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Uzturzinātne Veselības aprūpe Nutrition Science Health Care Ultragaro izturības distanču sportistiem ir jāspēj ilgstoši izturēt smagas slodzes, bieži vien pārsniedzot 12 stundas. Uzturs ir ļoti svarīgs faktors, lai uzturētu enerģijas līmeni, aizkavētu nogurumu un optimizētu sniegumu. Zināšanu trūkums par uzturu var nopietni kaitēt ultragaro izturības distanču sportistu sniegumam un veselībai. Tāpēc šī pētījuma mērķis bija novērtēt Latvijas ultragaro izturības distanču sportistu zināšanas par sport uzturu un novērtēt uztura zināšanu saistību ar dažādiem sociāldemogrāfiskiem faktoriem. Šis ir kvantitatīvs neeksperimentāls šķērsgriezuma pētījums. Sportistu uztura zināšanu novērtēšanas anketas saīsinātā versija (ANSKQ) tika iztulkota latviešu valodā. Ultragaro izturības distanču sportisti tika uzaicināti (izmantojot sociālos medijus), tiešsaistē aizpildīt ANSKQ anketu. Izlasi veidoja 173 Latvijas ultragaro izturības distanču sportisti (vīrieši n=100 un sievietes n=73). Tika noteikts kopējais vidējais zināšanu par uzturu rezultāts - 46% ± 14%, un netika konstatētas būtiskas atšķirības zināšanu rādītājos starp vīriešiem un sievietēm, sasniegumu vai izglītības līmeņiem. Sportistiem, kuri pavada vairāk laika treniņiem, ir augstāks zināšanu rādītājs (rs = 0,157; p = 0,04). Būtiska atšķirība zināšanu rādītājos tika novērota starp sporta veidiem (p < 0,05) – triatlona sportistiem bija augstāks zināšanu rādītājs. Šī pētījuma rezultāti liecina, ka ultragaro izturības distanču sportistiem būtu nepieciešama izglītošana jautājumos par sportistu uzturu. Ultra endurance events require athletes to sustain physical activity for prolonged periods of time, often exceeding 12 hours or more. Nutrition is critical for these athletes to maintain energy levels, delay fatigue, and optimize performance. Lack of knowledge about nutrition can be detrimental to the performance and health of ultra endurance athletes. Therefore, the purpose of this study was to assess the nutrition knowledge of Latvian ultra endurance athletes and evaluate the relationship between nutrition knowledge and various sociodemographic factors. This is a quantitative non-experimental cross-sectional study. The Abridged Nutrition for Sport Knowledge Questionnaire (ANSKQ) was translated into Latvian. Ultra endurance athletes were invited (via social media) to complete the ANSKQ online. Sample consisted of 173 Latvian ultra endurance athletes (male n=100 and female n=73). The mean total nutrition knowledge score for ultra endurance athletes was 46% ± 14%, and there were no significant differences in knowledge scores between males and females, the level of performance or education level. Athletes which spend more time training has higher knowledge score (rs =0.157; p=0.04). There was a significant difference in knowledge scores between ultra endurance disciplines (p < 0,05) – triathlon athletes had higher knowledge score. The findings of this study indicate that ultra endurance athletes may benefit from nutrition training.

BACKGROUND: Physical activity and a healthy diet may delay the aging process and ultra-endurance exercise is an extreme form of physical activity. Telomeres are protective DNA sequences located at the ends of eukaryotic chromosomes which shorten as we age. OBJECTIVE: The aim of this study was to investigate the relationships of lifetime physical activity and diet with salivary cell telomere length in current ultra-endurance exercisers (n = 49; % female = 37, age range 26–74 years). METHODS: Physical activity and dietary intake were measured using the Lifetime Physical Activity and Diet Questionnaire (LPADQ) and salivary cell telomere length was measured using quantitative polymerase chain reaction. RESULTS: In this group of current ultra-endurance exercisers there was no relationship between lifetime physical activity or diet (according to food category scores) and telomere length. In contrast to the expected age-related decrease in telomere length, there was no relationship between age and telomere length (95% confidence interval [CI]: –38.86, 14.54, p = 0.359) in this group of current ultra-endurance exercisers. CONCLUSIONS: The relationships of lifetime physical activity and diet with telomere length remain uncertain. It is possible that lifetime physical activity (including ultra-endurance exercise) and lifetime diet may independently, or in combination, contribute to a decrease in the rate of age-related telomere shortening in current ultra-endurance exercisers.

Purpose: To present a case report of an elite ultra-endurance cyclist, who was the winner and course record holder of 2 distinct races within a 4-month span: a 24-hour solo cycling race and a 2-man team multiday race (Race Across America). Methods: The athlete’s raw data (cycling power, heart rate [HR], speed, and distance) were obtained and analyzed for 2 ultra-endurance races and 11 weeks of training in between. Results: For the 24-hour race, the athlete completed 861.6 km (average speed 35.9 km·h−1, average power 210 W [2.8 W·kg−1], average HR 121 beats per minute) with a 37% decrease in power and a 22% decrease in HR throughout the race. During the 11 weeks between the 24-hour race and Race Across America, training intensity distribution (Zone 1/2/3) based on HR was 51%/39%/10%. For the Race Across America, total team time to complete the 4939-km race was 6 days, 10 hours, 39 minutes, at an average speed of 31.9 km·h−1. Of this, the athlete featured in this case study rode 75.2 hours, completing 2532 km (average speed 33.7 km·h−1, average power 203 W [2.7 W·kg−1]), with a 12% decrease in power throughout the race. Power during daytime segments was greater than nighttime (212 [25] vs 189 [18] W, P ). Conclusions: This case report highlights the performance requirements of elite ultra-endurance cycling. Although average power was similar when riding for 24 hours continuously and 75 hours intermittently over 6.5 days, there were large differences in pacing strategies and within-day power-output changes.

