February 15, 2024

Every Day, Every Year Strength Training Becomes More Important

With every year that passes, strength training becomes more important to your overall fitness program. That’s the conclusion from two recent studies, which confirm many others.


The first doesn’t say anything about improving your 5K or marathon times. But it contains an important message nonetheless. “It is evident that aged muscle displays delayed, prolonged, and inefficient recovery. These changes can be attributed to anabolic resistance, the stiffening of the extracellular matrix, mitochondrial dysfunction, and unresolved inflammation as well as alterations in satellite cell function.”


In other words, with advancing years, you need to double down on strength training. It contributes to “fostering healthy aging”--the essential first step to better performance. 


The authors recommend that your program should consist of “both concentric and eccentric contractions.” Also: While you work hard at your strength training, you also need to allow sufficient recovery between sessions, especially as you age beyond 65. More at Cells with free full text.


A separate paper looked into differences in strength and biomechanics among female runners. It compared runners in their 20s with those in their 60s. This was important because “the relationship between age and running biomechanics specifically in female runners had not been well-studied prior to this research.”


The good news: While older runners are slower than younger ones, “there are no significant relationships between age and variables of running biomechanics.” That is, the older runners are able to maintain good running form. 


However, the ladies don’t have a get-out-of-jail-free card. They do lose strength with age, and need specific exercise regimens to slow the loss. Particularly useful: isometric knee extension and hip abduction.


Conclusion: “Female runners should consider strength training, particularly the muscles of hip abduction and knee extension, to help mitigate age-related declines in muscle strength and physical function. In addition, plantarflexion and hip-extension strengthening may contribute to preserving running pace into middle- and older-age.” More at Old Dominion University with free full text.


Here’s Injury Prevention Advice That’s Smart, Simple, And Successful

You want to avoid injuries? Of course you do. We all do.


A new research paper offers a nice, simple prescription: Follow a training plan.


Almost any old plan. Because a high percentage of training plans, even those offered free from little-known websites and those cobbled together by Large Language Models (also known as Artificial Intelligence) are likely to follow certain important principles. These include gradual progression in weekly distance, hard/easy days, and a relative paucity of hard days (only 1 or 2 per week).


A recent study of 143 runners found that those “following a running schedule” had a 76% lower injury risk than those not using a schedule.


In agreement with virtually all other running injury studies, any prior injury increased likelihood of a future injury. Increased weekly running distance had a relatively small association with injury. The same was true of “obsessive passion,” which increased injuries by 11%, and “perfectionistic concerns” (+22%.) Supinated and pronated foot type increased injury risk from 3.5 to 4.5 vs normal foot type. 


Conclusion: “Following a running schedule was a protective factor.” More at Sports Health.


An Easy And Surprising New Twist On Running “Doubles” For Increased Fitness

Every now and then you hear about someone’s training innovation, and think: “Doh, why didn’t I come up with that? It’s so simple.” This is one of those times.


Top runners, both elites and others who are methodically dedicated to getting better, sometimes run “doubles”--or twice-a-day workouts. For elites this is a regular practice. Others might try it several times a week.


Doubles have all kinds of hypothetical advantages, from the simple more-runs and more-miles, to the currently popular “double threshold” days of the so-called Norwegian System. But they also have an obvious drawback: In all likelihood, you have to get out of bed early for the day’s first effort.


But getting up early forces you to cut back on sleep time. And we all know that adequate sleep has soared very close to the top of “must do” training principles. Damn, it looks like there’s a Catch 22 to running “doubles.” As the authors of a new paper observe: “Chronic sleep loss over a season could result in impaired performance, as well as an increased risk of physical and mental illness.”


But then they come up with a smart alternative: Don’t get up so early. Don’t do your first workout at daybreak. Sleep as much as necessary before beginning your training for the day. This kind of strategy “shifting” could result in “dramatic benefits for some athletes.” More at Frontiers in Physiology with free full text.


Who Won the Shoe Race” At The U.S. Olympic Marathon Trials

It’s not often noted but super shoes first appeared at the 2016 U.S. Olympic Marathon Trials in Los Angeles. Galen Rupp and Amy Cragg won the two races, both in Nike’s first super shoe, the Vaporfly.


