Last year I went for VO2max testing and learned that my body was burning protein for energy and was in a state of catabolism. Nutritional blood markers suggested that I was not eating enough calories and that my muscles were glycogen depleted. Follow up blood testing showed that my endocrine system was out of whack with very low levels of vitamin D, IGF-1 and testosterone. Since that time, I have been struggling to get my body back into balance and find new ways to train to avoid ending up back in the same place. Several repeated blood tests over the course of 2011 showed no real change in nutritional markers or hormone levels despite increasing my calorie intake to first 3,000 and then 4,000 calories a day (easy to track with myfitnesspal). I quickly put on twenty pounds, but my body was still in a catabolic state. After my running season ended in October with a glorious day in the Grand Canyon, I decided to limit the length of time running on any given day to two hours or less for a couple of months to see if this would help. Finally, when the blood test results came back in January, almost a year after the first tests, the nutritional markers and most of the hormone levels were back to normal.
Prior to getting my test results and doing some research on the connection between endurance exercise and endocrine system, I wasn't really aware that there was a connection. I had heard of the female athlete triad (you can read about Anna Frosty's experience here), but I wasn't aware of the more general connection between exercise and hormones in athletes of both sexes. I have been reluctant to write about this experience on the blog since it is impossible to analyze my experience and understand what caused the problem in the first place or understand which if any of the various changes I made in nutrition and exercise habits that hopefully has fixed it. However, it did seem possible that endurance exercise or excess amounts thereof was at the root of the problem and if that is the case it seems likely that other ultrarunners may experience similar problems so I thought it might be helpful to link to some of the information I found on this subject.
There are publications in the scientific literature documenting a connection between endurance exercise and hormone imbalances although I couldn't find anything very useful in terms of how frequently this happens or how much exercise might cause it. Some exercise and fitness web sites advocate weight training to improve anabolic hormone production and avoid the "negative catabolic (breakdown) effect of hard endurance training". Ben Greenfield says that "hormonal deficits are the biggest problem among endurance athletes" and he advocates weight training and increased fat consumption to stimulate anabolic hormone production while replacing or minimizing long endurance training sessions with shorter higher intensity workouts to minimize the negative effects of endurance training. Lucho has posted a nice article from UltraRunning Magazine on his blog that describes the importance of the endocrine system for endurance athletes, although it doesn't address any of the specific imbalances that appeared in my tests.
I have made a variety of changes in order to try to fix the endocrine problems. In addition to increasing calories, I began taking vitamin D and magnesium supplements. I added weight lifting and sprint sessions to my workout schedule last year. Now that I have completed the Coyote Two Moon 100 miler, I currently don't have any races on my calendar for 2012 and am starting to experiment further with my training. I have continued the weight training sessions and am again limiting weekly long runs to two hours. I am running with a heart rate monitor for the first time in years see if that will improve the quality of the running sessions. The good news so far is that after two years of mostly running on tired and sore legs, I now have a lot of days where my legs really have a lot of energy. The jury is still out on whether or how that translates into performance at an ultra.
Any other endurance athletes out there with similar experiences?
Showing posts with label vo2 max. Show all posts
Showing posts with label vo2 max. Show all posts
Saturday, April 21, 2012
Friday, February 11, 2011
VO2 Max Testing
With some time off between jobs, I decided to indulge my curiosity and head to Seattle Performance Medicine (SPM) to have my VO2 max and lactate threshold tested. I had recently read Heidi Dietrich's report of her experience with the testing and being a scientist and a runner I couldn't resist getting tested myself. The test started with collecting baseline data. I was fitted with a mask and the air I was breathing out was measured for 15 minutes to analyze resting metabolism. Then I switched to the treadmill, keeping the mask on, for the VO2 max test which consisted of running at a slow pace (6 mph) as they gradually increased the incline. They will continue to increase the incline until you beg for mercy. At least hopefully they let you off at that point. At a 10% incline they also increased the speed to 6.4 mph which surprised me a bit. I am used to running uphill at slow speeds but I guess it made more sense not to draw the test out too long. I called it quits at a 15% incline. After a short break, it was time to get back on the treadmill and perform the lactate threshold test. This time the treadmill was held at a 1% incline and the speed was gradually increased and the test ended when they detected that I had crossed the lactate threshold which I think happened at a speed 9f 9.5 mph.
Analysis of the data collected showed that:
VO2max = 69 ml/kg/min
HRmax = 188 bpm
lactate threshold: HR = 176 bpm, %VO2max = 83%
The explanation provided was that these numbers were all good. I was surprised in particular that the lactate threshold occurred at 83% of VO2max which is a balanced ratio according to SPM. I would have expected a recommendation to try to increase the lactate threshold due to the preponderance of endurance training compared to interval training that I do, but according to SPM it is at the right place relative to VO2max.
The number that didn't make sense was that I reached the lactate threshold at a relatively slow pace. So despite the high number for VO2max, I was very inefficient in converting oxygen/aerobic energy into running speed.
An additional problem was identified from several of the tests. The resting metabolic test showed that I was burning excessive protein and that essentially my body was in a catabolic state. When I was running at low intensities, I was burning excessive fat relative to carbohydrate. Finally, although my maximum HR was good, my heart rate recovery was excessive (I didn't realize that could be bad!). All three of these results suggested that my muscles were depleted of carbohydrates.
Specific recommendations:
1) Increase post-workout carbohydrate fueling: 1.5 g carbohydrate/kg of body weight within 30 minutes of finishing workout, plus an additional 1.5 g carb/kg weight before 2 hours are up.
2) Perform a sprint lactate test to measure anaerobic capacity.
3) Perform blood tests for hormonal/nutritional markers.
4) Begin high intensity sprint and strength workouts to improve anaerobic system.
Final impressions:
I really decided to have the testing done on a whim and had not thought through what it would mean to get the results. The results really are just numbers. If you want to know how good a runner you are, do a few races and you will know where you stack up. But now that I have the numbers and the recommendations, I am very optimistic that I can use the results to significantly improve my training. I would not have realized I was under-fueling without the testing results. And my general approach to training has been to train more. I think the results of these tests suggest that adding more mileage is much less likely to be beneficial than will be increased strength and speed training. I would highly recommend the staff at Seattle Performance Medicine if you are interested in being tested. I will post a follow up in a few months with the results of the blood tests and my initial assessment of the sprint/strength workouts. Does anyone else have experience with this kind of testing that they are willing to share in the comments?
Links to other VO2 max testing reports:
Subscribe to:
Posts (Atom)
