Homeostasis - Marathon

misshutchinsontv
21 Apr 201318:55

Summary

TLDRThis script explores the human body's homeostatic mechanisms during the Amsterdam City Marathon. It follows a runner's physical and chemical balance as she faces the challenges of the race, including maintaining hydration, regulating body temperature, and managing energy sources. The video highlights the body's response to stress, such as increased heart rate and breathing, and the importance of balance in performance. It also touches on the body's switch from glucose to fat as fuel as the race progresses, illustrating the complexity of physiological responses to endurance events.

Takeaways

  • 🏃 The human body is a complex machine that requires homeostasis to maintain a stable internal environment, which is essential for efficient functioning.
  • 🔥 The body's vital processes are threatened when pushed beyond their limits, such as during a marathon, where maintaining chemical and physical balance is crucial.
  • 🌡️ Homeostasis involves mechanisms that work together to keep the body's internal conditions constant, despite external challenges like a marathon.
  • 💓 Adrenaline, released from the adrenal glands, prepares the body for physical activity by increasing heart rate and making glucose available for muscles.
  • 🏃‍♀️ Marathon runners must manage their pace to avoid overexertion and dehydration, which can disrupt homeostasis and lead to poor performance or health risks.
  • 💦 Sweating is a critical mechanism for cooling the body down during intense physical activity, but it also leads to water loss that must be replenished to prevent dehydration.
  • 🔥 Muscles generate heat during contractions, which can raise core body temperature. The body must balance the need for increased blood supply to muscles with the risk of overheating.
  • 🫀 The heart and lungs work harder during a marathon, increasing heart rate and breathing rate to supply oxygen and remove carbon dioxide more efficiently.
  • 🔄 Negative feedback mechanisms, such as the body's response to dehydration by reducing urine production, help maintain homeostasis by counteracting changes that could be harmful.
  • 🥇 Top marathon runners demonstrate the body's ability to adapt and maintain homeostasis under extreme conditions, showcasing the effectiveness of the body's regulatory systems.

Q & A

  • What is the concept of homeostasis as described in the script?

    -Homeostasis is the concept of the body maintaining a constant internal environment through various mechanisms that work together, ensuring vital processes can function efficiently.

  • Why is it important for marathon runners to maintain chemical and physical balance during a race?

    -Maintaining chemical and physical balance is crucial for marathon runners because it prevents the body from going beyond its limits, which could lead to disaster or failure to complete the race.

  • What is the normal resting heart rate and breathing rate for the athlete featured in the script?

    -The athlete's normal resting heart rate is around 62 beats per minute, and her breathing rate is 14 decimeters cubed per minute.

  • How does the body respond to the increased demand for oxygen and energy during the marathon?

    -The body responds by increasing the heart rate and breathing rate to supply more oxygen and by breaking down glycogen into glucose for immediate energy, and later on, breaking down fat for sustained energy.

  • What role does adrenaline play in preparing the body for the marathon?

    -Adrenaline, released from the adrenal glands, increases the heart rate and prepares the body by making more fuel (glucose) available for the muscles before the runner has consciously asked for it.

  • Why do runners take on water during a marathon even if they don't feel thirsty?

    -Runners take on water to prevent dehydration, which can occur as they sweat and lose water. This helps to maintain blood volume and prevent the blood from becoming too thick, which is essential for continuing to run.

  • How does the body regulate its temperature during the marathon to prevent overheating?

    -The body regulates temperature through mechanisms like radiation, convection, and mainly through sweating, which involves the evaporation of sweat to carry away excess heat.

  • What is the significance of the change in blood flow distribution during the marathon as described in the script?

    -The change in blood flow distribution is significant because it prioritizes blood supply to the muscles, heart, and skin, which are most in need during the race. This helps in cooling the body and supplying oxygen and nutrients to working muscles.

  • What is the role of the kidneys in maintaining homeostasis during the marathon?

    -The kidneys play a role in maintaining homeostasis by regulating water loss through urine production. When the body is dehydrated, the kidneys reduce urine production to conserve water.

  • How does the body switch from using glucose to fat as a fuel source during the marathon?

    -As the marathon progresses and glycogen stores are depleted, the body starts breaking down fat to produce glucose, which can be used by the muscles for energy. This switch to using fat as a secondary fuel source helps runners to continue the race.

