Differences in pacing behaviour between global championship medal performances and world records in men's and women's middle- and long-distance running track events.

The differences in pacing demands between track distance-running championship and meet (e.g., World Record [WR]) races have not been specified yet in the current literature. Therefore, the aim of this study was to determine pacing behaviour differences between WRs and global championship (i.e., World Championships and Olympic Games) medal performances (GCMs) in middle- and long-distance running events. Percentages of mean race section speeds were compared through analysis of variance between men's and women's 169 WRs and 189 GCMs over 800 m, 1500 m, 3000 m steeplechase, 5000 m and 10,000 m. U-shaped and negative pacing approaches are observed during men's and women's 1500 m WRs and GCMs, respectively. The first and third 400 m of men's and women's 1500 m GCMs were relatively slower and faster, respectively (p ≤ 0.05, 1.31 ≤ d ≤ 1.69). Even profiles are followed during women's 3000 m steeplechase WRs and GCMs, whereas positive approaches were adopted in men's GCMs. Finally, whereas 5000 m and 10,000 m GCMs were finished with a fast endspurt, WRs had a U-shaped profile in men, with differences between the initial and last race stages (p ≤ 0.01, 1.20 ≤ d ≤ 3.66), and an even profile in women. Coaches should consider the different pacing demands existing among meet and global championship races to specifically implement training characteristics targeting either goal type.

From lab to field: validity and reliability of inertial measurement unit-derived gait parameters during a standardised run.

The aim was to assess concurrent validity and test-retest reliability of spatiotemporal gait parameters from a thoracic-placed inertial measurement unit (IMU) in lab- (Phase One) and field-based (Phase Two) conditions. Spatiotemporal gait parameters were compared (target speeds 3, 5 and 7.5 m·s-1) between a 100 Hz IMU and an optical measurement system (OptoJump Next, 1000 hz) in 14 trained individuals (Phase One). Additionally, 29 English Premier League football players performed weekly 3 × 60 m runs (5 m·s-1; observations = 1227; Phase Two). Mixed effects modelling assessed the effect of speed on agreement between systems (Phase One) and test-retest reliability (Phase Two). IMU step time showed strong agreement (<0.3%) regardless of individual or running speed. Direction of mean biases up to 40 ms for contact and flight time depended on the running speed and individual. Step time, length and frequency were most reliable (coefficient of variation = 1.3-1.4%) but confounded by running speed. Step time, length and frequency derived from a thoracic-placed IMU can be used confidently. Contact time could be used if bias is corrected for each individual. To optimise test-retest reliability, a minimum running distance of 40 m is needed to ensure 10 constant-speed steps is gathered.

Multisystem screening reveals SARS-CoV-2 in neurons of the myenteric plexus and in megakaryocytes.

SARS-CoV-2, the causative agent of COVID-19, typically manifests as a respiratory illness, although extrapulmonary involvement, such as in the gastrointestinal tract and nervous system, as well as frequent thrombotic events, are increasingly recognised. How this maps onto SARS-CoV-2 organ tropism at the histological level, however, remains unclear. Here, we perform a comprehensive validation of a monoclonal antibody against the SARS-CoV-2 nucleocapsid protein (NP) followed by systematic multisystem organ immunohistochemistry analysis of the viral cellular tropism in tissue from 36 patients, 16 postmortem cases and 16 biopsies with polymerase chain reaction (PCR)-confirmed SARS-CoV-2 status from the peaks of the pandemic in 2020 and four pre-COVID postmortem controls. SARS-CoV-2 anti-NP staining in the postmortem cases revealed broad multiorgan involvement of the respiratory, digestive, haematopoietic, genitourinary and nervous systems, with a typical pattern of staining characterised by punctate paranuclear and apical cytoplasmic labelling. The average time from symptom onset to time of death was shorter in positively versus negatively stained postmortem cases (mean = 10.3 days versus mean = 20.3 days, p = 0.0416, with no cases showing definitive staining if the interval exceeded 15 days). One striking finding was the widespread presence of SARS-CoV-2 NP in neurons of the myenteric plexus, a site of high ACE2 expression, the entry receptor for SARS-CoV-2, and one of the earliest affected cells in Parkinson's disease. In the bone marrow, we observed viral SARS-CoV-2 NP within megakaryocytes, key cells in platelet production and thrombus formation. In 15 tracheal biopsies performed in patients requiring ventilation, there was a near complete concordance between immunohistochemistry and PCR swab results. Going forward, our findings have relevance to correlating clinical symptoms with the organ tropism of SARS-CoV-2 in contemporary cases as well as providing insights into potential long-term complications of COVID-19. © 2022 The Authors. The Journal of Pathology published by John Wiley & Sons Ltd on behalf of The Pathological Society of Great Britain and Ireland.

