Physiological comparison between non-athletes, endurance, power and team athletes

Nailfold capillary patterns in ballgame and endurance athletes

Purpose

Nailfold capillary patterns can be observed noninvasively using light microscopy. Nailfold capillaries are straight, U-shaped, and densely looped in healthy individuals and may be altered by disease or lifestyle factors, such as diet. However, the effects of daily physical activity and exercise training on nailfold capillary patterns remain unclear. This study aimed to examine the effects of exercise training on nailfold capillary patterns by investigating these patterns in endurance athletes, ballgame athletes, and sedentary healthy men.

Methods

Five healthy men participated in nailfold capillary pattern measurements on three consecutive days to test the reproducibility and bilateral differences in the nailfold capillary loop density, length, and width measured using light microscopy and a commercial analysis system. The nailfold capillaries of 10 endurance athletes (endurance group; eight long-distance runners and two triathletes), 10 ballgame athletes (ballgame group; seven soccer players and three basketball players), and nine sedentary healthy men (sedentary group) were then examined using light microscopy.

Results

The day-to-day coefficient of variation for the nailfold capillary loop density, length, and width were 4.9% ± 1.6%, 7.5% ± 1.3%, and 4.2% ± 1.5%, respectively. No significant differences in these measurements were observed between the dominant and non-dominant hands. Nailfold capillary density was greater in the ballgame group than in the endurance and sedentary groups. Capillary loop length was shorter in the ballgame group than in the endurance and sedentary groups. No significant differences in capillary loop density and length were observed between the endurance and sedentary groups. No significant intergroup differences were observed in capillary loop width.

Conclusion

These results suggest that the nailfold capillary patterns of male ballgame athletes differ from those of endurance athletes and sedentary healthy men. Ballgame training may affect nailfold capillary patterns in sedentary healthy men.

Exercise ventilatory efficiency in elite athletes assessed for the Paris 2024 Olympic Games: The effect of sex and sport categories

Ventilatory efficiency during cardiopulmonary exercise testing (CPET) is obtained by relating minute ventilation (V'E) to CO2 output (V'CO2). Limited information is available regarding exercise ventilatory efficiency in young elite athletes. We assessed ventilatory efficiency in elite athletes; evaluating the influence of sex and/or ESC sport categories; evaluating the agreement between the V'E/V'CO2 slope and nadir in measuring ventilatory efficiency; evaluating differences between subgroups of athletes stratified by ventilatory efficiency. A cohort of 443 elite athletes prospectively underwent CPET. The slope (s1) and the intercept of the linear region of the V'E/V'CO2 relationship, the V'E/V'CO2 value at the lactate threshold and the V'E/V'CO2 nadir were used to assess ventilatory efficiency. Male athletes and endurance athletes, both males and females, had higher exercise ventilatory efficiency (p < 0.001). A strong positive correlation was observed between V'E/V'CO2 s1 and nadir (p < 0.001). Of note, both high (V'E/V'CO2 s1 < 24) and very high (V'E/V'CO2 s1 < 22) levels of ventilatory efficiency were associated with greater exercise tolerance (i.e., peak oxygen uptake, maximal power; p < 0.001). The results of our study emphasize the need to include the measurement of ventilatory efficiency in the evaluation of elite athletes, potentially refining their training strategies.

The best exercises from top 20 by health-related indicators

Background

The study aimed to determine whether participation in professional sports, exercise in a sports/health center, or independent exercise (dependent variables) is associated with 11 health behavior-related indicators (independent variables) compared to having no exercise.

Methods

The survey involved 293 professional Lithuanian athletes, 2,120 who exercise independently or in a sports/health centre and perform at least one of the 20 most popular exercise types in Lithuania (hereafter referred to as "E-20"), and 3,400 who do not exercise. The participants were aged 18-74 years.

Results

The study uniquely examines a comprehensive range of 11 health-related indicators: body mass index, subjective health, depressed mood, stress, sedentary behavior, physical activity, sleep, alcohol consumption, smoking, overeating, and breakfast consumption. We examined whether these indicators differ between the three populations studied, whether they are associated with specific types of the E-20 exercises, and whether these patterns differ between men and women.

Conclusion

Our study indicates that participants who engaged in physical activity generally scored higher on various health-related scales compared to those who were inactive. These benefits include reductions in depressed mood, stress, body mass index, and binge eating, as well as improvements in the regularity of breakfast consumption, vigorous physical activity, moderate to vigorous physical activity, and sleep duration (notably in men).

Highest oxygen consumption prediction: introducing variable theoretical proportional factors for different sports

PURPOSE

The use of a fixed theoretical-proportional-factor (TPF15) is one of the indirect highest-oxygen-consumptions (HOC) assessment methods, but it may not accurately reflect the physiological differences across various sports (cycling-triathlon-running-football-multisport). The aim of this study is to evaluate the variability of TPF across different sports, proposing a series of sport-specific new TPF values for more accurate HOC estimation.

METHODS

A sample of 340 adults (26.01 ± 7.18 years) performed a maximal-incremental-test using sport-specific-ergometers. HOC was considered for cycling V ˙ O 2peak , whereas for the other investigated sports it was consideredV ˙ O 2max . HOC was directly measured using a gas-analyzer, and TPF values were calculated using heart rate (HR): the ratio of HRmax/HRrest multiplied for the measured values of HOC. A one-way ANOVA was used to measure differences and Bland-Altman plots were constructed to compare predicted and actual V ˙ O 2max /V ˙ O 2peak .

