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Supporting your marathon running training

Once you’ve made the decision to enter an marathon or endurance race of any kind, the same is true for all sports in general for that matter and that is don’t let all the hard work and effort be wasted by not staying adequately fueled and hydrated outside the gym or off the track.

We can only train as hard and as often as we can recover from! We all have an upper limit known as our maximal recoverable volume (MRV), which suggests how much quality work we can do and actually recover from to actually progress in our training. Can you do more in your training and improve? If yes great, but if you get worse then this is likely higher than your current MRV and you should look at decreasing the volume you’re doing and then look at how your training schedule is set-up and balances volume and intensity to see if there is any room for improvement, as well look into your nutritional protocol, hydration, sleep, recovery strategies, job commitments and current stress load all of which can chip away at the upper limit of our MRV. If any of these factors are sub-optimal then you can expect a decrease in training intensity and an ability to recover from training, which will impair training frequency and therefore overall results.

 

Try to have all the foundational factors in place for a consistent period of time before looking at advanced ways of improving as 99% of the time if you haven’t got the basics on your side the specific nutritional supplement (unless deficient) or training exercise variation won’t help you progress.

Now a few huge factors affecting our recovery from hard training such as:

  • Ensuring we’re at least eating a calorie maintenance level of food (eating enough food to control our body weight and fuel all the additional exercise we’re doing to hold our weight static). It is a bad idea to use endurance events as a weight-loss method which many people do every year, I always seem to find clients at the gym who want help with their weight-loss goals and have already signed up to half and full marathons. What I suggest to my clients if they really want to train for an event is to be close to your goal weight before starting your training plan. This way we can enjoy the process of training and fuel accordingly for it and not worry about maintaining a calorie deficit to lose body weight, which will impact performance negatively as fatigue will be accumulated faster or your bodies ability to buffer fatigue will be diminished and if this is your first event/race the chances are you won’t be able to enjoy it and the whole experience will be a struggle. Probably making you feel like you never want to do it again and it was a horrendous ordeal, which isn’t what we want, we want people to enjoy exercise and want to come back and do it again with a high level of compliance. Now I’m not saying I’m against competing or entering races, I’m just emphasizing that getting fit enough to train for an event should be the goal and not jumping straight into the deep end.

 

  • Next tip is to use your training sessions as practice for race days. What I mean by this is to practice how you plan to keep yourself hydrated and fueled throughout the race. In the closing stages of your training plan you should already know what you will be using on race day and be implementing it in your long training sessions. What you don’t want to happen is be trying a new strategy on race day and finding out you have an energy crash because you missed timed your carbs or failed to stay hydrated because you haven’t run in hot conditions etc. By the time you get to race day you should have a pretty good idea at what your strategy is and how you go about fueling and staying hydrated throughout the race, think about timings of fluids, electrolytes and carbs as well as being comfortable with the source you get your energy from, avoid sources that give you digestive complaints etc.

 

  • Sleep is vitally important for our recovery from exercise, we estimate that the average person needs between 7-9 hours each night of good restful sleep, the pro’ have the luxury of being able to nap during the day as well which is great but not something we can expect to do. The more exercise you do, at higher frequency and intensities and the larger the individual the longer the likelihood you need to be sleeping, endurance activities have a large impact on systemic stress on the body requiring lot’s of nutrient demands and impacting the immune system quite hard and quite often athletes are picking up colds or flu at the latter end of the training cycle or after the event. Seriously you need to put sleep as high on the priority list as your training plan and nutrition strategy if you’re serious about performing well. Lastly remember that during the training we’re not improving our selves there and then, we’re just creating a stimulus for improvement what we then do around this depends if we will improve or not i.e. food and sleep/recovery.

 

A simple overview of a training/race day

Start to load carbohydrates in the night before and continue this through breakfast to ensure we have as much muscle glycogen as possible available to use during the race. Make sure you use carbs you know you get along with and avoid ones that cause bloating or gas, you want to avoid GI upset at all costs and be utilizing your food for fuel as much as possible, this goes for most days really not just race days.

 

Keep carbs in at each meal and time your meals around what time you plan to train/race. Have your last meal (small carbs based meal) around 60-90 minutes before you plan to set off and once your on the move as we can only store a limited amount of carbs in the form of glycogen, you will need a refueling strategy of around 30-90 grams of carbs per hour of exercise if the exercise is going to last more than 90 minutes. Find a product that you get along with and can consistently get good reliable results from. For shorter less intense runs you may want to keep the carb intake for the day on the lower end of the scale especially if you’re worried about weight gain as you may not need as much as you think you need, track body weight and calories to stay on top of this issue.

