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The Real Science of Sport Podcast
Elite Athletes and Weight Worries - GLP-1 Debates and RED-s Warnings
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Show notes
Today, we focus on three news pieces from last week that reminded us of other stories we covered during 2025. The first two concern weight loss and management in elite sport, beginning with a look at the GLP-1 agonist issue (28:27). This was triggered by reports in the UK advising people that they must continue to exercise, specifically weight train, in order to combat the loss of lean mass that has been observed on the drug, which some have equated with aging a decade. Elite sport, meanwhile, will have to consider whether to ban such drugs as potentially performance-enhancing or harmful.
On the subject of harm, we stay on weight issues to discuss RED-s (40:10), in the light of a remarkable and candid announcement by elite cyclist Veronica Ewers that she's taking time away from the sport to address issues that she explains go back over a decade. Her story highlights all the traps - control and thoughtfulness about discipline, obsession over measurement and gadgets, disordered eating, intense training, positive validation in competitive environments, the remarkable ability of the body to tolerate this punishment, but ultimately, the sacrifice of health in a misplaced pursuit of performance. We talk about the lessons we can all learn, thinking back to Pauline Ferrand-Prevot's victory in the TDFF, which was a success story for weight periodization.
We also cover precocious talent, after a three-year old Indian prodigy earned a chess ranking (1:00:40). That reminded us of Malcolm Gladwell's "compression of adolescence" concept, and we talk about the inefficiencies sport accepts in its pursuit of the next champion, highlighted numerous times this year, with the realization that the system is broken and won't be fixed unless there is a collective will be fix it.
Also in this show, a more light-hearted look at the Football and Rugby World Cup draws (2:54) has us bemoaning the dilution of quality and the dearth of competitive matches early in those tournaments. And we chat about a super-fast Valencia marathon (10:43), that threw up fast winning times and nine national records, leading to a chat about globalization of the sport, the dominance of African runners, the slowest marathon nations (with some reasons), and the density of men's and women's top performers.
Plus Gareth remembers that Curacao is both a drink and World Cup finalist, and Ross defends Ghana's football honour!
Other links
- Review article advising resistance training in people taking GLP-1 agonists
- Paper that examines weight loss after 1 year of exercise or GLP-1 drugs
- More in-depth look at appetite and exercise behaviours in that study
- Study finding risk for RED-s in 30% of triathletes, including the tools that can be used to identify risk factors
- Cycling teams paying young riders big salaries
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Roland Garros' Zombie Heat Apocalypse / The Death of the Diversified Elite Athlete / World Athletics Raises the Performance Bar
01:11:45|Get ad-free listening and exclusive shows by becoming a Supporter of The Real Science of Sport!In our Spotlight this week:The heat wave in Paris is making life very difficult at Roland Garros, with Casper Ruud describing himself as "walking around like a zombie" during his first round match. We explore the physiology of heat regulation in tennis, how safety policies are developed to protect players, explain why heat changes the tactical and technical nature of play, and what can be done to help players without handing out free passes to those less well preparedSean Ingle joined us recently to talk about the Enhanced Games. We share our thoughts as the dust settles, with more reflection on why the premise of trustworthiness was never really delivered, the money that is turning athlete's heads, and Gareth walks back a few things he said in the heat of the momentWe explain the deliberate logic behind World Athletics' new qualification standards, and what it means for athletes without a good agent or a seat at the Diamond League tableRugby and concussion are in the Spotlight again with two research developments. First, a group of researchers is promising a new evidence-backed head impact assessment protocol for women's players. Ross doesn't know exactly what that means, and we discuss what is already known about women's susceptibility to concussion. Then, a new study out of Ireland provides the first published evidence that lowering the legal tackle height in rugby has reduced concussion and overall injury rates at community level. Ross, who has been directly involved in the process, explains what we now know, what still needs work, and why a 20% drop, scaled across tens of thousands of players, is a genuinely meaningful public health winCan an athlete still compete professionally in multiple sports at the highest level? A great question from listener Robert to our Discourse community (another reason to join our supporters club for more!) sparks a wide-ranging conversation, from Bo Jackson and Deion Sanders to Rebecca Romero and Elise Perry — and why early specialisation has made the whole idea increasingly impossibleForbes has released its top 10 highest-paid athletes of 2026. Ross and Gareth play a guessing game, reflect on what the list says about the business of sport, money and sex, and note that no woman made the top 50.
