A couple of weeks ago, a runner at the 19th mile of the Miami Marathon experienced cardiac arrest, and even though all safety protocols were followed and applied, he sadly passed. His name was Julien Autissier. He was just 33.
Unfortunately, these episodes continue to occur from time to time, and they cast a bad light on long-distance running. It really rubs me the wrong way because the media doesnât report that people donât just die from running. They usually die from a known or unknown condition that gets exacerbated while running. Or by disregarding basic safety protocols for hydration and/or heat safety during a run.
I wrote a blog post on cardiac health and running back in August 2021, triggered by a fatality in the Montreal Marathon. Today, after the unfortunate incident in Miami, I am rerunning an updated version.
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As athletes, especially runners, we are usually physically fit. It doesnât matter if you weigh 120 pounds and look like a Kenyan or if you are on the 250+ side of the scale with an overhanging gut. You can have an unhealthy body yet still be fit. And this doesnât mean you have a heart disease vaccine.
In the 1982 New York City Marathon, when my dad ran his first 26.2, a French runner collapsed and died. He saw it unfold as he passed by through the ruckus, which made it to the worldâs newspapers the next day. It must have been quite an impression on a 16-year-old kid; 44 years later, I am telling you the story.
Unfortunately, this latest case in Miami is one of the handful of cases each year in which someone goes out for a run and doesnât come back.
If the father of the first running boom in the United States is Frank Shorter, the Godfather is Jim Fixx, author of the mega 1977 bestseller âThe Complete Book of Runningâ. In a pre-Internet, pre-Google era, this book democratized access to knowledge about our sport, including its cardiovascular benefits. This guru went for a run on July 20, 1984, at age 52, and died of a fulminant heart attack. He was in great shape, but his autopsy revealed he had atherosclerosis, with one artery blocked 95%, a second 85%, and a third 70%. His father had died at age 43 of a second heart attack.
Born to run, by Christopher McDougall
If you read the blockbuster âBorn to Runâ, you should remember Micah True, also known as Caballo Blanco. Well, he collapsed and died in 2012 at age 58 while running alone on a trail in New Mexico. The cause was reported as an underlying cardiomyopathy and atherosclerosis, discovered post-mortem. His death exposed how even elite endurance athletes, regardless of how long theyâve been running, may carry unknown heart conditions.
One of the most active and fit guys you will ever meet is Dave McGillivray. You may know him as the Boston Marathon Race Director since 2001. His athletic accolades include running across the United States (3,452 miles) in 80 days, running the Boston Marathon every year since 1973, being a 9-time Hawaii Ironman finisher, and participating in 1000+ organized races. Yet, in October 2018, at age 63, he underwent triple bypass surgery. His family’s cardiac history was against him, regardless of how fit he was. He is one of the lucky ones who can tell his story.
These are just three relevant cases that show that being a fit runner doesnât necessarily mean you are cardiovascularly healthy. These two concepts are not necessarily inclusive.
And then, thereâs me. I wouldnât be honest with my readers if I did not include my personal cardiac experience in this writing. In 2019, during my yearly medical check-up, my doctor told me that even though a stress test wouldnât do much for me because I was a marathoner, I should do it anyway, âbecause you never knowâ. And guess what? You donât know. A congenital issue in my arteries was discovered. Unoxygenated blood was recirculating, bypassing the lungs, which created such stress for my heart that it could have provoked a heart attack. Then, on June 23, 2021, I underwent open-heart surgery to fix the issue. This âunneededâ stress test potentially saved my life. I have run 4000+ miles since, including 2 marathons and 13 halves.
I reran this updated blogpost today because Iâd rather have you in the Dave McGillvray and Coach Adolfo column than in the Jim Fixx or Micah True camp. I beg you to understand that, despite an active and healthy lifestyle, you are not immune to the genetics of your ancestors or the sequels from your unhealthy habits before your active life. Get checked up. Now! You never know. I am proof of it.
When it comes to the long run, theories abound. A certain influencer says this, scientific research says that (yet somehow you believe the influencer, but thatâs another story). Or your buddy swears at a new esoteric formula that allows you to run only twice a week and still improve all your PRs, but then, here comes fill-in-the-blank.
