Heat Exhaustion Vs. Heatstroke (Repost)

Heat Exhaustion Vs. Heatstroke (Repost)

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.

13 Tips for Summer Running

13 Tips for Summer Running

By Coach Adolfo Salgueiro

With Summer around the corner, maybe already here if you are reading this a few days after publication, it\’s essential to adjust your running routines to ensure a safe and effective experience. Running in hot weather requires intentional modifications to prevent dehydration, heat-related injuries, and negative impact on your fitness. These are 12 quick tips for summer running.

1 – Slow Down: Running in the heat is physically demanding, and your body requires more effort to maintain the same pace. Embrace the reality of running at a slower pace to accommodate the increased effort it requires. It\’s about maintaining the level of perceived effort rather than focusing on speed. It doesn’t matter if it screws your Strava averages.

Summer running

Running safely during the summer is perfectly possible, but it requires planning (Photo: Pexels)

2 – Plan Your Hydration: Proper hydration is crucial during summer runs. Plan your routes around areas with ample fluid sources or strategically seed water along your route in advance. Remember to consume water at scheduled intervals, before you feel thirsty, which may indicate dehydration has already set in.

3 – Overhydration is a Thing: While staying hydrated is important, be cautious about overdoing your water intake. Drinking in excess can lead to hyponatremia, a potentially life-threatening condition caused by dilution of sodium levels in the blood. Stay hydrated throughout the day, not just while you run, and ensure your urine is lightly colored as a sign of healthy hydration.

6 – Dress Appropriately: Opt for light-colored clothing, which reflects more light and deflects heat. Avoid wearing long sleeves, long pants, or outfits designed to induce excessive sweating, as these can hinder your body\’s ability to cool down.

7 – Freeze Your Running Clothes: Sounds weird, but if you place your running shirt and hat in the freezer and you put them on just before you leave home, your body will cool down, and delay the inevitable. Sure, it will get hot anyway, but isn’t it better for it to start at mile 2 or 3 than at the first step?

8 – Stay Connected: Carry your mobile phone during runs. Inform somebody of your whereabouts and expected return time. Consider using apps or services that allow loved ones to track your real-time location for added safety.

Summer running


Click this image to see the correlation between relative humidity and temperature

9 – Factor in Humidity: If you train in a high-humidity region, be aware that running in saturated air requires more effort compared to drier conditions. Adjust your expectations and accept that maintaining the pace may require additional effort, so you may have to run shorter. Mental preparation and acknowledging this difference may help you stay motivated.

10 – Adjust Your Training Schedule: Be flexible with your schedule, especially if you\’re preparing for a fall marathon. Should the weather conditions be extreme, consider rescheduling long runs or intense sessions to a more suitable time of day. Avoid pushing too hard in unfavorable conditions to prevent extreme exhaustion and/or injuries.

11 – Choose Shaded Routes: Plan your routes intelligently by selecting paths that offer ample shade. This will help shield you from direct sunlight and reduce heat exposure, making your runs more comfortable and safer.

12 – Listen to Your Body: Don\’t be a hero. If you feel dizzy, fatigued, or overheated, don\’t hesitate to stop, cut the run short, seek shade, ask for assistance, or just call it a day. Prioritize your safety and well-being, as taking these precautions will aid in faster recovery and enable you to resume running sooner.

13 – Differentiate Exhaustion from Heat Stroke: It\’s crucial to distinguish between normal exhaustion due to heat and a potentially life-threatening heat stroke. Familiarize yourself with the symptoms of heat stroke to avoid any severe consequences. Refer to the graphic below, borrowed from www.weather.org, for a comprehensive understanding of heat stroke symptoms.

Summer running

Learning this information could save your life

Running during the summer months is possible with the right adjustments and precautions. Many of the world’s greatest marathons, such as Berlin, New York and Chicago, take place in the fall, which means you must train during summer. By planning ahead, making smart choices, and prioritizing safety, you may continue training effectively and ensuring a smooth transition into the upcoming racing season.

