January 12, 2023

 Time Restricted Eating leads to 8% faster times

Time Restricted Eating (TRE), and other intermittent fasting approaches, are a hot area in weight-loss research and book publishing. A few exercise studies have also looked into TRE’s effects on serious endurance performance. The most recent one produced an impressive positive outcome.


The subjects here were not runners, but cyclists of average age 52 who spent nearly an hour a day in the saddle during their normal training weeks--serious athletes. They performed a laboratory 10K time trial before and after 4 weeks on a TRE diet. After the diet, they covered the 10K almost 8 percent faster than before.


During the 4-week diet, cyclists were told to eat as much as they wanted of whatever foods they desired, with just one restriction. They had to limit their food intake to an 8-hour period, say 9am to 5pm. They self-reported eating as much as they did previously, only with the 8-hour limitation. They also continued training in their normal manner.


Results: They lost 5.3 lbs on average, all apparently from body fat, as their muscle mass did not decrease. Their blood pressure dropped significantly, and they burned more fat as fuel.


Of course, losing 5 pounds should improve endurance performance, as it did. Interestingly, since cyclists are supported by their bike’s frame and wheels, they are less affected by body- weight changes than runners. The study’s senior scientist said he would expect runners to improve more than the 8 percent recorded by the bicycle subjects.


Conclusion: “The benefits of 16:8 TRE seem to come from optimizing body composition without decreasing muscle. When combined with habitual endurance training, a 16:8 TRE protocol may enhance performance in middle-aged cyclists.” More at The J of Strength & Conditioning Research.

 

What running-shoe heel drop is best for you?

Slightly lost in all the discussion of minimalist and maximalist shoes is the role of “heel drop.” Heel drop is defined as the difference between the height of material under your heel and the same measure under your forefoot. For example, if your shoes are 30mm high under the heel and 20 mm high up front, they have a heel drop of 10 mm. You can think of this as an “inclined plane” under your feet, stretching from the toes to the heel.


The inclined plane can tip you forward a bit, or not at all if you have “zero drop” shoes. A shoe can also have a negative drop, tilting you backwards, but these are not popular among runners.


The amount of heel drop in your shoes can affect your running biomechanics and possibly your injuries. Quite a few running experts believe you should try higher-heel-drop shoes if you have Achilles and calf problems, and lower heel drops if you have knee issues. Here’s a succinct summary. More at Twitter/Doctors of Running.


Hard hill sprints can produce big performance gains

Okay, these guys were cross-country skiers, and not runners. But close enough. There are differences but also many similarities between distance running and XC skiing. As the authors of this paper noted: XC skiing requires a large aerobic energy contribution, with 70–95% of the total energy expenditure during competitions derived from aerobic energy sources. Sound familiar?


Subjects were highly trained national or international-level performers. The researchers wanted to figure out what particular type of training contributed most to their success. It turned out that hard hill training was a big factor. Conclusion: ‘These findings emphasize that high aerobic energy turnover to perform well in the uphill sections should be development-areas for improving skating time-trial performance in male skiers.” This sounds a lot like: Hard hill sprints can improve 10K run times. More at Int J of Environmental Research & Public Health.


Psych  yourself up for prime time success

We all know that we’ve got to be psyched up to perform our best on race day. You can’t just roll out of bed and … go! Another word for psyched up is “primed,” which is what researchers recently investigated with 90 athletes in their late 20s. About a third of them self identified as professional or semi professional.


In all, 89% used some kind of priming strategy, mostly alone but a few with a coach. Music was the top choice at 27% followed by instructional self talk (24%) and motivational self talk (23). Two thirds rated their main strategy as “very” or “extremely” effective. That is, they believed it had an important positive effect on race day. Priming strategies can get you ready for prime time. 


Conclusion: “Educating coaches and athletes on the implementation of priming techniques has its place when aiming to improve athletic performance.” More at J of Strength & Conditioning Research.


Don’t sweat a day or two of missed training

Everyone misses training days for one reason or another (injury, a wedding trip, a warm Island vacation, “the dog ate my training schedule”), and too many of us worry that these missed days will torpedo our training and racing goals. That’s possible, of course, if things drag on for week after week.


