The type and intensity of exercise have independent and additive effects on bone mineral density

Previous research on the effects of running and swimming on areal bone mineral density (aBMD) is inconclusive. This study examined the putative roles of the type and intensity of exercise in this respect, by measuring aBMD (adjusted for age, weight, and height) of the total body and of various subregions in 52 males aged 17 - 30 yr (21 runners, 16 swimmers, 15 controls). The athletes were competing at either long-distance ("endurance", n = 17) or short-distance ("sprint", n = 20) events. Compared with controls, runners had significantly higher leg aBMD (+ 6.7 %, p < 0.05), while swimmers had significantly lower leg and total body aBMD (- 9.8 % and - 7.0 %, respectively, p < 0.05). Endurance athletes had significantly lower total body aBMD than controls (- 4.9 %, p < 0.05). Sprint athletes did not differ significantly from controls at any site, but they had significantly higher aBMD than endurance athletes throughout the skeleton (p < 0.05). Compared with controls, endurance swimmers had significantly lower aBMD at the legs and total body (- 14.8 % and - 10.4 %, respectively, p < 0.05), while sprint runners had significantly higher values for the legs, trunk, and total body (+ 8.0 %, + 10.0 %, and + 6.3 %, respectively, p < 0.05). Sprint swimmers and endurance runners did not differ from controls at any site or the total body. These results suggest that the type and intensity of exercise have independent and additive effects on bone density.     

Ventilatory threshold in various groups of highly trained athletes

The ventilatory threshold (VT) was determined on a treadmill in highly trained male marathon, male and female long-distance, young male long-distance, adult male and female and young female middle-distance runners, modern pentathlonists, adult canoeists of both sexes, young male canoeists and football players, and on a bicycle ergometer in table tennis players, water slalom paddlers, young female canoeists rowers, and ice hockey players. Young female canoeists were also examined on the paddling ergometer and rowers on the rowing ergometer. VT expressed in %VO2 max was higher the longer the duration of racing performance (in marathoners 86.7%). %VO2 max at the VT level depends on the type of load and is higher the better the organism is adapted to a load. In young female canoeists and rowers examined on the bicycle ergometer, we found the VT level at 74.2% and 74.6% of %VO2 max, respectively. In the case of specific loading, we recorded 84.8% and 85.0% of %VO2 max, respectively, in the same athletes. In the case of nonspecific loading highly trained individuals may have low VT values close to the level characteristic for normal subjects. In relatively equally trained young and adult athletes we did not find significant differences in %VO2 max at the VT level (for long-distance runners, 85.2% and 85.3%, respectively, in female middle-distance runners, 82.8% and 82.7%, respectively, and in canoeists 81.3% and 78.9% of %VO2 max, respectively).(ABSTRACT TRUNCATED AT 250 WORDS)     

Modeling maximum oxygen uptake of elite endurance athletes

PURPOSE: To compare the maximum oxygen uptake V0(2max) of elite endurance athletes and to explain why the body mass exponent, necessary to render V0(2max) independent of body mass, appears to be greater than 0.67. METHODS: Study 1: V0(2max) of 174 international sportsmen and women was assessed. Athletes were recruited from seven sports (middle- and long-distance runners, heavyweight and lightweight rowers, triathletes, and squash and badminton players). Study 2: calf and thigh leg muscle masses were estimated in 106 male and 30 female athletes from 11 sports. Differences in V0(2max) and leg muscle masses between "sports" and "sex" were analyzed independent of body mass by using allometric log-linear ANCOVA. RESULTS: Heavyweight rowers had the greatest V0(2max) when expressed in L.min but long-distance runners had the highest V0(2max)in mL.kg.min. However, the ANCOVA identified no difference in "mass independent" V0(2max) between the five "pure" endurance sports (runners, rowers, and triathletes) (P > 0.05) with the two racket sports being significantly lower. The body mass covariate exponent was inflated, estimated as 0.94. The results from study 2 estimated calf and thigh leg muscle masses to increase in proportion to body mass, and, respectively. CONCLUSIONS: After having controlled for differences in body mass, V0(2max) did not differ between pure endurance sports (P > 0.05). Assuming that athletes' thigh muscle mass increases in proportion to body mass as observed in study 2, a similar disproportional increase in V0(2max) would be anticipated, providing a plausible explanation for the inflated mass exponent associated with V0(2max) identified in this and other studies.     

