aerobic bench exercise produced similar changes in VO2peak compared to running. The results indicated that the primary injury complaints were grade I and related to delayed onset muscle soreness (DOMS). The bench group experienced an greater incidence of grade I complaints while the running group experienced a slightly greater incidence of more serious grade II or higher injuries.

Use of heart rate monitors by endurance athletes: lessons from triathletes

Heart rate monitors are commonly used but little is documented about their use. We have reviewed the available literature and supplemented it with data regarding heart rate responses of a large number of highly trained athletes during cycle ergometer and treadmill exercise tests as well as during and following prolonged exercise. The main findings pertinent to the use of heart rate monitors are 1) estimated maximal heart rates are too variable to be of use to precisely guide training pace during cycling or running, 2) during prolonged (> 6 h) cycling or running, a highly trained athlete may expect to exercise at an average intensity close 80% HRmax, but should also expect intensity to decline by 6-7% during the cycle ride or run, and 3) submaximal exercise heart rates following prolonged exercise are not useful for judging completeness of recovery. This information holds the following implications for athletes wishing to optimize use of their heart rate monitors in training and racing: 1) formal maximal exercise tests should be performed to determine true HRmax in each exercise mode, 2) athletes should expect their heart rates to decrease over the course of a long race, and 3) athletes should not assume they completely recovered from a strenuous workout if submaximal exercise heart rates are unchanged. Much remains to be clarified about the heart rate responses of ultraendurance athletes, particularly in relation to performance and the attainment of individual maximal potential.

Effect of "living high-training low" on the cardiac functions at sea level

Living high-training low (LHTL), living at high altitude and training at sea level, is reported to be beneficial in enhancing physical performance. Effect of LHTL on cardiac function which is one of major determinants in performance, however, was not examined. To address this issue, 21 well-trained triathletes divided into control (n = 10, living and training at sea level) and LHTL group (living at 1980 m altitude > or = 12 hrs/day and training at sea level) were Doppler echocardiographically examined before and at the end of the two-week program. Heart rate and blood pressure did not change in both groups. At end of the training, left ventricular endsystolic diameter of LHTL group was smaller than that of controls (32 vs 34 mm, P < 0.05). Shortening fraction and ejection fraction in LHTL group increased by 9% and 17 %, respectively, P < 0.05. Preejection period/ejection time was more greatly reduced in LHTL group (P < 0.05). Stroke volume and cardiac output in LHTL increased. Diastolic function was not significantly affected by LHTL. These results suggest that LHTL produced an improvement of systolic function underlined by incremented left ventricular contractility, which might be associated with increased beta-adrenergic receptor or an improved myocardial energy utilization.

Ergometric and psychological findings during overtraining: a long-term follow-up study in endurance athletes

In the present prospective longitudinal study 17 male endurance trained athletes (cyclists and triathletes; age 23.4+/-6.7 years, VO2max 61.2+/-7.5 ml x min(-1) x kg(-1); means+/-SD) were investigated both during a state of overtraining syndrome (OT: N=15), mainly induced by an increase of exercise intensity, as well as several times in a state of regular physical ability (NS: N=62). Cycle-ergometric and psychological data were compared for a period of approximately 19 months. On 2 separate days, each subject performed a maximum incremental graded exercise, two anaerobic tests (10 s and 30 s) as well as a short-endurance "stress test" with the intensity of 110% of the individual anaerobic threshold until volitional exhaustion. The mood state was recorded by a psychological questionnaire including 40 basic items. During OT the submaximal lactate concentrations were slightly decreased. The performance of the 10 s- and 30 s-tests was unaffected. In contrast, the duration of the "stress test" decreased significantly by approximately 27% during OT compared to the individual NS. The submaximal oxygen uptake measured during the incremental graded exercise was slightly higher during OT as compared to NS, whereas the submaximal and maximal respiratory exchange ratio, maximal heart rate and maximal lactate concentrations were decreased. At the 10th minute of the "stress test", ammonia tended to be increased during OT (P=0.048). The parameters of mood state at rest as well as the subjective rating of perceived exertion during exercise were significantly impaired during OT. In conclusion, the results indicate a decreased intramuscular utilization of carbohydrates with diminished maximal anaerobic lactacid energy supply during OT. Neither the lactate-performance relationship during incremental graded exercise nor the anaerobic alactacid performance showed alterations. The duration of the short-endurance "stress test", the maximal lactate concentration of the incremental graded exercise as well as the altered mood profile turned out to be the most sensitive parameters for the diagnosis of OT.

