Running

Adding Mindfulness Practice to Exercise Therapy for Female Recreational Runners With Patellofemoral Pain: A Randomized Controlled Trial

Shahabeddin Bagheri, Aynollah Naderi, Samira Mirali +2 more · Journal of Athletic Training · 2020 · 43 citations

Adding an 8-week mindfulness program to an 18-week exercise therapy protocol reduced pain during running by roughly 2 points on a 10-point scale and improved knee function by about 10 points on a 100-point scale compared to exercise alone in female recreational runners with patellofemoral pain.

Aerobic Interval Training Versus Continuous Moderate Exercise as a Treatment for the Metabolic Syndrome

Arnt Erik Tjønna, Sang Jun Lee, Øivind Rognmo +10 more · Circulation · 2008 · 1,129 citations

BACKGROUND: Individuals with the metabolic syndrome are 3 times more likely to die of heart disease than healthy counterparts. Exercise training reduces several of the symptoms of the syndrome, but the exercise intensity that yields the maximal beneficial adaptations is in dispute. We compared moderate and high exercise intensity with regard to variables associated with cardiovascular function and prognosis in patients with the metabolic syndrome. METHODS AND RESULTS: Thirty-two metabolic syndrome patients (age, 52.3+/-3.7 years; maximal oxygen uptake [o(2)max], 34 mL x kg(-1) x min(-1)) were randomized to equal volumes of either moderate continuous moderate exercise (CME; 70% of highest measured heart rate [Hfmax]) or aerobic interval training (AIT; 90% of Hfmax) 3 times a week for 16 weeks or to a control group. o(2)max increased more after AIT than CME (35% versus 16%; P<0.01) and was associated with removal of more risk factors that constitute the metabolic syndrome (number of factors: AIT, 5.9 before versus 4.0 after; P<0.01; CME, 5.7 before versus 5.0 after; group difference, P<0.05). AIT was superior to CME in enhancing endothelial function (9% versus 5%; P<0.001), insulin signaling in fat and skeletal muscle, skeletal muscle biogenesis, and excitation-contraction coupling and in reducing blood glucose and lipogenesis in adipose tissue. The 2 exercise programs were equally effective at lowering mean arterial blood pressure and reducing body weight (-2.3 and -3.6 kg in AIT and CME, respectively) and fat. CONCLUSIONS: Exercise intensity was an important factor for improving aerobic capacity and reversing the risk factors of the metabolic syndrome. These findings may have important implications for exercise training in rehabilitation programs and future studies.

A progressive shuttle run test to estimate maximal oxygen uptake.

Roger Ramsbottom, J. P. N. Brewer, C. Williams · British Journal of Sports Medicine · 1988 · 772 citations

The purpose of the present study was to examine the validity of using a 20 m progressive shuttle run test to estimate maximal oxygen uptake. Running ability was described as the final level attained on the shuttle run test and as time on a 5 km run. Maximal oxygen uptake (VO2 max) was determined directly for seventy-four volunteers (36 men, 38 women) who also completed the shuttle run test. Maximal oxygen uptake values were 58.5 +/- 7.0 and 47.4 +/- 6.1 ml.kg-1.min-1 for the men and women respectively (mean +/- SD, P less than 0.01). The levels attained on the shuttle run test were 12.6 +/- 1.5 (men) and 9.6 +/- 1.8 (women; P less than 0.01). The correlation between VO2 max and shuttle level was 0.92. The correlation between VO2 max and the 5 km run was -0.94 and the correlation between both field tests was -0.96. The results of this study suggest that a progressive shuttle run test provides a valid estimate of VO2 max and indicates 5 km running potential in active men and women.

A Perspective on High-Intensity Interval Training for Performance and Health

Alexandra M. Coates, Michael J. Joyner, Jonathan P. Little +2 more · Sports Medicine · 2023 · 196 citations

Interval training is a simple concept that refers to repeated bouts of relatively hard work interspersed with recovery periods of easier work or rest. The method has been used by high-level athletes for over a century to improve performance in endurance-type sports and events such as middle- and long-distance running. The concept of interval training to improve health, including in a rehabilitative context or when practiced by individuals who are relatively inactive or deconditioned, has also been advanced for decades. An important issue that affects the interpretation and application of interval training is the lack of standardized terminology. This particularly relates to the classification of intensity. There is no common definition of the term "high-intensity interval training" (HIIT) despite its widespread use. We contend that in a performance context, HIIT can be characterized as intermittent exercise bouts performed above the heavy-intensity domain. This categorization of HIIT is primarily encompassed by the severe-intensity domain. It is demarcated by indicators that principally include the critical power or critical speed, or other indices, including the second lactate threshold, maximal lactate steady state, or lactate turnpoint. In a health context, we contend that HIIT can be characterized as intermittent exercise bouts performed above moderate intensity. This categorization of HIIT is primarily encompassed by the classification of vigorous intensity. It is demarcated by various indicators related to perceived exertion, oxygen uptake, or heart rate as defined in authoritative public health and exercise prescription guidelines. A particularly intense variant of HIIT commonly termed "sprint interval training" can be distinguished as repeated bouts performed with near-maximal to "all out" effort. This characterization coincides with the highest intensity classification identified in training zone models or exercise prescription guidelines, including the extreme-intensity domain, anaerobic speed reserve, or near-maximal to maximal intensity classification. HIIT is considered an essential training component for the enhancement of athletic performance, but the optimal intensity distribution and specific HIIT prescription for endurance athletes is unclear. HIIT is also a viable method to improve cardiorespiratory fitness and other health-related indices in people who are insufficiently active, including those with cardiometabolic diseases. Research is needed to clarify responses to different HIIT strategies using robust study designs that employ best practices. We offer a perspective on the topic of HIIT for performance and health, including a conceptual framework that builds on the work of others and outlines how the method can be defined and operationalized within each context.

Soccer specific aerobic endurance training

Jan Hoff, Ulrik Wisløff, L C Engen +2 more · British Journal of Sports Medicine · 2002 · 527 citations

BACKGROUND: In professional soccer, a significant amount of training time is used to improve players' aerobic capacity. However, it is not known whether soccer specific training fulfils the criterion of effective endurance training to improve maximal oxygen uptake, namely an exercise intensity of 90-95% of maximal heart rate in periods of three to eight minutes. OBJECTIVE: To determine whether ball dribbling and small group play are appropriate activities for interval training, and whether heart rate in soccer specific training is a valid measure of actual work intensity. METHODS: Six well trained first division soccer players took part in the study. To test whether soccer specific training was effective interval training, players ran in a specially designed dribbling track, as well as participating in small group play (five a side). Laboratory tests were carried out to establish the relation between heart rate and oxygen uptake while running on a treadmill. Corresponding measurements were made on the soccer field using a portable system for measuring oxygen uptake. RESULTS: Exercise intensity during small group play was 91.3% of maximal heart rate or 84.5% of maximal oxygen uptake. Corresponding values using a dribbling track were 93.5% and 91.7%. No higher heart rate was observed during soccer training. CONCLUSIONS: Soccer specific exercise using ball dribbling or small group play may be performed as aerobic interval training. Heart rate monitoring during soccer specific exercise is a valid indicator of actual exercise intensity.

Plyometric training as an intervention to correct altered neuromotor control during running after cycling in triathletes: a preliminary randomised controlled trial.

Bonacci J, Green D, Saunders PU +3 more · Phys Ther Sport · 2011 · 34 citations

A prospective study of running injuries: the Vancouver Sun Run “In Training” clinics

Jack Taunton, Michael Ryan, D. B. Clement +3 more · British Journal of Sports Medicine · 2003 · 437 citations

OBJECTIVES: Seventeen running training clinics were investigated to determine the number of injuries that occur in a running programme designed to minimise the injury rate for athletes training for a 10 km race. The relative contributions of factors associated with injury were also reported. METHODS: A total of 844 primarily recreational runners were surveyed in three trials on the 4th, 8th, and 12th week of the 13 week programme of the "In Training" running clinics. Participants were classified as injured if they experienced at least a grade 1 injury-that is, pain only after running. Logistic regression modelling and odds ratio calculation were performed for each sex using the following predictor variables: age, body mass index (BMI), previous aerobic activity, running frequency, predominant running surface, arch height, running shoe age, and concurrent cross training. RESULTS: Age played an important part in injury in women: being over 50 years old was a risk factor for overall injury, and being less than 31 years was protective against new injury. Running only one day a week showed a non-significant trend for injury risk in men and was a significant risk factor in women and overall injury. A BMI of > 26 kg/m(2) was reported as protective for men. Running shoe age also significantly contributed to the injury model. Half of the participants who reported an injury had had a previous injury; 42% of these reported that they were not completely rehabilitated on starting the 13 week training programme. An injury rate of 29.5% was recorded across all training clinics surveyed. The knee was the most commonly injured site. CONCLUSIONS: Although age, BMI, running frequency (days a week), and running shoe age were associated with injury, these results do not take into account an adequate measure of exposure time to injury, running experience, or previous injury and should thus be viewed accordingly. In addition, the reason for the discrepancy in injury rate between these 17 clinics requires further study.

