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We all get injured.  Muscle strains. Tendonitis. Stress fractures. The list goes on for runners! Not to mention we also have to deal with all the regular life injuries that others have to cope with like headaches, lower back pain and shoulder issues.

Yet, doesn’t it seem that certain people recover faster from injury than others?  Even if two people have exactly the same injury, and do exactly the same things to manage it, the healing time can still be drastically different.

So what separates us?  There is no doubting that physical characteristics, such as age and level of fitness, can impact recovery time.  However, if all things physical are held equal, healing times for the same injury can STILL differ drastically.

Why is this? One possible explanation: the influence of the mind.

CLICK HERE to read the rest in the Run Waterloo Magazine. 

Here is an updated, simplified version of our protocols as of July 2023.
 
  • Masks are no longer mandatory.  
    • Practitioners will either wear a mask or mirror what patients are doing.
    • All staff will wear a mask upon request.
    • Please wear a mask if you suspect you have been in close contact with a sick person. 
  • Do not enter if you have tested positive for COVID-19
  • If you are actively sick with COVID-19 or otherwise, please reach out to re-schedule. 

As always, we have virtual appointments available if needed.

Thank you!

Nowadays, most runners use some sort of social media as a part of their running lives.  Whether that be posting your runs on Strava, updates on Facebook, or post-run selfies on Instagram, the number of runners who do their thing with an absolute zero online presence seems to be dwindling (but they are out there)!

Over the last few years, I’ve been encountering discussions more and more frequently with the athletes I coach, so I figure now would be a good time to discuss this topic: Is posting on social media about your running a good, bad or neutral thing?

Before I get into some of the research, I would like to preface this article but saying that I don’t have a good answer, as I normally would, with clear science (like how many grams of carbs you should take for optimal performance). The reality is, the use of social media is highly individualized and requires real self-awareness and self-reflection to decide how it works for and against you and your unique situation.

CLICK HERE to read the rest on the Run Waterloo blog. 

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marathon

By Rachel Hannah, RD, DIP. Sports Nutrition IOC

There are a lot of myths around carb loading. That confusion mixed with pre-race nerves, and you’ve got a recipe for a tummy disaster. But carb loading is actually pretty straightforward. There are a few key numbers and rules to follow so that you’ll have all the energy you need to start your quest for that big marathon breakthrough.

What is this “carb loading” I keep hearing about?

First, let’s start with removing the shroud of mystery around the carb load. What the heck is it, and why do marathon runners do it?

Simply put, to carb load is to put a bigger emphasis on getting in an increased ratio of carbohydrates in a couple of crucial days leading up to a big distance race of over about two hours, like a half-marathon for most, and certainly a marathon. The reason for doing this is to make sure your body is full stocked with something called glycogen, which is the energy used by your muscles to fire during your run.

Glycogen is your storage form of carbohydrates and the body can only store up to a certain amount, making fuelling throughout a Marathon distance race very important. Ever heard of the infamous “wall” runners hit when the marathon gets really tough? That wall goes up typically when your body is depleted of glycogen. It’s why races put Gatorade on the course, and its why runners stuff their faces with pancakes the day before the race.

Pancakes… sounds like fun! But how do you get carb loading just right?

Make a Plan

When working with athletes of all ability levels or going into my own marathons, the first thing I do is make a carb loading plan. It’s not necessarily a menu of exactly what to eat, but more of an outline of when to start the load, examples of great food options, and specific numbers that are easy to calculate so that its clear just how many carbs are needed each day before the big race.

Here’s what it looks like:

You should start your carb load 36-48 hours before race morning. So, if the marathon is on a Sunday, begin focusing on carb-rich foods on Friday at breakfast. You’ll hear about athletes going on a “carb depletion” diet for the week leading up to the marathon, starving themselves of glycogen so that, supposedly, their body will horde the sugars thrown at it during the carb load. There are conflicting studies on this strategy, and the science is leading towards saying it produces a negative outcome in most situations, so just eat normally for the period leading up to the carb load.

Keep your calorie intake relatively normal

A common myth is that you should stuff your face during the carb load. This may cause some serious tummy issues and water retention, so instead, just focus on getting the percentage of carbs within each meal and snack to overwhelm the ratio to protein and fat. Fat intake should be kept low (<20% of calories) during the carb load, but you should focus on getting a consistent amount of protein at every meal and snack like you normally would.