Body mass changes and voluntary fluid intakes of elite level water polo players and swimmers

Calculated sweat rates (measured by body mass changes) and voluntary fluid intakes were monitored in elite level water polo players and swimmers during normal exercise sessions to determine fluid requirements to maintain fluid balance, and the degree of fluid replacement of these athletes. Data were collected from training and competition sessions for male water polo players (n = 23) and training sessions only for swimmers (n = 20 females; n = 21 males). The calculated average sweat rate and fluid intake rate during training sessions for male water polo players was 287 ml/h and 142 ml/h, respectively, with a rate of 786 ml/h and 380 ml/h during matches. During training sessions for male swimmers, the calculated average sweat rate and fluid intake rate per kilometre was 138 ml/km and 155 ml/km, respectively; and for female swimmers, 107 ml/km and 95 ml/km. There was a wide individual variation in fluid intake and sweat loss of both water polo players and swimmers. Dehydration experienced by athletes in this study was less than typically reported for "land-based" athletes. Errors inherent in the technique used in this study are acknowledged and may be significant in the calculation of reported sweat losses and levels of fluid balance in aquatic athletes.     

Intravascular hemolysis and mean red blood cell age in athletes

PURPOSE: Since the observation that mechanical stress causes red blood cell (RBC) destruction, foot-strike hemolysis has been used to explain sports anemia and RBC rejuvenation in athletes. Recently gained knowledge questions the importance of mechanical RBC trauma on RBC hemolysis in athletes. METHODS: Male athletes (N = 90) and untrained male controls (N = 58) were investigated for aerobic performance, hematological parameters, serum erythropoietin concentration (EPO), soluble transferrin receptor concentration (sTFR), and erythrocyte aspartate aminotransferase activity (eAST). RESULTS: On hard floor running disciplines (HFR, N = 26, short- and long-distance runners, triathletes) showed a lower eAST (P < 0.001) and thus no younger RBC population than not on hard floor running athletes (NHFR, N = 64, cyclists, soccer players, others) or the untrained control group (N = 58). HFR had higher but still normal EPO (P < 0.01) and no higher sTFR. CONCLUSION: Because intravascular hemolysis occurs in swimmers, cyclists, and runners, and mean RBC age is not reduced in runners, mechanisms other than foot-strike hemolysis have to be considered as well. Possible reasons are intramuscular destruction, osmotic stress, and membrane lipid peroxidation caused by free radicals released by activated leukocytes. Intravascular hemolysis can even be regarded as physiological means to provide heme and proteins for muscle growth.     

Pronounced resting bradycardia in male elite runners is associated with high heart rate variability

Forty-eight hour Holter monitoring was undertaken of 16 male elite middle- and long-distance runners, age 25±3 years, with peak oxygen uptake 4.83±0.43 1 O₂/min or 73.0±3.9 ml O₂/kg/min. The athletes had pronounced bradycardia during the night-time, with heart rate calculated from four RR intervals <30 beats/min in five runners. Twelve of 16 runners had RR intervals >2 s. Of those, 10 runners had sinus pauses exceeding 2 s, the longest being 3.06 s. Three runners had AV block II, two with Mobitz type 1, and one with both Mobitz type 1 and 2. Autonomic function was estimated by time domain and power spectral analysis of heart rate variability. The runners were compared with a control group of 13 sedentary or moderately active subjects. The runners had a mean of 14 b.p.m. lower heart rate at night than the controls. The runners had higher heart rate variability in all spectral bands. In the time domain pNN50 and rMSSD, which are considered to reflect strongly vagal tone, were markedly higher in the runners than the controls. The findings suggest that an increased parasympathetic tone might at least partly explain the pronounced resting sinus bradycardias found in endurance-trained runners.     

Comparison of lung volume in Greek swimmers, land based athletes, and sedentary controls using allometric scaling.