Endurance is one of the fastest growing equestrian disciplines worldwide. Races are long distance competitions (40-160 km), organised into loops, over variable terrain usually within one day. Horse and rider combinations in endurance races have to complete the course in good condition whilst also aiming to win. Horse welfare is paramount within the sport and horses are required to ‘pass’ a veterinary check prior to racing, after each loop of the course and at the end of the race. Despite the health, fitness and welfare of both athletes within the horse-rider dyad being essential to achieve success, few equivalent measures assessing the wellbeing of the endurance rider are implemented. This review considers evidence from ultra-endurance sports and rider performance in other equestrian disciplines, to consider physiological and psychological strategies the endurance rider could use to enhance their competition performance. Successful endurance riding requires an effective partnership to be established between horse and rider. Within this partnership, adequate rider health and fitness are key to optimal decision-making to manage the horse effectively during training and competition, but just as importantly riders should manage themselves as an athlete. Targeted management for superior rider performance can underpin more effective decision-making promoting ethical equitation practices and optimising competition performance. Therefore, the responsible and competitive endurance rider needs to consider how they prepare themselves adequately for participation in the sport. This should include engaging in appropriate physiological training for fitness and musculoskeletal strength and conditioning. Alongside planning nutritional strategies to support rider performance in training and within the pre-, peri- and post-competition periods to promote superior physical and cognitive performance, and prevent injury. By applying an evidence informed approach to self-management, the endurance athlete will support the horse and rider partnership to achieve to their optimal capacity, whilst maximising both parties physical and psychological wellbeing.

Participation in ultra-endurance running (UER) events continues to grow across ages, including youth athletes. The 50- and 100-km are the most popular distances among youth athletes. Most youth athletes are between 16–18 years; however, some runners younger than 12 years have successfully completed UER events. Parents, athletes, coaches, race directors, and medical professionals often seek advice regarding the safety of youth athletes participating in these events, especially with regard to potential short and long-term health consequences. UER may impact key organ systems during growth and development. We propose a decision-making process, based on current knowledge and the experience of the consensus group that addresses age regulations, medical and psychological well-being, training status and race-specific factors (such as distance, elevation change, remoteness, ambient temperatures, level of medical assistance, and type of provisions provided by the race organizers) to use until evidence of long-term consequences of UER in youth athletes is available. These recommendations are aimed at safe participation in UER events for youth athletes with a proper and individualized assessment.

Participation and performance trends have been analyzed for different ultramarathons for limited time periods. This study examined trends in participation and performance in the oldest ultramarathon in the world, the ‘Comrades Marathon’ (South Africa), during a century (1921−2019). Data from www.ultra-marathon.org on 100 000 unique finishers were analysed using different general linear models. Women represented 4.2% of the total sample (n=4152), and the first women ran this race in 1978. Before the year 1965, the number of participants in the race ranged between 5 and 35 athletes, then started to grow exponentially until mid 90’s. An increase in finishers in the 70 s mainly due to an increase in male athletes in age groups 30−39, 40−49 and 50−59 years was observed (p

This review aims to investigate the physiological mechanisms that underlie the hydro-electrolyte balance of the human body and the most appropriate hydration modalities for individuals involved in physical and sports activities, with a focus on ultra-endurance events. The role of effective hydration in achieving optimal sports performance is also investigated. An adequate pre-hydration is essential to perform physical and sporting activity in a condition of eu-hydration and to mantain physiologic levels of plasma electrolyte. To achieve these goals, athletes need to consume adequate drinks together with consuming meals and fluids, in order to provide an adequate absorption of the ingested fluids and the expulsion of those in excess through diuresis. Therefore, there are important differences between individuals in terms of sweating rates, the amount of electrolytes loss and the specific request of the discipline practiced and the sporting event to pursue.

Regular exercise in moderate intensities and for moderate durations has been very effective in promoting functional health and disease prevention capacity. However, in the recent past several motivated individuals are trying to involve in high intensity and very long duration aerobic dominant activities like marathon running, ultra-endurance cycling etc to enhance their health fitness and functional health. Though the general perception is that exercise is a positive tool in bringing positive changes in the health, the exercise seems a stressful activity which also promotes oxidative and inflammatory damages. Especially the high intensity and very long duration and sustained activities like marathon running may induce uncontrolled or excessive oxidative and inflammatory processes that might compromise the whole-body immunity and specially in acute conditions, the immediate effect may be on the respiratory tract physiology. Recreational runners who are taking up running as their favourite physical activity to promote health may not prepare adequately to tackle these negative pathological processes and may prone for frequent respiratory infections. It is more specifically important for the women recreational runners, as their immune suppression may be much aggressive due to these acute high intensity exercises like marathon training. It is important for the women recreational runners as most of them are aged, need to regularly monitor their upper respiratory tract health through credible quantification techniques and also should adopt excellent strategies of training and recovery like scientific physical training before the event and also the excellent nutritional strategies.

Participation in ultra-endurance events has increased in recent years and requires extreme levels of moderate to vigorous physical activity (MVPA). Moderate levels of MVPA have been associated with increased brain volume but the effects of extreme levels of MVPA on brain volume is unknown. As a result, we sought to compare the brains of those who engage in extremely high levels of MVPA with those who are sedentary using magnetic resonance imaging. We performed whole brain volumetric analyses and voxel-based morphometry on 12 ultra-endurance athletes (1078.75 ± 407.86 min of MVPA/week) and 9 sedentary persons (18.0 ± 56.9 min of MVPA/week). Whole-brain analyses revealed that those who participate in ultra-endurance training have increased grey (p

To examine the influence of the Ultraman Florida triathlon (3 days of non-continuous racing; stage 1: 10 km swim and 144.8 km cycle; stage 2: 275.4 km cycle; stage 3: 84.4 km run) on circulating plasma concentrations of whole-body (C-reactive protein (CRP), interleukin (IL)-6 (IL-6), and IL-10 and surrogate gut-specific inflammatory markers (IL-17 and IL-23), and determine whether these variables are associated with performance. Eighteen triathletes (N = 18; 15 men, 3 women; age: 37 ± 8 yrs) were evaluated at baseline and post-race for circulating concentrations of CRP, IL-6, IL-10, IL-17, and IL-23. Blood samples were drawn two days prior to stage 1 (1600 h) and one day after stage 3 (1200 h). Plasma CRP significantly increased from baseline (1985.8 ± 5962.3 ng/mL) to post-race (27,013.9 ± 12,888.8 ng/mL, p

