Comments on Point:Counterpoint: Afferent feedback from fatigued locomotor muscles is/is not an important determinant of endurance exercise performance

Sense of time is slower following exhaustive cycling exercise

Subjective perception of time is altered during vigorous exercise. This could be due in part to the fatigue associated with physical activity at high intensities. The aim of this study was to determine the effect of fatigue, specifically, on subjective time perception. Twenty-six healthy, untrained subjects (17 men/9 women; age = 26.0 ± 4.3 years;V ˙ O 2 peak = 38.13 ± 5.62 mL/kg/min) completed a maximal aerobic exercise test on a cycle ergometer. Time perception was assessed before (PRE) and after (POST) the exercise test using a time production task wherein subjects started a stopwatch and stopped it once they believed a designated time period had passed. This time produced with the stopwatch was the estimate of the target time that was compared to the target time interval. Relative error of the timing task was significantly higher for POST (0.112 ± 0.260) than for PRE (0.028 ± 0.173), p = .032, η2 = .178. Subjects produced ~ 8.4% more time than the target intervals when fatigued, which is indicative of a slower sense of time perception. A shift in attentional focus from timing to the sensations associated with fatigue is a possible factor to explain this result. Future studies which investigate the effects of exercise on time perception should consider the impact of fatigue experienced during exercise.

Footstrike patterns and race performance in the 2017 IAAF World Championship men's 10,000 m final

Midfoot- (MFS) and forefoot-striking (FFS) runners usually switch to rearfoot-striking (RFS) during marathons. However, world-class runners might resist modifications during shorter races. The purpose of this study was to analyse footstrike patterns, ground contact times and running speeds in a World Championship men's 10,000 m final. Footstrike patterns and contact times of the top 12 finishing men (24 ± 5 years) were recorded (150 Hz) during laps 1, 5, 11, 15, 20 and 25. Split times for each 100-m segment were obtained. No RFS patterns were observed; there was no difference between the number of FFS and MFS athletes at any distance (p ≥ 0.581) and no change in the proportions of FFS and MFS occurred (p = 0.383). No link between race performance and footstrike pattern appeared given the similar number who used FFS or MFS and their similar finishing times. Despite slower running speeds and longer contact times in the middle of the race (p ≤ 0.024), no effect on footstrike patterns occurred. The prevalence of anterior footstrike patterns in this world-class race reflects the capability of maintaining fast paces (>22 km/h). Changes in footstrike pattern might accompany the physiological and neuromuscular effects of fatigue over longer distances.

Kinematic and spatiotemporal differences between footstrike patterns in elite male and female 10,000 m runners in competition

The aim of this study was to examine spatiotemporal and joint kinematic differences between footstrike patterns in 10,000 m running. Seventy-two men's and 42 women's footstrike patterns were analysed during laps 5, 10, 15, 20 and 25 (of 25) using 2D video recordings. Approximately 47% of men were FFS throughout the race, 30% were MFS and 24% RFS; the respective frequencies in women were approximately 30%, 38% and 32%. Overall, 83% of men and 88% of women retained their footstrike pattern throughout the race. Amongst the 53 men and 33 women with symmetrical footstrike patterns, there were no differences in speed, step length or cadence between footstrike groups in either sex. Most lower limb joint angles did not change in these athletes during the event, with few differences between footstrike patterns apart from ankle and foot angles. A greater hip-ankle distance was found in RFS than in FFS (both sexes) and in RFS than in MFS (men only), although these differences were never more than 0.03 m. Coaches should note that habitual footstrike patterns were maintained during this long-distance track race despite changes in running speed and possible fatigue, and there were few performance differences between footstrike patterns.

Pacing Profiles of Olympic and IAAF World Championship Long-Distance Runners

ABSTRACT

Filipas, L, La Torre, A, and Hanley, B. Pacing profiles of Olympic and International Association of Athletics Federations World Championship long-distance runners. J Strength Cond Res 35(4): 1134-1140, 2021-The aim of this study was to analyze the pacing profiles of Olympic and International Association of Athletics Federations (IAAF) World Championship long-distance finalists, including the relationship with their recent best times. The times for each 1,000-m split were obtained for 394 men and women in 5,000- and 10,000-m finals at 5 championships. Athletes' best times from the previous 32 months were also obtained. Similar pacing profiles were used by athletes grouped by finishing position in 5,000-m races. Women adopted a more even pacing behavior, highlighting a possible sex-based difference over this distance. Pacing behavior over 10,000 m was more similar between men and women compared with over 5,000 m. The main difference between men and women was that in the men's 10,000 m, as in the men's 5,000 m, more athletes were able to follow the leading group until the final stages. There were large or very large correlations between athletes' best times from the previous 32 months and their result; the fastest finishers also ran closer to their previous 32 months' best times. Despite differences in pacing behavior between events, long-distance runners should nonetheless stay close to the front from the beginning to win a medal.

