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“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”

by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

Note. This article will be published in a forthcoming issue of the


International Journal of Sports Physiology and Performance. The
article appears here in its accepted, peer-reviewed form, as it was
provided by the submitting author. It has not been copyedited,
proofread, or formatted by the publisher.

Section: Invited Brief Review

Article Title: Anthropometrics and Body Composition in East African Runners: Potential
Impact on Performance

Authors: Martin Mooses1 and Anthony C. Hackney2

Affiliations: 1Institude of Sports Sciences and Physiotherapy, Faculty of Medicine, University


of Tartu, Estonia. 2Department of Exercise and Sport Science, Department of Nutrition, School
of Public Health, University of North Carolina, Chapel Hill, North Carolina, USA.

Journal: International Journal of Sports Physiology and Performance

Acceptance Date: August 31, 2016

©2016 Human Kinetics, Inc.

DOI: http://dx.doi.org/10.1123/ijspp.2016-0408
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

Title of the Article: Anthropometrics and Body Composition in East African


Runners: Potential Impact on Performance

Submission Type: Brief Review

Authors: Martin Mooses1,


Anthony C. Hackney2

1
Institutions: Institude of Sports Sciences and Physiotherapy, Faculty of
Medicine, University of Tartu, Estonia
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2
Department of Exercise and Sport Science, Department of
Nutrition, School of Public Health, University of North Carolina,
Chapel Hill, North Carolina, USA
Corresponding author: Martin Mooses1
Institude of Sports Sciences and Physiotherapy, Faculty of
Medicine, University of Tartu.
Jakobi 5, 51014 Tartu, Estonia
Pho. +372 53463066
E-mail: Martin.Mooses@ut.ee

Running head: East African runners

Abstract Word Count: 202

Text-Only Word Count: 3781

Number of Figures: 2

Number of Tables: 4
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

Abstract

Maximal oxygen uptake (VO2max), fractional utilization of VO2max during running and running

economy (RE) are crucial factors for running success for all endurance athletes. Although

evidence is limited, investigations of these key factors indicate that the East Africans

superiority in distance running is to a large exent due to a unique combination of these factors.

East African runners appear to have a very high level of RE most likely associated, at least

partly, with anthropometric characteristics rather than with any specific metabolic property of
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the working muscle. That is, evidence suggest that anthropometrics and body composition

might have important parameters as determinants of superior performance of East African

distance runners. Regrettably, this role is often overlooked and mentioned as a descriptive

parameter rather than explanatory one in many research studies. This brief review article

provides an overview of the evidence to support the critical role anthropometrics and body

composition has on the distance running success of East African athletes. The structural form

and shape of these athletes also has a downside, as having very low BMI or body fat increases

the risk for Relative Energy Deficiency in Sport (RED-S) conditions in both, male and female

runners which can have serious health consequences.

Keywords: East African runners, body composition, anthropometrics, running performance,

running economy
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

Introduction

East African running phenomenon has been of considerable interest of sport scientists
1-3
for many years. They have been dominating in distance running for more than 4 decades

and this success story is continuing. The majority of Ethiopian 4 and Kenyan runners originate

from the same geographical location, namely the Great Rift Valley region, and belong to the

same ethnic groups, Oromo and Kalenjin, respectively 2. However it has been shown that

certain subtribes are more represented in track distance running events, while others are more
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likely to succeed in marathon 5. The unanswered question surrounding the success of East

African distance runners has generated a plethora of studies attempting to elucidate putative

contributory mechanisms 4. As early as 1995 Saltin and colleagues 6,7 pointed out that genetic

endowment, upbrining, training and the fact that many of these runners live and train at altitude

of around 2000 m above sea level may play important role in their superior performance.

Previous studies have reported high but similar maximal aerobic capacity (VO2max) values in
6,8
East African and European distance runners and therefore recent research attention has

shifted to other possible determinants of the superior performances of African runners

including running economy (RE) that is believed to be largely affected by anthropometric


3,9,10 11
parameters or intrinsic morphological and physiological properties . More recent

explanation for their success also includes smaller body mass and slender body type, specially

small lower legs 3, which may contribute to the factors noted by Saltin et al. 6. Furthermore,

maintainence of cerebral oxygenation has even been suggested as a new contributing factor to

the current multifactorial explanation of the East African running phenomenon 12.

