Physiological and Metabolic Aspects of Very Prolonged Exercise with Particular Reference to Hill Walking

Energy supply and influencing factors of mountain marathon runners from Baiyin marathon accident in China

High temperature impacts the performance of marathon athletes, and hypothermia harms athletes. Twenty-one runners died, and eight were injured in the China Baiyin marathon on May 22, 2021. It’s a typical human life test. The energy equations are combined with the maximum energy supply of Chinese male athletes to study this accident. We analyze the human body’s route slope, travel speed, and heat dissipation under low temperatures in this marathon. The study shows that the large slope and long-distance of CP2 to CP3 section and the low temperature during the competition are the main reasons for the accident. The method of quantifying the slope and temperature and calculating the percentage of athletes’ physical consumption proposed in this paper can evaluate the route design of field marathons. We suggest that the physical energy consumption ratio of 90%, i.e. 315 cal/min/kg, should be taken as the maximum energy supply for Chinese male marathon runners. Dangerous risk zones for wind speed and temperature on dangerous path sections are also formulated for athletes to make their assessments. This paper’s theories and methods can effectively help design the marathon route and determine the race time.

Hill Runner's Physiology, Performance and Nutrition: A Descriptive Study

Objectives: The aim of this descriptive study was to characterise anthropometric variables, aerobic capacity, running performance and energy intake and expenditure of hill runners in free-living conditions, and to investigate the relationship between age, anthropometric variables, aerobic capacity and running performance.

Methods: Twenty-eight hill runners participated in this study (17 males and 11 females; aged 18–65 years). Body fat percentage estimate, sum of eight skinfolds (triceps, subscapular, biceps, iliac crest, supraspinale, abdominal, front thigh and medial calf) and maximal oxygen capacity (VO₂max) were assessed in a laboratory setting. Participants also completed a timed hill run (Dumyat Hill, Scotland, ascent: 420 m, distance: 8 km) while wearing a portable gas analyzer to assess oxygen consumption (VO₂). Energy intake and energy expenditure were assessed in free-living conditions over three consecutive days different from the testing days through self-reported food diaries and accelerometers.

Results: VO₂max assessed in the lab (51.2 ± 7.6 ml·min⁻¹·kg⁻¹) showed a weak negative relationship with age [rs(23) = −0.38, p = 0.08]. Neither body fat percentage (median 12.4; IQR 10.1–17.1) nor the sum of skinfolds (median 81.8; IQR 62.4–97.8 mm) correlated with age [rs(28) = 0.001, p = 0.10 and 26 rs(28) = −0.02, p = 0.94, respectively]. The observed intensity of the hill run was 89 ± 6% of the age predicted maximum heart rate and 87 ± 9% of the VO₂max observed in the lab. Hill running performance correlated with VO₂max [r(21) = 0.76, p < 0.001], age [rs(26) = −0.44, p = 0.02] and with estimated body fat percentage and sum of skinfolds [rs(26) = −0.66, p < 0.001 and rs(26) = −0.49, p = 0.01, respectively]. Energy intake negatively correlated with age [rs(26) = −0.43, p = 0.03], with the overall energy intake being significantly lower than the total energy expenditure (2273 ± 550 vs. 2879 ± 510 kcal·day⁻¹; p < 0.001; d = 1.05).

Conclusion: This study demonstrated that hill running performance is positively associated with greater aerobic capacity and negatively associated with increases in adiposity and age. Further, the study highlights that hill runners are at risk of negative energy balance.

Differences in Cardiorespiratory Responses in Winter Mountaineering According to the Pathway Snow Conditions

Locomotion during ascent requires higher energy consumption than on flat terrain. Locomotion efficiency decreases in snowy terrain, with changes in the biomechanical pattern of walking. This study aims to evaluate differences in both cardiorespiratory responses and energy expenditure between locomotion over snowy terrain with an established footstep pathway (FP) and fresh snow (FS) that has not previously been compacted. Fifteen volunteers with experience in mountain activities at a competition level and a regular training schedule of up to 10 hours a week participated in the study. Estimated maximal theoretical oxygen consumption showed a mild increase (2.6%, 95% confidence interval: 0.9%-4.5%, t = 3.2, p = 0.005) when subjects followed the FP compared with FS. More time was necessary to complete locomotion in FS (256 ± 30 seconds) than FP (225 ± 29 seconds; p = 0.01). Uphill walking velocity increased by 0.43 ± 0.11 km/h (t = 4.2, p = 0.01) in FP compared with FS; and the FS respiratory rate was higher (by 2.3 ± 2.4 beats/min, t = 4.0, p = 0.001). For a same itinerary, locomotion in snow that has not been compacted before requires more time and represents a higher energetic cost, either at maximal or submaximal intensities. This should be considered in scheduling mountain ascents as part of the safety strategies. Climbing on virgin snow impedes developing maximal aerobic power, so athletes must regard the value of strength work of lower limbs to improve performance. Indirect calculation of maximal oxygen consumption based on time to complete locomotion in FP can have practical application as a field test.