Swimming Warm-Up and Beyond: Dryland Protocols and Their Related Mechanisms—A Scoping Review

Francisco Cuenca‐Fernández, Daniel Boullosa, Óscar López‐Belmonte +3 more · Sports Medicine - Open · 2022 · 16 citations

In swimming, the beneficial effects of the in-water warm-up are often undermined by the long transition periods before competition (≥ 20 min). For that reason, studies comparing the effects of in-water warm-ups followed by dryland activities have been conducted in the swimming literature. This has brought conflicting evidence due to large combinations of supervised and unsupervised warm-up procedures used. Therefore, a scoping review was performed to discuss (1) why warm-up strategies are important for competitive swimming; to identify (2) what are the different warm-up approaches available in the literature, and; to establish (3) what are the main conclusions, considerations and gaps that should be addressed in further research to provide clearer guidance for interventions. The search was conducted on PubMed, Web of Science, Scopus, and SPORTDiscus databases. To be considered eligible, studies must have assessed acute short-term responses of warm-up procedures in swimmers by using randomized controlled trials or pre-post study designs. A total of 42 articles were included in this review. The effectiveness of warm-up responses was evaluated based on the inclusion or not of warm-up, the type of conditioning activity (in-water exercise, in-water exercise combined with dryland or dryland exercise only), its duration, and intensity. (1) Warm-up mechanisms have been mainly related to temperature changes associated to cardiovascular adaptations and short-term specific neuromuscular adaptations. Thus, maintaining muscle activity and body temperature during the transition phase immediately prior to competition could help swimmers' performance; (2) the most common approach before a race usually included a moderate mileage of in-water warm-up (~ 1000 m) performed at an intensity of ≤ 60% of the maximal oxygen consumption, followed by dryland protocols to keep the muscle activity and body temperature raised during the transition phase. Dryland activities could only optimize performance in sprint swimming if performed after the in-water warm-up, especially if heated clothing elements are worn. Using tethered swimming and hand-paddles during warm-ups does not provide superior muscular responses to those achieved by traditional in-water warm-ups, possibly because of acute alterations in swimming technique. In contrast, semi-tethered resisted swimming may be considered as an appropriate stimulus to generate post-activation performance enhancements; (3) nothing has yet been investigated in backstroke, butterfly or individual medley, and there is a paucity of research on the effects of experimental warm-ups over distances greater than 100 m. Women are very under-represented in warm-up research, which prevents conclusions about possible sex-regulated effects on specific responses to the warm-up procedures.

The Road to Gold: Training and Peaking Characteristics in the Year Prior to a Gold Medal Endurance Performance

Espen Tønnessen, Øystein Sylta, Thomas Haugen +3 more · PLoS ONE · 2014 · 248 citations

PURPOSE: To describe training variations across the annual cycle in Olympic and World Champion endurance athletes, and determine whether these athletes used tapering strategies in line with recommendations in the literature. METHODS: Eleven elite XC skiers and biathletes (4 male; 28±1 yr, 85±5 mL x min(-1) x kg(-1) VO2max, 7 female, 25±4 yr, 73±3 mL x min(-1) x kg(-1) VO2max) reported one year of day-to-day training leading up to the most successful competition of their career. Training data were divided into periodization and peaking phases and distributed into training forms, intensity zones and endurance activity forms. RESULTS: Athletes trained ∼800 h/500 sessions x year(-1), including ∼500 h x year(-1) of sport-specific training. Ninety-four percent of all training was executed as aerobic endurance training. Of this, ∼90% was low intensity training (LIT, below the first lactate threshold) and 10% high intensity training (HIT, above the first lactate threshold) by time. Categorically, 23% of training sessions were characterized as HIT with primary portions executed at or above the first lactate turn point. Training volume and specificity distribution conformed to a traditional periodization model, but absolute volume of HIT remained stable across phases. However, HIT training patterns tended to become more polarized in the competition phase. Training volume, frequency and intensity remained unchanged from pre-peaking to peaking period, but there was a 32±15% (P<.01) volume reduction from the preparation period to peaking phase. CONCLUSIONS: The annual training data for these Olympic and World champion XC skiers and biathletes conforms to previously reported training patterns of elite endurance athletes. During the competition phase, training became more sport-specific, with 92% performed as XC skiing. However, they did not follow suggested tapering practice derived from short-term experimental studies. Only three out of 11 athletes took a rest day during the final 5 days prior to their most successful competition.

Running economy: measurement, norms, and determining factors

Kyle R. Barnes, Andrew E. Kilding · Sports Medicine - Open · 2015 · 439 citations

Running economy (RE) is considered an important physiological measure for endurance athletes, especially distance runners. This review considers 1) how RE is defined and measured and 2) physiological and biomechanical factors that determine or influence RE. It is difficult to accurately ascertain what is good, average, and poor RE between athletes and studies due to variation in protocols, gas-analysis systems, and data averaging techniques. However, representative RE values for different caliber of male and female runners can be identified from existing literature with mostly clear delineations in oxygen uptake across a range of speeds in moderately and highly trained and elite runners. Despite being simple to measure and acceptably reliable, it is evident that RE is a complex, multifactorial concept that reflects the integrated composite of a variety of metabolic, cardiorespiratory, biomechanical and neuromuscular characteristics that are unique to the individual. Metabolic efficiency refers to the utilization of available energy to facilitate optimal performance, whereas cardiopulmonary efficiency refers to a reduced work output for the processes related to oxygen transport and utilization. Biomechanical and neuromuscular characteristics refer to the interaction between the neural and musculoskeletal systems and their ability to convert power output into translocation and therefore performance. Of the numerous metabolic, cardiopulmonary, biomechanical and neuromuscular characteristics contributing to RE, many of these are able to adapt through training or other interventions resulting in improved RE.

Walking Versus Running for Hypertension, Cholesterol, and Diabetes Mellitus Risk Reduction

Paul T. Williams, Paul D. Thompson · Arteriosclerosis Thrombosis and Vascular Biology · 2013 · 145 citations

OBJECTIVE: To test whether equivalent energy expenditure by moderate-intensity (eg, walking) and vigorous-intensity exercise (eg, running) provides equivalent health benefits. APPROACH AND RESULTS: We used the National Runners' (n=33 060) and Walkers' (n=15 945) Health Study cohorts to examine the effect of differences in exercise mode and thereby exercise intensity on coronary heart disease (CHD) risk factors. Baseline expenditure (metabolic equivant hours per day [METh/d]) was compared with self-reported, physician-diagnosed incident hypertension, hypercholesterolemia, diabetes mellitus, and CHD during 6.2 years follow-up. Running significantly decreased the risks for incident hypertension by 4.2% (P<10(-7)), hypercholesterolemia by 4.3% (P<10(-14)), diabetes mellitus by 12.1% (P<10(-5)), and CHD by 4.5% per METh/d (P=0.05). The corresponding reductions for walking were 7.2% (P<10(-6)), 7.0% (P<10(-8)), 12.3% (P<10(-4)), and 9.3% (P=0.01). Relative to <1.8 METh/d, the risk reductions for 1.8 to 3.6, 3.6 to 5.4, 5.4 to 7.2, and ≥7.2 METh/d were as follows: (1) 10.1%, 17.7%, 25.1%, and 34.9% from running and 14.0%, 23.8%, 21.8%, and 38.3% from walking for hypercholesterolemia; (2) 19.7%, 19.4%, 26.8%, and 39.8% from running and 14.7%, 19.1%, 23.6%, and 13.3% from walking for hypertension; and (3) 43.5%, 44.1%, 47.7%, and 68.2% from running, and 34.1%, 44.2% and 23.6% from walking for diabetes mellitus (walking >5.4 METh/d excluded for too few cases). The risk reductions were not significantly different for running than walking for diabetes mellitus (P=0.94), hypertension (P=0.06), or CHD (P=0.26), and only marginally greater for walking than running for hypercholesterolemia (P=0.04). CONCLUSIONS: Equivalent energy expenditures by moderate (walking) and vigorous (running) exercise produced similar risk reductions for hypertension, hypercholesterolemia, diabetes mellitus, and possibly CHD.