Always err on the side of caution and enjoy running while staying safe.

American Runners are Slower than Ever

American Runners are Slower than Ever

By Coach Adolfo Salgueiro

A couple of weeks ago I came across a statistical mega study that confirmed what the title of this blog post states. Using over 34.6 million results from over 28 thousand races, researchers Jakob Andersen and Vania Andreeva Nikolova, sliced and analyzed the data in multiple ways to reach their conclusion.

American Runners

The statistical analysis concludes slowing down in males and females in all distances (Photo: Pexels)

As I glanced through the research, I realized I started reading with preconceived notions on what they would find. More runners, unhealthier athletes, aging, gender gaps. The usual. Back in my youth, when I ran marathons in the 3:30s in the mid-1980s, I finished around the 50 percentile of finishers. A stat I just read from the Chicago Marathon stated that 18% of runners finished sub-3:30 this year. An obvious shift. I must say all my biases were addressed in the study and the conclusion still holds.

If after reading my take on this study you want to delve into the minutiae and the data, you can find the research paper in its entirety by clicking here.

This thorough study includes racing in the four most popular distances (5K, 10K, half and marathon), and races with more than 2000 finishers between 1996 and 2016. The reasons why this data was selected, the terminology and methodology of its handling, is detailed in the study, if you are interested. One more thing, researchers state this study took place because the deteriorating health of the American population is an important topic to be studied, and they wanted to find if this reality is reflected in the finishing times of races.

The study could have been a great episode of Discovery Channel’s Mythbusters TV show, as it takes time to disprove many of our preconceived notions about these numbers. These are:

1 –        The proportion of women participants is increasing, and women are slower in general: Men speed is decreasing at a faster rate than the women increment in participation. If this trend continues, by 2045 both sexes will be at an equal average pace.

2 –        People with inappropriate fitness level just walk the races: The study found the proportion of participants finishing races on every distance, at a slower than the average brisk walking pace is rather consistent throughout the years, so there is no statistical difference.

3 –        Just the slow are getting slower: An easy idea to assume but the study measured the average final time for the 100th, 1000th, 2000th and 5000th finisher on each race throughout the years of the study, on both sexes, and concluded the fastest females have slowed down 9.87% while males have done so at a 9.94% clip.

4 – The average age of the participants is increasing and older equals slower: The average participant age has increased from 37 to 41, so the study analyzed not just the finishing times for these 4-year gap, but for every 4-year gap on all ages as well as every single age and concluded this could not be the sole reason of the slow down.

American Runners

The study found a direct correlation between the slowing down and Americans getting heavier and unhealthier (Photo Andres Ayrton, Pexels)

So, if these are myths, what are is slowing down American runners?

The study considered the parameters of adult obesity, teenage obesity, diabetes and hypertension, and average annual medical expenditure. It found an across-the-board direct correlation with the slowdown. The authors make sure to emphasize that these are just correlations and by no means they can infer the condition of each runner, yet the numbers are very clear on what is happening as the population is getting heavier and unhealthier.

The study concludes the following:

1 – The average American runner has never been slower (across gender and distance).

2 – This effect is not due to the increase in female participants or people who run slowly or walk the race.

3 – Signs of poor health are highly correlated to the decrease in speed, though they cannot with certainty say that these are the causes for the slowdown. And if they have causal nature that they show the full picture.

The study was led by Jens Jakob Andersen and assisted by Vania Andreeva Nikolova. Andersen is a former competitive runner and statistician from Copenhagen Business School. Nikolova holds a Ph.D. in Mathematical Analysis.

 
On Heel Striking

On Heel Striking

By Coach Adolfo Salgueiro

While we would love to run with the grace of an Eliud Kipchoge, or the flawless form of a Shalane Flanagan, or the speed of a Priscah Jeptoo despite her unorthodox mechanics, our individual body structure allows us just a limited and highly individualized path of movement. While there are wrong ways to run, the consensus is that there’s not a uniform right form that everyone should adopt. Our running form is as individual as ourselves.

