Heat Exhaustion Vs. Heatstroke (Repost)

Heat Exhaustion Vs. Heatstroke (Repost)

by | Jul 11, 2023 | Article, Reflection, Science

By Coach Adolfo Salgueiro

As we are about to enter officially into the summer season, for all runners training in the Northern Hemisphere it is time to adjust their running to the new weather patterns. I am reposting this article I wrote a couple of years ago because it could save your life. Make sure you read it and understand it.

Once again, the usual disclaimer: I am not a doctor, so please do not take medical advice from me. If you have any questions on what you are about to read, please consult a professional, which, yet once again, it is not the author of this blogpost. Now, let’s proceed.

Heat Exhaustion Vs. Heatstroke

Running in the summer heat requires a certain level of preparation to avoid heat related issues, including death (Jill Wellington, pexels.com)

As we enter the Summer months in the Northern Hemisphere and the coolness of the spring weather turns into a combination of heat and humidity that can make even the most motivated runner miserable, the time has come to refresh our knowledge on two important concepts. It is extremely important to understand and differentiate the signs and symptoms of heat related illnesses, such as heat exhaustion and heatstroke. They are both serious conditions, but one can lead to death.

According to the Mayo Clinic’s website, there are three heat-related syndromes that may affect your body depending on your exposure to extreme heat conditions. In order of severity, they are: heat cramps, heat exhaustion and heatstroke.

Heat Exhaustion is caused by exposure to high temperatures, particularly when combined with high humidity and strenuous physical activity. Without prompt treatment, it can turn into a heatstroke, a life-threatening condition that can be prevented by avoiding entering in the heat exhaustion zone in the first place.

Heatstroke is a condition caused by your body overheating, usually as result of prolonged exposure to physical exertion in high temperatures. This most serious form of heat injury, it can occur if your body temperature rises to 104 F (40 C) or higher.

Certain conditions and medicines can enhance your risk of a heat-related illness. Ask your doctor if any of your medical history or current prescriptions can make you more susceptible to these diseases considering your level of physical activity during the warmer months.

I can’t state enough how important to know and understand the symptoms of each one of these syndromes. Not only it could help you prevent them, but it can avert a tragedy.


Heat Exhaustion

The evaporation of your sweat regulates your body temperature. However, when you exercise strenuously or otherwise overexert yourself in hot, humid weather, your core temperature (body\’s heat combined with environmental heat) fails to regulate, preventing your body to cool itself. A normal core temperature is around 98.6 F (37 C).

 If you don’t deal with this situation immediately, it may develop into a dreaded heatstroke.

The symptoms of Heat Exhaustion are:

  • Cool, moist skin with goose bumps

  • Heavy sweating

  • Faintness

  • Dizziness

  • Fatigue

  • Weak, rapid pulse

  • Low blood pressure upon standing

  • Muscle cramps

  • Nausea

  • Headache

Should you feel these symptoms, stop your activity immediately, move to a cooler place, drink cool water and/or sports drinks and rest. If these symptoms don’t get better within in an hour, contact your doctor. Remember you are avoiding at all costs to have this escalate into a heatstroke.

Heatstroke

Heatstroke not only requires immediate treatment, but it can quickly injure the brain, heart, kidneys, and muscles. Damage can get worse the longer treatment is delayed and lead to serious complications and, once again, even death.

The symptoms of Heatstroke are:

  • High body temperature (over 104 F or 40 C),

  • Altered mental state or behavior (Confusion, agitation, slurred speech, irritability, delirium, seizures),

  • Alteration in sweating (skin feels hot and dry to the touch),

  • Nausea and vomiting,

  • Flushed skin. (Skin may turn red as the body temperature increases),

  • Rapid breathing (rapid and shallow),

  • Racing heart rate (Pulse may significantly increase),

  • Headache (Throbbing).

     

Prevention

It is imperative to be proactive, both for ourselves and on behalf of our running mates, in the avoidance of situations that may trigger heat exhaustion during the hot summer months. The Mayo Clinic recommends the following:

  • Wear loose-fitting, lightweight clothing,

  • Protect against sunburn,

  • Drink plenty of fluids,

  • Take extra precautions with certain medications (ask your doctor),

  • Take it easy during the hottest parts of the day,

  • Get acclimated to the new weather conditions.

Last year we wrote a blog post on Training Adjustments for the Summer Months, which may be worth revisiting as we prepare for the upcoming weather conditions.

Let’s take a little bit of time and learn about heat exhaustion and heatstroke so we can prevent a tragedy.

