Performance and cardiac evaluation before and after a 3-week training camp for 400-meter sprinters - An observational, non-randomized study

The Effects of Exercise Training on Plasma Volume Variations: A Systematic Review

The aim of this systematic review was to summarize the evidence on the acute and long-term effects of exercise training on PV, in both trained and untrained individuals and to examine associations between changes in %PVV and change in physical/physiological performance. Despite the status of participants and the exercise duration or intensity, all the acute studies reported a significant decrease of PV (effect size: 0.85<d<3.45, very large), and ranged between 7 and 19.9%. In untrained individuals, most of studies reported a significant increase of PV in response to different kind of training including endurance training and high intensity interval training (effect size: 0.19<d<3.52, small to very large), and ranged from 6.6 to 16%. However, in trained individuals the results are equivocal. We showed that acute exercise appears to induce a significant decrease of PV in both healthy untrained and trained individuals in response to several exercise modalities. Moreover, there is evidence that long-term exercise training induced a significant increase of PV in healthy untrained individuals. However, it seems that there is no consensus concerning the effect of long-term exercise training on PV in trained individuals.

Cardiac Troponin-T Release After Sport and Differences by Age, Sex, Training Type, Volume, and Intensity: A Critical Review

BACKGROUND

Postexercise release of cardiac troponin (cTn) is a well-known phenomenon, although the influence of various confounders remains unclear. The aim of this critical review was to analyze the postexercise release of cTn according to age, sex, different types of sport, exercise intensity and duration, and training level.

DATA SOURCES

A literature search was performed within the National Library of Medicine using the following keywords: cTn, peak, release, and exercise. The search was further refined by adding the keywords athletes, children/adolescents, and sport.

MAIN RESULTS

For final analysis, 52 studies were included: 43 adult studies, 4 pediatric studies, and 5 with a mixed population of adults and children. Several studies have investigated the kinetics of cTn response after exercise with different biomarkers. The current evidence suggests that sport intensity and duration have significant effects on postexercise cTn elevation, whereas the influence of the type of sport, age, and sex have been not completely defined yet. Most data were obtained during endurance races, whereas evidence is limited (or almost absent), particularly for mixed sports. Data on young adults and professional athletes are limited. Finally, studies on women are extremely limited, and those for non-White are absent.

CONCLUSIONS

Postexercise release of cTn can be observed both in young and master athletes and usually represents a physiological phenomenon; however, more rarely, it may unmask a subclinical cardiac disease. The influence of different confounders (age, sex, sport type/intensity/duration, and training level) should be better clarified to establish individualized ranges of normality for postexercise cTn elevation.