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Teenagers in the ultramarathon

Recommendations on Youth Participation in Ultra-Endurance Running Events: A Consensus Statement Participation in ultra-run events takes over all ages, including adolescent athletes. The 50 and 100 km routes are the most popular routes in adolescent athletes.Most youthful athletes are between 16 and 18 years old.However, some runners under 12 years have successfully completed ultra running events. Parents, athletes, coaches, race guides and physicians are often looking for advice on the safety of adolescent athletes participating in these events, especially with regard to possible short and long-term health.Ultra-run can affect important organ systems during growth and development. We propose a decision-making process based on the current knowledge and experience of the consensus group and with age rules, medical and psychological well-being, training status and racial factors (route length, height differences, remoteness of the event, temperatures, medical care, support by the organizer)until evidence for the long-term consequences of ultra-run in young athletes are available.

What happens at a 100 km march?

Physiological Changes, Activity, and Stress During a 100-km–24-h Walking-March Long-distance loads such as ultramarathons are known to solve various metabolic and physiological changes in the human body.About very long stress at low intensities in healthy people is little known. The purpose of this study was to examine changes in body composition and metabolism for events with long endurance and low intensity. 25 male and 18 female healthy recreational athletes (34.6 ± 8.8 years; BMI: 22.4 ± 2.0 kg / m2) of the 100 km Mammoth March were recruited for participation in the 2014-2016 events. In addition to the classic ultramarathons, the mammoth march is a hiking event, where the participants run, but did not race or jog.It was expected that the 100 km route is covered within 24 hours, resulting in a calculated average speed of 4.17 km / h, which corresponds to the observed average speed (4.12 ± 0.76 km / h). Since not all participants reached the finish line, the comparison of finishers and non-finishers enabled a different evaluation of performance.The body composition measured by bioelectric impedance analysis was determined before and after the march, and serum samples were taken from the march at 30, 70 and 100 km to determine NT-PRO-BNP, troponin T, C-reactive protein (CRP)),Cortisol, lipoprotein low density (LDL), lipoprotein high density (HDL), triglycerides, total cholesterol, total creatine kinase (CK), CK-MB, aminotransferase (branch), old and sodium to determine. Nineteen participants carried ancient bracelets (Sensewear®) to obtain information about body activity and training intensity \ [metabolic equivalent of the task (MET) ].Sixteen participants carried mobile heart rate meters to determine the average heart rate during the race. Changes in serum parameters Over the race, Anova was analyzed with mixed effects and additional T tests.All serum parameters were analyzed on correlation with respect to various MET mirrors, speed, age, BMI, NT-Pro-BNP baseline, medium heart rate during race and gender with linear regression analysis. We found significant elevations for muscle and heart stress markers (CRP, CK, CK-MB, AST, ALT, Cortisol and NT-PRO-BNP) and decreasing markers for lipid metabolism (cholesterol, triglycerides, LDL). Although the intensity level demanded by our participants was low compared to other studies on ultramarathons, the change of the tested parameters was similar to high-intensive loads, e.g.B. showed NT-PRO-BNP a four-times increase and a decrease in the LDL by 20%. In addition to the training period, age, BMI, training status and gender are relevant parameters that influence the increase in stress factors.In particular, our data indicates that NT-PRO-BNP could be a marker for cardiovascular fitness even in healthy adults. This low intensity march highlighted a strong systemic reaction and great cell stress and moved to a favorable lipid profile comparable to higher intensity loads.

The way to the Raam

From Sedentary and Physical Inactive Behaviours to an Ultra Cycling Race: A Mixed-Method Case Report In the faculties for health sciences, almost 30% of nursing students exercise less than once a week. This case report shows the 38-month development of the physiological and psychological health care parameters of a sitting and physically inactive nursing student. During this time, it initially took part in a one-month institutional physical activity program offered by its university before being selected with a Stauffeltam of the University of Participation in the Race Across America (RAAM).In the four months before the Raam, she completed a cycling training.After the Raam she was followed up for the next 28 months. The results showed that every phase of the study had an important influence on the subject and that sitting and physically inactive behaviors are reversible. Institutional programs, including training training In addition to simultaneous strength and endurance training, can lead to physiological and psychological improvements in health.For some people, participation in a sporting challenge can improve motivation and long-term compliance with physical activity. For future interventions to promote the participation in physical activity, an individual approach should be considered.