A Model for World-Class 10,000 m Running Performances: Strategy and Optimization

The distribution of energetic resources in world-class distance running is a key aspect of performance, with athletes relying on aerobic and anaerobic metabolism to greater extents during different parts of the race. The purpose of this study is to model 10,000 m championship performances to enable a deeper understanding of the factors affecting running speed and, given that more than half the race is run on curves, to establish the effect of the bends on performance. Because a limitation of time split data is that they are typically averaged over 100-m or 1,000-m segments, we simulate two 10,000 m runners' performances and thus get access to their instantaneous speed, propulsive force and anaerobic energy. The numerical simulations provide information on the factors that affect performance, and we precisely see the effect of parameters that influence race strategy, fatigue, and the ability to speed up and deal with bends. In particular, a lower anaerobic capacity leads to an inability to accelerate at the end of the race, and which can accrue because of a reliance on anaerobic energy to maintain pace in an athlete of inferior running economy. We also see that a runner with a worse running economy is less able to speed up on the straights and that, in general, the bends are run slower than the straights, most likely because bend running at the same pace would increase energy expenditure. Notwithstanding a recommendation for adopting the accepted practices of improving aerobic and anaerobic metabolism through appropriate training methods, coaches are advised to note that athletes who avoid mid-race surges can improve their endspurt, which are the differentiating element in closely contested championship races.

Effects of Acute Normobaric Hypoxia on Non-linear Dynamics of Cardiac Autonomic Activity During Constant Workload Cycling Exercise

Aim

Measurements of Non-linear dynamics of heart rate variability (HRV) provide new possibilities to monitor cardiac autonomic activity during exercise under different environmental conditions. Using detrended fluctuation analysis (DFA) technique to assess correlation properties of heart rate (HR) dynamics, the present study examines the influence of normobaric hypoxic conditions (HC) in comparison to normoxic conditions (NC) during a constant workload exercise.

Materials and Methods

Nine well trained cyclists performed a continuous workload exercise on a cycle ergometer with an intensity corresponding to the individual anaerobic threshold until voluntary exhaustion under both NC and HC (15% O₂). The individual exercise duration was normalized to 10% sections (10-100%). During exercise HR and RR-intervals were continuously-recorded. Besides HRV time-domain measurements (meanRR, SDNN), fractal correlation properties using short-term scaling exponent alpha1 of DFA were calculated. Additionally, blood lactate (La), oxygen saturation of the blood (SpO₂), and rating of perceived exertion (RPE) were recorded in regular time intervals.

Results

We observed significant changes under NC and HC for all parameters from the beginning to the end of the exercise (10% vs. 100%) except for SpO₂ and SDNN during NC: increases for HR, La, and RPE in both conditions; decreases for SpO₂ and SDNN during HC, meanRR and DFA-alpha1 during both conditions. Under HC HR (40-70%), La (10-90%), and RPE (50-90%) were significantly-higher, SpO₂ (10-100%), meanRR (40-70%), and DFA-alpha1 (20-60%) were significantly-lower than under NC.

Conclusion

Under both conditions, prolonged exercise until voluntary exhaustion provokes a lower total variability combined with a reduction in the amplitude and correlation properties of RR fluctuations which may be attributed to increased organismic demands. Additionally, HC provoked higher demands and loss of correlation properties at an earlier stage during the exercise regime, implying an accelerated alteration of cardiac autonomic regulation.

Cancer-Related Fatigue: Perception of Effort or Task Failure?

CONTEXT

Patient's rating of perceived effort (RPE) is used to assess central fatigue. Cancer-related fatigue (CRF) is believed to be of central origin. The increased RPE with a motor task, such as the Finger-Tapping Test (FTT), can easily be measured in the clinical setting.

