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From Double Iron to Double Deca Iron Ultra-Triathlon - A Retrospective Data Analysis from 1985 to 2011

100%
Lenherr R., Knechtle B., Rüst C., Rosemann T., Lepers R.
Physical Culture and Sport. Studies and Research
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2012
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vol. 54
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issue 1
55-67
EN
Participation in ultra-endurance performance is of increasing popularity. We analyzed the historic development of the ultra-triathlon scene from 1985 to 2011 focusing on a) worldwide distribution of competition, b) participation, c) gender, and d) athlete nationality. We examined the participation trends of 3,579 athletes, involving 3,297 men (92.1%) and 300 women (7.9%), using linear regression analyses. Between 1985 and 2011, a total of 96 Double Iron ultra-triathlons (7.6km swimming, 360km cycling, and 84.4km running), 51 Triple Iron ultra-triathlons (11.6km swimming, 540km cycling, and 126.6km running), five Quadruple Iron ultra-triathlons (15.2km swimming, 720km cycling, and 168.8km running), five Quintuple Iron ultra-triathlons (19km swimming, 900km cycling, and 211km running), 11 Deca Iron ultra-triathlons (38km swimming, 1,800km cycling, and 422km running), and two Double Deca Iron ultra-triathlons (76km swimming, 3,600km cycling, and 844km running) were held. In total, 56.7% of the races were in Europe, 37.4% in North America, 5.3% in South America, and less than 1% in Asia. Europeans comprised 80% of the athletes. The number of male participants in Double (r2 = .56; P < .001) and Triple Iron ultra-triathlon (r2 = .47; P < .001) and the number of female participants in Double Iron ultra-triathlon (r2 = .66; P < .001) increased significantly. Less than 8% of the athletes total participated in an ultra-triathlon longer than a Triple Iron ultra-triathlon. Europeans won by far the most competitions in every distance. In conclusion, ultra-triathlon popularity is mainly limited to a) European and North American men and b) Double and Triple Iron ultra-triathlons. Future studies need to investigate the motivation of these ultra-endurance athletes to compete in these extreme races.
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Chest pain in an elite master ultra-marathon runner: a case report with a follow-up on his subsequent athletic activity

72%
Sadowska-Krępa E., Kłapcińska B., Gerasimuk D., Rzetecki A., Waśkiewicz Z., Gąsior Z., Żebrowska A., Rosemann T., Nikolaidis P. T., Knechtle B.
International Journal of Occupational Medicine and Environmental Health
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2020
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vol. 33
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issue 4
523-534
EN
Ultra-marathon running has enjoyed increasing popularity, with the number of master ultra-marathon runners growing annually. This study presents a case of a 51-year-old highly experienced long-distance runner (body mass: 65.1 kg, body height: 168 cm), who took part in a 48-h ultra-marathon race held in 2010, but dropped out of the competition due to acute cardiac problems manifested after 16 h of running and having completed a distance of 129 km. Two weeks following the race, intense cardiac examination was performed to explain the drop-out due to chest pain. A 12‑lead electrocardiogram, a 2D transthoracic echocardiography in 3 apical projections of the left ventricle, a computed tomography of the chest, an invasive coronary angiography and a maximal oxygen uptake (VO2max) test were performed. The 12-lead ECG revealed a negative T wave in III and aVF without morphological abnormalities. The echocardiographic examinations presented a normal size and function of the heart chambers, and a normal valvar structure and function (only trivial mitral and tricuspid regurgitation was observed). The invasive coronary arteriography – due to an increased calcium score in the CT scan – showed only a non-significant systolic dynamic narrowing in the eighth segment of the left anterior descending artery due to a muscle bridge. The physical performance characteristics of the athlete and a follow-up history of his athletic activity showed that the cardiac problems he had experienced during the ultra-marathon race did not prevent him from being active in sport.
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