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To run or not to run? That is the question: exercise and reduced risk of coronary heart disease.

The recent National Fitness Survey has drawn attention to the population's low level of physical (aerobic) fitness and low level of activity. About one-third of middle-aged men and one-half of middle-aged women in England are unfit for continuous walking at a normal pace of about 3 mph. Similar fitness levels were shown for the Welsh population. At the same time, coronary heart disease (CHD) accounts for about 26% of deaths in England, and for 2.5% of the NHS expenditure. The suggestion that low fitness levels and low levels of physical activity are associated with a high incidence of CHD has been widely voiced since Morris's first study, and has more recently been the subject of editorials in the British Heart Journal and the BMJ.

Coronary Disease↗
PubMed2006

The cost of running uphill: linking organismal and muscle energy use in guinea fowl (Numida meleagris).

Uphill running requires more energy than level running at the same speed, largely due to the additional mechanical work of elevating the body weight. We explored the distribution of energy use among the leg muscles of guinea fowl running on the level and uphill using both organismal energy expenditure (oxygen consumption) and muscle blood flow measurements. We tested each bird under four conditions: (1) rest, (2) a moderate-speed level run at 1.5 m s(-1), (3) an incline run at 1.5 m s(-1) with a 15% gradient and (4) a fast level run at a speed eliciting the same metabolic rate as did running at a 15% gradient at 1.5 m s(-1) (2.28-2.39 m s(-1)). The organismal energy expenditure increased by 30% between the moderate-speed level run and both the fast level run and the incline run, and was matched by a proportional increase in total blood flow to the leg muscles. We found that blood flow increased significantly to nearly all the leg muscles between the moderate-speed level run and the incline run. However, the increase in flow was distributed unevenly across the leg muscles, with just three muscles being responsible for over 50% of the total increase in blood flow during uphill running. Three muscles showed significant increases in blood flow with increased incline but not with an increase in speed. Increasing the volume of active muscle may explain why in a previous study a higher maximal rate of oxygen consumption was measured during uphill running. The majority of the increase in energy expenditure between level and incline running was used in stance-phase muscles. Proximal stance-phase extensor muscles with parallel fibers and short tendons, which have been considered particularly well suited for doing positive work on the center of mass, increased their mass-specific energy use during uphill running significantly more than pinnate stance-phase muscles. This finding provides some evidence for a division of labor among muscles used for mechanical work production based on their muscle-tendon architecture. Nevertheless, 33% of the total increase in energy use (40% of the increase in stance-phase energy use) during uphill running was provided by pinnate stance-phase muscles. Swing-phase muscles also increase their energy expenditure during uphill running, although to a lesser extent than that required by running faster on the level. These results suggest that neither muscle-tendon nor musculoskeletal architecture appear to greatly restrict the ability of muscles to do work during locomotor tasks such as uphill running, and that the added energy cost of running uphill is not solely due to lifting the body center of mass.

Animals↗
PubMed1992

Running injuries. A review of the epidemiological literature.

Running is one of the most popular leisure sports activities. Next to its beneficial health effects, negative side effects in terms of sports injuries should also be recognised. Given the limitations of the studies it appears that for the average recreational runner, who is steadily training and who participates in a long distance run every now and then, the overall yearly incidence rate for running injuries varies between 37 and 56%. Depending on the specificity of the group of runners concerned (competitive athletes; average recreational joggers; boys and girls) and on different circumstances these rates vary. If incidence is calculated according to exposure of running time the incidence reported in the literature varies from 2.5 to 12.1 injuries per 1000 hours of running. Most running injuries are lower extremity injuries, with a predominance for the knee. About 50 to 75% of all running injuries appear to be overuse injuries due to the constant repetition of the same movement. Recurrence of running injuries is reported in 20 to 70% of the cases. From the epidemiological studies it can be concluded that running injuries lead to a reduction of training or training cessation in about 30 to 90% of all injuries, about 20 to 70% of all injuries lead to medical consultation or medical treatment and 0 to 5% result in absence from work. Aetiological factors associated with running injuries include previous injury, lack of running experience, running to compete and excessive weekly running distance. The association between running injuries and factors such as warm-up and stretching exercises, body height, malalignment, muscular imbalance, restricted range of motion, running frequency, level of performance, stability of running pattern, shoes and inshoe orthoses and running on 1 side of the road remains unclear or is backed by contradicting or scarce research findings. Significantly not associated with running injuries seem age, gender, body mass index, running hills, running on hard surfaces, participation in other sports, time of the year and time of the day. The prevention of sports injuries should focus on changes of behaviour by health education. Health education on running injuries should primarily focus on the importance of complete rehabilitation and the early recognition of symptoms of overuse, and on the provision of training guidelines.