RESULTS

Actual HOC was significantly greater than those predicted by the fixed TPF15 (P < 0.001). Sport-specific new TPF values ranged from 16.55 in multisport to 20.15 in cycling, consistently exceeding the old fixed TPF15, and predicting therefore better HOC. The new TPF exhibited a closer agreement with the directly measuredV ˙ O 2max /V ˙ O 2peak  compared to the TPF15. Furthermore, the new TPF reduced the typical-measurement-error (14.94-17.78%) compared to TPF15 (15.63-24.13%).

CONCLUSION

This study suggests that new TPF values predictV ˙ O 2max /V ˙ O 2peak  with higher accuracy compared to the traditional method. The use of HRmax and HRrest values allows to customize training programs for different athletes. Future research should focus on validating these findings across larger populations of athletes.

Anesthetic Considerations in Athletes: A Review

Athletes present a unique challenge for anesthesiologists because of their specific physiology and the demands of their sport. Anesthesia for athletes requires careful consideration of factors such as muscle mass, hydration status, and the potential for drug interactions with performance-enhancing substances. Additionally, the use of specific anesthetic agents, such as inhalational and intravenous anesthetics, requires adjustments to the dosing regimen to ensure adequate anesthesia. Sports anesthesia is a subspecialty that encompasses not only expert knowledge regarding regional and general anesthesia and pain management but also the pathophysiology unique to athletes and psychological concerns associated with professional sports and complete knowledge about World Anti-Doping Agency guidelines as well as substance abuse. Moreover, the pressure of being scrutinized by a broad circle of concerned persons, including family members, team members, coaches, club owners, media, and fans, makes this an area of excellence and expertise. This review highlights how an athlete's physiological changes can alter anesthetic drug effects. Considering the importance of vigilant preoperative assessment, selecting the proper anesthesia plan, and perioperative strategies for better recovery and performance outcomes.

Differences in Abdominal Muscle Thickness, Strength, and Endurance in Persons Who Are Runners, Active, and Inactive

BACKGROUND

Core musculature is important for efficiency during activities including running. Both abdominal muscle strength and endurance contribute to this efficiency. The purpose of this study is to determine what differences and relationships exist in abdominal muscle thickness, strength, and endurance among persons who are runners, active, and inactive.

HYPOTHESIS

Persons in the running group would show significantly greater abdominal muscle thickness, muscle strength, and muscle endurance compared with those in the nonrunning groups.

STUDY DESIGN

Quantitative cohort design.

LEVEL OF EVIDENCE

Level 2b.

METHODS

A total of 78 subjects aged 18 to 27 years were divided into 3 groups: runners, active, and inactive. Assessment included abdominal muscle thickness via diagnostic ultrasound (Mindray North America), strength using a static Isotrack dynamometer (JTech Medical), and abdominal muscle endurance using a side plank. Statistical analysis using analysis of variance, t tests, and Pearson's correlation coefficients and partial correlations was performed using SPSS Version 26 with a significance level of P < 0.05.

RESULTS

Significantly greater muscle thickness of internal obliques (IOs) at rest and during contraction was found in the running group compared with the active group, the active group compared with the inactive group, and the running group compared with the inactive group. There were no statistically significant differences in overall strength measured by dynamometry among the 3 groups. Plank time was significantly greater for the running group compared with the other 2 groups. Male participants were greater in all areas: strength, plank time as a measure of muscle endurance, and muscle thickness. Body mass index was significantly correlated with resting thickness, muscle endurance, and muscle strength.

CONCLUSION

Persons who run, are active, and are inactive use their abdominal muscles differently. Runners have thicker IOs and better abdominal muscle endurance than the other 2 groups. Focusing on endurance training of the obliques may be beneficial for persons who run.

CLINICAL RELEVANCE

This research could contribute to developing core training programs to ensure runners target the correct abdominal muscles with the best type of training.

Insight on Exercise-Induced Heart Remodeling in Different Track and Field Disciplines

Background: The foot racing disciplines include sprints, middle distances, and long distances, which vary in terms of intensities, duration of training, and metabolic demands. The aim of our study was to evaluate the differences in morpho-functional parameters describing cardiac remodeling in a large cohort of Olympic athletes practicing the different track subspecialties. Methods: We evaluated 140 track and field (52.1% males, mean age 26.3 ± 4.3 years) Olympic athletes divided into four groups according to the distance performed: Group A (46, 32.9%): 100 and 200 mt; Group B (34, 24.3%): 400 mt; Group C (25, 17.9%): 800, 1500, and 3000 mt; Group D (35, 24.9%): 5000, 10,000 mt, and marathon distance. The athletes underwent a pre-participation screening, which included transthoracic echocardiography and exercise stress testing. Results: In Group A and in Group B, most athletes presented normal cardiac geometry (41/46, 89.1% in Group A and 31/34, 91.2% in Group B, p < 0.0001). Instead, in Groups C and D, more than half presented eccentric cardiac remodeling (13\25, 52% in Group C and 23\35, 65.7% in Group D). No significant differences were found between subspecialties in LVEF (p = 0.587), diastolic function (p = 0.431), and training hours/week (p = 0.078). Conclusions: In conclusion, the presence and extent of cardiac remodeling vary according to the distance of the discipline practiced, with the largest dimensional increase in both left and right ventricles and atria in mid- and long-distance runners and the lowest in sprinters.