OBJECTIVES

To correlate the FTT, RPE and the Brief Fatigue Inventory (BFI) rated fatigue severity in patients with cancer.

METHODS

Subjective fatigue was assessed in adult patients with cancer by the BFI. Participants performed a modified FTT with the index finger of the dominant hand: 15 seconds × 2, 30 seconds × 2, and 60 seconds × 2 with 1 minute of rest between each time trial. Rating of perceived effort at the end of task was measured by the Borg 10 scale.

EXCLUSIONS

Brain metastasis, history of brain radiation, Parkinson disease, Huntington Chorea, multiple sclerosis, delirium, and depression. Pearson correlation coefficients were used to describe the relationships between BFI, FTT, and Borg 10 scale.

RESULTS

Thirty patients participated. Mean age was 56.2. Sixteen were females (53.3%). The mean BFI mean was 4.1, median 4.4. Tapping rate did not correlate with fatigue severity. The RPE correlated with the mean BFI: r _s 0.438, P = .0155. These correlations persisted after adjustment for age.

CONCLUSION

An increased RPE in the absence of task failure suggests that the origin of CRF is central. The performance of an FTT with RPE helps to improve our understanding of fatigue in the clinical setting.

Perceived Fatigability: Utility of a Three-Dimensional Dynamical Systems Framework to Better Understand the Psychophysiological Regulation of Goal-Directed Exercise Behaviour

A three-dimensional framework of perceived fatigability emphasises the need to differentiate between the qualitatively distinct inputs of sensory-discriminatory, affective-motivational and cognitive-evaluative processes that shape the perceptual milieu during prolonged endurance exercise. This article reviews the framework's utility to better understand how cause-effect relationships come to be and how perception-action coupling underpins pacing behaviour and performance fatigability. Preliminary evidence supports the hypotheses that perceived strain plays a primary role in trajectory regulation of pacing behaviour, core affect plays a primary and mediatory role in behavioural performance regulation, and the mindset shift associated with an action crisis plays a primary role in the intensity dependent volitional self-regulatory control of conflicting motivational drives. The constructs hypothesised to underpin perceived fatigability are systematically linked, context-dependent, constraint-based, distinguishable and show proportional continuous interdependency. They are further interrelated with dynamic changes in pacing behaviour, performance fatigability and physiological disturbance. Appropriate measurement selections for the subordinate constructs perceived physical strain, perceived mental strain, valence, arousal, action crisis and flow state are discussed. To better understand the non-proportional discontinuous effects of fatigue on discrete shifts in thought states and mindsets, non-linear dynamical systems theory is introduced as an unbiased overarching theory of governing principles in the temporal evolution of complex systems. This provides the opportunity to discuss the bio-psycho-social fatigue phenomenon from a dynamical and holistic perspective. The proposed framework offers a sophisticated alternative to the Gestalt concept of perceived exertion and comprehensively accounts for the psychophysiological processes that determine pacing behaviour and performance. It has the potential to enrich theory development and facilitate a deeper understanding of the psychophysiological regulation of goal-directed exercise behaviour.

Effects of a Short-Term Cycling Interval Session and Active Recovery on Non-Linear Dynamics of Cardiac Autonomic Activity in Endurance Trained Cyclists

Measurement of the non-linear dynamics of physiologic variability in a heart rate time series (HRV) provides new opportunities to monitor cardiac autonomic activity during exercise and recovery periods. Using the Detrended Fluctuation Analysis (DFA) technique to assess correlation properties, the present study examines the influence of exercise intensity and recovery on total variability and complexity in the non-linear dynamics of HRV. Sixteen well-trained cyclists performed interval sessions with active recovery periods. During exercise, heart rate (HR) and beat-to-beat (RR)-intervals were recorded continuously. HRV time domain measurements and fractal correlation properties were analyzed using the short-term scaling exponent alpha1 of DFA. Lactate (La) levels and the rate of perceived exertion (RPE) were also recorded at regular time intervals. HR, La, and RPE showed increased values during the interval blocks (p < 0.05). In contrast, meanRR and DFA-alpha1 showed decreased values during the interval blocks (p < 0.05). Also, DFA-alpha1 increased to the level in the warm-up periods during active recovery (p < 0.05) and remained unchanged until the end of active recovery (p = 1.000). The present data verify a decrease in the overall variability, as well as a reduction in the complexity of the RR-interval-fluctuations, owing to increased organismic demands. The acute increase in DFA-alpha1 following intensity-based training stimuli in active recovery may be interpreted as a systematic reorganization of the organism with increased correlation properties in cardiac autonomic activity in endurance trained cyclists.