Changes in running biomechanics during the 2017 IAAF world championships men's 1500 m final.

The aim of this study was to analyze key kinematic, spatiotemporal, and global mechanical characteristics in world-class middle-distance racing. Eight men were recorded halfway along the home straight on the second, third, and final laps in the 2017 IAAF World Championship 1500 m final. Video data (150 Hz) from three high-definition camcorders were digitized to calculate relevant variables, subsequently analyzed in relation to running speed and finishing position. Better-placed finishers had greater hip extension at initial contact and through late stance, greater knee excursion throughout stance, and longer overstriding distances. Step length did not change with faster speeds as runners relied on increasing step frequency, but the highest-finishing athletes had longer contact phases and greater fluctuations in speed through the step cycle, which were related to higher normalized peak horizontal forces. The best athletes also had lower leg stiffnesses and vertical stiffnesses. The extended contact phase and greater compression could allow for more sustained force production, enabling better acceleration and maintenance of sprinting speed, indicating a trade-off between aerobic energetic efficiency and anaerobic power capacity. Coaches should note that these factors, as well as the best athletes' greater overstriding distances, show that elite 1500 m runners might prioritize a technique that favors running speed over economy.

A retrospective, comparative, clinical study of occlusion rate of peripherally inserted central catheters fabricated of poly(vinyl alcohol)-based hydrogel composite.

Thrombotic accumulation is associated with surface interactions between blood proteins and vascular access devices. Catheter occlusion results from this process, and is a costly, common, occurrence with peripherally inserted central catheters (PICCs). Hydrophilic catheter materials exhibit antithrombotic properties. This retrospective study evaluates the occurrence of catheter occlusion of PICCs constructed of a poly(vinyl alcohol)-based hydrogel composite known as hydrophilic biomaterial (HBM), compared to thermoplastic polyurethane (TPU) control devices. A total of 121 PICCs, 60 HBM and 61 TPU, were placed in patients with a clinical need and were reviewed for the occurrence of catheter occlusion. The records review found that occlusions occurred in 0/60 (0.0%) of the HBM PICCs and 13/61 (21.3%) of TPU PICCs (p = 0.001). HBM exhibits favorable qualities for vascular access, most importantly its extreme hydrophilicity. Clinically, this may be responsible for the reduction in PICC occlusions, which could improve patient outcomes.

Repeatability and sensitivity of passive mechanical stiffness measurements in the triceps surae muscle-tendon complex.

Measurements of muscle-tendon unit passive mechanical properties are often used to illustrate acute and chronic responses to a training stimulus. The purpose of this study was to quantify the inter-session repeatability of triceps surae passive stiffness measurements in athletic and non-athletic populations, with the view to discussing its usefulness both as a muscle-tendon profiling tool and a control measure for studies with multiple data collection sessions. The study also aimed to observe the effects of quiet standing on passive stiffness parameters. Twenty-nine men (10 cyclists, nine triathletes, 10 controls) visited the laboratory on three separate occasions, where passive stiffness tests were carried out using an isokinetic dynamometer and B-mode ultrasound. Participants were fully rested on two of the sessions and subjected to 20 min of quiet standing in the other. The passive stiffness assessment generally showed only moderate inter-session repeatability but was still able to detect inter-group differences, with triathletes showing higher passive stiffness than cyclists (p < 0.05). Furthermore, quiet standing impacted passive stiffness by causing a reduction in ankle joint range of motion, although mechanical resistance to stretch in the muscle-tendon unit at a given joint angle was relatively unaffected. These findings show that passive stiffness assessment is appropriate for detecting inter-group differences in the triceps surae and even the effects of a low-intensity task such as quiet standing, despite showing some inter-session variation. However, the inter-session variation suggests that passive stiffness testing might not be suitable as a control measure when testing participants on multiple sessions.

Asymmetry in sprinting: An insight into sub-10 and sub-11 s men and women sprinters.