In fact, before 2016, we didn’t use the term “super shoes.” They emerged from a dark hole.


Since then, shoe companies have often focused on the Marathon Trials to introduce their newest and presumably best shoes. In 2016, it seemed that Nike athletes had a clear advantage in the shoe department. Is that still true?


To judge from the 2024 results in Orlando, the answer is No. While Nike claimed two of the three Olympic spots on the men’s team, Puma snared two of three in the women’s race. Runners in Asics shoes also performed well, followed by Brooks and Adidas athletes.


As expected, the playing field seems to be getting more level in the super-shoe competition. An intriguing side note: Puma scored well almost exclusively with female runners. (So see the next item about how sex may affect shoe performance.) More at Run Outside.


Do Women Gain More From Super Shoes Than Men? (Yes!)

Researchers have been digging through data for several years now to determine if (and how much) super shoes improve running performance. They’ve looked in the lab, primarily at running economy. They’ve looked on the track, noting the fastest times. And they have looked on the roads.


Since Big Data always wants to be bigger, a new group has now analyzed the top 100 performances in every Olympic running event from the 100 meters to the marathon. They established 2016 (roads) and 2019 (track) as the starting points for widespread super shoe use. (The shoes are often called “Advanced Footwear Technology” in scientific papers.)


Result: The improvements were lowest in the sprints (under 1%), medium in the middle distances (just over 1%), and greatest from 5000 meters through the marathon (around 2% on average.) In all events females gained more than men. For example, at the longer distances, females gained up to 3.5% vs a top gain of 1.4% for men.


This could help explain the dramatic drop in the female marathon world-record--down to Tigist Assefa’s 2:11:53 in Berlin last September. But it also begs an explanation: What’s going on here?


The researchers could not explain the sex difference. They offered only that “women’s specific anthropometrics and biomechanics appear to benefit more from current AFT designs.” More at Sports Medicine - Open with free full text.


Add Cranberries To The Dark Red Foods That Might Boost Performance

I’m not surprised that the first study to measure the effects of cranberries on running performance produced a positive result. After all, other dark/bright red foods like beets and tart cherries have often been found to do the same. All are rich in antioxidants, polyphenols, and flavonols--plant substances thought to have many health-enhancing benefits.


Cranberries rank near the top for these substances. Furthermore, according to this new paper: “Their polyphenol content stands out because of the high concentration in rare A-type PAC, which is believed to be the main contributor to their beneficial effects.” Okay, enough of the fruity nutritional jargon.


To test the impact of cranberries on endurance, researchers asked a group of veteran, well-trained runners to consume a cranberry drink for 28 days. Before and after this period, the runners completed time-trials at 1500 meters and 400 meters.


They improved by 14 seconds on average in the 1500, dropping from 5:21 to 5:07. There was no change in 400-meter times, although the cranberry drink “buffered the post-exercise lactate response.”


Conclusion: “The faster time to completion of the 1500-m time trial was associated with a 1.5% increase in speed, which is important for competitive runners.”


The study was not funded by a cranberry company, although the researchers received a free supply of a freeze-dried cranberry mix. Also, the time-trials could not be “blinded,” as the drink had a distinctive taste. More at More at Physical Activity and Nutrition with free full text.


Tired Of Black Toenails? Here’s A Solution

Have you ever had a dreadful case of “subungual hematoma?” Yeah, I had to look it up, too. It means, loosely, “black toenail.” Usually caused by a blood blister under the nail.


Yes, I’ve plenty, especially after the Boston Marathon. And I’ve seen them on many other runners’ feet. Not a pretty sight.


Here’s what happens: You’re running. Your front foot hits the ground. Your shoe stops moving on the ground because of the friction between a good outsole and the surface below. However, your foot keeps slipping forward inside that stationary shoe. In fact, your toes may smash into the front of the shoe, particularly on steep downhill stretches. 


Bam-bam-bam, you’ve got a subungual hematoma. To learn more about these ugly little beasties, a research team recently investigated the causes of black toenails. They measured various runner foot conditions before and after 10K of running.