Carbohydrate (CHO) intake recommendations for events lasting longer than 3h indicate that athletes should ingest up to 90g.h.−1 of multiple transportable carbohydrates (MTC). We examined the dietary intake of amateur (males: n=11, females: n=7) ultra-endurance runners (mean age and mass 41.5±5.1years and 75.8±11.7kg) prior to, and during a 24-h ultra-endurance event. Heart rate and interstitial glucose concentration (indwelling sensor) were also tracked throughout the event. Pre-race diet (each 24 over 48h) was recorded via weighed intake and included the pre-race meal (1–4h pre-race). In-race diet (24h event) was recorded continuously, in-field, by the research team. Analysis revealed that runners did not meet the majority of CHO intake recommendations. CHO intake over 24–48h pre-race was lower than recommended (4.0±1.4g·kg−1; 42±9% of total energy), although pre-race meal CHO intake was within recommended levels (1.5±0.7g·kg−1). In-race CHO intake was only in the 30–60g·h−1 range (mean intake 33±12g·h−1) with suboptimal amounts of multiple transportable CHO consumed. Exercise intensity was low to moderate (mean 68%HRmax 45%VO2max) meaning that there would still be an absolute requirement for CHO to perform optimally in this ultra-event. Indeed, strong to moderate positive correlations were observed between distance covered and both CHO and energy intake in each of the three diet periods studied. Independent t-tests showed significantly different distances achieved by runners consuming ≥5 vs. −1 CHO in pre-race diet [98.5±18.7miles (158.5±30.1km) vs. 78.0±13.5miles (125.5±21.7km), p=0.04] and ≥40 vs. −1 CHO in-race [92.2±13.9miles (148.4±22.4km) vs. 74.7±13.5miles (120.2±21.7km), p=0.02]. Pre-race CHO intake was positively associated with ultra-running experience, but no association was found between ultra-running experience and race distance. No association was observed between mean interstitial glucose and dietary intake, or with race distance. Further research should explore approaches to meeting pre-race dietary CHO intake as well as investigating strategies to boost in-race intake of multiple transportable CHO sources. In 24-h ultra-runners, studies examining the performance enhancing benefits of getting closer to meeting pre-race and in-race carbohydrate recommendations are required.

International audience; Ultra-endurance sports are growing in popularity but can be associated with adverse health effects, such as exercise-induced muscle damage (EIMD), which can lead to exertional rhabdomyolysis. Circulating microRNAs (miRNAs) may be useful to approach the degree of EIMD. We aimed to (1) investigate the relevance of circulating miRNAs as biomarkers of muscle damage and (2) examine the acute response of skeletal/cardiac muscle and kidney biomarkers to a 24-h run in elite athletes. Eleven elite athletes participated in the 24-h run World Championships. Counter-movement jump (CMJ), creatine kinase (CK), myoglobin (Mb), creatinine (Cr), high-sensitive cardiac troponin T (hs-cTnT), and muscle-specific miRNA (myomiR) levels were measured before, immediately after, and 24 and 48h after the race. CMJ height was reduced immediately after the race (−84.0 ± 25.2%, p < 0.001) and remained low at 24 h (−43.6 ± 20.4%, p = 0.002). We observed high CK activity (53 239 ± 63 608 U/L, p < 0.001) immediately after the race, and it remained elevated 24h after (p < 0.01). Circulating myomiR levels (miR-1-3p, miR-133a-3p, miR-133b, miR-208a-3p, miR-208b-3p, and miR-499a-5p) were elevated immediately after the 24-h run (fold changes: 18–124,723, p

Background and objective: Existing research shows that the sex differences in distance-limited ultra-cycling races decreased with both increasing race distance and increasing age. It is unknown, however, whether the sex differences in time-limited ultra-cycling races will equally decrease with increasing race distance and age. This study aimed to examine the sex differences regarding performance for time-limited ultra-cycling races (6, 12, and 24 h). Methods: Data were obtained from the online database of the Ultra-Cycling Marathon Association (UMCA) of time-limited ultra-cycling races (6, 12, and 24 h) from the years 1983–2019. A total of 18,241 race results were analyzed to compare cycling speed between men and women by calendar year, age group (&lt, 29, 30–39, 40–49, 50–59, 60–69, &gt, 70 years), and race duration. Results: The participation of both men (85.1%) and women (14.9%) increased between 1983 and 2019. The age of peak performance was between 40 and 59 years for men and between 30 and 59 years for women. Between 2000 and 2019, more men (63.1% of male participants and 52.2% of female participants) competed in 24 h races. In the 24 h races, the sex difference decreased significantly in all age groups. Men cycled 9.6% faster than women in the 12 h races and 4% faster in the 24 h races. Both women and men improved their performance significantly across the decades. Between 2000 and 2019, the improvement in the 24 h races were 15.6% for men and 21.9% for women. Conclusion: The sex differences in cycling speed decreased between men and women with increasing duration of ultra-cycling races and with increasing age. Women showed a greater performance improvement than men in the last 20 years. The average cycling speed of men and women started to converge in the 24 h races.

AimsAcute bouts of ultra-endurance exercise may cause an acute reduction in cardiac function, causing a physiological cascade which releases cardiac biomarkers. This study set out to determine the cardiac stress and recovery of participation in a three-day ultra-endurance mountain biking event of athletes using heart rate variability (HRV) as an outcome measure.MethodsSixteen healthy participants (male and female) participating in a three-day ultra-endurance mountain biking event underwent a five-minute resting ECG recording in a supine position. Heart rate variability measurements were recorded two days before the race (baseline testing), after each race day, and at 24-hour post-event (recovery).ResultsTime-domain and frequency domain measures showed significant (p≤0.05) changes from baseline in HRV parameters after each race day. The significant changes in HRV parameters reflected an increase in sympathetic activity after each day of the event. Our data revealed that the mean HR and RR variability variables did not return to baseline value after 24-hours of recovery, reflecting autonomic nervous system dysfunction, and that changes persisted for at least 24-hours post-event.ConclusionOur study shows that competing in an ultra-endurance mountain bike event led to diminished vagal activity and a decrease in HRV throughout the event and persisted for at least 24-hours post-event. The body was under continuous sympathetic dominance during rest as well as during each day of racing, implying each race day can be considered a physiological stress. This may, in turn, cause a disturbance in homeostasis and an increase in autonomic nervous system dysfunction. This has implications for further research, including dysrhythmia risk, and monitoring of athletes in advising a return to strenuous activity.