The Foot’s Arch and the Energetics of Human Locomotion

Sarah Stearne, Kirsty A. McDonald, Jacqueline Alderson +3 more · Scientific Reports · 2016 · 156 citations

The energy-sparing spring theory of the foot's arch has become central to interpretations of the foot's mechanical function and evolution. Using a novel insole technique that restricted compression of the foot's longitudinal arch, this study provides the first direct evidence that arch compression/recoil during locomotion contributes to lowering energy cost. Restricting arch compression near maximally (~80%) during moderate-speed (2.7 ms(-1)) level running increased metabolic cost by + 6.0% (p < 0.001, d = 0.67; unaffected by foot strike technique). A simple model shows that the metabolic energy saved by the arch is largely explained by the passive-elastic work it supplies that would otherwise be done by active muscle. Both experimental and model data confirm that it is the end-range of arch compression that dictates the energy-saving role of the arch. Restricting arch compression had no effect on the cost of walking or incline running (3°), commensurate with the smaller role of passive-elastic mechanics in these gaits. These findings substantiate the elastic energy-saving role of the longitudinal arch during running, and suggest that arch supports used in some footwear and orthotics may increase the cost of running.

Real-time feedback by wearables in running: Current approaches, challenges and suggestions for improvements

Bas Van Hooren, Jos Goudsmit, Juan Restrepo +1 more · Journal of Sports Sciences · 2019 · 135 citations

Injuries and lack of motivation are common reasons for discontinuation of running. Real-time feedback from wearables can reduce discontinuation by reducing injury risk and improving performance and motivation. There are however several limitations and challenges with current real-time feedback approaches. We discuss these limitations and challenges and provide a framework to optimise real-time feedback for reducing injury risk and improving performance and motivation. We first discuss the reasons why individuals run and propose that feedback targeted to these reasons can improve motivation and compliance. Secondly, we review the association of running technique and running workload with injuries and performance and we elaborate how real-time feedback on running technique and workload can be applied to reduce injury risk and improve performance and motivation. We also review different feedback modalities and motor learning feedback strategies and their application to real-time feedback. Briefly, the most effective feedback modality and frequency differ between variables and individuals, but a combination of modalities and mixture of real-time and delayed feedback is most effective. Moreover, feedback promoting perceived competence, autonomy and an external focus can improve motivation, learning and performance. Although the focus is on wearables, the challenges and practical applications are also relevant for laboratory-based gait retraining.

Endurance training effects on neurotransmitter release in rat striatum: an <i>in vivo</i> microdialysis study

Romain Meeusen, Ilse Smolders, Sophie Sarre +5 more · Acta Physiologica Scandinavica · 1997 · 189 citations

MEEUSEN, R., SMOLDERS, I., SARRE, S., DE MEIRLEIR, K., KEIZER, H., SERNEELS, M., EBINGER, G. &amp; MICHOTTE, Y. 1997. Endurance training effects on neurotransmitter release in rat stratium – an in vivo microdialysis study. Acta Physiol Scand 159 , 335–341. Received 14 May 1996, accepted 15 November 1996. ISSN 0001–6772. Department of Human Physiology and Sports Medicine, Department of Pharmaceutical Chemistry and Drug Analysis, and Department of Neurology, University Hospital, Vrije Universiteit Brussel, Brussels, Belgium; Department of Movement Sciences, Rijksuniversiteit Limburg, Maastricht, the Netherlands. In the present study we use the in vivo microdialysis sampling technique to register extracellular levels of neurotransmitters in the striatum of trained and untrained rats. We further evaluate the influence of 1 h of exercise on the striatal release of dopamine (DA), noradrenaline (NA), glutamate (GLU) and γ‐aminobutyric acid (GABA) in trained and untrained rats. Male Wistars were randomly assigned to a training or control group. The exercise training consisted of running on a treadmill for 6 weeks, 5 days week −1 , with running time and speed gradually increased from 30 min at 19 m min −1 during the first week to 80 min at 26 m min −1 during the final training week. The animals of the control group were placed on the treadmill twice a week, and received a total of four `adaptation sessions', in which they exercised 15–45 min at 26 m min −1 . Brain dialysates were analysed with microbore liquid chromatography (LC), with electrochemical detection (monoamines and GABA) and fluorescence detection (GLU). Soleus citrate synthase and basal striatal concentrations of DA, NA and GLU were significantly different between the trained and control animals. Sixty minutes of exercise significantly increased extracellular DA, NA and GLU levels in both groups, but there was no statistically significant difference in the exercise‐induced increase between trained and control animals. There was no statistical difference in basal or exercise‐induced GABA levels between trained and control animals. The results indicate that exercise training appears to result in diminished basal activity of striatal neurotransmitters, while maintaining the necessary sensitivity for responses to acute exercise.

Effects of Heavy Strength Training on Running Performance and Determinants of Running Performance in Female Endurance Athletes

Olav Vikmoen, Truls Raastad, Olivier Seynnes +3 more · PLoS ONE · 2016 · 68 citations

PURPOSE: The purpose of the current study was to investigate the effects of adding strength training to normal endurance training on running performance and running economy in well-trained female athletes. We hypothesized that the added strength training would improve performance and running economy through altered stiffness of the muscle-tendon complex of leg extensors. METHODS: Nineteen female endurance athletes [maximal oxygen consumption (VO2max): 53±3 ml∙kg-1∙min-1, 5.8 h weekly endurance training] were randomly assigned to either normal endurance training (E, n = 8) or normal endurance training combined with strength training (E+S, n = 11). The strength training consisted of four leg exercises [3 x 4-10 repetition maximum (RM)], twice a week for 11 weeks. Muscle strength, 40 min all-out running distance, running performance determinants and patellar tendon stiffness were measured before and after the intervention. RESULTS: E+S increased 1RM in leg exercises (40 ± 15%) and maximal jumping height in counter movement jump (6 ± 6%) and squat jump (9 ± 7%, p < 0.05). This was accompanied by increased muscle fiber cross sectional area of both fiber type I (13 ± 7%) and fiber type II (31 ± 20%) in m. vastus lateralis (p < 0.05), with no change in capillary density in m. vastus lateralis or the stiffness of the patellar tendon. Neither E+S nor E changed running economy, fractional utilization of VO2max or VO2max. There were also no change in running distance during a 40 min all-out running test in neither of the groups. CONCLUSION: Adding heavy strength training to endurance training did not affect 40 min all-out running performance or running economy compared to endurance training only.

Mechanics of walking and running up and downhill: A joint-level perspective to guide design of lower-limb exoskeletons

Richard W. Nuckols, Kota Z. Takahashi, Dominic J. Farris +3 more · PLoS ONE · 2020 · 90 citations

Lower-limb wearable robotic devices can improve clinical gait and reduce energetic demand in healthy populations. To help enable real-world use, we sought to examine how assistance should be applied in variable gait conditions and suggest an approach derived from knowledge of human locomotion mechanics to establish a 'roadmap' for wearable robot design. We characterized the changes in joint mechanics during walking and running across a range of incline/decline grades and then provide an analysis that informs the development of lower-limb exoskeletons capable of operating across a range of mechanical demands. We hypothesized that the distribution of limb-joint positive mechanical power would shift to the hip for incline walking and running and that the distribution of limb-joint negative mechanical power would shift to the knee for decline walking and running. Eight subjects (6M,2F) completed five walking (1.25 m s-1) trials at -8.53°, -5.71°, 0°, 5.71°, and 8.53° grade and five running (2.25 m s-1) trials at -5.71°, -2.86°, 0°, 2.86°, and 5.71° grade on a treadmill. We calculated time-varying joint moment and power output for the ankle, knee, and hip. For each gait, we examined how individual limb-joints contributed to total limb positive, negative and net power across grades. For both walking and running, changes in grade caused a redistribution of joint mechanical power generation and absorption. From level to incline walking, the ankle's contribution to limb positive power decreased from 44% on the level to 28% at 8.53° uphill grade (p < 0.0001) while the hip's contribution increased from 27% to 52% (p < 0.0001). In running, regardless of the surface gradient, the ankle was consistently the dominant source of lower-limb positive mechanical power (47-55%). In the context of our results, we outline three distinct use-modes that could be emphasized in future lower-limb exoskeleton designs 1) Energy injection: adding positive work into the gait cycle, 2) Energy extraction: removing negative work from the gait cycle, and 3) Energy transfer: extracting energy in one gait phase and then injecting it in another phase (i.e., regenerative braking).