The Threshold Ambient Temperature for the Use of Precooling to Improve Cycling Time-Trial Performance

PURPOSE

Cycling time-trial performance can be compromised by moderate to high ambient temperatures. It has become commonplace to implement precooling prior to competition to alleviate this performance decline. However, little is known about the ambient temperature threshold above which precooling becomes an effective strategy for enhancing endurance performance. The aim of this study was to investigate the effect of precooling in different environmental temperatures on time-trial (TT) performance.

METHODS

Trained cyclists completed 2 TTs with (COLD) and without (CON) precooling using an ensemble of  ice vest and sleeves in ambient temperatures of 24°C, 27°C, and 35°C.

RESULTS

TT performance was faster following COLD in both 35°C (6.2%) and 27°C (2.6%; both Ps < .05) but not 24°C (1.2%). Magnitude-based inferential statistics indicate that COLD was very likely beneficial to performance in 35°C, likely beneficial in 27°C, and possibly beneficial in 24°C. Mean power was 2.4%, 2.5%, and 5.6% higher following COLD and considered to be likely beneficial in 24°C and very likely beneficial in 27°C and 35°C. COLD reduced mean skin temperature throughout the warm-up and into the TT in all ambient temperatures (P < .05). Sweat loss was lower following COLD in 24°C and 27°C but not 35°C. There was no effect of COLD on gastrointestinal temperature at any point.

CONCLUSIONS

Precooling with an ice vest and sleeves is likely to have a positive effect on TT performance at temperatures above 24°C, with a clear relationship between ambient temperature and the magnitude of effect of precooling.

Dietary nitrate markedly improves voluntary running in mice

Nitrate supplementation is shown to increase submaximal force in human and mouse skeletal muscles. In this study, we test the hypothesis that the increased submaximal force induced by nitrate supplementation reduces the effort of submaximal voluntary running, resulting in increased running speed and distance. C57Bl/6N male mice were fed nitrate in the drinking water and housed with or without access to an in-cage running wheel. Nitrate supplementation in sedentary mice had no effect on endurance in a treadmill test, nor did it enhance mitochondrial function. However, after three weeks with in-cage running wheel, mice fed nitrate ran on average 20% faster and 30% further than controls (p<0.01). Compared to running controls, this resulted in ~13% improved endurance on a subsequent treadmill test (p<0.05) and increased mitochondrial oxidative capacity, as judged from a mean increase in citrate synthase activity of 14% (p<0.05). After six weeks with nitrate, the mice were running 58% longer distances per night. When nitrate supplementation was removed from the diet, the running distance and speed decreased to the control level, despite the improved endurance achieved during nitrate supplementation. In conclusion, low-frequency force improvement due to nitrate supplementation facilitates submaximal exercise such as voluntary running.

Conductive and evaporative precooling lowers mean skin temperature and improves time trial performance in the heat

Self-paced endurance performance is compromised by moderate-to-high ambient temperatures that are evident in many competitive settings. It has become common place to implement precooling prior to competition in an attempt to alleviate perceived thermal load and performance decline. The present study aimed to investigate precooling incorporating different cooling avenues via either evaporative cooling alone or in combination with conductive cooling on cycling time trial performance. Ten trained male cyclists completed a time trial on three occasions in hot (35 °C) ambient conditions with the cooling garment prepared by (a) immersion in water (COOL, evaporative); (b) immersion in water and frozen (COLD, evaporative and conductive); or (c) no precooling (CONT). COLD improved time trial performance by 5.8% and 2.6% vs CONT and COOL, respectively (both P < 0.05). Power output was 4.5% higher for COLD vs CONT (P < 0.05). Mean skin temperature was lower at the onset of the time trial following COLD compared with COOL and CONT (both P < 0.05) and lasted for the first 20% of the time trial. Thermal sensation was perceived cooler following COOL and COLD. The combination of evaporative and conductive cooling (COLD) had the greatest benefit to performance, which is suggested to be driven by reduced skin temperature following cooling.