Sports scientists has been interested in the assessment of athletes body composition

which could be used to monitor training efficiacy and thus predict performance. Recent

scientific debate 13,14,15 confirms that this topic is of high relevance and in considerable interest
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

among sport scientists as well as running coaches today. Yet, to date there has been no attempt

to consolidate existing information in a comphrensive review focusing on African runners.

The aim of the present article is to fill that void and give an overview of the potential

role of anthropometric and body composition parameters in the success of East African

distance runners.

Body mass, height, body mass index and composition

Billat et al. 16 performed study with truly elite level male (finished in top 30 in Kenyan
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Cross Country Championships at 2002) and female Kenyan (finished in top 15 in the same

competition) runners and revealed the average mass and BMI 53.8±4.7 kg, 18.6 kg∙m-2 for male

and 47.8±3.5 kg, 16.9 kg∙m-2 for female runners. They reported that in opposite to men, Kenyan

women had a mass comparable with previously published data about Caucasian elite middle-

and long-distance runners 16. A few years later, 2006, Lucia and colleagues 17 compared elite

level Eritrean distance runners with Spaniards and found that Eritreans were of lower body

mass (57.2±3.3 vs 60.5±7.8 kg), height (1.74±0.08 vs 1.72±0.06 m), and BMI (18.9±1.5 vs

20.5±1.7 kg∙m-2). It was also reported 2007 Cross-Country World Champion (Eritrean; case

study) had body mass (54 kg), height (1.63 m) and BMI (20.3 kg∙m-2) values at the time of the

race 18, which seemed to be more similar to the Caucasian (Spanish) elite level athletes than

for Kenyans 18. From the study of six high level Kenya runners 19 authors reported body mass

63.0±7.3 kg, height 1.77±0.06 m and BMI 20.1±1.8 kg∙m-2 which is not different to those of

Ethiopian young male runners with body mass of 62.7±5.0 kg, height 1.78±0.05 m and BMI

19.7±0.9 kg∙m-2 20. However both of these studies yielded relatively higher body mass and BMI

values compared to published literature about East African athletes (Table 1). On the other

hand, Ethiopian female runners body mass 49.3±4.7 kg, height 1.67±0.05 m, BMI 17.8±1.4
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

kg∙m-2 20 were not different to those of other studies with East African female athletes (Table

2).
21
Joyner et al. examined the height and body mass of the 30 runners (29 of them

Africans) who have broken 27 min for 10 000 m (1.70±0.06 m and 56±5 kg), and found only

one runner greater than 1.78 m and 70 kg. The superior running performance of African runners

has been attributed in part to their low BMI, specifically leading to a better economy in warm

conditions due to improved ability to release heat than heavier Caucasian runners 21,22. In recent
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years discussion about who will break the 2 h barrier in marathon running has been emerged.

Joyner et al. 21 has predicted that whoever breaks 2 h in marathon will have outstanding RE, a

small body size as well as exposure to high altitude and significant physical activity early in

life.

It is interesting to note that Kenyan and Ethiopian differ in general somatotype despite

the fact that athletes from both of these countries are the best in the world. Kenyans have an

ectomorphic somatotype charecterized by long, slender legs that are typical of central and

southern African tribes, however Ethiopians are generally more mesomorphic somatotype and

exhibit physical characteristics that are more reflective of northern Africa and include some

European and Middle Easter physical traits 23. However, Peters et al. 24 investigated Ethiopian

adults (n=156) who had average BMI 18.7 kg∙m-2 which is similar to Kenyan elite runners 16

and indicates that Ethiopians are essentially as slender as Kenyans.

As early as 1995 Saltin and colleagues 6 indicated that the best Kenyan runners had a

body mass index of 19.2 as compared with 20.6 for the best Scandinavian runners (Table 1).

They emphasized the importance of body mass to RE by normalizing submaximal oxygen

consumption for different body size and expressing RE as ml·kg-0.75·min-1 rather than ml·kg-
1
·min-1. Their important conclusion was that Kenyan runners were more economical compared

to Scandinavian counterparts and difference became more pronounced when RE was expressed
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

as a function of the 0.75 power. This was confirmed later by Weston et al. 25 where well-tained

black and white South African runners with similar mean 10 km race times, the former had the

lowest oxygen cost when running, regardless of whether this was expressed per kg or using the

exponent 0.66 kg of body mass. There is debate in the scientific community whether the

exponent should be the theoretical one of 0.67 or the empirically found one of 0.70-0.75 3.