This includes the way your foot strikes the ground. Just because Kipchoge sets world records running on his forefoot, it doesn’t mean we all should imitate him. It is not like the way his foot strikes the ground is what makes him run a marathon in 2:01:09. That said, you should always work on perfecting your individual running mechanics. The one that is unique to you and your structure. It always starts with you.

Heel Striking

This is Kenenisa Bekele on his way to winning the 2019 Berlin Marathon in the 2nd best time ever at the time. Take a look at his left foot.

I am a heel striker. In my decades of running, I’ve tried to “correct that deficiency” multiple times. But the more I try, the weirder I run, the more other body parts suffer and the less fun I have. My eureka moment came when I realized that heel striking has never injured me. I do wear out the heel of my running shoes in 250 miles rather than their usual 300-350 lifespan, but that is an economic consideration, not an orthopedic one.

In a post published this January in the Up and Running Physical Therapy blog, Dr. AJ Cohen, founder of the Up and Running Physical Therapy Clinic in Fort Collins, Colorado, stated that “the vast majority of recreational runners, close to 90% are heel-strikers and around 75% of elite runners. Non-heel strikers are kind of like left-handed people… they do it because it works for them and it’s what their body has determined it does the best with… but it’s not “better” or “more efficient” for the rest of humanity.”

If you haven’t made peace with your heel striking yet, hopefully this statement will put you at ease.

In his book “Your Best Stride” (highly recommended), author Jonathan Beverly emphasizes that “rather than the place on the foot where you land, it seems what is happening on your leg motion and body mass at the moment you touch down is more important.”

The idea is to create a stride that touches lightly without breaking. One that flows smoothly. Landing with your foot far in front of your body, usually with your heel, is what causes trouble. Your foot hits the ground with such force and in such an angle that your entire body breaks, increasing the force up your kinetic chain and multiplying the normal pounding that is intrinsic with the sport. This is where heel striking becomes a problem.

Jay Dicharry, a physical therapist, teacher, biomechanics researcher and author based in Bend, Oregon, says that “it is not rearfoot, or midfoot or forefoot that matters. It is where the foot contacts in relation to the body’s center of mass.” The closer you strike under your center of mass, the smoother your stride will be. It is that simple.

Based on these experts’ testimonies you can see the problem is not the heel but where it hits the ground in relation to your body. If you are overstriding, and here is where injuries may happen, the first thing to do is fix that particular issue, not the heel striking per se. Start by shortening your stride so you can increase your turnover (cadence).

Heel Striking

This is the author, heel striking on his way to finishing the 2022 Houston Marathon

“Research shows that when runners increase their turnover, they reduce the impact in the knees and hips and often improve their stride mechanics,” said Dr. Brian Heiderscheit, PhD, Physical Therapist, Professor in the Departments of Orthopedics & Rehabilitation and Biomedical Engineering at the University of Wisconsin-Madison. “Increasing the turnover will help your chances of your foot landing underneath your pelvis, reducing overstriding tendencies, and increase your lower extremity stiffness, with less bounce and breaking in your step.”

This blog post is meant to reduce the stigma of heel striking. For runners not to feel they’re doing something wrong, or that they must change their form to become more efficient, more economic or less prone to injury. Of course, if you are overstriding and landing with your heel, you should be working on it right now. Cut your stride, increase your cadence (turnover) and work on landing as close as possible to under your pelvis. Other than that, have fun running and go for that PR. You have better things to worry about than suffering because you hold the heel striker label.

 
 

9 Marathon Training Mistakes (Repost)

9 Marathon Training Mistakes (Repost)

As the fall and winter marathon season starts heating up, and as the preparation for the spring marathons approaches, I feel appropriate to repost an article I wrote last year, that it is still relevant at this time of the running season. Enjoy!