 

Stay hydrated; you don’t want to lose any more than 2-3% of your body weight during the course of your run as this can significantly impair your performance. Using electrolyte solutions can really help the hydration, as they are extremely useful when it comes to fluid absorption and retention within the muscles. After the training sessions aim to consume 150% of the water you may have lost through sweating to ensure adequate recovery.

 

If you are going on an extremely long run and plan on using caffeine in the race you should aim to do so here as it has been shown to improve performance and perception of fatigue, so you should aim to put this on the back end of your run as fatigue has accumulated but caffeine takes around 60 minutes to peak so don’t leave it to late also.

 

Post workout/run aim to replenish your carbohydrate in accordance with your level of expenditure within 30-60 minutes of finishing the exercise. If you train twice a day then multiple bouts of simple carbs are a good idea to restore muscle glycogen prior to your second training session.

 

Protein intake should also be a consideration; high protein diets for endurance athletes are incredibly important as we attempt to hold onto lean tissue mass (muscle mass), which is essential for maintaining performance. Aim for somewhere between 1.4-1.8 grams per kilo of protein a day, which can be spread equally across the day as there is no benefit to timing your protein intake or having it in large quantities at one meal.

Green leafy veg and fruit are good for mopping up a lot of the oxidative damaged occurred through strenuous exercise along with extra vitamin C supplementation. This can be done before bed away from exercise directly as it can interfere with the adaptation process of training which you want to have to ensure you keep progressing. Lastly magnesium oil is a good tool to have which can simply sprayed onto your legs before bed and can support the recovery process and potentially decrease DOMS.

 

 

 

Supplements

  • Caffeine Stimulants

https://www.scienceinsport.com/uk/shop-by-sport/cycling/sis-go-energy-caffeine-gel-double-espresso-60ml-6-packs

Caffeine has been repeatedly shown to improve performance by lowering your perception of effort by providing a boost just when you need it. When pushing yourself hard, your brain controls how fatigued you feel. Caffeine acts as a stimulant on the brain to lower your perception of effort, allowing you to keep pushing and maybe stretch yourself a little further. Caffeine takes roughly 60 minutes to peak so short runs or training sessions are unlikely to yield any benefits and best saved for the longer sessions.

This must be well balanced out with hydration and electrolytes and not solely rely on caffeine or stimulants to push you through your race. See bullet point on hydration.

 

  • Energy and electrolytes during the race

https://www.scienceinsport.com/uk/shop-sis/go-range/go-electrolyte-powders/sis-go-electrolyte-1-6kg-orange

This product contains an easily digestible supply of carbohydrate as well as electrolytes (such as sodium) that supports optimal hydration.

Both carbohydrate depletion and dehydration are two of the major causes of fatigue in endurance exercise. A common mistake made by endurance athletes is to consume too much or too little carbohydrate, causing lack of carbohydrate absorption or gastrointestinal problems.

In addition to ensuring optimal carbohydrate stores and hydration status before exercise, delivering additional carbohydrate and fluid during exercise is known to improve performance, race times and delay the onset of fatigue.

  • Supporting your immune system post training

https://www.scienceinsport.com/uk/shop-by-sport/running/sis-immune-orange

Vitamin C and Iron are known to contribute to the maintenance of the normal function of the immune system during and after intense physical exercise. Heavy training is known to impact the immune system, suppressing it for 3‐72 hours post-training. This can lead to a higher incidence of upper respiratory tract Infections, impacting an athlete’s health and their ability to train.

Excessive antioxidants intake post training can suppress the training response. Look at how you can get adequate amounts of these nutrients in through your diet or via supplementation.

Consider a whey, casein or vegan protein powder to make hitting your protein target easier each day. A powder is quite simply a quick, easy and cost effective way of increasing protein intake daily. It can be very time consuming and expensive to eat 1.8 grams per kilo of bodyweight of steak or chicken every day for 7 days a week so if getting 25-30 grams a day from a powder makes it easier to achieve then it is certainly worth it.

 

References

1) Jeukendrup, A. (2014). A step towards personalized sports nutrition: carbohydrate intake during exercise. Sports Medicine44(1), 25-33.

