Previous researchers have suggested that faster marathoners tend to run at a more consistent pace compared with slower runners. None has examined the influence of sex and age on pacing. Therefore, the purpose of this study was to determine the simultaneous influences of age, sex, and run time on marathon pacing. Pacing was defined as the mean velocity of the last 9.7 km divided by that of the first 32.5 km (closer to 1.0 indicates better pacing). Subjects were 186 men and 133 women marathoners from the 2005, 2006, and 2007 races of a midwestern U.S. marathon. The course was a 1.6 km (1 mile) loop with pace markers throughout, thus facilitating pacing strategy. Each 1.6-km split time was measured electronically by way of shoe chip. The ambient temperature (never above 5°C) ensured that hyperthermia, a condition known to substantially slow marathon times and affect pacing, was not likely a factor. Multiple regression analysis indicated that age, sex, and run time (p < 0.01 for each) were simultaneously independent determinants of pacing. The lack of any 2- or 3-way interactions (p > 0.05 for each) suggests that the effects of 1 independent variable is not dependent upon the levels of others. We conclude that older, women, and faster are better pacers than younger, men, and slower marathoners, respectively. Coaches can use these findings to overcome such tendencies and increase the odds of more optimal pacing.

ZnC, taken alone or with colostrum, increased epithelial resistance and the TJ structure and may have value for athletes and in the prevention of heat stroke in military personnel. This trial was registered at www.isrctn.com as ISRCTN51159138.

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PurposeIntestinal cell damage due to physiological stressors (e.g. heat, oxidative, hypoperfusion/ischaemic) may contribute to increased intestinal permeability. The aim of this study was to assess changes in plasma intestinal fatty acid-binding protein (I-FABP) in response to exercise (with bovine colostrum supplementation, Col, positive control) and compare this to intestinal barrier integrity/permeability (5 h urinary lactulose/rhamnose ratio, L/R).MethodsIn a double-blind, placebo-controlled, crossover design, 18 males completed two experimental arms (14 days of 20 g/day supplementation with Col or placebo, Plac). For each arm participants performed two baseline (resting) intestinal permeability assessments (L/R) pre-supplementation and one post-exercise following supplementation. Blood samples were collected pre- and post-exercise to determine I-FABP concentration.ResultsTwo-way repeated measures ANOVA revealed an arm × time interaction for L/R and I-FABP (P < 0.001). Post hoc analyses showed urinary L/R increased post-exercise in Plac (273% of pre, P < 0.001) and Col (148% of pre, P < 0.001) with post-exercise values significantly lower with Col (P < 0.001). Plasma I-FABP increased post-exercise in Plac (191% of pre-exercise, P = 0.002) but not in the Col arm (107%, P = 0.862) with post-exercise values significantly lower with Col (P = 0.013). Correlations between the increase in I-FABP and L/R were evident for visit one (P = 0.044) but not visit two (P = 0.200) although overall plots/patterns do appear similar for each.ConclusionThese findings suggest that exercise-induced intestinal cellular damage/injury is partly implicated in changes in permeability but other factors must also contribute.

There is insufficient evidence demonstrating whether cycling exercise during HD improves patient outcomes. High-quality, adequately powered RCTs of IDC are required.

Purpose Exercise-induced changes in intestinal permeability are exacerbated in the heat. The aim of this study was to determine the effect of 14 days of bovine colostrum (Col) supplementation on intestinal cell damage (plasma intestinal fatty acid-binding protein, I-FABP) and bacterial translocation (plasma bacterial DNA) following exercise in the heat. Methods In a double-blind, placebo-controlled, crossover design, 12 males completed two experimental arms (14 days of 20 g/day supplementation with Col or placebo, Plac) consisting of 60 min treadmill running at 70% maximal aerobic capacity (30 °C, 60% relative humidity). Blood samples were collected pre-exercise (Pre-Ex), post-exercise (Post-Ex) and 1 h post-exercise (1 h Post-Ex) to determine plasma I-FABP concentration, and bacterial DNA (for an abundant gut species, Bacteroides). Results Two-way repeated measures ANOVA revealed an arm × time interaction for I-FABP (P = 0.005, with greater PostEx increase in Plac than Col, P = 0.01: Plac 407 ± 194% of Pre-Ex vs Col, 311 ± 134%) and 1 h Post-Ex (P = 0.036: Plac 265 ± 80% of Pre-Ex vs Col, 229 ± 56%). There was no interaction (P = 0.904) but there was a main effect of arm (P = 0.046) for plasma Bacteroides/total bacterial DNA, with lower overall levels evident in Col. Conclusion This is the first investigation to demonstrate that Col can be effective at reducing intestinal injury following exercise in the heat, but exercise responses (temporal pattern) of bacterial DNA were not influenced by Col (although overall levels may be lower).

