"Легкоатлетического вестника ИААФ" 4-2009 - Московский ...

Средние и длинные дистанции
author’s opinion that one should not specifically
train for 15oo metres. The training should rather be
directed towards 800 metres, where if the blend is
correct a fast 800 metres and a fast 1500 metres
will be experienced. The rule that athletes should
train at times faster than racing pace applies to 5k
and 10k, and probably for marathon runners, too.
Roberts, W. O.
Heat and cold
Sports Medicine, 37, (2007), 4/5, pp. 400-403
The medical work load seems to increase both with
heat and humidity, and with cold and rainy conditions.
Heat tolerance during exercise is variable and
heat intolerance may contribute to collapse and
increase medical encounters. Exposure to cold, wet
conditions results in increasing incidence of
hypothermia in exhausted marathon runners. Finishline
encounters and course dropouts increase
as conditions cool and warm away from the most
advantageous conditions in the 4.4-15°(2 (40-59°F)
wet bulb globe temperature (WBGT) range. The risk
of requiring medical attention and not finishing rises
considerably when the WBGT is > 15.5°(2 (60°F).
Comparing the correlation coefficients of the Boston
Marathon and Twin Cities Marathon data suggests
that the risks of medical problems and not finishing
are associated with the warmest temperature of the
race and not the start temperature. The community
consequences of races conducted in hot and
humid conditions can be significant, particularly
when the WBGT is >15.5°C. The emergency medical
systems can be overwhelmed with a surge of
patients, some very ill, and the emergency call
response times drop to unacceptable levels blocking
access for the citizens of the community. With
respect to marathon encounters, heat stress
increases both the finish-line medical encounter rate
and the on course drop-out rate, and seems to
increase the incidence of hyponatraemia and heat
stroke. Cold conditions increase the drop-out rate
along the course and, if associated with wet conditions,
also increase the encounter rate.
Roberts, W. O.
Exertional heat stroke in the marathon
Sports Medicine, 37, (2007), 4/5, pp. 440-443
Exertional heat stroke (EHS) during or following a
marathon race can be fatal if not promptly recognised
and treated. EHS is a true medical emergency
and immediate cooling markedly improves the outcomes.
It is critical to recognise EHS and stop the
cell damage before the cascade of heat-induced tissue
changes becomes irreversible. The goal is to
keep the area that is >40.5°C under the body temperature
versus time curve at