These exponent factors are based upon the allometric scaling principle; that is, the linear

proportions that relate the length, volume, and surface area of the same geometric shapes of
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differing sizes 26. It has been suggested that body mass-modified approach to RE and VO2max

is of greater importance specially when comparing groups of individuals with differing body

weights or in longitudinal studies of subjects with changing body mass because there is

considerable interindividual variation in RE 27.


28
It is interesting to note that Marc et al. analyzed data from the top 100 world best

marathon runners each year from January 1990 to December 2011 for men and from January

1996 to December 2011 for women and showed that mean body mass for men decreased

significantly from 59.6±2.30 kg in 1990 to 56.2±1.10 kg in 2011 with concomitant significant

decrease in BMI from 19.8±1.7 kg∙m-2 to 19.4±1.3 kg∙m-2 during the same time frame. An

important finding from this study was that optimal BMI for men (Figure 1) was 19.8 and 18.2

kg∙m-2 for women for a maximal speed of 5.7 m∙s-1 (20.5 km∙h-1) and 5.19 m∙s-1 (18.7 km∙h-1)

respectively 28.

The downside of the low body mass and BMI is the risk of Relative Energy Deficiency

in Sport (RED-S) development 29. Along these lines, Hulley et al. 30 demonstrate very low body

mass and BMI in Kenyan elite level female distance runners hence they were least at risk in

probable cases (questionnaire EDE-Q) of eating disorder psychopathology compared to UK

counterparts (age 22.3±0.5; body mass 51.9±0.6 kg; body height 167.4±0.7; BMI 18.5±0.2).

They also found more menstrual irregularities among runners and linked it to low energy
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

availability and suggested that Kenyan and UK athletes are both at increased risk of irreversible

skeletal deficits 31.

Body composition in East African distance runners has been calculated based on

different prediction equations evaluated via skinfold thicknesses. With recent development in

equipment, it has become easy and cost effective to more accurately measure body composition

by using Dual Energy X-ray Absorptiometry (DEXA) method, however to date it has been

used primarily studies with Caucasian high level distance runners 32 but not yet employed with
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elite level East African athletes.


16
However Billat et al. revealed that the avarage fat% (calculated using the skinfold-

based formula of Durning & Womersley 33) was 6.6±1.1 % for male and 16.0±6.6 % for female

Kenyan runners. They concluded that total body fat% was not significantly different to those

reported in the literature for Caucasian elite long-distance male and female runners. Ethiopian

male athletes body fat % has been measured 9.2±1.3% and female athletes 18.2±1.6% (also

calculated using the formula of Durning & Womersley 33). From the study of six high level

Kenya runners 19 body fat % 5.3±1.6 (calculated using the skinfold-based formula of Jackson

& Pollock 34) was in similar range compared to Billat et al. 16. More recent studies have shown
20
slightly higher body fat % for male East African athletes. For instance Legas-Arreze et al.

and Prommer et al. 8 also used Durning and Womersley 33 equation and showed 9.2±1.3 and

9.9±2.1% of body fat, respectively. Marathon runners with similar performance, but using body

density measurements and the Siri equation 35 presented body fat % of 8.9±0.1% 1.

It can be concluded that lower sum of skinfolds, which are the base to calculate body

fat% in different equations facilitates running performance and thus minimal body fat is

desirable because an exess of adipose tissue usually requires a greater muscular effort to

accelerate the legs, and, consequently, the energy expenditure at the same velocity would be

higher 1.
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

Based on the evidence presented above low body mass and BMI within a certain range

is beneficial for runnig performance, however when achieved through severe energy

restrictions, a negative impact in performance as well as in overall health condition is likely to

occur.

Lower limb circumferences

It has been proposed by some researcher to use body mass distribution (upper body -

legs) and lever arms to explain East African runners economy. Saltin et al. 6 noted that Kenyan
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runners with relatively long and slender legs have longer lever arms due to a different

arrangement of tendon insertion around knee joint as well as size and shape differences of the

femur and the tibia 6. In addition Larsen 3


found Kenyans to be low BMI and slender body

shape compared to Caucasian elite runners. Interestingly, these findings point back to some of

the classical studies of human locomotion and energy cost of ambulation 36. This work showed

the aerobic demand is increased by 1% for every extra kilogram carried on the trunk, however,

when the mass is carried in the shoes, aerobic demand increases by 10% for every additional