Impact of Anaerobic Exercise Integrated Into Regular Training on Experienced Judo Athletes: Running Vs. Repetitive Throws

ABSTRACT

Kamandulis, S, Dudėnienė, L, Snieckus, A, Kniubaite, A, Mickevicius, M, Lukonaitiene, I, Venckunas, T, Stasiule, L, and Stasiulis, A. Impact of anaerobic exercise integrated into regular training on experienced judo athletes: running vs. repetitive throws. J Strength Cond Res 38(9): e489-e495, 2024-Anaerobic training in high-level athletes is of considerable interest to practitioners aiming to optimize performance. This study compared the impact of interval anaerobic training (IAT) sessions consisting of either high-intensity running or throwing that were performed twice a week together with regular judo training on the anaerobic and aerobic performance of experienced judo athletes. Employing a repeated-measures, counterbalancing, research design, 12 national team judo athletes (7 women and 5 men; mean age, 20.4 ± 0.95 years; mean judo training experience, 13.4 ± 1.4 years; competitive level, black belt first and second Dan) performed each IAT modality for 6 weeks, for a full training cycle of 12 weeks. Assessments of their anaerobic fitness (Cunningham and Faulkner Anaerobic Treadmill Test), sport-specific anaerobic fitness (Special Judo Fitness Test [SJFT]), and aerobic capacity (maximal incremental treadmill running test) were performed before, after 6 weeks, and after 12 weeks of training. The uphill running performance improved by 13.1% over the 12-week period ( p = 0.047). Simultaneously, there was a 9.0% improvement in the SJFT index and a 6.9% increase in the number of throws ( p = 0.011 and p = 0.017, respectively). Although a trend for throwing drills being more effective than interval sprint running was observed, the interaction effect lacked statistical significance ( p = 0.074). Moreover, no substantial changes were noted in aerobic endurance markers. In conclusion, this study suggests that incorporating specific and nonspecific high-intensity drills into a routine training regimen may enhance anaerobic capacity among well-trained judo athletes, potentially leading to favorable competitive outcomes.

Review of Athletic Guidelines for High-Altitude Training and Acclimatization

Ramchandani, Rashi, Ioana Tereza Florica, Zier Zhou, Aziz Alemi, and Adrian Baranchuk. Review of athletic guidelines for high-altitude training and acclimatization. High Alt Med Biol. 00:000-000, 2024. Introduction: Exposure to high altitude results in hypobaric hypoxia with physiological acclimatization changes that are thought to influence athletic performance. This review summarizes existing literature regarding implications of high-altitude training and altitude-related guidelines from major governing bodies of sports. Methods: A nonsystematic review was performed using PubMed and OVID Medline to identify articles regarding altitude training and guidelines from international governing bodies of various sports. Sports inherently involving training or competing at high altitude were excluded. Results: Important physiological compensatory mechanisms to high-altitude environments include elevations in blood pressure, heart rate, red blood cell mass, tidal volume, and respiratory rate. These responses can have varying effects on athletic performance. Governing sport bodies have limited and differing regulations for training and competition at high altitudes with recommended acclimatization periods ranging from 3 days to 3 weeks. Discussion: Physiological changes in response to high terrestrial altitude exposure can have substantial impacts on athletic performance. Major sport governing bodies have limited regulations and recommendations regarding altitude training and competition. Existing guidelines are variable and lack substantial evidence to support recommendations. Additional studies are needed to clarify the implications of high-altitude exposure on athletic ability to optimize training and competition.

Early adverse physiological event detection using commercial wearables: challenges and opportunities

Data from commercial off-the-shelf (COTS) wearables leveraged with machine learning algorithms provide an unprecedented potential for the early detection of adverse physiological events. However, several challenges inhibit this potential, including (1) heterogeneity among and within participants that make scaling detection algorithms to a general population less precise, (2) confounders that lead to incorrect assumptions regarding a participant's healthy state, (3) noise in the data at the sensor level that limits the sensitivity of detection algorithms, and (4) imprecision in self-reported labels that misrepresent the true data values associated with a given physiological event. The goal of this study was two-fold: (1) to characterize the performance of such algorithms in the presence of these challenges and provide insights to researchers on limitations and opportunities, and (2) to subsequently devise algorithms to address each challenge and offer insights on future opportunities for advancement. Our proposed algorithms include techniques that build on determining suitable baselines for each participant to capture important physiological changes and label correction techniques as it pertains to participant-reported identifiers. Our work is validated on potentially one of the largest datasets available, obtained with 8000+ participants and 1.3+ million hours of wearable data captured from Oura smart rings. Leveraging this extensive dataset, we achieve pre-symptomatic detection of COVID-19 with a performance receiver operator characteristic (ROC) area under the curve (AUC) of 0.725 without correction techniques, 0.739 with baseline correction, 0.740 with baseline correction and label correction on the training set, and 0.777 with baseline correction and label correction on both the training and the test set. Using the same respective paradigms, we achieve ROC AUCs of 0.919, 0.938, 0.943 and 0.994 for the detection of self-reported fever, and 0.574, 0.611, 0.601, and 0.635 for detection of self-reported shortness of breath. These techniques offer improvements across almost all metrics and events, including PR AUC, sensitivity at 75% specificity, and precision at 75% recall. The ring allows continuous monitoring for detection of event onset, and we further demonstrate an improvement in the early detection of COVID-19 from an average of 3.5 days to an average of 4.1 days before a reported positive test result.

The frequency and performance trends of European countries in the U18 and U20 rankings for 1500 m and 3000 m between 2009-2020

We purpose to determine the nationality of the European middle-distance athletes under 18 years (U18) and under 20 years (U20) during the last decade, to verify the participation trend for each country, and to assess whether the place of competition can be associated with the athletes ranking position. The sample comprised 902 European male runners, ranked among the best finishers from 2009 to 2020. The athletes were divided into two categories (nU18 ​= ​266; and nU20 ​= ​636) of two distances (n1 500 ​m ​= ​397; n3 000 ​m ​= ​505). The Mantel test was used for participation trend and the Chi-square test (χ2) was used to verify differences between the ranking position and the place of competition. For both distances, the highest number of athletes were from Spain (n = 127), followed by Turkey (n = 62) and Great Britain (n = 50). No significant trends were shown for most of the countries, in both distances. A positive trend was shown for Slovenia (i.e., 3000 ​m) over the years. A non-significant association was verified between the countries and the ranking position, as non-significant differences were proved for the place of competition. This information may be useful to guide athlete development programs in each country.