We assessed sprint mechanical asymmetry in world-class competitors and evaluated whether inter-limb sex-based differences in sprinting mechanics exist. The eight finalists in the men's and women's 100 m events at the 2017 IAAF World Championships were studied. Five high-speed cameras (150 Hz) were used to capture two consecutive steps of the whole body between 47.0 m and 55.5 m from the start, while four additional cameras (250 Hz) focussed on the lower extremities. A total of 33 spatio-temporal, touchdown and toe-off joint angles, and horizontal and vertical foot velocity parameters were extracted through three-dimensional analysis. Group mean asymmetry scores were assessed using the symmetry angle (SA) where scores of 0% and 100% represent perfect symmetry and perfect asymmetry, respectively. Although considered generally low (SA <3% for 22 out of 33 parameters), the magnitude of mechanical asymmetry varied widely between sprinters of the same sex. However, there was no mean SA scores difference between men and women for any stride mechanical parameters (all p ≥ 0.064). Asymmetry scores were inconsistent between parameters and phases (touchdown vs toe-off instants), and sprinting mechanics were generally not related to asymmetry magnitudes. In summary, low to moderate asymmetry is a natural phenomenon in elite sprinting. Asymmetry was inconsistent between parameters and competitors during near maximum velocity running, yet mean values for a given parameter generally did not differ between sexes. Sprinters' performances were not related to their SA scores.

Development and Maintenance of Sprint Training Adaptations: An Uphill-Downhill Study.

ABSTRACT: Bissas, A, Paradisis, GP, Nicholson, G, Walker, J, Hanley, B, Havenetidis, K, and Cooke, CB. Development and maintenance of sprint training adaptations: an uphill-downhill study. J Strength Cond Res 36(1): 90-98, 2022-We examined the development of performance adaptations resulting from an uphill-downhill training program and monitored the decline of adaptations during detraining. Twenty-eight men were randomly assigned to 1 of 2 sprint training groups who trained 3 times per week for 6 weeks and a control group (C). The uphill-downhill group (U+D) trained on an 80-m platform with 3° slopes, whereas the horizontal (H) group trained on flat track. Subjects were tested for maximal running speed (MRS), associated kinematics, and leg strength before and after training, with U+D subjects also tested after weeks 2 and 4 of training, and after a 3-week detraining period. The U+D group increased their MRS by 3.7% (from 8.75 ± 0.72 to 9.07 ± 0.64 m·s-1, p < 0.05), their stride rate by 3.1% (from 4.21 ± 0.21 to 4.34 ± 0.18 Hz, p < 0.05), and their knee extensors' maximum isometric force by 21% (from 2,242 ± 489 to 2,712 ± 498 N, p < 0.05) after training. The time course of changes showed declines for weeks 1-4 (1.4-5.1%), but an ascending trend of improvement compensated all losses by the end of week 6 (p < 0.05). During detraining, no decreases occurred. No changes were observed for the H and C groups. The minimum period to produce positive effects was 6 weeks, with a very good standard of performance maintained 3 weeks after training. U+D training will prove useful for all athletes requiring fast adaptations, and it can fit into training mesocycles because of its low time demands.

Histological findings of tracheal samples from COVID-19 positive critically ill mechanically ventilated patients.

OBJECTIVES: This study examines the histological findings of tracheal tissue samples obtained from COVID-19 positive mechanically ventilated patients, to assess the degree of tracheal inflammation/ulceration present. DESIGN AND PARTICIPANTS: Retrospective single-centre observational cohort study. All patients admitted to Adult Intensive Care Unit (AICU) with COVID-19 infection, requiring mechanical ventilation and surgical tracheostomy between 1 April and 1 May 2020, were included (Group 1). Tracheal windows excised at tracheostomy underwent histological analysis. Comparison was made with: tracheal windows from COVID-19 positive AICU ventilated patients admitted between 1 January and 1 March 2021 (Group 2); tracheal windows from COVID-19 negative AICU ventilated patients (Group 3); and, tracheal autopsy samples from COVID-19 positive patients that died without undergoing prolonged mechanical ventilation (Group 4). RESULTS: Group 1 demonstrated mild/moderate inflammation (tracheitis) in nearly all samples (15/16, 93.8%), with infrequent micro-ulceration (2/16, 12.5%). Group 2 demonstrated similar mild/moderate inflammation in all samples (17/17, 100%), with no ulceration. Histological findings of Groups 1 and 2 COVID-19 positive patients were similar to Group 3 COVID-19 negative patients, which demonstrated mild/moderate inflammation (5/5, 100%), with uncommon superficial erosion (1/5, 20%). Group 4 demonstrated mild chronic inflammation or no significant inflammation, with uncommon micro-ulceration (1/4, 25%). CONCLUSIONS: Severe tracheal inflammation was not demonstrated in mechanically ventilated COVID-19 positive patients at the level of the second/third tracheal rings, at the stage of disease patients underwent tracheostomy. Histological findings were similar between mechanically ventilated COVID-19 positive and negative patients. Tracheal ulceration may be a feature of early or severe COVID-19 disease.