Result: Ball-of-foot width and arch height both decreased substantially, while foot temperature increased. These changes “would exacerbate foot-shoe interaction, potentially responsible for bruised toenail injuries.” 


What can you do to avoid problems? The researchers offer some advice. But it’s more likely to land you a foot-modeling job than a new personal best. “Runners are advised to consider adjusting their footwear, particularly around the 10 km mark. This may involve changing to athletic socks that keep the foot dry and cool, ensuring the lacing is tight enough to prevent forward sliding without restricting circulation, and selecting a shoe with a high and long anterior toe box to allow unrestricted toe movement and minor forward slippage.” More at Nature.


How Much Would You Run For Free Burritos? Or A $100 Running Certificate?

I try to keep 95% of the items in this newsletter focused on scientific studies and authoritative articles from the best sources. That’s what most interests me, and it’s what draws subscribers to RLRH.


That said, it’s impossible to skip important news like Kelvin Kiptum’s death, below. Also, you gotta have a little fun every once in a while.


That’s why I’m including two short summaries of unusual (and very smart) marketing efforts by running-related companies. First, Strava recently announced that it would be awarding free Chipotle burritos to the runners who complete Strava “segments” (each about 300 meters long) during the month of January. In Washington, D.C., the very persistent winner covered the local segment 1345 times. “It was quite a time out there in the rain, sun, snow, and icicles at all hours of the day and night,” he said. More at Marathon Handbook.


Also, the running apparel and shoe company, Tracksmith, is awarding a $100 credit to any runner (not a newbie) who sets a personal record (including an age-group PR) in a standard track or running event before April 30th of this year. I wonder what they’ll give to my friend, 75-yr-old Jeannie Rice, who has already broken her age-group world record for the half marathon in 2024?


I can’t wait for TrackSmith to announce the overall results of this giveaway later in the year. Here’s a great chance for all your amateur runners to turn professional. Just run faster than you ever have before. More at Tracksmith.


Kelvin Kiptum, Marathon World Record Holder, Dies In Kenyan Car Accident

There’s little I can add to the tragic news of Kelvin Kiptum’s death in a car accident in Kenya. Just 24, Kiptum ran his first three marathons in the last year, winning all in sensational fashion. In October, in the Chicago Marathon, he lowered the marathon world record to 2:00:35, including a 59:47 for the second 13.1 miles.


I can’t help but note the following: I have been driven over the roads near where Kiptum died. I was cowering in the back seat. “Reckless” does not begin to describe the driving I witnessed. I don’t understand the psychology behind what I experienced that day, but I will never forget the abject terror. Serious road accidents happen far too often in Kenya.


Others have noted that running prodigies Steve Prefontaine and Samuel Wanjiru also died at 24. To be young, gifted, and fast is not enough to guarantee a long life.


Kiptum’s passing is a huge loss to his family and friends, his country, and the world marathon community. We will always wonder what he might have achieved in the Paris Olympic Marathon and in other record-chasing attempts. More at Marathon Handbook.


SHORT STUFF You Don’t Want To Miss

>>> Unexpected sex-drug benefit: Male performance-enhancers linked to lower rates of Alzheimer’s disease


>>> “High”ly unlikely: CBD oil fails test for recovery and reduction of muscle soreness


>>> Longevity of retired football stars: It’s better than expected. 90 percent of retired NFL players are overweight or obese, but they have “more favorable metabolic profiles and decreased mortality compared to community controls.”


GREAT QUOTES Make Great Training Partners

“A runner must run with dreams in his/(her) heart.”

--Emil Zatopek


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


February 8, 2024

 Eat Early To Avoid Early Stroke And Heart Disease

Studies on meal timing or “periodized nutrition” have produced varied results on a variety of important body metrics like glucose, insulin, and even endurance performance. Sometimes it’s instructive to look beyond these to hard-stop events like strokes and heart attacks.


That’s what Dr. Gabe Mirkin does here, summarizing several large, impressive studies that, in sum, seem to conclude: Eat breakfast fairly early in the day, and definitely eat dinner early in the evening--well before bedtime. 