The molecular athlete: exercise physiology from mechanisms to medals

Human skeletal muscle demonstrates remarkable plasticity, adapting to numerous external stimuli including the habitual level of contractile loading. Accordingly, muscle function and exercise capacity encompass a broad spectrum, from inactive individuals with low levels of endurance and strength to elite athletes who produce prodigious performances underpinned by pleiotropic training-induced muscular adaptations. Our current understanding of the signal integration, interpretation, and output coordination of the cellular and molecular mechanisms that govern muscle plasticity across this continuum is incomplete. As such, training methods and their application to elite athletes largely rely on a "trial-and-error" approach, with the experience and practices of successful coaches and athletes often providing the bases for "post hoc" scientific enquiry and research. This review provides a synopsis of the morphological and functional changes along with the molecular mechanisms underlying exercise adaptation to endurance- and resistance-based training. These traits are placed in the context of innate genetic and interindividual differences in exercise capacity and performance, with special consideration given to aging athletes. Collectively, we provide a comprehensive overview of skeletal muscle plasticity in response to different modes of exercise and how such adaptations translate from "molecules to medals."

Cardiac Changes after Lactate-Guided Conditioning in Young Purebred Arabian Horses

Cardiac adaptation to conditioning in horses was evaluated after empirical training based on trainers' experience. Twelve purebred Arabian horses, aged (mean ± SD) 28.42 ± 3.75 months, which did not perform any type of exercise prior to the research, were submitted to treadmill conditioning for six weeks. The conditioning program was based on the velocity run by the horse at which the blood lactate concentration, determined in an incremental exercise test (IET), reached 2 mmol/L (V2). The velocity at which the blood lactate concentration reached 4 mmol/L (V4) was also determined. The echocardiograms were performed at rest with pulsed-wave and tissue Doppler imaging in B- and M-modes. All procedures were carried out before and after the conditioning period. The results showed increases in V2 (from 5.2 ± 0.3 to 6.7 ± 0.4 m/s) and V4 (from 5.8 ± 0.4 to 7.6 ± 0.5 m/s) (p < 0.0001). There were also increases in the left ventricle internal diameter at diastole (LVIDd), left ventricle mass (LV mass), and stroke volume (SV), while no changes were observed in the LV free wall thickness and mean and relative wall thicknesses. The conditioning protocol, which was completed by all horses, proved to be safe and efficient, as it improved the aerobic capacity of the animals. Finally, the cardiac remodeling that occurred was mainly associated with the effect of physical training.

Is daytime napping an effective strategy to improve sport-related cognitive and physical performance and reduce fatigue? A systematic review and meta-analysis of randomised controlled trials

OBJECTIVE

To estimate the association between daytime napping and cognitive and physical sport performance and fatigue after normal sleep and partial sleep deprivation (less sleep duration than necessary).

DESIGN

Systematic review and meta-analysis.

DATA SOURCES

The PubMed, Scopus, Web of Science, Cochrane Central, SportDiscus and PsycINFO databases.

ELIGIBILITY CRITERIA FOR SELECTING STUDIES

Randomised controlled trials on the effect of daytime napping on sport performance and fatigue available from inception to 2 December 2022. Standardised mean differences (SMD) and their 95% compatibility intervals (CI) were estimated with the DerSimonian-Laird method through random effect models.

RESULTS

In the 22 included trials, 291 male participants (164 trained athletes and 127 physically active adults) aged between 18 and 35 years were studied. When performed after a normal night of sleep, napping from 12:30 hours to 16:50 hours (with 14:00 hours being the most frequent time) improved cognitive (SMD=0.69, 95% CI: 0.37 to 1.00; I²=71.5%) and physical performance (SMD=0.99, 95% CI: 0.67 to 1.31; I²=89.1%) and reduced the perception of fatigue (SMD=-0.76, 95% CI: -1.24 to -0.28; I²=89.5%). The positive effects of napping were also confirmed after partial sleep deprivation. Overall, the benefits were higher with a nap duration between 30 and <60 min and when the time from nap awakening to test was greater than 1 hour.

CONCLUSIONS

After a night of normal sleep or partial sleep deprivation, a daytime nap between 30 and <60 min has a moderate-to-high effect on the improvement of cognitive performance and physical performance and on the reduction of perceived fatigue.

PROSPERO REGISTRATION NUMBER

CRD42020212272.

Comparison of tensiomyographic contractile properties of the knee muscles between endurance and power athletes

BACKGROUND: Postactivation potentiation (PAP) enhances contractility of skeletal muscle whereas fatigue deteriorates it. Available evidence suggests that the two phenomena may express differently in endurance and power athletes. OBJECTIVE: To compare the patterns of change in knee muscle contractility induced by PAP and fatigue between endurance and power athletes. METHODS: Eleven endurance and ten power athletes (age: 18–33 years) performed isokinetic fatigue and isometric PAP protocols with knee extensors and flexors on computerised dynamometer. Tensiomyography (TMG) of the vastus medialis and semitendinosus muscle medialis was performed before the protocols and during a 10-min recovery. RESULTS: The changes in TMG profile were most pronounced in the vastus medialis of power athletes following the PAP protocol and least pronounced in the semitendinosus of the endurance athletes following the fatigue protocol. The differences between athlete types were most significant for the time-domain TMG parameters of vastus medialis. A significant correlation (r= 0.51–0.73) between the fatigue indices and changes in TMG parameters was observed for the vastus medialis muscle only. CONCLUSIONS: The results show that the TMG patterns of PAP and fatigue in the vastus muscle differ between endurance and power athletes. In this muscle, the changes in TMG parameters are also strongly associated with the degree of fatigue.