kilogram 36. Larsen 3 proposed hypothesis that superior RE of Kenyan runners is primarly due

to the slender limbs with low masses allowing them to run with a minimal energy used for
37
swinging the limbs. A study with untrained adolescent Kenyan boys from Nandi tribe

concluded that the body dimension corresponds well with findings in Kenyan elite runners as

they are very slender with relatively long legs. Considering that leg swing requires 20% of the

net energy consumed in running 38


, added load to the limbs would increase both – the total

mass to be carried and mechanical energy expended in raising and accelerating the center of

mass and in oscillations in kinetic energy of the limbs relative to the center of mass. Thus leg

mass and the distribution of mass in the legs might be important characteristics in the

performance of runners 3,19,32. Therefore it can be expected that thin and light lower legs lead
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

to better RE because of reduced kinetic energy required to accelerate and decelerate the limbs
39
. Foster and Lucia 40 also pointed out that there is a tendency for runners from East Africa to

be not only small generally but to have very thin lower legs may be expected to contribute to

their excellent RE and thus superior performance compared with Caucasian runners (Table 3).

Despite body shape appearing to be critical factor on the Kenyans RE, it was questioned

why some Ethiopian, black South Africans and Indians who have similar body shape have far

from the same level in distance runners as Kenyans 3.


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Today the sporting community has seen the greate success of Ethiopian as well as

Eritrean athletes similar to Kenyans, but not black South Africans and Indians which might

add further evidence that body shape is only one of many factors influencing racing success in

distance running. Lucia et al. 17 showed that elite level Eritrean runners had maximal thigh and

calf circumferences 48.1±2.3 cm and 30.9±1.5 cm, including the 2007 Cross-Country World

Champion, whose calf circumference was 31.5 cm (which is extremely slight, compared to the

typical person). Furthermore significant association was found between submaximal VO2 at

the speed of 21 km∙h-1 and calf cirfcumference, indicating the potential influence of leg mass

in the energetic cost of running. The review article by Foster and Lucia 40 and commented on

the earlier study of Lucia et al., 17 and said that since previously described trend was obvious

even with the group of Spanish runners, it may be argued that running economy is related to

body dimensions generally and does not have a unique "African" element 40. In addition they

surmised that the primary reason for East African runners superior economy is due to their

small size.

A recent study with high level Kenyan distance runners by Mooses et al. 13 found that

mid-thigh and ankle circumferences were related to RE. Maximal thigh and calf
13
circumferences from this study were 49.2±2.6 cm and 33.6±2.7 cm respectively . They

concluded that superior RE in Kenyan distance runners would seem to be due to the interaction
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

of efficient storage and release of elastic strain energy (i.e., shorter Achilles moment arm – see

later discussion), low BMI and low energy cost for leg swing (i.e., smaller mid-thigh and calf

circumference) during running.

While more recently distance runners proportion of leg segment masses have been

related to RE and performance in recreational and national level European athletes, there are a

lack of data about high level Kenyan as well as East-African runners in overall 13.

Anthropometrics - proportion of leg segments


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Despite a number of studies describing different anthropometric parameters 17-19 in top

level East African runners, there is only one study examining the different leg proportions in

relation with running performance and RE in competitive Kenyan distance runners 13 and a few

more that has been described proportional leg length (leg length (m)/body height (m), in %)
17,18 37
of East African runners (Table 4). Larsen et al. explains that the proportion of the leg

length to total body height changes only marginally beyond the age of 16 years and therefore

it is appropriate to compare the percentages of leg length to stature in Kenyan athletes and
37
youth. At that time Larsen et al. indicating to unpublished observation concludes that

proportional leg length of Kenyan boys (55.5%) from Nandi tribe is very consistent with

findings of Kenyan elite runners. He further explains that tibial length of East Africans has

shown to be longer in absolute terms compared the Caucasians despite the fact that their stature

has been smaller 37. Lucia et al. 17 showed that Eritrean elite level runners had upper leg (thigh)

length 48.2±4.0 cm and lower leg (shank) length 44.1±3.0 cm. Proportional leg length

calculated from their data was 53.0%. Interestingly Spanish elite level runners proportional leg

length was a comparable 53.8%. Similarly, a case study of the 2007 Cross-Country World