Adolescent↗
PubMed2006

Effects of long-term creatine feeding and running on isometric functional measures and myosin heavy chain content of rat skeletal muscles.

The purpose of this study was to investigate whether creatine (Cr) supplementation during 12 weeks of phasic high-frequency voluntary wheel running would result in a faster myosin heavy chain (MHC) isoform profile in the rat mixed fast-twitch plantaris and alter its corresponding isometric contractile properties. The fast-twitch extensor digitorum longus and medial gastrocnemius and slow-twitch soleus were also studied. Forty weanling Sprague-Dawley male rats were assigned to one of four groups: creatine-sedentary (Cre-Sed); creatine-voluntary running (Cre-Run); control-sedentary (Con-Sed); control-voluntary running (Con-Run). Daily running distance was similar between Cre-Run and Con-Run. Average daily Cr ingestion was also similar being 2.4+/-0.17 and 3.0+/-0.14 g/kg in Cre-Sed and Cre-Run, respectively. Total creatine (TCr) content was elevated (P<0.03) in the plantaris of Cre-Run [211.4+/-16.9 mmol/kg dry weight (dw)], compared with Con-Run (175.1+/-5.69). In the plantaris, MHCIIb was 13% greater (P<0.00001) in Cre-Run compared with Con-Run, while MHCIId/x and MHCIIa were lower in Cre-Run by 7 and 6% (P<0.0002), respectively. No differences were observed in twitch force, time-to-peak tension, half-rise time or half-fall time. Greater tetanic force production (P<0.05) in Cre-Sed compared with Con-Sed corresponded to a 12% increase in MHCIId/x (P<0.0001) and a 12% decrease in MHCIIb (P<0.0006). The fatigue index of the plantaris at 10 s (FI(10s)) was reduced only after running (Cre-Run vs Con-Run), while in all other muscles the FI(10s) was lower only in the Cre-Sed group. In conclusion, Cr supplementation had differential effects on MHC isoform content and fatigability that depended on the level of contractile activity. Cr feeding combined with running exercise resulted in a faster MHC-based phenotype in the rat plantaris but the impact on associated isometric contractile properties was minimal.

Adenosine Diphosphate↗
PubMed2000

Evolution of electromyographic signal, running economy, and perceived exertion during different prolonged exercises.

The purpose of this study was to compare the electromyographic (EMG) signal of the vastus lateralis muscle obtained during a run section of a triathlon and at the end of a prolonged run performed at the same running velocity. Seven subjects were studied on three occasions: a 2 h 15 min triathlon (30 min swimming, 60 min cycling, and 45 min treadmill running at 75% of the maximal aerobic speed), a 2 h 15 min run, where the last 45 min (Prolonged Run, PR) were run at the same speed as the Triathlon Run (TR) on a motorized treadmill, and a 45 min Isolated Run (IR) performed at the same TR and PR velocity. The three experimental trials were randomised. Oxygen uptake (VO2), heart rate (HR), and EMG data were recorded during the three run sections. The results confirm a greater VO2 and HR during PR compared with IR (P<0.01) and TR (P<0.05). Also the VO2 values obtained during TR were significantly greater compared to IR (P < 0.05). EMG signal, obtained from the vastus lateralis muscle during 4 sec of isometric contraction at 35 % of maximal voluntary contraction (MVC), showed that after PR the mean power frequency (MPF) shifted significantly to lower frequencies (P<0.01) compared with MPF recorded before the prolonged run. Moreover, the signal amplitude (RMS) was increased significantly after PR in comparison to pre-trial (P < 0.01). Similar results were obtained for the TR at P < 0.05. The integrated EMG flow, QIEMG (iEMG/burst duration), recorded during all run sections, was significantly increased near the end of PR (i.e. 2 h 10 min of running) compared with QiEMG recorded after 1 h 30 min of running. No significant increase in QiEMG was observed with TR and IR situations. The results suggest that a long exercise bout of running led to a greater increase in muscle fatigue compared with a triathlon or an isolated run performed at the same running speed. In addition it is suggested that the rating of perceived exertion recorded during isometric contractions is a good indice to approach the level of fatigue during prolonged exercises.

