Running & FitNews® Newsletter

Running & FitNews - May / June 2009 - Volume 27 Number 3


In Texas, Attention to Fitness is Seen as—and Proven to Be— Vital to Education

Boys Run-a-Mile Start - Lake Cities TexasThe Texas Education Agency released earlier this year findings from a study of over 2.4 million Texas students, the first study of its kind to acquire data from so many subjects. A series of six tests known as the FitnessGram, devised by the Cooper Institute of Dallas, assessed schoolchildren from Grades 3 through 12 across five areas: body composition, aerobic capacity, muscular strength, endurance, and flexibility. The assessments determine whether students are in a "healthy fitness zone" for their age and gender.

The study found that students in Grade 3 were the most likely to be in the healthy fitness zone. Of the 331,379 third-grade students who participated in the study, 33.25% of the girls and 28.60% of the boys were in the healthy fitness zone on all six tests. Fitness declined with age; students in Grade 12 were the least likely to achieve the healthy fitness zone. Of the 152,144 seniors tested, only 8.18% of the girls and 8.96% of the boys meet healthy standards on all six tests.

The FitnessGram’s individual tests yielded some interesting data. For example, the test for cardiovascular fitness, a walk/running test, revealed that 78% of Grade 4 students were in the healthy fitness zone. Just 20% of high school seniors reached the healthy fitness zone for cardiovascular fitness. However, about 70% of students in each of Grades 3 through 12 reached the healthy fitness zone for BMI. Unfortunately, the study found that cardiovascular health had a higher correlation to school success than did BMI.

The results made clear that higher levels of fitness are associated with better academic performance. At high performing schools that have earned the state's top rating of Exemplary, about 80% of the students have healthy levels of cardiovascular fitness. At schools that have received the state's lowest rating (categorized as Academically Unacceptable), slightly more than 40% of the students achieved cardiovascular fitness.

Other significant correlations were found between physical fitness and schoolwide indicators of academic achievement. Higher levels of fitness were associated with better school attendance and fewer disciplinary incidents, including those associated with drugs, alcohol, violence, and truancy. And counties with high levels of cardiovascular fitness tended to have high passing rates on the Texas Assessment of Knowledge and Skills (TAKS), a state-administered standardized test.

The study analyzed data from the 2007-2008 academic year for 6,532 schools, which represents about 75% of the schools in Texas. About 30% of the students were not able to achieve the healthy fitness zone for their age and gender. There is much to be done in the battle against childhood overweight and obesity, and with comprehensive assessment tools and bold research that gathers impressive quantities of solid data, it looks right now as though Texas may be leading the charge.


FitnessGram/ActivityGram, www.fitnessgram.net/texas/

Bio-Medicine, www.bio-medicine.org/medicine-news-1/The-Cooper-Institutes-FITNESSGRAM-Selected-as-Statewide-Physical-Fitness-Assessment-Tool-2221-1/

The Cooper Institute, www.cooperinst.org/news/eventDetail.cfm?news_id=47


Notes on Fluid Intake for Smooth Summer Running

Girl Drinkg <b>Water</b>Dehydration is arguably the single most preventable impedance to running performance, while overhydrating remains a danger for runners all too aware of the first fact. In the height of the dog days of summer, how do we find the precise balance between extremes of fluid intake?

During its semi-annual symposiums, which routinely present the latest research from nationally renowned fluid experts and hematologists, the American Medical Athletic Association has devoted much of its time and energy to offering up-to-date and nuanced answers to this question. Every long-distance runner differs in fluid need, but a few general principles apply to bring a picture into focus.

Dehydration decreases blood volume, increases heart rate, and impedes heat loss. All of this compromises running performance, and in the extreme can lead to heat exhaustion or heat stroke. Faster runners (sub-4:00:00 marathon) are at a higher risk of dehydration than of overhydrating and developing hyponatremia. Slower runners have a greater opportunity to drink more fluid than they sweat out. There are several reasons for this.

To understand hyponatremia, remember that there are essentially two ways of developing the condition. Hyponatremia occurs when blood sodium levels become dangerously low. Therefore, it can develop in runners who are sweating out sodium at such a rapid rate that water or sports drink are not adequately replacing it. These are the “salty sweaters” who often show white caking patterns on their clothing during and after a race. They may not be stopping at any fluid stations at all. This is the type of runner who exemplifies that you can actually be both dehydrated and hyponatremic at the same time. This type of runner is more at risk of developing hyponatremia at ultra-distance events.

The second way hyponatremia may develop is in runners who are drinking more fluid than they are sweating; these runners are therefore diluting their blood sodium. This is the far more common cause of hyponatremia, and can begin up to a week before the actual event, when runners attempt to ensure proper hydration, but overdo it, carrying water bottles with them everywhere they go and sipping incessantly several days before the race. These runners are often inexperienced, conscientious, and very slow runners who additionally will be out on the course for much longer, and often at a more leisurely pace, thereby stopping at every water station, and not necessarily needing or using the amount of fluid they are ingesting.

Gender can influence susceptibility to hyponatremia; it is important to remember that women need less fluid than men, even after body weight is taken into account. Water makes up a greater percentage of male body weight, and therefore a greater percentage of water in relation to body weight needs to be replaced during exercise. The best way to monitor your fluid consumption is to weigh yourself before and after your long runs. You should never gain weight after a run. To perform an accurate test of your sweat rate, weigh yourself and then run for one hour in similar conditions and at a similar pace as the race you are planning for, refraining from drinking during the run. Weigh in again afterward. The resulting discrepancy in weight represents the amount of fluid consumption in ounces that you should not exceed during each hour of your race.