Pacing profiles and pack running at the IAAF World Half Marathon Championships

The aim of this study was to describe the pacing profiles and packing behaviour of athletes competing in the IAAF World Half Marathon Championships. Finishing and split times were collated for 491 men and 347 women across six championships. The mean speeds for each intermediate 5 km and end 1.1 km segments were calculated, and athletes grouped according to finishing time. The best men and women largely maintained their split speeds between 5 km and 15 km, whereas slower athletes had decreased speeds from 5 km onwards. Athletes were also classified by the type of packing behaviour in which they engaged. Those who ran in packs throughout the race had smaller decreases in pace than those who did not, or who managed to do so only to 5 km. While some athletes' reduced speeds from 15 to 20 km might have been caused by fatigue, it was also possibly a tactic to aid a fast finish that was particularly beneficial to medallists. Those athletes who ran with the same competitors throughout sped up most during the finish. Athletes are advised to identify rivals likely to have similar abilities and ambitions and run with them as part of their pre-race strategy.

The role of sense of effort on self-selected cycling power output

PURPOSE

We explored the effects of the sense of effort and accompanying perceptions of peripheral discomfort on self-selected cycle power output under two different inspired O2 fractions.

METHODS

On separate days, eight trained males cycled for 5 min at a constant subjective effort (sense of effort of '3' on a modified Borg CR10 scale), immediately followed by five 4-s progressive submaximal (sense of effort of "4, 5, 6, 7, and 8"; 40 s between bouts) and two 4-s maximal (sense of effort of "10"; 3 min between bouts) bouts under normoxia (NM: fraction of inspired O2 [FiO2] 0.21) and hypoxia (HY: [FiO2] 0.13). Physiological (Heart Rate, arterial oxygen saturation (SpO2) and quadriceps Root Mean Square (RMS) electromyographical activity) and perceptual responses (overall peripheral discomfort, difficulty breathing and limb discomfort) were recorded.

RESULTS

Power output and normalized quadriceps RMS activity were not different between conditions during any exercise bout (p > 0.05) and remained unchanged across time during the constant-effort cycling. SpO2 was lower, while heart rate and ratings of perceived difficulty breathing were higher under HY, compared to NM, at all time points (p < 0.05). During the constant-effort cycling, heart rate, overall perceived discomfort, difficulty breathing and limb discomfort increased with time (all p < 0.05). All variables (except SpO2) increased along with sense of effort during the brief progressive cycling bouts (all p < 0.05). During the two maximal cycling bouts, ratings of overall peripheral discomfort displayed an interaction between time and condition with ratings higher in the second bout under HY vs. NM conditions.

CONCLUSION

During self-selected, constant-effort and brief progressive, sub-maximal, and maximal cycling bouts, mechanical work is regulated in parallel to the sense of effort, independently from peripheral sensations of discomfort.

Neurophysiological determinants of theoretical concepts and mechanisms involved in pacing

Fatigue during prolonged exercise is often described as an acute impairment of exercise performance that leads to an inability to produce or maintain a desired power output. In the past few decades, interest in how athletes experience fatigue during competition has grown enormously. Research has evolved from a dominant focus on peripheral causes of fatigue towards a complex interplay between peripheral and central limitations of performance. Apparently, both feedforward and feedback mechanisms, based on the principle of teleoanticipation, regulate power output (e.g., speed) during a performance. This concept is called 'pacing' and represents the use of energetic resources during exercise, in a way such that all energy stores are used before finishing a race, but not so far from the end of a race that a meaningful slowdown can occur.It is believed that the pacing selected by athletes is largely dependent on the anticipated exercise duration and on the presence of an experientially developed performance template. Most studies investigating pacing during prolonged exercise in ambient temperatures, have observed a fast start, followed by an even pace strategy in the middle of the event with an end sprint in the final minutes of the race. A reduction in pace observed at commencement of the event is often more evident during exercise in hot environmental conditions. Further, reductions in power output and muscle activation occur before critical core temperatures are reached, indicating that subjects can anticipate the exercise intensity and heat stress they will be exposed to, resulting in a tactical adjustment of the power output. Recent research has shown that not only climatic stress but also pharmacological manipulation of the central nervous system has the ability to cause changes in endurance performance. Subjects seem to adapt their strategy specifically in the early phases of an exercise task. In high-ambient temperatures, dopaminergic manipulations clearly improve performance. The distribution of the power output reveals that after dopamine reuptake inhibition, subjects are able to maintain a higher power output compared with placebo. Manipulations of serotonin and, especially, noradrenaline, have the opposite effect and force subjects to decrease power output early in the time trial. Interestingly, after manipulation of brain serotonin, subjects are often unable to perform an end sprint, indicating an absence of a reserve capacity or motivation to increase power output. Taken together, it appears that many factors, such as ambient conditions and manipulation of brain neurotransmitters, have the potential to influence power output during exercise, and might thus be involved as regulatory mechanisms in the complex skill of pacing.