Expertise and the regulation of gait in the approach phase of the long jump

In the approach phase of the long jump, athletes attempt to strike the take-off board accurately with minimum loss of speed, and in an optimum body position for take-off. Previous research has shown that skilled long jumpers demonstrate an ascending-descending trend of variability rather than a consistent pattern of foot placement over trials. The present study examined whether non-long jumpers showed a similar pattern of variability in footfall placement between trials to skilled long jumpers. Consistency of foot placement over trials for non-long jumpers (n = 11) was determined using a panned video camera. Digitization of the foot position provided toe-board distances during the run-up phase. Our results showed that non-long jumpers have a similar pattern of descending variability near to the take-off board to expert long jumpers, suggesting the use of visual regulation. However, in comparison to more skilled subjects, non-long jumpers accumulated a considerably larger maximum mean standard deviation in footfall placement between trials (58 cm). Since non-long jumpers had no previous task-specific training, these data extend our current understanding of the regulation of goal-directed gait.

Influence of strength training on sprint running performance. Current findings and implications for training

Today, it is generally accepted that sprint performance, like endurance performance, can improve considerably with training. Strength training, especially, plays a key role in this process. Sprint performance will be viewed multidimensionally as an initial acceleration phase (0 to 10 m), a phase of maximum running speed (36 to 100 m) and a transition phase in between. Immediately following the start action, the powerful extensions of the hip, knee and ankle joints are the main accelerators of body mass. However, the hamstrings, the m. adductor magnus and the m. gluteus maximus are considered to make the most important contribution in producing the highest levels of speed. Different training methods are proposed to improve the power output of these muscles. Some of them aim for hypertrophy and others for specific adaptations of the nervous system. This includes general (hypertrophy and neuronal activation), velocity specific (speed-strength) and movement specific (sprint associated exercises) strength training. In developing training strategies, the coach has to keep in mind that strength, power and speed are inherently related to one another, because they are all the output of the same functional systems. As heavy resistance training results in a fibre type IIb into fibre type IIa conversion, the coach has to aim for an optimal balance between sprint specific and nonspecific training components. To achieve this they must take into consideration the specific strength training demands of each individual, based on performance capacity in each specific phase of the sprint.

Effects of deep water and treadmill running on oxygen uptake and energy expenditure in seasonally trained cross country runners

OBJECTIVE

The purpose of this study was to physiologically compare submaximal intensity deep water running (DWR) and treadmill running (TMR) exercise in trained athletes.

EXPERIMENTAL DESIGN

Pre-test, post-test, 2 x 2 factoral design.

SETTING

Treadmill exercise tests occurred in the Human Performance Laboratory. DWR trials took place in the deep end of the University pool.

PARTICIPANTS

Seasonally trained college-aged male cross country runners (N = 8). Subjects completed a treadmill maximal oxygen consumption (VO2max) test, followed by a submaximal treadmill and deep water run at heart rates equivalent to 60% and 80% treadmill VO2max.

MEASURES

Oxygen consumption (VO2), ventilation (VEstpd), rates of perceived exertion (RPE), energy expenditure (kcal.min-1), respiratory exchange ratio (RER), fat and carbohydrate oxidation (g.min-1) were measured during two 5 minute steady state stages for both trials.

RESULTS

The trial by intensity interaction for VEstpd was significant, demonstrating greater ventilation during DWR as compared to TMR at 80% VO2max. The main effect of trial demonstrated that significantly higher RER and carbohydrate oxidation, and lower fat oxidation occurred during DWR as compared to TMR. VO2, RPE, and energy expenditure did not differ significantly between trials.