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5 Tips to “Train Like Kipchoge (Sorta)”,

5 Tips to “Train Like Kipchoge (Sorta)”,

by | May 30, 2023 | Article, Coaching, List, Reflection

By Coach Adolfo Salgueiro

 The most recent print edition of Runner’s World Magazine (2023/3) was Eliud Kipchoge centered. It had 8 stories that told us from his humble origins to his monastic lifestyle to a dissection of every detail of his record-setting running shoes to Evans Chebet as his most likely successor. It is the most detailed account I’ve seen of Kipchoge related info in one place.

Train like Kipchoge

Runner’s World magazine cover for the issue with the 8 Eliud Kipchoge related stories

The story that caught my attention is titled “Train Like Kipchoge (Sorta)”, by Sarah Gearhart, in which she shares five key aspects of Eliud’s training. My first thought was: how can we transfer them to us, simple mortals, to improve our running results. The article talks about how the greatest of all time (GOAT) does it, which doesn’t mean we must apply it in the exact same way. The key is to harness the key lesson of each one and make it part of our current circumstances.

These are the five principles, as per Runner’s World, with a personal commentary on how to apply it to our recreational runner training repertoire:

1 – Sleep like your run depends on it: Kipchoge sleeps 9 hours a night and takes naps. Most of us don’t have the time for that, but neither we are professionals, nor do we run 120 miles per week. The point is to be purposeful about your sleeping habits. Sleep as much as your body needs and don’t brag about your lack of sleep as a badge of honor. Our body recovers and rebuilds while we sleep, which is more valuable than all other recovery tools in your arsenal put together.

2 – Revive Sore Muscles with an Ice Bath: He takes 10-minute ice baths twice a week “to aid his post run recovery.” As recreational runners we may not have the facilities, the time or will tolerate this uncomfortable activity. But the point is that it works for him and despite the pain and inconvenience, he does it anyway because he works diligently on his recovery. Remember that you don’t become a better runner just as you finish your hard workout. You become a better runner once your body has recovered and adapted to the stress it just went through. So, be as diligent as Kipchoge in your recovery.

3 – Upgrade Your Diet with Protein: Kipchoge’s high-carb diet is essential for his training and performance, yet in 2017 he upgraded his protein intake “to aid his recovery as well as help to build and maintain his lean muscle.” The point here is that diet is key to training, performance and recovery. It is not a matter of how many calories we take in but the quality of those calories. If we fuel with a dozen donuts and a pint of ice cream, our weekly milage or our daily nap won’t really provide the benefit they should.

Train like Kipchoge

Stationary biking is one of the multiple options to enhance your aerobic capacity without overtaxing your system (Photo: William Adams, Pexels)

4 – Meditate to Build Mental Strength: Kipchoge is a “mindful runner” says his coach Patrick Sang. “While training and racing, he focuses on his breath and his movements, and aims to minimize outside distractions.” While not all of us can or want to live Kipchoge’s spartan life nor we have the will to perfecting the art of mindfulness, we can separate 10 minutes for daily meditation, we can read a book on mental toughness or practice the visualization of our goals without becoming Zen masters.

5 – Build Bonus Endurance on a Bike: Interesting to note that to add to his training volume “without increasing his risk of a running injury, Kipchoge rides a stationary bike for an hour twice a week after his runs.” For mere running aficionados like us, this is what we call cross training. Participating in a non-running activity once or twice a week to enhance our strength or aerobic training while resting our muscles and soft tissues from the pounding of running. Biking, rowing, weight training, yoga, elliptical, etc. Make sure you do something other than running to complement your training.

If these techniques work for the GOAT, scaling them down to our level would be beneficial. Don’t just think about it, do something about it and don’t take too much time getting started. Marathon season is around the corner.

To read the full Runner’s World article, you may click here.

 
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Book Review: Your Best Stride

Book Review: Your Best Stride

by | May 16, 2023 | Article, Book Review, Coaching

Author: Jonathan Beverly
Reviewed by: Coach Adolfo Salgueiro

I first heard from Jonathan Beverly in early 2017, listening to a podcast where he promoted this book. His concepts were remarkably interesting, and I kept his name within my radar. A few months later I met him at the NYC Marathon expo and had the chance to talk to him and purchase the book. I read it right away, and then, again, a couple of years later. A couple of years after that, I read it one more time and decided to finally draft a book review.

Your Best Stride

Overall, this book is of terrific value, both in terms of time and money.

According to the bio on his website, Jonathan Beverly is a senior running gear editor at Outside magazine. He’s also a writer, photographer, coach and lifetime runner. His passion is to help others experience the joy of training, competing and being fit and fully alive. He is also the author of “Run Strong, Stay Hungry.” He served as editor of Running Times for 15 years. He has coached adults, junior high and high school.