  • What is the negative feedback mechanism described in the script in relation to the marathon?

    -The negative feedback mechanism described is when the brain detects a change in blood concentration due to dehydration, triggering a hormone release that causes the kidneys to reduce urine production, thus conserving water and helping to maintain blood levels.

Outlines

00:00

🏃‍♀️ The Marathon Runner's Body: Homeostasis and Challenges

This paragraph introduces the concept of homeostasis, the body's ability to maintain a stable internal environment, and the challenges it faces during a marathon. It sets the scene in Amsterdam for the Amsterdam City Marathon and describes the runner's initial vital statistics, such as weight, heart rate, breathing rate, body temperature, and blood glucose levels. The importance of maintaining these parameters is highlighted, as any significant changes could signal danger. The paragraph also raises questions about the runner's limits and the body's response to the marathon's demands.

05:02

🚀 Adrenaline and the Start of the Race

The second paragraph delves into the physiological response at the start of the marathon, focusing on the role of adrenaline. It explains how adrenaline, released by the adrenal glands, prepares the body for the race by increasing the heart rate and making glucose available for energy. The paragraph also discusses the importance of pacing and the initial changes in the runner's vital signs, such as a drop in blood glucose and a significant increase in heart and breathing rates, indicating the body's adaptation to the increased demand for oxygen and energy.

10:03

🌡️ Managing Heat and Maintaining Performance

This paragraph addresses the body's struggle to balance the need for increased blood supply to working muscles with the risk of overheating. It describes how the body redirects blood flow to prioritize the muscles, heart, and skin, and the mechanisms of heat loss, including radiation, convection, and evaporation through sweating. The importance of hydration is emphasized, as dehydration can thicken the blood and impair the body's ability to cool down and function effectively. The paragraph also discusses the shift from carbohydrate to fat as a fuel source as the race progresses and glycogen stores deplete.

15:05

🏅 The Final Stretch: Homeostatic Mechanisms in Action

The final paragraph summarizes the runner's progress and the homeostatic mechanisms that have allowed her to succeed. It highlights the brain's role in initiating movement and regulating body temperature and fluid balance, the heart and lungs' increased activity to supply oxygen, the liver's function in storing and releasing glucose and breaking down fat, and the kidneys' regulation of water loss. The paragraph concludes with the runner's successful completion of the race, emphasizing the body's remarkable ability to adapt and maintain homeostasis under extreme conditions.

Mindmap

Keywords

💡Homeostasis

Homeostasis is the body's ability to maintain a stable internal environment despite changes in external conditions. It is a key concept in the video, as it explains how the body works to keep various parameters like temperature, blood glucose levels, and pH within a narrow range for optimal functioning. In the context of the marathon, homeostasis is threatened by physical exertion, heat, and dehydration, and the body employs various mechanisms to counteract these challenges and maintain balance.

💡Adrenaline

Adrenaline, also known as epinephrine, is a hormone that plays a crucial role in the body's stress response. In the video, it is mentioned that adrenaline is released from the adrenal glands into the bloodstream, preparing the body for the marathon by increasing the heart rate and making glucose available for energy. This illustrates how the body's chemical responses are part of the homeostatic mechanisms that help athletes perform under stress.

💡Heart Rate

Heart rate is the number of times the heart beats per minute and is a vital indicator of the body's physiological state. The video describes how the runner's heart rate increases from a resting rate of 62 beats per minute to 140 beats per minute as she starts running, reflecting the body's need for more oxygen and energy. Monitoring heart rate is essential for athletes to gauge their exertion levels and avoid overexertion.

💡Breathing Rate

Breathing rate refers to the number of breaths taken per minute. The video highlights that the runner's breathing rate nearly doubles as she begins the marathon, which is a response to the increased oxygen demand by the working muscles. This increase in breathing rate is part of the body's adaptive response to maintain homeostasis during physical activity.

💡Core Body Temperature

Core body temperature is the temperature of the body's internal organs and is critical for the proper functioning of enzymes and metabolic processes. In the video, the runner's core temperature is initially at 37.2 degrees Celsius, and the body works to maintain this temperature despite the heat generated by muscle activity. The body uses various cooling mechanisms, such as sweating, to prevent overheating, which could disrupt homeostasis.