11. Welcome to our PED Talk: Sean Ingle Reflects on The Enhanced Games
54:56||Season 8, Ep. 11Become a member of our Enhanced Real Science of Sport community by becoming a member to get access to exclusive shows, ad-free content and our world class discussion forums. A monthly pledge is all it takes and you'll unlock all those benefitsShow notesThe Enhanced Games came and went in Las Vegas, amidst much hype, a host of personal bests but only a single world record. Was the event a success, and a taste of what is to come, or a spectacular flop? What do we make of allegedly clean athletes beating dopers, and dopers failing to challenge world records, often by large margins? As the sports world figures out what to make of it, Sean Ingle, chief sports reporter and columnist for The Guardian, joins us fresh from attending the event to share his experiences, thoughts and unfiltered verdicts.Sean went in expecting grifters, but discovered something a little more complicated. He spoke to true believers of the "human enhancement" movement, billionaire backers, and athletes who made business decisions that may become increasingly difficult for other sports to ignore. Sean relates those conversations and his impressions of what they imply for the future of sport.We ask the harder questions too. Will the Enhanced Games grow or stall? What are the risks if the business model that uses athletes to promote drugs for anti-aging purposes succeeds? And what lessons must traditional sport take from an event where athletes averaged $166,000 in a single night, and where the phone of at least one Olympic swim coach hasn't stopped ringing since?Sean has placed his own sportsman's bet with one of the funders, Christian Angermeyer, that the Enhanced Games won't survive past 2031. He explains why he believes this, despite factors that suggest that "enhancement" is here to stay, and why he'd still rather be wrong than just ignore it.LinksSome of Sean's articles on The Enhanced GamesWhy he believes The Enhanced Games will fail by 2031The questions Sean wrote will need answering prior to his visit to VegasInitial reactions from Vegas on the night of the GamesThe Enhanced Games reject the timing controversy as "drivel"
Caution for Contact Sport Athletes and CTE / Women's Rugby Six Nations and Smaller Balls / Worst Sport to be Elite at?
01:02:20|Become a Supporter of The Science of Sport, and as mentioned, get a bonus episode of Applied Science every week, access to our world class forums, and (we hope) ad-free listening soon!Show notesOn the decks today:A new paper raises "substantial concerns" about the tool that is regularly used to diagnose a progressive neurodegenerative disease in contact sport athletes. We discuss the paper, and how the discourse around brain health of retired contact sport athletes has created anxiety and fear to the detriment of the athletesThe Women's Six Nations concluded, England winning it again with victory over France. We discuss the tournament, with Ross raising concerns about one-sided contests through, and the total stratification of teams, while Gareth is more optimistic about some statistical trends that suggest progress, at least on the part of some teamsOn the subject of women's rugby, the trials for a smaller ball have received more criticism from international players. Ross explains how the process is run, why nobody is being ambushed, and how the smaller ball has been explored for six years and counting to get to this pointJanik Sinner won another Masters tournament last week, breaking the record for most wins (now at six tournaments, and 34 matches, with only three lost sets). Gareth wonders what can possibly deny the Italian a French Open and Wimbledon, now that Alcaraz is missing both those Slams? Ross reckons maybe muscle cramps can defeat him...A listener, Andrew, asked an intriguing, and unanswerable question in our Supporter community - which sport would it be best to be elite at? And which is worst? We offer our thoughts and criteria for what qualifies the sportAnd Finally, the Enhanced Games are on Sunday, and Sean Ingle is attending. We offer our thoughts on what we'd most like to see happen at the Vegas circus. One swimmer is taking some precautions in anticipation of the side-effects, and we promise to revisit the performances in next week's show
A Huge Doping Bust in Georgia Rugby / Epic Climbs and Concussions in Cycling / Who is the Greatest Track Athlete of Them All?