Beetroot supplementation improves the physiological responses to incline walking

PURPOSE

We investigated the effects of an acute 24-h nitrate-rich beetroot juice supplement (BR) on the energy cost, exercise efficiency and blood pressure responses to intermittent walking at different gradients.

METHODS

In a double-blind, cross-over design, eight participants were provided with a total of 350 ml of nitrate-rich (~ 20.5 mmol nitrate) BR or placebo (PLA) across 24 h before completing intermittent walking at 3 km/h on treadmill at gradients of 1, 5, 10, 15 and 20%.

RESULTS

Resting mean arterial pressure (MAP) was ~ 4.1% lower after BR (93 vs. 89 mmHg; P = 0.001), as well as during exercise (102 vs. 99 mmHg; P = 0.011) and recovery (97 vs. 94 mmHg; P = 0.001). Exercising (1227 vs. 1129 ml/min P < 0.001) and end-stage (1404 vs. 1249 ml/min; P = 0.002) oxygen uptake ([Formula: see text]O₂) was lower in BR compared to PLA, which was accompanied by an average reduction in phase II [Formula: see text]O₂ amplitude (1067 vs. 940 ml/min; P = 0.025). Similarly, recovery [Formula: see text]O₂ (509 vs. 458 ml/min; P = 0.001) was lower in BR. Whole blood potassium concentration increased from pre-post exercise in PLA (4.1 ± 0.3 vs. 4.5 ± 0.3 mmol/L; P = 0.013) but not BR (4.1 ± 0.31 vs. 4.3 ± 0.2 mmol/L; P = 0.188).

CONCLUSIONS

Energy cost of exercise, recovery of [Formula: see text]O₂, MAP and blood markers were ameliorated after BR. Previously-reported mechanisms explain these findings, which are more noticeable during less-efficient walking at steep gradients (15-20%). These findings have practical implications for hill-walkers.

Unfavorable influence of structured exercise program on total leisure-time physical activity

In randomized controlled trials (RCTs), with customized structured physical exercise activity (SPEA) interventions, the dose of leisure-time physical activity (LTPA) should exceed the LTPA dose of the nonexercising control (C) group. This increase is required to substantiate health improvements achievable by exercise. We aimed to compare the dose of SPEA, LTPA, and total LTPA (SPEA + LTPA) between a randomized Nordic walking (NW) group, a power-type resistance training (RT) group, and a C group during a 12-week exercise intervention in obese middle-aged men (n = 144) with impaired glucose regulation. The dose of physical activity was measured with diaries using metabolic equivalents. No significant difference (P > 0.107) between the groups was found in volume of total LTPA. The volume of LTPA was, however, significantly higher (P < 0.050) in the C group than in the NW group, but not compared with the RT group. These results indicate that structured exercise does not automatically increase the total LTPA level, possibly, as a result of compensation of LTPA with structured exercise or spontaneous activation of the C group. Thus, the dose of total LTPA and the possible changes in spontaneous LTPA should be taken into account when implementing a RCT design with exercise intervention.

Effects of lightweight outdoor clothing on the prevention of hypothermia during low-intensity exercise in the cold

OBJECTIVE

To study protective effects of windbreaker jacket and pants during exercise in the cold.

DESIGN

Randomized pilot study.

SETTING

Climate chamber.

PARTICIPANTS

Nine well-trained (V[Combining Dot Above]O2max 61.7 ± 6.6 mL/min/kg) sport students (6 male and 3 female participants).

INTERVENTIONS

Subjects started walking for 1 hour in a climate chamber (0°C ambient temperature and wind speed of 10 km/h) at 70% V[Combining Dot Above]O2max wearing gloves, a T-shirt, and shorts. Then, the walking speed was reduced to 30% V[Combining Dot Above]O2max for an additional 60 minutes or until core temperature dropped below 35.5°C. Subsequently, 3 groups of 3 participants continued walking without change of clothing or obtaining additionally a cap and a windbreaker jacket or windbreaker jacket and pants.

