In the morning
Mike Pollock set about finding exactly how skinny—or "lean," as he
graciously put it—the finest runners are. Tenderly, Pollock and his assistants,
John Ayers and Ann Ward, measured our narrow, naked dimensions. Then, with
chilly calipers, they determined the thickness of our skin and subcutaneous fat
at assorted locations. After our lung volumes were measured on the spirometer
we were weighed underwater, sitting in a bosun's chair hung from a scale into a
murky green tank. We were requested to blow out all the air we could and slowly
bend beneath the surface, waiting in warm suspension until we heard a tapping,
the signal to arise. Manley came up dripping, to be told he weighed 25 pounds
underwater. "That's as dense as we've ever seen a runner," said
Ayers.
"That's what
my wife has been telling me for years," said Manley.
In a while the
word on our percentages of body fat began going around. Previous studies had
predicted very fit male runners would be 6 to 10% fat. Yet Manley registered
2.5% and Gary Tuttle 1.3%. "The formulas that are generally used to
determine body fat from skinfold measures turn out to overpredict for leaner
people," Pollock said. Later he would come up with a new formula based on
two simple measurements: thigh skinfold and shoulder width. "This can help
the coach," he said. "He can use a fat caliper and assess the progress
of his athletes toward the world-class kind of leanness, which we now know is
between 2 and 6% fat."
Once measured and
weighed, we were wrapped against the wind and chauffeured to Dallas Medical
City Hospital, a shining new facility rising above leafless gray oaks, its
corridors hung with Navajo rugs and posters from the Whitney Museum. In a room
illuminated only by an oscilloscope's eerie orange glow, beneath a confusion of
electrode wires and murmuring attendants, lay Jim Johnson, the 1974 AAU
steeplechase champion, a pale, still, little form. Above him a massive
white-coated technician pressed an instrument resembling an antique telephone
receiver to Johnson's chest. This was part of the echocardiograph, a sort of
miniature sonar that can plumb the internal workings of the body with sound
and, by measuring the echoes, produce pictures of a beating heart, complete to
the thickness of valves. The information appeared on the screen as cloudy
orange patterns, like geologic strata, each blotch carrying a message for
trained eyes. "A wonderful thing," whispered one of the attending
doctors. "So much information. And it's absolutely noninvasive."
After a time
Johnson was unhooked, sponged, dried and led, blinking, across the hall. I took
my place on the bed and a couple of technicians began affixing electrodes—that
strangely soothing process of daubing selected spots with a gel that enhances
electrical contact, pressing on the little suction-cup electrodes, taping them
over and carefully gathering the wires into a cable. For this examination they
salved the inside of my calves and attached wires there as well. Lying in the
gloom, still having had nothing to eat since the afternoon before, I found
myself relaxing, giving myself over to the researchers in a kind of trusting
peace. Allowing my head to fall to the left, I saw the scope's running orange
ribbons changing in thickness in time with my pulse. I wondered, if I were left
to watch these pictures of my heart's performance, whether I could somehow
begin to consciously manipulate them, to will the function of my heart. I know
one marathoner, John Farrington of Australia, who can depress his heartbeat to
as low as 20 per minute. (The average marathoner's pulse at rest is in the 40s.
The average person's is 60 to 80.)
Before I could see
any change, however, I was unhooked and directed across the hall to another
bed, another careful wiring, this time in a lighted room. It was explained by
the doctor in charge that this was vectorelectrocardiography, plotting signals
from different electrodes against one another on coordinates. The end product
is a piece of graph paper with a loop on it. The experience was that of lying
quietly while the doctor, dressed in a hospital gown, incanted over the little
computer that did all the work. "I love this machine," he said, hugging
himself. "I simply love it." He did a little dance.
Later we had still
more electrocardiograms taken while running on a treadmill. When the results
were in, it was found that 10 of the 20 runners showed abnormal or equivocal
EKG findings either at rest or after stress. "I'm not sure what they
mean," said Dr. Larry Gibbons of the Aerobics Center clinic. "Some of
the resting abnormalities would be worthy of concern and a follow-up if one of
you just walked into a doctor's office for a checkup without explaining that
you're a world-class runner. Once you told him that, he'd probably realize that
the voltage evidence of hypertrophy would be normal, not the unbalanced
hypertrophy of a sick heart. But most intriguing are the five men who showed
abnormalities while running hard. We really didn't expect to see that."
Said Dr. Kenneth
Cooper of aerobics fame, "This will be a classic study because we can now
say these irregularities are a normal world-class-athlete phenomenon."
(It would be nice
if the word got around. All runners have heard of cases where fit athletes have
been hospitalized or ordered to quit because of an anomaly on an EKG. Kerry
O'Brien of Australia, a former world-record holder in the steeplechase, was
told by Swedish cardiologists that he had an inverted T-wave and should
discontinue running. Later he found he had had the same condition since 1968
and that it had not affected him in his races.)
Then it was time
for our first real effort: the test for maximal oxygen consumption, conducted
on Mike Pollock's treadmill. In this test one is fitted with a helmet, which
holds a mouthpiece securely against teeth and gums. A flexible tube carries
breath to a row of gas bags ranged along one side, below banks of instruments.
The treadmill is situated on a platform, so high that the runner's head would
strike the ceiling were it not for a small recess directly above. The
unfamiliar weight of the helmet and the enclosed surroundings produce a
claustrophobic sensation. Once accustomed to the machine, we did a submaximal
run—seven minutes at 10 mph, then accelerating to 12 mph for another five
minutes—while the instruments recorded our oxygen uptake, our heart rate and
EKG.