One big review (with free full text)  recently followed 103,000 subjects for more than 7 years. “The researchers found that each hour of delaying dinner after 5 PM was associated with a 7 percent increased risk for a stroke, and that eating dinner after 9 PM was associated with a 28 percent increased risk for a heart attack, compared to eating before 8 PM.” They also found that eating breakfast after 8 am “was associated with increased risk for both heart attacks and strokes.” 


Mirkin cites other papers that have reached similar conclusions, and explains why late dinners can be harmful to your health. To put it simply: You need to move after you eat, and you probably aren’t moving much after a 9 pm dinner.


Based on these papers, the following seems a good approach: Eat dinner early, then take a 12 hour break until you break your fast relatively early the next morning. More at DrMirkin.com.


7 Ways To Run More And Better In 2024

Some things are complicated, some aren’t. Brain surgery belongs in the first category. Running falls into the second. This is a 10 second “read” from a running physiotherapist. It might be slight, but it carries a big potential impact.


You can’t do any better than Scott Carlin’s first piece of advice: “Start with identity. You’re a runner.” This means: Even if you just run 8 miles a week, you take your running seriously, along with all the other health-fitness habits that you know should be part of your overall lifestyle ( good nutrition, occasional strength training, etc).


I also found another of his tips quite powerful: “Sign up for a race.” This underlines the fact that you’re a serious runner, and, as Jeff Galloway has often noted, it will “scare” you a bit. It will scare you in a good way, putting more motivation in your training program as you see that race date edge closer on your calendar. Since motivation is job one, races help you get the job done. More at X/ScottCarlin.


Secrets Of The “Super Masters” Runners

Richard Lovett coaches the highly-successful “Red Lizards” female masters running team from Portland OR. The Lizzies, both individuals and particularly the team, are frequent winners at national cross-country competitions.


Lovett also writes authoritative running articles and books and--here’s where things get interesting--contributes to astronomy publications. He combines both in this terrific article at Cosmos, not your normal source for running insights. It’s about “secrets of the supermasters” runners.


One of them: “Choose your parents well.” Okay, not much we can do about that.


But Bas Van Hooren, a Dutch elite runner and researcher into many key running-related questions, has lots more practical advice for midlife-and-beyond runners. It seems that keeping much of your training in the slow-easy range is helpful. Easy running is less likely to produce injuries, which Van Hooren believes a major obstacle for older runners. “You need to make sure you’re not getting injured too much, because you will lose muscle mass and decrease performance,” he told Lovett.


Also, don’t worry if you weren’t a star track or cross-country runner in high school. Many top age-group runners discovered their talent later in life. No one’s quite sure why this should be, but it seems a consistent finding. Better late than never. More at Cosmos.


Yes, You Can “Spot Reduce” Your Belly Fat

I feel like I was probably 12 years old when I first heard that “spot reducing” is not possible. In other words, it was a long time ago. Sure, you might be lucky enough to lose a few pounds/body fat on an exercise and diet plan, but you can’t control where those pounds will come from. Might be your belly, might be your thighs, might be your arms. 


This was positioned as an ironclad human biological law. But a new published report based on a randomized controlled trial has cast doubt on the old truism.


The study was designed to test for spot reduction of the trunk (including the stomach). It used a sophisticated technique (dual-energy x-ray absorptiometry, DEXA) to look for any changes in trunk fat mass from pre-experiment to post-experiment.


Researchers gave exercise programs to two matched groups of subjects. Both routines burned the same number of total calories. One involved just treadmill running. The other combined treadmill running with maximal effort torso rotations and abdominal crunches. 


Results: Total weight loss and body fat loss were the same for both groups. However, the group doing rotations and crunches lost “trunk fat mass” while the all-treadmill group did not. 


Conclusion: “Abdominal endurance exercise utilized more local fat than treadmill running, indicating that spot reduction exists in adult males.” So, if you’re looking to shrink some belly fat like about 98% of the western world, keep running but also add some hard ab work to your program. More at Physiological Reports.


Yoga Breathing Boosts Running Efficiency

Yoga is a popular alternative activity among runners, particularly females. Many find that it helps reduce stress, and may also build strength and flexibility. 


