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https://read.qxmd.com/read/30601399/depression-in-ultra-endurance-athletes-a-review-and-recommendations
#1
John Onate
Depression affects 6.7% of the adult population each year and studies indicate the annual prevalence is similar or even higher in athletes. It is often insidious and not recognized. There continues to be stigma and misunderstanding about the disorder that is a barrier to getting an accurate diagnosis and effective treatment. It is important for people living with depression to get professional help because the condition itself can be disabling, increases risk of suicide, and reduces quality of life. There is some evidence that depression and suicide risk is higher in endurance athletes such as track and field, marathoner, and ultramarathoners...
March 2019: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/30601398/common-and-uncommon-injuries-in-ultra-endurance-sports
#2
REVIEW
Louis C Almekinders, Charles R Engle
Ultra-endurance sports are associated with prolonged physical exercise both during training and competition. Musculoskeletal injuries are common as a result of the repetitive physical stresses. Stress fractures in the weight-bearing bones should always be suspected when ultra-endurance athletes present with pain over bony structures. Most stress fractures can be treated with activity modifications but some such as femoral neck and tibial shaft stress fractures may require operative fixation. The knee seems to be the most frequent source of injuries in ultra-endurance athletes...
March 2019: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/30601393/participation-trends-of-ultra-endurance-events
#3
Volker Scheer
Ultra endurance events are defined as sporting activities lasting >6 hours and include events such as ultramarathon foot races, ultra triathlons, ultra distance swimming, ultra cycling, and cross-country skiing. Popularity in these events has risen especially over the last 25 years with increasing participation notably in ultramarathon races where an exponential increase in participation has been observed. This is in large part due to the increasing popularity and participation of women and master athletes in these events...
March 2019: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/30582664/dynamic-heart-rate-response-to-multi-day-unsupported-ultra-endurance-cycle-racing-a-case-report
#4
Daniel Brayson, Alessandra Frigiola, James E Clark
NEW FINDINGS: What is the main observation in this case? Ultra-endurance cycle racing is known to lead to suppressed heart rates as a product of time spent racing. This case report identifies a racer who experienced this phenomenon initially, but then uniquely experienced an overall increase in heart rate late in the race. What insight does it reveal? In this case, unique chronotropic disturbances to heart rate occurred as a result of the many extreme demands of ultra-endurance racing...
December 24, 2018: Experimental Physiology
https://read.qxmd.com/read/30545731/predicted-risk-for-exacerbation-of-exercise-associated-hyponatremia-from-indiscriminate-postrace-intravenous-hydration-of-ultramarathon-runners
#5
Martin D Hoffman
BACKGROUND: Asymptomatic or mildly symptomatic exercise-associated hyponatremia (EAH) can be exacerbated by aggressive hydration. OBJECTIVE: This work predicts the percentage of athletes at risk for exacerbation of EAH from indiscriminate hydration after an ultramarathon. METHODS: Postrace serum sodium, creatinine, creatine kinase (CK), and urea nitrogen concentrations were determined for 161-km ultramarathon participants. Body mass was measured prior to and immediately after the race...
December 10, 2018: Journal of Emergency Medicine
https://read.qxmd.com/read/30543498/step-frequency-patterns-of-elite-ultramarathon-runners-during-a-100-km-road-race
#6
Geoffrey T Burns, Jessica M Zendler, Ronald F Zernicke
Step frequency (SF) in running has received substantial interest from researchers, coaches, therapists, and runners. It has been widely studied in controlled settings, but no study has measured it continuously in elite-level competition. The current study used wrist-based accelerometers in consumer-grade watches to monitor SF and SF variability of competitors in the 2016 100-km World Championship road race. Using linear mixed-model regression, SF and SF variability were assessed across the race. The average SF (steps-per-minute) of competitors (n=20) was 182...
December 13, 2018: Journal of Applied Physiology
https://read.qxmd.com/read/30532292/successful-medical-management-and-rehabilitation-of-exercise-induced-dorsal-scapular-luxation-in-an-ultramarathon-endurance-sled-dog-with-magnetic-resonance-imaging-diagnosis-of-grade-ii-serratus-ventralis-strain
#7
Christopher W Frye, Cristina M Hansen, Karine Gendron, Dirsko J F von Pfeil
Dorsal displacement of the scapula in dogs is rare and often traumatic. This report describes dorsal luxation of the scapula in a sled dog. This case is unique given the injury was sport-related. Magnetic resonance imaging helped direct therapy and monitor healing; and medical management with rehabilitation resulted in full recovery and return to sport. One year after injury, the dog completed both a 482 km and a 1600 km endurance race, placing among the leading teams in the 1600-km race.