CONCLUSIONS

DWR is a comparable form of submaximal intensity exercise as TMR in well-trained athletes. DWR does, however, maintain unique properties that differs it from TMR. Therefore, the concept of training specificity should be further considered when prescribing DWR and using it as an enhancement tool or substitute for dry land running.

Serum haptoglobin and ferritin during a competitive running and swimming season

The purpose of the study was to examine ferritin, haptoglobin, and red cell indices during a competitive running and swimming season. Male runners (N = 8) and swimmers (N = 5) were tested four times during their respective seasons. The runners were tested before the start of organized practice (RT1), after 3 wk of increased training (RT2), 3 wk prior to the conference championship (pre-taper, RT3), and 3 d after the conference championship (post-taper, RT4). The swimmers were tested after the first 9 wk of training (ST1), after completing 2 wk of hard training (ST2), after an additional 6wk of training (pre-taper, ST3), and 1 wk following the conference championship (post-taper, ST4). For the runners, hemoglobin, hematocrit, and red blood cell number were lower (p < 0.05) at RT2 and were not accompanied by significant changes in other red cell indices or haptoglobin. Serum ferritin in the runners was lower at RT3 and RT4 compared to RT1 despite an adequate dietary iron intake. Hemoglobin and mean cell hemoglobin concentration were lower and mean cell volume was higher in the swimmers at ST3 and ST4. No significant changes were observed in other red cell indices for swimmers; however, serum haptoglobin tended (p = 0.07) to be reduced at ST2. In conclusion, collegiate male runners and swimmers do not demonstrate clinical hypoferritinemia, hypohaptoglobinemia, or alterations in red cell indices suggestive of the early stage of anemia with or without iron deficiency during their respective season.

Intraindividual variation of running economy in highly trained and moderately trained males

Previous studies of intraindividual variation in running economy have not compared within-subject variability between groups of runners differing in training level, nor have they considered the workload of the submaximal but relative to the lactate breakpoint. Therefore, the purpose of the present study was to assess intraindividual variation in submaximal oxygen consumption (VO2) during steady rate treadmill running below the lactate breakpoint in highly trained (n = 7) and moderately trained (n = 8) male runners. Subjects completed a discontinuous VO2 max protocol with blood sampling to determine the lactate breakpoint. Three 15 minute level treadmill bouts at approximately 88% of the lactate breakpoint were then performed. Time of day, day of the week, diet, and and footwear were controlled within each subject across the three tests. Statistically significant differences were found between groups in VO2 max, relative fat, training mileage, and 10 km race time (p < 0.01), while the lactate breakpoint was similar between groups (integral of 80% of VO2 max). The difference in treadmill speed between highly trained and moderately trained runners for the submaximal bouts was statistically significant (p < 0.01) and correlated with reported training paces (r = 0.82). Although the mean coefficient of variation for steady rate VO2 was smaller for the highly trained group, the difference was not statistically significant (highly trained = 1.77%, moderately trained = 2.00%; p > 0.05). The mean coefficient of variation for all 15 subjects was 1.90%. After accounting for technological error, biological variation was found to comprise approximately 94% of the intraindividual variation in running economy. In comparison to other studies, these results suggest that workloads below the lactate breakpoint may allow more stable measures of running economy to be obtained.

Force-velocity relationships and fatiguability of strength and endurance-trained subjects