A new study asked a different question about yoga for runners: Can “yoga breathing techniques” improve running efficiency?


Experienced runners (both male and female) of “various fitness” were assigned to 3 weeks of instruction in 3 types of yoga breathing technique: “Dirgha (breath awareness)), Kapalbhati, and Bhastrika (high frequency yoga breathing).” A control group received no instruction of any kind.


Before and after the instruction period, both groups ran on a laboratory treadmill at a “prescribed relative perceived exertion (RPE).” Okay, this is not exactly the most vigorous test of running economy I’ve ever seen. It’s not the way serious running physiologists go about it.


Nonetheless, after the yoga breathing instruction, those runners ran at a significantly faster pace while maintaining the prior RPE. The control group did not change pace.


Conclusion: “Yogic breathing technique positively influences running velocity regulation during self-selected running.” More at International J of Exercise Science with free full text.


New Studies Reveal Slow-But-Sure Progress On Running Injuries

Exercise journals are full of articles on running injuries, because it’s such an important topic. After all, we need to get more people moving and running to overcome the obesity-inactivity crisis. But how are we going to keep them going if they’ll soon be waylaid by knee, Achilles, and other leg woes?


It’s not much fun to write about this stuff, because there are few positive reports to cover. I’ve read hundreds of reviews, and most conclude: “We don’t know enough about preventing injuries to give you an evidence-based strategy.””


You begin to feel a bit fatalistic about it all, thinking:  “Okay, I’m a runner, I’m going to get injured. Just suck it up and deal as best you can.” In fact, this is what a lot of us do. We’re pretty hard core. We also realize that most running injuries are soft-tissue issues that tend to clear up in their own sweet time.


Here at RLRH we try to find positive (but realistic) outcomes, because we want to stay optimistic about our running. I’ve come across a few recently. Here’s a short  summary.


When a top team did a new, updated meta analysis and systematic review of running injuries, they reached the usual conclusion: “Interventions do not appear to reduce the risk and rate of running-related injuries.” However, there was a glimmer of daylight in their analysis.. 


They termed  it “an interesting finding.” For sure! There was “a significant positive effect on injury risk” if you followed suggested exercises “with an element of supervision.” In other words, with a physical therapist or someone making sure you did the recovery work, and did it correctly.


This suggests that injury prevention/recovery therapy is a lot like your training program. Consistency counts more than anything else. More at Sports Medicine with free full text.


The increasing use of digital, wearable technology is one of the big hopes in the injury-prevention world. A new paper found that a wristwatch with inertial measurement unit (to measure forces) and global positioning system (to measure speed) was used effectively by 86 runners over a 12-week period. The measured data was combined to create “acute load by effort,” which correlated with subsequent injury. 


This means that future trials might lower injury risk by noting the acute load of your  training before you pass  the breaking point. More at BMJ Open Sport & Exercise Medicine. 


Similarly, a RCT experiment with 160 Dutch runners examined the utility of digital inner soles capable of measuring impact forces. When runners received “real time” feedback regarding  3 run-related variables--speed, cadence, and footstrike--that had crept outside “target zones” for each subject, they were able to reduce injuries by 47%. Post-run feedback was not effective; it had to be “real time.” More at The American J of Sports Medicine with free full text.


A Brazilian team has been building evidence for those pesky “foot core” or “intrinsic foot muscle” exercises as injury prevention. I say pesky because I fail miserably at the damn things, but I’m going to have to go back and give it another go. In 2020, the group conducted an RCT in which runners who did a year of “novel foot core strengthening” reduced their expected injury rate by 58%. 


Last month (free full text) the same team showed that this foot core program  “reduces the occurrence of running related injuries by increasing the resistance to calcaneus pronation and building a more rigid and efficient lever during push-off.” I like the sound of a “more efficient lever.”


You have to go back to the team’s 2016 “protocol” paper to see illustrations of the foot-core exercises they used. More at BMC Musculoskeletal Disorders with free full text with photos (page down to Additional File 1.) For a short cut, check out this 7-minute YouTube video with several good foot core exercises similar to those used in Brazil.