Pacing in hourly runs

Pacing in Time-Limited Ultramarathons from 6 to 24 Hours—The Aspects of Age, Sex and Performance Level Compared to marathon races, the pacing was only badly discussed in the literature for temporary ultramarathons in the literature. The aim of the present study was to analyze the interaction of performance level, age and gender with the pacing during 6-H, 12-H or 24-H temporary ultramarathons. The participants (n = 937, age 48.62 ± 11.80 years) were the finishers in 6 hours (n = 40, 17 women and 23 men), 12 hours (n = 232, 77 women and 155 men) and 24Hours (n = 665, 166 women and 409 men) ultramarathons. The variation coefficient (CV) calculated as SD / average was used to describe the pacing.Low CV values mean a more uniform pacing and vice versa. A two-way variance analysis examined the main effects and interactions of gender and duration at age, speed and pacing. On the longer race, more men participated as the shorter, and men were older and faster than women.In comparison of the 6-hour, 12-hour and 24-hour race, the finishers were the fastest in the 6-hour race the fastest, the finishers in the 12-hour race the elders and the finishers in the 24-hourRaces showed a wide variety of speed.In addition, the faster running speed was connected in the 12 hours and 24 hours with a less variable pacing.

Criteria for exceptional ultramathon performance

To Be a Champion of the 24-h Ultramarathon Race. If Not the Heart … Mosaic Theory? This comprehensive case analysis aimed to identify the characteristics that allow a runner to reach the championship at 24-hour ultramarathone races. A 36-year-old, multiple medal winner of the World Cup in the 24-hour run was analyzed before, one and 10 days after a 24-hour run. The results of its extensive laboratory and cardiological diagnostics with transthoracic echocardiography and a unique cardopulmonary stress test were analyzed. After 12 hours run (about 130 km), the athlete had increasing pain in the right knee.Its clinical basic data lay in the standard area.The high physical performance in a cardiopulmonal stress test (Vo2max 63 ml / kg / min) was similar to the average of other ultramarathon runners, which achieved significantly worse results. Therefore, we also conducted genetic tests and evaluated his psychological profile, its body composition and markers for physical and psychic stress (serotonin, cortisol, adrenaline, prolactin, testosterone and luteinizing hormone).The athlete had a MTDNA haplogroup H (HV0A1 subgroup, which belongs to the HV cluster), which is characteristic of athletes with the highest endurance. Psychological studies have shown a high and very high intensity of the properties of individual scales of the tools used: mental load capacity (62-100% depending on the scale), openness for experiences (10 sten), coherence (10 sten), positive perfectionism (100)%) And general hope for success (10 sten).The athlete itself considers the commitment and mental support of his team as a significant factor for his success. The assessment of the body composition (13.9% fat) and the degree of stress markers were inconspicuous. The tested athlete showed a series of characteristics of the masters of ultramarathon runs, such as congenital investments, mental characteristics, training levels and pain resistance.However, none of these functions are reserved exclusively “Champions”.The participation of team support is not to be underestimated. The factors that guarantee the success of this elite 24-hour ultramarathon runner go far beyond physiological and psychological explanations.

Vitamin D and stress fractures in sports

Vitamin D and Stress Fractures in Sport: Preventive and Therapeutic Measures—A Narrative Review There are numerous risk factors for stress fractures identified in the literature.Among various risk factors, a longer lack of vitamin D can lead to stress fractures for athletes because a vitamin D insufficiency is associated with an increased incidence of a fracture.A vitamin D value of <75.8 NMOL / L is a risk factor for stress fractures.However, a vitamin D deficiency is only one of several potential risk factors. Well documented risk factors for a stress fracture are female gender, white ethnic affiliation, higher age, larger stature, lower aerobic fitness, previous physical inactivity, larger quantities of current physical training, thinner bones, vitamin D deficiency, iron deficiency, menstrual disorders and inadequate intake ofVitamin D and / or calcium.Stress fractures are not uncommon for athletes and affect around 20% of all competitors. Most athletes with a stress fracture are under 25 years old.Stress fractures can affect every athlete, from the weekend athletes to the top athlete. Stress fractures are common in certain sports such as basketball, baseball, athletics, rowing, football, aerobics and classic ballet. The lower extremity is increasingly affected by stress fractures at the points of the tibia, the metatarsalia and the pelvis. In terms of prevention and therapy, vitamin D seems to play an important role.Athletes should receive an analysis of the vitamin D-dependent calcium homoostase based on laboratory tests of vitamin D, calcium, creatinine and minor turtle hormone. In a lack of vitamin D D, normal blood levels of ≥30 ng / ml can be restored by optimizing the lifestyle of the athlete and optionally by oral substitution of vitamin D.