Ultrastructure of cell trafficking pathways and coronavirus: how to recognise the wolf amongst the sheep.

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has resulted in an urgent need to understand the pathophysiology of SARS-CoV-2 infection, to assist in the identification of treatment strategies. Viral tissue tropism is an active area of investigation, one approach to which is identification of virus within tissues by electron microscopy of post-mortem and surgical specimens. Most diagnostic histopathologists have limited understanding of the ultrastructural features of normal cell trafficking pathways, which can resemble intra- and extracellular coronavirus; in addition, viral replication pathways make use of these trafficking pathways. Herein, we review these pathways and their ultrastructural appearances, with emphasis on structures which may be confused with coronavirus. In particular, we draw attention to the fact that, when using routine fixation and processing, the typical 'crown' that characterises a coronavirus is not readily identified on intracellular virions, which are located in membrane-bound vacuoles. In addition, the viral nucleocapsid is seen as black dots within the virion and is more discriminatory in differentiating virions from other cellular structures. The identification of the viral replication organelle, a collection of membranous structures (convoluted membranes) seen at a relatively low scanning power, may help to draw attention to infected cells, which can be sparse. © 2020 The Authors. The Journal of Pathology published by John Wiley & Sons, Ltd. on behalf of The Pathological Society of Great Britain and Ireland.

Meso-pacing in Olympic and World Championship sprints and hurdles: Medallists save their best for the final.

The aim of this novel study was to analyse performance changes across qualifying heats, semi-finals and finals in world-class sprinters and hurdlers. Finalists' finishing positions, times and rankings at the Olympic Games and IAAF World Championships (2012-2019) were obtained. 78% of gold, 67% of silver and 38% of bronze medallists won their qualifying heat and semi-final, and in most events final placings were associated with finishing positions in the qualifying heats (P ≤ 0.006), but not with finishing times. Medallists ran faster in each successive round (P < 0.001), whereas those finishing between 4th-6th did not improve on their semi-final times. Most athletes finishing last and second-last ran the final slower than both their semi-final and qualifying heats. The short hurdles events, with fixed barrier heights and distances, differed from the other races as the medallists were faster than most rivals in the qualifying rounds (P < 0.05), and their race times did not improve from the semi-final to the final. Coaches should note that the world's best athletes were able to conserve energy for the final within a meso-pacing strategy throughout the championships, which was more important in the short hurdles, and requires preparation within their training regimens.

Pacing Profiles of Olympic and IAAF World Championship Long-Distance Runners.

ABSTRACT: Filipas, L, La Torre, A, and Hanley, B. Pacing profiles of Olympic and International Association of Athletics Federations World Championship long-distance runners. J Strength Cond Res 35(4): 1134-1140, 2021-The aim of this study was to analyze the pacing profiles of Olympic and International Association of Athletics Federations (IAAF) World Championship long-distance finalists, including the relationship with their recent best times. The times for each 1,000-m split were obtained for 394 men and women in 5,000- and 10,000-m finals at 5 championships. Athletes' best times from the previous 32 months were also obtained. Similar pacing profiles were used by athletes grouped by finishing position in 5,000-m races. Women adopted a more even pacing behavior, highlighting a possible sex-based difference over this distance. Pacing behavior over 10,000 m was more similar between men and women compared with over 5,000 m. The main difference between men and women was that in the men's 10,000 m, as in the men's 5,000 m, more athletes were able to follow the leading group until the final stages. There were large or very large correlations between athletes' best times from the previous 32 months and their result; the fastest finishers also ran closer to their previous 32 months' best times. Despite differences in pacing behavior between events, long-distance runners should nonetheless stay close to the front from the beginning to win a medal.

World-Class Long-Distance Running Performances Are Best Predicted by Volume of Easy Runs and Deliberate Practice of Short-Interval and Tempo Runs.