Because you’ve reduced you the amount of exercise during the taper, if you maintain your peak season diet, you should be coming in pretty well stocked up on calories.

Focus on the Math

Here’s the magical formula to follow during the carb load:

8-12 g/kg of your body weight of carbs per 24 hours.

So, if you weigh 65 kg (or just over 140 lb.) you should be consuming about the middle range of that formula, meaning 650 g of carbs in a day. A small banana has 14 g of carbs, so you’ll have your work cut out for you to get them all in without starting to hate certain go-to snacks. You’re going to have to find simple ways to make sure you get that amount all in.

Eat what you love

Stick with things you enjoy eating, and I mean really enjoy. Carb loading is the opposite of what you typically would eat to stay healthy. I also need to add carbs that I wouldn’t normally add during the load. This may sound ridiculous, but I will even bring packets of jam or honey with me, and smear them on things like crackers and bread if I feel I’m not hitting my goal carb number for the day.

Use a fitness tracker

Keeping track of all those carbs can be daunting. I recommend either doing the math in advance and making a meal plan for that 48 hours (think of it as fun; you get to eat waffles and maple syrup for dinner!) or use a basic calorie counting app. I rely pretty heavily on MyFitnessPal, a free and fairly detailed nutrition tracking app you can get on your phone that will do the math for you.

Beware of fibre

Crushing carbs can be fun, but you have to be mindful of those with loads of fibre. You’ll want to focus on simple carbs for this crucial 36-48-hour period. You don’t want to pack your guts with fibre before heading to the start line, for obvious reasons.

On the eve of the race, switch to liquid carbs, like fruit juices or sports drink, in order to keep your stomach in check while continuing to get those glycogen stores stocked. Choosing the sports drink you will use during your race is a good idea the night before.
Spread Your Snacking Out

Aim to eat about five or six times per day, spread out, particularly if you have pre-race nerves and your digestion is slowed down. Focus on eating every three-four hours, but feel free to snack a bit in between and take in fluid.

See the carb load as the final fun workout

Just like training, view the carb load as a sort of food workout. Stick to your numbers, stay focused and see it as the final building block in order to have a big breakthrough in your goal race.

Rachel Hannah is a Pan Am Games medallist in the marathon and a registered dietitian.  Learn more about her HERE or book online HERE. 

 

If you have ever had the pleasure of talking with me about sport nutrition, you may have seen my eyes light up and and a big smile on my face as I passionately engage in conversation with you. That is simply because I absolutely LOVE talking about how nutrition can help you reach your athletic goals. I thoroughly nerd-ed out while researching this current topic for the dietitians at the Canadian Sport Institute, of how athletes can use ice slushy’s to keep them cool and increase their performance!

 

Why is Keeping the Body Cool Important?  

There are a few signaling pathways the body can use to increase feelings of fatigue. We all should know that low glycogen (carbohydrate stores) signal fatigue (aka when a marathoner “hits the wall”), but did you know that overheating will do the same thing? The body uses this as a safety mechanism in order to maintain a safe internal temperature. Therefore, exercising in extreme heat presents a few problems.

 

Problem 1. Increased heat results in increased sweating, which can make it difficult to maintain adequate hydration.

 

Problem 2. Dehydration increases core temperature and leads to increased use of glycogen.

 

Problem 3. Dehydration, increased core temperatures and low glycogen levels all lead to early fatigue and decreased performance.

 

To combat the effects of exercising in the heat, there are a few things to think about: stay hydrated as best you can, fuel appropriately with a good carbohydrate plan and lastly, try to slow the rate of increasing body temperature! Hydration in itself results in significantly lower body temperatures compared to letting yourself dehydrate past 2%, however sometimes in the extreme heat, cool water (or warm if its been on the fuel station for a while) might not be enough to preserve your performance. In this blog we will talk how incorporating an ice slushy can help you regulate your body temperature and perform better in the heat!

 

Pre or During Cooling with Ice

Pre-cooling strategies aren’t new and have been used to cool athletes prior to exercise in the heat. Strategies include arm, leg or full body immersion in an ice bath or using an ice vest. Sometimes these are not available or convenient (especially the bath!). Therefore, enter ice slushy! The main purpose of the drink prior to an athletic event is to drive the core temperature down before starting exercise, thus extending the time body temperature will rise to a critical high resulting in delayed fatigue. Pre-cooling provides a heat sink so during exercise more heat can be stored, and if ice is ingested during exercise it can reduce some of the heat storage even further.