OBJECTIVE: To compare lung volumes in a large cross sectional sample of Greek swimmers, land based athletes, and sedentary controls by means of allometric scaling. METHODS: Four hundred and fifty nine asymptomatic Greek children and young adults (age 10-21 years), including 159 swimmers, 130 land based athletes, and 170 sedentary controls, performed forced expiratory manoeuvres into a portable spirometer. Measurements included forced vital capacity, forced expiratory volume in one second (FEV1.0), and peak expiratory flow. Body mass and stature were also measured using standardised anthropometric techniques. RESULTS: Logarithmic transformations showed that in FEV1.0 was highly related to in stature in males and females (r = 0.93 and 0.86 respectively, P < 0.001) and were used to determine the exponent in an allometric equation which also included age and age. Resulting power functions, FEV1.0/stature, were 0.64 (0.18) litres/m2.69 and 0.33 (0.24) litres/m2.32 for males and females respectively (mean (SE)). The male and female swimming groups had larger FEV1.0 than both land based athletes and sedentary controls (one way analysis of variance, P < 0.001). In addition, male national standard swimmers (n = 38) had superior FEV1.0 in comparison with male non-national standard swimmers (n = 24; t test, P < 0.05). However, when years of swimming training was controlled for by analysis of covariance, the difference in FEV1.0 between the two groups was no longer evident. CONCLUSIONS: Swimmers have superior FEV1.0 independent of stature and age in comparison with both land based athletes and sedentary controls. In addition, male national standard swimmers have superior FEV1.0 independent of stature and age in comparison with male non-national standard swimmers. When years of training is controlled for, the difference in FEV1.0 between the two groups is no longer evident. This suggests that the years of swimming training and/or the earlier age at which training begins may have a significant influence on subsequent FEV1.0 and swimming performance. However, because of the cross sectional nature of this study, the results do not exclude genetic endowment as a major determinant of the superior lung volume observed in swimmers.     

Age at menarche, family size, and birth order in athletes at the Montreal Olympic Games, 1976

Age at menarache, family size, and birth order in 145 athletes at the Montreal Olympic Games, 1976, were determined through interview. The athletes represented 27 countries, but 76% came from Canada, Great Britain and the United States. On the average, athletes attained menarche later than the general population in their respective countries, the mean age at menarche for the sample of 139 athletes who had attained menarche at the time of the survey being 13.66 +/- 0.12 years. Six athletes had not yet attained menarche at the time of the survey. Gymnasts, runners and rowers attained menarche significantly later than swimmers, but gymnasts, runners, rowers and jumpers/hurdlers did not differ significantly among themselves in the age at menarche. Correlations between age at menarche and family size and birth order were significant, but low to moderate in magnitude. Athletes from larger families tended to have, on the average, later menarche than those from smaller families, this trend being more apparent in rowers and track and field athletes.     

Bone mineral content of cyclically menstruating female resistance and endurance trained athletes

The bone mineral content (BMC) at four sites on the axial and appendicular skeleton was compared among four groups of young adult (age = 17-38 yr) cyclically menstruating athletes (N = 40) who regularly performed either weightlifting resistance exercise (body builders) or nonresistance endurance exercise (runners, swimmers) and an inactive group of females (N = 18) of about equal age. Forearm BMC was measured using single photon absorptiometry at proximal (shaft) and distal sites on the radius. Dual photon absorptiometry was used to measure BMC at the lumbar vertebrae (L2-4) and femur at the femoral neck, Ward's triangle, and greater trochanter. Fat-free body mass (FFBM) was estimated from densitometry. Body builders had greater BMC than swimmers, collegiate runners, recreational runners, and controls. Mean differences in BMC among runners, swimmers, and controls were not significant (P less than or equal to 0.05). FFBM was correlated significantly with BMC (r = 0.35-0.56) at each site in the combined group of athletes (N = 39), whereas total body weight and BMC were correlated significantly at the distal radius site (r = 0.38) only. The results suggest that weight training may provide a better stimulus for increasing BMC than run and swim training.     

Comparison of the anaerobic threshold and mechanical efficiency of running in young and adult athletes

We determined noninvasively in a laboratory on the treadmill the anaerobic threshold (AT) (ventilatory threshold) and mechanical efficiency (ME) of running in 7 adult male long-distance runners (mean age = 24.1 yrs) and 17 adolescents (17.0 yrs), in 8 adult female middle-distance runners (23.2 yrs), in 12 young (16.1 yrs) and in 28 adult male canoeists (22.8 yrs), and in 10 juniors (17.4 yrs). We did not find significant differences in the metabolic adaptation characterized with the help of % VO2max on the AT level between relatively equally trained juniors and adults. In long-distance runners the % of VO2max on the AT level was 85.3% for adults and 85.2% for adolescents, in female middle-distance runners 82.8% and 82.7%, respectively, in adult canoeists 78.9%, and in juniors 79.8%. In ME which characterizes the degree of adaptation to the running and depends on the years of training and thus on the differences in racing performance, the values were lower for young athletes than for adults. The ME found in long-distance runners was 25.4% for young athletes and 32.4% for adults, in middle-distance runners 28.4% and 30.3%, respectively, and in canoeists 24.5% and 26.7%, respectively. The difference was significant only in long-distance runners where the greatest difference in racing performance (about 15%) is also found. The close similarity in responses to submaximal work intensities in adults and young sportsmen or subjects of equivalent fitness suggests caution in the interpretation of agewise decrements observed in physiologic variables which may be sensitive to physical fitness status.     