💡Sweating

Sweating is the body's mechanism to cool itself down. As explained in the video, when the body's temperature rises due to physical exertion, sweat glands are stimulated to produce sweat, which evaporates and carries heat away from the body. This process is essential for preventing overheating during a marathon, but it also leads to water loss, which must be replenished to avoid dehydration.

💡Dehydration

Dehydration occurs when the body loses more fluids than it takes in, leading to an imbalance in the body's water levels. The video discusses how sweating during a marathon can lead to significant water loss, increasing the risk of dehydration. Dehydration can thicken the blood, making it harder for the heart to pump and potentially leading to a decrease in performance or health risks, which is why the runner is careful to drink water before and during the race.

💡Glycogen

Glycogen is a form of stored glucose in the body's liver and muscles, which serves as a quick source of energy. The video explains that during the marathon, the runner initially relies on glycogen for energy. As the glycogen stores deplete, particularly after 30 kilometers, the body starts to break down fat to produce glucose, illustrating the body's adaptive fuel management during prolonged physical activity.

💡Fat as Fuel

Fat, stored under the skin and within the body, can be broken down to produce glucose when glycogen stores are depleted. The video describes how the runner switches from using primarily glucose to using fat as a secondary fuel source later in the marathon. This metabolic shift is crucial for endurance events like marathons, where the body needs to sustain energy levels over an extended period.

💡Negative Feedback

Negative feedback is a regulatory mechanism that helps maintain homeostasis by counteracting changes that occur. In the video, it is exemplified by the body's response to dehydration. When the brain detects that blood is becoming too concentrated due to water loss, it triggers a hormone that reduces urine production by the kidneys, thus conserving water. This is a clear example of how the body uses negative feedback loops to maintain balance and prevent extreme deviations from normal parameters.

Highlights

The human body is compared to a complex machine that requires homeostasis to maintain a constant internal environment.

The concept of homeostasis is introduced as the body's mechanisms to maintain a stable internal environment.

The Amsterdam City Marathon is used as a case study to observe the body's response to extreme physical challenges.

Runners must maintain chemical and physical balance during the marathon to avoid disaster.

The marathon runner's initial vital statistics are presented to establish a baseline for monitoring changes.

Adrenaline is released in anticipation of the race, increasing heart rate and preparing the body for action.

The importance of pacing at the start of the marathon to prevent overexertion is discussed.

Early in the race, a drop in blood glucose levels and an increase in heart and breathing rates are observed.

The body's response to increased physical activity includes increased oxygen supply and waste removal.

The body's blood distribution shifts to prioritize muscles, heart, and skin during the race.

The body's core temperature rises due to muscle activity, necessitating cooling mechanisms to prevent overheating.

Sweating is identified as a key mechanism for cooling the body and preventing overheating.

Dehydration is a risk due to excessive sweating, and the importance of water replacement is highlighted.

The body switches from using glucose to fat as a fuel source as glycogen stores deplete during the marathon.

Martina's weight drops by 5 kilograms during the race, indicating significant fluid loss through sweating.

Negative feedback mechanisms, such as reduced urine production, help to conserve water and regulate body temperature.

The conclusion summarizes the homeostatic mechanisms that allowed Martina to complete the marathon successfully.

