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Real-Time Monitoring of Biometric Responses During a 200-km Ultra-Endurance Race Across the Desert

  • Chris J. Esh*
  • , Yannis Pitsiladis
  • , Sebastien Racinais
  • , Lee Taylor
  • , Valentin Dablainville
  • , Toaufik Belfekih
  • , Fawzi Bendimerad
  • , Asimina Pitsiladis
  • , Panagiotis Verdoukas
  • , Mark Willems
  • , Nelda Nader
  • , Feriel Dalansi
  • , Paul Grandjean
  • , Maha Al-Mulla
  • , Nada Aldous
  • , Joseph Dossou
  • , Youmna Elsayed Hassanein
  • , Nada Khater
  • , Herald Miranda
  • , Marco Cardinale
  • *Corresponding author for this work
  • Aspetar Orthopaedic and Sports Medicine Hospital
  • Loughborough University
  • Hong Kong Baptist University
  • Human Telemetrics LTD
  • Environmental Stress Unit
  • Université de Montpellier
  • University of Technology Sydney
  • University College London
  • Northumbria University

Research output: Contribution to journal › Article › peer-review

Abstract

Ultra-endurance sports challenge athlete health, with these risks exacerbated by environmental extremes and/or remoteness of competition. Therefore, this study aimed to use real-time monitoring technology to characterise and monitor physiological/biomechanical responses during SAMLA 2023, a 200-km multidiscipline (swim, run, bike, and kayak) ultra-endurance race, encompassing cool and warm desert environmental conditions (16 degrees C-28 degrees C). Within a cross-sectional observational study design, 18 males (total entrants: 318) were instrumented with wearable/ingestible sensors measuring physiological [heart rate and core (Tc)/skin (Tsk) temperature], biomechanical [gait] and location-based [Global Positioning System (GPS)] metrics. Sensors connected to a smartphone application via Bluetooth, which saved and transmitted data to a cloud-based dashboard in real-time. Participants were on-course for an accumulated similar to 668 h. similar to 662 h of GPS data were displayed in real-time with the longest individual data capture of similar to 57 h. Physiological/biomechanical data were acquired for (x) over bar: similar to 42% (range: similar to 38%-similar to 49%) of the participant on-course time. Hypo/hyperthermic Tc's were seen ((x) over bar: 37.8 degrees C range: 35.7 degrees C-39.2 degrees C). Tsk (28 degrees C: 11.7 degrees C-38.4 degrees C) in response to the varied in-race environmental challenges (16 degrees C-28 degrees C ambient temperature) and heart rate (111 b.min(-1): 37 b.min(-1)-179 b.min(-1)) varied markedly. One participant was hospitalised without presentation in physiological data. Biomechanical data had significant data loss and quality issues and are not presented. Developments in real-time monitoring technology, acknowledging limitations observed here (physiological/biomechanical data acquisition), may allow combined in-race GPS and physiological data (e.g., Tc/Tsk) to be used during ultra-endurance sport to prospectively protect athlete health. GPS/physiological data alone may not identify medical emergencies, and medical teams must remain alert to medical events.
Original languageEnglish
Article numbere70026
Number of pages11
JournalEuropean Journal of Sport Science
Volume25
Issue number9
DOIs
Publication statusPublished - Sept 2025

Keywords

  • Hyperthermia
  • Hypothermia
  • Real-time athlete monitoring
  • Thermal physiology
  • Ultra-endurance

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