Cumulative incidence of achilles tendon rupture and tendinopathy in male former elite athletes.

OBJECTIVE: To study the cumulative incidence of Achilles tendon rupture and tendinopathy among former top-level athletes. DESIGN: Historical cohort study. SETTING: Finland. PARTICIPANTS: Male former elite athlete cohort members (n = 785; median age, 69 years when responding to the questionnaire; range, 54-97) and their matched controls (n = 416; median age, 68 years; range, 56-94). OUTCOME MEASUREMENTS: Questionnaire-reported Achilles tendinopathy and tendon rupture diagnosed by physicians before the age of 45 years and within the subjects' lifetimes. RESULTS: Cumulative incidence of Achilles tendinopathy before the age of 45 was high for middle and long-distance runners (adjusted odds ratio, 31.2 compared with controls; P < 0.001), and cumulative incidence of Achilles tendon rupture was high for sprinters (odds ratio, 14.9; P < 0.001). CONCLUSIONS: Achilles tendon problems seem to constitute clinically significant and common problems in specific sports.     

The frequency of anemia and iron deficiency in the runner

The current consensus is that runners commonly experience a mild anemia influenced by iron deficiency. We compared hematologic parameters of 72 (35 males and 37 females) runners with 48 (27 males and 21 females) nonrunners and assessed the impact of iron supplementation. Male runners had lower hemoglobin (Hb) values than male nonrunners (14.8 vs 15.3 g.dl-1) (P less than 0.05) regardless of iron usage. Female runners had higher (P = 0.05) Hb values than female controls (13.5 vs 12.8 g.dl-1). Female runners off iron had Hbs similar to controls off iron (P = 0.30). Iron parameters (total serum iron, TSI; total iron-binding capacity, TIBC; percent saturation of the TIBC, %sat TIBC; and serum ferritin) of runners vs controls, runners vs runners (on or off iron), and nonrunners vs nonrunners (on or off iron) were comparable except 1) male runners off iron had lower (P less than 0.05) %sat TIBC values (26%) than male runners on iron (34%) and 2) female runners taking iron had ferritin values (32 ng.ml-1) similar to those of female nonrunners taking iron (39 ng.ml-1) but higher (P less than 0.05) than their counterparts off iron (15 and 15 ng.ml-1, respectively). This study concludes that running affects Hb in a variable manner and suggests that the runner's iron status is similar to that of the general population.     

Maximal and submaximal oxygen uptakes and blood lactate levels in elite male middle- and long-distance runners

Physiological characteristics of elite runners from different racing events were studied. Twenty-seven middle- and long-distance runners and two 400-m runners belonging to the Swedish national team in track and field were divided, according to their distance preferences, into six groups from 400 m up to the marathon. The maximal oxygen uptake (VO2 max, ml X kg-1 X min-1) on the treadmill was higher the longer the main distance except for the marathon runners (e.g., 800-1500-m group, 72.1; 5000-10,000-m group, 78.7 ml X kg-1 X min-1). Running economy evaluated from oxygen uptake measurements at 15 km/h (VO2 15) and 20 km/h (VO2 20) did not differ significantly between the groups even though VO2 15 tended to be lower in the long-distance runners. The running velocity corresponding to a blood lactate concentration of 4 mmol/l (vHla 4.0) differed markedly between the groups with the highest value (5.61 m/s) in the 5000-10,000-m group. The oxygen uptake (VO2) at vHla 4.0 in percentage of VO2 max did not differ significantly between the groups. The blood lactate concentration after exhaustion (VO2 max test) was lower in the long-distance runners. In summary, the present study demonstrates differences in physiological characteristics of elite runners specializing in different racing events. The two single (but certainly inter-related) variables in which this was most clearly seen were the maximal oxygen uptake (ml X kg-1 X min-1) and the running velocity corresponding to a blood lactate concentration of 4 mmol/l.     

Physiological assessment of Saudi athletes.