December 2018: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
https://read.qxmd.com/read/30467593/pulmonary-and-respiratory-muscle-function-in-response-to-10-marathons-in-10-days
#8
Nicholas B Tiller, Louise A Turner, Bryan J Taylor
PURPOSE: Marathon and ultramarathon provoke respiratory muscle fatigue and pulmonary dysfunction; nevertheless, it is unknown how the respiratory system responds to multiple, consecutive days of endurance exercise. METHODS: Nine trained individuals (six male) contested 10 marathons in 10 consecutive days. Respiratory muscle strength (maximum static inspiratory and expiratory mouth-pressures), pulmonary function (spirometry), perceptual ratings of respiratory muscle soreness (Visual Analogue Scale), breathlessness (dyspnea, modified Borg CR10 scale), and symptoms of Upper Respiratory Tract Infection (URTI), were assessed before and after marathons on days 1, 4, 7, and 10...
November 22, 2018: European Journal of Applied Physiology
https://read.qxmd.com/read/30465096/mountain-ultramarathon-results-in-temporary-meniscus-extrusion-in-healthy-athletes
#9
Theresa Diermeier, Knut Beitzel, Laura Bachmann, Wolf Petersen, Katrin Esefeld, Klaus Wörtler, Andreas B Imhoff, Andrea Achtnich
PURPOSE: In recent literature medial meniscus extrusion (MME) was demonstrated as an age, BMI and load dependent physiological phenomenon in healthy knees. The aim of the present study was to evaluate the influence of mountain ultramarathon running on the medial meniscus extrusion (MME) in healthy athletes. METHODS: Healthy athletes of the 2017 Gore-Tex® Transalpine run (seven stages with in total 270.5 km and 16453 m altitude) with asymptomatic knee, and no history of knee injuries or surgeries were included...
November 21, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://read.qxmd.com/read/30349484/mountain-ultramarathon-induces-early-increases-of-muscle-damage-inflammation-and-risk-for-acute-renal-injury
#10
Taisa Belli, Denise Vaz Macedo, Gustavo Gomes de Araújo, Ivan Gustavo Masselli Dos Reis, Pedro Paulo Menezes Scariot, Fernanda Lorenzi Lazarim, Lázaro Alessandro Soares Nunes, René Brenzikofer, Claudio Alexandre Gobatto
Purpose: This study aimed to investigate changes in muscle damage during the course of a 217-km mountain ultramarathon (MUM). In an integrative perspective, inflammatory response and renal function were also studied. Methods: Six male ultra-runners were tested four times: pre-race, at 84 km, at 177 km, and immediately after the race. Blood samples were analyzed for serum muscle enzymes, acute-phase protein, cortisol, and renal function biomarkers. Results: Serum creatine kinase (CK), lactate dehydrogenase (LDH), and aspartate aminotransferase (AST) increased significantly throughout the race ( P < 0...
2018: Frontiers in Physiology
https://read.qxmd.com/read/30311080/correction-to-considerations-in-the-use-of-body-mass-change-to-estimate-change-in-hydration-status-during-a-161-kilometer-ultramarathon-running-competition
#11
Martin D Hoffman, Eric D B Goulet, Ronald J Maughan
In Table 2 of the original publication, an error was made in the calculations for endogenous substrate oxidation which, subsequently, altered the values for total change in body mass.
December 2018: Sports Medicine
https://read.qxmd.com/read/30300194/gps-tracker-enabled-rescue-of-a-lost-runner-during-a-wilderness-ultramarathon-a-case-report
#12
Martin D Hoffman, Craig Longobardi, Candice Burt, Todd Nardi
No abstract text is available yet for this article.
October 2018: Current Sports Medicine Reports
https://read.qxmd.com/read/30249353/case-study-providing-nutritional-support-to-an-ultraendurance-runner-in-preparation-for-a-self-sufficient-multistage-ultramarathon-rationed-versus-full-energy-provisions
#13
Rebekah Alcock, Alan McCubbin, Vera Camões-Costa, Ricardo J S Costa
To assess the impact of rationed versus full estimated energy provisions on markers of physiological strain in response to a simulated 250 km multistage ultramarathon (MSUM), on two separate occasions, the ultraendurance runner performed a laboratory simulated MSUM, with rationed (RP: 3303±75 kcal⋅day-1 ) and full (FP: 7156±359 kcal⋅day-1 ) provisions. Total daily energy expenditure was determined using dual-method indirect calorimetry. Resting metabolic rate, iDXA, and body water were measured at baseline, day 3, and post-MSUM...
December 2018: Wilderness & Environmental Medicine
https://read.qxmd.com/read/30227921/self-reported-use-and-attitudes-toward-performance-enhancing-drugs-in-ultramarathon-running
#14
Michael D Campian, Alexandra E Flis, Masaru Teramoto, Daniel M Cushman
INTRODUCTION: The use of performance enhancing drugs (PEDs) has been reported in several sports. There have been no peer-reviewed articles on the use of PEDs in ultramarathon running. This study was to examine the use of PEDs in ultramarathon running and to identify attitudes and beliefs about the usage of PEDs in the sport. METHODS: An online survey was developed. The survey was distributed to potential participants through Ultrasignup and the Western States Endurance Run Facebook sites...
