April 27, 2023

Surprising training methods of the world’s fittest 75-yr-old

(Disclosure: I wrote the below-linked article.) In a recent lab test, Hans Smeets broke the unofficial world record for the highest vo2 max by a 75 year old. His score was roughly equivalent to that of a young man in his mid 20s. And Smeets isn’t just a lab rat. He has won dozens of world championships in his age group, excelling in particular in the 800 meters and 1500 meters.


How can an old guy be so fit? Smeets admits that probably 50% of his success comes from good genetics. The other 50%, according to exercise physiologist Bas van Hooren, is Smeets’s consistent training through the last several decades. Surprisingly, much of this training has been slow. Smeets says he often walks up several of the biggest hills on training routes near his home. 


“Speed training produces more damage,” notes Van Hooren. “By doing higher volumes of easy training, masters athletes might gain positive adaptations with less damage and need for recovery.”

More at Outside Online.


The 6 worst foods you can eat (and the 5 best)

A big new Harvard study delved into the likely causes of diabetes, a major global health concern of the present and future, particularly as more people gain access to more processed foods, sugar, and fats. I use the word “cause” loosely as these sorts of observational diet studies can’t actually prove cause and effect. That said, I don’t think many doubt the conclusions of this paper.


It gathered data from 184 countries and pinned increasing rates of diabetes squarely on “suboptimal diet.” In particular, certain “bad foods” (my usage, not from the paper) were a major problem. The six worst of these: refined rice and wheat, processed meats, unprocessed red meat, sugar sweetened beverages, potatoes, and fruit juice.


It’s particularly important to limit these foods because they contribute 60.8% to the diabetes burden.  And you can only reduce your diabetes risk by 39.2% by consuming “good foods” (my usage). The best of these: whole grains, yogurt, fruits, non-starchy vegetables, and nuts and seeds. 


More at CNN.com and free full text of the journal report at Nature.


What shoe company won the Boston Marathon?

Or could I have prevented my post-Boston soreness by racing in a different shoes? (I wore a pair of Saucony supershoes.) 


Everyone’s talking about the fact that the top 3 male finishers at Boston wore Adidas shoes, not Nikes. Meanwhile, the female winner wore shoes from “On,” a company that has enjoyed big market success due to the street appeal of its shoes, and has also sponsored a visible elite team. However, its earlier running shoes were a bit clunky. Apparently that has changed.


Now comes the question: Have other brands caught or even surpassed Nike, the leader since its stealth introduction of super shoes in 2016? Here’s a shoe count from Outside Online. It tallies who wore what among the top 25 male and female runners at Boston. The podium looked like this: Adidas--16; Nike--14; Asics--8.


A British newspaper story drew fascinating comments from England’s 42-year-old elite marathoner Chris Thompson, and runner-biomechanist Geoff Burns. Thompson said he’s hearing about runners logging 160+ miles a week in training, because the super-foams provide dramatic recovery-benefits. “There’s no shying away from it: super shoes have a huge impact on performance,” says Thompson, who pegs that impact at 4 minutes for an elite male marathoner.


Burns says the benefit is relatively more for slower runners. Why? Because the fast folks encounter greater wind resistance, which subtracts from any performance gain. Slower runners don’t face much wind resistance, so they don’t have to subtract anything from their shoe-enhanced boost. More at The Guardian.


Not for women only (but mostly)

More research is beginning to focus on women-only subject groups, as women may react differently than men to exercise and other stressors. For example, it’s fairly well established that women runners have twice (or more) the risk of bone stress injuries. What to do?


This study measured the effect of strength training on bone mineral density (BMD) of college-age female runners. When the runners added 16 weeks of strength training to their typical training program, they increased their total body BMD. This could lead to a decrease in bone injuries. More at The J of Sports Medicine & Physical Fitness (free full text).


Another paper looked at ways female runners change their stride, through an “internal focus” or an “external focus.” The goal was to lower impact forces of each stride when the foot hits the surface. Result: Participants were most successful at lowering impact forces when they employed an external focus, such as looking around at their surroundings. The researchers hypothesized that this approach worked better because it helped maintain a relaxed running form, which lowers impact forces. More at J of Sport Rehabilitation.


Speaking of forces, females apparently run with less pain and greater efficiency when they restrict breast movement. Researchers asked 13 recreational women runners (average age 37, average cup size “C”) to perform 3 separate treadmill running trials in a lab. The women ran with: 1) no bra; 2) a low-support bra; or 3) a high support bra.


Subjects ran most comfortably and efficiently with high-support, which increased their knee “stiffness” (usually associated with higher running economy) while decreasing their “knee joint excursions,” or bending. The authors stated that their paper emphasized “the importance of proper breast support in female runners.” More at Frontiers in Sports & Active Living (free full text).