The isokinetic forces, produced by a single as well as repetitive maximal knee extensions, and cross-sectional area (CSA) of the quadriceps femoris muscles were measured in 36 young adult males aged from 18 to 24 years: strength-trained (weight resistance-trained subjects, WT, N = 8), endurance-trained (middle distance runners, RUN, N = 13), and age-matched untrained subjects (UNT, N = 15). The CSA was measured using a B-mode ultrasound technique at the midpoint of the thigh length. The isokinetic forces at three velocities (1.05, 3.14 and 5.24 rad.s-1) were significantly correlated to CSA in all subjects (r = 0.01-0.849, p < 0.05). The absolute values in force development at three test velocities were significantly higher in WT than in RUN and UNT. While average values of force output per unit CSA were almost the same among the subject groups at test velocities of 3.14 and 5.24 rad.s-1, it was significantly higher in WT than in UNT at 1.05 rad.s-1. The repetitive maximal task consisted of 50 consecutive maximal knee extensions with constant velocity of 3.14 rad.s-1. The mean value of force (MF) of every 5 consecutive and all trials, respectively, was significantly correlated to CSA in all subjects (r = 0.448-0.885, p < 0.05). The average percentage of decline of MF with 50 maximal contractions was significantly lower in RUN (36 +/- 5%, mean +/- SE) than in WT (59 +/- 2%) and UNT (47 +/- 3%), and in UNT than in WT. The average values of MF per unit CSA for RUN became significantly higher than those for WT and UNT on and after the 36th-40th trial. Thus, force output during a single as well as repetitive maximal contractions was significantly correlated to muscle CSA. In terms of force per unit muscle CSA, however, WT and RUN showed specific force-velocity relation and fatiguability during repetitive maximal contractions, respectively, which could be considered as a result of muscle adaptation to their own training regimens.

Effects of alterations in dietary carbohydrate intake on running performance during a 10 km treadmill time trial

OBJECTIVE

To examine the influence of a seven day diet manipulation on performance during a 10 km treadmill time trial in trained runners.

METHODS

Six trained runners ran two 10 km time trials on a treadmill set at a constant 4% gradient, each after a 7 d period of dietary manipulation. The two experimental diets were a low carbohydrate (CHO) diet (40% CHO by total energy) to be consumed for 7 d, and a high CHO diet containing 55% CHO for the first 4 d followed by 70% CHO for the remaining 3 d. Blood samples were obtained before and immediately after each run. Expired gases were collected and heart rate monitored.

RESULTS

Performance time following the high CHO [48.6(SD 2.7) min] and low CHO [48.6(2.3) min] diets was not different (P = 0.72), nor were there any differences in running speed between conditions. No significant differences were found between conditions in any of the metabolites measured (blood lactate, glucose, glycerol, and plasma free fatty acids). The rate of CHO oxidation was greater on the high CHO diet compared to the low CHO diet (P < 0.05). Heart rate was not different between conditions.

CONCLUSIONS

The results of this study indicate that moderate changes in the composition of the diet do not affect 10 km running performance in trained subjects.

Muscle tenderness and peak torque changes after downhill running following a prior bout of isokinetic eccentric exercise

Unaccustomed exercise (usually of an eccentric nature) is often followed by delayed onset muscle soreness (DOMS). Previous studies have found that prior eccentric activity produces a training effect which reduces DOMS and morphological changes. The aim of this study was to examine the effects of a prior bout of maximal isokinetic eccentric exercise on DOMS, strength loss and plasma creatine kinase (CK) changes following a downhill run. Ten male subjects with a mean (+/- S.D.) age of 22.5 +/- 2.8 years, body mass of 62.67 +/- 0.05 kg and height of 176 +/- 3 cm were allocated to either a treatment group or a control group. The treatment group performed 100 maximal eccentric activations of the knee extensors in the dominant leg at 0.52 rad s-1. Two weeks later, the downhill run was performed on a motor-driven treadmill. This consisted of five bouts of 8 min at a gradient of -10% at a speed corresponding to 80% of the predicted maximal heart rate. The untrained group performed the downhill run as above but without the prior isokinetic session. Tenderness measurements, plasma CK activity and concentric and eccentric isokinetic peak torque measurements of the knee extensors at 0.52 and 2.83 rad s-1 were recorded prior to, immediately following and 2, 4 and 7 days after each protocol. The isokinetic protocol caused an increase (P < 0.01) in CK and tenderness and a decrease (P < 0.05) in concentric and eccentric torque at both speeds in the treatment group. Following the downhill run, a reduction in peak torque (P < 0.01) was observed in the eccentric and concentric modes at both isokinetic speeds in the control group. For the treatment group, the decrease in peak torque occurred only at the faster eccentric speed. With the exception of the faster eccentric speed, the decrement in peak torque was greater in the control group in all post-exercise isokinetic strength tests. There was less tenderness (P < 0.01) in the trained knee extensor muscle group. Peak torque also returned to pre-downhill values earlier for the trained group. Although plasma CK activity increased in both groups after downhill running, it was much lower (P < 0.01) in the trained group. The results suggest that a prior bout of isokinetic eccentric training reduces muscle damage, reduces the amount of strength loss and decreases the sensation of DOMS after downhill running.