01:23:28|Become a Supporter and share your views - a monthly pledge gets you access to the Community, and our endless appreciation!Show notesIn the news this week:Operation Obsidian - A collaborative investigation between WADA and World Rugby produces a big doping bust in Georgian rugby, revealing collusion and corruption, but to what end? We explain how almost 40 years of bans were given out, and what remains unanswered and unknown(00:16:18) SA Prop Asenathi Ntlabakanye has been banned for 18 months, for drugs he says were prescribed by a specialist physician. We explore why this case may run for some time, and have some major implications(00:26:15) The women's Vuelta finished atop the Angliru, producing a new champion and some chat about gear ratios and torque. Plus, concussion in the Giro, with dramatic crashes and racing igniting the race in its first week(00:41:52) Who is the Greatest of all time? Sports scientists set out to take the subjectivity out of the question and produce their lists of the greatest track athletes ever. Do you agree?(00:54:25) A Times survey says a worryingly high proportion of young adults are using banned, harmful products. We wonder about the risk of doping and how the Enhanced Games will amplify it(01:09:20) Gout Gout gets his (latest) 60 minutes of fame. As his star continues to rise, good things are being said, now the performances will follow. We discuss the hype and unrealistic expectation that is steadily building on Australia's superstar(01:15:35) Who wins a half marathon between Luke Littler and Mo Farah, if they have to complete a 501 leg of darts every mile? A ridiculous question, perfect for Gareth to bring his pub darts experience to the fore! Who do you think wins?
The Rise of Southern African Sprinting / London Marathon Pacing Blunders / Seixas to the Tour / Your Carb Questions Answered
01:30:10|Join Discourse - our Supporters club is awesome, and it's yours for the price of a coffee every month. Or a gel. Become a supporter and get twice the value after the show, and a chance to influence it too!Show notesIn today's Spotlight, a spin around the world of sports news, and some listener questions answered:A look back at the World Relay Championships from Botswana, featuring some of the greatest relay performances ever seen, including from some unheralded namesLondon Marathon statistics, courtesy a pair of analyses that shed light on how we pace marathons, and how few actually get it rightThe fine line between regulating and strangling innovation in sport, after Coe speaks about super shoes in runningSpeaking of innovation, do the Enhanced Games count? We look ahead to that event with some thoughts from Sean Ingle's latest articleWe tell you why we think Paul Seixas going to the Tour de France is the right decision and discuss the risks people had offered against itListener JRB asks a question about training with carbohydrates, and whether there's any merit in a 'train low, compete high' high approach when it comes to carbs?Still on the subject of carbs, what's the deal with fructose? Listener Phillip asks about its role in the carbohydrate model, and we explore some theory and practical adviceA smaller ball is being trialled in women's rugby - at least one player is very unhappy about it. We discussIn the AFL, teams will be mandated to employ psychologists full-time in response to an incident featuring a player. Is that the right call? In some ways, but Ross has some reservationsLinksLondon Marathon statistical analysisSebastian Coe speaks on Super Shoes and innovationSean Ingle's articles on the Enhanced Games - the questions he'd ask them if he could goSeixas to the Tour"The worst decision someone has ever made" - Harrison is not pleased about a smaller ball in women's rugbyThe AFL mandates that clubs employ full time psychologists
