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Better Health 34 ENG

The magazine for patients and friends of Bumrungrad International Hospital, Thailand.

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How long does marathon preparation take?<br />

If your physician finds no problems that restrict running a marathon,<br />

Dr. Montinee recommends conducting a self-assessment to determine what<br />

category of runner you are. Typically, the levels are categorized as Beginner,<br />

Intermediate, Advanced, and Competitive.<br />

Run regularly<br />

3 to 5 Days/Week<br />

Total Running<br />

Distance/Week<br />

(Km./Week)<br />

Approximate<br />

Period for Marathon<br />

Preparation<br />

Beginner P 25 1 year<br />

Intermediate P 32 6 months<br />

Advanced P 64 4 months<br />

Competitive P Over 80 4 months<br />

Not even a beginner?<br />

For a beginner, set a reasonable first<br />

target, and then, subsequently set goals<br />

to achieve gradual progress. If you never<br />

exercise on a regular basis, you should<br />

start with walking or running with<br />

breaks for about 30 minutes daily,<br />

three to five times a week. After sticking<br />

to this program for a while, you can<br />

proceed to short-distance running,<br />

such as a Fun Run, which requires two<br />

to three months of preparation. The<br />

goal is to gradually increase your<br />

running time and distance.<br />

“At least one week before the race,<br />

a participant should do a practice run.”<br />

says Dr. Montinee. This rehearsal<br />

instills confidence and prepares the<br />

athlete for competition. Unprepared<br />

runners increase the risk of injuries<br />

and medical problems. As much as<br />

possible, athletes should train under<br />

conditions similar to what they will<br />

encounter in the actua l race, such as<br />

humidity, distance, and route, to<br />

achieve a physical adaptation.<br />

For those who seek running a<br />

marathon, they should consult their<br />

physician or trainer to get advice<br />

about exercising, eating, and hydration<br />

and sweat rate (the amount of sweat<br />

lost in a one-hour exercise session),<br />

and specific techniques for safety<br />

and running efficiency.<br />

Follow these instructions and<br />

recommendations:<br />

+ Choose well-organized running<br />

events. Screen potential races for<br />

systematic planning regarding<br />

accurate distance, route conditions,<br />

facilities, and safety. For example,<br />

the event should provide first-aid<br />

services with medical personnel and<br />

medical equipment (such as an automated<br />

electrical defibrillator (AED)).<br />

+ Do not run outdoors during hot<br />

daytime temperatures of over 35<br />

degrees Celsius, particularly with<br />

high relative humidity.<br />

+ Use only your “broken-in” running<br />

shoes that fit the foot’s shape and<br />

sole, adequately absorb impact force,<br />

and suit the course and road surface.<br />

Don’t wear brand-new or untested<br />

shoes in a race.<br />

+ Refrain from alcohol at least 24 hours<br />

before the race.<br />

+ Do body warm-ups and stretches<br />

before every run.<br />

+ Have a meal one to two hours before<br />

the race. In the case of a marathon<br />

session of over two hours, doctors<br />

recommend consuming food or<br />

drinks with about one gram of<br />

carbohydrate/kilogram every hour;<br />

you may have liquid foods (e.g. gelatins)<br />

or an energy bar to energize your<br />

body during the race.<br />

+ Drink enough water to prevent<br />

dehydration. But be careful! Drinking<br />

too much water may cause mineral<br />

levels to drop to dangerously low<br />

levels, leading to brain swelling.<br />

Drink only enough water to quench<br />

your thirst. Alternate between water<br />

and sports drinks at 120 to 180<br />

milliliters every 15 to 20 minutes.<br />

+ Long, continuous endurance exercises<br />

cause changes in the cardiac muscle,<br />

which poses a possible risk of heart<br />

disease. Even an experienced runner<br />

should have regular health check-ups.<br />

Walking or running: it’s all good<br />

For those not yet ready or who have<br />

health problems that preclude running,<br />

a study published in the Journal of the<br />

American College of Cardiology (JACC)<br />

in 2014 found that exercise of even just<br />

10 minutes per day is beneficial to health<br />

and helps prolong life in comparison<br />

to those who do not exercise at all.<br />

“Even walking is advantageous<br />

because the key to good exercise is to<br />

do it continuously and regularly,” says<br />

Dr. Montinee. “For example, a brisk walk<br />

or jog for just 30 minutes per day, three<br />

days per week benefits health more<br />

than a hard run once a month. You don’t<br />

need to overdo exercise. Just make<br />

sure it’s suitable for your current<br />

physical condition.”<br />

What’s so good about running?<br />

Apart from being a convenient<br />

and inexpensive exercise,<br />

running also has other<br />

advantages:<br />

+ Helps increase muscular strength<br />

in several parts of the body – from<br />

legs and arms muscles to the<br />

cardiac muscle<br />

+ As a weight-bearing exercise, it<br />

helps strengthen bones<br />

+ Decreases blood pressure and<br />

blood lipids and regulates sugar<br />

levels.<br />

+ Reduces the risk of cardiovascular<br />

and cerebrovascular diseases<br />

+ Facilitates good metabolism and<br />

controls weight<br />

16

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