Far too little attention has been paid to health effects of air pollution and physical (in)activity on musculoskeletal health. The purpose of the Healthy aging in industrial environment study (4HAIE) is to investigate the potential impact of physical activity in highly polluted air on musculoskeletal health. A total of 1500 active runners and inactive controls aged 18–65 will be recruited. The sample will be recruited using quota sampling based on location (the most air-polluted region in EU and a control region), age, sex, and activity status. Participants will complete online questionnaires and undergo a two-day baseline laboratory assessment, including biomechanical, physiological, psychological testing, and magnetic resonance imaging. Throughout one-year, physical activity data will be collected through Fitbit monitors, along with data regarding the incidence of injuries, air pollution, psychological factors, and behavior collected through a custom developed mobile application. Herein, we introduce a biomechanical and musculoskeletal protocol to investigate musculoskeletal and neuro-mechanical health in this 4HAIE cohort, including a design for controlling for physiological and psychological injury factors. In the current ongoing project, we hypothesize that there will be interactions of environmental, biomechanical, physiological, and psychosocial variables and that these interactions will cause musculoskeletal diseases/protection.

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The study purpose was to investigate whether there is a relationship between the Achilles tendon (AT) length, moment arm length, and the foot strike pattern (FP) change during an exhaustive run (EXR) in nonrearfoot FP runners. Twenty-eight runners were recruited and divided into 2 groups (highly trained/moderately trained) according to their weekly training volume. Participants underwent the graded exercise test, the EXR with biomechanical analysis at the beginning, and at the end, and the magnetic resonance imaging scan of the AT. Correlations were used to assess associations between FP change (value of the difference between end and beginning) and the selected performance and AT variables. AT length significantly correlated with the FP change according to foot strike angle (r = −.265, P = .049). The AT moment arm length significantly correlated with the FP change according to strike index during EXR (r = −.536, P = .003). Multiple regression showed that AT length was a significant predictor for the FP change according to foot strike angle if the second predictor was the graded exercise test duration and the third predictor was training group association. These results suggest that a runner’s training volume, along with a longer AT and AT moment arm appear to be associated with the ability to maintain a consistent FP during EXR by nonrearfoot FP runners.

Background:The majority of research on barefoot running focuses on acute changes in altering footwear without regard to the runner's experience with barefoot or minimalist footwear running. Objective: The objective of this study was to compare the effect of footwear (standard cushioned running shoes, barefoot) and running surface (flat surface, uneven terrain) on gait in experienced runners using minimalist shoes. Methods: Terrain running was simulated by three custom-made mats with randomly placed firmly attached stones. Seven experienced trail runners participated in this study. All participants were forefoot strikers. Participants underwent three-dimensional kinematic and kinetic analysis consisting of five running trials in each combination of footwear and surface. A trial was successful when the participant maintained a velocity of 3.2 ± 0.16 m/s without targeting a force platform. Results: Uneven terrain conditions along with barefoot conditions led to significantly decreased peak moment of ankle plantarflexion (terrain: p = .041, footwear: p = .026) and decreased second peak of vertical ground reaction force in comparison with other conditions (terrain: p = .026, footwear: p = .004). Uneven terrain conditions also significantly decreased ankle dorsiflexion at initial contact with the ground for both footwear conditions (p = .021). Conclusions: We conjecture that net ankle moments could be decreased by barefoot running in terrain conditions in skilled forefoot runners. Experienced runners using minimalist shoes may incorporate trail running into their barefoot running regime without risk of higher Achilles tendon loading compared to even running.

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