Most theories and formulas have their merit, but some are just quacks. Yet certain non-negotiables canât be overlooked if you strive to improve your endurance, times, PRs, and enjoyment in running. These are my six non-negotiables:
Hydration â it is not about drinking water during your long run. It is about setting a hydration strategy that goes beyond your time pounding the asphalt. Hydration is a weeklong strategy. You canât cram hydration the night before or the morning of your long run. A healthy intake of water and electrolytes throughout your day, every day, every week, will ensure you are primed to withstand the sweating rigors of your run, during which you must rehydrate as you go, of course. Donât start on a deficit. In the best circumstances, it is a recipe for a bad run; in the worst, for disaster.
Night-Before Dinner â A key component to the next dayâs long run success. It must be carb-rich, as they will help top off your glycogen (muscle fuel) stores. This is not the time for a big-ass stake or a huge salad. This is not the time to try that new restaurant your family has been dying to go to. This dinner is âme timeâ. It is about preparing for tomorrow. Itâs the time to be a little selfish and make sure your posse understands your nutritional needs. You can please everyone else with their meal choice tomorrow. One more thing: Give yourself plenty of time to digest your dinner.
Pre-Run Fuel â There are plenty of benefits to running in a fasted state, but those do not apply to your long run. Even if you had the perfect meal the night before, your body used glycogen and water to keep you alive through the night. So, even if you feel you can tough it out, hydrate and have a carb-rich snack before you start. There is no reason to start your journey without your tank topped off when the solution is so accessible. Your body will thank you with better performance and less fatigue.
In-run Fueling â Even though your body is designed to perform at a certain level of dehydration and calorie deficit (meaning you donât need to replace every drop of water as you sweat it or every calorie as you burn it), you must eventually replenish so your body continues performing over the energy demands throughout the workout. For that, you must develop your personalized protocol. Forget what experts say and figure out what is best for you. When do you need water? When do you need a gel? When do you need electrolytes? It is all about your individual needs so that you may keep the engine burning hot.
Execute your plan â When you go out for a long run, be clear about what you want to accomplish from your training, and make sure of that before you turn on your watch. You shouldnât be surprised by a mile-repeat in the middle of your run. You shouldnât figure out you are going 12 miles at mile 2. You should have known that yesterday, if not earlier. Being prepared is the key to success, and itâs better to avoid needing a week to recover instead of a day or two.
Purposeful Recovery â You finished your long run. Great! Congrats! Let the Strava kudos and the Instagram likes pour in. What now? Well, if you want your body to benefit from the workout, you must start the recovery process ASAP. This means you should not get in your car 30 seconds after you are done. You should catch your breath, cool down, stretch, rehydrate, ingest protein and carbohydrates (chocolate milk is an excellent way to do so), and make sure that, as your body enters recovery mode, it can recuperate stronger, faster. Eat, hydrate, and sleep so you are ready to use the benefits of that long run as soon as possible.
There are many theories about the long run, some with merits, some without. If you want to build strength, endurance, and confidence, not just for race day, but for years to come, I truly recommend you incorporate your non-negotiables into the long run. These have all been proven.
Please share your thoughts in the comment box below.
Running Through the Ages surprisingly delivers exactly on its title. It is a history of running since we became humans and had to, as the author states in the first four words of the text: âEat or be eatenâ.
Running has been in our DNA since forever
Between the earliest versions of prehumans, between 7,000,000 and 50,000 BC, our tools of the trade were our legs. The author starts by explaining how, as humans, we are very slow runners and no match for most other species. Yet, we could hunt them and rely on them for subsistence because of our ability to run longer.
Our evolution has gifted us with a cooling system, which he describes as the best on the planet. It has also provided us with the Achilles tendon, which returns about 90% of the work put into stretching it, with the rest provided by the foot arch, another spring.
From there, he continues the journey through the ancient world: Egypt, Ur, the Old Testament, Greek mythology, the Olympic Games, and literature. It is fascinating to see how each culture used running to speed up their development and how running competitions became a staple of each culture.
From there, the journey takes us through the Middle Ages and up to the 19th Century when pedestrianism became the rage.
I enjoyed this part of the book because it was about the history and evolution of running as a sport, about winning races and setting records. At first, there were no time devices to allow records of who was the fastest at a certain distance or how much of it could be covered in a certain segment of time.
Once timing became readily available, all changed dramatically. Chronographs were able to split the second into fifths, which was good for certain distances but insufficient for shorter sprints. The evolution of timing, not just the watch technology but the mechanics of automatization, is fascinating.