MAIN OUTCOME MEASURES

Core and skin temperature, thermal comfort.

RESULTS

The main findings of this study were that exercising at 70% V[Combining Dot Above]O2max in the cold was sufficient to prevent hypothermia and that during low-intensity exercise (30% V[Combining Dot Above]O2max), the combined use of a polyester cap, lightweight windbreaker jacket, and pants was necessary to increase a prehypothermic core temperature.

CONCLUSIONS

We strongly recommend taking a cap, windbreaker jacket, and pants for the prevention of hypothermia during exhaustive walking or running in cold weather conditions.

Neuromuscular and cardiovascular responses of Royal Marine recruits to load carriage in the field

Cardiovascular and neuromuscular responses of 12 male Royal Marine recruits (age 22 ± 3 years, body mass 80.7 ± 6.8 kg, VO(2)max 52.3 ± 2.7 ml kg(-1) min(-1)) were measured during 19.3 km of load carriage walking at 4.2 km h(-1) and carrying 31.0 kg. Heart rate during load carriage was 145 ± 10 beats·min(-1) (64 ± 5 %HRR) and showed a negative relationship with body mass (r = -0.72, P = 0.009) but no relationship with VO(2)max (ml kg(-1) min(-1); r = -0.40, P = 0.198). Load carriage caused a decrease in vertical jump height (8 ± 9%) and power (5 ± 5%) (P < 0.001). Change in vertical jump power showed a positive relationship with body mass (r(2) = 0.40, P = 0.029) but no relationship to VO(2)max (ml kg(-1) min(-1); r(2) = 0.13, P = 0.257). In conclusion, load carriage caused a reduction in vertical jump performance (i.e. decreased neuromuscular function). Lighter individuals were disadvantaged when carrying absolute loads, as they experienced higher cardiovascular strain and greater decreases in neuromuscular function.

Effects of extreme-duration heavy load carriage on neuromuscular function and locomotion: a military-based study

Trekking and military missions generally consist of carrying heavy loads for extreme durations. These factors have been separately shown to be sources of neuromuscular (NM) fatigue and locomotor alterations. However, the question of their combined effects remains unresolved, and addressing this issue required a representative context.

100 Years Since Scott Reached the Pole: A Century of Learning About the Physiological Demands of Antarctica

The 1910–1913 Terra Nova Expedition to the Antarctic, led by Captain Robert Falcon Scott, was a venture of science and discovery. It is also a well-known story of heroism and tragedy since his quest to reach the South Pole and conduct research en route, while successful was also fateful. Although Scott and his four companions hauled their sledges to the Pole, they died on their return journey either directly or indirectly from the extreme physiological stresses they experienced. One hundred years on, our understanding of such stresses caused by Antarctic extremes and how the body reacts to severe exercise, malnutrition, hypothermia, high altitude, and sleep deprivation has greatly advanced. On the centenary of Scott's expedition to the bottom of the Earth, there is still controversy surrounding whether the deaths of those five men could have, or should have, been avoided. This paper reviews present-day knowledge related to the physiology of sustained man-hauling in Antarctica and contrasts this with the comparative ignorance about these issues around the turn of the 20th century. It closes by considering whether, with modern understanding about the effects of such a scenario on the human condition, Scott could have prepared and managed his team differently and so survived the epic 1,600-mile journey. The conclusion is that by carrying rations with a different composition of macromolecules, enabling greater calorific intake at similar overall weight, Scott might have secured the lives of some of the party, and it is also possible that enhanced levels of vitamin C in his rations, albeit difficult to achieve in 1911, could have significantly improved their survival chances. Nevertheless, even with today's knowledge, a repeat attempt at his expedition would by no means be bound to succeed.

Effect of load mass on posture, heart rate and subjective responses of recreational female hikers to prolonged load carriage

