Recovery after Running an "Everesting" Mountain Ultramarathon.

Blood markers of muscle microdamage and systemic inflammation do not adequately explain the reduced performance observed over a prolonged recovery after running a mountain ultramarathon. This case study aimed to determine whether the reduced performance after the Everesting mountain ultramarathon can be further assessed by considering cardiorespiratory and metabolic alterations determined via repeated incremental and continuous running tests. A single runner (age: 24 years, BM: 70 kg, BMI: 22, Vo2peak: 74 mL∙min-1∙kg-1) was observed over a preparatory period of two months with a one-month recovery period. The Everesting consisted of nine ascents and descents of 9349 vertical metres completed in 18:22 (h:min). During the first phase of the recovery, enhanced peak creatine kinase (800%) and C-reactive protein (44%) levels explained the decreased performance. In contrast, decreased performance during the second, longer phase was associated with a decreased lactate threshold and Vo2 (21% and 17%, respectively), as well as an increased energetic cost of running (15%) and higher endogenous carbohydrate oxidation rates (87%), lactate concentrations (170%) and respiratory muscle fatigue sensations that remained elevated for up to one month. These alterations may represent characteristics that can explain the second phase of the recovery process after Everesting.

Effects of different running intensities on the micro-level failure strain of rat femoral cortical bone structures: a finite element investigation.

BACKGROUND: Running with the appropriate intensity may produce a positive influence on the mechanical properties of cortical bone structure. However, few studies have discussed the effects of different running intensities on the mechanical properties at different levels, especially at the micro-level, because the micromechanical parameters are difficult to measure experimentally. METHODS: An approach that combines finite element analysis and experimental data was proposed to predict a micromechanical parameter in the rat femoral cortical bone structure, namely, the micro-level failure strain. Based on the previous three-point bending experimental information, fracture simulations were performed on the femur finite element models to predict their failure process under the same bending load, and the micro-level failure strains in tension and compression of these models were back-calculated by fitting the experimental load-displacement curves. Then, the effects of different running intensities on the micro-level failure strain of rat femoral cortical bone structure were investigated. RESULTS: The micro-level failure strains of the cortical bone structures expressed statistical variations under different running intensities, which indicated that different mechanical stimuli of running had significant influences on the micromechanical properties. The greatest failure strain occurred in the cortical bone structure under low-intensity running, and the lowest failure strain occurred in the structure under high-intensity running. CONCLUSIONS: Moderate and low-intensity running were effective in enhancing the micromechanical properties, whereas high-intensity running led to the weakening of the micromechanical properties of cortical bone. Based on these, the changing trends in the micromechanical properties were exhibited, and the effects of different running intensities on the fracture performance of rat cortical bone structures could be discussed in combination with the known mechanical parameters at the macro- and nano-levels, which provided the theoretical basis for reducing fracture incidence through running exercise.

A study on risk factors inducing stress fractures in young Japanese long-distance runners -effects of training distance and intensity- / 体力科学

The purpose of this study was to examine the risk factors of stress fractures in terms of training distance and intensity in young male Japanese high school long-distance runners. Nine hundred and twenty-five runners from high schools, colleges, and work teams responded to our questionnaire. Our analysis of the questionnaire found that the onset rates of stress fractures in males were 25.0%, 40.2%, and 55.3% in high school runners, collegiate runners, and work team runners, respectively, suggesting that young Japanese long-distance runners are more likely to suffer from stress fractures than European and American runners. Stress fractures occurred in male high school and collegiate runners after training that had increased running distance (24.7% and 33.1%, respectively) or running intensity (17.0% and 9.6%), or both increased running distance and increased running intensity (29.8% and 34.6%), suggesting that an increase in running distance at moderate intensity might be a major risk factor in stress fractures in young male long-distance runners. Data from college and work team runners that ran all three years of high school show that stress fractures are most likely to occur in May of the high school freshman year. These results suggested a need to reconsider training programs for freshmen to prevent stress fractures in young runners.

Using Accelerometry for Evaluating Energy Consumption and Running Intensity Distribution Throughout a Marathon According to Sex.

The proportion of females participating in long-distance races has been increasing in the last years. Although it is well-known that there are differences in how females and males face a marathon, higher research may be done to fully understand the intrinsic and extrinsic factors affecting sex differences in endurance performance. In this work, we used triaxial accelerometer devices to monitor 74 males and 14 females, aged 30 to 45 years, who finished the Valencia Marathon in 2016. Moreover, marathon split times were provided by organizers. Several physiological traits and training habits were collected from each participant. Then, we evaluated several accelerometry- and pace-estimated parameters (pacing, average change of speed, energy consumption, oxygen uptake, running intensity distribution and running economy) in female and male amateur runners. In general, our results showed that females maintained a more stable pacing and ran at less demanding intensity throughout the marathon, limiting the decay of running pace in the last part of the race. In fact, females ran at 4.5% faster pace than males in the last kilometers. Besides, their running economy was higher than males (consumed nearly 19% less relative energy per distance) in the last section of the marathon. Our results may reflect well-known sex differences in physiology (i.e., muscle strength, fat metabolism, VO2max), and in running strategy approach (i.e., females run at a more conservative intensity level in the first part of the marathon compared to males). The use of accelerometer devices allows coaches and scientific community to constantly monitor a runner throughout the marathon, as well as during training sessions.

