Running ultra-marathons may result in high levels of creatine kinase (CK) in the blood, which is associated with certain adverse health conditions. Hoffman et al. (2012) report a study in which they measured CK levels in the blood of some finishers of a 161 km race in 2010. Read the first three pages of the article:

Hoffman, M.D., Ingwerson, J.L., Rogers, I.R., Hew-Butler, T., Stuempfle, K.J. (2012): Increasing creatine kinase: Concentrations at the 161-km Western States Endurance Run. Wilderness and Environmental Medicine 23, 56-60.

Part (a) (WebWorkiR) What type of study is this?






Part (b) (WebWorkiR) Consider the data underlying Table 1 in the article. The authors appear to apply ANOVA to the three groups. Why, if at all, is that approach incorrect?








Part (c) (WebWorkiR) It appears that it was intended to measure both CK and sodium (Na) levels in the blood of all finishers of the race. Due to equipment failure, it was not possible to record the sodium levels of all finishers. The authors aim to investigate whether the characteristics of the runners differed across the different response groups, in particular with regards to finish time (in hours). It would be sensible to compare across three groups of finishers (CK, CK and sodium, no results). Suppose the data were as below:










Part(d) (WebWorkiR) The ANOVA table for the data is given below:



Using R or otherwise, find the P-value of the test to 4 decimal places.


Part (e) (WebWorkiR) Do the data cast significant doubt on the hypothesis that the mean finishing times were equal in the three groups?





You can earn partial credit on this problem.