 

 

Effects On Core temperature

The research consistently shows that the use of a pre-cooling protocol with an ice slushy results in reductions in rectal temperatures by 0.2-0.7°C. As the athletes began to exercise their core temperature was significantly lower for 25-40 minutes into exercise even when compared to precooling with cold water (4°C). If core temperature is measured from a pill, it results in reductions of core temperature from 1-2°C in upper gastrointestinal tract (Ihsan et al., 2010; Burdon et al., 2013; Stevens et al., 2013; Zimmerman et al., 2017). Pre-cooling seems to have a greater effect if done in a cooler environment, resulting in the best reductions in core temperature (Maley et al., 2018).

 

Performance

Ingestion of an ice slushy as a pre-cooling protocol seems to increase time to exhaustion (TTE) in the heat, as performance can increase 3-19% when compared to cool or room temperature water (4-37°C). (Siegel et al., 2010; Naito & Ogaki., 2017; Takeshima et al., 2017). Naito & Ogaki (2017) showed that pre-cooling with 1.25g/kg ice every 5min for 30min + mid-cooling with 2g/kg ice every 15mins resulted in 16% increase in TTE compared to same protocol with cold water (4°C). Research has also looked at the effect of timing of pre-cooling on cycling performance, where consuming ice after the warm up resulted in significant beneficial effect on performance vs a control beverage (37°C) (Takeshima et al., 2017).

 

Time trials can be improved by 1.7-10% for 10k run times (Mejuto et al., 2018) or 40k cycling (Ihsan et al., 2010). One study compared pre-cooling with 6.7g/kg ice ingestion split into doses consumed every 10minutes for 30minutes compared to water (27°C) showed there was a 6.5% better time trial performance in 40k cycle test (Ihsan et al., 2010).

 

Triathlons

Stevens et al., 2013 look at performance in triathletes in the heat. The trials included a 1500m swim, 1h bike at varied intensities, and a 10k self paced run, in which the 10k run was the performance measure. They consumed 10g/kg ice slushy (made with sport drink) or warm (32-34°C) sport drink during 15-45minutes into the bike portion of the trial, then drank as needed after that. The ice ingestion during the cycle resulted in 2.5% better run performance and was especially evident in the last 5km of the run, which is consistent with most research.

 

How Can I Use This?

7.5g/kg split into doses of 1.25g/kg/5mins for 30mins or 2.5g/kg/5mins for 15mins seems to be the most common protocol used and is well tolerated. The temperature of slushy’s should be -1- +1°C and can been made with plain ice, or sport drink ice cubes, which would be good for carbohydrate consumption for fueling purposes. Keep in mind individual fluid needs, but research also shows that ad libitum fluid intake is higher when a cold drink is offered. Pre-cooling with ice slushy’s should be done as close to exercise as possible, preferably post-warm up in the 15-30 minutes leading up to exercise to maximize the amount of time with lower core temperatures (Takeshima et al., 2017). You could also adopt a mid-cooling strategy to continue to cool your internal temperature.

 

Recipe:

Example for a 60kg person (60 x 7.5=450), pour 450ml of Gatorade into an ice cube tray and freeze. Add a splash of Gatorade and blend. Consume in 3 “doses” 5 mins apart (or sip on it for 15 mins). If you have a thermometer you could make sure it has reached -1-+1 °C for the best results.

Ideas: Freeze sport drink, diluted juice or sweetened coffee and enjoy prior to your event for your fluid, carbs and caffeine hit.

 

Reference:

Burdon CA, Hoon MW, Johnson NA ,Chapman PG, O’Connor HT (2013) The effect of ice slushy ingestion and mouthwash on thermoregulation and endurance performance in the heat. International Journal of Sport Nutrition and Exercise Metabolism.23 458-469

 

Ihsan M, Landers G, Brearley M, Peeling P (2010) Beneficial effects of ice ingestion as a precooling strategy on 40-km cycling time-trial performance. International journal of Sports Physiology and Performance. 5 140-151

 

Maley MJ, Minett GM, Bach AJE, Zietek SA, Stewart KL, Stewart IB (2018) Internal and external cooling methods and their effect on body temperature, thermal perception and dexterity. PLoS ONE 13(1): e0191416. https://doi.org/ 10.1371/journal.pone.0191416

Mejuto G, Chalmers S, Gilbert S, Bentley D (2018) The effect of ice slurry ingestion on body temperature and cycling performance in competitive athletes. Journal of Thermal Biology 72: 143-147

 

Naito T, Ogaki T. (2016) Pre-cooling with intermittent ice ingestion lowers the core temperature in a hot environment as compared with the ingestion of a single bolus. Journal of Thermal Biology. 59 13-17.

