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Cardiac arrest related to jogging usually occurs in the setting of a structural cardiac abnormality. The patients often have no prodromal symptoms. Certain aspects of these cases, such as delayed entrance into the medical care system and exercise-induced lactic acidosis, make successful resuscitation difficult. We describe three such patients under the age of 36 who died after running.
Use of modified shoes and insole materials has been widely advocated to treat low back symptoms from running impacts, although considerable uncertainty remains regarding the effects of these devices on the rate of shock transmission to the spine. This study investigated the effects of shoes and insole materials on a) the rate of shock transmission to the spine, b) the temporal response of spinal musculature to impact loading, and c) the time interval between peak lumbar acceleration and peak lumbar muscle response. It was hypothesised that shoes and inserts a) decrease the rate of shock transmission, b) decrease the low back muscle response time, and c) shorten the time interval between peak lumbar acceleration and peak lumbar muscle response. Twelve healthy subjects were tested while jogging barefoot (unshod) or wearing identical athletic shoes (shod). Either no material, semi-rigid (34 Shore A), or soft (9.5 Shore A) insole material covered the force plate in the barefoot conditions and was placed as insole when running shod. Ground reaction forces, acceleration at the third lumbar level, and erector spinae myoelectric activity were recorded simultaneously. The rate of shock transmission to the spine was greater (p < 0.0003) unshod (acceleration rate: Means +/- SD 127.35 +/- 87.23 g/s) than shod (49.84 +/- 33.98 g/s). The temporal response of spinal musculature following heel strike was significantly shorter (p < 0.023) unshod (0.038 +/- 0.021 s) than shod (0.047 +/- 0.036 s). The latency between acceleration peak (maximal external force) and muscle response peak (maximal internal force) was significantly (p < 0.021) longer unshod (0.0137 +/- 0.022s) than shod (0.004 +/- 0.040 s). These results suggest that one of the benefits of running shoes and insoles is improved temporal synchronization between potentially destabilizing external forces and stabilizing internal forces around the lumbar spine.
Distance run tests are often used to estimate peak oxygen uptake (peak VO2) in children. This study examined the concurrent validity of a 20-min steady-state jog (20MSSJ). The sample consisted of 43 boys and 32 girls who performed a 20MSSJ and completed a maximal treadmill test 1 week later. Peak VO2 was measured by indirect calorimetry. Subject characteristics were as follows: boys, mean age = 15.1 +/- 1.0 years, mean peak VO2 = 46.4 +/- 7.7 ml.kg-1 x min-1, mean 20MSSJ = 2.3 +/- 0.5 miles; girls, mean age = 15.3 +/- 1.1 years, mean peak VO2 = 40.4 +/- 5.1 ml.kg-1 x min-1, mean 20MSSJ = 2.1 +/- 0.5 miles. The correlation between 20MSSJ and peak VO2 was .68 across boys and girls. The regression slopes of the boys and girls were common, but the intercepts differed, F (1, 72) = 10.9, p < .05. The influence of weight and skinfold fat was examined. Separate models were developed, and the R for each was increased to .79 (SEE = 4.45 ml.kg-1 x min-1) for the model using weight and .80 (SEE = 4.36 ml.kg-1 x min-1) for the model using sum of skinfolds. The regression equations are as follows: peak VO2 = 35.10 + 6.19 (Run) + 2.96 (Gender) -0.26 (Skinfold fat) peak VO2 = 33.94 + 7.64 (Run) + 5.84 (Gender) -0.18 (Weight) (Run = 20MSSJ performance in miles; Gender; females = 0, males = 1; Skinfold fat = sum of two-site skinfolds in mm; Weight = body weight in kg).(ABSTRACT TRUNCATED AT 250 WORDS)
The associations between physical activity in leisure time with special focus on jogging and the level of mental stress and life dissatisfaction were studied in 12 028 randomly selected men and women aged 20-79 years. The associations were similar in men and women; thus, results are given for pooled data. The odds ratios (ORs) are presented as adjusted for sex, age, body mass index, smoking, alcohol consumption, education and income. With increasing physical activity in leisure time, there was a decrease in high level of stress, between sedentary persons and joggers, OR=0.30 (95% confidence interval (CI) from 0.16 to 0.56). With increasing physical activity there was also a decrease in life dissatisfaction, between sedentary persons and joggers, OR=0.30 (95% CI from 0.18 to 0.52). Although there was a dose-response effect between physical activity and psychosocial well-being the most pronounced difference with regard to the level of stress and dissatisfaction was seen between the group with low and the group with moderate physical activity, e.g., 2-4 h of walking per week. In conclusion, we recommend that increased well-being should be a key argument in future campaigns for increased leisure-time physical activity.