Run Clever - No difference in risk of injury when comparing progression in running volume and running intensity in recreational runners: A randomised trial.

BACKGROUND/AIM: The Run Clever trial investigated if there was a difference in injury occurrence across two running schedules, focusing on progression in volume of running intensity (Sch-I) or in total running volume (Sch-V). It was hypothesised that 15% more runners with a focus on progression in volume of running intensity would sustain an injury compared with runners with a focus on progression in total running volume. METHODS: Healthy recreational runners were included and randomly allocated to Sch-I or Sch-V. In the first eight weeks of the 24-week follow-up, all participants (n=839) followed the same running schedule (preconditioning). Participants (n=447) not censored during the first eight weeks entered the 16-week training period with a focus on either progression in intensity (Sch-I) or volume (Sch-V). A global positioning system collected all data on running. During running, all participants received real-time, individualised feedback on running intensity and running volume. The primary outcome was running-related injury (RRI). RESULTS: After preconditioning a total of 80 runners sustained an RRI (Sch-I n=36/Sch-V n=44). The cumulative incidence proportion (CIP) in Sch-V (reference group) were CIP2 weeks 4.6%; CIP4 weeks 8.2%; CIP8 weeks 13.2%; CIP16 weeks 28.0%. The risk differences (RD) and 95% CI between the two schedules were RD2 weeks=2.9%(-5.7% to 11.6%); RD4 weeks=1.8%(-9.1% to 12.8%); RD8 weeks=-4.7%(-17.5% to 8.1%); RD16 weeks=-14.0% (-36.9% to 8.9%). CONCLUSION: A similar proportion of runners sustained injuries in the two running schedules.

Movement Demands and Running Intensities of Semi-Professional Rugby League Players during A 9's Tournament: A Case Study.

The objective of the study was to describe the movement demands and running intensities of semi-professional rugby league players during a rugby league 9's (RL9's) tournament. Six semi-professional rugby league players competed in a RL9's tournament over a two-day period comprising of six games. Movement demands and running intensities were recorded using Global Positioning System (GPS) devices providing data on distance and speeds. Data is presented as mean (95% Confidence Intervals) with changes (≥ 75%) likely to exceed the smallest worthwhile change (0.2) considered practically important. Outside backs performed significantly (p < 0.05) more relative VHSR (3.9 m [3.5-4.3] vs 2.4 m [2.1-2.8]) absolute (97.7 m [81.3-114.1] vs 22.6m [15.8-29.3]) and relative (5.0 m·min-1 [4.2-5.9] vs 1.2 m·min-1 [0.8-1.6]) sprint distance than the forwards. Outside backs also performed significantly (p < 0.05) more absolute (97.7 m [81.3-114.1] vs 43.9 m [27.2-60.7]) and relative (5.0 m·min-1 [4.2-5.9] vs 2.3 m·min-1 [1.4-3.2]) sprint distance than the adjustables. Moderate (0.6 - 1.2) to very large (> 2.0) decreases in performance variables were observed over the two days. The biggest magnitude of change over the two days was seen with very large decreases in relative HSR (- 2.10) and sprint (- 2.14) distance. Between playing groups, the outside backs had the biggest decrease in running intensity with a very large (- 2.32) significant (p < 0.05) decrease in VHSR on day 2 (3.3 m·min-1 [2.5 - 4.1]) compared to day 1 (4.9 m·min-1 [4.4 - 5.4]). Running intensities are decreased during an intensified RL9's tournament in semi-professional rugby league players. The observed decreases in running performances between playing groups are in agreement with previous research and may support the use of individualized player monitoring and recovery management during a RL9's tournament-style competition.

The design of the run Clever randomized trial: running volume, -intensity and running-related injuries.

