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Christoph Zinner · Billy Sperlich Editors Marathon Running: Physiology, Psychology, Nutrition and Training Aspects Marathon Running: Physiology, Psychology, Nutrition and Training Aspects Christoph Zinner Billy Sperlich (cid:129) Editors Marathon Running: Physiology, Psychology, Nutrition and Training Aspects 123 Editors Christoph Zinner Billy Sperlich Department ofSport Science Department ofSport Science Julius-Maximilians-Universität Würzburg Julius-Maximilians-Universität Würzburg Würzburg, Bayern Würzburg, Bayern Germany Germany ISBN978-3-319-29726-2 ISBN978-3-319-29728-6 (eBook) DOI 10.1007/978-3-319-29728-6 LibraryofCongressControlNumber:2016930543 ©SpringerInternationalPublishingSwitzerland2016 Thisworkissubjecttocopyright.AllrightsarereservedbythePublisher,whetherthewholeorpart of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission orinformationstorageandretrieval,electronicadaptation,computersoftware,orbysimilarordissimilar methodologynowknownorhereafterdeveloped. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publicationdoesnotimply,evenintheabsenceofaspecificstatement,thatsuchnamesareexemptfrom therelevantprotectivelawsandregulationsandthereforefreeforgeneraluse. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authorsortheeditorsgiveawarranty,expressorimplied,withrespecttothematerialcontainedhereinor foranyerrorsoromissionsthatmayhavebeenmade. Printedonacid-freepaper ThisSpringerimprintispublishedbySpringerNature TheregisteredcompanyisSpringerInternationalPublishingAGSwitzerland Contents 1 Physiological Aspects of Marathon Running . . . . . . . . . . . . . . . . . . 1 Billy Sperlich 2 Biomechanics of Marathon Running. . . . . . . . . . . . . . . . . . . . . . . . 13 Thomas Stöggl and Tobias Wunsch 3 Nutrition for Marathon Running . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Karsten Koehler 4 Thermoregulation During Marathon Running. . . . . . . . . . . . . . . . . 69 Oliver Faude and Lars Donath 5 Coping with Stress During a Marathon. . . . . . . . . . . . . . . . . . . . . . 83 Christian Zepp 6 Motivation and Marathon Running . . . . . . . . . . . . . . . . . . . . . . . . 107 Chris Hammer and Leslie Podlog 7 Marathon Training: Gender and Age Aspects. . . . . . . . . . . . . . . . . 125 Jennifer L. Reed and Jenna C. Gibbs 8 Training Aspects of Marathon Running . . . . . . . . . . . . . . . . . . . . . 153 Christoph Zinner v Chapter 1 Physiological Aspects of Marathon Running Billy Sperlich Abstract Marathon running has evolved as one of the world’s popular running experiences. Independent of the runner’s performance level the marathon event represent a major challenge to the runner’s biology. Multiple integrated physio- logical processes operate to resist fatigue during marathon running. The physical preparation for a marathon involves a series of complex biological adaptations to counteract exercise induced fatigue. The following chapter aims at describing important physiological components that are proposed to constrain a champion’s physiological capacity for ultimate endurance performance. Further, potential limiting factors of the lungs, cardio-vascular system, blood oxygen carrying capacity,musclepropertiesandmetabolismareexplainedinordertounderstandthe underlying mechanisms for developing specific training methods and to estimate theracepaceduringmarathonrunning.Otherimportantbiologicalaspectsinvolved in marathon running such as nutrition, thermoregulation, biomechanics will be discusses in detail in the following chapters. (cid:1) (cid:1) (cid:1) Keywords Marathon Oxygen uptake Central limitations Pulmonary diffu- (cid:1) (cid:1) (cid:1) (cid:1) sion Blood oxygen carrying capacity Muscle adaptation Lactate threshold (cid:1) (cid:1) Substrate regulation Running Running economy 1.1 Introduction The question, “the two-hour marathon: who and when?” (Joyner et al. 2011) was mentionedin2011,initiatingalivelydebateaboutwho,how,andwhenanexciting barrier of human performance would be broken. The query instigated a search to identify an outstanding human with extraordinary physiological and mental stamina. B.Sperlich(&) DepartmentofSportScience-IntegrativeandExperimentalTrainingScience,Julius MaximiliansUniversityWürzburg,Judenbühlweg11,97082Würzburg,Germany e-mail:[email protected] ©SpringerInternationalPublishingSwitzerland2016 1 C.ZinnerandB.Sperlich(eds.),MarathonRunning:Physiology,Psychology, NutritionandTrainingAspects,DOI10.1007/978-3-319-29728-6_1 2 B.Sperlich During marathon running and prolonged endurance exercise, perceptions of mentalandmuscularfatigueeventuallyoccuraccompaniedbyadeclineinmuscular performance (Kay et al. 2001; Green 1997; Kay and Marino 2000; Wilmore and Costill 1999; Millet et al. 2000, 2002; Pinniger et al. 2000; Gibson et al. 2001). To date several cognitive, bio-chemical and mechanical models have been proposed to explaintheprocessoffatigue(Noakes2000,2007;Hampsonetal.2001;Hunteretal. 