This study examined the influence of different levels of distance running on percent body fat and serum lipids in untrained male University students (n = 40) with a mean age of 24.1 years. Subjects were assigned randomly to four groups (n = 10) in each group): Group 1 (control), Group 2 (1.6 km joggers), Group 3 (3.2 km joggers) and Group 4 (4.8 km joggers). Subjects in the exercise groups jogged the prescribed distances three times a week for 12 weeks at about 85 percent of maximal heart rate. Percent body fat, serum cholesterol and triglyceride levels were estimated before and after the training programme. In comparison with control group, exercise groups showed statistically significant (p less than .05) decrease of body fat values (1.6 km joggers 6%; 3.2 km joggers 5.33%; 3.2 km joggers 11%; 4.8 km joggers 9.42%). However, Newman-Keul's post hoc analysis showed a significant (p less than .05) reduction in serum triglyceride only in 3.2 km joggers. This was attributed to the high pre-training level of serum triglyceride in the group. Cholesterol values showed insignificant changes. It was concluded that moderate physical activities of different intensities have lowering effects on body fat and serum lipids.
A labile hypertensive black man reviews his own personal history of hypertension, based on intensive self-study. The evidence suggests that aerobic isotonic exercise (jogging) depresses labile pressure values, forcing them down to near basal levels and preventing a rise to previous blood pressure levels for several hours.
Observations were made before and 3-5 days after prolonged endurance jogging an average of 42 miles/day, 6 days/wk for 2.5 mo by a young male adult who voluntarily initiated a run across the United States. Both arterial PO2 and lactic acid increased. In each instance, the first limitation in circulatory delivery of oxygen was a plateau in stroke volume and cardiac output. Afterward, pulse deficit and systemic arterial pressure fell with exercise and heart rate accelerated. Although there was no change in oxygen transport (Q X CAO2), a reduction in stroke volume was exactly balanced by a rise in arterial oxygen content. Vital capacity, residual volume, and total lung capacity and diffusion capacity for carbon monoxide, hematocrit, and red cell mass increased, while plasma volume diminished and heart size and total blood volume were unchanged.
Individual lifestyle was held accountable for health and disease throughout much of American history. Since the advent of the germ theory of disease, the focus on the etiology of disease has shifted to factors beyond individual control. But in the past two decades, there has been a resurgence of interest in the role of personal habits in producing sickness. This paper examines the history of one facet of the health promotion movement--aerobic exercise, primarily jogging. Initially, concepts in exercise physiology were adapted from non-medical fields--such as competitive sports and the military--for use in cardiac rehabilitation. Subsequently, a few physicians generalized their experience with cardiac patients to the general population, concluding that aerobic exercise could prevent heart attacks. This idea of exercise as a prophylaxis was seized upon by the public, who were receptive because of the political climate of the sixties. Once the popular movement was underway, researchers began studying the role of exercise in preventing coronary heart disease, confirming that exercise does confer some benefit. In the seventies, exercise attracted a new, wider audience--not because of the justification for its use provided by the scientific community, but because of the appeal of upright living as a means to personal and social redemption. The case of aerobic exercise provides an instructive example to social scientists and policymakers seeking to understand or to encourage widespread behavioral change.