By Coach Adolfo Salgueiro

 Tapering time approaches for those about to run the Abbott World Marathon Majors this year. Training time approaches for those eyeing their marathon towards the end of 2021 or start of 2022. So, seems like a good time to review some basic mistakes that runners, from beginners to experts, should avoid. This way they can reap the most benefits out of their efforts.

Training for a marathon is a process that involves multiple moving parts that need to work in sync. It needs to reach a point where the body can be stressed enough to compensate its deficiencies and adjust to the workload-thus improving- but not to a point where it becomes too much, and it can’t recover to do it again. This means overtraining and, most likely, an injury if intend to tough it out and train through it.

Marathon training mistakes

No need to overstress yourself if you avoid these basic mistakes in your training (Photo by Pexels.com)

The following are nine of the most common mistakes runners incur into during a marathon training cycle:

1       Running the long runs too fast: There is a time to go fast and there is a time to go slow. The long run has that name because it is designed for you to go long. It is not called the “fast run” for a reason. They are intended to build up your aerobic system, which, for a marathon, it is used 99% of the time, even if you are the world-record holder.

 2       Focusing too much on the long run: The long run is an important part of your training, sure, but it is just one element, not the bulk of it. The success in your race will depend on the accumulated effect of all the elements in your training, not just one.

 3       Doing the same workouts all the time: Because about 80% of the training needs to be done at a slower speed, there is a small number of hard sessions available, usually no more than two per week, so distance, speed, intensity, and other parameters, need to be worked so the body can benefit and adapt.

 4       Poor fueling and hydration plans: if you don’t test strategies during training, you won’t know what works for you. The time to find that out is during training, long runs, especially. The time to realize a certain gel upsets your stomach, is not during the race. Same applies to hydration. What to drink and when needs to be part of race plan, shouldn’t be improvised on race day.

 5       Skipping rest days: Not running on a specific day is part of your training. These days should be written into your schedule and followed to the tee. No amount of ice baths, compression socks or protein shakes will do you any good if you don’t give your body a break to recover so it can run again.

Marathon training mistakes

Rest is as part of your training as your work. Don’t skip it!

6       Not scheduling cutback weeks:  During training you build up endurance, aerobic capacity, Vo2Max, and multiple additional parameters. But you can’t build up forever. Your body has a limit and needs time to actively rest so it can adapt to the benefits provided by your workouts. Programming a week to cut back on your training provides your body with time to adjust and recover, is key.

7       Cutting sleep:  Remember you don’t improve when you work out, you improve while you sleep. The long run the tempo, the weightlifting, or the speed session damage your body. It is when you sleep that your body gets repaired. If you skip on sleep, you won’t realize all the benefits of the training, but you will keep the muscle damage.

 8       Screwing up the tapering: Physiological adaptations after exercise, take between two and three weeks to adapt. So, there is no benefit on one last long run in the last couple of weeks. You need to actively rest and recover your body so it will be in its best shape for race day. During tapering there is nothing to gain, yet a lot to lose.

 9       Following someone else’s training plan: There is nothing wrong with talking to your buddies about what they are doing, but they may not have the same goals as you and you do not have the same physiology as them. Set up YOUR PLAN, adjust as needed, and stick to it. Trust your coach. Trust your plan. Trust yourself.

Of course, there are more than nine mistakes you can incur during a marathon training cycle. These are just some of the most common and they mostly apply to any distance. As you finish your training for your Abbott Marathon Major or get ready for your upcoming goal race, make sure you are on the lookout for the aforementioned mistakes, so you won’t screw up your hard work.  

Basics of Fueling Strategy

Basics of Fueling Strategy

By Coach Adolfo Salgueiro

When I started running marathons back in the early 1980s, the only fueling strategy available to most weekend warriors was to drink enough water so you wouldn’t dehydrate. Yes, I know. This is not a fueling strategy. But consuming calories during a race was not a thing back then. The most calories I consumed during a marathon were when a friend handed me oranges al mile 15 or my girlfriend waited with a sugary lemonade around Mile 21. No wonder I hit the wall every time.