2) Casa, D. J., DeMartini, J. K., Bergeron, M. F., Csillan, D., Eichner, E. R., Lopez, R. M. & Yeargin, S. W. (2015). National Athletic Trainers’ Association position statement: exertional heat illnesses. Journal of Athletic Training50(9), 986-1000.

3) Baker, L. B., & Jeukendrup, A. E. (2014). Optimal composition of fluid‐replacement beverages. Comprehensive Physiology, 4, 575-630

4) Impey, S. G., Hammond, K. M., Shepherd, S. O., Sharples, A. P., Stewart, C., Limb, M., … & Close, G. L. (2016). Fuel forthe work required: a practical approach to amalgamating train‐low paradigms for endurance athletes. Physiological reports4(10), e12803.

5) Thomas, D. T., Erdman, K. A., & Burke, L. M. (2016). Position of the academy of nutrition and dietetics, dietitians of canada, and the american college of sports medicine: Nutrition and athletic performance. Journal of the Academy of Nutrition and Dietetics116(3), 501-528.

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Superset training – how to implement them and when is best to do so

I am going to give my views on how best to implement agonist-antagonist paired set training and their benefits over traditional set training based on my own experience of training myself and others as well as a recent review was done by MASS on a study comparing traditional set training v agonist-antagonist superset training and giving you their findings.

 

Study link below:

https://www.ncbi.nlm.nih.gov/pubmed/28933712

 

 

What actually is a superset – a superset is a programming strategy that can be implemented to provide an increased overload to the desired area by starting with exercise A which let’s say works the biceps for 8-10 repetitions followed by exercise B which also works the biceps for 8-10 repetitions increasing the stress on the biceps. Or another option for a superset if you’re more time conscious and wanted to get as much done as possible in a shorter period of time is to work opposing muscle groups known as an agonist-antagonist superset.

 

Examples

 

1)

 

A1) BB EZ bar preacher curl 4 x 8-10

A2) DB hammer curl 4 x 8-10

 

90 seconds rest

 

2)

 

A1) Incline DB chest press 4 x 8-10

 

60 seconds rest

 

A2) Incline DB bench pull 4 x 8-10

 

60 seconds rest

 

 

When the study looked at traditional set training vs agonist-antagonist superset training they found that the best benefit of super setting was they were able to perform the exercises in almost half the time and performance wasn’t affected. They actually found that the pecs, biceps, triceps and latimus Dorsi’s level of muscle fatigue was actually greater when performing the bench press into seated row when using an electromyography to measure fatigue as well as a greater amount of volume achieved on the seated row overall potentially leading to more muscle growth in the long run.

 

It seems that this isn’t muscle or movement specific as similar results have been found in a different study in which the exercises used was leg extensions and leg curls to work the quadriceps and hamstrings respectfully. In this study, similar findings were made in which more volume was accumulated and fatigue was greater than straight set training and again done in almost half the time.

 

Study link below:

https://www.ncbi.nlm.nih.gov/pubmed/27243916

 

So why may this be the case, how do agonist-antagonist supersets produce more fatigue, volume and improve performance in some cases all while reducing the time to completion by half? One hypothesis as to why supersets outperformed straight sets ironically could be increased rest periods for the like exercise i.e. Bench press 10 reps, seated row 10 reps followed by rest. While performing the seated row the chest is being rested even though cardiovascular demand is still high you’re resting the bench press primary movers which is then followed by the planned rest between sets leading to more rest than traditional sets in which case you’d perform a set and then rest and repeat.

 

Other factors as why supersets outperformed traditional sets could be an altering of the Golgi tendon reflex, neuromuscular alteration to inhibition of co-contraction which means if you’re working opposing muscle groups you find that you’re able to move through a larger range of motion and with harder force production, or a faster dissipation of metabolites which occur as a reaction to training.

 

 

When not to implement supersets

 

–   While performing large multi-jointed movements

–   Beginners who are still learning the skill of movements and body awareness. You do not want to compromise technique

–   If you or the client is too unfit to perform a superset and performance suffers

–   Strength athletes, especially those who are near to a competition i.e. powerlifter using a superset of DB row with his bench press isn’t specific enough to his competition and will decrease his performance.

 

When may this be a good strategy to implement

 

–   Bodybuilder, gym goer, or anyone with body composition goals

–   With smaller isolation exercises

–   Personal trainers trying to be time efficient with clients

–   Busy people with limited time to commit to training

My final thoughts on supersets v traditional set training are that they defiantly have a place in the majority of peoples training plans as they have shown to either has positive results and reduce the time of your workout or had no negative or positive results and still decreased your time in the gym. Just be careful where you place it in your workout and consider your goals and if you’re competing in something that may be affected by supersets.

