Males are ~11% faster than females in marathon running at the elite level, largely due to sex differences in physiology. This sex difference in performance, however, is often greater than 11% especially in older runners with lower proportion of female runners. PURPOSE: To determine whether the sex difference in marathon performance is predicted by the number of male to female runners and how this prediction changes among lower placed runners within an age group. METHODS: The number of male and female finishers within 10-year age groups (20 - 79 years) and the running times of the top 10 age group runners who competed in the Chicago marathon (1996-2018) and New York City (NYC) marathon (1980-2019) were retrieved from public databases. Univariate ANOVA and correlation analysis determined differences and associations between the ratios of male:female finishers and the sex difference in velocity. RESULTS: The ratio of male:female runners increased with older age groups (p < 0.001) and place of the runner from 1st to 10th place (p < 0.001) for both marathons. Males were faster than females across all age groups for the Chicago (17.4% ± 0.2%) and NYC marathon (18.8% ± 0.1%). The sex difference, however, was smallest for 1st placed runners and largest for the 10th placed for Chicago (14.8 ± 0.5% to 18.5 ± 0.4%) and NYC (15.9 ± 0.4% to 20.3 ± 0.3%). The ratio of the number of males:females was correlated with the sex difference in velocity (%) for Chicago (n = 2325, r2 = 0.28, p < 0.001) and NYC (n = 4223, r2 = 0.32, p < 0.001) in that fewer females relative to males indicated a larger sex difference in velocity. The strength of the associations progressively increased between 1st and 10th place. Combined for both marathons, the association for 1st place was r2 = 0.20 (p < 0.001, n = 709) and 10th place was r2 = 0.38 (p < 0.001, n = 614). Thus, the number of males:females explained 20% of the variance in the sex differences in velocity of 1st placed runners but 38% of the sex difference in 10th placed runners. CONCLUSION: Lower participation rates of females in the marathon potentially masks an accurate understanding of the contribution of physiological sex differences, especially in lower ranked and older runners. This data provides a window into the impact of the inequity of testing less females than males in studies of human performance.
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