Ultra-triathlons are defined as triathlons longer than the traditional Ironman distance and became more popular in the last two decades; however, scarce scientific evidence of these events are available. Therefore, we aimed to investigate the trends of performance, pacing, nationality, sex differences, and rate of non-finishers in ultra-triathlons. Data from 1985 to 2018 were collected including Double Iron, Triple Iron, Quintuple Iron, and Deca Iron ultra-triathlons. Different pacing patterns by event and sex were observed (P < .05); athletes spent less %time in swimming and cycling, and more %time in running as the distance of event was longer; women spent more %time in cycling and less% time in running in Double and Triple. Performance analysis showed a negative trend over time for men and women since 1985. Switzerland, France, and Germany were the fastest nations in ultra-triathlons. The frequency of North Americans competing in Europe was very low (

The aim of this study was to investigate the effect of an ultra-marathon on heart rate variability (HRV) and psychometric indices in endurance runners. In addition, we aimed to determine the magnitude of change and subsequent recovery for 7 days following the race. Recreationally trained runners (n = 13 (8M); age = 36.6 ± 7.6 years; height = 174 ± 9 cm; weight = 70.5 ± 9.3 kg) completed measures of HRV upon waking in the morning for 1 week prior to and 1 week following a 64-km running race. Profile of mood states, wellbeing, and muscular soreness were also measured throughout the study period to further contextualise recovery. An increase in heart rate accompanied by decreased LnSDNN, LnRMSSD, LnLF, LnHF, and LnLF/HF from baseline were observed 1 day post-race (p

The aim of this study was to examine the effects of the performance level and race distance on pacing in ultra-triathlons (Double, Triple, Quintuple and Deca), wherein pacing is defined as the relative time (%) spent in each discipline (swimming, cycling and running). All finishers (n = 3,622) of Double, Triple, Quintuple and Deca Iron ultra-triathlons between 1985 and 2016 were analysed and classified into quartile groups (Q1, Q2, Q3 and Q4) with Q1 being the fastest and Q4 the slowest. Performance of all non-finishers (n = 1,000) during the same period was also examined. Triple and Quintuple triathlons (24.4%) produced the highest rate of non-finishers, and Deca Iron ultra-triathlons produced the lowest rate (18.0%) (χ2 = 12.1, p = 0.007, φC = 0.05). For the relative swimming and cycling times (%), Deca triathletes (6.7 ± 1.5% and 48.8 ± 4.9%, respectively) proved the fastest and Double (9.2 ± 1.6% and 49.6 ± 3.6%) Iron ultra-triathletes were the slowest (p < 0.008) with Q4 being the fastest group (8.3 ± 1.6% and 48.8 ± 4.3%) and Q1 the slowest one (9.5 ± 1.5% and 50.9 ± 3.0%) (p < 0.001). In running, Double triathletes were relatively the fastest (41.2 ± 4.0%) and Deca (44.5 ± 5.4%) Iron ultra-triathletes the slowest (p < 0.001) with Q1 being the fastest (39.6 ± 3.3%) and Q4 the slowest group (42.9 ± 4.7%) (p < 0.001). Based on these findings, it was concluded that the fastest ultra-triathletes spent relatively more time swimming and cycling and less time running, highlighting the importance of the role of the latter discipline for the overall ultra-triathlon performance. Furthermore, coaches and ultra-triathletes should be aware of differences in pacing between Double, Triple, Quintuple and Deca Iron triathlons.

The health and performance of ultra-endurance athletes is dependent on avoidance of performance limiting hypohydration while also avoiding the potentially fatal consequences of exercise-associated hyponatremia due to overhydration. In this work, key factors related to maintaining proper hydration during ultra-endurance activities are discussed. In general, proper hydration need not be complicated and has been well demonstrated to be achieved by simply drinking to thirst and consuming a typical race diet during ultra-endurance events without need for supplemental sodium. As body mass is lost from oxidation of stored fuel, and water supporting the intravascular volume is generated from endogenous fuel oxidation and released with glycogen oxidation, the commonly promoted hydration guidelines of avoiding body mass losses of >2% can result in overhydration during ultra-endurance activities. Thus, some body mass loss should occur during prolonged exercise, and appropriate hydration can be maintained by drinking to the dictates of thirst.

Understanding constraints to participation in recreation and leisure is a common research topic. This article used social identity theory to increase our understanding of leisure constraints, negot...

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. Work should now focus on identifying the frequency of this response in other racers and whether the main causes are physiological, environmental or genetic in nature. ABSTRACT Participation in ultra-endurance cycling events, such as the Transcontinental Race, is increasing. These extremely demanding races provide a unique opportunity for field observation of the limits of human endurance physiology and, importantly, when these limits might be exceeded and cross over into pathology. The heart is of special interest in this field, and previous data suggest that 'reverse drift' of heart rate occurs as a product of time and load in races of 24-48 h, whereas transient structural abnormalities have been observed upon completion of running ultramarathons. Here, we report a unique case of a male cyclist racing in the Transcontinental Race over an extended period of 14 days characterized by extreme workloads and a low quantity and quality of sleep. The heart rate response was dynamic over the course of the race and defined by a U-shaped quadratic relationship. A larger scale study is required to determine the relevance of this information to the ultra-endurance cycling community.

The aim of this study was to investigate the effect of age on the sex differences in (3.8 km) swim, (180 km) cycle, (42 km) run, and overall performance time at the 2018 Ironman triathlon World Championship. Sex differences in performance times were analysed for the top 10 male and female amateur triathletes of each 5 years age group between 18–24 years and 70–74 years. Independent of age, the averaged sex difference in swimming, cycling, running, and overall performance time was 14.0 ± 3.3%, 15.6 ± 3.1%, 15.3 ± 6.8% and 15.1 ± 3.6%, respectively. There was no significant change with age in the sex difference in performance for swimming. For both cycling and running, the sex difference in performance of the age groups whose athletes were older than 60 years were significantly greater than those of younger age groups. Such results suggest that, in Ironman triathletes, the increase in the sex difference in performance with advancing age is discipline dependent. Further examination of the (physiological and training load related) factors that are associated with the age-related decline in Ironman triathlon performance is required to understand why the sex difference in cycling and running performance increases with age.

The total energy expenditure of a racing sled dog can exceed 500 kcal/kg bodyweight during typical events spanning a week or more. Based on early research, as well as practical considerations, modern commercial diets are formulated to meet these energy requirements using fat and protein. However, more recent research provides a clear picture of a canine athlete with glucocentric metabolism, including many conditioning-induced adaptations oriented toward sustaining submaximal exercise with glucose as the primary metabolic fuel despite the consumption of fat as the primary dietary energy source. The specific strategies used by racing sled dogs to maintain a robust supply of glucose during exercise, as well as the possible role of fat in facilitating that metabolic priority, is the subject of ongoing research.