Champion found his porportional leg length to be 54.0% 18. Proportion of leg lengths has also

been studied in high level Kenyan runners, and it was found that relatively longer legs (total
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

leg length, upper leg length and total leg to body height ratio) are advantageous for running
13
performance (Figure 2) . Precice underlying mechanism explaining this relationship is not
13,17
clear , however increasing stride length during running is more efficient than increasing

frequency by devoting less energy to leg acceleration. Longer legs favour longer stride length

and therefore would allow a better RE 13,41. Enomoto and Ae 42 reported kinematic differences

between elite Kenyan and Japanese runners and concluded that the Kenyan runners were able

to swing their leg forward faster and through a greater angle. Small calf circumference might
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produce a low moment of inertia of the leg about the hip, therefore less muscular effort will be

required in leg swing 19. In most individuals there is increase in stride frequency and in relative

stride length with increasing the speed since these gait parameters usually increase linearly for

speeds up to 7 m∙s-1 43
. Furthermore, shorter ground contact time has been associated with

better RE because there are less time for the braking force to decelerate forward motion and

thus lead to better performance 19.

Achilles tendon moment arm

Interestingly, Saltin and associates found Kenyan runners had a high degree of

flexibility in hip joint and small range of movement in ankle joint 6. Despite the fact that

information originated from personal communication from Rolf and was not directly measured

in their study, it was indicated that the smaller range of movement in ankle joint might be

related enlarged storage of elastic energy in the Achilles tendon and therefore have an effect to

improve RE. More recently it has been proposed that RE is a function of anatomical differences

in the Achilles tendon moment arm 11,13,44, which means the shorter the moment arm, the greater

the storage and release of elastic strain energy, and therefore reducing the energy cost 13,44 for

running. In high level Kenyan distance runners Achilles tendon moment arm has been shown

to be related to RE at the speed of 16 km·h-1 and explained 30% of the variation in RE 13. Other
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

researchers reported for non-elite distance runners that Achilles moment arm could explain 58-

64% of the variance in RE 11,44. Nevertheless the role of Achilles tendon in storage and release

of elastic strain energy during running can not be overlooked. A possible explanation for these

findings is that runners with a short Achilles moment arm stretch their Achilles tendons to a

greater extent than runners with long Achilles moment arm and therefore convert a higher

percentage of kinetic energy into elastic energy, which is then returned, leading to a lower

energy cost of running 13,44. This proposed mechanism is very similar to that of proposed by
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Saltin and colleagues 6 who indicated that enlarged storage of elastic energy in the Achilles

tendon could have a secondary effect on the energy cost of the contracting muscle fibres and

more energy storaged in the tendon during stretch-shortening cycle the less is the demand on

the contracting muscle fibres 6. Along the same lines, Sano et al. 45 investigated muscle-tendon

interaction of elite Kenyan runners during hopping and concluded that Kenyan endurance

runners have very long gastro Achilles tendons as compared to young healthy Caucasian

controls. Kenyans reached higher hopping performance despite an overall smaller range of

fascicle and tendinous length changes during the contact phase. This phenomenon was

accompanied by shorter stretching and total contact times as well as higher stretching to

preactivation EMG ratio. Furthermore the Kenyans showed greater tendon recoil ratio

compared to controls. In overall this specific muscle-tendon characteristic in the Kenyans is

likely to have contributed to the effective stretch shortening cycle performance and it may

imply that there can be a specific fascicle-tendon behavior to utilize elastic energy effectively
45 46
. Recently Tam and associates shown that in Elite level Kenyan runners an increase in

agonist (rectus femoris) activity increases joint stiffness and energy cost of transport as well

thus possibly exerting a negative influence on performance, at faster running speeds. This

finding supports previous research suggesting that neuromuscular activity during swing is
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

equally important and necessary to execute and maintain performance, rather than during

ground contact only 46.

It is speculated that elite Kenyan runners possess greater Achilles tendon moment arm

and shorter forefoot length (smaller foot lever ratio), and consequently may have the potential
47
to increase the ankle joint stiffness and reduce the energy consumption in the ankle joint .

The afforementioned study showed the significantly longer Achilles tendon moment arm of

elite level Kenyan runners may contribute positively to the endurance performance compared
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11,13,44
with Japanese runners, which is opposite to the results of previous studies that implied

shorter Achilles tendon moment arm would contribute to better RE. These studies just

mentioned proposed that runners with shorter Achilles moment arm are more effectively in

converting a higher percentage of kinetic energy into elastic energy during running. Sano et al.
45
and Kunimasa et al. 47, however, explain that a longer Achilles tendon moment arm could

contribute to runners higher RE by reducing the required Achilles tendon force and muscle

activity during running. Obviously more research is needed to rectify this issue.

