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Low ventilatory responsiveness to transient hypoxia or breath-holding predicts fast marathon performance in healthy middle-aged and older men.

ABSTRACT: The aim of this study was to test the utility of haemodynamic and autonomic variables (e.g. peripheral chemoreflex sensitivity [PCheS], blood pressure variability [BPV]) for the prediction of individual performance (marathon time and VO_2max) in older men. The post-competition vasodilation and sympathetic vasomotor tone predict the marathon performance in younger men, but their prognostic relevance in older men remains unknown. The peripheral chemoreflex restrains exercise-induced vasodilation via sympathetically-mediated mechanism, what makes it a plausible candidate for the individual performance marker. 23 men aged ≥ 50 year competing in the Wroclaw Marathon underwent an evaluation of: resting haemodynamic parameters, PCheS with two methods: transient hypoxia and breath-holding test (BHT), cardiac barosensitivity, heart rate variability (HRV) and BPV, plasma renin and aldosterone, VO_2max in a cardiopulmonary exercise test (CPET). All tests were conducted twice: before and after the race, except for transient hypoxia and CPET which were performed once, before the race. Fast marathon performance and high VO_2max were correlated with: low ventilatory responsiveness to hypoxia (r = - 0.53, r = 0.67, respectively) and pre-race BHT (r = - 0.47, r = 0.51, respectively), (1) greater SD of beat-to-beat SBP (all p < 0.05). Fast performance was related with an enhanced pre-race vascular response to BHT (r = - 0.59, p = 0.005). The variables found by other studies to predict the marathon performance in younger men: post-competition vasodilation, sympathetic vasomotor tone (LF-BPV) and HRV were not associated with the individual performance in our population. The results suggest that PCheS (ventilatory response) predicts individual performance (marathon time and VO_2max) in men aged ≥ 50 yeat. Although cause-effect relationship including the role of peripheral chemoreceptors in restraining the post-competition vasodilation via the sympathetic vasoconstrictor outflow may be hypothesized to underline these findings, the lack of correlation between individual performance and both, the post-competition vasodilation and the sympathetic vasomotor tone argues against such explanation. Vascular responsiveness to breath-holding appears to be of certain value for predicting individual performance in this population, however.

SUBMITTER: Paleczny B

PROVIDER: S-EPMC8119959 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:Psychological variables such as motivation, self-efficacy, and anxiety have been widely studied in marathon runners, usually within the framework of Bandura's theory of self-efficacy. It is also assumed a link between self-perceived fitness and physiological performance parameters such as speed at ventilatory thresholds and running economy. The purpose of this paper is to describe longitudinal trends of self-perceptions and examine their link to physiological performance parameters over time. Sixteen healthy recreational marathoners (8 males and 8 females), aged M = 37.6 (SD = 3.9) who were about to participate in a major marathon agreed to participate. After 3 months of regular training and competition in shorter distances, all participants trained during a 16-week macrocycle under the supervision of the same coaching staff. At 4-week intervals, the participants responded five times the Podium questionnaire, measuring self-perceived psychological state relative to the upcoming race, and performed five exercise performance parameters tests. Linear mixed-effects models were used to analyze the trends and associations. In general, Podium questionnaire scores were within the standard range, with the lowest values at the beginning and the highest values closer to race day. Although only perceived fitness (p < 0.001, Cohen's f 2 = 1.19) and somatic anxiety (p < 0.001, f 2 = 0.32) showed large effect sizes for the whole longitudinal period, other partial increases were found between time points. All physiological performance parameters presented significant improvements over time (Aerobic Threshold speed, p < 0.001, f 2 = 1.04; Anaerobic Threshold speed, p < 0.001, f 2 = 0.498; Running Economy in VO2, p < 0.001, f 2 = 0.349; Running Economy in energy, p = 0.024, f 2 = 0.197). The analysis of changes between consecutive time points revealed that improving perceived physical condition predicted improving self-efficacy (p < 0.001, f 2 = 1.33), and improvements in motivation were predicted by improvements in either self-efficacy (p < 0.001, f 2 = 0.36) or perceived physical condition (p = 0.003, f 2 = 0.17). Improvements in perceived fitness, self-efficacy and motivation were associated with small effect-size improvements (decreases) in anxiety. None of the physiological performance parameters was shown to predict changes in psychological variables, although their general trends over time correlated. The results have practical implications for sport psychologists and running coaches, supporting the need for integrated working.

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Low ventilatory responsiveness to transient hypoxia or breath-holding predicts fast marathon performance in healthy middle-aged and older men.

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