2003).However,thefatigue-relatedprocessisacomplexinterplayofneuro-humoral, metabolic,cardio-vascularandcognitivefactors.Ithasbeensuggestedthattheaction of a central (brain-derived) neural regulator controls marathon performance in anticipation to avoid physical harm (Noakes 2007). This constellation of factors appears highly individual and remains under investigation (Bouchard et al. 1986). Thementalandphysicalfatigueoccurringduringmarathoneventuallydefinesthe velocity achieved during marathon running. To date numerous physiological and mental components limiting the performance during marathon have been identified. So far, three important physiological components are proposed to constrain a champion’s physiological capacity for ultimate endurance performance. These componentsinclude:theinvolvementofaerobicandanaerobicenergyproduction— as reflected by the runner’s peak oxygen uptake (V_O ), velocity at lactate 2peak threshold (v ), and running economy (RE) (Joyner and Coyle 2008). More than LT 70%oftheinter-individualvarianceinlong-distancerunninghasbeenattributedto _ VO , lactate threshold, and running economy (di Prampero et al. 1986) and 2peak together, can to a great extent, explain variation in marathon performance (Sjodin and Svedenhag 1985). Of course, other factors such as climate, nutrition, mental stamina, and moti- vation also significantly affect marathon performance (Fig. 1.1 for more details). Forthisreason,wehavededicatedseparatechapterstoeachoftheaforementioned aspects of marathon science. Itiswellknownthataerobicmetabolism dependshighlyonoxygenavailability of contracting muscle cells dictated by central (cardio-respiratory and hemody- namic) and peripheral (oxygen extraction) processes (Bassett and Howley 2000). _ AsubstantialbodyofevidencehasshowntheVO tobeoneofthemostsalient 2peak _ predictors of endurance performance since (i) VO determines the upper limit 2peak for endurance performance (i.e., a runner cannot sustain exercise above 100 % _ VO forprolongedbouts)(Bassett2002)and(ii)thereexistsastrongcorrelation 2peak _ between VO and performance during a long distance run (Costill 1970). 2peak However, significant variations in V_O have been observed among runners 2peak with a similar level of performance, indicating that other components play an important role in inter-individual performance variability. From a physiological standpoint,theoxygencostofrunning(expressedasoxygenuptakeatsubmaximal running), and lactate threshold are additional factors effecting marathon perfor- mance.Basically,V_O andlactatethresholddefinethedurationthataerobicand 2peak anaerobic processes can be maintained, while the runner’s economy regulates marathon velocity for a given amount of energy consumption. 1 PhysiologicalAspectsofMarathonRunning 3 Central governing processes Mental aspects Brain function Experience Cerebral oxygenation Self-optimizedpacing General factors limiting marathon performance Genetics AmbAiemnbt iteenmt ppeOra2ture Health Status Maratphroonfi lceourse Nut&rition Age Gender & humidity Training Status Hydration Biological factors limiting marathon performance Pulmonaryvascularresistance Muscle Mass Cardiac Output Peak Heart Rate Pulmonary Transit Time Lowerbodyflexibility Pulmonary Diffusion Peak Muscle Blood Flow Capillary Density Biomechanics Respiratorymusclework Motor Unit Recruitment & Peripheral O2Diffusion Properties Plasma Volume Muscle Damage Thermoregulation Blood Volume Hydration status Skeletalenzymeactivity Mitochondrial Density Cell Volume Aerobic & Anaerobic metabolism Fat & carbohydrate fueling [Hb] Gastrointestinal function Key physiological elements Marathon Pace maximum oxygen uptake Velocity at lactate threshold Running economy Fig.1.1 Physiologicalandmentalcomponentslimitingtheperformanceduringmarathon(please notethelistmaynotbeexhaustive) 1.2 Oxygen Uptake During Marathon Running A runner’s V_O is defined as the maximum amount of oxygen taken up and 2peak consumedbyalltissueduringexhaustiveexercise(BassettandHowley2000).The V_O consists primarily—although not exclusively—of the ability 2peak (i) to transport large amounts of blood (i.e. high cardiac output and total body hemoglobin), (ii) to distribute blood (i.e. by muscle blood flow) and (iii) to extract and utilize oxygen within the muscle cell. (BassettandHowley2000;JoynerandCoyle2008).Thebiologicaladaptationfrom long distance running allows an athlete to run a marathon at approximately 75– _ 85%ofVO (JoynerandCoyle2008;BassettandHowley2000).Incontrasta 2peak 5and10-kmrunwillbeperformedat90–100%V_O explainingwhymarathon 2peak _ runners,whencomparedtomiddle-distancerunners,possessalowerVO .Male 2peak _ world-classmarathonrunnersholdaVO of>80ml/min/kgandfemalerunners 2peak of >75 ml/min/kg. 4 B.Sperlich _ 1.3 Central Limitations to VO 2peak _ TheprimarylimitingfactorsofVO arerelatedtocardiacdimension,pulmonary 2peak diffusion and blood oxygen carrying capacity (Green et al. 1987, 1990). 