 

Siegel R, Mate J, Brearley M.B, Watson G, Nosaka K, Lairsen P.B (2010) Ice slurry ingestion increases core temperature capacity and running time in the heat. Medicine and science in sports and exercise. 42(4) 717-725

 

Stevens CJ, Dascombe B, Boyko A, Sculley D, Callister R (2013) Ice slurry ingestion during cycling improves Olympic distance triathlon performance in the heat. Journal of Sport Sciences. 31(12) 1271-1279

 

Takeshima K, Onitsuja S, Xinyan Z, Hasegawa H (2017) Effect of the timing of ice slurry

ingestion for precooling on endurance exercise capacity in a warm environment. Journal of Thermal Biology. 65 26-31

 

Zimmermann M, Landers GJ, Wallman KE (2017) Crushed ice ingestion does not improve female cycling time trial performance in the heat. International Journal of Sport Nutrition and Exercise Metabolism 26: 67-75

 

 

4 months later, and here we are!  With many of the fall races now officially cancelled, this article is even more relevant than when I originally started to think about this the topic of how much one should train in a time of uncertainty.  Of course there is the chance that something will happen race wise, whether it be in the form of a small group or virtual race.  In the meantime, knowing how much training you should do to maintain fitness is a key question.

No training at all 

With my last article, I looked at just how much fitness we can lose if we completely stop.  You can read the full thing HERE.  In summary, I discussed how:

  • You would likely lose 5-10% of your VO2max in a couple weeks
  • It would take a very long time to lose your running economy
  • The longer it takes the develop an adaption, the harder it is to lose it

How much is enough?

There are many reasons to be optimistic and to believe that non-optimal training will leave you not that far removed from your best performance.  But just how much is enough?

CLICK HERE to read the rest on the Run Waterloo Magazine 

To start things off, I just want to say I hope everybody is staying healthy and happy during this COVID-19 situation!

One of the biggest issues we have been tackling with athletes at H+P is just how hard should we be training right now. With no clear races in the foreseeable future, and the risk of burnout and injury going up when you are training at your FULL capacity over long periods of time, it definitely makes sense to decrease your training load for the time being. However, at what point are you decreasing things TOO much?

Where do you fit? 

Race-Training Ready 

All of the decisions about how to change your training comes down to a person’s individual circumstances and goals. For instance, somebody who is thinking about PB’ing a marathon the second we have finalized race dates will probably want to stay fit enough at a strategically decreased volume so that they are only a few weeks removed from a 12-16week marathon build.

Race Ready

On the other hand, somebody who tends to be exceptionally injury resistant and just enjoys high-level training might choose to keep training at a high level regardless.

Recovery Time 

Then, there might be the person who is prone to injury and burnout and may take this opportunity to detrain to a more significant degree, perhaps even including some major time off, saving their training weeks for when we have a definite set of races scheduled.

With whatever category or hybrid of categories above that you fall into, I am going to take a look at just how much you can expect to detrain at different levels of activity.  Before we get into the effects of training at a decreased volume, we must first look at how detraining actually happens when we do nothing. Understanding the basics of the physiology is not only super interesting (just me?), but it’ll help guide your decision making for how you manage your decreased volume and help you understand why you feel the way you do when you’re coming back!

 

CLICK HERE to read the rest on the Run Waterloo blog.

In light of the COVID-19 situation, we have some time until we know when our next A-race will be.  As a result, some athletes I work with have been analyzing their winter performances and workouts in an attempt to gauge their current fitness and make training plans moving forward.

As I have written about in the past, there are many things other than just your VO2max and running economy that impact what the clock shows on race day.  For instance, I’ve explored how heat slows you down, light shoes make you go faster, stretching slows you down, carbs make you run faster, courses with corners slow you down, how beat juice might speed you up… The list goes on!