The relationship of sustained exercise training and bone mineral density in aging male runners

Fifty-six men aged 42-73 years (50.2 +/- 10.0 years), who were competitive distance runners 20-25 years previously, were examined for bone mineral density (BMD) to determine the relationship between sustained distance running and BMD. Subjects were classified as being highly trained (HT, n = 17), moderately trained (MT, n = 29) or untrained (UT, n = 10) according to their training in recent years. Subjects in each group were of similar age (HT 46.5 +/- 2.01, MT 53.0 +/- 1.51, UT 46.7 +/- 2.44 years) and lean body mass. Total body weight (kg) and percentage fat, however, were significantly greater (P < 0.05) in the UT group than in either the MT or HT groups (UT 80.6 +/- 2.44 kg, 22.0 +/- 1.16%; MT 74.9 +/- 1.51 kg, 17.5 +/- 0.61%; HT 70.5 +/- 1.71 kg, 13.5 +/- 0.59%). Lumbar vertebrae and hip region BMD (g.cm-2) was determined via dual energy X-ray absorptiometry (DEXA). No differences in BMD were found among the three groups in either the lumbar (HT 1.00 +/- 0.02, MT 1.02 +/- 0.03, UT 1.07 +/- 0.04 g.cm-2) or the hip regions (HT 0.99 +/- 0.03, MT 0.98 +/- 0.02, UT 1.06 +/- 0.04 g.cm-2). Furthermore, none of the groups had BMD that was significantly different from age-matched normative values taken from a reference database. A moderate correlation was found between body weight and BMD when combining all subjects (r = 0.38 for lumbar and r = 0.41 for hip). These results indicate that middle-aged to older males who have sustained exercise training in the form of running do not have significantly different lumbar vertebrae or hip region BMD compared to individuals who run less or not at all.

Specificity of training and its relation to the performance of distance runners

Validated six-month retrospective questionnaires were completed by 119 female and 234 male coached distance runners (59% compliance) for a descriptive study of relationships between specificity of training and best performance in a summer season. Runners were aged 26 +/- 10 y (mean +/- SD), specialising in distances from 800 m to the marathon, with seasonal best paces of 82 +/- 7% of sex- and age-group world records. They reported typical weekly durations of interval and strength training, and typical weekly durations and paces of moderate and hard continuous running, for build-up, precompetition, competition, and postcompetition phases of the season. The training programs showed some evidence of specificity, especially for runners preparing for longer events. A potentially beneficial effect of specificity was evident in a significant (p < 0.01) correlation between performance and seasonal mean weekly duration of moderate continuous running for runners specialising in longer distances (r = 0.29). The only other significant correlates of performance were seasonal mean relative training paces of moderate (r = -0.18) and hard (r = -0.42) continuous running, which exemplified detrimental effects of specificity for most runners. Thus, the training of better runners is not characterised strongly by greater specificity.