How to get the most from interval training

Interval training is well-established as a valuable method for endurance runners. It may also be a bit dangerous, injury-wise, because you can get overly fatigued in a hard interval session. And that could be the trigger leading to injury.


So here the investigators performed a systematic review of studies to see if interval training (IT) might affect running-form biomechanics in a way that would increase injury risk. They found 9 papers where: “(1) participants were experienced runners, (2) the training sessions included IT, (3) the studies evaluated the acute effects of the IT training sessions (4) and the studies evaluated kinematics parameters as outcome measure.”


Result: The rest period (the “interval”) between fast repeats turned out to be a significant factor. Specifically, when doing fast repeats of 200 meters to 1000 meters, the runners need longer recovery periods (2 to 3 minutes) to prevent the kind of muscle fatigue and bad running form that could produce an injury. For longer, slower repeats greater than 1000 meters, recoveries can last just a minute or 2. 


Conclusion: “Coaches and athletes must consider the relative intensity and recovery periods of IT, and the type of IT, to prevent excessive fatigue which can negatively affect running kinematics.” This is true because “ IT sessions performed at high intensity lead to significant acute changes in running kinematics, whereas medium intensity IT did not cause acute kinematic changes.” More at Gait & Posture  (free full text).


Two great ways to boost running economy (with a slight edge to plyometrics)

We’d all like to improve our running economy for the same reason we’d like to get more miles/gallon from the car we drive: It makes life better, more efficient. Some past studies have shown that strength training and plyometric exercises can improve running economy, so in this new paper the authors pitted one against the other.


Thirty-one male recreational runners were divided into two groups. One spent 8 weeks doing its normal modest running, plus 40 to 80 minutes per week (in a gradually increasing amount) of dynamic strength training. The second group did the same, only with plyometric training. 


The dynamic strength exercises included hill running, squats, step jumps, and the like. The plyometrics included downhill running, drop jumps, hopping, and the like.


Result: Both groups improved their running economy about 2 percent on average, with a slight edge for the plyometrics. Surprisingly, the improvements occurred “with minimal to no changes in running biomechanics” such as stride frequency or contact time. 


In other words, plyometrics and dynamic strength exercises both improve running economy, but it’s hard to say exactly how they do this. The authors speculate that the mechanism is better “neuromuscular adaptation.” More at Sports Biomechanics (free full text).


Downhill running benefits keep adding up

My legs have mostly recovered from this year’s bashing in the Boston Marathon. But the post-Boston recovery process is never fun, so I’ve resolved to do more downhill training next year, guided in part by some new research. 


The first study reported the results of 10 downhill training sessions undertaken over a 4-week period with several days of rest between sessions. The workouts got longer (from 15 minutes to 30 minutes) and harder during the 4 weeks, but were maintained at “moderate and tolerable running speeds.”


After four weeks, the subjects exhibited “Rapid neuromuscular adaptations of the knee extensors” of a “magnitude typically seen after a period of very high-intensity eccentric resistance training.” However the short training period and/or modest running intensity were not enough to boost aerobic capacity.


The investigators nonetheless believe that downhill-run training can increase “physical performance in athletic populations by providing a safe and effective alternative method (to resistance training) for inducing strength gains.” Also, since downhill running produced positive neural adaptations without adding muscle mass (weight), it could be particularly helpful for distance runners. More at European J of Applied Physiology (free full text). Here’s an infographic summarizing the results.

Another paper examined changes in biomechanics that occur after a 30-minute downhill run. It increased contact time (duty factor) and decreased flight time, which aren’t optimal for efficient running. Also, subjects reported an increase in muscle pain and perceived exertion. However, when the same downhill run was repeated 3-weeks later, with no special training in between, these biomechanical changes were much less pronounced. Now the subjects were more efficient while also reporting less pain and effort. 

This improvement is called a “repeated bout effect.” The paper showed that just one session of downhill running produced positive outcomes 3 weeks later. You don’t have to do a lot of downhill training, because a little bit goes a long way. More at European J of Sport Science (free full text).

Here’s a magazine article from Runner’s Tribe with tips to improve your downhill running. It emphasizes a short stride and high stride frequency. Here’s more of the same from a Swiss-based mountain runner. Finally, here’s a great article from HIIT Science that explains both the cons and pros of downhill training.

What happens when you train on a treadmill that tilts side to side?

Imagine running on a treadmill that rolls side to side like a ship in a wavy sea. You probably wouldn’t enjoy that, but it’s close to what trail runners face in their favorite environments. Likewise, the treadmill utilized in this experiment could tilt 7 degrees to each side, and the tilt could change every 1 to 3 seconds.  