Adult↗
PubMed2003

The effects of prior incremental cycle exercise on the physiological responses during incremental running to exhaustion: relevance for sprint triathlon performance.

It is common for the physiological working capacity of a triathlete when cycling and running to be assessed on two separate days. The aim of this study was to establish whether an incremental running test to exhaustion has a negative effect after a 5 h recovery from an incremental cycling test. Eight moderately trained triathletes (age, 26.2 +/- 3.4 years; body mass, 67.3 +/- 9.1 kg; VO2max when cycling, 59 +/- 13 ml x kg x min(-1); mean +/- s) completed an incremental running test 5 h after an incremental cycling test (fatigue) as well as an incremental running test without previous activity (control). Maximum running speed, maximal oxygen uptake (VO2max) and the lactate threshold were determined for each incremental running test and correlated with the average speed during a 5 km run, which was performed immediately after a 20 km cycling time-trial, as in a sprint triathlon. There were no significant differences in maximum running speed, VO2max or the lactate threshold in either incremental running test (control or fatigue). Furthermore, good agreement was found for each physiological variable in both the control and fatigue tests. For the fatigue test, there were significant correlations between the average speed during a 5 km run and both VO2max expressed in absolute terms (r = 0.83) and the lactate threshold (r = 0.88). However, maximum running speed correlated most strongly with the average speed during a 5 km run (r = 0.96). The results of this study indicate that, under controlled conditions, an incremental running test can be performed successfully 5 h after an incremental cycling test to exhaustion. Also, the maximum running speed achieved during an incremental running test is the variable that correlates most strongly with the average running speed during a 5 km run after a 20 km cycling time-trial in well-trained triathletes.

Adaptation, Physiological↗
PubMed1997

Metabolic and biomechanical variables of two incline conditions during distance running.

The purpose of this experiment was to examine the effects of an incline during distance running on selected metabolic and biomechanical variables. Six (4 males, 2 females) trained distance runners (age 27.2 +/- 7.8 yr; VO2max 63.7 +/- 7.5 mL x kg-1 x min-1) performed three 35-min runs at speeds corresponding to each individual's anaerobic threshold. The first run (Control) was performed at 0% grade. The remaining two runs were randomly assigned and included a 5% incline during min 5-15 (Run A) or 20-30 (Run B). Heart rate via telemetry (HR), and oxygen consumption (VO2), minute ventilation (VE), RER, and tidal volume (TV) were measured by indirect calorimetry. High speed videography was used to measure time in support phase, time in swing phase, step length, trunk lean, vertical oscillation of the hip, knee flexion in support, shank angle during toe-off, and ankle flexion at heel strike during the runs. Significant increases (P < or = 0.05) were found during the incline conditions of Run A for VO2 (+18%) HR (+11%), VE (+24%), and RER (+8%) and Run B for VO2 (+19%) HR (+10%), and VE (+25%) compared with the Control. No significant differences (P > 0.05) were noted between Run A and Run B during incline running in the physiological variables. No significant differences (P > 0.05) were observed in any of the biomechanical variables among the runs. These data indicate that the energy expenditure required during incline running is the same regardless of incline location during a 35-min run, and running mechanics are not significantly altered during a 5% incline lasting 10 min. In addition, following a 5% incline for 10 min, runners experience no significant physiological or biomechanical changes during subsequent level running at anaerobic threshold pace.

Adult↗
PubMed2004

Mechanical function of two ankle extensors in wild turkeys: shifts from energy production to energy absorption during incline versus decline running.