BackgroundNative T1 mapping is a cardiovascular magnetic resonance (CMR) technique that associates with markers of fibrosis and strain in hemodialysis patients. The reproducibility of T1 mapping in hemodialysis patients, prone to changes in fluid status, is unknown. Accurate quantification of myocardial fibrosis in this population has prognostic potential.MethodsUsing 3 Tesla CMR, we report the results of 1) the inter-study, inter-observer and intra-observer reproducibility of native T1 mapping in 10 hemodialysis patients; 2) inter-study reproducibility of left ventricular (LV) structure and function in 10 hemodialysis patients; 3) the agreement of native T1 map and native T1 phantom analyses between two centres in 20 hemodialysis patients; 4) the effect of changes in markers of fluid status on native T1 values in 10 hemodialysis patients.ResultsInter-study, inter-observer and intra-observer variability of native T1 mapping were excellent with co-efficients of variation (CoV) of 0.7, 0.3 and 0.4% respectively. Inter-study CoV for LV structure and function were: LV mass = 1%; ejection fraction = 1.1%; LV end-diastolic volume = 5.2%; LV end-systolic volume = 5.6%. Inter-centre variability of analysis techniques were excellent with CoV for basal and mid-native T1 slices between 0.8–1.2%. Phantom analyses showed comparable native T1 times between centres, despite different scanners and acquisition sequences (centre 1: 1192.7 ± 7.5 ms, centre 2: 1205.5 ± 5 ms). For the 10 patients who underwent inter-study testing, change in body weight (Δweight) between scans correlated with change in LV end-diastolic volume (ΔLVEDV) (r = 0.682;P = 0.03) representing altered fluid status between scans. There were no correlations between change in native T1 between scans (ΔT1) and ΔLVEDV or Δweight (P > 0.6). Linear regression confirmed ΔT1 was unaffected by ΔLVEDV or Δweight (P > 0.59).ConclusionsMyocardial native T1 is reproducible in HD patients and unaffected by changes in fluid status at the levels we observed. Native T1 mapping is a potential imaging biomarker for myocardial fibrosis in patients with end-stage renal disease.Electronic supplementary materialThe online version of this article (doi:10.1186/s12968-017-0337-7) contains supplementary material, which is available to authorized users.

13Bovine colostrum (COL) has been advocated as a nutritional countermeasure to 14 exercise-induced immune dysfunction. The aims of this study were to identify the 15 effects of 4 weeks of COL supplementation on neutrophil responses and mucosal 16 immunity following prolonged exercise. In a randomised double-blind, parallel group 17 design, participants (age 28 ± 8 years; body mass [BM] 79 ± 7 kg; height 182 ± 6 cm; 18 maximal oxygen uptake [ ! VO 2 max] 55 ± 9 mL·kg-1 ·min -1 ) were assigned to 20 g per 19 day of COL (n = 10) or an isoenergetic/isomacronutrient placebo (PLA) (n = 10) for 4 20 weeks. Venous blood and unstimulated saliva samples were obtained before and 21 after 2.5 h of cycling at 15% Δ (~ 55-60% ! VO 2 max). A significantly greater fMLP-22 stimulated oxidative burst was observed in the COL group compared with PLA group 23 (p < 0.05) and a trend toward a time × group interaction (p = 0.06). However, there 24 was no effect of COL on leukocyte trafficking, PMA-stimulated oxidative burst, 25 bacterial-stimulated neutrophil degranulation, salivary secretory IgA, lactoferrin or 26 lysozyme (p > 0.05). These findings provide further evidence of the beneficial effects 27 of COL on receptor-mediated stimulation of neutrophil oxidative burst in a model of 28 exercise-induced immune dysfunction. 29