Transcripts

play00:12

the human body is more complicated than

play00:15

the most complex machine a power station

play00:18

constantly burning fuel producing energy

play00:21

doing work a chemical works taking in

play00:25

food breaking down some molecules

play00:27

building up others but like any machine

play00:31

our body needs control mechanisms to

play00:34

work efficiently many of the body's

play00:36

vital processes require a controlled

play00:38

environment to work at all this is the

play00:42

concept of homeostasis the mechanisms

play00:45

that work together to enable our bodies

play00:48

to maintain a constant internal

play00:49

environment but we often put our bodies

play00:52

in situations that threaten this

play00:54

delicate balance and in this program

play00:57

we'll be looking at how our bodies

play00:58

respond to one of the toughest tests of

play01:01

all the marathon

play01:18

the place is Amsterdam in the

play01:21

Netherlands the time early autumn more

play01:24

to be more precise 10 a.m. September

play01:26

24th the morning of the Amsterdam City

play01:30

Marathon as the runners limber up they

play01:39

know how important it will be to

play01:40

maintain the body's chemical and

play01:42

physical balance in the race ahead if at

play01:44

any point in the 42 kilometers of the

play01:46

marathon course they go beyond their

play01:48

limits disaster lies in wait and it will

play01:51

for many of them but what are these

play01:54

limits and what are the changes in

play01:55

challenges our bodies face if we want to

play01:57

run continuously over such a long

play01:59

distance over two hours for the fastest

play02:02

are more than twice as long for those at

play02:04

the back of the field

play02:10

there's only one way to find out select

play02:13

a single runner and follow her through

play02:15

the course of the race

play02:21

so what do we need to know about our

play02:23

athlete she's one meter 64 weighs 68

play02:27

kilograms in her running gear her

play02:29

resting heart rate is around 62 beats

play02:32

per minute and she's breathing at a rate

play02:34

of 14 decimeters cubed per minute her

play02:37

core body temperature is 37 point 2

play02:39

degrees C the skin temperature is lower

play02:42

and the blood glucose level 90

play02:44

milligrams per hundred centimeters cubed

play02:49

right let's standardize them for the

play02:52

start of the race

play02:53

this will be the normal level and these

play02:56

are pretty normal figures for a fit

play02:58

person so weight heart rate breathing

play03:03

rate temperature there'll all be good

play03:06

indicators of the mechanisms at work in

play03:08

her body as she runs we'll keep an eye

play03:13

on them any significant changes and

play03:15

we'll get a warning but while martina

play03:18

prepares for the race there are a few

play03:21

things you might want to think about

play03:23

what changes would you expect many

play03:26

people don't finish a marathon what

play03:29

danger signs will you be looking for and

play03:31

how will changes in one indicator affect

play03:34

the others

play03:37

okay ten minutes before the start and

play03:40

Martina many others are having trouble

play03:42

with one homeostatic mechanism it's hot

play03:46

and they know it's going to get hotter

play03:48

so Martinez making sure she drinks

play03:50

plenty of water she doesn't want to

play03:52

become dehydrated later in the race but

play03:59

take on too much water and there are

play04:02

inevitable consequences like everything

play04:06

else we're looking at it's all a

play04:08

question of balance just a few minutes

play04:15

to go and everyone's getting tense first

play04:18

warning light heart rate time for a body

play04:21

check

play04:24

wait temperature and blood glucose

play04:27

levels no change there but there is a

play04:30

slight increase in breathing rate and a

play04:32

much bigger increase in our heart rate

play04:34

to 90 beats per minute but she hasn't

play04:37

done anything yet what's going on

play04:41

the first of the control mechanisms has

play04:43

kicked in it's located here these are

play04:47

the adrenal glands one on each kidney

play04:49

these glands are well supplied with

play04:52

blood vessels and the hormone called

play04:55

adrenaline is released from the adrenal

play04:56

glands into these capillaries the

play04:59

adrenaline is carried around the body in

play05:01

the general circulation it affects

play05:03

several organs the heart speeds up and

play05:08

the liver breaks down its energy store

play05:11

glycogen into glucose more fuel for the

play05:15

muscles Martina hasn't asked her body to

play05:20

do more work yet but already her body's

play05:22

prepared more blood is being pumped more

play05:25

fuel made available now you know why

play05:28

commentators say the Adrenaline's really

play05:30

flowing now time to start the race and

play05:33

just to show that we're not making this

play05:36

up

play05:36

one last check on her weight 68

play05:40

kilograms but will it be the same at the

play05:43

end 42 kilometers to go and they're off

play06:00

the start of a marathon is very

play06:03

important with so many runners around

play06:05