We investigated the mechanical function of two ankle extensor muscles, the lateral gastrocnemius (LG) and peroneus longus (PL), in wild turkeys Meleagris gallopavo during steady speed running. We hypothesized that mechanical work output of the LG and PL during running parallels the demand for mechanical work on the body. The turkeys ran on level, inclined (+6 degrees, +12 degrees ) and declined (-6 degrees, -12 degrees ) treadmills to change the demand for mechanical work. Simultaneous measurements of muscle length (from sonomicrometry) and muscle force (from tendon strain gauges) were used to calculate mechanical work output. During level running at a speed of 2 m s(-1), the LG and PL were both active in stance but produced peak force at different times, at approximately 21% of stance duration for the LG and 70% for the PL. The LG and PL also had different length patterns in stance during level running. The LG underwent little shortening during force production, resulting in negligible net positive work (2.0+/-0.8 J kg(-1)). By contrast, the PL produced force across a stretch-shorten cycle in stance and did significant net positive work (4.7+/-1.6 J kg(-1)). Work outputs for both the LG and PL were directly proportional to running slope. When we increased the demand for net positive work by running the turkeys on an incline, the LG and PL increased stance net positive work output in direct proportion to slope (P<0.05). Stance net positive work output increased to 7.0+/-1.3 J kg(-1) for the LG and 8.1+/-2.9 J kg(-1) for the PL on the steepest incline. Increases in stance net positive work for the LG and PL were associated with increases in net shortening strain and average shortening velocity, but average force in stance remained constant. The LG and PL muscles were also effective energy absorbers during decline running, when there is demand for net negative work on the body. During decline running at 2 m s(-1) on the steepest slope, the LG absorbed 4.6+/-2.2 J kg(-1) of net work in stance and the PL absorbed 2.4+/-0.9 J kg(-1) of net work. Shifts in muscle mechanical function from energy production during incline running to energy absorption during decline running were observed over a range of running speeds from 1-3 m s(-1) for both the LG and PL. Two fundamentally different mechanisms for changing work output were apparent in the mechanical behavior of the LG and PL. The LG simply altered its length pattern; it actively shortened during incline running to produce mechanical energy and actively lengthened during decline running to absorb mechanical energy. The PL changed mechanical function by altering its length pattern and by shifting the timing of force production across its stretch-shorten cycle. During incline running, the PL produced force during late stance shortening for positive work, but during decline running, the timing of force production shifted into early stance, to align with lengthening for negative work. In addition, during decline running, the PL greatly reduced or eliminated late stance shortening, thus reducing the potential for positive work. Our results show that the changing demands for whole body work during steady speed running are met, at least in part, by an ability of single muscles to shift mechanical function from net energy production to net energy absorption.

Analysis of Variance↗
PubMed2004

Reduced eccentric loading of the knee with the pose running method.

PURPOSE: The aim of this study was to compare the biomechanical changes during natural heel-toe running with learned midfoot and Pose running. METHODS: Twenty heel-toe runners were instructed in midfoot running and a novel running style in which the acromium, greater trochanter, and lateral malleolus are aligned in stance (Pose running). Clinical gait analysis was performed for each running style and the biomechanical variables compared. RESULTS: In comparison with midfoot and heel-toe running Pose running was characterized by shorter stride lengths and smaller vertical oscillations of the sacrum and left heel marker. Compared with midfoot and Pose running heel-toe running was characterized by greater magnitudes and loading rates of the vertical impact force. In preparation for initial contact, the knee flexed more in Pose than in heel-toe and midfoot running. The ankle at initial contact was neutral in Pose compared with a dorsiflexed and plantarflexed position in heel-toe and midfoot running, respectively. The knee power absorption and eccentric work were significant lower (P < 0.05) in Pose than in either heel-toe or midfoot running. In contrast, there was a higher power absorption and eccentric work at the ankle in Pose compared with heel-toe and midfoot running. CONCLUSIONS: Pose running was associated with shorter stride lengths, smaller vertical oscillations of the sacrum and left heel markers, a neutral ankle joint at initial contact, and lower eccentric work and power absorption at the knee than occurred in either midfoot or heel-toe running. The possibility that such gait differences could be associated with different types and frequencies of running injuries should be evaluated in controlled clinical trails.

Adult↗
PubMed1996

Short-term changes in 10-km race pace aerobic demand and gait mechanics following a bout of high-intensity distance running.

Following treadmill accommodation and a 3-day period of tapered running, ten well-trained male distance runners [x maximum oxygen uptake (VO2max) = 71.3 ml.kg-1.min-1] performed two 10-min level treadmill runs designed to assess running economy at 90% VO2max. Video recordings were obtained during the last minute of each run to quantify selected gait descriptors. Two to 3 days following the second economy run, each subject completed 30 min of high-intensity (HI) running at 90% VO2max. One 2, and 4 days after the HI run, subjects repeated the 10-min economy runs. Compared to pre HI-run values, no significant change (P > 0.05) in running economy was observed during the post-HI runs. Biomechanical analyses also revealed that running style remained unaltered after the HI run. These results support earlier findings obtained on moderately trained subjects featuring measurement of running economy and gait mechanics at less-demanding intensities and suggest that among well-trained athletes, 30 min of HI running does not elicit an increase in VO2 or disrupt gait mechanics over the short term in subsequent distance runs performed at near-maximal speeds.

Aerobiosis↗