Properly replacing energy and fluids is a challenge for 24-h ultramarathoners because such unusually high intake may induce adverse effects (gastrointestinal symptoms [GIS] and exercise-associated hyponatremia [EAH]). We analyzed such intake for 12 twelve elite athletes (6 males and 6 females; age: 46 ± 7 years, height: 170 ± 9 cm, weight: 61.1 ± 9.6 kg, total distance run: 193-272 km) during the 2019 24-h World Championships and compared it to the latest nutritional recommendations described by the International Society of Sports Nutrition in 2019. We hypothesized that these elite athletes would easily comply these recommendations without exhibiting detrimental adverse symptoms.Ad libitum food and fluid intake was recorded in real-time and energy, macronutrient, sodium, and caffeine intake then calculated using a spreadsheet in which the nutritional composition of each item was previously recorded. GIS, markers of dehydration (body mass modifications, plasma and urine osmolality, and plasma volume; samples obtained 26 h before and just after the race) and EAH (plasma and urine sodium concentrations) were also assessed.Fluid, energy, and carbohydrate intake of the 11 finishers was 16.4 ± 6.9 L, 35.1 ± 15.7 MJ, and 1.49 ± 0.71 kg, respectively. Individual analyses showed that all but one (for fluid intake) or two (for energy and carbohydrate intake) consumed more than the minimum recommendations. The calculated energy balance remained, however, largely negative (- 29.5 ± 16.1 MJ). Such unusually high intake was not accompanied by detrimental GIS (recorded in 75%, but only transiently [3.0 ± 0.9 h]) or EAH (0%). The athletes were not dehydrated, shown by the absence of significant body mass loss (- 0.92 ± 2.13%) and modifications of plasma osmolality and an increase in plasma volume (+ 19.5 ± 15.8%). Performance (distance ran) positively correlated with energy intake (ρ = 0.674, p = 0.023) and negatively (ρ = - 0.776, p = 0.005) with fluid intake.Overall, almost all of these elite 24-h ultramarathoners surpassed the nutritional recommendations without encountering significant or the usual adverse effects.

Ultra-endurance running (UER) has seen an important increase in participation over the last few decades. Long hours of UER can lead to excessive stress on the body, resulting in musculoskeletal injuries (MSKI). UER is not a uniform sport and events can differ considerably in distance (over 42.195 km), time (e.g., events over 6 h) and multi-day or multi-stage events on various surfaces (e.g., track, on-road, off-road). The aims of this scoping review were therefore: (1) to examine the current evidence of MSKI, providing a synthesis of the most common MSKI by anatomical region and specific diagnosis; (2) categorize MSKI by type of UER activity (competition: time-limited; multi-stage; continuous UER events and training); (3) describe knowledge gaps in the literature and provide advice on potential further research. Our electronic literature search (PubMed, SPORTDiscus, Web of Science) identified a total of 13 studies (9 in competition, and 4 in training). Anatomical site, diagnosis and rate of injuries differ between competition and training as well as between different UER types. MSKI are observed in 18% of multi-stage events (0.7–1.8 injuries/runner and 7.2 injuries/1000 h). Most MSKI involve the lower leg (35.0%), ankle (16.8%), knee (13.1%) and foot (12.6%), with main diagnosis of medial tibial stress syndrome (30.1%) and patella femoral pain syndrome (PFPS; 7.2%). Single, continuous UER events differ between a 1005 km road race with almost all of the injuries due to overuse, with the main anatomical site of the knee (31%), ankle (28%) and lower leg (14%) and main diagnosis of PFPS (15.6%), compared to a 65 km trail race, with 32.8% of MSKI, mainly on the foot [plantar fasciitis (28.6%)], ankle [sprain (28.6%)] and knee. Timed-UER events (injury rate of 2.1 injuries/athlete) observed most injuries on the ankle (36%) and knee (19%), with the main diagnosis of tendinitis of the foot dorsiflexors (30%). Injuries during training most commonly affect, the back (42%), and knee (40%) and bone stress injuries (22%). Main diagnoses include ankle sprain (18%), iliotibial band injury (16%) and Achilles tendinopathy (11%). Future considerations include examining MSKI in different UER events, environments and surfaces, and on larger study populations. Establishing risk factors, examining sex differences and using a standard reporting system of MSKI in UER are also important.

The relationship between sleep duration, sleep quality, and race completion time during each stage of a 3-day ultra-endurance triathlon (stage 1: 10-km swim, 146-km cycle; stage 2: 276-km cycle; and stage 3: 84.4-km run) was investigated. Seventeen triathletes partook in sleep analysis throughout the ultra-endurance multiday triathlon using an actigraphy wristband. The participants wore the band to record objective sleep outcomes for approximately 4 days (1–2 d prerace, 3 race days, and 1 d postrace), except while racing. The total sleep time (TST; prerace: 414.1 [95.3] min, prestage 1: 392.2 [138.3] min, prestage 2: 355.6 [62.5] min, and prestage 3: 299.7 [107.0] min) significantly decreased over time (P r = −.577; P = .019) and stage 3 (r = −.546; P = .035), with further analysis revealing that TST explained 33% and 30% of the variation in performance for stages 1 and 3, respectively. During a 3-day ultra-endurance triathlon, the TST was reduced and had a significant negative correlation to exercise performance, indicating that sleep loss was associated with slower performances. Sleep onset latency, wake episodes, and sleep efficiency did not significantly change over the course of this investigation, which may stem from the close proximity of exercise to sleep.