10. Can You Trust AI For Health and Training Advice?
01:29:30||Season 8, Ep. 10How reliable is Artificial Intelligence (AI) when it comes to health, wellness and training advice? Writer, educator and Fellow of the Committee for Skeptical Inquiry, Dr Nick Tiller, recently led a research study entitled "Generative artificial intelligence-driven chatbots and medical misinformation: an accuracy, referencing and readability audit." which focused on the feedback and information given by AI in this vital space. Tiller and his team looked at the technology behind AI, how information is delivered and then tracked the validity of the information based on sound, scientific evidence. The results were disturbing, but Tiller still has some advice on how best to use AI when it comes to our own health.Tiller is a research associate at the Lundquist Institute, Harbor-UCLA Medical Centre and is the author of two books: The Skeptic's Guide to Sports Science (Taylor & Francis), which was named one of Book Authority's "Best Sports Science Books of All Time," and The Health and Wellness Lie (Bloomsbury), described as "the systematic dismantling of a trillion-dollar con."With a master's in kinesiology, Tiller worked as a performance physiologist on the UK’s Olympic programme before earning his doctorate in Applied Physiology from Brunel University London. He has since held academic posts in the UK and Los Angeles, where his research at the prestigious Lundquist Institute focuses on exercise physiology, respiratory medicine, and the science of extreme exercise - a field he knows firsthand as an accomplished ultramarathon runner. His recent work examines health misinformation and questionable research practices.A prominent voice in science communication, Tiller writes for Skeptical Inquirer and Ultra-Running Magazine and serves as associate editor for the International Journal of Sport Nutrition and Exercise Metabolism. He's authored more than 150 general-audience articles and is a frequent guest on television, radio, and podcasts. In 2023, he was named a Fellow of the Committee for Skeptical Inquiry for his commitment to promoting science literacy and critical thinking.SHOW NOTESNick Tiller and his colleagues' paper on the performance of AI in response to health and exercise questionsThe BBC story based on Tiller and Co's PaperDr Nick Tiller's Website
The Spotlight On The Sub-2: A Deep Dive Into Sawe's Marathon Masterclass
01:33:15|Support The Real Science of Sport - if you love what we do, and if you want to be part of the community and share views that will add even more insight to sport, a small monthly pledge is all it takes!Show notesSebastian Sawe's astonishing 1:59:30 marathon world record is in the spotlight today, as Gareth and Ross go deep into the physiology, technology and history of running to explore every angle. How was the race actually run, and what do the splits tell us about Sawe and predict about the future? How did Sawe shatter a barrier that had seemed impossible for so long? What role did the latest super shoes play, and how did they make fools of historical predictions by many, including Ross? To what extent is this performance credible given Sawe's proactive AIU doping initiative? How did the protagonists fuel their efforts? And what next for Kejelcha and Kiplimo, whose extraordinary performances were diminished by Sawe's shadow, and for the marathon over the coming year? If you're looking for the full picture, our Spotlight will reveal all of it.Also: Carlos Alcaraz is injured again and will miss the defence of his Roland Garros title. Is this the shape of a future derailed by injury, and what does he need to change to build the durability of those before him? Plus, Allyson Felix is eyeing a comeback at LA 2028; we discuss her chances.LinksLetsrun article on their 2013 prediction and how it was disproven by the recalibration in the marathonSean Ingle's views in the aftermath of the breakthroughMichael Joyner on the perfect physioloyg for a sub-2 hour marathonRoss' own dismissal of the sub-2 as imminent, before the game was recalibrated by the shoesA look at Sawe's fuelling strategy from Marathon HandbookKejelcha's fuelling from Chris ChavezAlcaraz out of the French OpenAllyson Felix has her sights set on LA 2028
9. The Sporting Mind: Overcoming Mental Barriers For Better Performance
01:29:50||Season 8, Ep. 9English sports psychologist Dr Josie Perry delves into the mental challenges that often hold sportspeople back from success. From the role of our own mental threats to the traits that are present in successful athletes. Perry offers a fascinating insight into the psychology of performance. The team also delve into the prevalence of ADHD in top-performing sportspeople, why mental toughness may not be a good thing, how training can help us overcome mental blocks and the role of techniques like visualisation and mantras. Perry is a chartered psychologist working with top performers in sport, on stage, and in business. Perry has a background in communications and behaviour change, having worked for many years in journalism, marketing, public relations and crisis communications across private corporations and government. She has an MSc in Communications, an MSc in Psychology and an MSc in Sport and Exercise Psychology. She also has a PhD in Political Communications.She is a Chartered member of the British Psychological Society (BPS) and a member of the Association of Applied Sports Psychologists (AASP). She is registered with the Health Care Professions Council. She writes features for sports magazines and websites and is regularly quoted in the media on how athletes and other performers can use applied sports psychology to enhance their performance.Check out more on Dr Perry HERE
1:59:30! The Sub Two Hour Marathon Falls To Sabastian Sawe
43:22|Kenya's Sabastian Sawe has absolutely obliterated the two hour marathon barrier, winning the London Marathon in 1:59:30. In this emergency podcast, Mike and Ross talk about a truly historic day that saw two men go under two hours, We discuss a performance that is astonishing not only for the final time, but the matter in which it was constructed, with never seen before splits over 5km, 10km and half-marathon. We also talk about the credibility of the performances, given Sawe's documented funding of a more intensive anti-doping programme, and wonder whether this will open the door to many more sub-2 performances in the future?Show notesThe article on Sawe's more intensive anti-doping programmeSean Ingle's article on Sawe's performance