But most of the time it’s a needless worry. Here, two of my favorite running coaches, Jason Koop and Steve Magness, explain why you don’t need to freak out. In fact, many runners have found themselves stronger after a brief injury, because the enforced time-off was a recovery period they needed. More at Canadian Running.


How masters runners can slow down their “slow-down”

Here’s a sentence we can all agree with, from a recent paper: “Elite masters endurance athletes are considered models of optimal healthy aging.” The problem is, we still get older, and we still get slower year by year. Can anything be done about this?


Well, no. No one has yet figured out how to stop the aging process. But this “optimal healthy aging” paper notes that if you can maintain your training program through the decades, you can decrease your “slow-down” by about 50 percent. Not easy, I know, but every effort leads to some amount of reward. More at Int J of Environmental Research & Public Health (free full text).


The same topic gets a wide-ranging review at I Run Far with excellent advice from several top sources. Maintaining muscle mass through strength training gets several thumbs-up, but so does your attitude/mental outlook. Control what you can control, and don’t obsess about uncontrollable losses. Also: “Be here now.”


More for masters: Bump up the protein intake

An increase in protein intake might also help masters runners, according to a paper published last year. After looking at results from 58 experienced masters runners (average age, 58), the researchers concluded that “Protein intake is as important as carbohydrates during a marathon.” Also: “Higher protein intake is related to better marathon performance times.”


The authors believe this protein effect extends into the pre-marathon period as well. Conclusion: “Marathon-induced changes in body composition and metabolic blood indices are highly related to protein intake, either during the tapering period or during the race.” More at Nutrition.


Heating your muscles could also speed them up

Plunging into ice water, or maybe just a relaxed bath in the same, gets all the buzz these days, due in part to Internet sensation Wim Hof. And many runners use cold water immersion to speed recovery of their achy leg muscles. 


But there’s still a place for warm/hot water as well. This is particularly true if you like the sound of “water-circulating trousers perfused with warm water,” as described in the J of Applied Physiology.  


If that’s a bit much for your tastes, you might still want to try “passive heating” to tune up your muscles. Passive heating methods include a sauna or hot water, but a heating pad or other heat-transferring method might work as well. Results have generally shown that “An acute increase in muscle temperature by passive heating can increase the voluntary rate of force development.” Also: “Passive heating is an emerging and promising area of health treatment, and the effects of passive heating on muscle contractile function are an important subject for further research.” More at European J of Applied Physiology.


Intention to lose weight linked teen-runner injuries

Practitioners at a hospital based injury-prevention center decided to look back at conditions that might have caused running injuries among more than 130 teenage runners. Two factors stood out. Both had the same increased risk ratio of 4.58, and they were possibly related.The first, seen in many but not all injury studies, was female sex. The second, a newcomer to the injury-risk list, was “intention to lose weight to improve athletic performance.” Another important factor, with an odds ratio of 1.75, was “reduced weekday hours of sleep. 


Conclusion: “These intrinsic and extrinsic risk factors may represent targets for injury prevention for adolescent runners.” Without doubt, maintaining a healthy weight is crucial  to teen athletes’ health. Attempts to restrict diet for short-term success may also lead to injuries (particularly bone injuries) that could have negative long-term repercussions. Biology and social pressures make teen girls particularly susceptible. More at Journal of Sports Sciences.


[Also note the publication this week of Lauren Fleshman’s book, Good For A Girl. I’m 100 pages into Girl, and enjoying it greatly. Fleshman interweaves her personal running story with scientific reporting (and anecdotal dining-table scenes she witnessed) on the intense dietary pressures faced by teen and early-20s female runners.]


Finish line collapses look scary, but usually are not medical emergencies

Any time you’re watching the end of a big marathon, you’ll see a number of runners collapse just past the finish line. It’s a frightening thing, as the mind skips quickly to several worst-case scenarios. Is it a heart attack? Heat stroke? Hyponatremia? (The big marathon risks all start with “H.”)