it's difficult to start at the correct

play06:07

pace to quicken you suffer later on too

play06:13

slow and you get a poor time

play06:31

we're getting more warning signs she's

play06:34

only one kilometer into the race so

play06:37

what's happened let's look at the chart

play06:39

a slight drop in blood glucose levels

play06:45

she's obviously using fuel but a big

play06:48

increase in heart rate to 140 beats per

play06:52

minute and her breathing rate has gone

play06:54

up too it's almost doubled so her heart

play06:58

and her lungs are working harder what's

play07:00

the connection

play07:01

as soon as Martina started running her

play07:05

muscles were working they needed more

play07:07

oxygen and produced more waste gas so

play07:12

the oxygen supply from the lungs must be

play07:14

involved she breeds more rapidly and

play07:16

more deeply in the air sacs in the lungs

play07:20

the rate of gas exchange increases more

play07:23

blood more oxygen more carbon dioxide

play07:26

more work for the lungs but also more

play07:32

blood needed to carry oxygen to the

play07:34

muscles the heart has to work harder it

play07:37

beats more quickly the heart rate

play07:39

increases it's also pumping more with

play07:42

each beat the output is four times

play07:45

greater than at the start so Martinez

play07:49

body has responded to the first

play07:51

challenge at the race before the race

play07:53

her heart rate and breathing rate were

play07:55

balanced to supply sufficient oxygen to

play07:57

her body while it was at rest but as

play08:00

soon as she started running she knocked

play08:02

the system out of balance by making her

play08:04

muscles work harder now her body's

play08:07

responded her breathing and heart rate

play08:09

have stabilized at a higher level

play08:13

it's the same for the other runners the

play08:16

question is at the water distance mark

play08:18

can they keep it up at ten kilometres

play08:23

most of the runners take their first

play08:25

drink usually just plain water although

play08:27

some choose drinks containing glucose

play08:29

but most of them don't feel particularly

play08:32

thirsty so why bother after all it isn't

play08:35

that easy

play08:36

think about it to become important later

play08:39

on

play08:40

here's Martina at the feeding station

play08:43

and we've got another warning

play08:44

it's a temperature warning so what's

play08:46

going on time to use a bit of technology

play08:50

this thermographic image of Martina was

play08:53

taken at the start of the race it shows

play08:55

the temperature of her body surface the

play08:58

hottest area is shown in red and orange

play08:59

her face neck and arms cooler regions

play09:03

show up in yellow the coldest parts of

play09:06

her body her hair and fingertips show up

play09:08

as green or blue the blue and green on

play09:11

her body is in fact her running vest

play09:16

now compare that with an image taken

play09:18

just after the feeding station at 11

play09:20

kilometers spot the difference the

play09:24

exposed areas of Martinez body are

play09:26

hotter more red areas or white where the

play09:30

body is hottest most obviously their

play09:32

shoulder arms and legs where the muscles

play09:35

work hardest when muscles contract they

play09:39

produce a lot of heat energy that's what

play09:41

we're seeing here and that heat causes

play09:44

the body some serious problems this is a

play09:49

blood vessel heat from the surrounding

play09:50

muscle warms the blood it's carried into

play09:55

the general circulation raising the

play09:56

temperature of the vital organs this is

play10:00

the core body temperature and if this

play10:02

becomes too high the body's chemical

play10:05

reactions will cease to function

play10:12

so the body has conflicting demands the

play10:16

muscles need the increased blood supply

play10:18

to keep working but the heat they

play10:20

generate will warm the body to

play10:21

dangerously high levels so how do you

play10:24

stop that happening well you could stop

play10:27

running but that would defeat the whole

play10:29

object of the race any better ideas well

play10:35

let's start with the blood this is where

play10:37

it flowed before Martina started running

play10:39

muscles 20% digestive system 25% kidneys

play10:44

20% the brain 15% the skin 5% heart 5%

play10:52

rest of the body

play10:53

10% what's happening now brain still 15%

play11:00

heart 20% muscles 50% skin 10% rest of

play11:07

the body 5% so the body has responded

play11:10

and sent blood to where it's needed most

play11:13

the muscles heart and skin but Martina

play11:19

needs to cool down so why not send even

play11:22

more blood to the skin so that excess

play11:24

heat is conducted to the surface and

play11:26

lost into the atmosphere good idea but

play11:29

there's a snag send more blood to the

play11:32

skin and there's less available for the

play11:34

muscles no blood for the muscles and you

play11:37

can't carry on running any better ideas

play11:41

while cooling the body down must involve

play11:44

the skin it's where the body comes into

play11:46

contact with the world outside if more

play11:49

blood can't be sent to the skin how can

play11:51

it help to cool the body down