Fueling Strategy

Carbohydrates with a bit of protein is still the pre race day preferred meal (Photo: Engyn Akyurt, Pexels)

But both science and the running consumer goods industry have developed exponentially in the last 4 decades. Not only do we know that the average body doesn’t have enough resources (beyond fat if you have trained to properly tap into it) to last you 26.2 miles, but we also have dozens of products to assist us on which calories should be consumed and when.

Although fueling consists of both Hydration and calorie intake, this post is only addressing the latter. Hydration was referred to in a previous post, “Hydration Basics for Runners”, which you can read by clicking here.

Despite the average body having enough fat stored to run over 1000 miles, and the first known 100-miler without fueling was recorded just a few months ago, most runners are not trained to run on fat as their prime fuel source. So, we depend on glycogen, of which we have a finite amount, around 2000 calories, which is needed to fuel everything, not just your running muscles, so it is insufficient to last a marathon.

When it comes to fueling, it is not just about the gels you will consume in your race. There are four distinctive phases you need to address. From the list below, the “During Race” segment is not intended for 5K or 10k efforts, as an average well-nourished and well hydrated body should have plenty of resources for those distances. While most intermediate and advanced runners should be able to complete a half marathon with no additional fuel, it isn’t required, either. But when you go for a marathon or an ultra, you must fuel the body, so your tank won’t deplete, and you won’t hit the wall. And yes, it is like hitting aa actual wall.

DAY BEFORE RACE – By this time you should know what works and what doesn’t work for you. As healthy as a big bowl of salad may be, consuming all that fiber right before a race may not be a clever idea. Complex carbs and protein are usually what work best. Fatty foods should be avoided, same as simple carbs. The carbs in a bag of Doritos will be burned way before you need them at the race and are crap. It is obvious that your pre-race fueling strategy is not just a dinner thing, but a full day affair if not a full week one. Also, please, you need to dine at a time that will allow enough time to digest it. Last thing you want is compromising your digestion within hours of the starting gun.

PRE-RACE – Your body consumes glycogen and other resources just by being alive. The brain, the liver, the beating heart, etc. need energy to perform their duties. So, to get to the starting line with your tank topped off you need to replenish whatever was consumed during the night, if you have a morning race, or during the day for an afternoon affair. You can certainly run short races in a fasting state, but when it comes to a half and beyond, why would you start with your tank at 70-75% when you can do so at 98 or 99%? Carbohydrates and a touch of protein is the way to go. And, as usual, this must be perfected during training. Don’t wait until race morning to try it out.

Fueling Strategy

Chocolate milk is the post-race refueling product by excellence. This is my favorite brand.

DURING RACE – Fueling strategy is as personal as your choice in running shoes. It is what works for you, not for your friend. Your fueling strategy on race day is the execution of the plan you’ve already perfected during training. So, apply it! Mile 20 is not the time to figure out a caffeinated gel will send you to the port-a-potty, or that you can’t stomach a 5th serving. Fueling also includes replenishing electrolytes either though a product you already know, trust and you carry yourself, or through whatever your race is serving. Personally, I don’t advise relying on the availability of Gatorade in a race. After you’ve invested so much time, money, emotion and effort on your race, better carry what you’ll need and know works for you.

AFTER RACE – Once your race is over, it is time to splurge, sure, but don’t rehydrate with alcohol and junk food. That comes later. Both carbs and protein need to be consumed as soon as possible to replenish and start the muscle repair process right away. Chocolate milk is the recovery drink for excellence. This is the day to go crazy. Have all the extra beer you want, that fatty burger you passed on during training or go for the entire pizza instead of just a couple of slices. But please do so after you’ve taken care of your initial post-race care recovery.

Now, go for that half or marathon PR!

 
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