Finally, a word about caffeine. Caffeine consumption has been under scrutiny for years as to its possible role in dehydration. Because caffeine is a known diuretic, its effects on body fluid balance and heat storage are potentially negative. Yet it is also a readily available, legal performance enhancer. Recently, some clarity has been shed on this topic.

At rest, caffeine increases urine production, as well as the excreted amounts of sodium, chloride, and potassium within a given amount of urine or sweat. Prior research has shown that the volume of urine and sweat is not affected by caffeine during exercise—but what about the amount of electrolyte loss within these substances?

In one recent study, seven endurance-trained males completed six experimental trials each, consisting of pedaling for 120 minutes at 65% VO2max. The subjects received during exercise: 1.) no fluid; 2.) water replacing 97% sweat losses; 3.) Gatorade sports drink; and then each of these treatments plus caffeine in 6 mg doses per kilogram of body weight. The trials were conducted in a hot, dry environment of 97 degrees Fahrenheit.

The results indicated that caffeine does not produce more heat or have a negative effect on heat dissipation, even in such a warm exercise environment. This coincides with a 2001 study published in Clinical Physiology. The new research did find, however, that combining caffeine with water increased urine production, but this did not exacerbate dehydration—due to a low contribution of urine to total fluid loss. The drug did increase the concentration of electrolytes in the sweat, but blood sodium levels remained unaltered.

It looks as though the effects of caffeine at rest simply do not match those found during submaximal exercise, thereby making caffeine an acceptable choice for runners, without increased dehydration or heat-exhaustion risk.

MSSE, 2009, Vol. 41, No. 1, pp. 164-173

AMAA/ARRMS, “Optimal Hydration: Establishing a Hydration Plan for Marathons”


Editorial Board

  • Kenneth Cooper, MD
  • Jack Daniels, PhD
  • Randy Eichner, MD
  • Mary Jo Feeney, MS, RD
  • Mitchell Goldflies, MD
  • Paul Kiell, MD
  • Sarah Harding Laidlaw, MS, RD
  • Paul Langer, DPM
  • Douglas Lentz, CSCS
  • Todd Miller, MD
  • Gabe Mirkin, MD
  • Col Francis O’Connor, MD
  • Stephen Perle, DC, CCSP
  • Pete Pfitzinger, MS
  • Charles L. Schulman, MD
  • Bruce Wilk, PT, OCS
  • Mel Williams, PhD
  • Michael Yessis, PhD
  • Jeff Venables, Editor

Board of Directors

  • Jeff Harbison, President
  • Bill Young, Secretary-Treasurer
  • Immediate Past-President
  • (Vacant) Vice President
  • Robert Corliss
  • Charles L. Schulman, MD, AMAA Pres.
  • AMAA President
  • Terry Adirim, MD, MPH
  • Gayle Barron
  • Sue Golden
  • Senator Bill Frist, MD
  • Jeff Galloway
  • Jeff Harbison
  • Ronald M. Lawrence, MD, PhD
  • Jeff Moore
  • Noel D. Nequin, MD
  • David Pattillo

Association Staff

  • Executive Director: Dave Watt
  • Project Consultant: Barbara Baldwin, MPH
  • Logistics Manager: Ed Farris

Running & FitNews is published by the American Running Association. Address inquiries to ARA, Attention: FitNews Editor, 4405 East-West Highway., Suite 405, Bethesda, MD 20814 or send e-mail to run@americanrunning.com

The American Running Association is a nonprofit educational organization, designated 501(c)3 by the IRS. Running & FitNews provides sports medicine and nutrition information. For personal medical advice, consult your physician.

© 2009 The American Running Association.
All rights reserved.
SSN 0898-5162.

Injuries: When Runners Should Seek Help

Injuries: When Runners Should Seek Help Unfortunately, most runners don’t know how to rate the severity of running injuries. So, over the years, I’ve developed my own practical scale of factors, increasing in severity from stage 1 to stage 5, which I call the Wilk Scale.
Read More

The Vegetarian Athlete

The Vegetarian Athlete There are a few special considerations, outlined this year by the American College of Sports Medicine (ACSM), that every vegetarian athlete should know.
Read More

What’s in a Trail Shoe?

What’s in a Trail Shoe? The fact is, while you can for a time get away with a running shoe in a trail environment, you are courting injury in the form of a twisted ankle or bruised toe, not to mention putting a real pounding to shoes that are not up to the task and will become useless soon, on roads or otherwise, anyway.
Read More

Rethinking Recovery

Rethinking Recovery Your overall improvement as a runner owes itself to many factors, but among the most important and overlooked are your ability—and willingness—to recover.
Read More

Running Hills Offers Many Benefits

Running Hills Offers Many Benefits A hill regimen of once per week offers many benefits, including gains in aerobic endurance, and in leg strength and power.
Read More

Expect to Burn Fat, but How Much?

Expect to Burn Fat, but How Much? Two studies published this year in MSSE looked closely at fat-burning after three very different types of physical activity
Read More

Join / Renew Membership

www.AmericanRunning.org