Aerobic Training With Blood Flow Restriction for Endurance Athletes: Potential Benefits and Considerations of Implementation

ABSTRACT

Smith, NDW, Scott, BR, Girard, O, and Peiffer, JJ. Aerobic training with blood flow restriction for endurance athletes: potential benefits and considerations of implementation. J Strength Cond Res 36(12): 3541-3550, 2022-Low-intensity aerobic training with blood flow restriction (BFR) can improve maximal oxygen uptake, delay the onset of blood lactate accumulation, and may provide marginal benefits to economy of motion in untrained individuals. Such a training modality could also improve these physiological attributes in well-trained athletes. Indeed, aerobic BFR training could be beneficial for those recovering from injury, those who have limited time for training a specific physiological capacity, or as an adjunct training stimulus to provide variation in a program. However, similarly to endurance training without BFR, using aerobic BFR training to elicit physiological adaptations in endurance athletes will require additional considerations compared with nonendurance athletes. The objective of this narrative review is to discuss the acute and chronic aspects of aerobic BFR exercise for well-trained endurance athletes and highlight considerations for its effective implementation. This review first highlights key physiological capacities of endurance performance. The acute and chronic responses to aerobic BFR exercise and their impact on performance are then discussed. Finally, considerations for prescribing and monitoring aerobic BFR exercise in trained endurance populations are addressed to challenge current views on how BFR exercise is implemented.

Genetics of long-distance runners and road cyclists-A systematic review with meta-analysis

The aim of this systematic review and meta-analysis was to identify the genetic variants of (inter)national competing long-distance runners and road cyclists compared with controls. The Medline and Embase databases were searched until 15 November 2021. Eligible articles included genetic epidemiological studies published in English. A homogenous group of endurance athletes competing at (inter)national level and sedentary controls were included. Pooled odds ratios based on the genotype frequency with corresponding 95% confidence intervals (95%CI) were calculated using random effects models. Heterogeneity was addressed by Q-statistics, and I² . Sources of heterogeneity were examined by meta-regression and risk of bias was assessed with the Clark Baudouin scale. This systematic review comprised of 43 studies including a total of 3938 athletes and 10 752 controls in the pooled analysis. Of the 42 identified genetic variants, 13 were investigated in independent studies. Significant associations were found for five polymorphisms. Pooled odds ratio [95%CI] favoring athletes compared with controls was 1.42 [1.12-1.81] for ACE II (I/D), 1.66 [1.26-2.19] for ACTN3 TT (rs1815739), 1.75 [1.34-2.29] for PPARGC1A GG (rs8192678), 2.23 [1.42-3.51] for AMPD1 CC (rs17602729), and 2.85 [1.27-6.39] for HFE GG + CG (rs1799945). Risk of bias was low in 25 (58%) and unclear in 18 (42%) articles. Heterogeneity of the results was low (0%-20%) except for HFE (71%), GNB3 (80%), and NOS3 (76%). (Inter)national competing runners and cyclists have a higher probability to carry specific genetic variants compared with controls. This study confirms that (inter)national competing endurance athletes constitute a unique genetic make-up, which likely contributes to their performance level.

Genetic polymorphisms of muscular fitness in young healthy men

The effects of genetic polymorphisms on muscle structure and function remain elusive. The present study tested for possible associations of 16 polymorphisms (across ten candidate genes) with fittness and skeletal muscle phenotypes in 17- to 37-year-old healthy Caucasian male endurance (n = 86), power/strength (n = 75) and team athletes (n = 60), and non-athletes (n = 218). Skeletal muscle function was measured with eight performance tests covering multiple aspects of muscular fitness. Along with body mass and height, the upper arm and limb girths, and maximal oxygen uptake were measured. Genotyping was conducted on DNA extracted from blood. Of the 16 polymorphisms studied, nine (spanning seven candidate genes and four gene families/signalling pathways) were independently associated with at least one skeletal muscle fitness measure (size or function, or both) measure and explained up to 4.1% of its variation. Five of the studied polymorphisms (activin- and adreno-receptors, as well as myosine light chain kinase 1) in a group of one to three combined with body height, age and/or group explained up to 20.4% of the variation of muscle function. ACVR1B (rs2854464) contributed 2.0-3.6% to explain up to 14.6% of limb proximal girths. The G allele (genotypes AG and GG) of the ACVR1B (rs2854464) polymorphism was significantly overrepresented among team (60.4%) and power (62.0%) athletes compared to controls (52.3%) and endurance athletes (39.2%), and G allele was also most consistently/frequently associated with muscle size and power. Overall, the investigated polymorphisms determined up to 4.1% of the variability of muscular fitness in healthy young humans.

