Sunday 30 October 2016

Recovering Between Endurance Events

Repeat Performances

When it comes to feats of endurance, most people on the street could probably tell you that the Tour de France, Giro D’Italia and Vuelta a Espana are among the most demanding. Riders cover over three thousand kilometres (3,360.3 in the 2015 TdF) over the course of twenty-one stages, averaging about 40 km/hr, day in day out. Just one stage over mountainous terrain would present an incredible challenge to the fittest of club-level athletes, as riders typically must produce between 3 and 4 W×kg-1 for 4 hours or longer. However, what makes the athletes who compete in these events truly astonishing is their ability to deliver world-class performances day after day for three and a half weeks, with only two days off!
Because of this additional dimension the winners of the Grand Tours are not necessarily the most fit individual outright, rather, they are the athlete who is able to 1) recover between stages, and 2) save their energy for where it matters. The latter half of the equation for success relies on tactical prowess, thinking ahead to the unique demands of future stages and will be informed by the experience of the athlete and their support team. However, the ability to recover can be a multi-faceted and delicate operation. ‘Fitness’ definitely plays a role in recovery from high intensity exercise, a high VO2Max will mean increased ability to replenish muscular glycogen following an event and clear debilitating metabolites during the event1. There is also evidence to show that intense endurance exercise of just one hour can significantly reduce cardiac function, measured as the amount of contraction, filling and emptying the heart performs while at rest and during exercise. When looking at the individual responses to exercise it has been shown that factors such as aerobic fitness and training history are negatively related to the magnitude of cardiac dysfunction (i.e. the fitter you are the less damage you take).
Other ingredients to ensure ample recovery include Nutrition, Hydration, Therapy and most importantly – Sleep. Getting these right is the key to getting the most out of an athlete’s body for three weeks and is how cyclists like Chris Froome are able to produce over 400 Watts of power, at 90% of their maximum aerobic capacity for an hour at the end of Stage 1 and at the end of Stage 21.
On a far less impressive, but much more identifiable level, one weekend in May this year I competed in two triathlons on back-to-back days. Race one was the Nottingham Sprint Triathlon on the Saturday  (750-metre Swim, 20 km bike, and 5 km run), while the second race was in Shropshire, on the Sunday, and was an Olympic distance event: twice as long as the sprint distance (1500m swim, 40km bike, 10km run). Saturday’s event took place at the National Water Sports Centre at Holme Pierrepoint, Nottingham, on a flat course around the 2km long rowing lake. The field was fast across all age groups as this race was the first qualification event for the 2017 European Sprint Distance Championships, which meant it had attracted some of the fastest ‘age-groupers’ from across the country. The first four finishers in each age group who expressed interest in qualification for the Europeans would be selected to represent Great Britain at the event. Fortunately, my race went very well and I managed to grab the 4th qualification spot in a time of 1hr 00min 50sec.
Once I had finished the race I knew that if I wanted to have a chance to qualify in Sunday’s event I had to be methodical about my recovery routine… So the first thing I did? Drank two pints of beer! Now before you all start bringing a 6 pack to your next race I’m not giving you carte blanche to hit the pub after a race. No, this was special beer – Erdinger Alkoholfrei to be precise; an alcohol free isotonic recovery beverage. Essentially it tastes like beer (which I like) and is loaded with water, carbohydrates, and electrolytes and none of the alcohol which means it will rehydrate you more effectively than water. I sipped the drinks while sitting in the shade so as not to flood my recently traumatised and blood-deprived digestive system.



So, that was the first ingredient ticked – Hydration. Next on my list I needed to ensure that my muscle glycogen stores would be restored, and immediately following exercise is the best time to do this as many exercise-regulated glucose transporter enzymes would still be active along the membrane lining of my muscles – the sarcolemma. This meant that any glucose that found its way into my blood during this period of about 30 minutes was far more likely to be taken up by those muscles and converted to the long term storage molecule, glycogen – which I would need plenty of for Sunday’s race! When it comes to how much to eat after a triathlon I like to break down the energy demands of each leg and adjust from there based on how much I’ve eaten the preceding days and whether I’ve had any breakfast that day. Note: for shorter events I do not take on any carbohydrate during the race and rely on my body stores of sugar and fat for energy. However, while I believed it would likely negatively affect my race if I deviated from my usual routine e.g. by taking an energy gel mid-race, it may have meant that I could have potentially started Sunday’s race with higher glycogen stores. I would also point out that for longer events you can massively aid your recovery by consuming carbohydrate, as it will mean that you finish the race with higher muscle glycogen stores and get a head start on recovery. I worked out that I had used approximately 250 kcal during the swim, 450 kcal during the bike, and 350 kcal during the run. I started my nutrition replacement strategy with a high carbohydrate energy bar (Clif bar, blueberry crunch) and followed shortly with a high protein and carbohydrate energy bar (Bounce ball, coconut). This gave me about 600 calories, mostly of high glycaemic index carbohydrate (which would soon find its way into my quads, hamstrings and calves!) with about 10 grams of extra protein from the Bounce ball to stimulate muscle repair and reduce my hunger levels2. Additionally, the antioxidants in the blueberries and Bounce ball may have helped repair oxidative stress, caused by the high intensity exercise.