Possibly yes, but probably no. These H conditions have been studied extensively, and they are very rare--much rarer than finish line collapse. Most finish line collapse is a result of what is now termed “exercise associated collapse.” EAC is considered “a benign condition”--not a threatening medical emergency. It results from a sudden drop in blood pressure when runners stop churning their legs after 26 miles, and also perhaps from some dehydration and other minor factors. Basically, the runner faints. 


What to do? “A simple treatment of oral fluids and assisted walking, where medical personnel walk collapsing runners in designated safe areas, reduces the incidents of medical interventions related to EAC.” Subjects may also be placed in a horizontal position to assist blood-pressure stabilization.


Marathon medical tents at the finish line have trained “triage” personnel to distinguish between low-risk collapses and those rare cases that require serious and significant medical attention. More at Stat Pearls Publishing. 


GREAT QUOTES make great training partners

“A bend in the road is not the end of the road… unless you fail to make the turn.”

– Helen Keller


SHORT STUFF you don’t want to miss

>>> Ketogenic diet might be good for healthy aging but not for top endurance performance

>>> Can you qualify for the 1003 club? (Lifting 1000 pounds in squat + deadlift + bench press, and running a sub-3:00 marathons.) 

>>> Thanks to great preventive medical, infectious disease at the Covid-delayed Tokyo Olympics was actually lower than at prior Olympics.


January 5, 2023

Cardiologist saves two lives in Monterey Bay Half Marathon with “Today Show” video

This has to be the best running story of 2022, and perhaps any other year. It’s the most inspirational, and also delivers one of the most important messages any runner can learn.


The inspiration: A doctor--a cardiologist no less, named Steven Lome--saved two lives at the Monterey Bay Half Marathon. In both cases, he came upon fallen runners who had stopped breathing, and he brought them back to life.


The message: Learn CPR, or review what you know. You don’t have to be an M.D. to save another runner’s life. And you don’t have to use mouth-to-mouth resuscitation, as the “hands only” guidelines no longer recommend it. You just have to know where to pump on a person’s chest, and how hard and fast to pump.


Here’s a short but intense video segment from The Today Show, which reunited the three participants for the first time since the half marathon. Lome finished in 2:30:32.


And here’s a top CPR video from the Boston Marathon, the American Red Cross, and the American Heart Association. It includes instruction from cardiologist Aaron Baggish, a many time Boston Marathon finisher himself and one of the world’s leading exercise cardiology experts. Please take four minutes to review this video. You never know when you might have a chance to use hands-free CPR. It could be during a race, or any day on any run. 


As Dr. Baggish says: “Each and every one of us has an opportunity and a responsibility to assist in the event of an emergency like a cardiac arrest. CPR is a life-saving action that can be performed by almost anyone, and recent studies have shown that bystander CPR, specifically by the person who first witnesses the cardiac arrest, is the most important determinant of whether a runner lives or dies.” More on You Tube.  

How to set smart goals and achieve “sustainable excellence”

I don’t want to pile on too much with “January Resolutions” material, because you’re probably already tired of it. That said, you’ll likely engage in some goal setting at some point this year, maybe 3 months before a big race. And no one does a better job providing evidence-based advice in that department than distance coach and all around performance expert Steve Magness. So you should consider his recent Twitter thread.


He points out that “process” and structure are key components. I also like several of the physicians he quotes, and the way they say that goal setting should include: “dosing, consideration of harmful side effects, and close supervision.” More at Twitter Steve Magness.


In a similar vein, Magness’s writing partner, Brad Stulberg, has put together a guide to reaching “sustainable excellence” in 2023. It’s a fantastic term, combining both personal aims and our connection to larger wholes like the environment. It’s a long list with 27 items, each worth your consideration. These two struck a chord with me: First, #10, “Become a master of showing up.” And, second, #21, “Take the work extremely seriously, but yourself not so much.”


Be sure to check out the full list. You’ll find others that resonate strongly. More at Twitter.com/BStulberg.

Alcohol causes inflammation, cancers, and has no heart benefits

No nagging here. And it’s easy to understand why many runners enjoy their beers and cocktails. We sweat a lot, we feel that we deserve a small reward for our regular aerobic outputs. This is just a reminder that some of your beliefs about healthful alcohol consumption might be mistaken.