This book touches on multiple aspects of running, all of them slices that when combined, will produce our best stride. The premise is that there is no one correct way to move when you run. There are wrong ways to do so, and some may lead to injury.

“The way we run is unique to our bodies and our experience—says Beverly—I can no more run like Kenenisa Bekele than he could run like me (not that he would want to). Bottom line: there is no perfect form, no one-size-fits-all recommendation.”

Beverly states that most of what he says is neither his nor new. It is a compilation of his conversations with multiple experts in physical therapy, anthropology, podiatry, natural running, etc. This alone makes the content even more valuable as you have the wisdom and knowledge of all these professionals in a 242-page book.

As a heel striking runner for over 40 years, I am reassured by the author’s assessment on how we have become so focused on where the foot lands and what shoe is needed to fix it, that we have forgotten that it all starts above, at the hip. From there, the kinetic chain goes down through the various parts of the leg until finally ends on the soles of the feet. When we focus all our attention on the landing, we are discarding the process that gets us there.

“Your running style is as your voice -he says- Every person has a distinct sound based on his or her physical characteristics, habits and upbringing.”

Your Best Stride

I had the chance to meet the author and purchase the book from him, at the 2017 NYC Marathon Expo

Other subjects discussed include running shoes (there is no magic in them); core exercises, strength training, balance, stability, posture, cues to assess your running form and, of course, how to put it all together.

I like how he spends time talking about the mythology of cadence. Just as with foot strike, there is a lot of misunderstanding here, especially when it comes to the supposedly perfect number of 180, which is anecdotal and has no scientific base. Sure, cadence can help us cure certain issues like overstriding, but it is more the result of our running instead of a driver of efficiency. Trying to improve cadence without addressing the issues that may cause its deficiencies can get runners in trouble. \”Mind your hips, and your cadence (as well as your foot strike) will take care of itself\”, guarantees the author.

Another important topic is the mixing of the training, including shoes, surfaces, speeds, routes and directions to avoid overuse injuries. Biomechanist Simon Bartold is quoted saying: “Your average runner in Manhattan will run in the same track, in the same direction, the same way, every single time they run and wonder why they get injured. You have to mix up the signal.\”

A tip for reading this book is to do so in a place where you can take the time and have the space to do the exercises he asks you to do. You may need to lay on the floor to feel your glutes, or stand up and place your hands in certain areas to feel your pelvis rotating, or kneel to feel your hip extensors doing their thing. So, you may not want to read this one on the bus or at a public place where you’ll feel awkward performing certain moves, unless you bookmark them and come back home to them.

Overall, this book is of terrific value, both in terms of time and money.

 

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Proprioception for Runners

Proprioception for Runners

by | Apr 18, 2023 | Article, Exercises

By Coach Adolfo Salgueiro

Most likely you’ve heard the term before. Proprioception has become a sports buzz word whose use has increased exponentially within the last 10 years. If you practice yoga or martial arts, you may have noticed.

Somehow, I associate it with Vo2Max. We hear it, talk about it but most don’t know exactly what it is or what it is good for. Proprioception is important for runners, and I will dig into why. But first, let’s define it.

Proprioception

Our body has hundreds of thousands of sensors that tell the brain where we are with respect with our environment (Photo: Pexels)

According to JL Taylor’ in the 2009 Encyclopedia of Neuroscience: “Proprioception, or kinesthesia, is the sense that lets us perceive the location, movement, and action of parts of the body. It encompasses a complex of sensations, including perception of joint position and movement, muscle force, and effort. These sensations arise from signals of sensory receptors in the muscle, skin, and joints, and from central signals related to motor output. Proprioception enables us to judge limb movements and positions, force, heaviness, stiffness, and viscosity. It combines with other senses to locate external objects relative to the body and contributes to body image. Proprioception is closely tied to the control of movement.”

Yes, a dense definition, but worth reading a couple of times if necessary so you understand it. When we run, we are jumping from one leg to the other, so we must be in balance and aware of the position of our body in relation to its surroundings. Here is where improving it comes into play.

Every time your foot strikes the ground, hundreds of thousands of sensors throughout the body send instantaneous feedback to the brain, which immediately responds with adjustments. This is why when we step on something, instinctively your foot goes around it to avoid unpleasantries. The right response/reaction optimizes the control of your motor skills and allows you to work several sections of your body at once, finding the most effective and energy saving paths for motion.

Proprioception is fundamental for runners because it allows us to:

  • improve balance.

  • upgrade control and awareness of our body.

  • enhance responsiveness.

  • improve leg injury recovery.

