Tag Archives: health

Endurance: the ultimate test of physiology.

For a beginner runner to get into running because in 6-12 months they want to run an ultra-endurance race (or even a marathon) is—to put it mildly—folly.

There’s a reason the marathon is the final event in the Olympics: It’s by far the hardest. A recent The New Yorker article reports on one athlete trying to describe the experience of running a 2:10 marathon: “You feel like you will die. No, actually die.”

There are fundamental differences between the endurance sports and the power sports. Oftentimes, when discussing these differences, people think about what gives an athlete a competitive edge: for power sports, it’s higher concentrations of Type I muscle fibers. For endurance sports, it’s more mitochondria, and a greater oxygen carrying capacity.

This is important, but it’s not what I’m talking about. I’m talking about understanding the endurance sports by attempting to discuss what “endurance” is—not human endurance, or endurance at sports, but rather what “endurance” means in a fundamental sense. And for that, I find it best to discuss extremes.

Take a power sport: the 100 meter sprints, for example. Usain Bolt is a phenomenal athlete. There’s no question about it. And there’s no question that there’s a certain glory to be had in being the fastest human being on the planet—glory that is simply not available to the marathoner. Let’s set that aside. What would have to happen for Bolt to be unable to continue competing?  In other words, what would “catastrophic system failure” mean for Bolt?

My answer is: an ACL injury, or a torn hamstring, probably. In other words, something breaks.

Now let’s look at the marathon. Rarely does something break in that way in the endurance sports. There’s plenty of microdamage—achilles tendinitis, stress fractures, chronic fatigue, etc. But when something breaks, truly breaks to a point where the person cannot compete (in the “catastrophic system failure” sense discussed above), what does that look like? It’s typically the entire system that fails. Take a gander at a list (compiled off the top of my head) of the quintessential ailments you see in a marathon:

  • Extreme dehydration
  • EAH/EAHE (Exercise Associated Hyponatremia/Hyponatremic Encephalopathy)
  • Heart attack
  • Kidney failure
  • Heatstroke
  • Respiratory infections

What these issues all have in common is that they’re systemic failures—they’re what happens when the body as a whole, rather than a specific part (say, the hamstring) can’t cope with the event. In other words, they’re what you get when the body starts to come apart at the seams.

The best way to think of this difference is that when you bust a hamstring (or even break your spine in certain places) you can still use your body as a whole except for the part you broke. But when you get any of the illnesses that typically occur during a marathon, it’s the entire body that is put out of commission—sometimes permanently.

To put it simply, we can think of speed and power as a question of how powerful the body is. And while speed and power have tons of importance in the endurance sports, we can say that endurance is primarily a question of how good the body is at holding itself together. In other words, endurance is a test of the body’s fundamental integrity: of how much stress can you subject it to for how long without any substantial collapses in any critical processes.

And this is the main difference between the endurance and the power sports. In the power sports, the body has to be very, well, powerful, but it doesn’t have to be all that good at holding itself together—at least not in ways that relate to the ailments described above. After all, the power sports only ask the body to perform for a few moments: it stops before it becomes dehydrated, or before enough lactate builds up that the kidneys fail, or before the lungs become stressed enough that they become susceptible to infection (etcetera, etcetera).

But that’s not the case in the endurance sports. The body is going to be in activity for a very long time. If any of its systems (respiratory system, cardiovascular system, etc.) are working at different rates, some of those systems are going to get tired first. This is a problem: those systems were only active in the first place is because they were providing a critical service to the body’s endurance performance.

When one of those systems fails, some critical process associated with it also stops. If the body continues activity in this state, critical processes start falling like dominoes. And the body starts coming apart at the seams.

It’s not that endurance sport are “better” or “more of a sport” than power sports. But it is the case that being highly successful at an endurance sport takes much more time, much more consistency, and much more athletic maturity than to be highly successful at a power sport. This is why, for example, it is not uncommon to see 19 and 20 year old athletes competing in power sports at the Olympic level—the 400m, the 1500m, etc.

It’s usually those very same athletes who, 10 or 15 years later, are running marathons. Once their athletic career was already taking off, it took their body an additional 10 to 15 years to be physiologically organized and cohesive enough to run a marathon.

On the other hand, any athlete who is seriously contending for a medal at an endurance sport at 20 years of age, is a unicorn. Either they’re already so athletically mature that they’ll have a wildly successful career ahead of them, or they have already pushed themselves so far, so fast, that decades of chronic illness and overtraining are already on the horizon.

The benefits of developing a healthy, dialectic relationship with pain.

One way or another, most of us have an unhealthy relationship with pain. Either we’re scared of it, or we try to overcome it. In both situations, pain is the enemy. But our relationship with pain doesn’t have to be of enmity. If we understand it, it can become a great asset in training and in life.