Objective To determine the location and periarticular shoulder-muscle-abnormalities detected via orthopedic examinations and ultrasonography in ultra-endurance Alaskan sled-dogs, returned from an ultra-endurance sled-dog-race prior to finishing it. Study design Prospective clinical study. Sample population Sixty-four dogs (128 shoulders). Methods Dogs were classified based on clinical evidence of shoulder pain (SP versus control). Orthopedic examination findings, shoulder-abduction-angles (SAA; before- and during-anesthesia), and ultrasonographic findings were recorded. Relationships between orthopedic and ultrasonographic abnormalities were compared. Results Pain was elicited on 55/128 shoulders; 73 shoulders were pain-free. The most common painful structures included the biceps-tendon (BT; 30%), triceps-muscle (28%), and infraspinatus-muscle (25%). SAA ranged between 25° and 75° among groups, including pain-free shoulders in dogs without lameness. SAA was greater when dogs were anesthetized (46.3° ± 14.0° vs. 47.8° ± 12.0°; p = .03), especially in SP (mean increase of 3.49° ± 8.85°) compared to control (0.03° ± 7.71°, p = .009). Overall, 103 ultrasonographic abnormalities were detected (SP: 44; control: 59). The most common ultrasonographic abnormality was fluid surrounding the biceps tendon, similarly distributed between groups (SP: 39/44; control: 57/59). Most chronic ultrasonographic abnormalities affected the BT (15/103 abnormalities). No associations were detected between ultrasonographic abnormalities and clinical findings. Conclusion Shoulder abduction varied greatly and reached up to 75° in normal joints. Ultrasonographic shoulder-muscle abnormalities were common but did not seem associated with clinical findings. Clinical significance Interpretation of shoulder abduction warrants caution, and the presence of fluid around the BT may reflect a physiologic adaptation to racing, rather than a pathologic change in ultra-endurance Alaskan sled-dogs.

Background Our objective was to determine the prevalence and clinical correlates of conventional cardiovascular risk factors among ultra-endurance marathon runners. Methods An electronic internet survey to characterize modifiable cardiovascular risk factors including diabetes, hypertension, dyslipidemia, tobacco exposure and obesity (BMI >30) among competitive ultra-endurance runners. Results Among 290 respondents (mean ± SD, 42 ± 11 years, 31.4% female), 106 (36.6%) had at least one established cardiovascular risk factor. Female sex, younger age and participation in competitive high school or collegiate sports were associated with freedom from cardiovascular risk factors. There were no significant associations between risk factor status and either hours per week of running training (risk factor negative = 10 ±7 vs. risk factor positive = 11 ± 8 hours, p=0.42) or years of ultra-endurance competition (6 ± 8 vs. 7 ± 9 years, p=0.38). Runners with at least one cardiovascular risk factor were more likely to have had personal or peer concerns about excessive alcohol use. Conclusions Conventional cardiovascular risk factors are common among ultra-endurance runners. Early life participation in competitive sports, rather than adult exercise habits, is associated with freedom from the development of cardiovascular risk factors during middle age. Determining mechanistic explanations for the legacy effect of early life exercise as a means to reduce cardiovascular risk among aging athletes represents an important area of future work.

Research studies on the practice of ultra-endurance trail running—ultra-trail running—are proliferating and reflect the very popularity of this sport. This article provides an exhaustive and interdisciplinary review of the literature on this emerging area of research. A meta-analysis based on 176 references highlights the contributions of the medical and social sciences. Finally, the systematic analysis of the corpus in the Nvivo software reveals a terminology structured around four themes: 1. medical and physiological approaches, 2. commitment and profiles, 3. motivations and experiences of practice, 4. territories of trail-running. These results allow a comprehensive synthesis of the research carried out so far and constitute a starting point for further research and the elaboration of other approaches.; Les travaux de recherche sur la pratique des courses en sentier d'ultra-endurance-ultra-trail running, se multiplient et témoignent de l'engouement même que connait ce sport. L'article présente une revue de littérature exhaustive et interdisciplinaire sur cet objet de recherche en devenir. Une méta-analyse à partir de 176 références présente les apports et les contributions des sciences médicales et sociales. Au final l'analyse systématique du corpus dans le logiciel Nvivo met en évidence une nomenclature articulée autour de quatre thèmes : 1. Les approches médicales et physiologiques, 2. L'engagement et les profils, 3. Les motivations et expériences de la pratique 4. Les territoires du trail-running. Ces résultats permettent de faire la synthèse des travaux menés à ce jour et constituent un point de départ pour développer d'autres approches.

Research studies on the practice of ultra-endurance trail running—ultra-trail running—are proliferating and reflect the very popularity of this sport. This article provides an exhaustive and interdisciplinary review of the literature on this emerging area of research. A meta-analysis based on 176 references highlights the contributions of the medical and social sciences. Finally, the systematic analysis of the corpus in the Nvivo software reveals a terminology structured around four themes: 1. medical and physiological approaches, 2. commitment and profiles, 3. motivations and experiences of practice, 4. territories of trail-running. These results allow a comprehensive synthesis of the research carried out so far and constitute a starting point for further research and the elaboration of other approaches.; Les travaux de recherche sur la pratique des courses en sentier d'ultra-endurance-ultra-trail running, se multiplient et témoignent de l'engouement même que connait ce sport. L'article présente une revue de littérature exhaustive et interdisciplinaire sur cet objet de recherche en devenir. Une méta-analyse à partir de 176 références présente les apports et les contributions des sciences médicales et sociales. Au final l'analyse systématique du corpus dans le logiciel Nvivo met en évidence une nomenclature articulée autour de quatre thèmes : 1. Les approches médicales et physiologiques, 2. L'engagement et les profils, 3. Les motivations et expériences de la pratique 4. Les territoires du trail-running. Ces résultats permettent de faire la synthèse des travaux menés à ce jour et constituent un point de départ pour développer d'autres approches.

Ultra-endurance has been defined as any exercise bout that exceeds 6 h. A number of exceptional, record-breaking performances by female athletes in ultra-endurance sport have roused speculation that they might be predisposed to success in such events. Indeed, while the male-to-female performance gap in traditional endurance sport (e.g., marathon) remains at ~ 10%, the disparity in ultra-endurance competition has been reported as low as 4% despite the markedly lower number of female participants. Moreover, females generally outperform males in extreme-distance swimming. The issue is complex, however, with many sports-specific considerations and caveats. This review summarizes the sex-based differences in physiological functions and draws attention to those which likely determine success in extreme exercise endeavors. The aim is to provide a balanced discussion of the female versus male predisposition to ultra-endurance sport. Herein, we discuss sex-based differences in muscle morphology and fatigability, respiratory-neuromechanical function, substrate utilization, oxygen utilization, gastrointestinal structure and function, and hormonal control. The literature indicates that while females exhibit numerous phenotypes that would be expected to confer an advantage in ultra-endurance competition (e.g., greater fatigue resistance, greater substrate efficiency, and lower energetic demands), they also exhibit several characteristics that unequivocally impinge on performance (e.g., lower O2-carrying capacity, increased prevalence of GI distress, and sex-hormone effects on cellular function/injury risk). Crucially, the advantageous traits may only manifest as ergogenic in the extreme endurance events which, paradoxically, are those that females less often contest. The title question should be revisited in the coming years, when/if the number of female participants increases.