Researchers put 20 high fit runners on this treadmill to see how it affected their oxygen consumption and muscle activation from 8 lower limb muscles. I would have expected some big changes, but that’s not what was found. Apparently our bodies are well tuned for running across Earth’s many undulations. Of course, uphill slope and running speed do make a big difference. More at International J of Environmental Research & Public Health.


SHORT STUFF you don’t want to miss

>>> Get in the zone: How to find the right heart-rate training zones for different workouts.

>>> The eyes have it: Exercise produces molecular changes that “may confer protection against retinal degeneration.” (free full text).

>>> Good carbs, bad carbs: What’s wrong with carbohydrates? Nothing. If you choose the right ones.


GREAT QUOTES make great training partners

"You have to forget your last marathon before you try another. Your mind can't know what's coming."

--Frank Shorter


April 13, 2023

April 13

When the going gets tough, the tough recite mantras

I sometimes quip that no one can actually run 26 miles. It’s way more than the mind and body can handle. The only way to get there is to run 1 mile 26 times.


During those 26 “intervals,” different runners use a variety of tricks to help them stay in the game: mantras and mental tougheners. Here are 6 evidence-based ways to stay mentally tough, including “Reframe your pain” and “Smile like you mean it.” More at Substack/Ashley Mateo.


Mantras seem cheesy. Heck, let’s just say it: They are cheesy. But they can also be very effective. In a marathon, you could recite the Gettysburg Address for motivation. Or you could keep repeating something short and punchy like, “Yes, I can.” The latter will serve you better. More at RunStreet.


Results from a race between minimalist shoes vs traditional shoes

A group of Swiss researchers used 16 experienced runners to investigate the economy of minimalist shoes vs traditional cushioned shoes during a 45-minute treadmill run. All runners became less economical toward the end of their runs, as you would expect, because they were getting tired. 


However, there was essentially no difference between the two shoe types. Also, muscle activation around the ankles did not differ between the two shoes.


In minimalist shoes, the runners appeared to make better use of their legs’ natural elastic energy. But they also took more steps and performed more total mechanical work. These two effects canceled each other out.


Therefore, the decreased running economy after 45 minutes was not related to shoe differences “but likely due to physiological modifications with exercise duration.” More at Nature/Scientific Reports (free full text).


What you need to know about alcohol & sugar consumption

Two nutrition-health stories made headlines around the world recently. The first was the biggest ever study of alcohol consumption and mortality. The second looked at the health effects of added sugars. Here are brief summaries along with links to the original journal articles.


The alcohol report, a systematic review and meta analysis, looked at 107 papers that included 4.8 million subjects. It was trying to determine if low-to-moderate alcohol consumption had a protective effect on mortality risk, as so many of us have believed for so long. It found no such association. 


That doesn’t mean that low/moderate drinking will kill you. But it won’t help you live longer. And higher levels of alcohol consumption are definitely a bad thing. “There was a significantly increased risk of all-cause mortality among female drinkers who drank 25 or more grams [about two drinks] per day and among male drinkers who drank 45 or more grams per day.” More at JAMA Network Open (free full text).


The sugar research reviewed 8601 articles that investigated possible links between “dietary sugar consumption” and various health outcomes. It uncovered “significant harmful associations between dietary sugar consumption and 18 endocrine/metabolic outcomes,10 cardiovascular outcomes, seven cancer outcomes, and 10 other outcomes (neuropsychiatric, dental, hepatic, osteal, and allergic).” Whew! Pass the unsweetened salad dressing.


High sugar consumers (vs low consumers) had higher body weight, more belly fat, and more coronary heart disease. Conclusion: “High dietary sugar consumption is generally more harmful than beneficial for health, especially in cardiometabolic disease.” A good goal: Reduce daily sugar intake to below 6 teaspoons per day, and limit sugary drinks to less than one per week. More at British Medical Journal (free full text).


What to believe--and not--about “dry needling” for muscle strains

I had a modest groin strain two weeks ago--I actually DNF’d three easy runs in one 7-day stretch--so you better believe I clicked through quickly to this article on recovery from muscle strains. It presents a good assortment of reasonable advice, but doesn’t mention the trick that worked for me. I visited a local PT (and sub-3-hour marathon runner), and he more or less cured me with one session of “dry needling.”


So of course I checked the best, most recent research I could find on dry needling. A number of reports quote the “low quality” of dry needling studies. The most recent systematic review and meta analysis (2021) acknowledged the low quality issue, and concluded that “Dry needling performed by physical therapists was more effective than no treatment, sham DN, and other therapies for reducing pain.” More at Physical Therapy & Rehabilitation Journal (free full text).


How to stay “young” and fast as you get older

Jess Piasecki is not old by any standard, but she set her marathon PR last year (2:22:25) at age 32, so she’s getting older and faster at the same time. She’s also a PhD lecturer in exercise physiology at Nottingham Trent University in Great Britain with a particular interest in aging athletes.