Contribution of Lean Mass Distribution on Aerobic Fitness and Performance in NCAA Division I Female Rowers

ABSTRACT

Haraldsdottir, K, Sanfilippo, J, Dawes, S, and Watson, A. Contribution of lean mass distribution on aerobic fitness and performance in NCAA division I female rowers. J Strength Cond Res XX(X): 000-000, 2022-The purpose of this study was to determine the relative influence of total lean body mass (LBM), body fat percentage (BF%), upper extremity lean mass (ULM), lower extremity lean mass (LLM), and trunk lean mass (TLM) on maximal aerobic capacity (V̇o2max) and time to exhaustion (Tmax) in female collegiate rowers. One hundred seven female collegiate rowers (aged 18-22 years) performed maximal progressive rowing ergometer testing to determine V̇o2max and Tmax. Body mass, LBM, BF%, ULM, LLM, and TLM were determined by using dual-energy x-ray absorptiometry. Separate multivariable linear regression models were performed to predict V̇o2max and Tmax by using LBM and BF% as predictors. In addition, separate linear regression models were used to predict V̇o2max and Tmax with ULM, LLM, and TLM as covariates. Subjects were aged 20 ± 3 years. V̇o2max was significantly predicted by LBM (r2 = 0.29, p < 0.001), but not BF% (r2 = 0.002, p = 0.79). Similarly, Tmax was significantly predicted by LBM (r2 = 0.25, p < 0.001), but not BF% (r2 = 0.003, p = 0.19). V̇o2max was significantly predicted by LLM (r2 = 0.12, p < 0.01), but not ULM (r2 = 0.08, p = 0.68) or TLM (r2 = 0.09, p = 0.17), and Tmax was significantly predicted by TLM (r2 = 0.09, p = 0.02), but not ULM (r2 = 0.07, p = 0.89) or LLM (r2 = 0.08, p = 32). Among female collegiate rowers, whole body LBM is a significant predictor of both V̇o2max and Tmax. However, LLM is a stronger predictor of V̇o2max while TLM is a stronger predictor Tmax, although each of these relationships has a low coefficient of determination. These findings suggest that aerobic fitness and performance may be influenced by regions of lean mass differently.

Age-related declines in muscle and respiratory function are proportionate to declines in performance in Master Track Cyclists

PURPOSE

Respiratory and musculoskeletal function decline with age, irrespective of physical activity levels. Previous work has suggested that the age-related rate of decline in function of these two systems might be similar, but it is not known to what extent each system contributes to decreasing performance in ageing master cyclists. Therefore, the purposes of this study are (1) whether the age-related rate of decline in respiratory function, respiratory muscle strength, muscle architecture, muscle function, haemoglobin concentration, haematocrit and performance in master cyclists is uniform and (2) which parameters contribute most to the reduction in performance with age.

METHODS

Master cyclists were recruited during the Track Cycling Masters World Championship 2019 in Manchester. Respiratory function and respiratory muscle strength were determined using spirometry and a mouth pressure device, respectively. Muscle architecture was determined using ultrasonography, and muscle function by countermovement jump.

RESULTS

Forced expiratory volume in the first second, forced vital capacity, fascicle length, muscle thickness, take-off velocity, jump power, jump power per body mass, handgrip strength, haemoglobin concentration and performance correlated negatively with age (p ≤ 0.043). The age-related rate of decline did not differ significantly between parameters (p = 0.124), but it was slower for haemoglobin concentration (p = 0.041). Take-off velocity was the major determinant of performance in 200, 500 and 2000 m track cycling disciplines (R²_adj = 0.675, 0.786 and 0.769, respectively; p < 0.001).

CONCLUSION

Age-related decline in respiratory and muscle system is accompanied by a similar rate of decline in performance. The major contribution to the age-related decline of performance is reduced muscle function, specifically take-off velocity.

Pulmonary function as a limiting factor of middle distance race performance

Exercise induced bronchoconstriction (EIB) is common and underdiagnosed phenomenon of yet largely unknown etiology. This study aimed to estimate prevalence of EIB in response to highly demanding skyscraper race and to test its association with race performance and hypothetical predisposing factors. Healthy participants (26 males, 8 females; 31.5 +/- 6.3 years) from mostly running-based amateur sports were measured for forced expiratory volume in first 1 s (FEV1) before and then repeatedly within 10 min after the completion of the 114 m skyscraper upstairs race. Allergy questionnaire (AQUA) data were collected and post-exercise blood lactate was measured. Over 40% of the participants developed >10% decrement in FEV1 shortly after all-out exercise. While EIB response was not associated with questionnaire-based atopic status, training background, gender, age, anthropometrics, pacing and exertion (estimated from the accumulated blood lactate values), participants exhibiting <10% decrement in FEV1 were faster, especially over the later stages of the race. In conclusion, nearly every other participant of the skyscraper race develops EIB not associated with training, demographic, anthropometric and atopic status, pacing and exertion (estimated from postexercise blood lactate), but the responders (FEV1 decrement >10%) were slower indicative of poorer fitness due to EIB developing during the exercise already.

Resilience in the Endurance Runner: The Role of Self-Regulatory Modes and Basic Psychological Needs

Endurance sports certainly require an important and delicate task of mental and physical reintegration from the impact of the fatigue induced by the exertion of the sport performance. The topic of the resilience of athletes has been the theme of numerous studies, however, there are few specific works on the psychological resilience of runners. Our study aimed to investigate Resilience in Endurance Runner related to the role of Self-Regulation Modes and Basic Psychological Needs. Especially, the aim of our work was presenting a model where the gratification of the Needs of Autonomy and Competence and the level of Locomotion were the predictors of the two main components of Richardson's resilience: Homeostatic and Resilient Reintegration. The present study involved 750 endurance runners, members of the Fidal (Italian Athletics Federation). A SEM analysis was performed combining into one explanatory model the following variables: Autonomy and Competence Satisfaction, Self-Regulatory Locomotion Mode, Homeostatic and Resilient Reintegration. The model showed overall acceptable fit measurements: χ² = 872.152; CFI = 0.966; TLI = 0.952; RMSEA = 0.058. Results indicated that BPNs and SRMs are predictors of the level of resilience in endurance running athletes. In particular, Resilient Reintegration was mainly affected by Locomotion Mode (β = 0.379 for p < 0.005), which in turn received a major influence from Autonomy Satisfaction (β = 0.574 for p < 0.001). Homeostatic Recovery was found to be affected by Competence Satisfaction (β = 0.489 for p < 0.001). The study pointed out the importance of supporting in endurance runners the gratification of the needs of Autonomy and Competence as key factors capable of enhancing perseverance, timely recovery and psychophysical balance.