Conclusion

Maximal oxygen uptake, fractional utilization of VO2max during running and RE are

crucial factors for running success for all endurance athletes. Investigations of these key factors

indicate that the East Africans superiority in distance running is to a large exent due to a unique
3,13 17
combination of these factors . Importantly Lucia et al., summarised that elite level East

African runners have a very high level economy most likely associated, at least partly, with

anthropometric characteristics rather than with any specific metabolic property of the working

muscle. Therefore, the limited available evidence does suggest that anthropometrics and body

composition might have important parameters as a determinants of superior performance of

East African distance runners. This role is often overlooked and pointed out as a descriptive
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

parameter rather than explanatory one in many research studies. Low body mass as well as

BMI might have a further positive effect on RE and thermoregulation, however the downside

of having very low BMI is an increased risk of RED-S conditions developing in both, male and

female runners which can have serious health consequences (see Mountjoy et al. 29). Therefore

it is crucially important to further investigate the energy balance and related parameters,

especially in top level East African athletes.


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“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

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“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.
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Figure 1. Race speed record of the Top 100 men runners by BMI. Modelling function: y =
−1.4387 + 0.7208x − 0.0182x2 and R2 = 0.89 (used by permission of Marc et al. 28).
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.
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Figure 2. Relationship between IAAF performance scores and leg anthropometrics. Black and
white circles represent relationship between IAAF performance scores and total leg length (r
= 0.40; P = 0.030) and upper leg length (r = 0.42; P = 0.025) respectively (A). Relationship
between IAAF performance score and total leg to body height ratio (r = 0.38; P = 0.043) (B)
(used by permission of Mooses et al. 13).
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

Table 1. Characteristics of East African male runners from different studies

Study N Level of athletes Age (y) Body mass (kg) Body height (m) BMI (kg∙m-2) Body fat (%)
Saltin et al. 6 4 VO2max 72.9±1.21 (ml·kg-1·min-1; middle-distance) 22.8±2.4 61.5±1.9 1.74±0.00 20.8
Saltin et al. 6 6 VO2max 79.9±1.39 (ml·kg-1·min-1; long-distance) 23.0±2.1 56.1±1.2 1.71±0.00 19.2
Saltin et al. 7 4 VO2max 60-71 (ml·kg-1·min-1; 2000 m a.s.l) 24-32 59-73 1.71-1.79
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Saltin et al. 7 9 VO2max 63-73 (ml·kg-1·min-1; 2000 m a.s.l) 15-17 49-65 1.65-1.87
16 -1 -1
Billat et al. 13 VO2max 78.4±2.1 (ml·kg ·min ) 26.5±3.6 53.8±4.7 1.70±0.04 18.6 6.6±1.1a
10 km 00:28:15±00:00:15 (hh:min:s)
Larsen et al. 37 19 VO2max 55.1±5.3 (ml·kg-1·min-1) 16.6±0.8 53.3±5.3 1.70±0.08 18.4±1.6
Larsen et al. 48 14 VO2max 56.0±2.9 (ml·kg-1·min-1) 16.6 53.2±5.2 1.71±7.7
Lucia et al. 17 7 VO2max 73.8±5.6 (ml·kg-1·min-1) 22±3 57.2±3.3 1.74±0.08 18.9±1.5
7 best Eritrean runners according to their 2004 cross-
coutnry performance
Fudge et al. 39 9 Highly trained (inc. world, Olympic and junior 21±2 55.7±3.4 1.74±0.03 18.3±1.3 7.1±2.5b
champions)
Lucia et al. 18 1 2007 Cross-Country World Champion 12 km race 25 54 1.63 20.3 9.2 and 5.9e
VO2max 83 (ml·kg-1·min-1)
Kong & de Heer 19 6 800 m: 1:46-1:47 (min:s) 22.0±1.8 63.0±7.3 1.77±0.06 20.1±1.8 5.3±1.6c
1500 m: 3:44-3:46 (min:s)
5000 m: 13:48-14:05 (min:s)
10 km Cross Country: 28:07-29:36 (min:s)
Legaz-Arrese et al. 20 12 800 m: 1:49 (min:s) 20.4±2.6 62.7±5.0 1.78±0.05 19.7±0.9 9.2±1.3a
1500 m: 3:44 (min:s)
Prommer et al. 8 10 VO2max 71.5±5.0 (ml·kg-1·min-1) 25.5±4.0 57.2±7.0 1.76±0.10 18.5±0.9 9.9±2.1a
10 km: 28:29±00:27 (min:s)
Tam et al. 10 10 VO2max 64.9±5.8 (2300 a.s.l) 26±4 59.4±5.8 1.72±0.07 20.1
VO2max 69.1±6.0 (ml·kg-1·min-1; sea level. predicted)
Marathon 2:07:17±00:01:27 (hh:min:s)
Half-marathon 1:00:40±00:00:31 (hh:min:s)
Vernillo et al., 1 14 Marathon 2:07:16±00:01:55 (hh:min:s) 27.7±3.8 57.7±4.0 1.71±0.06 19.7 8.9±0.1d
Sano et al. 45 10 Participated in major national and/or international 21±4 57.9±5.1 1.75±0.06 18.9±1.5
running competitions
Foster et al. 49 10 Elite level. Two of the participants marathon faster 26.9±1.3 54.8±1.4 1.73±0.02 18.4±0.5
than 2:09:00 (hh:min:s)
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

