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UKA/London Marathon Altitude Programme ... - Fidal Lombardia

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6.<br />

CASE STUdy:<br />

hELEN CLIThErOE,<br />

IMpACT OF ALTITUdE TrAINING<br />

ON hEr phySIOLOGICAL prOFILE.<br />

Some of the physiological factors<br />

that are known to be related to<br />

endurance running performance<br />

include: maximal O2 uptake (VO2max),<br />

running economy, and the fractional<br />

utilisation of the VO2max (which is<br />

itself related to markers of blood<br />

lactate accumulation during exercise,<br />

including the lactate threshold<br />

(LT) and lactate turn-point (LTP).<br />

Physiological laboratory testing<br />

measures these factors and repeated<br />

testing provides information on<br />

progression of these key markers<br />

as well assessment of recent<br />

training prescription (including the<br />

impact of training practices such<br />

as altitude training). This brief case<br />

study of Helen Clitheroe is to provide<br />

a specific example of the impact<br />

altitude training can have on the<br />

physiology of an athlete with particular<br />

reference to racing performance.<br />

<strong>Altitude</strong> training<br />

From a physiological perspective<br />

the main benefit of altitude training<br />

is to increase the number of red<br />

blood cells (haemoglobin mass).<br />

Red blood cells are the vehicle by<br />

which oxygen is delivered round<br />

the body to the working muscles; in<br />

general terms the more red blood<br />

cells the greater the aerobic work<br />

capacity. For example an increase in<br />

haemoglobin concentration of 0.3 g/<br />

dL will theoretically result in a 1%<br />

improvement in VO2max. There are<br />

also other physiological benefits<br />

from living and/or exercising in a low<br />

oxygen environment. For example<br />

altitude training can generally<br />

enhance many other key aerobic<br />

elements such as increased capillary<br />

number and length, increased<br />

number of mitochondria, improved<br />

blood lactate removal and improved<br />

muscle buffer capacity to name a few.<br />

physiology of helen Clitheroe<br />

Helen has had physiological testing<br />

completed for a number of years<br />

that consists of a warm up of 10 min<br />

followed by a multi-stage incremental<br />

treadmill protocol, typically involving<br />

5-7 exercise stages, each of 3 min<br />

duration. The test is designed to<br />

monitor progression in key variables<br />

(see above) and also to generate<br />

Blood (La) (mM)<br />

10<br />

8<br />

6<br />

4<br />

2<br />

0<br />

Table 1: Key physiological markers over a series of tests.<br />

<strong>UKA</strong>/<strong>London</strong> MARAthon (LM) ALtItUde tRAInIng CAMP AnnUAL RePoRt | 9<br />

accurate training zones by measuring<br />

blood lactate concentration, heart<br />

rate and oxygen uptake throughout<br />

the test. Shifting the LT and/or LTP<br />

to a higher speed is an important<br />

goal of endurance training. The<br />

lactate concentration at any speed<br />

should be lower (downward shift in<br />

the lactate curve) and the LT and<br />

LTP should occur at higher speeds<br />

(rightward shift in the lactate<br />

curve) with endurance training. In<br />

addition, HR should be lower for a<br />

given speed (downward shift in HR<br />

curve). Figure 2 and Table 1 detail<br />

(La)-Mar 11 (La)-Dec 10 (La)-Jan 08 (La)-Mar 07<br />

HR-Mar 11 HR-Dec 10 HR-Jan 08 HR-Mar 07<br />

13 14 15 16 17<br />

Speed (km/h)<br />

18 19 20 21<br />

Figure 2: Aerobic profile over a series of tests.<br />

Test: 1 2 3 4<br />

date: Mar-11 dec-10 Jan-08 Mar-07<br />

Body mass (kg): 57.4 58.4 59.0 58.9<br />

LT (km/h): 17.0 16.5 16.0 16.0<br />

LTP (km/h): 19.0 18.5 18.0 18.0<br />

Economy (mL O2/kg/km): 214 207 199 199<br />

VO2max (mL/kg/min): 76 73 70 66<br />

200<br />

150<br />

100<br />

50<br />

0<br />

Heart Rate (beats/min)

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