Exercise training in normobaric hypoxia in endurance runners. I. Improvement in aerobic performance capacity.

Dufour SP, Ponsot E, Zoll J +10 more · J Appl Physiol (1985) · 2006 · 167 citations

Physiological and training characteristics of recreational marathon runners

Dan Gordon, Sarah Wightman, Itay Basevitch +7 more · Open Access Journal of Sports Medicine · 2017 · 82 citations

PURPOSE: The aim of this study was to examine the physical and training characteristics of recreational marathon runners within finish time bandings (2.5-3 h, 3-3.5 h, 3.5-4 h, 4-4.5 h and >4.5 h). MATERIALS AND METHODS: A total of 97 recreational marathon runners (age 42.4 ± 9.9 years; mass 69.2 ± 11.3 kg; stature 172.8 ± 9.1 cm), with a marathon finish time of 229.1 ± 48.7 min, of whom n = 34 were female and n = 63 were male, completed an incremental treadmill test for the determination of lactate threshold (LT1), lactate turn point (LT2) and running economy (RE). Following a 7-min recovery, they completed a test to volitional exhaustion starting at LT2 for the assessment of [Formula: see text]. In addition, all participants completed a questionnaire gathering information on their current training regimes exploring weekly distances, training frequencies, types of sessions, longest run in a week, with estimations of training speed, and load and volume derived from these data. RESULTS: = 0.563). CONCLUSION: The data highlight profound differences for key components of marathon running ([Formula: see text], LT1, LT2, RE and % [Formula: see text]) within a group of recreational runners with the discriminating training variables being training frequency and the absolute training speed.

Association among Physical Activity Level, Cardiorespiratory Fitness, and Risk of Musculoskeletal Injury

Jennifer M. Hootman · American Journal of Epidemiology · 2001 · 225 citations

To help public health practitioners promote physical activities with a low risk of injury, this study determined the relation among type and duration of physical activity, cardiorespiratory fitness, and musculoskeletal injury in a sample of adults enrolled in the Aerobics Center Longitudinal Study. Subjects included 4,034 men and 967 women who underwent a baseline physical examination between 1970 and 1985 and who returned a mailed follow-up survey in 1986. At baseline, a treadmill graded exercise test was used to measure cardiorespiratory fitness. At follow-up, subjects reported injuries and type and duration of physical activity in the preceding 12 months. Polytomous logistic regression was used to estimate the association among physical activity type and duration, cardiorespiratory fitness, and injury. The risk of sustaining an activity-related injury increased with higher duration of physical activity per week and cardiorespiratory fitness levels. Results suggest that cardiorespiratory fitness may be a surrogate for unmeasured components of physical activity, such as exercise intensity. Among walkers, increasing duration of activity per week was not associated with an increased risk of injury. Results suggest that, for most adults, walking is a safe form of physical activity associated with a lower risk of injury than running or sport participation.

How Are Macro-Scale and Micro-Scale Built Environments Associated with Running Activity? The Application of Strava Data and Deep Learning in Inner London

Hongchao Jiang, Lin Dong, Bing Qiu · ISPRS International Journal of Geo-Information · 2022 · 77 citations

Running can promote public health. However, the association between running and the built environment, especially in terms of micro street-level factors, has rarely been studied. This study explored the influence of built environments at different scales on running in Inner London. The 5Ds framework (density, diversity, design, destination accessibility, and distance to transit) was used to classify the macro-scale features, and computer vision (CV) and deep learning (DL) were used to measure the micro-scale features. We extracted the accumulated GPS running data of 40,290 sample points from Strava. The spatial autoregressive combined (SAC) model revealed the spatial autocorrelation effect. The result showed that, for macro-scale features: (1) running occurs more frequently on trunk, primary, secondary, and tertiary roads, cycleways, and footways, but runners choose tracks, paths, pedestrian streets, and service streets relatively less; (2) safety, larger open space areas, and longer street lengths promote running; (3) streets with higher accessibility might attract runners (according to a spatial syntactic analysis); and (4) higher job density, POI entropy, canopy density, and high levels of PM 2.5 might impede running. For micro-scale features: (1) wider roads (especially sidewalks), more streetlights, trees, higher sky openness, and proximity to mountains and water facilitate running; and (2) more architectural interfaces, fences, and plants with low branching points might hinder running. The results revealed the linkages between built environments (on the macro- and micro-scale) and running in Inner London, which can provide practical suggestions for creating running-friendly cities.

The Relationship Between Running Economy and Biomechanical Variables in Distance Runners

Marcus Peikriszwili Tartaruga, Jeanick Brisswalter, Leonardo Alexandre Peyré‐Tartaruga +7 more · Research Quarterly for Exercise and Sport · 2012 · 161 citations

In this study, we analyzed the relationship between running economy (RE) and biomechanical parameters in a group running at the same relative intensity and same absolute velocity. Sixteen homogeneous male long-distance runners performed a test to determine RE at 4.4 m.s(-1), corresponding to 11.1% below velocity at the ventilatory threshold. We found significant correlations between RE and biomechanical variables (vertical oscillation of the center of mass, stride frequency, stride length, balance time, relative stride length, range of elbow motion, internal knee, ankle angles at foot strike, and electromyographic activity of the semitendinosus and rectus femoris muscles). In conclusion, changes in running technique can influence RE and lead to improved running performance.

World-Class Long-Distance Running Performances Are Best Predicted by Volume of Easy Runs and Deliberate Practice of Short-Interval and Tempo Runs

Arturo Casado, Brian Hanley, Jordan Santos‐Concejero +1 more · The Journal of Strength and Conditioning Research · 2019 · 85 citations

ABSTRACT: Casado, A, Hanley, B, Santos-Concejero, J, and Ruiz-Pérez, LM. World-class long-distance running performances are best predicted by volume of easy runs and deliberate practice of short-interval and tempo runs. J Strength Cond Res 35(9): 2525-2531, 2021-The aim of this novel study was to analyze the effect of deliberate practice (DP) and easy continuous runs completed by elite-standard and world-class long-distance runners on competitive performances during the first 7 years of their sport careers. Eighty-five male runners reported their best times in different running events and the amounts of different DP activities (tempo runs and short- and long-interval sessions) and 1 non-DP activity (easy runs) after 3, 5, and 7 years of systematic training. Pearson's correlations were calculated between performances (calculated using the International Association of Athletics Federations' scoring tables) and the distances run for the different activities (and overall total). Simple and multiple linear regression analysis calculated how well these activities predicted performance. Pearson's correlations showed consistently large effects on performance of total distance (r ≥ 0.75, p < 0.001), easy runs (r ≥ 0.68, p < 0.001), tempo runs (r ≥ 0.50, p < 0.001), and short-interval training (r ≥ 0.53, p < 0.001). Long-interval training was not strongly correlated (r ≥ 0.22). Total distance accounted for significant variance in performance (R2 ≥ 0.57, p < 0.001). Of the training modes, hierarchical regression analysis showed that easy runs and tempo runs were the activities that accounted for significant variance in performance (p < 0.01). Although DP activities, particularly tempo runs and short-interval training, are important for improving performance, coaches should note that the non-DP activity of easy running was crucial in better performances, partly because of its contribution to total distance run.

Effects of 16 weeks of pyramidal and polarized training intensity distributions in well-trained endurance runners.

Filipas L, Bonato M, Gallo G +1 more · Scand J Med Sci Sports · 2022 · 66 citations

Muscle Activation Patterns Are More Constrained and Regular in Treadmill Than in Overground Human Locomotion

Ilaria Mileti, Aurora Serra, Nerses Wolf +5 more · Frontiers in Bioengineering and Biotechnology · 2020 · 55 citations

The use of motorized treadmills as convenient tools for the study of locomotion has been in vogue for many decades. However, despite the widespread presence of these devices in many scientific and clinical environments, a full consensus on their validity to faithfully substitute free overground locomotion is still missing. Specifically, little information is available on whether and how the neural control of movement is affected when humans walk and run on a treadmill as compared to overground. Here, we made use of linear and nonlinear analysis tools to extract information from electromyographic recordings during walking and running overground, and on an instrumented treadmill. We extracted synergistic activation patterns from the muscles of the lower limb via non-negative matrix factorization. We then investigated how the motor modules (or time-invariant muscle weightings) were used in the two locomotion environments. Subsequently, we examined the timing of motor primitives (or time-dependent coefficients of muscle synergies) by calculating their duration, the time of main activation, and their Hurst exponent, a nonlinear metric derived from fractal analysis. We found that motor modules were not influenced by the locomotion environment, while motor primitives resulted overall more regular in treadmill than in overground locomotion, with the main activity of the primitive for propulsion shifted earlier in time. Our results suggest that the spatial and sensory constraints imposed by the treadmill environment might have forced the central nervous system to adopt a different neural control strategy than that used for free overground locomotion. A data-driven indication that treadmills could induce perturbations to the neural control of locomotion.