Runner’s World has a long feature story in which the director of the National Institute on Alcohol Abuse and Alcoholism say, “The truth is, there’s no safe amount of alcohol, not even one drink a day.” More here.


Dr. Gabe Mirkin summarizes the research results, pointing out that earlier studies showing an alcohol = longer life connection were flawed by wrongly-selected control groups. In fact, “Alcohol causes inflammation and oxidative stress that damages cells and increases risk for disease.” More here.

Carbohydrates: We keep learning important new wrinkles 

It was more than 50 years ago that Scandinavian scientists and British marathon great Ron Hill popularized carbohydrate loading for improved endurance performance. You might think that 50 years is long enough to reach the finish-line in our understanding of carb loading. But, no, the opposite seems true. Driven by new tools and the growth of athletes attempting extreme events like Ironman and ultra-distance trail events, we keep learning more. 


In particular: More carb-consumption while running is better, but pay serious attention to your stomach-gut issues.


Here are two deep dives into new carbohydrate-loading approaches. Both come from commercial sources, but ones that are putting a lot of time and emphasis on scientific research. The first from First Endurance explains how Multiple Transportable Carbohydrates (carb mixtures that include fructose) increase the body’s ability to absorb and use more carbs quickly. 


Also, it takes only two weeks of “Gut Training” to improve your stomach’s tolerance for high-carb mixtures--up to 90 grams per hour, or about .6 grams/lb calibrated to your personal weight.


The second article explains why modern carb-loading protocols are much shorter than the week-long system used by runners in the 1970s. Now a couple of days is considered sufficient. Your body responds fast to what you consume, burning more fats or carbs according to recent intake.


One new research report found that the optimal marathon fueling might look like this: several days of carb loading, followed by a modest high-fat meal 4 hours before the race, followed by a carb gel on the start line. This approach seems to promote an optimal burning of both fats and carbs for top marathon performance. More at Supersapiens.

Should you wear super shoes in training?

First came the amazing performances that so many runners have recorded since the widespread adoption of super shoes (carbon fibers + lightweight, springy foams) in the last 5 years. Everyone could see the many fast times at various road-race finish lines.


Now comes the next question: Will super shoes also help you train farther and faster, perhaps with fewer injuries? This excellent article at Neo.Life digs into that debate. Most of the experts interviewed here seem dubious. Their outlook could be summarized as: “Running produces forces, and the forces have to go somewhere. They don’t just disappear in a shoe’s midsole.”


A few are also concerned about the tall stack height of super shoes. The height seems likely to increase instability problems--ankle sprains and the like. And still others note that training more and harder doesn’t seem a recipe to reduce injuries vs training more modestly


But a few are cautiously optimistic. And if you ask Maegan Krifchin how she ran 3 ever-faster marathons in a 4-week period last fall (culminating in a personal best of 2:29:21), she’ll point straight to her Adidas super shoes. “I definitely think they’re helpful,” Krifchin says. “One hundred percent. I think it allows us to bounce back from workouts and races and feel pretty fresh.” More at Outside Online.

Strides can build speed without injury risk

As the general trend in endurance training slides toward more miles of easy running vs too many miles of hard tempo runs and high intensity intervals, coaches and runners have to figure out how to incorporate some degree of speed work. After all, at almost any race distance, you need a certain amount of leg speed.


One possibility: More use of fast, short strides to keep you sharp. Such strides--say 20 seconds modestly fast, 40 seconds decelerating, and then the next stride acceleration-- will get you moving fast without having to hold the pace for too long. This should train the muscle fibers and oxygen delivery to the fibers without adding so much stress/force that you risk injury.


Strides aren’t sprints. Strides are smooth, fast, controlled running. Use the short rests as “a natural governor on pushing too hard,” as recommended by David Roche at Trail Runner.

Cold water immersion aids recovery, doesn’t hinder training adaptations

Post workout cold-water (ice) baths first gained notoriety about 20 years ago when Paula Radcliffe revealed that she was using them as a recovery system. This news spurred a big boost in the process, and we soon saw photos of Meb Keflezighi sitting in the freezing streams of Mammoth Lakes CA after his workouts.