This especially goes for runners: we’ve become socially conditioned to believe that running is just painful. According to society, when you run, pain is gonna happen anyway, and because running “is injurious”—it’s just that way—well, there’s no point in listening to it, to what it’s telling us about our bodies, and figuring out how to modify our running accordingly. Because running is injurious, our body will break at some point, so we might as well just wait until something happens and then go see the physical therapist.

But pain itself can help us guard against injury. We just have to get to know what it’s telling us.

Continue reading The benefits of developing a healthy, dialectic relationship with pain.

The irony of the “fitness” identity: a praise of CrossFit, and a critique of its founder.

CrossFit, in name and on paper, is an excellent form of exercise. CrossFitters achieve fitness through emphasizing the mobility and functionality of the body across many varieties of athletic skill. In my opinion, the most physiologically sound version of a human body is one in which its strengths and abilities are expressed alongside a capacity for sustained, safe, and healthy endurance running. CrossFit doesn’t emphasize the development of the “aerobic engine” necessary for that kind of endurance running. That may be my one complaint against the sport. That aside, CrossFit is as good as it gets.

As a runner, I live with the hopes of becoming fast, regardless of who’s next to me, or where I go in the world. Because of that dream, the training philosophy of CrossFit—and many of its exercises—have become a staple of my training. My simplest interpretation of the CrossFit philosophy is that a single-event athlete will be better at their best event if they are a multiple-event athlete. In other words, ability has to be cultivated across a breadth and depth of skills, for “fitness” to emerge. As the website says:

“By employing a constantly-varied approach to training, these functional movements at maximum intensity (relative to the physical and psychological tolerances of the participant), lead to dramatic gains in fitness.”

It’s there in the name: CrossFit.

Ever since hearing of CrossFit, I do more and more classic weight exercises such as the barbell squat—and have consistently made gains in speed, power, and endurance over “purer” runners. I’ve incorporated jumping rope as the ultimate plyometric and cognitive exercise: the amount of repetitions that you can put out during a jump-rope session do wonders in honing your body’s ability to exert force against the ground, and receive it safely.

CrossFit’s definition of “fitness” is the most useful I’ve ever heard of—or that CrossFit is aware of, too; it says it right there on the website. “Fitness” is defined as:

“Increased work capacity across broad time and modal domains. Capacity is the ability to do real work, which is measurable using the basic terms of physics (force, distance and time). Life is unpredictable (much more so than sport) so real world fitness must be broad and not specialized, both in terms of duration and type of effort (time and modal domains).”

This is a great definition. I can’t visualize a world where CrossFit practitioners would be anything but the supreme examples of health, if that philosophy (and this definition of fitness) were followed to the letter, and taken to their logical extreme. I’ll begin by breaking down their philosophy—(I’ll do the definition of “fitness” in a bit)—so you can see why:

Employing a constantly-varied approach to training. Taken broadly enough, this means that the concept of “training” can easily be expanded to encompass activities that aren’t typically known as “exercise.” Nutrition, for example. Developing the functional components of nutrition would be a boon to the athlete’s net power output. Seeking spiritual, social, and emotional health for their purely functional benefits, is perfectly encompassed under this philosophy.

I think back to Chris McDougall’s book, Born to Run, in which he quoted the kinds of advice that legendary track & field coach Joe Vigil would tell his athletes: “Do something nice for someone.”This is a varied  approach to training. And a coach like Vigil would only incorporate it because it helped take his athletes to another level of athletic achievement. (These kinds of “unorthodox” approaches are common across the 1% of the elite: Bruce Lee trained “breaking habits,” and when that became a habit, he would break that one too).

Let’s analyze the phrase “movements at maximum intensity, relative to the physical and psychological tolerances of the participant.” This phrase implies a systemic understanding, in which the athlete is not perceived to be a machine, but a person with a unique reality, a unique set of circumstances, that can influence their athletic output at any given time. This is a call to empathy for of the trainers, and a call to self knowledge for the athletes.

Let’s move on to the definition of fitness: “Increased work capacity across broad time and modal domain.” On the surface, this means that the athlete should have speed, power, and endurance.

But let’s look at the definition a little bit more deeply. Especially in conjunction with the phrase “relative to physical and phsychological tolerances,” I could easily argue that one such “broad time domain” is a lifetime. In other words, embedded within the very definition of “fitness,” as put forth by CrossFit, is the argument that health entails fitness: there must be health if the athlete will be “fit.” Under that definition, losing “fitness” because of a lack of health means that what seemed like fitness wasn’t fitness, but was instead a façade—a social performance of fitness that broke down under the assault of time.

