The TIME until you fatigue & the MAGNITUDE of drop in performance.
Interestingly...
Mar 15, 2024 • 5 tweets • 2 min read
Age group cyclists, keep it simple, stupid.
Spend some time in each intensity zone:
1. LIT 2. MIT 3. HIT
With most of the time in 1, least in 3. Works for elite as well as recreational riders. (some references below..) 2/ Recreational riders training 5 sessions per week:
1 high intensity interval, 1 threshold interval per week, rest low intensity work (predominantly).
18% improvement in power at 4 mmol/L in 16 weeks. (Granted, off of a low training status).
I often wonder if a big part of the reason training plans work is because it helps you override the emotional aspect of decision making.
In the book Descartes' Error, neuroscientist Antonio Damasio demonstrates the impact of...🧵 2/ emotions on decision making with a peculiar example:
Damasio describes a patient who had recently undertaken surgery for a brain tumor. The surgery was successful, leaving the patient with only minute structural brain damage.
Nov 1, 2023 • 13 tweets • 3 min read
The injured athlete can adopt either 2 mentalities:
🤒The "someone-fix-me" mentality
🫡 The "I'll-fix-me" mentality
The difference is dramatic. Best display of the latter I've ever seen was an 88 year old patient of mine.
(Shared with consent)...-> 2/ Imagine being 88 yrs old and feeling like you did a 5 minute all-out TT when walking 300 meter. That was the case for my patient.
My patient had a totally occluded superficial femoral artery. His main route of blood supply to the leg, completely blocked.
These patients get..
Oct 13, 2023 • 11 tweets • 3 min read
Another favorite training anecdote from the Seiler & Tønnesen 2009 gold mine of a paper: 🚴♂️🏆
Knut Anders Fostervold, the Champions League footballer who turned cyclist.
Quite a few interesting points in his n=1. Already at 12 years of age, he ran 5K in 17:24 🫡
After...->🧵 2/ retiring from soccer 30 yrs old, Fostervold picked up cycling.
He relatively quickly reached a VO2 max of 81 ml/kg/min and a W at anaerobic threshold of 4.5 W/kg 🫀
This with training heavily focused around interval sessions close to VO2 max and around AT.
Typically...
Oct 6, 2023 • 11 tweets • 3 min read
"This CONTRADICTS what the best do!"
Great Q from athlete after my post on decreasing intervals:
"The 🇳🇴 X-country skiing team prefers longer intervals. Very little training above anaerobic threshold.
World Champ HC Holund claims he's too old to ⬆️ his VO2 max. Instead... 2/ he must train to increase his ability to work close to VO2 max for longer duration. His coach Nossum says the same.
I'm older than Holund. Surely it's even less useful for me to pursue VO2 max gains?"
My response:
"Well, yes. But also, no. And here is why..." 🤔
Oct 3, 2023 • 14 tweets • 4 min read
5 ways to improve your VO2 max 🫀
Working at close to VO2 max is commonly considered a hallmark of effective training to increase maximal oxygen consumption.
So how do you maximize the time spent at high VO2 values? Let’s look at 5 possible ways -> 🧵 2/ 2:1 WORK & RECOVERY 🌴
Rozenek et al found that a 2:1 ratio of work & recovery resulted in a greater % of VO2 max than did 1:1 or 4:1 ratios (1).
Rønnestad et al later demonstrated good results with the 2:1 ratio in cyclists doing 30/15 HIIT (2).
Upon auscultation you hear crackles over both lung fields, and SpO2 is 92%.
What is your diagnosis? What do you do? A thread -> 🧵 2/ The above is a classic presentation of swimming induced pulmonary edema (SIPE). Also described as "immersion pulmonary edema".
SIPE is a relatively frequent presentation in athletes involved in swimming events (long-distance swim, triathlon, diving)
A brief summary of SIPE..
Jan 25, 2023 • 12 tweets • 6 min read
⚡️ Are you strong where it matters? 🚴♂️
Durability emerges as a predictor of success in cycling races.
Kind of makes you wonder why athletes keep testing performance in a rested state only.
A thread on the emerging research on durability since 2020 -> 🧵 2/ DEFINITION
@maunder_ed@StephenSeiler and colleagues defined durability as a physiological entity w. 2 components:
1. TIME of onset of physiology changes 2. MAGNITUDE of deterioration
The point being to identify phys. changes taking place during prolonged exercise. Why?
Jan 22, 2023 • 11 tweets • 8 min read
⚡️For cyclists, durability appears an important element of real-life performance 🚴♂️
Yet, it receives surprisingly little attention.
