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Differences in Training and Health Characteristics Between Trail Ultrarunners and Shorter Distance Runners

  • Aubrey M. Armento
    Correspondence
    Corresponding author: Aubrey M. Armento, MD. Sports Medicine Center, Children’s Hospital Colorado; Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO
    Affiliations
    Sports Medicine Center, Orthopedics Institute, Children’s Hospital Colorado, Aurora, CO

    Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO
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  • Karin D. VanBaak
    Affiliations
    Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO

    Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO
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  • Corrine N. Seehusen
    Affiliations
    Sports Medicine Center, Orthopedics Institute, Children’s Hospital Colorado, Aurora, CO

    University of New England College of Osteopathic Medicine, Biddeford, ME
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  • David R. Howell
    Affiliations
    Sports Medicine Center, Orthopedics Institute, Children’s Hospital Colorado, Aurora, CO

    Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO
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Published:February 08, 2023DOI:https://doi.org/10.1016/j.wem.2022.12.002

      Introduction

      The primary aim of the study was to compare select training and health characteristics between ultramarathon and shorter distance runners participating in a trail race series.

      Methods

      A questionnaire was sent to all participants who signed up for a trail race series, including distances of 10 km, half marathon, 50 km, 80.5 km (50 mi), and 100 km. There were 59 participants (27 ultramarathoners and 32 half marathon/10-km runners) who completed the questionnaire. We compared the training and health characteristics between groups using t tests and Fisher exact tests.

      Results

      There were no significant differences in reported history of stress fracture (15% vs 9%; P=0.70) or sleep quality scores (4.4 vs 5.5; P=0.15) between the ultramarathon and half marathon/10-km groups. Over half of both groups reported trying to change body weight to improve performance, without significant differences between groups (65% vs 53%; P=0.42). A significantly greater proportion of the ultramarathoners reported an episode of binge eating in the 4 wk preceding the race (38% vs 3%; P=0.001).

      Conclusions

      Despite differences in training volume, we did not find different injury, sleep, and nutrition data between the ultramarathoners and half marathon/10-km runners, with the exception of more ultramarathoners reporting binging behaviors in the 4 wk leading up to the race. Screening for eating disorder behaviors should be considered in distance runners, particularly ultrarunners.

      Keywords

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