Sex differences in performance-matched marathon runners

Jan Helgerud, F. Ingjer, S. B. Str�mme · European Journal of Applied Physiology · 1990 · 130 citations

The Correlation between Running Economy and Maximal Oxygen Uptake: Cross-Sectional and Longitudinal Relationships in Highly Trained Distance Runners

Andrew J Shaw, Stephen A. Ingham, Greg Atkinson +1 more · PLoS ONE · 2015 · 57 citations

A positive relationship between running economy and maximal oxygen uptake (V̇O2max) has been postulated in trained athletes, but previous evidence is equivocal and could have been confounded by statistical artefacts. Whether this relationship is preserved in response to running training (changes in running economy and V̇O2max) has yet to be explored. This study examined the relationships of (i) running economy and V̇O2max between runners, and (ii) the changes in running economy and V̇O2max that occur within runners in response to habitual training. 168 trained distance runners (males, n = 98, V̇O2max 73.0 ± 6.3 mL∙kg-1∙min-1; females, n = 70, V̇O2max 65.2 ± 5.9 mL kg-1∙min-1) performed a discontinuous submaximal running test to determine running economy (kcal∙km-1). A continuous incremental treadmill running test to volitional exhaustion was used to determine V̇O2max 54 participants (males, n = 27; females, n = 27) also completed at least one follow up assessment. Partial correlation analysis revealed small positive relationships between running economy and V̇O2max (males r = 0.26, females r = 0.25; P<0.006), in addition to moderate positive relationships between the changes in running economy and V̇O2max in response to habitual training (r = 0.35; P<0.001). In conclusion, the current investigation demonstrates that only a small to moderate relationship exists between running economy and V̇O2max in highly trained distance runners. With >85% of the variance in these parameters unexplained by this relationship, these findings reaffirm that running economy and V̇O2max are primarily determined independently.

Health-Related Physical Fitness in Healthy Untrained Men: Effects on VO2max, Jump Performance and Flexibility of Soccer and Moderate-Intensity Continuous Running

Zoran Milanović, Saša Pantelić, Goran Sporiš +2 more · PLoS ONE · 2015 · 61 citations

The purpose of this study was to determine the effects of recreational soccer (SOC) compared to moderate-intensity continuous running (RUN) on all health-related physical fitness components in healthy untrained men. Sixty-nine participants were recruited and randomly assigned to one of three groups, of which sixty-four completed the study: a soccer training group (SOC; n = 20, 34±4 (means±SD) years, 78.1±8.3 kg, 179±4 cm); a running group (RUN; n = 21, 32±4 years, 78.0±5.5 kg, 179±7 cm); or a passive control group (CON; n = 23, 30±3 years, 76.6±12.0 kg, 178±8 cm). The training intervention lasted 12 weeks and consisted of three 60-min sessions per week. All participants were tested for each of the following physical fitness components: maximal aerobic power, minute ventilation, maximal heart rate, squat jump (SJ), countermovement jump with arm swing (CMJ), sit-and-reach flexibility, and body composition. Over the 12 weeks, VO2max relative to body weight increased more (p<0.05) in SOC (24.2%, ES = 1.20) and RUN (21.5%, ES = 1.17) than in CON (-5.0%, ES = -0.24), partly due to large changes in body mass (-5.9, -5.7 and +2.6 kg, p<0.05 for SOC, RUN and CON, respectively). Over the 12 weeks, SJ and CMJ performance increased more (p<0.05) in SOC (14.8 and 12.1%, ES = 1.08 and 0.81) than in RUN (3.3 and 3.0%, ES = 0.23 and 0.19) and CON (0.3 and 0.2%), while flexibility also increased more (p<0.05) in SOC (94%, ES = 0.97) than in RUN and CON (0-2%). In conclusion, untrained men displayed marked improvements in maximal aerobic power after 12 weeks of soccer training and moderate-intensity running, partly due to large decreases in body mass. Additionally soccer training induced pronounced positive effects on jump performance and flexibility, making soccer an effective broad-spectrum fitness training intervention.

Whey Protein Improves Marathon-Induced Injury and Exercise Performance in Elite Track Runners

Wen-Ching Huang, Yung-Cheng Chang, Yi‐Ming Chen +4 more · International Journal of Medical Sciences · 2017 · 52 citations

<0.012) possibly due to an increase in the muscle mass and amelioration of exercise injuries. In the current study, we demonstrated that whey protein can also be used for aerobic exercise for better physiological adaptation, in addition to resistance training. Whey protein could be also a potential nutrient supplement with a variety of benefits for amateur runners.

The Physiology and Biomechanics of Load Carriage Performance

David Boffey, Idan Harat, Yftach Gepner +3 more · Military Medicine · 2018 · 68 citations

Introduction: The weight that soldiers are required to carry in training and in combat has continually increased over the years. Changes in load carried or pace of activity will alter the physiological and biomechanical stress associated with the activity. Whether it is part of the soldier's training or an actual operation, managing the proper load and speed to minimize fatigue can be integral to the soldier's success. Without a proper understanding of the multitude of factors that may affect load carriage performance, mission success may be jeopardized. The purpose of this review is to summarize and clarify the findings of load carriage research and to propose a new method for analyzing the intensity of load carriage tasks, the Load-Speed Index. Materials and Methods: We reviewed studies that examined military load carriage at walking speeds and included articles that featured non-military participants as deemed necessary. Results: Major factors that can affect load carriage performance, such as speed of movement, load carried, load placement, body armor, and environmental extremes all influence the soldier's energy expenditure. A critical aspect of load carriage performance is determining the appropriate combination of speed and load that will maximize efficiency of the activity. At the higher end of walking speeds, the walk-to-run transition represents a potential problem of efficiency, as it may vary on an individual or population basis. Conclusions: This review provides a comprehensive overview of these factors and suggests a new Load-Speed Index, which can be utilized to define thresholds for load and speed combinations and contribute to the understanding of the physiological and biomechanical demands of load carriage marches. The literature recommends that load and speed should be managed in order to maintain an exercise intensity ~45% VO2 max to delay time to fatigue during prolonged marches, and the Load-Speed Index corroborated this finding, identifying 47% VO2 max as a threshold above which intensity increases at a greater rate with increases in load and speed. The Load-Speed Index requires validation as a predictive tool. There are no definitive findings as to how load affects the speed at which the walk-to-run transition occurs, as no investigations have specifically examined this interaction. Additional research is clearly needed by examining a wide range of loads that will facilitate a clearer understanding of speed and load combinations that optimize marching pace and reduce energy expenditure.

Clinical and exercise professional opinion on designing a postpartum return-to-running training programme: an international Delphi study and consensus statement

Rita E. Deering, G Donnelly, Emma Brockwell +9 more · British Journal of Sports Medicine · 2024 · 27 citations

Returning to running postpartum presents challenges such as musculoskeletal pain and pelvic floor dysfunction for some females, but there is little guidance on developing and progressing postpartum training programmes. This study aims to establish expert consensus recommendations on designing and modifying a postpartum return-to-running training programme, highlight costs and access to qualified professionals as potential barriers and discuss clinical, research and sports policy implications.A three-round Delphi survey of clinical and exercise professionals working with postpartum runners was conducted. Round I consisted of open-ended questions related to designing the training plan, modifications based on biopsychosocial factors, key muscle groups to train and referral and payment sources. Rounds II and III involved Likert-scale voting to identify consensus (≥75% agreement).118 participants completed Round I, 107 completed Round II (response rate 90.6%) and 95 completed Round III (response rate 80.5%). Consensus was reached in 42/47 (89%) statements, including recommendations for a period of relative rest, gradual increases in duration and intensity, starting with a walk-run protocol and incorporating strength training. Training should be modified based on musculoskeletal or pelvic symptoms, sleep, mental health, lactation or energy availability concerns. Cost and access to experienced postpartum running professionals were identified as potential barriers for runners to receive care.Consensus recommendations for a postpartum return-to-running programme include an individualised exercise prescription, gradual increases in physical activity, walk-run protocols and targeted muscle strengthening. Further research and improved access to clinical and exercise professionals are needed to inform and facilitate best practices.