Following the race I had essentially replaced all the calories I expended and needed to focus on the second 2 ingredients – Therapy and Sleep. Fortunately, at the event were Birmingham University College’s Sports Therapy undergraduate students, who provided free massages to competitors. I managed to get a good, if slightly agonising, sports massage which was focused on my quadriceps and calves, as these tend to be the most painful for me following a race. I also had brought along my foam roller and various massage tools which I used that evening to loosen off the stiffness that settled in during the drive from Nottingham to Ellesmere that afternoon. I travelled over to Ellesmere with my girlfriend, Claire, who had also competed that day in Nottingham, although her race hadn’t started until 1:00 pm. Clearly this 4 hour wait in the sun was not ideal in terms of recovering for Sunday, but I managed to mitigate any potentially damaging effects by preparing my nutrition and hydration in advance, bringing sufficiently cool clothing to wear post-event, preparing my own sports therapy equipment and techniques, finding out if there would be post-race massage (preferably free!), and ensuring my equipment was still in working order for the next day’s event. This meant that for the time between our events my main goals were to:
1)    Move as little as possible to conserve energy,
2)    Stay out of the sun to avoid overheating, slowing recovery,
3)    Stay hydrated and well fed moving on to lower glycemic load foods in the hours after my race. And finally…
4)    Cheer Claire on as she was also trying to qualify! (She did!)

I must point out that the transition between the two races is where Claire really saved my bacon as she did all the driving from Nottingham to Ellesmere (about 2 hours down twisty country lanes), carried my bags to our hotel room, drove us to dinner and back home! For dinner I had a high carbohydrate meal of seafood risotto and consumed plenty of fluids. Hydration is such an important aspect of recovery as during an event, especially a hot one, you will inevitably sweat a lot and a large amount of this fluid comes from your blood plasma. This means that your total blood volume is reduced. As a result, you have less fluid available in your blood vessels to send to the skin to cool your core temperature, and less blood to fill the ventricles during the filling phase of heart beats. Ultimately, this results in blood flow to the major muscle groups being reduced, insufficient oxygen delivery and usage, and diminished exercise performance. I did NOT want this on Sunday, so I drank my water and electrolyte drinks to make sure I maintained adequate hydration. One practical way of checking this was, disgustingly as it may sound, to monitor urine colour – too clear would mean that my body was excreting mostly excess water and I was over (hyper) hydrating, too dark would mean that I was severely dehydrated. The recommended colour is pale straw so that’s what I aimed for.




 Now, I previously mentioned that sleep was the most important aspect of recovery, you may have heard the adage that it’s not the sleep the night before the race that’s important – it’s the night before the night before. This claim certainly has some scientific merit as several studies have shown that exercise performance is not diminished following one night’s sleep deprivation, although perceived exertion may be higher3. However, while I was well aware of this I was also keenly aware that little research had been done on sleep quality during consecutive events and wasn’t taking any chances. Unfortunately, our room for the night was in a pub, above a bar, and it was karaoke night. It was a very nice room, and the bed was very comfortably, but it offered little protection from the onslaught of merry singers. Luckily, Claire came to the rescue again with a pair of ear plugs for me – she had prepared a lot better than I had! I ended up sleeping very soundly and at any rate was knackered after being up and about since 5am. Sunday’s race started at a leisurely 10:30am, that gave me plenty of time to get 8 hours sleep and walk 10 minutes down to transition in the morning.
The second race went very well and I knew that I had recovered well after exiting the swim and seeing I had swum just over 20 minutes, slightly faster than the day before. I also managed a slightly higher average power output on the bike, despite the distance being twice as long and actually put in one of the quickest bike splits of the day. The run however, did not go so well! The course was very hilly and most people found it difficult to get into a rhythm, especially if like me you have no natural rhythm. This made the eventual winner’s run split of 35min 00sec even more impressive, he was a solid 8 minutes ahead of the second athlete by 3km into the run and extended his lead to 10 minutes by the end! Meanwhile, I had started the first 5km averaging close to 3:45 min/km but soon after the halfway point of the 10km run leg something inside me died and I could only jog to the finish at a speed of ~4:15min/km. Fortunately, the work I had put in on the swim and bike meant that I finished 3rd in my age group, 9th overall and bagged the first qualification spot in my age group. So I had done it – achieved what was a bit of an overly ambitious goal of meeting both qualification criteria on consecutive days, I will now represent Great Britain in both the Sprint and Standard Distance European championship events next year. I’m convinced that my strict recovery routine is what let me get to this point as following the second race I threw that routine out the window, had a Snickers bar, several pints of non-alcohol-free beer and fish and chips for dinner to celebrate. Surprise surprise - I felt incredibly rough, battered and bruised the next day. Thankfully it was a Bank Holiday Monday and I didn’t need to do anything other than put my feet up and stuff my face with delicious cakes made by Claire’s mum.
Thank you for reading this blog post! If you have any questions please drop me a comment or email (james.donaldson@canterbury.ac.uk).

James







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