This study was aimed at assessing the physiological responses of Saudi male athletes to maximal exercise testing. Seventy five national athletes representing nine different sports and fourteen healthy controls were subjected to graded bicycle ergometer tests, during which cardiorespiratory and metabolic functions were monitored and recorded. The results of this study indicate that the maximal oxygen uptake (VO2max) values for the Saudi athletes were not significantly different from those of controls. The cyclists, however, attained the highest VO2max with a mean of 55.05 ml.kg-1.min-1 followed by the middle distance runners (X = 53.17) and the long distance runners (X = 51.19). Comparison of the Saudi athletes with some previously reported international standards revealed that the Saudi athletes had a VO2max that was lower than their respective French, Swedish, Belgian, Norwegian, Italian, Canadian or American athletes.     

Assessment of bone strength at differentially-loaded skeletal regions in adolescent middle-distance runners

Bone adaptations to loading extend beyond mineral accrual to geometric markers of bone strength. Available technology and regional differences in cortical bone dictate how bone strength is reported. Examination of bone strength at two differentially-loaded skeletal sites using hip structure analysis (HSA) and bone strength index (BSI) is under-explored in adolescent sporting populations. The purpose of this study was to compare HSA at the femoral neck and BSI at the distal tibia in adolescent middle-distance runners and age- and gender-matched controls. Four groups of 20 adolescents aged 14-18 years were composed of male and female middle-distance runners, and male and female controls. Distal tibial BSI was calculated using data from dual energy X-ray absorptiometry (DXA) and magnetic resonance imaging (MRI). Calculations for femoral neck strength were acquired from DXA-derived HSA software. Female athletes displayed greater distal tibial BSI than controls t(38)=3.4, p=0.002, but femoral neck bone measures did not differ. In males, no group differences were found at either the distal tibia or femoral neck. In conclusion, exposure to similar high training loads may advantage female adolescent athletes more than male adolescent athletes compared with less active peers in bone strength at the distal tibia.     

Immune function in female elite rowers and non-athletes

OBJECTIVE: To compare immune function in female rowers and controls in the resting state, and then correlate the results with a two month history of upper respiratory tract infection (URTI). METHODS: Subjects included 20 elite female rowers located at the ARCO Olympic Training Centre in Chula Vista, California, and 19 non-athletic female controls. These two groups were compared cross sectionally for immune function and infection rates. RESULTS: Granulocyte/monocyte phagocytosis, oxidative burst activity, and plasma cytokine concentrations (interleukin-6, tumour necrosis factor-alpha, and interleukin-1 receptor antagonist) did not differ significantly between groups. Phytohaemagglutinin induced lymphocyte proliferative response (adjusted whole blood method) was significantly higher (31% and 36% for optimal and suboptimal concentrations respectively) in rowers than in controls. Natural killer cell activity was substantially higher (1.6-fold for total lytic units) in the female rowers than in controls. Two month health logs disclosed 5.2 (1.2) and 3.3 (1.1) days with URTI symptoms for the rowers and controls respectively (p = 0.268). For all 39 subjects combined, and for the 20 rowers separately, none of the immune parameters correlated significantly with number of days with URTI symptoms. CONCLUSIONS: In this cross sectional comparison of elite female rowers and non-athletes, a group difference was found for natural killer cell activity and phytohaemagglutinin induced proliferative response (whole blood technique), but not other measures of immune function. The number of days with URTI symptoms during the spring season did not differ between groups, and variations in blood measures of immunity were unrelated to URTI.     

Evaluation of iron metabolism indices and their relation with physical work capacity in athletes.

OBJECTIVE--To evaluate the relation between iron status and physical working capacity, and to assess the effect of oral iron treatment on these variables, in athletes with borderline iron status. METHODS--Blood haemoglobin (Hb), packed cell volume (PCV), red blood cell count (RBC), serum iron, total iron binding capacity (TIBC), and ferritin determinations were compared in 71 male and 18 female athletes participating in various sports and in matched male (n = 11) and female (n = 8) controls. The first aim was to assess the relations between these variables and performance in a physical work capacity test (PWC170). Oral iron treatment (175-350 mg ferrous fumarate daily) was provided for three weeks to six male and five female athletes with borderline Hb concentrations, to determine the effects of such treatment on both iron status and performance. RESULTS--Among females, handball players had the lowest serum ferritin concentrations (P < 0.05), the highest TIBC values, and lowest PWC170 scores (P < 0.01); runners had the highest ferritin concentrations and PWC170 scores (P < 0.01). There were significant correlations (P < 0.01) between PWC170 and PCV, serum ferritin, and transferrin saturation of female athletes. Hb, serum iron, serum ferritin, and transferrin saturation increased with iron treatment in both males (P < 0.01) and females (P < 0.05). CONCLUSIONS--Serum ferritin determination may prove a valuable addition to the screening of athletes and may indicate the need for iron treatment, even though a causal effect on improvement of work capacity may not be present.     