 

 

 

https://www.ncbi.nlm.nih.gov/pubmed/28933712

 

https://www.ncbi.nlm.nih.gov/pubmed/27243916

 

https://www.strongerbyscience.com/mass/

 

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Potty Training a child with Down’s Syndrome – our journey

Potty training is a rite of passage and a skill that most children conquer between the ages of 2 and 4 years of age.  And, just like every other life skill children have to master, some get the hang of the potty straight away and for others, like us (and for lots of different reasons) it takes a little more time, perseverance, patience and understanding (and a lot more floor cleaning, wet washing and ‘never mind’ moments!).

Our potty training journey began around 2.5 years ago when Ella was around 3.  With Lucy arriving a few months before and life beginning to settle down again, we decided to give it a try.  Having never potty trained a child before, the task of potty training a child with additional needs suddenly seemed very daunting to me. I had no idea where to start but decided giving her some no nappy time to see how she did and to introduce the potty were both good places to start. Things didn’t go well, Ella didn’t ‘get it’ and I decided to wait a while before having another go.  I was a little disappointed but knew that there was no point continuing if she wasn’t ready.

We kept the potty around and I would sit her on it at bath time.  We had a couple of fluke wee’s on the potty (cue lots of praise, clapping, singing and dancing from us!) but mostly she would sit there for ages then wee as soon as we put her in the bath.  I didn’t push it any further during this time as knew she wasn’t aware enough of her bodily functions and wasn’t ready to try again.

When she was almost 4, she started pre-school and they were great with her.  They took her to the toilet at specific points in the day and when they changed her pull-up.  She became much more confident with the toileting process during this time.  She was able to put her own pull-up on (high five for independence!) and could follow the toileting trip with independently washing and drying her hands.  Looking back, I see I could have been better at following their lead and implementing a better toileting routine at home but for one reason and another, it never happened.

By now, Ella was in size 6 pull ups but was rapidly becoming too big for them.  I consulted our Health Visitor (HV), wanting some advice on how to approach potty training and also to find out if she could be referred to the local continence team.  She gave me a toileting diary to complete and said Ella could only be referred to the continence team based on what the diary showed or when she was 5 (free continence products in our area are only available to children 5 and over – it was 4 and over when we moved to the area but this has since changed to age 5 due to funding cuts). My mum (who is also a HV and has also had 3 children herself) was also a big source of advice and support for me too.

It was also becoming more difficult to change Ella out and about. Changing tables in public toilets were now much too small for her and having to take shoes and trousers off to change a pull-up standing on a public toilet floor is neither hygienic or nice.  I’m a great fan of the ‘changing places’ toilets that provide space, bigger areas to change older children and adults and also provide hoist facilities for those that need it.  These toilets are becoming more common but are still few and far between – the one I used at children’s museum Eureka was fab, clean and had lots of space. I stood Ella on the big changing table to get her changed rather than the floor (which although it looked spotless was still a toilet floor).

Picture courtesy of Eureka website

You can search for your nearest Changing Places toilet here, before you head out and about – I am sure there will be many more of them about in the near future.  Such a much needed and cost effective resource that more companies should be providing these facilities for their customers.

My biggest issue was the pull-ups – Ella was soon too big for the size 6 supermarket bought products.  The only place to find a bigger size was online from a continence product manufacturer.  And they weren’t cheap – tesco were around £4 for a pack of 34 pull ups and the size 7 packs of 16 pull ups came in at £5.90 each.  A big price difference!  We had no choice at that point than to buy the size 7 pull-ups as that was all that was available to us. You can see why there is pressure being put upon the major supermarket chains to produce nappies and pull-ups in bigger sizes at a more affordable price point.

 

I was told by the HV that even once referred to our continence team, they only provide nappies and do not provide pull-ups any longer, again due to budget cuts. As Ella had outgrown the nappies, the options that would be available to us as a free product from them would be a size XS adult pull-up (which I could almost squeeze into so way too big for Ella) or net knickers with pads.  Whichever product you got free from the service you would only be provided with 4 per day.