Repetitive transcranial magnetic stimulation attenuates the perception of force output production in non-exercised hand muscles after unilateral exercise

We examined whether unilateral exercise creates perception bias in the non-exercised limb and ascertained whether rTMS applied to the primary motor cortex (M1) interferes with this perception. All participants completed 4 interventions: 1) 15-min learning period of intermittent isometric contractions at 35% MVC with the trained hand (EX), 2) 15-min learning period of intermittent isometric contractions at 35% MVC with the trained hand whilst receiving rTMS over the contralateral M1 (rTMS+EX); 3) 15-min of rTMS over the 'trained' M1 (rTMS) and 4) 15-min rest (Rest). Pre and post-interventions, the error of force output production, the perception of effort (RPE), motor evoked potentials (MEPs) and compound muscle action potentials (CMAPs) were measured in both hands. EX did not alter the error of force output production in the trained hand (Δ3%; P>0.05); however, the error of force output production was reduced in the untrained hand (Δ12%; P<0.05). rTMS+EX and rTMS alone did not show an attenuation in the error of force output production in either hand. EX increased RPE in the trained hand (9.1±0.5 vs. 11.3±0.7; P<0.01) but not the untrained hand (8.8±0.6 vs. 9.2±0.6; P>0.05). RPE was significantly higher after rTMS+EX in the trained hand (9.2±0.5 vs. 10.7±0.7; P<0.01) but ratings were unchanged in the untrained hand (8.5±0.6 vs. 9.2±0.5; P>0.05). The novel finding was that exercise alone reduced the error in force output production by over a third in the untrained hand. Further, when exercise was combined with rTMS the transfer of force perception was attenuated. These data suggest that the contralateral M1 of the trained hand might, in part, play an essential role for the transfer of force perception to the untrained hand.

Mechanisms of fatigue and task failure induced by sustained submaximal contractions

PURPOSE

The present study was designed to investigate whether central neural mechanisms limit the duration of a sustained low-force isometric contraction and the maximal force-generating capacity of the knee extensors.

METHODS

Fourteen healthy males (28 ± 7 yr) were asked to sustain, until voluntary exhaustion, an isometric contraction with their right knee extensor muscles at a target force equal to 20% of their maximal voluntary contraction (MVC) force. At task failure, the muscle was immediately electrically stimulated for 1 min aiming the same target force (20% MVC force). Subsequently, subjects were asked to resume the voluntary contraction for as long as possible. Knee extensor neuromuscular function was assessed before and after the entire protocol for comparison.

RESULTS

When electrically stimulated at the point of task failure, all subjects developed the 20% MVC force target, indicating that lack of force-generating capacity from peripheral impairment had not limited the duration of the first task. We observed a reduction in MVC force after the entire protocol (-57% ± 12%), which correlated with a decrease in potentiated peak doublet force (-48% ± 17%, P < 0.001). The level of voluntary activation, as quantified with the interpolated twitch technique, was slightly depressed after the entire protocol (from 93% ± 7% to 87% ± 10%, P < 0.01).

CONCLUSIONS

It follows that task failure from a sustained isometric contraction is mainly affected by central/motivational factors, whereas MVC force loss is largely explained by the extent of contractile failure of the muscle.

