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Ed Maunder, Paul B. Laursen, and Andrew E. Kilding


To compare the physiological and performance effects of ad libitum cold-fluid (CF) and ice-slurry (IS) ingestion on cycling time-trial (TT) performance in the heat.


Seven well-trained male triathletes and cyclists completed 2 maximaleffort 40-km cycling TTs in hot (35°C) and humid (60% relative humidity) conditions. In randomized order, participants ingested CF or IS (initial temperatures 4°C and –1°C, respectively) ad libitum during exercise. At each 5-km interval, time elapsed, power output, rectal and skin temperature, heart rate, and perceptual measures were recorded. The actual CF and IS temperatures during the 40-km TT were determined post hoc.


Performance time (2.5% ± 2.6%, ES = 0.27) and mean power (–2.2% ± 3.2%, ES = –0.15) were likely worse in the IS trial. Differences in thermoregulatory and cardiovascular measures were largely unclear between trials, while feeling state was worse in the later stages of the IS trial (ES = –0.31 to –0.95). Fluid-ingestion volume was very likely lower in the IS trial (–29.7% ± 19.4%, ES = –0.97). The temperatures of CF and IS increased by 0.37°C/min and 0.02°C/min, respectively, over the mean TT duration.


Ad libitum ingestion of CF resulted in improved 40-km cycling TT performance compared with IS. Participants chose greater fluid-ingestion rates in the CF trial than in the IS trial and had improved feeling state. These findings suggest that ad libitum CF ingestion is preferable to IS during cycling TTs under conditions of environmental heat stress.

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Jeffrey A. Rothschild, Matthieu Delcourt, Ed Maunder, and Daniel J. Plews

Purpose: To present a case report of an elite ultra-endurance cyclist, who was the winner and course record holder of 2 distinct races within a 4-month span: a 24-hour solo cycling race and a 2-man team multiday race (Race Across America). Methods: The athlete’s raw data (cycling power, heart rate [HR], speed, and distance) were obtained and analyzed for 2 ultra-endurance races and 11 weeks of training in between. Results: For the 24-hour race, the athlete completed 861.6 km (average speed 35.9 km·h−1, average power 210 W [2.8 W·kg−1], average HR 121 beats per minute) with a 37% decrease in power and a 22% decrease in HR throughout the race. During the 11 weeks between the 24-hour race and Race Across America, training intensity distribution (Zone 1/2/3) based on HR was 51%/39%/10%. For the Race Across America, total team time to complete the 4939-km race was 6 days, 10 hours, 39 minutes, at an average speed of 31.9 km·h−1. Of this, the athlete featured in this case study rode 75.2 hours, completing 2532 km (average speed 33.7 km·h−1, average power 203 W [2.7 W·kg−1]), with a 12% decrease in power throughout the race. Power during daytime segments was greater than nighttime (212 [25] vs 189 [18] W, P < .001, ηp2=.189). Conclusions: This case report highlights the performance requirements of elite ultra-endurance cycling. Although average power was similar when riding for 24 hours continuously and 75 hours intermittently over 6.5 days, there were large differences in pacing strategies and within-day power-output changes.

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Ed Maunder, Deborah K. Dulson, and David M. Shaw

Purpose: Considerable interindividual heterogeneity has been observed in endurance performance responses following induction of a ketogenic diet (KD). It is plausible that a physiological stress response in the period following the dramatic dietary shift associated with transition to a KD may explain this heterogeneity. Methods: In a randomized, crossover study design, 8 trained male runners completed an incremental exercise test and ran to exhaustion at 70%VO2max before and after a 31-day rigorously controlled habitual diet or KD intervention, and recorded heart rate variability (root mean square of the sum of successive differences in R–R intervals [rMSSD]) upon waking each morning along with the recovery–stress questionnaire for athletes each week. Data were analyzed using linear mixed models. Results: A significant reduction in rMSSD was observed in the KD (−9.77 [4.03] ms, P = .02), along with an increase in day-to-day variability in rMSSD (2.1% [1.0%], P = .03). The reduction in rMSSD in the KD for the subgroup of individuals exhibiting impaired exercise capacity following induction of the KD approached significance (Δ −22 [15] ms, P = .06, N = 4); whereas no effect was observed in those who exhibited unchanged exercise capacity (Δ 5 [18] ms, P = .61, N = 4). No main effects were observed for recovery–stress questionnaire for athletes. Conclusions: Our data suggest those working with endurance athletes transitioning onto a KD may consider using noninvasive, inexpensive resting heart rate variability measures to gain individual-level insights into the likely short-term effects on exercise capacity.

