This narrative review summarizes performance factors and physiological impacts in 24-hour ultra-marathon runners, indicating significant insights for training and recovery.
Key Points
To systematically review the scientific literature on performance factors and physiological effects of 24-hour ultra-marathon running.
Comprehensive search in PubMed and Scopus until 2025,
Review of participation trends and performance metrics,
Analysis of physiological impacts during and after events.
Runners typically cover 100-160 km, with top performers exceeding 200 km.
Key predictive variables include training, nutrition, experience, and pacing.
Participants experience body mass loss largely due to dehydration and muscle mass loss, with temporary adverse effects on health systems.