Intra-Race Splanchnic Blood Shunt & Core Hyperthermia
Visceral Blood Flow (%)
Core Temp (°C)
Gastric Emptying (ml/min)
Hyrox 8-Station Physiological Strain Progression
Station 2: Sled Push (Peak Sympathetic Surge)
1. SkiErg1000m
2. Sled Push4x12.5m
3. Sled Pull4x12.5m
4. Burpees80m Broad
5. Rowing1000m
6. Farmers200m Carry
7. Lunges100m Sandbag
8. Wall Balls75-100 Reps
Splanchnic Hypoperfusion
During extreme hybrid exertion (85-95% VO₂ max), the autonomic nervous system shunts up to 80% of mesenteric blood flow away from the intestines and stomach into working quadriceps and skin for heat dissipation. This causes acute ischemic mucosal damage and cellular leakage.
Thermal & Mechanical Stress
Core temperatures exceeding 39.0°C loosen intestinal epithelial tight junctions, releasing endotoxins into circulation. High impact from 8km of running combined with intense abdominal intra-cavity pressures from heavy sleds induces severe involuntary defecation.