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Ed Maunder, Andrew E. Kilding, and Simeon P. Cairns

The manifestations of fatigue during fast bowling in cricket were systematically evaluated using subjective reports by cricket experts and quantitative data published from scientific studies. Narratives by international players and team physiotherapists were sourced from the Internet using criteria for opinion-based evidence. Research articles were evaluated for high-level fast bowlers who delivered 5- to 12-over spells with at least 1 quantitative fatigue measure. Anecdotes indicate that a long-term loss of bowling speed, tiredness, mental fatigue, and soreness occur. Scientific research shows that ball-release speed, bowling accuracy, bowling action (technique), run-up speed, and leg-muscle power are generally well maintained during bowling simulations. However, bowlers displaying excessive shoulder counterrotation toward the end of a spell also show a fall in accuracy. A single notable study involving bowling on 2 successive days in the heat showed reduced ball-release speed (–4.4 km/h), run-up speed (–1.3 km/h), and accuracy. Moderate to high ratings of perceived exertion transpire with simulations and match play (6.5–7.5 Borg CR-10 scale). Changes of blood lactate, pH, glucose, and core temperature appear insufficient to impair muscle function, although several potential physiological fatigue factors have not been investigated. The limited empirical evidence for bowling-induced fatigue appears to oppose player viewpoints and indicates a paradox. However, this may not be the case since bowling simulations resemble the shorter formats of the game but not multiday (test match) cricket or the influence of an arduous season, and comments of tiredness, mental fatigue, and soreness signify phenomena different from what scientists measure as fatigue.

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Ed Maunder, Daniel J. Plews, Fabrice Merien, and Andrew E. Kilding

Many endurance athletes perform specific blocks of training in hot environments in “heat stress training camps.” It is not known if physiological threshold heart rates measured in temperate conditions are reflective of those under moderate environmental heat stress. A total of 16 endurance-trained cyclists and triathletes performed incremental exercise assessments in 18°C and 35°C (both 60% relative humidity) to determine heart rates at absolute blood lactate and ventilatory thresholds. Heart rate at fixed blood lactate concentrations of 2, 3, and 4 mmol·L−1 and ventilatory thresholds were not significantly different between environments (P > .05), despite significant heat stress-induced reductions in power output of approximately 10% to 17% (P < .05, effect size = 0.65–1.15). The coefficient of variation for heart rate at these blood lactate concentrations (1.4%−2.9%) and ventilatory thresholds (2.3%−2.7%) between conditions was low, with significant strong positive correlations between measurements in the 2 environments (r = .92–.95, P < .05). These data indicate heart rates measured at physiological thresholds in temperate environments are reflective of measurements taken under moderate environmental heat stress. Therefore, endurance athletes embarking on heat stress training camps can use heart rate–based thresholds ascertained in temperate environments to prescribe training under moderate environmental heat stress.

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Ed Maunder, Andrew E. Kilding, Christopher J. Stevens, and Daniel J. Plews

A common practice among endurance athletes is to purposefully train in hot environments during a “heat stress camp.” However, combined exercise-heat stress poses threats to athlete well-being, and therefore, heat stress training has the potential to induce maladaptation. This case study describes the monitoring strategies used in a successful 3-week heat stress camp undertaken by 2 elite Ironman triathletes, namely resting heart rate variability, self-report well-being, and careful prescription of training based on previously collected physiological data. Despite the added heat stress, training volume very likely increased in both athletes, and training load very likely increased in one of the athletes, while resting heart rate variability and self-report well-being were maintained. There was also some evidence of favorable metabolic changes during routine laboratory testing following the camp. The authors therefore recommend that practitioners working with endurance athletes embarking on a heat stress training camp consider using the simple strategies employed in the present case study to reduce the risk of maladaptation and nonfunctional overreaching.