Genetics and Gene Expression Involving Stress and Distress Pathways in Fibromyalgia with and without Comorbid Chronic Fatigue Syndrome

In complex multisymptom disorders like fibromyalgia syndrome (FMS) and chronic fatigue syndrome (CFS) that are defined primarily by subjective symptoms, genetic and gene expression profiles can provide very useful objective information. This paper summarizes research on genes that may be linked to increased susceptibility in developing and maintaining these disorders, and research on resting and stressor-evoked changes in leukocyte gene expression, highlighting physiological pathways linked to stress and distress. These include the adrenergic nervous system, the hypothalamic-pituitary-adrenal axis and serotonergic pathways, and exercise responsive metabolite-detecting ion channels. The findings to date provide some support for both inherited susceptibility and/or physiological dysregulation in all three systems, particularly for catechol-O-methyl transferase (COMT) genes, the glucocorticoid and the related mineralocorticoid receptors (NR3C1, NR3C2), and the purinergic 2X4 (P2X4) ion channel involved as a sensory receptor for muscle pain and fatigue and also in upregulation of spinal microglia in chronic pain models. Methodological concerns for future research, including potential influences of comorbid clinical depression and antidepressants and other medications, on gene expression are also addressed.

Can neuromuscular fatigue explain running strategies and performance in ultra-marathons?: the flush model

While the industrialized world adopts a largely sedentary lifestyle, ultra-marathon running races have become increasingly popular in the last few years in many countries. The ability to run long distances is also considered to have played a role in human evolution. This makes the issue of ultra-long distance physiology important. In the ability to run multiples of 10 km (up to 1000 km in one stage), fatigue resistance is critical. Fatigue is generally defined as strength loss (i.e. a decrease in maximal voluntary contraction [MVC]), which is known to be dependent on the type of exercise. Critical task variables include the intensity and duration of the activity, both of which are very specific to ultra-endurance sports. They also include the muscle groups involved and the type of muscle contraction, two variables that depend on the sport under consideration. The first part of this article focuses on the central and peripheral causes of the alterations to neuromuscular function that occur in ultra-marathon running. Neuromuscular function evaluation requires measurements of MVCs and maximal electrical/magnetic stimulations; these provide an insight into the factors in the CNS and the muscles implicated in fatigue. However, such measurements do not necessarily predict how muscle function may influence ultra-endurance running and whether this has an effect on speed regulation during a real competition (i.e. when pacing strategies are involved). In other words, the nature of the relationship between fatigue as measured using maximal contractions/stimulation and submaximal performance limitation/regulation is questionable. To investigate this issue, we are suggesting a holistic model in the second part of this article. This model can be applied to all endurance activities, but is specifically adapted to ultra-endurance running: the flush model. This model has the following four components: (i) the ball-cock (or buoy), which can be compared with the rate of perceived exertion, and can increase or decrease based on (ii) the filling rate and (iii) the water evacuated through the waste pipe, and (iv) a security reserve that allows the subject to prevent physiological damage. We are suggesting that central regulation is not only based on afferent signals arising from the muscles and peripheral organs, but is also dependent on peripheral fatigue and spinal/supraspinal inhibition (or disfacilitation) since these alterations imply a higher central drive for a given power output. This holistic model also explains how environmental conditions, sleep deprivation/mental fatigue, pain-killers or psychostimulants, cognitive or nutritional strategies may affect ultra-running performance.

Similarity in physiological and perceived exertion responses to exercise at continuous and intermittent critical power

The purpose of this study was to compare the physiological responses [oxygen uptake (VO(2)), heart rate (HR) and blood lactate concentrations ([BLa])] and the rating of perceived exertion (RPE) response until exhaustion (TTE) at the continuous (CP(c)) and intermittent (CP(i)) critical power workloads. Ten moderately active men (25.5 ± 4.2 years, 74.1 ± 8.0 kg, 177.6 ± 4.9 cm) participated in this study. The incremental test was applied to determine the highest values of oxygen uptake (VO(2max)), heart rate (HR(max)), blood lactate concentrations ([BLa(max)]), and maximal aerobic power (MAP). Continuous and intermittent exhaustive predictive trials were performed randomly. The hyperbolic relation between power and time was used to estimate CP(c) and CP(i). CP(i) was derived from predictive trial results at an effort and recovery ratio of 30:30 s. Exercise at CP(c) and CP(i) as well as the physiological and RPE responses were measured until exhaustion. The values of physiological variables during CP(c) and CP(i) did not differ in either TTE test and were lower than the VO(2max), HR(max) and [BLa(max)] values. RPE was maximal at the end of exercise at CP(c) and CP(i). There was a high correlation between VO(2max) (L min(-1)) and CP(c) and CP(i) intensities (r ≥ 0.90) and between MAP, CP(c) and CP(i) (r ≥ 0.95). Similar physiological and RPE responses were found at CP(c) and CP(i) for the times analyzed.