When it comes to injury rehab, it’s looking like platelet rich plasma works well for tendonitis and plantar fasciitis. Also, if you’ve got bone-stress injuries, a recent review found that focused extracorporeal shock wave “may be a safe treatment for the management of bone stress injuries in runners.”


I know you’re not going to follow all these links. I hope that one or two might prove useful.


Listen Closely: Here’s What Evolution Teaches Us About Distance Running & Health

Daniel Lieberman is training for his 14th Boston Marathon, but that’s not the reason for listening to him, as you should whenever you get the chance. It’s his academic background and research, and his non dogmatic application of both. 


A Harvard prof and evolutionary biologist, Lieberman understands the whys of exercise and eating behaviors, and important related issues (like footwear), better than most. Best of all, he doesn’t insist on monolithic health prescriptions from evolutionary data. Lieberman doesn’t espouse practices that insist on “one true path.” Rather he views evolution and human adaptation from a more flexible perspective.


In this expansive interview with CNN medical reporter and doctor, Sanjay Gupta, Lieberman ranges over his many areas of expertise. But first, how about his marathoning habit? “It’s kinda stupid,” he says with a chuckle. “Well, not really, but we never evolved to run 26.2 miles from one point to another as fast as possible.”


Sometimes with humor, and almost always with common sense, Lieberman explains that there are plenty of healthy diets and a wide range of healthy exercises. Eskimos thrive on mostly blubber, and vegans on plants. Running marathons and swimming the English Channel are a bit extreme, but produce hardy individuals. So do gardening, bird-watching, and dancing.


There are only a  small number of key principles: Eat a variety of minimally processed food. Don’t gain unnecessary weight--especially not around the belly. Move a lot. Avoid large-scale “mismatches” with the human evolutionary past, the most dangerous of which might be a lack of sufficient daily exercise. 


Lieberman explains it like this: Movement is stressful. It actually damages proteins, muscles, DNA, and more. However, the human body evolved to not just repair this damage, but to rebuild it stronger than before. “We end up being better off after the exercise than before,” he notes. 


“But here’s the rub. We never evolved not to be physically active. So if you want to slow aging, exercise is the key, because it turns on many anti-aging mechanisms. When we don’t exercise, we age faster.” More at CNN.


Speaking Of Evolution, Should You Follow “The Paleo Diet?”

This actually comes direct from Lieberman’s research pursuits. He and his colleagues recently sought to answer the question: Should we all be following the Paleo Diet?


Dating back to a paper in the 1985 New England Journal of Medicine, the Paleo Diet argues that we should eat the same foods that our ancestors consumed 3 million year ago. The proponents claim that this is an evolutionary imperative. The Paleo Diet includes no grains or dairy products since they didn’t exist millions of years ago.


The current paper “analyzed data on animal food, plant food, and honey consumption by weight and kcal from 15 high-quality published ethnographic studies representing 11 recent tropical hunter-gatherer groups.” If the Paleo Diet was the only appropriate human diet, the researchers figured, then the 11 hunter-gatherer groups should all be eating more or less the same foods. 


That didn’t prove to be the case. Rather “Our analyses reveal high levels of variation in animal versus plant foods consumed and in corresponding percentages of protein, fat, and carbohydrates.” 


Conclusion: “The degree of variation among hunter-gatherer diets precludes any simple, accurate characterization of a “normal” ancestral diet.” In other words, there are plenty of different ways to arrive at a healthy diet, and much depends on where you live, ie, Alaska vs a tropical rain forest. More at The American J of Clinical Nutrition.


Of course, one thing does remain true for all the hunter-gatherer diets. The populations  ate fresh, whole foods--not plastic wrapped, processed, ersatz foods.


SHORT STUFF You Don’t Want To Miss

>>> Water, water everywhere: How to determine if you’re drinking too much water


>>> Don’t gum it up: Moderate exercise produces “superior” gum health. Too little exercise is a risk factor


>>> Find the right shoe: Researchers at MIT have developed a model that “predicts” which shoe will be fastest on your feet


GREAT QUOTES Make Great Training Partners

“It doesn’t matter how slowly you go as long as you do not stop.”

--Confucius


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