Load carriage has been associated with a risk of upper and lower limb musculoskeletal disorders with women suffering significantly higher injury rates than their male counterparts. Despite this injury risk, there are limited evidence-based guidelines for recreational hikers, particularly female recreational hikers, regarding safe backpack loads. The purpose of the present study was to determine how variations in load mass affected the heart rate, posture and subjective responses of women during prolonged walking to provide evidence for a load mass limit for female recreational hikers. Heart rate (HR), posture and ratings of perceived exertion (RPE) and discomfort were collected for 15 female experienced recreational hikers (22.3 ± 3.9 years) while they hiked for 8 km at a self-selected pace under four different load conditions (0%, 20%, 30% and 40% of body weight (BW)). Although HR was not significantly affected by load mass or walking distance, increasing load mass and distance significantly affected posture, RPE and discomfort of the upper body. Carrying a 20% BW load induced significant changes in trunk posture, RPE and reported shoulder discomfort compared to the unloaded condition. The 20% BW load also resulted in a mean RPE rating of 'fairly light', which increased to 'hard' when carrying a 40% BW load. As load carriage distance increased participants reported significantly increased shoulder, neck and upper back discomfort. Based on the changes to posture, self-reported exertion and discomfort when carrying loads of 20%, 30% and 40% BW over 8 km, it was concluded that a backpack load limit of 30% BW should be recommended for female recreational hikers during prolonged walking.

National Athletic Trainers' Association position statement: environmental cold injuries

OBJECTIVE

To present recommendations for the prevention, recognition, and treatment of environmental cold injuries.

BACKGROUND

Individuals engaged in sport-related or work-related physical activity in cold, wet, or windy conditions are at risk for environmental cold injuries. An understanding of the physiology and pathophysiology, risk management, recognition, and immediate care of environmental cold injuries is an essential skill for certified athletic trainers and other health care providers working with individuals at risk.

RECOMMENDATIONS

These recommendations are intended to provide certified athletic trainers and others participating in athletic health care with the specific knowledge and problem-solving skills needed to address environmental cold injuries. Each recommendation has been graded (A, B, or C) according to the Strength of Recommendation Taxonomy criterion scale.

Alterations in autonomic function and cerebral hemodynamics to orthostatic challenge following a mountain marathon

We examined potential mechanisms (autonomic function, hypotension, and cerebral hypoperfusion) responsible for orthostatic intolerance following prolonged exercise. Autonomic function and cerebral hemodynamics were monitored in seven athletes pre-, post- (<4 h), and 48 h following a mountain marathon [42.2 km; cumulative gain ∼1,000 m; ∼15°C; completion time, 261 ± 27 (SD) min]. In each condition, middle cerebral artery blood velocity (MCAv), blood pressure (BP), heart rate (HR), and cardiac output (Modelflow) were measured continuously before and during a 6-min stand. Measurements of HR and BP variability and time-domain analysis were used as an index of sympathovagal balance and baroreflex sensitivity (BRS). Cerebral autoregulation was assessed using transfer-function gain and phase shift in BP and MCAv. Hypotension was evident following the marathon during supine rest and on standing despite increased sympathetic and reduced parasympathetic control, and elevations in HR and cardiac output. On standing, following the marathon, there was less elevation in normalized low-frequency HR variability ( P < 0.05), indicating attenuated sympathetic activation. MCAv was maintained while supine but reduced during orthostasis postmarathon [−10.4 ± 9.8% pre- vs. −15.4 ± 9.9% postmarathon (%change from supine); P < 0.05]; such reductions were related to an attenuation in BRS ( r = 0.81; P < 0.05). Cerebral autoregulation was unchanged following the marathon. These findings indicate that following prolonged exercise, hypotension and postural reductions in autonomic function or baroreflex control, or both, rather than a compromise in cerebral autoregulation, may place the brain at risk of hypoperfusion. Such changes may be critical factors in collapse following prolonged exercise.

Responding for sucrose and wheel-running reinforcement: effect of pre-running

Six male albino Wistar rats were placed in running wheels and exposed to a fixed interval 30-s schedule that produced either a drop of 15% sucrose solution or the opportunity to run for 15s as reinforcing consequences for lever pressing. Each reinforcer type was signaled by a different stimulus. To assess the effect of pre-running, animals were allowed to run for 1h prior to a session of responding for sucrose and running. Results showed that, after pre-running, response rates in the later segments of the 30-s schedule decreased in the presence of a wheel-running stimulus and increased in the presence of a sucrose stimulus. Wheel-running rates were not affected. Analysis of mean post-reinforcement pauses (PRP) broken down by transitions between successive reinforcers revealed that pre-running lengthened pausing in the presence of the stimulus signaling wheel running and shortened pauses in the presence of the stimulus signaling sucrose. No effect was observed on local response rates. Changes in pausing in the presence of stimuli signaling the two reinforcers were consistent with a decrease in the reinforcing efficacy of wheel running and an increase in the reinforcing efficacy of sucrose. Pre-running decreased motivation to respond for running, but increased motivation to work for food.