Here is a summary on the rapidly emerging knowledge on durability, what it is & how it matters to your race performance.
wattkg.com/science-of-dur…2/ @maunder_ed@StephenSeiler et al wrote a review in 2021 Sports Medicine, suggesting current profiling of endurance athletes does not take into account the shifts in physiological attributes during prolonged exercise.
A wave of interesting research would follow in their wake..
Jan 14, 2023 • 17 tweets • 6 min read
You’re attending a triathon when you encounter an athlete by his bike. He’s complaining of:
🥵feeling unwell
💥no leg power
🌬out of breath
He’s been resting for 30 min and you count his respiratory rate to 40/min. He’s coughing.
What do you do? 2/ We’ve had several athletes with the above presentation over the years at NXTRI. This presentation is quite typical for swimming induced pulmonary edema (SIPE).
A few selected slides from my presentation at a conference for Norwegian doctors and sports scientists yesterday.
Dec 6, 2022 • 10 tweets • 3 min read
💥The heart rate formula 220 minus age is a holy cow with sour milk.
If people knew its origin it would probably be less commonly cited.
In 2002, Robergs and Landwehr did an interesting review of this formula...🧵-> 2/ Textbooks in which the [HRmax = 220-age] formula appears indirectly affirms a connection to Karvonen, says Robergs & Landwehr.
However, Karvonen did not study maximal HR. Upon contacting Karvonen it became clear he never published original work on this formula. So he...
Dec 1, 2022 • 11 tweets • 3 min read
If you think adaptation is out the window because you've passed the age of 50, think again.
The human body is ingenious by design.
Imagine being 88 and feeling like you did a 5 minute all-out TT when walking 300 meter. That was the case for my patient (shared w. consent) -> 2/ My patient had a totally occluded superficial femoral artery. His main route of blood supply to the leg, completely blocked.
These patients get hypoxia on exertion, and typically severe leg pain (think all-out TT) upon light walking.
His maximal walking distance was 300 m.
Nov 29, 2022 • 11 tweets • 4 min read
⚡️ Higher power outputs with uphill vs level cycling 🚴♂️
🧵With some interesting findings -> 2/ What did they do?
They examined power data of 98 professional cyclists from training and racing. 1074 files from each cyclists. They analysed for power records across 1, 5, 10 and 20 min duration.
They only wanted to look at true maximal efforts...
Nov 24, 2022 • 14 tweets • 4 min read
💥 When Rønnestad & Hansen applied a scientific approach to train an amateur cyclist, his VO2 max increased from 73 to 87 ml/kg/min in 1 year (58 weeks).
..the backdrop being that spending time at workloads over 90% of VO2 max is typically described as a sign of effective high intensity interval workouts.
Nov 17, 2022 • 8 tweets • 3 min read
⚠️ Don't use your indoor FTP test for outdoor intensity control (or vice versa) 🚴♂️
Research by @EllLipski@DajoSanders et al suggests indoor & outdoor test W differs considerably.
🧵A thread → 2/ What did they do?
They had 14 rider from World Tour and UCI Continental level perform 4 maximal effort tests of 1 min, 3 min, 5 min and 14 min. All tests were repeated indoor and outdoor.
Nov 11, 2022 • 4 tweets • 2 min read
Hi! If you’re among my 1142 new followers the last 8 weeks:
I..
-> am a medical doctor with passion for cycling 🚴
-> make training resources for cyclists⏱️
..to aid comprehension & promote knowledge-based training 🎓
Here’s some resources I’ve created: wattkg.com/cycling-scienc…2/ One ambition is to introduce athletes to the existing base of (scientific) knowledge. And to highlight principles & methods that will yield a big bang for your buck.
⚡ Sprint training is a Swiss army knife for cyclists. Even modest amounts of sprints in low intensity rides may benefit several traits in elite riders 🧵 A thread → 2/ Work by @AlmquistNicki et al suggests off-season sprinting may carry over to progress in the following base training. Elite riders who sprinted in off-season reduced drop in 20 min W from 3% to 1%. Which in itself is a positive result. However..pubmed.ncbi.nlm.nih.gov/33041839/
Nov 3, 2022 • 12 tweets • 4 min read
🦾 Strength training for cyclists cause many positive ripple effects. But how do you know if it’s a good fit for you? A pragmatic algorithm with rationales presented below 🧵 A thread → 2/ Who should pass on lifting for now? If you're new to cycling, you’ll get faster from simply riding more. If you’re pressed for time, your bike may bring more joy than an indoor gym. If struggling with recovery, strength training may complicate matters.