Are there special nutritional forms for endurance athletes?

Efficacy of Popular Diets Applied by Endurance Athletes on Sports Performance: Beneficial or Detrimental? A Narrative Review Endurance athletes require a regular and detailed nutrition program to provide their energy stores before training resp.Filling races to provide nutritional support that allows you to respond to hard conditions during training.To bear race, and around after training resp.Race to ensure effective recovery. Since stress-related gastrointestinal symptoms can significantly affect performance, they also have to develop strategies to tackle these problems. All these factors force endurance athletes to constantly seek to seek a better nutritional strategy.Therefore, several new nutritional approaches in endurance athletes have gained interest in the last few decades. This overview offers a current perspective for five common nutritional approaches: Vegetarian diet, low diet, intermittent fastened diet, gluten-free diet and low fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diets. We have reviewed scientific studies published from 1983 to January 2021 and examining the impact of these popular diets on endurance performance and health aspects of endurance athletes.

Pain during a marathon

Pain during a marathon run: Prevalence and correlates in a cross-sectional study of 1251 runners The aim of this study was to obtain basic knowledge of pain during a marathon. In the first seven months of 2007, announcements on websites used for marathon runners were used to recruit participants. A total of 1'251 runners (550 female runners) have an online survey with 41 questions about the location and the intensity of their primary pain during their last marathon and potentially related variables such as perception of effort during the marathon, number of earlier marathons, typical pain intensityDuring the training runs, percentage of training days with running pain, as well as pain with the highest intensity ever occurred. The pain site was selected from a list of 27 specified body stations covering the entire body.Kilometers in which the pain occurred for the first time, indexed pain threshold.The pain intensity on the primary pain location was measured with a standardized, well-validated 0-10-pain intensity scale.Pearson correlations and multiple regression quantified the associations between average pain intensity and other variables. Sex-specific pain differences were tested with independent T tests.Expense ratings (6-20) were added as covariates in an ANCOVA to test whether the perceived effort explains possible gender-specific differences in pain. Based on the available research results, the hypothesis was set up that most runners would report pain with moderate intensity, pain would be associated with both training intensity during the marathon as well as pain during training, and after adjustment for the expected gender-specific differences in thePerceived effort would do women all except for two runners (99.8%) reported pain during a marathon and most commonly at the points of the front / middle thigh (17.1%), the Achilles tendon (10%) and the calf(9.3%). The pain threshold occurred at 25.3 ± 9.8 km (15.7 ± 6.1 miles) and the total interest tensity of the run was 5.26 ± 2.45.No sexual pain differences were found. The general pain intensity during a marathon was significantly combined with the pain intensity during the training runs, the percentage of training days with running pain, the pain with the highest intensity ever occurred, the number of previous marathons and intensity of effort.Most runners have during a marathon moderate to very strong pain.

The heart of an ultra skater

Heart of the World’s Top Ultramarathon Runner—Not Necessarily Much Different from Normal The effects of ultramarathon runs on the organs of competitors, in particular elite individuals, are barely known. We have tested a 36-year-old ultramarathon runner, 1-2 days thereafter and 10-11 days after winning a 24-hour ultramarathon as part of the Polish Championship (258.228 km). During each test session, we conducted an electrocardiogram, transstthoracic echocardiography, cardiac magnetic resonance imaging, a cardiac 31p magnetic resonance spectroscopy (31P MRS) and blood tests. Initially, increased cholesterol and LDL-C levels (low density lipoprotein cholesterol) were identified.On the day after the ultramarathon, increased mirrors were observed on white blood cells, neutrophils, fibrinogen, alaninaminotransferase, aspartatamino transferase, creatine kinase, C-reactive protein and N-terminal type B na-tirical propeptide.In addition, acceptances of hemoglobin, hematocrit, cholesterol, LDL-C and hyponatremia were observed. On day 10, all measurements returned to normal values, and cholesterol and LDL-C returned to their abnormal basic values.Electrocardiogram, transthoracic echocardiography, cardiac magnetic resonance imaging and 31P MRS remained in the standard area and showed a physiological adaptation to the training. The temporary changes in laboratory test results were typical of the extreme efforts of the athlete and mirrored most likely temporary but massive damage to skeletal muscles, liver cell damage, activation of inflammatory processes, impact on the coagulation system, stress-related hyponatemia and cytoprotective or growth regulatory effects.