As more newspapers started chronicling the sport, records became available and we start learning about the first stars. We see the first local sports heroes looking for greener pastures by running in other countries, taking the first steps into the globalization of the sport and the differentiation between professionals and amateurs.
As we enter the 20th Century, when reliable records and accurate times were kept and athletic achievements easily verified, the book becomes dense with names and figures. It goes into detail on each distance, both for men and women. Not that it is unimportant, but for readers who may be familiar with running in this period, it became too much while adding too little new information.
The 2nd Edition includes an update on 21st-century running
The book was initially published in 2001, with its 2nd edition published in 2015. The 2nd edition has a new chapter on the 21st Century, and it goes deep into doping and cheating, which is a new reality in the sport and worth reading.
The conclusion of the book is about the upcoming world of marathoning (this was written before Eliud Kipcohgeâs sub-2 attempt and Kelvin Kiptumâs current world record).
âThe menâs marathon record is approaching two hours. Will two hours turn out to be another âbarrierâ like the four-minute mile? A sub-two-hour marathon requires averaging 4 min 35 sec[onds] per mile, a much tougher challenge than the four-minute mile was in 1954 [âŚ] Road races are open to all and the ordinary runner can compete with themselves or against the best in the world. It is a democratic sport. It is also inexpensive compared to other sports. Most sports require specialized, expensive equipment and facilities. All a road runner needs are running shoes and an open road.â
If you want to learn about the evolution of running as we evolved as a species, this book is worth the time and the money. Sure, it gets dense at the end, but that doesnât mean it is useless information. And you can always skip it if it is not relevant to you.
I welcome your comments about your thoughts on this book in the box below.
When I started running over four decades ago, there was very little literature on the sport. A new book here or there, mostly from runners sharing their own experience; or a subscription to Runnerâs World or The Runner magazine, was it for sources of knowledge and inspiration?
Well into the second running boom, with the internet in play and billions of Dollars to be made, companies started investing in science, research, and development. Colleges and Universities began promoting their exercise physiology departments, and suddenly, we have more information than we can digest.
Many bad habits and myths remain from those prehistoric running days. There are still runners who believe that consuming the 7th serving of pasta the night before the marathon will give them an edge. We still have those who prefer collapsing rather than chop a mile from their long run on a mid-summer day.
Below you will find six basic strategies to unlock your training, especially now that racing season is almost here.
1 â It is about consistency: Hitting all those splits is awesome, but it is not whatâs going to make you better. You hit the splits because you are better. There is no magic workout that will take you over the top. Good and bad workouts are part of the mix, and if you have more good ones than bad ones, you are on the right track. Every time you perform, you get a little bit better. All those little bits eventually fill the bucket. Thatâs where your PR lies. Not on that PR 400-meter repeat in training. Focus on the long game as you train as often as your body allows. You will see the difference.
2 â Progress smartly: There are no shortcuts in running. Sure, you can run a marathon while untrained, but at what price? Is getting injured through a sufferfest worth a medal? What got you to the marathon will not get you to the 100-miler. What got you to the 5K PR wonât get you to the marathon PR. You must have a plan to get from Point A to Point B and then to Point C. If you plan to keep running for a long time, you must play the long game, and that requires smart progress.
3 â Accept the runner you are and train for it: You are not Eliud Kipchoge, and most likely you wonât be in the leading peloton at the Boston Marathon. Regardless of whether you are a local semi-elite or a back-of-the-pack runner, accept it so you can become the best runner you can be. If you are a 5-hour marathoner, it doesnât matter how much you train; you will not make it to the Olympics. But you can go sub-5. Focus on what will help you improve your journey, not through the pressure of Instagram make-believe lives. Eliminate external, unnecessary pressures and pursue the big goal that aligns with your reality.
Technology can be great and can be detrimental to your training. It is up to you to use it properly (Photo: Pexels).
4 â Variety is the key: Long-slow running is good. Zone 2 is good. Intervals are good. Cross-training is good. Goal pace runs are good. But you need to mix them up the right way to give your body enough recovery time to adapt to the work. In a recent article I read, Will Lennox wrote in GQ Australia: âTaking a leaf from the Bible and training for 40 days and 40 nights in a row in the hope some biblical-level miracle will happen to you is not going to get you into running heaven.â Rest. Give your body the chance to recover so it can do it again and guarantee your progress.