Objective: To analyze the proportion of dedication in each triathlon discipline (swimming, cycling, and running) and the importance of each separate discipline to predict overall performance of elite triathletes across different triathlon distances. Methods: Data from 2015 to 2020 (n = 16,667) from official races and athletes in Sprint, Olympic distance, IM 70.3 (Half-Ironman distance), and IM 140.6 (Full-Ironman distance) competitions were included. The proportion of each discipline was calculated individually and compared using general linear models by event distance, sex, and performance level. Automatic linear regression models were applied for each distance considering overall performance as the dependent variable. Results: A within-distance analysis showed that the best predictor for Sprint is cycling, for Olympic is swimming, for IM 70.3 is cycling, and for IM 140.6 is running. A between-distance analysis revealed that swimming is a better predictor in Olympic distance than in other triathlon distances. Cycling is a poor predictor for overall performance in IM 140.6, and the importance of running to predict overall performance is the highest in IM 140.6 and diminishes with decreasing race distance. Conclusion: Each discipline represents a different relative portion and importance to predict overall performance depending on the triathlon distance. Swimming is the most important predictor discipline in Sprint- and Olympic-distance triathlon, cycling in IM 70.3, and running in IM 140.6.

Background: In previous studies, ultra-endurance performance has been associated with training and psychological variables. However, performance under extreme conditions is understudied, mainly due to difficulties in making field measures. Aim: The aim of this study was to analyze the role of training, hydration, nutrition, oral health status, and stress-related psychological factors in athletes&rsquo, performance in ultra-endurance mountain events. Methods: We analyzed the variables of race time and training, hydration state, nutrition, oral health status, and stress-related psychological factors in 448 ultra-endurance mountain race finishers divided into three groups according to race length (less than 45 km, 45&ndash, 90 km, and greater than 90 km), using a questionnaire. Results: Higher performance in ultra-endurance mountain races was associated with better oral health status and higher accumulative altitude covered per week as well as higher positive accumulative change of altitude per week during training. In longer distance races, experience, a larger volume of training, and better hydration/nutrition prior to the competition were associated with better performance. Conclusions: Ultra-endurance mountain athletes competing in longer races (&gt, 90 km) have more experience and follow harder training schedules compared with athletes competing in shorter distances. In longer races, a larger fluid intake before the competition was the single best predictor of performance. For races between 45 and 90 km, training intensity and volume were key predictors of performance, and for races below 45 km, oral health status was a key predictor of performance. Psychological factors previously reported as ultra-endurance mountain race performance predictors were inconsistent or failed to predict the performance of athletes in the present research.

Objective: To analyze the proportion of dedication in each triathlon discipline (swimming, cycling, and running) and the importance of each separate discipline to predict overall performance of elite triathletes across different triathlon distances.Methods: Data from 2015 to 2020 (n = 16,667) from official races and athletes in Sprint, Olympic distance, IM 70.3 (Half-Ironman distance), and IM 140.6 (Full-Ironman distance) competitions were included. The proportion of each discipline was calculated individually and compared using general linear models by event distance, sex, and performance level. Automatic linear regression models were applied for each distance considering overall performance as the dependent variable.Results: A within-distance analysis showed that the best predictor for Sprint is cycling, for Olympic is swimming, for IM 70.3 is cycling, and for IM 140.6 is running. A between-distance analysis revealed that swimming is a better predictor in Olympic distance than in other triathlon distances. Cycling is a poor predictor for overall performance in IM 140.6, and the importance of running to predict overall performance is the highest in IM 140.6 and diminishes with decreasing race distance.Conclusion: Each discipline represents a different relative portion and importance to predict overall performance depending on the triathlon distance. Swimming is the most important predictor discipline in Sprint- and Olympic-distance triathlon, cycling in IM 70.3, and running in IM 140.6.

Ultra-marathon events (i.e., .42.2-km) continue to grow in popularity; however, little is known regarding the sources of nutrition information which inform their beliefs and habits. The objective of this study was to characterize the acquisition of sport-specific nutrition information among ultra-endurance athletes using a mixed methods design. Qualitative data were collected through focus groups and analyzed using thematic analysis. Three primary higher order themes were identified: Optimal Diet for Ultra-Endurance Athletes, Common Sources of Information, and Barriers to Scientific Information. Then, a self-report inventory (Sources of Nutrition Information-SONI questionnaire) was developed to assess common sources of nutrition information and characterize their beliefs about those sources. Likert-type questions were used, and primary sources were scored out of 3, sub-questions out of 5. Differences between sources were assessed using RM-ANOVA. Participants (N = 224) accessed, responded to, and submitted the survey via a secure, study-specific web-based link. Peer reviewed literature was reported as the most frequently used (mean score = 1.64, p < 0.001), credible (3.02, p < 0.001), and interesting (2.62, p < 0.002). Social media was the most accessible (2.81, p < 0.001), but the least credible (1.87, p < 0.001). While social media was perceived less credible than other sources, its accessibility could make it a promising tool to provide evidence-based nutrition information to this population.

Background and objectives: The COVID-19 outbreak has become a major health and economic crisis. The World Health Organization declared it a pandemic in March 2020, and many sporting events were canceled. Materials and Methods: We examined the effects of the COVID-19 pandemic on endurance and ultra-endurance running (UER) and analyzed finishes and events during the COVID-19 pandemic (observation period March 2020&ndash, October 2020) to the same time period pre-COVID-19 outbreak (March 2019&ndash, October 2019). Results: Endurance finishes decreased during the pandemic (459,029 to 42,656 (male: 277,493 to 25,582, female 181,536 to 17,074, all p &lt, 0.001). Similarly, the numbers of endurance events decreased (213 vs. 61 events, p &lt, 0.001). Average marathon finishing times decreased during the pandemic in men (5:18:03 &plusmn, 0:16:34 vs. 4:43:08 &plusmn, 0:25:08 h:min:s (p = 0.006)) and women (5:39:32 &plusmn, 0:19:29 vs. 5:14:29 &plusmn, 0:26:36 h:min:s (p = 0.02)). In UER, finishes decreased significantly (580,289 to 110,055, 0.001) as did events (5839 to 1791, 0.001). Popular event locations in United States, France, UK, and Germany decreased significantly (p &lt, 0.05). All distance and time-limited UER events saw significant decreases (p &lt, 0.05). Conclusions: The COVID-19 pandemic has had a significant effect on endurance and UER, and it is unlikely that running activities return to pre-pandemic levels any time soon. Mitigation strategies and safety protocols should be established.