Weight and diet concerns in Finnish female and male athletes

PURPOSES AND METHODS: Factors related to eating disorders were studied in five groups of female (N = 173) and male (N = 190) athletes, and in female (N = 79) and male (N = 61) controls. Factors associated with menstrual status were also examined. RESULTS: The sum of drive for thinness and body dissatisfaction subscales in the Eating Disorders Inventory was higher (P < 0.05) in female controls (median: 5; 25th and 75th percentiles: 1 and 14) than in endurance athletes (0; 0 and 2). The male groups did not differ from each other (P = 0.08) or from female subjects (P = 0.62). The preferred weight loss in the female controls (-4.0 kg; -6.2 and -2.0) was larger (P < 0.05) than in most athletic groups. Males, on average, did not want to lose weight (different from females, P < 0.001). The prevalence of weight reduction attempts (85%) in female weight-class athletes was higher (P < 0.05) compared with endurance and ballgame athletes and the controls (29-58%). In males, the frequency (93%) of weight reduction attempts was also highest in the weight-class athletes (P < 0.05). The prevalence of menstrual disturbances was 27-37% in aesthetic, endurance, and weight-class athletes, and 5% in controls (P = 0.06). CONCLUSIONS: The results confirmed that the risk for eating disorders is dependent on the type of sport. The claim that some female athlete groups are at greater risk than controls did not receive evidence.     

Differences in skinfold thicknesses and fat distribution among top-class runners

AIM: The purpose of this research was to determine skinfolds values in male and female top-class runners who competed in different distances in order to identify the association of sex and event with fatness and distribution of subcutaneous fat. METHODS: Eight skinfolds were measured on male (n=130) and female (n=56) top-class runners. Sum of 6 skinfolds and extremity/trunk fat ratio was calculated. Runners were distributed into groups according to the event in which they obtained their best performance. RESULTS: The skinfolds values found in our athletes were very low. Female runners obtained higher values in extremity skinfolds than male runners; the differences in chest, biceps and abdominal skinfolds are only significant in short duration events; no differences were found in suprailiac and subscapular skinfolds. In both sexes, all skinfolds showed significantly lower values among marathon runners; no differences were found in skinfolds values among runners competing in distances ranging from 100 m to 10,000 m. Extremity/trunk fat ratio was not related to event. CONCLUSIONS: The lower skinfold values found in all groups of runners may be due to a high performance; this analysis shows that a slight excess of fat is not beneficial in order to obtain a high performance in any distance. Fatness is only associated to marathon events, probably due to the fact that these runners are engaged in higher training volume and that only in this event fat metabolism prevails in training and competition. Distribution of subcutaneous fat may be more dependent on biological or environmental factors unrelated to type of training.     

The ultraendurance triathlete: a physiological profile

To better characterize the athletes who participate in ultraendurance triathlons, 14 triathletes in training for the Hawaii IRONMAN triathlon were studied. A physical and physiological profile was developed from anthropometric measurements and oxygen uptake during maximal exercise on a treadmill, cycle ergometer, and arm ergometer. A comparison of the maximal values among exercise modes and between males and females was made. A comparison of height, weight, and percent body fat of these triathletes with elite athletes from the sports of swimming, cycling, and running showed the physique of triathletes to be most similar to that of cyclists. Oxygen uptake at maximal exercise was, for males and females, respectively: 68.8 ml X kg-1 X min-1, 65.9 ml X kg-1 X min-1 on the treadmill; 66.7 ml X kg-1 X min-1, 61.6 ml X kg-1 X min-1 on the cycle ergometer; and 49.1 ml X kg-1 X min-1, 39.7 ml X kg-1 X min-1 on the arm ergometer. When comparing the highest oxygen uptake attained at maximal exercise in any one of the three exercise modes, the male triathletes are comparable to swimmers, but have a lower aerobic capacity than cyclists or distance runners. The female triathletes studied were able to attain oxygen uptake values greater than those previously reported for female athletes.