BACKGROUND: Injury incidence and prevalence in running populations have been investigated and documented in several studies. However, knowledge about injury etiology and prevention is needed. Training errors in running are modifiable risk factors and people engaged in recreational running need evidence-based running schedules to minimize the risk of injury. The existing literature on running volume and running intensity and the development of injuries show conflicting results. This may be related to previously applied study designs, methods used to quantify the performed running and the statistical analysis of the collected data. The aim of the Run Clever trial is to investigate if a focus on running intensity compared with a focus on running volume in a running schedule influences the overall injury risk differently. METHODS/DESIGN: The Run Clever trial is a randomized trial with a 24-week follow-up. Healthy recreational runners between 18 and 65 years and with an average of 1-3 running sessions per week the past 6 months are included. Participants are randomized into two intervention groups: Running schedule-I and Schedule-V. Schedule-I emphasizes a progression in running intensity by increasing the weekly volume of running at a hard pace, while Schedule-V emphasizes a progression in running volume, by increasing the weekly overall volume. Data on the running performed is collected by GPS. Participants who sustain running-related injuries are diagnosed by a diagnostic team of physiotherapists using standardized diagnostic criteria. The members of the diagnostic team are blinded. The study design, procedures and informed consent were approved by the Ethics Committee Northern Denmark Region (N-20140069). DISCUSSION: The Run Clever trial will provide insight into possible differences in injury risk between running schedules emphasizing either running intensity or running volume. The risk of sustaining volume- and intensity-related injuries will be compared in the two intervention groups using a competing risks approach. The trial will hopefully result in a better understanding of the relationship between the running performed and possible differences in running-related injury risk and the injuries developed. TRIAL REGISTRATION: Clinical Trials NCT02349373 - January 23, 2015.

Adaptations of myoglobin in rat skeletal muscles to endurance running training. Effects of intensity, duration and period of training / 体力科学

A study was conducted to clarify the effects of running intensity and duration of endurance training on myoglobin concentration ( [Mb] ) in rat skeletal muscles, and to clarify its temporal changes during the training. One hundred five male Wistar rats were divided into a training group and an untrained group. The training was carried out at 5 times a week for 12 weeks when the animals were 4 to 16 weeks of age. The training intensities were set at 20, 30 and 40 m/min with a duration of 60 min. The training duration was varied to 30, 60, 90 and 120 min when the rats were trained at 30 m/min. The temporal changes in the [Mb] were examined after the first, third and ninth week of training, during which the rats were trained at 40 m/min for 60 min per session. Three muscles (soleus: Sol, plantaris: P1, gastrocnemius-surface/deep: Gas-S, Gas-D) were analyzed for the [Mb] and citrate synthase activity (CS activity) . With regard to the intensity of training, the [Mb] increased with exercise intensity in Sol, Gas-D and P1, but not in Gas-S. P1 showed a greater increase of the [Mb] than Sol or Gas-D. On the other hand, CS activity in red muscle (Sol and Gas-D) increased even at low intensity, whereas white muscle (fast-twitch muscle: Pl and Gas-S) showed a significant increase in CS activity at an intensity of 40m/min. As to the duration of training, the [Mb] increased with the duration of running at 30 m/min of intensity, and showed the maximal adaptation with 90-min duration in all muscles except for Gas-S. Changes in CS activity according to the duration of running were similar to those for the [Mb] in all muscles. Finally, the [Mb] increased significantly with prolongation of the training period (after the 1 st, 3 rd and 9 th weeks training) in all muscles except Gas-S. However, the adaptive response of Mb tended to be delayed as compared with CS activity. These results suggest that <I>1) </I>the response of Mb to training stimuli can depend on the muscle specificity (fiber type composition or the initial [Mb] ), and level of motor unit recruitment in usual, <I>2) </I> Mb synthesis can be enhanced by an increase of training intensity, <I>3) </I> a training duration of 90 min can bring out the Mb adaptation maximally and <I>4) </I> the adaptive response of Mb would need more time as compared with CS activity.

Effects of different intensity endurance training on capillary network in rat left ventricular myocardium / 体力科学

The effects of low- and high-intensity endurance training on the capillary network of rat left ventricle were studied morphometrically. Eighteen male albino rats of Wistar strain (4-wk-old) were assigned at random to a sedentary control group (Cont, n=8) and two trained groups which were both subjected to exercise on a motor-driven treadmill for 60 min a day, 5 days/wk for 9 weeks from 7 wks to 16 wks of age with different running speed; the low-intensity trained group (T-20, n=5) ran at 20 m/min and the high-intensity trained group (T-40, n=5) at 40 m/min. All morphometric parameters for the capillary and muscle fiber were determined in perfusion-fixed hearts. After the training period, the average muscle fiber cross-sectional area in the T-20 and the T-40 was not significantly different from the Cont. There were no significant differences in the capillary density and the capillary-to-fiber ratio between any groups, suggesting no significant change in capillary number. On the other hand, the number of capillary with large luminal diameter (8-10 μm) in the T-40 but not the T-20 was significantly greater than the Cont. These results indicate that the high-intensity endurance training causes enlargement of the capillary luminal area, while neither the low-nor the high-intesnity endurance training stimulate the proliferation of capillaries in the left ventriclular myocardium. In conclusion, a structure of the capillary network of rat left ventricle responds to the high-intensity endurance training by enlarging capillary luminal area rather than by increasing capillary number.