STUDY DESIGN: Single-group repeated-measures experimental design. OBJECTIVES: The purpose of this study was to evaluate the effects of prophylactic ankle stabilization on vertical ground reaction forces before and after treadmill jogging. BACKGROUND: Previous research has demonstrated acute effects of ankle taping and bracing on ankle joint kinematics and vertical ground reaction forces during drop landings. Based on the number of investigations demonstrating increased range of motion of the braced or taped ankle following exercise, it may be plausible that the aforementioned landing alterations may return to normal following an exercise bout. METHODS AND MEASURES: Fourteen healthy recreational participants performed stiff and soft drop landings before and after a 20-minute treadmill exercise bout under 3 different ankle stabilizer conditions (no stabilizer, ankle brace, and ankle tape). A forceplate was used to collect ground reaction force data under the dominant foot. The first and second peak impact force, as well as the time to each of the 2 peak forces, were determined for each trial and used as dependent variables. RESULTS: The time to reach peak forces were significantly less under the ankle brace and tape conditions in comparison to the control (no-stabilizer) condition. CONCLUSIONS: It appears that ankle taping and bracing decrease the time to reach peak impact forces. These alterations indicate that during dynamic activity the musculoskeletal structures of the body may be subjected to loads within shorter time periods. Whether these effects are detrimental over time remains speculative at this point and requires further research.
Anemia in runners is common but its origin is unknown. The present study reports on frequency and origin of gastrointestinal blood loss in cross-country skiers and runners. 41 participants in the Engadin Ski Marathon were checked by questionnaire and occult blood test. 8 (19%) had diarrhea or abdominal pain during or immediately after skiing and 3 (7%) had hemoccult-positive stools. In addition, the blood flow of the superior mesenteric artery was measured by duplex scanning in two trained runners after standardized exercise. While the mesenteric blood flow in the asymptomatic runner changed only insignificantly there was an impressive decrease in the second runner, who had been treated for anemia, down to 20% and 40% (30 and 90 min respectively) after exercise. It is concluded that the occurrence of gastrointestinal blood loss in cross-country skiing, and the significant decrease in mesenteric blood flow in a symptomatic runner, indicate a close and possible causal relationship between mesenteric ischemia and "jogging anemia".
We investigated the circumstances of death and the medical and activity histories of 18 individuals who died during or immediately after jogging. Thirteen men died of coronary heart disease (CHD) and four men and one woman died of other causes. Six CHD subjects had medical histories relevant to the cardiovascular system, but only one had diagnosed CHD. Six CHD subjects experienced prodromal symptoms but continued vigorous exercise programs. Two subjects had exercised less than a month, but most had trained regularly for years. The CHD risk factors for the CHD cases did not differ significantly from those for other age-matched, physically active men. Superior physical fitness does not guarantee protection against exercise deaths. Physicians and exercising adults should be aware of this fact and give appropriate attention to possible prodromal symptoms.
The foot has been studied in walking, running and jogging using high speed cinema photography in the laboratory for gait analysis in the Shriner's Hospital for Crippled Children, San Francisco. During running, as well as in walking, the extrinsic toe flexors restrain progression of the tibia. The extrinsic extensors accelerate the tibia over the fixed foot. The intrinsic toe muscles function from mid-stance to lift-off when the subject runs on his toes. In sprinting, the intrinsics are active throughout the weight-bearing phase.
Changes in cardiovascular fitness and work performance of mentally retarded adults resulting from a jogging program were evaluated with randomly assigned experimental and control subjects using posttest measures from Cooper's 12-minute Run-Walk Test and timed samples of work performance. Pretest measures were utilized as covariates in analysis of covariance. Statistically significant results in both fitness and work performance favored the experimental group.
The effects of jogging on serum lipids were assessed in 16 normolipidemic males who ran an average of 5.8 miles (9.3 kilometres) per week for 6 weeks. There was no change in serum triglyceride concentration or clearance nor in HDL-cholesterol, but both total and LDL-cholesterol concentrations decreased significantly, by 5.7 and 8.3% respectively. Individual decreases in LDL-cholesterol were correlated with the distance run and it seems probable tht a stimulatory effect of exercise on LDL catabolism was responsible. These findings suggest a possible explanation for the known protective effect of exercise against coronary heart disease, even when taken in amounts insufficient to raise HDL-cholesterol.
The family doctor is the ideal person to lead his patients back to a form of existence which is more dynamic and health-promoting than their customary way of life. Many basic fears of doctors are unfounded, for it is not difficult to acquire a knowledge of the ergological principles involved in natural movement and sport. Patients should be guided into 'forgetting' about their ailments, but at the same time remembering their limitations. The prescription of sensible forms of exercise, e.g. walking and jogging, is advocated. Some tried and sensible programmes are given.