Metabolic cost of level, uphill, and downhill running in highly cushioned shoes with carbon-fiber plates

Clarissa S. Whiting, Wouter Hoogkamer, Rodger Kram · Journal of sport and health science/Journal of Sport and Health Science · 2021 · 51 citations

BACKGROUND: Compared to conventional racing shoes, Nike Vaporfly 4% running shoes reduce the metabolic cost of level treadmill running by 4%. The reduction is attributed to their lightweight, highly compliant, and resilient midsole foam and a midsole-embedded curved carbon-fiber plate. We investigated whether these shoes also could reduce the metabolic cost of moderate uphill (+3°) and downhill (-3°) grades. We tested the null hypothesis that, compared to conventional racing shoes, highly cushioned shoes with carbon-fiber plates would impart the same ∼4% metabolic power (W/kg) savings during uphill and downhill running as they do during level running. METHODS: After familiarization, 16 competitive male runners performed six 5-min trials (2 shoes × 3 grades) in 2 Nike marathon racing-shoe models (Streak 6 and Vaporfly 4%) on a level, uphill (+3°), and downhill (-3°) treadmill at 13 km/h (3.61 m/s). We measured submaximal oxygen uptake and carbon dioxide production during Minutes 4-5 and calculated metabolic power (W/kg) for each shoe model and grade combination. RESULTS: Compared to the conventional shoes (Streak 6), the metabolic power in the Vaporfly 4% shoes was 3.83% (level), 2.82% (uphill), and 2.70% (downhill) less (all p < 0.001). The percent of change in metabolic power for uphill running was less compared to level running (p = 0.04; effect size (ES) = 0.561) but was not statistically different between downhill and level running (p = 0.17; ES = 0.356). CONCLUSION: On a running course with uphill and downhill sections, the metabolic savings and hence performance enhancement provided by Vaporfly 4% shoes would likely be slightly less overall, compared to the savings on a perfectly level race course.

Effect of Plyometric vs. Dynamic Weight Training on the Energy Cost of Running

Nicolas Berryman, D Maurel, Laurent Bosquet · The Journal of Strength and Conditioning Research · 2010 · 97 citations

The purpose of this study is to compare the effects of 2 strength training methods on the energy cost of running (Cr). Thirty-five moderately to well-trained male endurance runners were randomly assigned to either a control group (C) or 2 intervention groups. All groups performed the same endurance-training program during an 8-week period. Intervention groups added a weekly strength training session designed to improve neuromuscular qualities. Sessions were matched for volume and intensity using either plyometric training (PT) or purely concentric contractions with added weight (dynamic weight training [DWT]). We found an interaction between time and group (p < 0.05) and an effect of time (p < 0.01) for Cr. Plyometric training induced a larger decrease of Cr (218 +/- 16 to 203 +/- 13 ml.kg.km) than DWT (207 +/- 15 to 199 +/- 12 ml.kg.km), whereas it remained unchanged in C. Pre-post changes in Cr were correlated with initial Cr (r = -0.57, p < 0.05). Peak vertical jump height (VJHpeak) increased significantly (p < 0.01) for both experimental groups (DWT = 33.4 +/- 6.2 to 34.9 +/- 6.1 cm, PT = 33.3 +/- 4.0 to 35.3 +/- 3.6 cm) but not for C. All groups showed improvements (p < 0.05) in Perf3000 (C = 711 +/- 107 to 690 +/- 109 seconds, DWT = 755 +/- 87 to 724 +/- 77 seconds, PT = 748 +/- 81 to 712 +/- 76 seconds). Plyometric training were more effective than DWT in improving Cr in moderately to well-trained male endurance runners showing that athletes and coaches should include explosive strength training in their practices with a particular attention on plyometric exercises. Future research is needed to establish the origin of this adaptation.

Applied Physiology of Triathlon

Mary L. OʼToole, Pamela S. Douglas · Sports Medicine · 1995 · 130 citations

Alterations in Running Biomechanics after 12 Week Gait Retraining with Minimalist Shoes

Yang Yang, Xini Zhang, Zhen Luo +3 more · International Journal of Environmental Research and Public Health · 2020 · 38 citations

Purpose: The intervention of 12 week gait retraining with minimalist shoes was established to examine its effect on impact forces, joint mechanics, and vertical stiffness during running. Methods: Thirty male recreational runners were randomly assigned to the gait retraining + minimalist shoe (n = 15, GR) and minimalist shoe (n = 15, MIN) groups. The ground reaction force and marker trajectories were collected before and after intervention at a speed of 3.33 ± 5% m/s. Results: A total of 17 participants (9 in the GR group and 8 in the MIN group) completed the training. After training, (1) the loading rate of both groups decreased significantly, and the loading rate of the GR group was lower than that of the MIN group. (2) The foot strike angle of the GR group decreased significantly after training, and the plantarflexion angle and hip joint angular extension velocity increased in both groups. (3) The moment of ankle joint increased in the GR group, and the stiffness of lower limbs was significantly improved in both groups. Conclusion: The 12 week gait retraining with minimalist shoes converted rearfoot strikers into forefoot strikers with a rate of 78% (7/9). More importantly, such a combined program, compared to the training with only minimalist shoes, can avoid the peak impact force and decrease the loading rate more effectively, thus providing a potential means of reducing risk of running injury caused by impact forces. Moreover, the increased vertical stiffness of lower extremity after gait retraining may improve running economy and corresponding energy utilization. However, these observations also suggest that the sole use of minimalist footwear may have limited effects on reducing running-related impacts.

Fatigue Monitoring in Running Using Flexible Textile Wearable Sensors

Mohsen Gholami, Christopher Napier, Astrid García Patiño +2 more · Sensors · 2020 · 37 citations

Fatigue is a multifunctional and complex phenomenon that affects how individuals perform an activity. Fatigue during running causes changes in normal gait parameters and increases the risk of injury. To address this problem, wearable sensors have been proposed as an unobtrusive and portable system to measure changes in human movement as a result of fatigue. Recently, a category of wearable devices that has gained attention is flexible textile strain sensors because of their ability to be woven into garments to measure kinematics. This study uses flexible textile strain sensors to continuously monitor the kinematics during running and uses a machine learning approach to estimate the level of fatigue during running. Five female participants used the sensor-instrumented garment while running to a state of fatigue. In addition to the kinematic data from the flexible textile strain sensors, the perceived level of exertion was monitored for each participant as an indication of their actual fatigue level. A stacked random forest machine learning model was used to estimate the perceived exertion levels from the kinematic data. The machine learning algorithm obtained a root mean squared value of 0.06 and a coefficient of determination of 0.96 in participant-specific scenarios. This study highlights the potential of flexible textile strain sensors to objectively estimate the level of fatigue during running by detecting slight perturbations in lower extremity kinematics. Future iterations of this technology may lead to real-time biofeedback applications that could reduce the risk of running-related overuse injuries.

Higher Precision of Heart Rate Compared with VO2 to Predict Exercise Intensity in Endurance-Trained Runners.

Víctor Machado Reis, Roland van den Tillaar, Mário C. Marques · PubMed · 2011 · 22 citations

The aim of the present study was to assess the precision of oxygen uptake with heart rate regression during track running in highly-trained runners. Twelve national and international level male long-distance road runners (age 30.7 ± 5.5 yrs, height 1.71 ± 0.04 m and mass 61.2 ± 5.8 kg) with a personal best on the half marathon of 62 min 37 s ± 1 min 22 s participated in the study. Each participant performed, in an all-weather synthetic track five, six min bouts at constant velocity with each bout at an increased running velocity. The starting velocity was 3.33 m·s(-1) with a 0.56 m·s(-1) increase on each subsequent bout. VO2 and heart rate were measured during the runs and blood lactate was assessed immediately after each run. Mean peak VO2 and mean peak heart rate were, respectively, 76.2 ± 9.7 mL·kg(-1)·min(-1) and 181 ± 13 beats·min(-1). The linearity of the regressions between heart rate, running velocity and VO2 were all very high (r > 0.99) with small standard errors of regression (i.e. Sy.x < 5% at the velocity associated with the 2 and 4 mmol·L(-1) lactate thresholds). The strong relationships between heart rate, running velocity and VO2 found in this study show that, in highly trained runners, it is possible to have heart rate as an accurate indicator of energy demand and of the running speed. Therefore, in this subject cohort it may be unnecessary to use VO2 to track changes in the subjects' running economy during training periods. Key pointsHeart rate is used in the control of exercise intensity in endurance sports.However, few studies have quantified the precision of its relationship with oxygen uptake in highly trained runners.We evaluated twelve elite half-marathon runners during track running at various intensities and established three regressions: oxygen uptake / heart rate; heart rate / running velocity and oxygen uptake / running velocity.The three regressions presented, respectively, imprecision of 4,2%, 2,75% and 4,5% at the velocity associated with the 4 mmol·L(-1) threshold.The results of the present study show that, in highly trained runners, it is possible to use heart rate as an accurate index of the external work rate during sub maximal running speeds.