Background: Ultraendurance events under critical environmental conditions represent unique stress, resulting in acute marked adaptations to the cardiovascular, respiratory, metabolic and neuromuscular systems of the organism. In line with this, no studies in swimming events were found thus far. Methods: This research aimed to analyze the psychophysiological response of swimmers in an ultraendurance swimming event. Changes in the rate of perceived exertion, blood lactate concentration, 1000m swimming time and cortical arousal were measured in 19 male volunteer swimmers (28.0±5.6 years; 175.0±7.9 cm; 70.1±7.8 kg) in 3 moments during a 24h swimming event. Results: We found a significant increase in lactate concentration after series 1, decreasing the values in series 2 and series 3. Cortical arousal decreased significantly in series 3 respect the basal sample. Rate of perceived exertion significantly increased in the swimming ultraendurance event and 1000m swimming time was maintained during the series analyzed. Conclusions: An ultraendurance swimming event produced an increase in blood lactate concentration and rated of perceived exertion and a decrease in cortical arousal, not affecting average swimming velocity along the event. Sin financiación 1.669 JCR (2021) Q4, 70/88 Sport Sciences 0.490 SJR (2021) Q2, 87/225 Physical Therapy, Sports Therapy and Rehabilitation No data IDR 2021 UEM

Participation and performance trends as well as the performance differences among sexes in ultra-endurance running have been well described in the adult population; however, less information on such trends existed in youth ultramarathoners. The aim of the present study was to investigate the age-related participation and performance trends of children and adolescent ultramarathoner runners. Data on runners, younger than 19 years of age, competing from 1960 to 2018 in distance-limited ultramarathons of 50 km, 100 km, 50 miles and 100 miles, were analysed. During this period, the number of ultramarathon participation increased, most notably among boys, most runners originated from Europe, and the 50- and 100-km race distances were the most popular. Overall, male runners were faster than female runners, except in the case of European and Oceanian origin, where girls were faster over the 50-km race. The fastest male runners originated from Africa and the fastest girls from Oceania, and the average running speed has largely decreased for both sexes over calendar years. In summary, this study was the first to report details on participation and performance trends in youth ultramarathoners competing in distance-limited ultramarathons.

BACKGROUND: Ultra running is popular among youth athletes (< 19 years of age), with an exponential increase in participation over the last years. If running extreme distances during such a young age has implications in adulthood is currently unknown. METHODS: We performed a retrospective survey study investigating adults that participated in ultra endurance running as youth athletes, describing running history, health and social data. Seventyeight participants (mean age of 38.0±12.0) completed the survey. RESULTS: Most participants were male (83.3%), white Caucasians (92.3%), originated from the USA (89.7%), were married (57.7%), with no children (52.6%), and had a university degree (79.5%). Age at first ultra was 16.1 years (± 2.3), with an average number of 3.7 ultras (± 5.5), predominantly over 50 km (1.5 ± 3.3) and 50 miles (1.21 ± 2.0). Musculoskeletal injuries occurred in 23.1% of youth athletes, and stress fractures in 6.4%. The main reason to stop running ultras were injuries (28.6%). The majority (93.6%) of youth athletes continued running into adulthood; however only 26.9% continued running ultras. Training load was significantly (p

Purpose: The aim of the following case study was to evaluate the effectiveness of a 30-week concurrent strength and endurance training program designed to prepare a trained H4 male handcyclist (aged 28 y, bilateral, above knee amputee, and body mass 65.6 kg) for a 1407-km ultra-endurance handcycling challenge. Methods: This observational case study tracked selected physiological measures, training intensity distribution, and total training load over the course of a 30-week concurrent training protocol. Furthermore, the athlete’s performance profile during the ultra-endurance challenge was monitored with power output, cadence, speed, and heart rate recorded throughout. Results: Findings revealed considerable improvements in power output at a fixed blood lactate concentration of 4 mmol·L−1 (+25.7%), peak aerobic power output (+18.9%), power-to-mass ratio (+18.3%), relative peak oxygen uptake (+13.9%), gross mechanical efficiency (+4.6%), bench press 1-repetition maximum (+4.3%), and prone bench pull 1-repetition maximum (+14.9%). The athlete completed the 1407-km route in a new handcycling world record time of 89:55 hours. Average speed was 18.7 (2.1) km·h−1; cadence averaged 70.0 (2.6) rpm, while average power output was 67 (12) W. In terms of internal load, the athlete’s average heart rate was 111 (11) beats per minute. Conclusion: These findings demonstrate how a long-term concurrent strength and endurance training program can be used to optimize handcycling performance capabilities in preparation for an ultra-endurance cycling event. Knowledge emerging from this case study provides valuable information that can guide best practices with respect to handcycling training for ultra-endurance events.

Although the variation of performance by nationality in endurance sports such as marathon has been well studied, little information exists so far on the role of nationality on performance in ultra-endurance sports. The aim of the present study was to review the role of nationality on cross-country skiing and ultra-endurance running. Scopus and PubMed were searched using the syntax “nationality AND (ultra-endurance OR ultra-marathon OR cross-country skiing) in 1/4/2020. This search identified 17 articles, whose references were further examined for relevant literature. It was observed that Russian athletes dominated ultra-endurance running and cross-country skiing races. It was shown that these races were in other countries, where it was assumed that only the best Russians competed. Potential explanations could be misuse of performance enhancing substances, historical, climate-geographical and psychophysiological (e.g., combination of genetic and social factors). In summary, recent studies found a dominance of Russian athletes in specific races (i.e., ‘Comrades Marathon’, ‘Vasaloppet’, and ‘Engadin Ski Marathon’) and disciplines (i.e., ultra-marathon running, cross-country skiing) over a period of several decades. Future studies are need to investigate other events and other sport disciplines to confirm this Russian dominance.