ABSTRACT: Casado, A, Hanley, B, Santos-Concejero, J, and Ruiz-Pérez, LM. World-class long-distance running performances are best predicted by volume of easy runs and deliberate practice of short-interval and tempo runs. J Strength Cond Res 35(9): 2525-2531, 2021-The aim of this novel study was to analyze the effect of deliberate practice (DP) and easy continuous runs completed by elite-standard and world-class long-distance runners on competitive performances during the first 7 years of their sport careers. Eighty-five male runners reported their best times in different running events and the amounts of different DP activities (tempo runs and short- and long-interval sessions) and 1 non-DP activity (easy runs) after 3, 5, and 7 years of systematic training. Pearson's correlations were calculated between performances (calculated using the International Association of Athletics Federations' scoring tables) and the distances run for the different activities (and overall total). Simple and multiple linear regression analysis calculated how well these activities predicted performance. Pearson's correlations showed consistently large effects on performance of total distance (r ≥ 0.75, p < 0.001), easy runs (r ≥ 0.68, p < 0.001), tempo runs (r ≥ 0.50, p < 0.001), and short-interval training (r ≥ 0.53, p < 0.001). Long-interval training was not strongly correlated (r ≥ 0.22). Total distance accounted for significant variance in performance (R2 ≥ 0.57, p < 0.001). Of the training modes, hierarchical regression analysis showed that easy runs and tempo runs were the activities that accounted for significant variance in performance (p < 0.01). Although DP activities, particularly tempo runs and short-interval training, are important for improving performance, coaches should note that the non-DP activity of easy running was crucial in better performances, partly because of its contribution to total distance run.

Muscle-tendon morphology and function following long-term exposure to repeated and strenuous mechanical loading.

We mapped structural and functional characteristics of muscle-tendon units in a population exposed to very long-term routine overloading. Twenty-eight military academy cadets (age = 21.00 ± 1.1 years; height = 176.1 ± 4.8 cm; mass = 73.8 ± 7.0 kg) exposed for over 24 months to repetitive overloading were profiled via ultrasonography with a senior subgroup of them (n = 11; age = 21.4 ± 1.0 years; height = 176.5 ± 4.8 cm; mass = 71.4 ± 6.6 kg) also tested while walking and marching on a treadmill. A group of eleven ethnicity- and age-matched civilians (age = 21.6 ± 0.7 years; height = 176.8 ± 4.3 cm; mass = 74.6 ± 5.6 kg) was also profiled and tested. Cadets and civilians exhibited similar morphology (muscle and tendon thickness and cross-sectional area, pennation angle, fascicle length) in 26 out of 29 sites including the Achilles tendon. However, patellar tendon thickness along the entire tendon was greater (P < .05) by a mean of 16% for the senior cadets compared with civilians. Dynamically, cadets showed significantly smaller ranges of fascicle length change and lower shortening velocity in medial gastrocnemius during walking (44.0% and 47.6%, P < .05-.01) and marching (27.5% and 34.3%, P < .05-.01) than civilians. Furthermore, cadets showed lower normalized soleus electrical activity during walking (22.7%, P < .05) and marching (27.0%, P < .05). Therefore, 24-36 months of continuous overloading, primarily occurring under aerobic conditions, leads to more efficient neural and mechanical behavior in the triceps surae complex, without any major macroscopic alterations in key anatomical structures.

Increases in speed do not change gait symmetry or variability in world-class race walkers.

The aim of this study was to analyse changes in gait variability and symmetry with increasing speed in race walkers. Eighteen international athletes race walked on an instrumented treadmill at speeds of 11, 12, 13 and 14 km·h-1 in a randomised order for 3 min each. Spatiotemporal and ground reaction force data were recorded for 30 s at each speed. Gait variability was measured using median absolute deviation and inter-leg symmetry was measured using the symmetry angle. There was an overall effect of speed on all absolute values except push-off force, but symmetry and variability (except flight time) did not change with increased speed, step length and step frequency. Most athletes were asymmetrical for at least one variable, but none was asymmetrical for more than half of the variables measured. Therefore, being asymmetrical or having higher variability (<5%) in a few variables is normal. Taking all findings together, practitioners should exercise caution when deciding on the need for corrective interventions and should not be concerned that increasing gait speed could increase injury risk through changes to athletes' asymmetry. Race walking coaches should test at competition speeds to ensure that flight times, and any variability or asymmetry, are measured appropriately.

Better water jump clearances were differentiated by longer landing distances in the 2017 IAAF World Championship 3000 m steeplechase finals.