Years later, an opposing position appeared. Some theorized that reducing inflammation with cold-water immersion could also reduce the natural training effect that occurs when muscle cells are damaged and must repair themselves. 


The recently published first meta-analysis and systematic review of cold water immersion (CWI) therapy found it “more effective than active recovery, contrast water therapy and warm-water immersion for most recovery outcomes.” It was significantly less effective, however, than “air cryotherapy,” which requires super-cooling in a chamber. 


Conclusion: “CWI is effective for promoting recovery from acute strenuous exercise in physically active populations compared with other common recovery methods.” More at Sports Medicine.


Two years ago, a similar research review, but more narrowly focused on the question of possible interference to exercise adaptations, also offered reassuring news for runners. CWI has “a deleterious effect on resistance training adaptations but does not appear to affect aerobic exercise performance.” More at Sports Medicine.

What are the big trends and best products for 2023?

With regard to new trends, I’m intrigued like Alex Hutchinson about how Artificial Intelligence will affect personal training. I’ve even asked ChatGPT for a 16-week marathon plan, but it cut out after 12 weeks--not very helpful. I think Michael Joyner made the most insightful comment when he observed that we’re tired of HIT training. “I think we are going to see people challenge themselves to be consistent without feeling like they need to go all-out. There will be more focus on low intensity: Just doing something and building physical activity into your day.” More at Outside Online.


Needless to say, we fitness fans will have a lot of new products to consider this year. My wife and I can’t stop talking about a mini home sauna, and I’m also intrigued by some of the vertical greens-growing devices I’ve seen. Here are 25 fitness product picks from Fortune.

Silly walks aren’t efficient walks, and that’s the point

It was inevitable that a study into “silly walks” as performed by the Monty Python comedy team would attract media attention. And it did. Here’s one example. 


I’m pretty sure the so-called “teabag walk” isn’t going to change anyone’s walking-for-exercise habit even though it increased calorie burn by 250%. The thing is, you could achieve more-or-less the same by walking backwards, or wearing a 50-lb vest, or marching about while pretending you’re in the North Korean Army. And no one’s doing any of those things.


As runners, we try to increase our efficiency--our running economy--by wasting as little energy as possible. Any extra, unnecessary movement increases our oxygen intake. When someone’s trying to lose weight, however, they might aim for the opposite, as inefficient movements burn more calories.


But this approach is almost always short-sighted. The only exercises we continue to do in life are those we find simple and pleasant--a stroll around the block, a run around a park. Monty Python can be both fun and instructive. But you won’t be doing silly walks for long. Original research paper here at the British Medical Journal (free full text).

Twin studies teach us new exercise truths

Studies of identical twins who are raised together but then lead separate adult lives often produce fascinating and impactful results. For example, they can help us understand the influence of epigenetic forces. The twins have the exact same genetic makeup, but they “evolve” in their own lifetimes due to their individual habits like exercise, diet, and so forth.


Here researchers investigated epigenetic differences between identical twins at age 50. They twins were divided according to who exercised 150 minutes per week, and who didn’t. Did the exercise make any difference in genetically-identical individuals? Yes. “An increase in physical activity is correlated with a decrease in metabolic measures such as BMI and waist circumference,” which are related to negative health outcomes. Walkable neighborhoods also made a difference. 


We are what we were born with. We also are what we choose to become. Choice and behavior can make a big difference. More at Nature (free full text).

SHORT STUFF you don’t want to miss

>>> Meta-analysis and systematic review of wearing a mask during exercise = higher perceived exertion, breathlessness, fatigue, and heat sensation “although the overall effect on exercise performance appeared to be small (free full text)

>>> Sometimes good, sometimes bad: In an RCT, Ibuprofen had some bad effects on the gut-intestines, but seemed “to suppress circulating markers of inflammation.”

>>> How many calories do you burn while strength training? About 6 per minute.

GREAT QUOTES make great training partners

“Always bear in mind that your own resolution to succeed is more important than any other.”

--Abraham Lincoln

That’s it for now. Thanks for reading. See you again next week. Amby