The purpose of this study was to compare running economy across three submaximal speeds expressed as both oxygen cost (mlxkg(-1)xkm(-1)) and the energy required to cover a given distance (kcalxkg(-1)xkm(-1)) in a group of trained male distance runners. It was hypothesized that expressing running economy in terms of caloric unit cost would be more sensitive to changes in speed than oxygen cost by accounting for differences associated with substrate utilization. Sixteen highly trained male distance runners [maximal oxygen uptake (Vo(2max)) 66.5 +/- 5.6 mlxkg(-1)xmin(-1), body mass 67.9 +/- 7.3 kg, height 177.6 +/- 7.0 cm, age 24.6 +/- 5.0 yr] ran on a motorized treadmill for 5 min with a gradient of 0% at speeds corresponding to 75%, 85%, and 95% of speed at lactate threshold with 5-min rest between stages. Oxygen uptake was measured via open-circuit calorimetry. Average oxygen cost was 221 +/- 19, 217 +/- 15, and 221 +/- 13 mlxkg(-1)xkm(-1), respectively. Caloric unit cost was 1.05 +/- 0.09, 1.07 +/- 0.08, and 1.11 +/- 0.07 kcalxkg(-1)xkm(-1) at the three trial speeds, respectively. There was no difference in oxygen cost with respect to speed (P = 0.657); however, caloric unit cost significantly increased with speed (P < 0.001). It was concluded that expression of running economy in terms of caloric unit cost is more sensitive to changes in speed and is a more valuable expression of running economy than oxygen uptake, even when normalized per distance traveled.

The economy of running has traditionally been quantified from the mass-specific oxygen uptake; however, because fuel substrate usage varies with exercise intensity, it is more accurate to express running economy in units of metabolic energy. Fundamentally, the understanding of the major factors that influence the energy cost of running (Erun) can be obtained with this approach. Erun is determined by the energy needed for skeletal muscle contraction. Here, we approach the study of Erun from that perspective. The amount of energy needed for skeletal muscle contraction is dependent on the force, duration, shortening, shortening velocity, and length of the muscle. These factors therefore dictate the energy cost of running. It is understood that some determinants of the energy cost of running are not trainable: environmental factors, surface characteristics, and certain anthropometric features. Other factors affecting Erun are altered by training: other anthropometric features, muscle and tendon properties, and running mechanics. Here, the key features that dictate the energy cost during distance running are reviewed in the context of skeletal muscle energetics.

The purpose of this study was to determine if changes in triceps-surae tendon stiffness (TST K) could affect running economy (RE) in highly trained distance runners. The intent was to induce increased TST K in a subgroup of runners by an added isometric training program. If TST K is a primary determinant of RE, then the energy cost of running (EC) should decrease in the trained subjects. EC was measured via open-circuit spirometry in 12 highly trained male distance runners, and TST K was measured using ultrasonography and dynamometry. Runners were randomly assigned to either a training or control group. The training group performed 4 × 20 s isometric contractions at 80% of maximum voluntary plantarflexion moment three times per week for 8 weeks. All subjects (V(O)₂(max)) = 67.4 ± 4.6 ml kg(-1) min(-1)) continued their usual training for running. TST K was measured every 2 weeks. EC was measured in both training and control groups before and after the 8 weeks at three submaximal velocities, corresponding to 75, 85 and 95% of the speed at lactate threshold (sLT). Isometric training did neither result in a mean increase in TST K (0.9 ± 25.8%) nor a mean improvement in RE (0.1 ± 3.6%); however, there was a significant relationship (r(2) = 0.43, p = 0.02) between the change in TST K and change in EC, regardless of the assigned group. It was concluded that TST K and EC are somewhat labile and change together.

The return of tendon strain energy is thought to contribute to reducing the energy cost of running (Erun). However, this may not be consistent with the notion that increased Achilles tendon (AT) stiffness is associated with a lower Erun. Therefore, the purpose of this study was to quantify the potential for AT strain energy return relative to Erun for male and female runners of different abilities. A total of 46 long distance runners [18 elite male (EM), 12 trained male (TM), and 16 trained female (TF)] participated in this study. Erun was determined by indirect calorimetry at 75, 85, and 95% of the speed at lactate threshold (sLT), and energy cost per stride at each speed was estimated from previously reported stride length (SL)-speed relationships. AT force during running was estimated from reported vertical ground reaction force (Fz)-speed relationships, assuming an AT:ground reaction force moment arm ratio of 1.5. AT elongation was quantified during a maximal voluntary isometric contraction using ultrasound. Muscle energy cost was conservatively estimated on the basis of AT force and estimated cross-bridge mechanics and energetics. Significant group differences existed in sLT (EM > TM > TF; P < 0.001). A significant group × speed interaction was found in the energy storage/release per stride (TM > TF > EM; P < 0.001), the latter ranging from 10 to 70 J/stride. At all speeds and in all groups, estimated muscle energy cost exceeded energy return (P < 0.001). These results show that during distance running the muscle energy cost is substantially higher than the strain energy release from the AT.

The novel corona virus, Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2), and the disease it causes, COVID-19 (Coronavirus Disease-2019) have had multi-faceted effects on a number of lives on a global scale both directly and indirectly. A growing body of evidence suggest that COVID-19 patients experience several oral health problems such as dry mouth, mucosal blistering, mouth rash, lip necrosis, and loss of taste and smell. Periodontal disease (PD), a severe inflammatory gum disease, may worsen the symptoms associated with COVID-19. Routine dental and periodontal treatment may help decrease the symptoms of COVID-19. PD is more prevalent among patients experiencing metabolic diseases such as obesity, diabetes mellitus and cardiovascular risk. Studies have shown that these patients are highly susceptible for SARS-CoV-2 infection. Pro-inflammatory cytokines and oxidative stress known to contribute to the development of PD and other metabolic diseases are highly elevated among COVID-19 patients. Periodontal health may help to determine the severity of COVID-19 infection. Accumulating evidence shows that African-Americans (AAs) and vulnerable populations are disproportionately susceptible to PD, metabolic diseases and COVID-19 compared to other ethnicities in the United States. Dentistry and dental healthcare professionals are particularly susceptible to this virus due to the transferability via the oral cavity and the use of aerosol creating instruments that are ubiquitous in this field. In this review, we attempt to provide a comprehensive and updated source of information about SARS-CoV-2/COVID-19 and the various effects it has had on the dental profession and patients visits to dental clinics. Finally, this review is a valuable resource for the management of oral hygiene and reduction of the severity of infection.