  • boost stability on uneven surfaces or when avoiding obstacles.

  • regain balance quickly to avoid falls.

  • create stability in our joints.

  • enhances postural and joint stability.

  • coordinates tendons and ligaments working in unison with the muscles to thoroughly absorb the impact of each step.

  • expand our running efficiency to boost speed and endurance.

Proprioception

Walking barefoot is one of the best ways to improve your proprioception (Photo Pexels)

All this sounds great, sure, but how do we get better at proprioception, so we become better runners? Here are a handful of tips:

  • walk barefoot.

  • balance exercises with closed eyes.

  • cross training such as yoga or tai chi.

  • exercises over unstable surfaces.

  • add movement and weight to floor exercises.

  • one-leg exercises to challenge your balance.

  • sitting and stability exercises on a Swiss ball.

  • strength and plyometric exercises.

Since running is an exercise where we are in contact with the ground one leg at a time, balance is one of the most important aspects of the sport. One that gets lost amid the chit-chat about speed, distance and PRs. Yet, none of the previous conversations can occur if we don’t master our balance, which is done through proprioception. So, let’s work on it continuously so we may become better runners avoid injuries, especially those caused by falls that could have been prevented with proper balance.

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6 Areas to Focus on During Rest and Recovery

6 Areas to Focus on During Rest and Recovery

by | Mar 21, 2023 | Article, Coaching, List

By Coach Adolfo Salgueiro

In the last post I dissected the phases of the racing off-season. Through these you can properly prepare for next season and be ready in time to achieve your goals. If you haven’t read the post yet, you can do so by clicking here.

The nature of the post didn’t allow me to go in depth, so this week I want to dig deeper into the first phase: Rest and Recovery. I firmly believe this phase is the key for whatever goals you may set forth the next racing season. It is what will allow you to reset and restart working towards them. It is what will make them achievable.

Rest and Recovery

A great time to hit the gym and start working on your strength training. Not having enough time is no longer an excuse (Photo: Andrea Piacquardio, Pexels)

I have identified six areas in which to focus during your Rest and Recovery phase. These will allow you to decompress, rest, recover, prevent burnout and make you tougher against injuries. It is not a complete list, just a handful of suggestions on which you may want to focus for a month or two (or three) so you can reset all the systems.

1 – Focus on life balance: We all love running. We chose this sport. There’s no PT teacher timing us on the mile. We run because we want to. Even if you are doing it on doctor’s orders, you have other exercise options. For most of us, running is an essential part of our lives. Our therapy, our steam relief valve, our social time outside home/work. Yet, unless we are professionals or we are planning to qualify for the Olympics Trials, it is not what brings home the bacon. Our families, jobs, other hobbies and home responsibilities require our attention and presence. An elite Kenyan runner may not be able to take two weeks off if a child gets sick, because winning his marathon is not just payday but “pay-year”. I am sure 99.9% of my readership are not in the same boat. So, keep life balanced.

2 – Work on your running form: There is not one way of doing it right. Your form is unique to you and you alone. Changing form is not needed unless it’s getting you injured but it doesn’t mean there’s no room for improvement. There is always an adjustment or two that may get you more efficient, less injury-prone, improve your breathing, avoid aches and pains or make your joints stronger. Figure out the tweaks you need and take advantage of this time to work on them. Four weeks prior to your goal marathon is not the time to work on your overstriding.

Rest and Recovery

I can’t stress enough how important it is to catch up on your sleep as a recovery tool (Photo: Ketuf Subiyanto, Pexels)

3 – Catch up on your sleep: If you are one of my recurrent readers, you read this advice plenty of times. But if you can grasp the concept that humans have been on this earth for 200-300 thousand years and have not yet evolved to stop sleeping, then you will understand that sleep is a non-negotiable activity to keep yourself healthy. If that wasn’t enough, there is no number of massages, compression socks, percussion guns or cold plunges that match sleep as recovery tool. And I don’t mean one individually. I mean all combined. This is science. It is not open to debate.

4 – Partake in other physical activities: Since you may (and should) be running less than during training season, you could take a yoga class, go for a swim, a bike ride, a hike, or whatever else will complement your physical activity requirements. Running is a highly repetitive, high-impact activity. A 10K alone will have each leg hitting the surface about 5000 times at 2.5-4 times your weight load. Getting your movement benefits from other sources will not only help you heal and get stronger but will facilitate your brain to vary from the same moving patterns, which also provides neurological benefits.