COVID-19-Related Restrictions and Quarantine COVID-19: Effects on Cardiovascular and Yo-Yo Test Performance in Professional Soccer Players

The present study aimed to verify the quarantine's effects during a serious viral outbreak on the cardiovascular and performance associated with the Yo-Yo test in a sample of professional soccer players. 20 high-level soccer players (n = 20; age: 26 ± 4 years-old; weight: 76.85 ± 6.7 kg; height: 179 ± 6 cm) participated in this study. The intermittent Yo-Yo test was performed pre- and post- COVID-19 quarantine in a random order. During each test, the soccer players' running performance outcomes were monitored using a portable 5-Hz GPS with a 100 Hz accelerometer and a paired t-test was conducted at a p-value of ≤ 0.05. The main results demonstrated significant differences between pre- versus post-COVID-19 quarantine in the following variables: relative distance (161.7 ± 5.9 > 141.1 ± 33.8 m/min), maximal speed (18.7 ± 0.9 > 18.2 ± 0.6 km/h), acceleration (60 ± 20 frequency > 52 ± 16 frequency), deceleration (34 ± 13 frequency > 27 ± 6 frequency), sprints > 19 km/h [0.8 (0.2;3)% >0.5 (0;0.5)%], and in high intensity running distance [16.48 (2.68;41.64)m > 0.827 (0.164;3.0)m]. We concluded that COVID-19-related restrictions and quarantine COVID-19 demonstrated adverse effects on professional soccer players' Yo-Yo tests performance.

Backward extrapolation technique: analysis of different criteria after supramaximal exercise in cycling

BACKGROUND

Backward extrapolation technique (BE) was used to estimate V̇O<inf>2</inf> from postexercise measuring, eliminating oronasal mask (OM) during the efforts. Despite its advantage, literature presents discrepancy in applied methods. Thus, the first aim of this study was to compare different mathematical criteria to estimate values of V̇O<inf>2</inf> during a supramaximal effort (V̇O<inf>2PEAK</inf>), while the second aim was to verify the effects of OM on cycling performance.

METHODS

Twenty-four male cyclists (35±6 years, 81.3±8.9 kg, 180±6 cm) performed three days of tests, with at least 24 h of interval between each test. Firstly, a graded exercise test was applied to determine V̇O<inf>2max</inf> and your correspondent intensity (MAP). The second and the third day were destined to supramaximal efforts at 120% of MAP, performed with (Supra<inf>mask</inf>) and without (Supra<inf>be</inf>) oronasal mask (OM) in a randomized order. After Supra<inf>be</inf>, OM was coupled, and BE was applied. Sixty-six values of V̇O<inf>2</inf> were obtained based on a linear regression fitting.

RESULTS

V̇O<inf>2peak</inf> can be estimated using different curve lengths. However, only curves between 20 and 60 s with extrapolation to 3 s or lesser shows at least one consistent criterion. The 60 s curve extrapoled to -3 s was the most accurate criteria (P=0.723; ES=-0.055; r=0.824; Bias=-0.36 and LoA=7.72 mL.kg.min^-1). Performance was not impaired with OM and was similar in both condition (P=0.84, ES=0.04).

CONCLUSIONS

We conclude that it was possible to accurately estimate V̇O<inf>2</inf> values of a supramaximal effort without any respiratory apparatus with a time-efficient analysis. Therefore, we recommended the use of a 60 seconds V̇O<inf>2</inf> curve analysis with a negative extrapolation for 3 seconds.

Diffusion Tensor Imaging in Contact and Non-Contact University-Level Sport Athletes

Subconcussive hits to the head and physical fitness both have been associated with alterations in white matter (WM) microstructure in partly overlapping areas of the brain. The aim of the present study was to determine whether WM damage associated with repeated exposure to subconcussive hits to the head in university level contact sports athletes is modulated by high levels of fitness. To this end, 72 students were recruited: 24 athletes practicing a varsity contact sport (A-CS), 24 athletes practicing a varsity non-contact sport (A-NCS), and 24 healthy non-athletes (NA). Participants underwent a magnetic resonance imaging session that included diffusion-weighted imaging. Between-groups, statistical analyses were performed with diffusion tensor imaging measures extracted by tractometry of sections of the corpus callosum and the corticospinal tract. Most significant effects were found in A-NCS who exhibited higher fractional anisotropy (FA) values than A-CS in almost all segments of the corpus callosum and in the corticospinal tract. The A-NCS also showed higher FA compared with NA in the anterior regions of the corpus callosum and the corticospinal tracts. No group difference was found between the A-CS and the NA groups. These data suggest that repeated subconcussive hits to the head lead to anisotropic changes in the WM that may counteract the beneficial effects associated with high levels of fitness.

Maximal cardiopulmonary exercise testing in childhood acute lymphoblastic leukemia survivors exposed to chemotherapy

PURPOSE

The purpose of this study was to demonstrate if childhood acute lymphoblastic leukemia (ALL) survivors exposed to chemotherapy (i.e., doxorubicin) are able to achieve a safe maximal cardiopulmonary exercise test (CPET).

METHODS

A total of 250 childhood ALL survivors were eligible to undergo a CPET on ergocycle. Analyses were performed in 216 survivors and stratified in regard to their prognostic risk groups: 99 survivors (55 males and 44 females) at standard risk and 117 survivors (56 males and 61 females) at high risk.