The object of this study was to determine whether leukocytosis would occur in response to eccentric exercise, to concentric exercise, and/or to possible increases in serum cortisol levels. Eight men performed 2 bouts of exercise at 46% VO2max for 40 min. Subjects initially walked up a 10% grade (UW); 2 weeks later they jogged down a 10% grade (DJ), a form of eccentric exercise known to induce delayed onset muscle soreness (DOMS). Venous blood samples were drawn before and after each exercise bout (0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, and 5 h). Total and differential WBCc and serum cortisol levels were assessed. Results were analyzed using repeated measures ANOVA (2 x 11). Subjects experienced severe DOMS after DJ. There was a significant difference in TWBCc (p less than 0.0001) between UW and DJ. Post-hoc testing revealed no significant increase over baseline values for UW; after DJ there was a 46% increase over baseline values (p less than 0.05) initially seen at 1.0 h. These increases in TWBCc were predominantly a reflection of increases in neutrophils which were significant (p less than 0.0001) when compared to baseline values at 1.0, 1.5 and 2.0 h (approximately 60%). No significant neutrophil increases were seen after UW. Cortisol levels were similar for both groups pre-exercise (UW = 367.1 +/- 38.6, DJ = 320.2 +/- 44.16 nmol.L-1 means +/- SE) and decreased similarly for both groups after exercise, and thus were not related to the post-exercise neutrophilia.(ABSTRACT TRUNCATED AT 250 WORDS)
The goal of this study was to evaluate the physiological responses during incremental field tests (FT) in nordic walking (NW), walking (W) and jogging (J). Fifteen healthy middle-aged women participated in three FT. Heart rate (HR) and oxygen uptake (V(O)(2)) were monitored continuously by portable analyzers. Capillary blood lactate (La) was analyzed at rest and after every stage of the FT. The disciplines showed differences during stage 1.8 and 2.1 m s(-1) for V(O)(2) between NW and W (P < 0.05). The maximum value was measured at 1.8 m s(-1 )(8%). In accordance with La, V(CO)(2) was higher in NW compared with W during all stages (P < 0.05) and even higher in NW compared with J during 2.1 and 2.4 m s(-1). While there were higher HR for NW and W at 2.4 m s(-1) than in J (P < 0.01), there were increases for HR at fixed values of 2 (La2) and 4 (La4) mmol l(-1 )lactate for J compared with NW and W (P < 0.01). Although the speed of NW was slower than that of W at La2 and La4 (P < 0.05), there were no differences for the HR and the V(O)(2) Our results demonstrate that metabolic responses are a helpful instrument to assess the intensity during bipedal exercise. As NW speed at submaximal lactate levels is lower than in W and J, W and J test measures of HR and V(O)(2) are not suitable for NW training recommendations. Additionally, the V(O)(2) formed by performing NW is not as high as previously reported.
PURPOSE: The purpose of this study was to establish a rat dry eye model of corneal epithelial disorders by inducing improper tear dynamics and change in blink frequency. The protective effect of d-beta-hydroxybutyrate (HBA) on the corneal epithelia was also investigated. METHODS: A series of treatments were performed under continuous exposure to low-humidity airflow. Rats were placed on a jogging board (JB) made of a plastic pipe for 7.5 h/d, and, for 16.5 hours, they were placed in individual cages without JB treatment. The resultant changes in tear dynamics and corneal epithelial structure were then analyzed. Five days after the rats were exposed to the treatment, eyes that showed corneal fluorescein staining were examined, to investigate the effect of HBA, by administration of eye drops containing 80 mM HBA four times daily during JB treatment for 5 days. RESULTS: Significant reductions in blink frequency, Schirmer score, and tear clearance were recorded during JB treatment in eyes that showed persistent punctate staining of almost one half of the corneal surface. The application of HBA-containing eye drops significantly reduced the punctate staining compared with the initial or phosphate-buffered saline-treated eyes. CONCLUSIONS: This rat dry eye model, established by repeated JB treatment in desiccating conditions, induced abnormal tear dynamics and superficial punctate keratopathy similar to that in humans. These findings suggest the potential clinical application of HBA in corneal surface epithelial disorders in patients with moderate to mild dry eye.