Here she answers 6 questions about how masters athletes can maintain (and sometimes improve) their best performances. She seems particularly interested in two arenas. First, nutrition; then, new training solutions.


For example, Piasecki believes senior runners should “ingest greater amounts of protein in older age.” They should also “implement cross training modalities to support the volumes of training but also reduce the load.” Another smart idea: Using training cycles that are longer than the usual 7-day week. This allows you to fit in several key workouts while also taking enough time for recovery. 


Her observations are particularly powerful when it comes to maintaining health, fitness, and vitality with age. “Our research has continually demonstrated that masters athletes live with an improved health into older age,” she says. It’s not that exercise can prevent aging, but it does delay the inevitable decline. More at SportSmith.


Do you need protein with your post-workout carbs?

It seems to me that we’ve been batting this question around for a long time, but apparently it’s worth more investigation. Here, one study says: no difference. Another says: It’s best to get both to enhance immunity.


The first paper (randomized, controlled, crossed-over) investigated highly fit and competitive cyclists who completed a hard morning workout followed by a recovery drink that was carbs only or carbs + whey protein. Both contained the same number of calories. Five hours later, subjects completed a hard time trial.  


Result: Subject performance in the time trial was the same after both drinks, and no subjects showed any signs of “negative nitrogen balance” (ie, protein deficiency). More at Scandinavian J of Medicine & Science in Sports.


In a different but somewhat similar study, subjects used a carb-only or carb-protein drink during 10 weeks of hard training. This was a randomized, controlled trial, but one that looked into immunity markers, not performance. Conclusion: “Ingesting a post-workout protein–carbohydrate combined beverage promoted a more favourable immune status than carbohydrate-only ingestion by attenuating cellular inflammation over a 10 week training period in endurance male athletes.” More at European J of Applied Physiology.


The reality--and limitations--of foam rolling

Foam rolling is probably the warmup and recovery exercise of choice for many runners, Also, several studies have indicated it “showed more favorable effects compared to stretching on performance parameters,” at least in certain circumstances. 


However, a new meta analysis and systematic review that includes RCTs doesn’t support that outcome. It concluded that foam rolling “showed no significant changes in performance when FR training is applied for several weeks.” 


The paper also noted a possible Catch 22. “Although a decrease in muscle stiffness has the potential to decrease injury prevalence, such a decrease might also accompany a decrease in force production”--that is, your ability to train and race fast. More at International J of Environmental Research & Public Health.


A similar report reviewed foam rolling for its effect on “myofascial tissue stiffness and muscle strength.” After assessing 20 studies that investigated this question, the researchers found mixed evidence for foam rolling. It “increased knee extensor concentric torque, but it did not acutely change the myofascial tissue stiffness and isometric muscle strength.”


The quality of many studies was low. Conclusion: “Both qualitative and quantitative analyses showed no effects of FR on isometric muscle strength, eccentric torque [except at the knee], and rate of force development.” More at J of Strength & Conditioning Research.


Why the Boston Marathon should accept more senior runners

Several physician friends recently asked me to coauthor a short Opinion piece for a medical journal. Of course, I agreed. That said--Bob Johnstone and David Rutlen--did most of the research and writing. All three of us are active marathon runners over the age of 75.


Here we argue that America’s public and individual health would be improved if more physicians would encourage their “senior” patients to do more exercise--including more running. Older runners aren’t fast, but they have excellent endurance, particularly if they adopt an appropriate run-walk program. 


We believe that “Running may be the best endurance exercise,” in good part because it is so simple and accessible, requiring “fewer resources than swimming, cycling, skiing, gym machine workouts, or other common exercises.” It also takes less time to log a productive workout.


A couple of other good ideas: “Commercial insurers and Medicare should pay some road race entry fees,” and the Boston Marathon should adjust its qualifying times for runners over 65. This would add only modest numbers to the start field, since there are so few of us. 


But it would highlight what runners over 65 can still achieve, and inspire others to follow in their footsteps. After all, Clarence DeMar and “Old John” A. Kelley are two of Boston’s most fabled champions precisely because they ran the race so many times, so well, and at advanced ages.


By the way, have you heard of Joan Benoit Samuelson? She hit 65 last year. More at Medicine & Clinical Science (free full text).


SHORT STUFF you don’t want to miss

>>> Easy does it: How to run with lower back pain

>>> See it, believe it: 6 ways to visualize success in your running

>>> Good carbs vs bad: Know the difference to reduce heart and stroke risks


GREAT QUOTES make great training partners

“It’s not about the legs; it’s about the heart and the mind.”

--Eliud Kipchoge


That’s all for now. Thanks for reading. See you in two weeks. AMBY