Study N Level of athletes Age (y) Body mass (kg) Body height (m) BMI (kg∙m-2) Body fat (%)
Kunimasa et al. 47 22 IAAF performance score 1130±91.3 p 21.9±4.5 57.2±4.8 1.74±0.06 18.9±1.5
Mooses et al. 13 32 IAAF performance score 993±77 p 25.3±5.0 56.5±5.7 1.72±0.07 19.0±1.3
VO2max 68.8±3.8 (ml·kg-1·min-1; 2300 m a.s.l)
Santos-Concejero et al. 50 9 10 km 27.7±0.8 (min) 23.3±4.8 57.8±3.3 1.72±0.05 19.5±0.7
VO2max 73.5±6.0 (ml·kg-1·min-1)
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Santos-Concejero et al. 51 15 VO2max 71.9±5.1 (ml·kg-1·min-1) 23.7±4.2 54.8±6.3 1.71±0.06 18.8±1.3 8.7±0.5d
Half-marathon 1:02:20±00:01:00 (hh:min:s)
10 km 28:42±00:24 (min:s)
a) Durnin & Womersley 33 equation; b) Tanita TBF 521 device; c) Jackson & Pollock 34 equation; d) Siri 35 equation; d) Yuhasz 52 equation; e) based on 4 and 6 skinfolds
(personal communication with Lucia et al. 18).
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

Table 2. Characteristics of East African female runners from different studies

Study N Level of athletes Age (y) Body mass (kg) Body height (m) BMI (kg∙m-2) Body fat (%)
Billat et al. 16 7 VO2max 68.6±1.1 (ml·kg-1·min-1) 26.3±3.4 47.8±3.5 1.68±0.02 16.9 16.0±6.6a
10 km 00:32:22±00:00:35
(hh:min:s)
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Hulley et al. 30 75 75 elite runners from the majore 29.3±0.4 47.5±0.7 1.59±0.01 18.8±0.2
race meetings
Legaz-Arrese et 12 800 m: 2.08 (min:s) 19.7±2.9 49.3±4.7 1.67±0.05 17.8±1.4 18.2±1.6a
al. 20 1500 m: 4.26 (min:s)
Foster et al. 49 10 Competed national and 21.0±1.8 47.3±0.4 1.62±0.03 18.0±0.1
international events
Muia et al. 53 56 Middle- and long-distance (>1500 16 48.5±6.1 1.59±0.06 19.9±2.0
m) athletes.
a) Durnin & Womersley 33 equation
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