I had several issues with this:

  •  4 products a day is not enough when you want your child to be clean and dry (Ella had poor bladder control and was just constantly wet so I could change her 6-7+ times a day depending on how wet she was).  We were also battling with constant nappy rash due to her being wet all the time so I had to keep her as dry as possible.
  • Ella was able to put on her own pull-up and that had taken a lot of hard work – input from myself and her teachers at pre-school and also a lot of determination from Ella, who is very fiercely independent.  To then be told our option was a pad in a pair of net knickers was just not good enough – there was no way Ella would be able to do that by herself and all that hard work would be undone.  This was something the continence nurse just didn’t ‘get’ when I eventually spoke to her when Ella was referred prior to starting school (and that conversation led me to get so frustrated that I haven’t felt able to contact the service since).
  • I’m a nurse and have used net knickers and pads professionally with patients and know that they are not comfortable to wear, they are cumbersome (I wanted Ella to fit in with her peers as much as possible – wearing a pull-up is not ideal but having a bulging gusset just would not do).
  • And in all this, I want to protect and uphold my daughters dignity.  There is nothing dignified about net knickers and a pad for an adult let alone for a child and definitely not for long term use.

 

In the end, I felt quite unsupported by our local service and our HV and wondered how on earth I was ever going to get Ella out of pull-ups.  My goal of having her potty trained before she started reception didn’t happen although we had another try during the summer holidays of 2015.  I could see she was beginning to understand what the toilet/potty was for and she was able to tell us when she had done a poo (but not before).  All good signs that gave me hope she would one day be nappy free.

In February 2016 at half term, Lucy was 2 and 9 months and I decided it was time to try potty training her.  And at the same time I thought I could try Ella again – school had been keeping up the toileting process at specific points in the day.  She knew the process really well, we just needed to crack the control aspect and waiting until she was on the toilet/potty to do things.

 

 

Lucy was more than ready and with just two accidents on the first day was dry day and night from then on. Ella still wasn’t ready and obviously just didn’t have an idea of bladder control although she was much more aware of doing a poo and doing them on the potty.

School (who have been amazing and have never put any pressure on myself or Ella for her to be continent) continued their input with taking her at various times during the day and then during the summer term, Ella suddenly started asking to go and became drier for longer. The reports at the end of the day that she had asked to go or had done something when they took her to the toilet were becoming more frequent.

And now, at age 5 the size 7 pull-ups were getting too small – our only available option was the size 9 night time pull-up from the online supplier (they don’t do a size 8 pull-up product and couldn’t tell me why).  The size 9’s also come in a pack of 4 but are £10 more expensive than the size 7 4-pack.  There are also 16 less products per 4 pack (size 9’s come in packs of 14 and size 7’s packs of 18).  The cost of buying them was becoming ridiculous.

So, with it being the summer holidays again, I had had it in my head for a while to give things another go.  And I don’t know what made me choose this particular day but on a Thursday morning I got Ella dressed into knickers and told her ‘no more pull-ups’.  I didn’t know what to expect – to be honest I wasn’t expecting to get any further than our previous attempts but knew we had the time to try again.  I was also feeling much more confident about the whole situation having now potty trained Lucy, although I know we were lucky with how well she picked it all up.

Ella did really well with just a couple of accidents during the first day.  I could see she was beginning to understand the sensation of needing to have a wee and was having a fuller bladder as her control was better.  There were lots of chocolate buttons to keep things going but they had now turned into a reward rather than a bribe. I was better placed to know the signs of when she needed to go to help her as well.

I put her in a pull-up for bedtime but was astonished when she woke up the next morning completely dry and she did a big wee on the toilet (more chocolate buttons and a few happy tears from me).  We went to her cooking class the next morning (none of this staying in the house for a week malarkey!) and I did put her in a ‘dry like me’ pad just in case.  She was fine for the whole class but then had an accident at the end.  I subsequently found if she was wearing the absorbent pads she would wee instead of using the toilet so I ended up not using them again, although they were great during Lucy’s early post potty training days.  I just took plenty of spare clothes everywhere with us along with the potty and had plenty of toilet trips when out and about.  There were, of course plenty of days where she wasn’t as good and we had lots of accidents but on the whole she’s got the hang of it all very well this time.

 

She has now been dry day and night for 3 weeks.  So super proud of her and I am excited that she can go into Year 1 wearing knickers.

I’m pleased we didn’t rush things and although its taken 2.5 years from starting our potty training journey, she has got there in the end. As she always does.

I’ll hopefully get around to writing some hints and tips for potty training that have helped us along the way soon. For now, I’m off to iron and label next weeks school uniforms!

 

 

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