play11:56

there are two ways for a start radiation

play12:00

and convection this is an infrared image

play12:03

the body looks as if it's glowing heat

play12:06

is radiating from its surface but

play12:08

obviously not enough heat what about

play12:13

convection as she moves through cooler

play12:16

air heat is carried away from her body

play12:17

surface run faster and more heat is lost

play12:20

but move faster and you generate more

play12:24

heat catch-22

play12:28

so what's left

play12:30

heat loss by evaporation good old

play12:33

sweating

play12:36

these are sweat glands in the skin the

play12:39

brain senses any increase in temperature

play12:41

and stimulates the sweat gland moisture

play12:44

is released moisture evaporation and

play12:47

evaporation carries heat away from the

play12:49

body it causes cooling back to the

play12:56

thermograph Martina's body is hot but

play13:01

her running vest is much cooler a result

play13:03

of the evaporation of the sweat

play13:05

collecting in the fabric that sounds

play13:08

great turn on the sweat glands and lose

play13:10

the heat generated by the muscles easy

play13:13

well not quite

play13:15

sweat and you lose water

play13:18

that makes the blood thicker and harder

play13:21

to pump this is dehydration that it

play13:23

continued and your body would cease to

play13:25

function and that's why Martina is so

play13:31

keen to replace water as quickly as

play13:33

she's losing it and remember she drank a

play13:36

lot before the race now it's paying off

play13:38

she's moving through the field we're now

play13:49

over half distance and some of the less

play13:52

experienced runners are struggling too

play13:57

hot too dehydrated too little training

play14:01

it's hard to say why back in the race

play14:12

more and more runners are choosing

play14:14

glucose drinks another warning light

play14:22

this time fuel muscles depend upon a

play14:26

constant supply of fuel particularly

play14:28

glucose but where does it come from

play14:30

there's a little in the liver and the

play14:32

muscles most of it in the form of

play14:34

glycogen but 30 kilometers in and the

play14:37

glycogen has been used up Martina is now

play14:42

depending on another source of fuel fat

play14:45

fat stored under the skin and inside the

play14:48

body when the level of glucose in the

play14:50

blood runs low fat is broken down to

play14:53

produce glucose which can be used by the

play14:55

muscles when they started the race these

play15:00

runners use their primary fuel

play15:02

carbohydrate in the form of glucose

play15:04

now they've switched to the reserve

play15:06

tanks they'll finish the race running on

play15:09

fat

play15:12

the leading runners are approaching the

play15:15

finish 42 kilometers covered a triumph

play15:18

for each of them other runners are still

play15:21

on the course as much as 20 kilometers

play15:23

behind but for Martina it's looking good

play15:29

only a few runners ahead of her a change

play15:33

of weight Martinez weight has dropped

play15:40

from 68 kilograms at the start to 63

play15:43

kilograms she's lost five kilograms

play15:45

enough to trigger our alarm why it's all

play15:50

that sweating she's lost five kilograms

play15:53

that's five decimeter cubed of water but

play15:56

if she doesn't sweat she'll overheat the

play15:59

answer lies in the kidneys

play16:06

sensors in the brain detected the blood

play16:09

is becoming too concentrated these are

play16:11

the receptors a hormone is released into

play16:14

the bloodstream this causes a response

play16:17

in the kidneys

play16:18

the effectors as a result you're in

play16:23

production is reduced this means a

play16:26

reduction in water loss blood levels

play16:28

return to normal an example of negative

play16:31

feedback

play16:47

for these runners the test is almost

play16:50

over their bodies have overcome the

play16:52

challenge the finish is in sight and

play16:56

here comes Martina her pace over the

play16:58

final stages bringing her up to third in

play17:01

the women's race

play17:19

but as she takes a well-earned drink

play17:22

replacing the five decimetres cubed of

play17:24

fluid she's lost let's recap on the

play17:27

homeostatic mechanisms that have brought

play17:28

her this far

play17:30

first the brain that's what made her run

play17:33

in the first place it also houses the

play17:36

temperature receptors and detects

play17:38

changes in blood concentration

play17:42

adrenaline released into the blood to

play17:44

give the kickstart

play17:50

then there's the muscles they upset the

play17:53

balance in the first place

play17:58

the heart and lungs increase their

play18:00

activity to supply oxygen via the

play18:02

bloodstream

play18:10

the liver to store glucose and to break

play18:13

down fat the secondary source of fuel

play18:19

the kidneys the regulators of water loss

play18:26

in fact the whole body and this

play18:31

particular body is a whole lot of work

play18:49

you

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الوسوم ذات الصلة
HomeostasisMarathonBody BalanceAdrenalineHyddrationThermoregulationEnduranceRunningHealthNetherlands
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