Level, Uphill, and Downhill Running Economy Values Are Correlated Except on Steep Slopes

Marcel Lemire, Mathieu Falbriard, Kamiar Aminian +2 more · Frontiers in Physiology · 2021 · 33 citations

The aim of this study was first to determine if level, uphill, and downhill energy cost of running (ECR) values were correlated at different slopes and for different running speeds, and second, to determine the influence of lower limb strength on ECR. Twenty-nine healthy subjects completed a randomized series of 4-min running bouts on an instrumented treadmill to determine their cardiorespiratory and mechanical (i.e., ground reaction forces) responses at different constant speeds (8, 10, 12, and 14 km·h −1 ) and different slopes (−20, −10, −5, 0, +5, +10, +15, and +20%). The subjects also performed a knee extensor (KE) strength assessment. Oxygen and energy costs of running values were correlated between all slopes by pooling all running speeds (all r 2 ≥ 0.27; p ≤ 0.021), except between the steepest uphill vs. level and the steepest downhill slope (i.e., +20% vs. 0% and −20% slopes; both p ≥ 0.214). When pooled across all running speeds, the ECR was inversely correlated with KE isometric maximal torque for the level and downhill running conditions (all r 2 ≥ 0.24; p ≤ 0.049) except for the steepest downhill slope (−20%), but not for any uphill slopes. The optimal downhill grade (i.e., lowest oxygen cost) varied between running speeds and ranged from −14% and −20% (all p &amp;lt; 0.001). The present results suggest that compared to level and shallow slopes, on steep slopes ~±20%, running energetics are determined by different factors (i.e., reduced bouncing mechanism, greater muscle strength for negative slopes, and cardiopulmonary fitness for positive slopes). On shallow negative slopes and during level running, ECR is related to KE strength.

High-Intensity Interval Training and Moderate-Intensity Continuous Training Affect Running Economy in Endurance Runners: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Feng Y, Li D, Liu Y +1 more · J Hum Kinet · 2026 · 1 citations

High-intensity interval training (HIIT) improves running economy (how efficiently your body uses oxygen at a given speed) more than moderate-intensity continuous training (MICT) in endurance runners, with a moderate effect size (SMD = 0.44), but MICT produces larger gains in VO₂max (maximum oxygen capacity).

Effects of High-Intensity Interval Training Versus Sprint Interval Training on Factors Related to Endurance Performance: A Systematic Review and Meta-Analysis.

Xiao Y, Li J, Deng Z +1 more · J Strength Cond Res · 2026 · 0 citations

The Effect of Strength Training on Endurance Performance Determinants in Middle- and Long-Distance Endurance Athletes: An Umbrella Review of Systematic Reviews and Meta-Analysis.

Ramos-Campo DJ, Andreu-Caravaca L, Clemente-Suárez VJ +1 more · J Strength Cond Res · 2025 · 6 citations

Effects of a Concurrent Strength and Endurance Training on Running Performance and Running Economy in Recreational Marathon Runners

Alexander Ferrauti, Matthias Bergermann, Jaime Fernández-Fernández · The Journal of Strength and Conditioning Research · 2010 · 90 citations

The purpose of this study was to investigate the effects of a concurrent strength and endurance training program on running performance and running economy of middle-aged runners during their marathon preparation. Twenty-two (8 women and 14 men) recreational runners (mean ± SD: age 40.0 ± 11.7 years; body mass index 22.6 ± 2.1 kg·m⁻²) were separated into 2 groups (n = 11; combined endurance running and strength training program [ES]: 9 men, 2 women and endurance running [E]: 7 men, and 4 women). Both completed an 8-week intervention period that consisted of either endurance training (E: 276 ± 108 minute running per week) or a combined endurance and strength training program (ES: 240 ± 121-minute running plus 2 strength training sessions per week [120 minutes]). Strength training was focused on trunk (strength endurance program) and leg muscles (high-intensity program). Before and after the intervention, subjects completed an incremental treadmill run and maximal isometric strength tests. The initial values for VO2peak (ES: 52.0 ± 6.1 vs. E: 51.1 ± 7.5 ml·kg⁻¹·min⁻¹) and anaerobic threshold (ES: 3.5 ± 0.4 vs. E: 3.4 ± 0.5 m·s⁻¹) were identical in both groups. A significant time × intervention effect was found for maximal isometric force of knee extension (ES: from 4.6 ± 1.4 to 6.2 ± 1.0 N·kg⁻¹, p < 0.01), whereas no changes in body mass occurred. No significant differences between the groups and no significant interaction (time × intervention) were found for VO2 (absolute and relative to VO2peak) at defined marathon running velocities (2.4 and 2.8 m·s⁻¹) and submaximal blood lactate thresholds (2.0, 3.0, and 4.0 mmol·L⁻¹). Stride length and stride frequency also remained unchanged. The results suggest no benefits of an 8-week concurrent strength training for running economy and coordination of recreational marathon runners despite a clear improvement in leg strength, maybe because of an insufficient sample size or a short intervention period.

Effects of anti-pronation shoes on lower limb kinematics and kinetics in female runners with pronated feet: The role of physical fatigue

AmirAli Jafarnezhadgero, Seyed Majid Alavi-Mehr, Urs Granacher · PLoS ONE · 2019 · 43 citations

Physical fatigue and pronated feet constitute two risk factors for running-related lower limb injuries. Accordingly, different running shoe companies designed anti-pronation shoes with medial support to limit over pronation in runners. However, there is little evidence on the effectiveness and clinical relevance of anti-pronation shoes. This study examined lower limb kinematics and kinetics in young female runners with pronated feet during running with anti-pronation versus regular (neutral) running shoes in unfatigued and fatigued condition. Twenty-six female runners aged 24.1±5.6 years with pronated feet volunteered to participate in this study. Kinetic (3D Kistler force plate) and kinematic analyses (Vicon motion analysis system) were conducted to record participants' ground reaction forces and joint kinematics when running with anti-pronation compared with neutral running shoes. Physical fatigue was induced through an individualized submaximal running protocol on a motorized treadmill using rate of perceived exertion and heart rate monitoring. The statistical analyses indicated significant main effects of "footwear" for peak ankle inversion, peak ankle eversion, and peak hip internal rotation angles (p<0.03; d = 0.46-0.95). Pair-wise comparisons revealed a significantly greater peak ankle inversion angle (p<0.03; d = 0.95; 2.70°) and smaller peak eversion angle (p<0.03; d = 0.46; 2.53°) when running with anti-pronation shoes compared with neutral shoes. For kinetic data, significant main effects of "footwear" were found for peak ankle dorsiflexor moment, peak knee extensor moment, peak hip flexor moment, peak hip extensor moment, peak hip abductor moment, and peak hip internal rotator moment (p<0.02; d = 1.00-1.79). For peak positive hip power in sagittal and frontal planes and peak negative hip power in horizontal plane, we observed significant main effects of "footwear" (p<0.03; d = 0.92-1.06). Pairwise comparisons revealed that peak positive hip power in sagittal plane (p<0.03; d = 0.98; 2.39 w/kg), peak positive hip power in frontal plane (p = 0.014; d = 1.06; 0.54 w/kg), and peak negative hip power in horizontal plane (p<0.03; d = 0.92; 0.43 w/kg) were greater with anti-pronation shoes. Furthermore, the statistical analyses indicated significant main effects of "Fatigue" for peak ankle inversion, peak ankle eversion, and peak knee external rotation angles. Pair-wise comparisons revealed a fatigue-induced decrease in peak ankle inversion angle (p<0.01; d = 1.23; 2.69°) and a fatigue-induced increase in peak knee external rotation angle (p<0.05; d = 0.83; 5.40°). In addition, a fatigue-related increase was found for peak ankle eversion (p<0.01; d = 1.24; 2.67°). For kinetic data, we observed a significant main effect of "Fatigue" for knee flexor moment, knee internal rotator moment, and hip extensor moment (p<0.05; d = 0.83-1.01). The statistical analyses indicated significant a main effect of "Fatigue" for peak negative ankle power in sagittal plane (p<0.01; d = 1.25). Finally, we could not detect any significant footwear by fatigue interaction effects for all measures of joint kinetics and kinematics. Running in anti-pronation compared with neutral running shoes produced lower peak moments and powers in lower limb joints and better control in rear foot eversion. Physical fatigue increased peak moments and powers in lower limb joints irrespective of the type of footwear.