Prescribed and self-reported seasonal training of distance runners

A survey of 123 distance-running coaches and their best runners was undertaken to describe prescribed seasonal training and its relationship to the performance and self-reported training of the runners. The runners were 43 females and 80 males, aged 24 +/- 8 years (mean +/- S.D.), training for events from 800 m to the marathon, with seasonal best paces of 86 +/- 6% of sex- and age-group world records. The coaches and runners completed a questionnaire on typical weekly volumes of interval and strength training, and typical weekly volumes and paces of moderate and hard continuous running, for build-up, pre-competition, competition and post-competition phases of a season. Prescribed training decreased in volume and increased in intensity from the build-up through to the competition phase, and had similarities with 'long slow distance' training. Coaches of the faster runners prescribed longer build-ups, greater volumes of moderate continuous running and slower relative paces of continuous running (r = 0.19-0.36, P < 0.05), suggesting beneficial effects of not training close to competition pace. The mean training volumes and paces prescribed by the coaches were similar to those reported by the runners, but the correlations between prescribed and reported training were poor (r = 0.2-0.6). Coaches may therefore need to monitor their runners' training more closely.

The influence of a strength-sprint training sequence on multi-joint power output

The purpose of this study was to determine whether adaptation to single- versus multi-joint strength training and sprint training was different and whether sequencing strength prior to sprint training was beneficial for increasing power. Thirty-two untrained males were assigned to control (C), sprint-sprint (SS), multi-joint (MJS), or single-joint (SJS) strength-sprint groups. Subjects were tested before training, after 8 wk of strength or sprint training, and after an additional 6 wk of sprint training. By mid-training both SJS and MJS increased 10 repetition maximum strength, but this was not transferable to isometric or isokinetic strength or rate of torque development. SS showed no improvement in these variables. All training groups increased cycle ergometer power output by 8 wk and had similar fiber hypertrophy with no EMG changes. Subsequent sprint training continued to increase maximum power with no further hypertrophy. Tibial nerve conduction velocity increased in all training groups. These results indicate little difference in adaptation to single- and multi-joint strength training. Strength or power improvements caused by training in these models does not transfer to isometric or isokinetic movements. Further, sequenced strength-spring training provided no additional power gain over sprint training alone.

Overuse injuries of the lower extremity in runners

The purpose of this article is to review the literature on overuse injuries of the lower extremity in runners and to discuss briefly today's knowledge concerning etiology, diagnosis and treatment. Running is a natural entity in many sports and a majority of runners will sustain one or more overuse injuries throughout the career, in most cases affecting the lower extremity. A runner may be regarded as an athlete who regularly runs as the predominant physical activity. From that point, we should subdivide the definition "runner" considering the character of different sports or recreational activities performed. Overuse injuries are often described merely from symptoms, including several different etiological and pathoanatomic correlates covering a variety of ailments. The clinical approach should be focused on a thorough history and physical examination. Analysis of possible injury mechanisms, correction of associated extrinsic and intrinsic factors and advice on alternative training should be given. A knowledge of specific demands from the type of running performed is necessary to evaluate the symptoms presented. Overuse etiology has to be considered multifactorial with a yet unsolved exact pathophysiology needing further research. The definition of a "runner", of "running" and of "overuse injury" should be established and agreed upon. This review attempts to draw attention to the huge multidisciplinary work that has to be done to better understand the mechanisms causing an overuse injury in a runner and to define diagnoses on a scientific base, whether or not excentric or intrinsic factors predispose or trigger.

Aerobic exercise capacity at sea level and at altitude in Kenyan boys, junior and senior runners compared with Scandinavian runners

