Abstract

Aging is associated with a decline in maximal aerobic capacity (VO2max) that may be attenuated by chronic endurance exercise. This case study chronicles the changes in marathon times in a 91 year old man who completed 627 marathons and 117 ultramarathons over 42 years. He began running marathons at age 48. His yearly best times remained fairly constant at ~240 minutes from age 50 – 64 years and then gradually rose to about 260 minutes in his early seventies followed by a curvilinear deterioration as he approached his ninth decade. His times plateaued at ~ 600 minutes in his late eighties. Between ages 68 and 89 his VO2max declined from 43 to 20 ml/kg/min. His marathon times were highly correlated with his VO2max (r2=0.87). The decline in marathons times and VO2max may reflect the contributions of biological aging, changes in exercise training volume and intensity, injuries, and comorbid disease.

Highlights

  • Maximal oxygen uptake or VO2max declines with age [1,2,3] and is associated with reductions in functional capacity [4], as well as increased mortality risk [5]

  • The data is equivocal as some studies find no significant difference in absolute VO2max declines with age in athletes compared to sedentary peers [14], while others find greater absolute declines compared to sedentary individuals [2,3,15]

  • We previously reported the changes in marathon performance and VO2max in this male, who at age 81 had competed in 591 marathons and ultramarathons [16]

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Summary

INTRODUCTION

Maximal oxygen uptake or VO2max declines with age [1,2,3] and is associated with reductions in functional capacity [4], as well as increased mortality risk [5]. The data is equivocal as some studies find no significant difference in absolute VO2max declines with age in athletes compared to sedentary peers [14], while others find greater absolute declines compared to sedentary individuals [2,3,15]. This case report documents the changes in VO2max and health in a master athlete over 20 years

PRESENTATION OF CASE
Participant
Training History and Marathon times
RESULTS
DISCUSSION
CONCLUSION
Full Text
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