Effects of an Exogenous Ketone Supplement on Five‐Kilometer Running Performance

Philip Prins, Andrew P. Koutnik, Dominic P. D’Agostino +7 more · Journal of Human Kinetics · 2020 · 31 citations

Abstract Numerous oral ketone supplements are marketed with the claim that they will rapidly induce ketosis and improve exercise performance. The purpose of this study was to assess exercise performance time and related physiological, metabolic and perceptual responses of recreational endurance runners after ingestion of a commercially available oral ketone supplement. Recreational endurance runners (n = 10; age: 20.8 ± 1.0 years; body mass: 68.9 ± 5.6 kg; height: 175.6 ± 4.9 cm) participated in a double-blind, crossover, repeated-measures study where they were randomized to 300 mg.kg-1 body weight of an oral β-hydroxybutyrate-salt + Medium Chain Triglyceride (βHB-salt+MCT) ketone supplement or a flavor matched placebo (PLA) 60 min prior to performing a 5-km running time trial (5KTT) on a treadmill. Time, HR, RPE, affect, RER, VO 2 , VCO 2 , and VE were measured during the 5-km run. The Session RPE and affect (Feeling Scale) were obtained post-5KTT. Plasma glucose, lactate and ketones were measured at baseline, 60-min post-supplement, and immediately post-5KTT. Plasma R-βHB (endogenous isomer) was elevated from baseline and throughout the entire protocol under the βHB-salt+MCT condition (p &lt; 0.05). No significant difference (58.3 ± 100.40 s; 95% CI: -130.12 – 13.52; p = 0.100) was observed between the βHB-salt+MCT supplement (1430.0 ± 187.7 s) and the PLA (1488.3 ± 243.8 s) in time to complete the 5KTT. No other differences (p &gt; 0.05) were noted in any of the other physiological, metabolic or perceptual measures.

The influence of Achilles tendon mechanical behaviour on “apparent” efficiency during running at different speeds

Andrea Monte, Constantinos N. Maganaris, Vasilios Baltzopoulos +1 more · European Journal of Applied Physiology · 2020 · 41 citations

Abstract Purpose We investigated the role of elastic strain energy on the “apparent” efficiency of locomotion (AE), a parameter that is known to increase as a function of running speed (up to 0.5–0.7) well above the values of “pure” muscle efficiency (about 0.25–0.30). Methods In vivo ultrasound measurements of the gastrocnemius medialis (GM) muscle–tendon unit (MTU) were combined with kinematic, kinetic and metabolic measurements to investigate the possible influence of the Achilles tendon mechanical behaviour on the mechanics (total mechanical work, W TOT ) and energetics (net energy cost, C net ) of running at different speeds (10, 13 and 16 km h −1 ); AE was calculated as W TOT / C net . Results GM fascicles shortened during the entire stance phase, the more so the higher the speed, but the majority of the MTU displacement was accommodated by the Achilles tendon. Tendon strain and recoil increased as a function of running speed ( P &lt; 0.01 and P &lt; 0.001, respectively). The contribution of elastic energy to the positive work generated by the MTU also increased with speed (from 0.09 to 0.16 J kg −1 m −1 ). Significant negative correlations ( P &lt; 0.01) were observed between tendon work and metabolic energy at each running speed (the higher the tendon work the lower the metabolic demand) and significant positive correlations were observed between tendon work and AE ( P &lt; 0.001) at each running speed (the higher the tendon work the higher the efficiency). Conclusion These results support the notion that the dynamic function of tendons is integral in reducing energy expenditure and increasing the “apparent” efficiency of running.

Biomechanics of running with rocker shoes

Sobhan Sobhani, Edwin R. van den Heuvel, Rienk Dekker +4 more · Journal of science and medicine in sport · 2016 · 37 citations

Emerging sports footwear technologies and their effects on running economy, biomechanics, and performance: a systematic review.

Alexe CI, Choudhary PK, Choudhary S +3 more · BMC Sports Sci Med Rehabil · 2026 · 0 citations

Feeling good, sensory engagements, and time out: embodied pleasures of running

Patricia C. Jackman, Jacquelyn Allen‐Collinson, Noora J. Ronkainen +1 more · Qualitative Research in Sport Exercise and Health · 2022 · 36 citations

Despite considerable growth in understanding of various aspects of sporting and exercise embodiment over the last decade, in-depth investigations of embodied affectual experiences in running remain limited. Furthermore, within the corpus of literature investigating pleasure and the hedonic dimension in running, much of this research has focused on experiences of pleasure in relation to performance and achievement, or on specific affective states, such as enjoyment, derived after completing a run. We directly address this gap in the qualitative literature on sporting and exercise embodiment by contributing novel insights on the mind-body pleasures of running via focusing analytic attention towards the pleasures recalled by runners as experienced during positive, rewarding running experiences. Applying conceptual insights drawn from sociological phenomenology, we analyse data from an in-depth, event-focused interview study with distance runners who reported positive, rewarding experiences in recent recreational runs. Through reflexive thematic analysis, we present findings in relation to three themes: (1) ‘running feels like it should’; (2) sensory engagements; and (3) time out. The study contributes fresh perspectives, both conceptually and in relation to data-collection approach, to a small literature on the lived experience of pleasure in sport, exercise and physical cultures.

Iliotibial band syndrome rehabilitation in female runners: a pilot randomized study

Janine McKay, Nicola Maffulli, Rocco Aicale +1 more · Journal of Orthopaedic Surgery and Research · 2020 · 33 citations

BACKGROUND: Iliotibial band syndrome (ITBS) carries marked morbidity in runners. Its management is not standardized and lacks evidence base. We evaluated the effectiveness of three different exercises programs in reducing ITBS symptoms. METHODS: Patients were divided into three equal treatment groups: ITB stretching (group A), conventional exercise (group B), and experimental hip strengthening exercise (group C). Numeric pain rating scale (NPRS; every week), lower extremity functional scale (LEFS; every 2 weeks), dynamometer (DN; weeks 0, 2, 4, 6, 8), single-limb mini squat (SLMS; week 0, 8), and Y-balance test™ (YBT), between and within group's differences were evaluated using ANOVA model. RESULTS: Twenty-four female runners (age 19-45 years) were included into one of three groups (A, B, and C). Statistical significance (p < 0.05) within group C was observed for composite YBT and DN for injured and non-injured leg, the YBT (injured leg for the posterior medial), LEFS, NPRS, and the SLMS. Statistical significance (p < 0.05) was found between group A and group C. The stretching group exhibited statistically significant (p < 0.05) YBT anterior reach for the injured/non-injured leg and the LEFS. CONCLUSION: There were no statistical differences between the three groups. The subjects who underwent experimental hip strengthening exercises consistently showed improvements in outcome measures, and never scored less than the other two groups. TRIAL REGISTRATION: ClinicalTrials.gov identifier (NCT number): NCT0229615.

Barefoot running: an evaluation of current hypothesis, future research and clinical applications

Nicholas Tam, Janie L. Astephen Wilson, Timothy D. Noakes +1 more · British Journal of Sports Medicine · 2013 · 87 citations

Barefoot running has become a popular research topic, driven by the increasing prescription of barefoot running as a means of reducing injury risk. Proponents of barefoot running cite evolutionary theories that long-distance running ability was crucial for human survival, and proof of the benefits of natural running. Subsequently, runners have been advised to run barefoot as a treatment mode for injuries, strength and conditioning. The body of literature examining the mechanical, structural, clinical and performance implications of barefoot running is still in its infancy. Recent research has found significant differences associated with barefoot running relative to shod running, and these differences have been associated with factors that are thought to contribute to injury and performance. Crucially, long-term prospective studies have yet to be conducted and the link between barefoot running and injury or performance remains tenuous and speculative. The injury prevention potential of barefoot running is further complicated by the complexity of injury aetiology, with no single factor having been identified as causative for the most common running injuries. The aim of the present review was to critically evaluate the theory and evidence for barefoot running, drawing on both collected evidence as well as literature that have been used to argue in favour of barefoot running. We describe the factors driving the prescription of barefoot running, examine which of these factors may have merit, what the collected evidence suggests about the suitability of barefoot running for its purported uses and describe the necessary future research to confirm or refute the barefoot running hypotheses.

Effect of speed endurance and strength training on performance, running economy and muscular adaptations in endurance-trained runners.

Vorup J, Tybirk J, Gunnarsson TP +3 more · Eur J Appl Physiol · 2016 · 44 citations