1.3.1 Cardiac Dimensions Endurance exercise provokes morphological, regulatory, and functional adaptation of the runner’s heart (Pavlik et al. 2013). It is well known that endurance athletes’ hearts adapt to training with a reduction in their rate at rest (resting bradycardia) resultinginheartrates<50bpm(UnderwoodandSchwade1977).Suchareduction is due to enhanced parasympathetic and reduced sympathetic activity. The reduc- tioninrestingheartratefollowingendurancetrainingallowsathletes’toperformat a lower heart rate with equal running velocity compared to pre-training. Recreational endurance exercise produces a global cardiac enlargement, poten- tially increasing dimensions of all cardiac chambers but rarely produce left ven- tricular wall thickness greater than normal (Thompson2007).However,inathletes performingextremeendurancedisciplinessuchasultra-runners,cardiacdimensions —especially chamber size and wall thickness (left ventricle internal dimensions, intraventricular septum thickness, posterior wall thickness)—may be significantly enlarged beyond normal (Nagashima et al. 2003; Thompson 2007). Theinter-individualdifferenceinpeakstrokevolume(volumeofbloodexpelledby theheartperbeat)explainsmostofthevarianceinrunners’V_O .Itisnoteworthy, 2peak thatthepeakvaluesofheartratearelimitedanddeclinewithage,butstrokevolume increases substantially especially with high-intensity exercise (Helgerud et al. 2007). 1.3.2 Pulmonary Diffusion At sea level, pulmonary diffusion may limit performance, since in some cases, the ability of the pulmonary system to oxygenate blood may be insufficient (Dempsey et al. 1984; Powers et al. 1985). The runner’s large cardiac output, that is, the volume of blood being pumped over time, permits the transportation of greater amounts of blood volume per heartbeat. The large blood transport however, may notallowthelungstofullysaturate hemoglobinwithoxygensincethetransittime of the blood within the lungs may be too short. Thus, well-trained athletes with largecardiacdimensionsmayshowsignsof“exercise-inducedarterialhypoxemia” (Dempsey et al. 1984), especially when commencing heavy exercise. 1 PhysiologicalAspectsofMarathonRunning 5 1.3.3 Blood Oxygen Carrying Capacity At the commencement of (endurance) exercise, the vascular system reallocates blood flow(within andbetween muscles)tometabolicallyactive skeletalmuscles,to ensure optimalO -extraction.Increasedbloodallocationtothemusclesisprimarilyachieved 2 by elevated blood volume and red blood cells. Low-intensity endurance exercise has been shown to improve plasma volume (Green et al. 1987) and muscle blood flow (Coyle 1999) within a relatively short time period (after approximately 3 days of training (Green et al. 1987)), however a greater amount of exercise is necessary (ap- proximately3–5weekswith3–5sessions/week)tofurtherincreaseV_O (Hickson 2peak et al.1981) and capillary-andmitochondrial density (Hoppeler and Weibel2000). Reduced blood volume due to dehydration may compromise heat loss and improve thermal strain in marathon runners (Cheuvront and Haymes 2001). Remainingwellhydratedduringmarathon(especiallywhenperformingintheheat) is (i) essential for optimal temperature regulation and (ii) upholds blood pressure and cardiac output for proper oxygen transport. Altogether,theoxygendeliverytotheexercisingmusclesmaybelimitedbythe aforementioned central factors however, several peripheral factors may also mini- mize endurance performance. _ 1.4 Peripheral Limitations to VO 2peak Itiswelldocumentedthatmitochondriaenzymeactivityaswellascapillarydensity limit peripheral O -utilization. Furthermore, the increase of enzymes as well cap- 2 illaries improves peak oxygen uptake (Pringle et al. 2003; Kirkendall and Garrett 1998; Hoppeler and Weibel 2000; Tonkonogi et al. 2000; Bizeau et al. 1998) resulting in greater muscular oxygen extraction from the blood stream. Thetrained,incontrasttountrainedmuscle,hasthreetimesgreatercapillarydensity, threetofourtimesgreateractivityofaerobicenzymes,alargercontentofslowtwitch fibers(typeI)(Henriksson1992),andmoreefficienttypeI-(Linossieretal.1993)and II-muscle fibers (Billat 2001). All aforementioned adaptations ultimately allow improved mitochondria ATP-synthesis leading to postponed onset offatigue. 1.4.1 Muscle Adaptation and Lactate Threshold The training goal of a marathon runner is to increase the velocity that can be maintainedover42.195kmbyimproving(i)theefficiencyofbio-chemicalprocess to transfer chemical into mechanical energy, (ii) biomechanics of locomotion, (iii) the ability to resist fatigue. Inenduranceathletes,thevelocityatthelactatethreshold(v )iscloselylinked LT to performance (Midgley et al. 2007; Bassett and Howley 2000). As a result, the

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