5 – Run at a low heart rate: Running slow so you can run fast is one of the toughest concepts for a runner to comprehend. Hopefully, now that you don’t need to run fast for some months, you may take time to apply this concept and verify its benefits. When you run at a slow heart rate, and thus pace, your body will learn to burn more fat as fuel, will increase your aerobic capacity, increase your mitochondrial density and your fuel consumption economy. None of this is possible when running fast, because your body requires so much energy, and it needs it right now, that all these benefits are negated. Sure, you can run faster, but there’s a cost to that. Your body will be invoicing you for it later, during race training.

6 – Of course, strength training: Yes, I know. It is boring, challenging and takes time. I don’t like it either, it is one of the weakest points of my training. But I do it anyway. You don’t need to spend 3 hours in the gym 5 times a week. Start easily and increase from there. Thirty minutes sessions, 3 times a week during the off-season will make you stronger, more resistant to injury, increase your power and your speed. As you increase your running mileage, once you are strong, you can decrease it to two times a week. I can’t stress enough the importance and the benefits of a strengths training program. The the time to implement it is now.

Any thoughts? Please let me know in the comment box, below.

 
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Planning Your Running Off-Season

Planning Your Running Off-Season

by | Mar 7, 2023 | Article, Reflection

By Coach Adolfo Salgueiro

As the 2022-23 racing season move towards its end, with just a handful of goal competitions left in the calendar, the time to start planning for the 2023-24 season rapidly approaches. The running season usually goes from November-March, with adjustments depending on your latitude and location. This is time to reflect on what happened, what did not happen and why did or did not happen.

The first question that comes to mind after this intro is: Do runners really need time off?

Off-Season

Rediscover the pleasures of sleeping in on a weekend morning instead of going for a long run (Photo Pexels)

It has been discussed for decades, but based on my years of experience, my answer on the matter is a blunt and unequivocal YES!!!. In all caps and with three exclamation points.

Regardless of your age, level of fitness and commitment to the sport, your body cannot keep its peak level of fitness forever. There is such a thing as an upper limit which cannot be surpassed regardless of how much you run, lift or cross train. So, it is imperative that you provide your body with enough time to rest and relax. This will inevitably decrease your fitness, sure, but you must see it as an investment, a process to go through to continue your path of long-term progress.

The key concept is that once you have recovered and you are ready to restart, given that you haven’t overdone the junk food, alcohol and time off, you will be doing so at a higher level of fitness than where you started last season. This may allow you to achieve an even higher level for the upcoming season.

I will define the off-season as the period between your last race of one season and the first race of the following one. Within that period, I have identified four phases to devote individual attention so you can prepare properly for success.

1 – Rest and recovery – This doesn’t mean you stop all sports activities until next race. Some runners may need a week to a month off just to reset the body and have fun catching up on the pleasures of life that they’ve deprived themselves of during hard training, such as pizza, beer, binging on TV until late or sleeping in. Other runners will want to drastically cut their mileage, or their running days so their bodies can recover and prepare for what is coming up. You must enjoy the process and running’s gotta be fun. Otherwise, a burn out may be on its way and you will no longer run.

2 – Planning – This phase may overlap the previous one, or even with the previous racing season. The time has come to figure out what are your goals for next season. I am a firm believer that having multiple races in your schedule is what will allow you to remain focused so you don’t slack off until you realize the race you were shooting for is around the corner, or it is sold out. You don’t want to plan every workout for the next 6-8 months, but you just need to know when you need to be ready and for what goal.

Off-Season

This is the time to enjoy the pizza and the beer, but obviously, don’t overdo it (Photo Pexels)

3 – Build up – After your recovery time is taken care of, it is time to rebuild your endurance and your speed. This takes time, method and requires patience. Accept you will not start at the same point where you left off. The silver lining is that you will be able to get back there sooner and safer the longer you have been running. Getting back to 50-mile weeks is a quicker process for someone who has been doing it for 10 years than for a runner who just did it last year for the very first time. Put you plan on paper. Block and label the weeks and/months you will need to go through this process. Then, execute.

4 – Training – Everything you did between your last race of the season and the start of this phase is what will determine the success of your next season. A 16-week training plan, especially for a marathon, doesn’t mean you’ll start running again 16 weeks prior to race day. It means that 16 weeks before race day you must be ready to hit the ground running. By then, your aerobic capacity, your core, your strength program and your speed training should be a work in progress. So, in these 16 weeks you just dial in the variables to achieve your goal at the set date.

Other components such as nutrition, sleep, hydration and recovery are year around elements than need to be addressed continuously and are part of all four phases.

If you take the time to plan ahead, even small injuries, periods of sickness, vacation or any other unexpected surprises life will inevitably throw at you, may be fit into the off-season. Prepare yourself with plenty of time and enjoy reaping the benefits of a well-executed plan.

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