Only in view of that impressive philosophy can this next part be so damn ironic. I recently read a New York Times article critiquing the obsession of Westerners with physical fitness. The article quoted extensively from an interview with Greg Glassman, CrossFit’s founder. The NYT article’s critique of the fitness craze centers around Glassman’s 2005 admission that CrossFit had become a breeding ground for an exercise-induced condition called rhabdomyolysis, which can lead to kidney failure. According to the New York Times article, Glassman viewed the rampant “exertional rhabdo” problem as part of CrossFit’s “dominance over traditional training protocols.”

This is absurd—and not only in reference to a “reasonable person’s” idea of fitness.

The idea that a dangerous kidney condition is a marker of fitness goes against CrossFit’s stated definition of fitness—the potential for increased work capacity across broad time and modal domains. Furthermore, persevering through exercise despite the onset of rhabdomyolysis is a serious breach of the idea that intensity should be measured relatively to the physical and psychological tolerances of the participant.

But wait! There’s more.

According to the NYT article, Glassman also wrote: “Until others join CrossFit athletes in preparing…the exertional rhabdo problem will be ours to shoulder alone.”

You just can’t make this stuff up.

Glassman’s writing reminds me of something I read in a book called The China Study, about the physiological effects of eating animal protein (specifically, of its contributions to cancer and heart disease). In that book, the authors quoted a physician saying that heart disease was the burden of man, and that only “the effeminate” would pursue other, healthier, avenues of eating to escape it.

In these two examples, these “experts” on health have structured their identity around the ill effects of their chosen activities! When the marker of being “a man” is heart disease, it becomes impossible for anyone subordinated to those social circumstances to seek a healthy lifestyle.

Similarly, if it is the presence of exertional rhabdo that makes CrossFit so “superior”—at least in the eyes of its founder—then the presence of rhabdo in the athlete quite naturally becomes the high watermark of achievement. In direct opposition to the stated philosophy and mission of his fitness empire, Glassman has set up a dangerous situation for his followers: if they haven’t suffered the ill effects of exercise, that means they haven’t been training hard enough!

The problem here isn’t CrossFit. It is the discrepancy between what CrossFit proposes on paper and what its founder touts as the “CrossFit identity.” This should serve as yet another reminder of the fact taht there is often an abyss between what a particular training regimen does for us, and what it is supposed to do. Often, the problem isn’t in how we follow it, but in how we don’t—or more specifically, how we overshoot.

If the reasons for which we overshoot are based on a set of social beliefs that we have created around us—that have long since been divorced of any knowledge of the world (or were never based on that knowledge in the first place)—we are treading dangerous waters. Often, we can’t even see them. Not when it counts. We might be able to laugh at those ironies over a couple of beers, but once in the gym, they will consume us and guide our efforts. If we have taken an identity upon ourselves, all of our exertions will be in service of that identity.

And if that identity centers around illness or overtraining, it doesn’t matter what athleticism we have cultivated as a short-term side-effect of our exertions. We will lose it.

We live and train in social systems. Often, those systems do no favors to the physical, psychological and biological systems on which our athletic output is predicated. Our identity—which is based largely on the demands of that social system—will shape our choice of exercises, the intensity, duration, and frequency with which we do them, and the efficiency of our rest and recovery. What’s on paper never reflects the reality of the situation. The social system, via our identity, informs the effectiveness of our athletic development. 

Let’s make sure that social system, and that identity (or lack thereof), is the right one.

UPDATE: For an answer to the NYT article critiquing “extreme fitness,” see this Outside Magazine article. I’d love to hear your thoughts and answers to any of these articles, and this blog post, in the comments.

An internet encounter with static stretching.

Yesterday, while I was browsing Facebook, I happened to click on a link that advertised the 30 best premium WordPress themes. Curious, I started to browse through the list, and I came upon one that I was curious about: “spartan,” which has a nice internet-mag style layout.

As I looked at the live preview—nothing fancy; just catchy headlines, stock images and lipsum text—I scrolled down and saw that one of the example articles had a headline that read: “Don’t forget to stretch after your workout!”

Continue reading An internet encounter with static stretching.

The tales of forgotten subsystems, part I: The Fasciae

People typically think that becoming a stronger runner is all about training muscles, tendons and bones. It’s not.

It’s mainly about developing the connective tissue that holds them together.

Runners don’t dread getting injured by twisting their foot, or by becoming concussed, (even though those things do happen). Most “runner-specific” injuries are blown knees, torn ACLs, lower back pain, plantar fasciitis. All these injuries have one thing in common: they occur because the body was subjected to excess repetitive shock.

What do we typically say to this?

We say: let’s strengthen the muscles, tendons and bones (besides the usual “what did you expect? You went running”). But that advice is inaccurate, and largely useless.

That advice doesn’t take into account the existence of what is cumulatively one of the largest organs, whose main structural function besides connecting other tissues happens to be absorbing the mechanical stresses applied to the body.

Continue reading The tales of forgotten subsystems, part I: The Fasciae