With all of those factors, I think practicing a balanced, evidence-based implementation of their principles is important.  We want to have an educated idea of just how much each can slow you down, but also keep in mind the studies are limited in how accurately they apply to us.

With all this, let’s see what researchers show about how running in the cold impacts performance.  The interesting thing to me is that there just isn’t as much research out there as I thought!  Additionally, a key variable to consider is that a cold environment does not necessarily mean the individual is cold (actually often we can overheat by dressing too warmly).  On the other side of the coin, there seems to be more research on performing in the heat, and consistently we know that when it’s hot out, you’re actually going to be hot.  There are also other variables such as traction and weight of clothing that we have to take into consideration in real-world circumstances when running in the cold.   All that being said, let’s see what some of the studies out there show!

Click HERE to read the rest in the Run Waterloo magazine! 

Hello everybody! It’s been a while! With H+P and the clinic getting so busy, time has been lacking, but I’m hoping to carve out more space in 2020 to contribute regularly to my Training and Performance column.

For this article, I want to address a question that I have been getting from a few athletes in relation to the upcoming Re-Fridgee-8er: How much slower does running a loop course vs. a straight course make you?

Over the years, I’ve always tried to analyze athletes’ results in an evidence-based way, especially when it’s related to factors out of one’s control.

training and performance

Whether it be how much heat slows you down, or how heavy your shoes are, it’s good to be as precise as possible. This is crucial because for an athlete to improve by 5% (i.e. going from a 20 to a 19minute 5K), it requires a lot of training and dedication. As I’ve written about HERE, running in hot and humid weather can easily decrease performance by 5%. So if an athlete works hard to improve by 5%, races on a hot day, and runs the same time as they previously did on a cool day without an exact awareness of how much that heat impacted their performance, that can become a very demoralizing day when it should be seen as a positive sign of improvement.

How much do corners hurt?

Specifically, when it comes to corners, I’ve always safely assumed they are slower, but until now I have never actually looked into the exact impact they have. This is especially because I tend to lean toward recommending straight courses when my athletes are going for PBs, BQ’s etc.

There’s a lot of research out there on the topic, but here is the best summary I’ve come across, published in 2019.

….

READ THE REST IN THE RW MAGAZINE HERE

Our registered dietitian, Stephanie Boville, is in the process of being certified to accurately measure body fat percentage using the skin fold calliper technique (this is the gold standard- no more electrodes, no more guessing)!

As part of completing her program, she will conducting the test on 20 athletes free of charge ($60/ session normally).  This will provide a great baseline to see if you are making the gains you are aiming for.  If you are interested in learning more about Steph’s weight loss program to complement this, click here. 

Call (519)885-4930 or info@drdelanghe.com if you are interested

stephanie boville nutritionist registered dietitian-01-01-01

 

What is the certification?

It is through the International society for the advancement of kinanthropometry.
This certification has developed standards for practice in the area of measuring body composition and body measurements. This allows practitioners to compare and have equal athlete testing, thus decreasing the differences between different techniques. This course is designed for sport scientists, researchers and nutrition and health professionals to be able to accurately and precisely measure and interoperate body measures and skin folds.

What about my electronic scale?

Many places will have Bioimpedance analysis where you stand on and or hold electrodes and which will then estimate body composition. This works off of how quick the electric current goes through the body from electrode to electrode.  As a result, there is a high probability of error.  For instance, water content/ hydration status can cause fluctuations in readings.  Im addition, these systems back calculate the body fat percent which is riddled with assumptions and error.

Skin fold testing can precisely measure your overall body fat percent and is the gold standard for looking at body fat.

steph b

Why is this helpful to know?

Knowing your body fat percentage is a great way to quantitatively determine if your nutrition plan is helping to reduce your body fat as you approach your race season.

This information also help us to determine if you are adequately fed.  For instance, if you have gone through a period of severe energy deficit, this information is crucial for guiding good, healthy weight gain.   No more guessing if that weight you are gaining is muscle or fat!

However, this it not for everybody!  If you are struggling with body image and disordered eating this is not a test for you at this time. We test body composition to make sure you are in a healthy range and do not promote unhealthy restrictive dieting to achieve below average body fat percent. Body fat is necessary for a healthy body!

Call (519)885-4930 or info@drdelanghe.com if you are interested

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