PTE · Reading: Fill in the Blanks

Physiology and Psychology of Marathons

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1

Post-Race Muscle Damage

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Completing a marathon triggers significant mechanical trauma within skeletal fibres, initiating an acute cascade. Circulating biomarkers such as creatine kinase surge rapidly as cell membranes sustain structural disruptions. In response, neutrophils and macrophages migrate into damaged tissue to clear cellular debris. Although this process produces noticeable , it ultimately facilitates structural remodelling. Adequate protein intake and sleep remain essential to full tissue repair.

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Questions 2–5

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2

Exercise-Associated Hyponatraemia

While dehydration frequently concerns novice athletes, excessive fluid consumption poses a far more dangerous hazard during long endurance events. Exercise-associated hyponatraemia occurs when intake of hypotonic liquids 1 sweat losses, diluting blood sodium levels. This osmotic imbalance drives fluid into cells, causing intracellular swelling. In severe instances, cerebral oedema develops, leading to confusion and seizures. Runners are therefore advised to drink strictly according to 2 rather than adhering to rigid, pre-determined 3.

  • fatigue
  • exceeds
  • garments
  • thirst
  • dissolves
  • schedules
3

Gastrointestinal Ischaemia

Gastrointestinal distress affects a substantial proportion of marathon competitors, primarily caused by splanchnic hypoperfusion. As physical exertion intensifies, blood flow is 1 away from internal organs toward active locomotor muscles and the skin. This relative ischaemia compromises mucosal 2, permitting endotoxins to enter the systemic circulation. Additionally, mechanical jarring from continuous foot strikes further exacerbates gastric discomfort, often impairing nutrient 3 during the final stages of the race.

  • integrity
  • diverted
  • gravity
  • absorption
  • simulated
  • friction
4

Attentional Focus Strategies

Marathon runners employ distinct cognitive techniques to manage physical discomfort over extended periods. Elite athletes typically adopt an associative strategy, continually monitoring internal 1 such as breathing rhythm, stride cadence, and muscle tension. Conversely, recreational runners often favour dissociative methods, deliberately 2 their attention with external scenery or internal fantasies. While dissociation can reduce perceived exertion at moderate intensities, associative focus allows precise physiological adjustments that prevent catastrophic 3 at race pace.

  • friction
  • cues
  • preserving
  • deceleration
  • distracting
  • altitudes
5

Pre-Race Tapering Physiology

In the final weeks before a marathon, runners undergo a systematic reduction in training volume known as tapering. This deliberate rest period allows depleted energy reserves and micro-injured muscle fibres to achieve 1. Notably, high training intensity is maintained while mileage drops, which preserves aerobic capacity and neuromuscular 2. The resulting supercompensation enhances glycogen storage and improves muscular power, ensuring athletes reach peak physiological readiness without accumulating residual 3 on race morning.

  • fatigue
  • restoration
  • vanish
  • circulation
  • coordination
  • synthetic

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