The aim of this study was to characterize Kenyan runners in regard to their oxygen uptake and blood and ammonia responses when running. Untrained Kenyan boys (14.2 +/- 0.2 years) and Scandinavian runners were included for comparison. The studies were performed at altitude (approximately 2.000 m.a.s.l.) and, for several Kenyan and Scandinavian runners, at sea level as well. At altitude sedentary adolescent Kenyan boys had a mean maximal oxygen uptake (VO2max) of 47 (44-51) ml.kg-1.min-1, whereas similarly aged boys regularly walking or running but not training for competition reached above 62 (58-71) ml.kg-1.min-1 in VO2max. Kenyan runners in active training had 68 +/- 1.4 ml.kg-1.min-1 at altitude and 79.9 +/- 1.4 ml.kg-1.min-1 at sea level, with individuals reaching 85 ml.kg-1.min-1. The best Scandinavian runners were not significantly different from the Kenyan runners in VO2max both at altitude and at sea level, but none of the Scandinavians reached as high individual values as observed for some Kenyan runners. The running efficiency, determined as the oxygen cost at a given running speed, was less in the Kenyan runners, and the difference became more pronounced when body weight was expressed in ml.kg-0.75 min-1. Blood lactate concentration was in general lower in the Kenyan than in the Scandinavian runners, and the Kenyans also had extremely low ammonia accumulation in the blood even at very high exercise intensities. It is concluded that it is the physical activity during childhood, combined with intense training as teenagers that brings about the high VO2max observed in some Kenyan runners. Their high aerobic capacity, as well as their good running economy, makes them such superior runners. In addition, their low blood lactate and ammonia accumulation in blood when running may also be contributing factors.

Run training versus cross-training: effect of increased training on circulating leukocyte subsets

The purpose of this study was to determine the effects of increased training via cross-training (run + cycle) and run training on circulating leukocyte subsets. Male runners (N = 11) participated in two randomly assigned increased training (IT) periods after 30 d of normal training (NT). Each IT began after a 14 d period of reduced training (80% of NT) followed by 10 d of IT (200% of NT). During IT, the subjects ran in the afternoon for 10 d (100% NT) and performed 8 additional training sessions in the morning (100% NT) on a treadmill (ITRT) or a bicycle ergometer (ITCT). Blood samples were obtained before (D0), on day 5(D5) and after 10 d (D11) of ITRT and ITCT. A significant increase in the CD4+/CD8+ ratio occurred at D5 compared with D0 and D11. The CD4+/CD8+ ratio was significantly lower during ITRT compared with ITCT at D11. The number of circulating CD3+, CD4+, and CD8+ cells were significantly reduced at D11 compared with D0. In conclusion, 10 d of IT resulted in a significant reduction in the number of circulating T cells independent of the training mode and a reduction in the CD4+/CD8+ ratio for ITRT but not for ITCT.

Prevention of running injuries by warm-up, cool-down, and stretching exercises

The purpose of this study was to evaluate the effect of a health education intervention on running injuries. The intervention consisted of information on, and the subsequent performance of, standardized warm-up, cool-down, and stretching exercises. Four hundred twenty-one male recreational runners were matched for age, weekly running distance, and general knowledge of preventing sports injuries. They were randomly split into an intervention and a control group: 167 control and 159 intervention subjects participated throughout the study. During the 16-week study, both groups kept a daily diary on their running distance and time, and reported all injuries. In addition, the intervention group was asked to note compliance with the standardized program. At the end of the study period, knowledge and attitude were again measured. There were 23 injuries in the control group and 26 in the intervention group. Injury incidence for control and intervention subjects was 4.9 and 5.5 running injuries per 1000 hours, respectively. The intervention was not effective in reducing the number of running injuries; it proved significantly effective (P < 0.05) in improving specific knowledge of warm-up and cool-down techniques in the intervention group. This positive change can perhaps be regarded as a first step on the way to a change of behavior, which may eventually lead to a reduction of running injuries.

Training of the sprint start technique with biomechanical feedback

The purpose of this study was to improve the individual starting technique of eight top junior sprinters using biomechanical feedback training. Three technical parameters (blocks spacing to the start line, knee angle of the front leg and proportion of body mass falling on the hands) were varied. The horizontal velocity at take-off and the time to 10 m were the criteria used to evaluate the effect of the technical changes. All of the parameters were measured simultaneously and the athletes were provided with feedback immediately after each attempt. Seven of eight sprinters showed a statistically significant improvement in starting performance after modifying the position of their blocks. The improvement in 10-m time and horizontal velocity at take-off did not correlate significantly. The power exerted during the starting action correlated significantly with the time to 10 m. Therefore, it was concluded that effective biomechanical feedback during the training of the sprint start should use power exerted as the principal criterion because horizontal velocity shows an intra-individual optimal trend in improvement.