5 â It is not about gear and technology: While running on the wrong shoe can certainly be detrimental and even harmful to a runner, it is never the shoe that makes you faster. It is all in your preparation. A pair of super-shoes will give you an edge to shave those last few seconds from a 5K, but itâs not what will get you from a 3:30 to a Sub-3 marathoner. The same applies to the GPS watch. Donât let it rule your life. Turn off all the indicators of parameters you donât understand and/or distract you. Let them be tools, not the beacon that guides your running.
6 â Donât forget to have fun: Nothing kills the joy of running more than comparing yourself with friends and influencers. While the reasons for running vary for every athlete, running because you like it makes it easier to stick with it. Rebounding from a bad race or an injury will be easier. Accepting your limits instead of quitting will be a given.
In conclusion, we should simplify our running. This doesnât mean taking it easy, nor working hard, nor forgoing progress. It means unlocking the running potential you have today, smartly. This is what will keep you running for years to come.
Share your favorite running training strategy in the comments. Which one works best for you?
Back in June, I watched online as Faith Kipyegon unsuccessfully tried becoming the worldâs first sub-4 miler woman. The event was one of those multi-million-dollar circus shows put on by Nike to test human physical limitations. It was elaborate enough that, just like Eliud Kipchogeâs Sub-2 in 2019, it would not have counted as a world record should she succeed.
Athletics and the principle of diminishing returns (Image by ChatGPT)
Kipchoge needed to improve his marathon time by 100 seconds, and he did, finishing 19 seconds ahead of his previous record. Kipyegon needed to shave about 8 seconds (7.65) to achieve her goal, but she ended up about 6.5 seconds short. Even with the circus, space technology, support, and male pacing, she couldnât do it.
The failed attempt got me thinking about a basic concept in economics that easily applies to running: the principle of diminishing returns. In economics, this means that ff you improve one variable while keeping all the others constant, the incremental output gained from each extra unit will eventually fall. In other words, building a skyscraper in one day wonât be solved with more workers.
The same principle applies in athletics. Dr. George Sheehan, one of the greatest running writers, put it this way: âThe first mile is the most helpful one as far as conditioning goes. Each succeeding one gives less and less benefit than the one before. Runners who work more and more are working for less and less. [âŚ] It doesnât take much to get 90% fitness, only a few miles a day. But it takes progressively more and more training as you get closer to your ultimate potential. At the highest levels, you are putting in a huge investment for a very small return. It is the small gains what makes the difference between winning and losing.â
Think about it, itâs obvious. If not, it would be a matter of time and more miles before we all became elite athletes and broke world records. We all have a limit, and while reaching it is feasible, it requires a tremendous amount of work.
I recently heard Coach Steve Magness share a story where Shalane Flanagan told him something along the lines of, âThe difference between being in 2:30 marathon shape and 2:20 is astronomical.â For you and me, average, mid-to-back-of-the-pack marathoners, a 10-minute improvement may be a diligent training cycle away. For elites in a Marathon Major, this same result guarantees them peeing in a cup to verify cheating.
Nice background, Coach! But how does this apply to me, the average weekend warrior?
It is about training smarter, not harder (Image by ChatGPT)
I am glad you asked! The point of this introduction is for the reader to understand that the curve of progress in running flattens as we improve. It is a reality we canât solve with harder training. Progress is not a linear proposition.
And, while achieving the last 10% requires an astronomical effort, it is feasible. It is about figuring out what works for you. Just because Jacob Ingebrigtsen uses the Norwegian double threshold method doesnât mean it is the solution youâve been looking for. He is in such shape that this is the only type of training that will extract the extra hundredths of a second needed to break a world record. This training may land you, my dear average-runner reader, on the injury list.
Working around the principle of diminishing returns to reach your apex requires smarter training. Not just harder. As gains slow, finding that sweet spot between effort and recovery is the magic sauce. It may mean varying your workouts, adjusting intensity levels, or prioritizing recovery and nutrition more seriously. As we improve, we must tune into our bodyâs signals, such as fatigue, soreness, or lack of motivation. These can guide adjustments before you hit a training (or overtraining) wall. If in doubt, a training plan tailored exclusively for you may help you progress without burning out.
In conclusion, In athletics, more is not necessarily better. Most of what elite runners do to squeeze that last sliver of greatness out of their performance does not apply to you. We are all limitless, sure, but not in all areas of our human performance, athletics being one of them. Letâs work hard to reach our goals, but not at the expense of burning out.
What are your thoughts on this principle? I will read and answer your comments.