Table 3. Characteristics of East African male runners leg circumferences

Study N Level of athletes Thigh (cm) Mid-thigh Calf (cm) Ankle (cm)
(cm)
Larsen et al. 19 VO2max 55.1±5.3 (ml·kg- 31.9±1.7
37 1
·min-1)
Lucia et al. 17 7 VO2max 73.8±5.6 (ml·kg- 48.1±2.3 30.9±1.5
1
·min-1)
7 best Eritrean runners
according to their 2004
cross-coutnry performance
Lucia et al. 18 1 2007 Cross-Country World 49.5 31.5
Champion 12 km race.
VO2max 83 (ml·kg-1·min-1)
Kong & de 6 800 m: 1:46-1:47 (min:s) 34.5±2.3 20.5±1.5
Heer 19 1500 m: 3:44-3:46 (min:s)
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5000 m: 13:48-14:05
(min:s)
10 km Cross Country:
28:07-29:36 (min:s)
Vernillo et al. 14 Marathon 2:07:16±00:01:55 50.98±1.98 46.74±2.44 33.91±1.90 21.46±0.83
1
(hh:min:s)
Mooses et al. 32 IAAF performance score 49.2±2.6 47.1±2.3 33.6±2.7 20.3±1.4
13
993±77 p
VO2max 68.8±3.8 (ml·kg-
1
·min-1; 2300 a.s.l)
Santos- 9 10 km 27.7±0.8 (min) 43.3±1.4 32.3±1.0
Concejero et VO2max 73.5±6.0 (ml·kg-
al. 50 1
·min-1)
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

Table 4. Characteristics of East African male runners lengths

Study N Level of athletes Upper leg Lower leg (cm) Total leg (cm) Leg to body height
(cm) (%)
Larsen et al. 37 19 VO2max 55.1±5.3 (ml·kg-1·min-1) 56.5* 45.4±3.0 101.9±4.9 55.5 Total leg: ground to the anterior superior
iliac spine
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Lower leg: ground to the middle of the


fibula
Lucia et al. 17 7 VO2max 73.8±5.6 (ml·kg-1·min-1) 48.2±4.0 44.1±3.0 92.3±6.5 53.0* Upper leg: trochanterion to tibiale laterale
7 best Eritrean runners according Lower leg: tibiale mediale to sphyrion
to their 2004 cross-coutnry tibiale.
performance
Lucia et al. 18 1 2007 Cross-Country World 47 41 88 54.0 Upper leg: trochanterion to tibiale laterale
Champion 12 km race. Lower leg: tibiale mediale to sphyrion
VO2max 83 (ml·kg-1·min-1) tibiale.
Kong & de Heer 19 6 800 m: 1:46-1:47 (min:s) 92±6 52.0* Leg length: Greater trochanter to lateral
1500 m: 3:44-3:46 (min:s) malleolus.
5000 m: 13:48-14:05 (min:s)
10 km Cross Country: 28:07-29:36
(min:s)
Vernillo et al. 1 14 Marathon 2:07:16±00:01:55 43.07±2.89 40.20±2.75 83.27* 48.6* Upper leg: trochanterion tibiale laterale
(hh:min:s) Lower leg: tibiale mediale-sphyrion tibiale

Sano et al. 45 10 Participated in major national 40±2 Lower leg: proximal head of fibula to the
and/or international running tip of the lateral malleolus.
competitions
Kunimasa et al. 47 22 IAAF performance score 42.65±3.42 39.74±3.03 82.39* 47.4* Upper leg: tips of greater trochanter to
1130±91.3 p lateral condyle.
Lower leg: proximal head of fibula to the
tip of the lateral malleolus.
Mooses et al. 13 32 IAAF performance score 993±77 p 50.7±2.9 39.4±2.4 90.1±4.9 52.1±1.7 Upper leg: tibiale laterale to iliospinale.
VO2max 68.8±3.8 (ml·kg-1·min-1; Lower leg: tibiale mediale to sphyrion
2300 a.s.l) tibiale.
Mooses et al. 13 32 IAAF performance score 993±77 p 42.4±2.6 39.4±2.4 81.8±4.6 47.3±1.6 Upper leg: trochanterion tibiale laterale
VO2max 68.8±3.8 (ml·kg-1·min-1; Lower leg: tibiale mediale-sphyrion tibiale
2300 a.s.l)
“Anthropometrics and Body Composition in East African Runners: Potential Impact on Performance”
by Mooses M, Hackney AC
International Journal of Sports Physiology and Performance
© 2016 Human Kinetics, Inc.

Study N Level of athletes Upper leg Lower leg (cm) Total leg (cm) Leg to body height
(cm) (%)
Santos-Concejero 9 10 km 27.7±0.8 (min) 42.4±1.7 39.1±1.6 81.5* 48±1 Upper leg: trochanterion to tibiale laterale
et al. 50 VO2max 73.5±6.0 (ml·kg-1·min-1) Lower leg: tibiale mediale to sphyrion
tibiale.
* calculated by authors of the present study
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