The aim of this novel study was to analyse key kinematic variables during the water jump clearance amongst world-class 3,000 m steeplechasers. Thirteen men and 13 women were recorded as they negotiated the last water jump in the 2017 IAAF World Championship finals. Video footage (100 Hz) was recorded using three high-definition camcorders to derive spatiotemporal data; spatial data were normalised to athletes' statures. The time to cover the distance from 4.5 m before the water jump barrier to 4.5 m after ("9 m time") was used to describe overall clearance success. Although men had longer approach and exit step lengths, there were no differences when the data were normalised; by contrast, men's landing distances were greater in both absolute and relative terms. Women's shorter landing distances meant negotiating deeper water when exiting, with those athletes with longer landing distances running faster 9 m times (r = - 0.87). Obtaining a high position on the barrier (clearance height) was correlated with longer landing distances (men: r = 0.75, women: r = 0.71) and could indicate better technique. Coaches should note that although technical proficiency in all aspects of the clearance is imperative, optimising the athlete's landing distance is paramount.

Reliability of the OptoJump Next System for Measuring Temporal Values in Elite Racewalking.

Hanley, B and Tucker, CB. Reliability of the OptoJump Next system for measuring temporal values in elite racewalking. J Strength Cond Res 33(12): 3438-3443, 2019-Racewalking is an Olympic event where athletes are not permitted a visible loss of contact, with the result that competitors try to minimize flight times. The accuracy of measurements taken during testing is dependent on valid and reliable systems to determine temporal values. The aim of the study was to compare different methodologies used to measure contact and flight times in overground and treadmill racewalking. Eighteen racewalkers completed overground and instrumented treadmill trials at 5 speeds, during which flight and contact times were measured using the OptoJump Next photocell system (1,000 Hz), high-speed videography (500 Hz), and force plates (1,000 Hz). Results from OptoJump Next were extracted using 5 settings based on the number of light-emitting diodes (LEDs) activated (GaitIn_GaitOut) and annotated as 0_0, 1_1, 2_2, 3_3, and 4_4. Regarding flight time measurements for the overground condition, the 2_2 LED setting had the best 95% confidence interval (95% CI) for intraclass correlation coefficient (ICC) (0.978-0.988), the least bias (0.000 seconds), and the lowest random error (RE) (0.008 seconds). For the treadmill condition, the 0_0 LED setting had the best 95% CI for ICC (0.890-0.957), the least bias (0.004 seconds), and the lowest RE (0.017 seconds). Although high-speed videography also provided highly reliable results, the equally reliable and quicker availability of results using OptoJump Next is beneficial in laboratory-based testing. Coaches and researches are advised to alter the system's LED settings as appropriate and to report these settings with their findings.

Pacing profiles of senior men and women at the 2017 IAAF World Cross Country Championships.

The purpose of this study was to analyse and compare pacing profiles of senior men and women competing in the 2017 World Cross Country Championships. Finishing and split times were collated for 118 men and 81 women competing over the newly introduced race distance of 10 km (five laps of approximately 2 km). Athletes were grouped according to finishing time, and changes in pace measured using lap times, except between Laps 1 and 2 because of a shorter first lap (times relative to the winner were used instead). Within both men's and women's races, groups slowed during the early stages, but then either sped up or maintained pace during the last lap. There were few differences between groups with regard to overall pacing profiles, or between sexes. The men's fast finish contrasted with slower finishes found in previous editions (over 12 km), and the degree to which women were slower than men (approximately 12%) was very similar to track racing and showed the decision to equalise the distances run by both sexes was sound. As in other distance events, athletes are recommended to try to achieve an even pace throughout, an approach that proved beneficial to both gold medallists.

Champions are racers, not pacers: an analysis of qualification patterns of Olympic and IAAF World Championship middle distance runners.

The aim of this study was to analyse qualification patterns in middle distance running and identify whether athletes adopt theoretically optimal tactics, or whether the will to win overrides these. The performances of 295 men and 258 women finalists in the Olympic and IAAF World Championship 800 m and 1500 m events from 1999 to 2017 were analysed across all three rounds of competition. Finishing position, time and ranking amongst all competitors were found for each athlete. Position in the final was correlated with finishing position in the heats and semi-finals (all P < 0.001), but not with finishing times in those rounds. Of the 57 champions, 40 won both their heat and semi-final, even though a lower automatic qualification position would have been sufficient, and only 18 achieved a season's best time in the final. The will to win amongst the eventual champions (and other medallists) suggests predominantly ego oriented behaviour that is encouraged by a performance climate, and which did not appear to differ between men and women. Coaches and athletes are recommended to note that championship-specific physiological and psychological factors are important to develop in training and prior competition to improve both short- and long-term championship strategies.