September 2018: Wilderness & Environmental Medicine
https://read.qxmd.com/read/30180527/effects-of-long-distance-running-on-cardiac-markers-and-biomarkers-in-exercise-induced-hypertension-runners-an-observational-study
#15
Min-Ho Park, Kyung-A Shin, Chul-Hyun Kim, Yoon-Hee Lee, Yongbum Park, Jaeki Ahn, Young-Joo Kim
OBJECTIVE: To investigate changes of cardiac and muscle damage markers in exercise-induced hypertension (EIH) runners before running (pre-race), immediately after completing a 100-km ultramarathon race, and during the recovery period (24, 72, and 120 hours post-race). METHODS: In this observational study, volunteers were divided into EIH group (n=11) whose maximum systolic blood pressure was ≥210 mmHg in graded exercise testing and normal exercise blood pressure response (NEBPR) group (n=11)...
August 2018: Annals of Rehabilitation Medicine
https://read.qxmd.com/read/30016961/quality-of-life-of-female-and-male-vegetarian-and-vegan-endurance-runners-compared-to-omnivores-results-from-the-nurmi-study-step-2
#16
Patrick Boldt, Beat Knechtle, Pantelis Nikolaidis, Christoph Lechleitner, Gerold Wirnitzer, Claus Leitzmann, Thomas Rosemann, Katharina Wirnitzer
BACKGROUND: Health-related effects of a vegetarian or vegan diet are known to support parameters positively affecting exercise performance in athletes, whereas knowledge about psyche and wellbeing is sparse. Therefore, the aim of the Nutrition and Running High Mileage (NURMI) Study (Step 2) was to compare Quality of Life (QOL) scores among endurance runners following a vegetarian or vegan diet against those who adhere to an omnivorous diet. METHODS: The study was conducted following a cross-sectional design...
July 17, 2018: Journal of the International Society of Sports Nutrition
https://read.qxmd.com/read/30008684/personality-traits-and-vitamin-d3-supplementation-affect-mood-state-12-h-before-100-km-ultramarathon-run
#17
Daniel Krokosz, Mariusz Lipowski, Piotr Aschenbrenner, Wojciech Ratkowski
Background: Participation in extreme endurance sports is becoming an increasingly popular activity, and thus more and more people are getting involved in it. Taking part in a 100 km run is associated with great physiological and psychological stress, which can affect one's mood state. Thus, the goal of this study was to determine if personality, experience, and motives for participation are related to a runner's mood and its changes as well as to investigate whether vitamin D3 supplementation influences mood 12 h before and 12 h after the run...
2018: Frontiers in Psychology
https://read.qxmd.com/read/29973086/cognitive-performance-and-self-reported-sleepiness-are-modulated-by-time-of-day-during-a-mountain-ultramarathon
#18
Rémy Hurdiel, Samantha M Riedy, Gregoire P Millet, Benoit Mauvieux, Thierry Pezé, Charlotte Elsworth-Edelsten, Dudoignon Martin, Gauntier Zunquin, Grégory Dupont
Ninety-two runners completed the study during a 168 km mountain ultramarathon (MUM). Sleepiness, self-reported sleep duration, and cognitive performance were assessed the day before the race and up to eight checkpoints during the race. Sleepiness was assessed using the Karolinska Sleepiness Scale. Cognitive performance was also assessed using the Digital Symbol Substitution Task (DSST). Runner reported 23.40 ± 22.20 minutes of sleep (mean ± SD) during the race (race time: 29.38 to 46.20 hours). Sleepiness and cognitive performance decrements increased across this race, and this was modulated by time-of-day with higher sleepiness and greater performance decrements occurring during the early morning hours...
October 2018: Research in Sports Medicine
https://read.qxmd.com/read/29969961/-ultramarathon-with-type-1-diabetes
#19
Beat Knechtle, Pantelis T Nikolaidis
Ultramarathon with Type 1 Diabetes Abstract. We report the case of a 63-year-old runner with type 1 diabetes mellitus requiring insulin since the age of 21. At the age of 32, he ran his first marathon, and at the age of 34 the first ultramarathon. So far, he has finished more than 90 marathons and ultramarathons. Thanks to an insulin pump and continuous glucose monitoring, he has so far completed 48 24-h-runs with an average distance of 133 km. The analysis of running volume and HbA1c values showed a significant increase in monthly exercise volume, a significant decrease in HbA1c values over the years, and a significant correlation between monthly running kilometers and HbA1c values...
July 2018: Praxis
https://read.qxmd.com/read/29957073/eye-function-and-physiology-following-a-161-km-foot-race
#20
Tracy B Høeg, G Kim Corrigan, Martin D Hoffman
Significant visual impairment occurs in a small percentage of ultramarathon participants and is thought to be due to corneal edema. Yet, the usual effects of prolonged exercise on the eye have not been previously reported. Eight study volunteers who completed the 161-km Western States Endurance Run underwent pre-race and post-race binocular and monocular visual acuity, intraocular pressure, and corneal thickness measurements. None was symptomatic with visual impairment during the race and they demonstrated no changes from pre-race to post-race in visual acuity (p = 0...
October 2018: Research in Sports Medicine
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