RESULTS

Results showed that 100% (n = 216) of survivors completed a maximal CPET confirmed by the achievement of two out of three of the following criteria: 197 survivors (91.2%) reached a peak RER value of ≥ 1.15, 197 survivors (91.2%) reached a RPE score > 7, and 210 survivors (97.2%) reached a maximal heart rate ≥ 85% of the predicted value. Linear regression analysis showed a significant association between the survivors' cumulative dose of doxorubicin and their VO₂ peak measured. Two non-fatal adverse events were observed and reported at the end of the maximal CPET, while non-fatal adverse events were reported in 5 survivors during the recovery period. None of these events resulted in a long-term complication.

CONCLUSION

Childhood ALL survivors with prior exposure to chemotherapy can achieve a safe maximal CPET. They were able of achieving a maximal exercise test without being limited by symptoms, potential overprotection, or musculoskeletal issues. Thus, it should be the norm to realize a CPET prior a physical activity program to propose an optimal prescription. This study provides important information regarding the maximal physiological parameters that childhood ALL survivors are able to reach and have important clinical implications in the exercise and oncology field for this population of survivors.

Exposure to total 36-hr sleep deprivation reduces physiological and psychological thermal strain to whole-body uncompensable passive heat stress in young adult men

Total sleep deprivation (TSD) is associated with endothelial dysfunction and a consequent decrease in vascular reactivity and increase in peripheral vascular resistance. These effectors compromise the body's ability to thermoregulate in hot and cold stress conditions. We investigated heat-unacclimated young adult men (26 ± 2 years) to determine whether 36 hr of TSD compared to an 8 or 4-hr sleep condition, would suppress the responses of the autonomic system (body rectal temperature [T_re ], heart rate [HR], root mean square of successive interbeat intervals, physiological strain, blood pressure [BP], circulating blood catecholamines, sweating rate and subjective sensations) to whole-body uncompensable passive heat stress in traditional Finnish sauna heat (T_air  = 80-90°C, rh = 30%). Sauna bathing that induced whole-body hyperthermia had a residual effect on reducing BP in the 8-hr and 4-hr sleep per night conditions according to BP measurements. By contrast, 36 hr of total wakefulness led to an increase in BP. These observed sleep deprivation-dependent differences in BP modifications were not accompanied by changes in the blood plasma epinephrine and norepinephrine concentrations. However, during sauna bathing, an increase in BP following 36 hr of TSD was accompanied by significant decreases in body T_re , HR and physiological strain, together with a diminished sweating rate, enhanced vagus-mediated autonomic control of HR variability, and improved thermal perception by the subjects. Our results suggest the impaired ability of the body to accumulate external heat in the body's core under uncompensable passive heat conditions following 36 hr of TSD, because of the TSD-attenuated autonomic system response to acute heat stress.

The Dynamic and Correlation of Skin Temperature and Cardiorespiratory Fitness in Male Endurance Runners

During endurance exercise, skin temperature (Tsk) plays a fundamental role in thermoregulatory processes. Environmental temperature is the biggest determinant of the Tsk. During exercise, the response of the skin temperature might be influenced by aerobic fitness (VO_2peak). The aim of this study was to analyze and compare the dynamic of Tsk in high (HF) and moderately (MF) fit endurance runners during a progressive maximal stress test. Seventy-nine male endurance runners were classified into HF (n = 35; VO_2peak = 56.62 ± 4.31 mL/kg/min) and MF (n = 44; VO_2peak = 47.86 ± 5.29 mL/kg/min) groups. Tsk and cardiovascular data were continuously monitored during an incremental exercise, followed by a recovery period of five minutes. Results revealed that the MF group exhibited lower VO_2peak, Speed_peak, ventilation (VE), muscle mass %, and higher BMI and fat mass % than the HF group (all p < 0.001). HF had significantly higher Tsk at baseline, and at 60% and 70% of peak workload (all p < 0.05). Tsk_peak correlated with age, fat mass %, muscle mass %, VO_2peak, Speed_peak, HR and VE (all p < 0.05). These findings indicate that VO_2peak was positively associated with increased Tsk during incremental exercise in male endurance runners.

Acute effects of very low-volume high-intensity interval training on muscular fatigue and serum testosterone level vary according to age and training status

PURPOSE

To compare the acute physiological responses of three different very low-volume cycling sessions (6 × 5 s, 3 × 30 s, and 3 × 60 s) and their dependence on age and training status.

METHODS

Subjects were untrained young men (mean ± SD; age 22.3 ± 4.6 years, VO₂peak 42.4 ± 5.5 ml/kg/min, n = 10), older untrained men (69.9 ± 6.3 years, 26.5 ± 7.6 ml/kg/min, n = 11), and endurance-trained cyclists (26.4 ± 9.4 years, 55.4 ± 6.6 ml/kg/min, n = 10). Maximal voluntary contraction (MVC) and electrically stimulated knee extension torque, and low-frequency fatigue, as ratio of stimulation torques at 20-100 Hz (P20/100), were measured only 24 h after exercise. Serum testosterone (Te) and blood lactate concentrations were measured only 1 h after exercise.

RESULTS

All protocols increased the blood lactate concentration and decreased MVC and P20/100 in young men, but especially young untrained men. In old untrained men, 6 × 5 s decreased P20/100 but not MVC. Te increased after 3 × 30 s and 3 × 60 s in young untrained men and after 3 × 60 s in older untrained men. The increase in Te correlated with responses of blood lactate concentration, MVC, and P20/100 only in old untrained men.

CONCLUSIONS

As little as 6 × 5 s all-out cycling induced fatigue in young and old untrained and endurance-trained cyclists. Slightly higher-volume sessions with longer intervals, however, suppressed contractile function more markedly and also transiently increased serum testosterone concentration in untrained men.