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Climstein M, Graham KS, Stapelberg M, Walsh J, DeBeliso M, Adams K, Sevene T, Harris C. Electrocardiographic Assessment of National-Level Triathletes: Sinus Bradycardia and Other Electrocardiographic Abnormalities. Sports (Basel) 2025; 13:25. [PMID: 39852621 PMCID: PMC11769388 DOI: 10.3390/sports13010025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2024] [Revised: 01/02/2025] [Accepted: 01/10/2025] [Indexed: 01/26/2025] Open
Abstract
BACKGROUND High-intensity endurance training induces specific cardiac adaptations, often observed through electrocardiographic (ECG) changes. This study investigated the prevalence of ECG abnormalities in national-level Australian triathletes compared to sedentary controls. METHODS A cross-sectional observational study was conducted involving 22 triathletes and 7 sedentary controls. Standard 12-lead ECGs assessed resting heart rate, ECG intervals, and axis deviation. Peak oxygen consumption was evaluated in triathletes to correlate with ECG indices and left ventricular mass, derived via echocardiography. RESULTS Triathletes exhibited significantly lower resting heart rates (53.8 vs. 72.1 bpm, -34%, p = 0.04), shorter QRS durations (0.088 vs. 0.107 ms, -21.6%, p = 0.01), and longer QT intervals (0.429 vs. 0.358 ms, +16.6%, p = 0.01) compared to controls. Sinus bradycardia was present in 68.2% of triathletes, with varying severity. First-degree atrioventricular block was identified in 13.6% of athletes, and left ventricular hypertrophy was confirmed in 18 triathletes via echocardiography. A significant positive relationship was identified between VO2peak and left ventricular mass (r = 0.68, p = 0.003). CONCLUSIONS National-level triathletes exhibited ECG and structural cardiac adaptations consistent with high-intensity endurance training. Echocardiography is recommended for the accurate identification of LVH. These findings highlight the need for comprehensive cardiac evaluation in athletes to distinguish between physiological and pathological adaptations.
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Affiliation(s)
- Mike Climstein
- School of Biological Science, Cumberland College of Health Sciences, Lidcombe, NSW 2141, Australia
- Department of Cardiology, Lidcombe Hospital, Lidcombe, NSW 2141, Australia
- Physical Activity, Lifestyle, Ageing and Wellbeing Faculty Research Group, University of Sydney, Sydney, NSW 2141, Australia
| | - Kenneth S. Graham
- School of Biological Science, Cumberland College of Health Sciences, Lidcombe, NSW 2141, Australia
- Discipline of Exercise and Sport Science, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2141, Australia
| | | | - Joe Walsh
- AI Consulting Group, Sydney, NSW 2000, Australia;
- Sports Science Institute, Sydney, NSW 2000, Australia
- Faculty of Science and Engineering, Southern Cross University, Lismore, NSW 2480, Australia
- Ramp Physio and Fitness, Homebush, NSW 2140, Australia
| | - Mark DeBeliso
- Department of Kinesiology and Outdoor Recreation, Southern Utah University, Cedar City, UT 84720, USA
| | - Kent Adams
- Kinesiology Department, California State University Monterey Bay, Seaside, CA 93955, USA; (K.A.)
| | - Trish Sevene
- Kinesiology Department, California State University Monterey Bay, Seaside, CA 93955, USA; (K.A.)
| | - Chad Harris
- Exercise and Sport Sciences Department, Metropolitan State University of Denver, Denver, CO 80204, USA
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Cejuela R, Arévalo-Chico H, Sellés-Pérez S. Power Profile during Cycling in World Triathlon Series and Olympic Games. J Sports Sci Med 2024; 23:25-33. [PMID: 38455440 PMCID: PMC10915604 DOI: 10.52082/jssm.2024.25] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Accepted: 12/04/2023] [Indexed: 03/09/2024]
Abstract
This study aimed to analyze the power profile (PP) during the cycling segment of international-level triathletes in the World Triathlon Series (WTS) and Olympics and to evaluate the influence of circuit type, race distance (Sprint or Olympic distance) and race dynamics on the development of the cycling leg and the final race position. Four male triathletes participated in the study. Twenty races were analyzed using geolocation technology and power-meter data to analyze PP, race dynamics, and course characteristics. Before the races, incremental tests of volitional exhaustion with gas analysis were performed to determine power intensity zones. Nonparametric Mann-Whitney U tests and correlation analyses were conducted to identify differences and relationships between various variables. A correlation between the time spent above maximal aerobic power (MAP) and dangerous curves per kilometer (r = 0.46; p < 0.05) and bike split result (BSR) (r = -0.50; p < 0.05) was observed. Also, moderate correlation was found between BSR and the final race position (r = 0.46; p < 0.01). No differences were found between sprint and Olympic distance races in any variable. Power output variability, influenced by technical circuit segments, remains the main characteristic in international short-distance races. The results of the present study suggest that the triathletes who are better adapted to intermittent high intensity efforts perform better cycling legs at international high-level races.
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Affiliation(s)
- Roberto Cejuela
- Physical Education and Sports, Faculty of Education, University of Alicante, Spain
| | - Héctor Arévalo-Chico
- Physical Education and Sports, Faculty of Education, University of Alicante, Spain
| | - Sergio Sellés-Pérez
- Physical Education and Sports, Faculty of Education, University of Alicante, Spain
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Vleck V, Massuça LM, de Moraes R, Falk Neto JH, Quagliarotti C, Piacentini MF. Work, Training and Life Stress in ITU World Olympic Distance Age-Group Championship Triathletes. Sports (Basel) 2023; 11:233. [PMID: 38133100 PMCID: PMC10747382 DOI: 10.3390/sports11120233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 05/25/2023] [Accepted: 08/07/2023] [Indexed: 12/23/2023] Open
Abstract
We assessed the training, work and Life Stress demands of a mixed gender group of 48 top amateur short-distance triathletes using an online retrospective epidemiological survey and the Life Events Survey for Collegiate Athletes. On superficial inspection, these mainly masters athletes appeared to undergo all the types of training that are recommended for the aging athlete. However, there were significant scheduling differences between their weekday vs. their weekend training, suggesting that age-groupers' outside sports commitments may affect their training efficacy. The triathletes claimed to periodize, to obtain feedback on and to modify their training plans when appropriate-and some evidence of this was obtained. Over the year preceding the ITU World Age-Group Championships, they averaged 53%, 33% and 14% of their combined swim, cycle and run training time, respectively, within intensity zones 1, 2 and 3. Although the triathletes specifically stated that their training was focused on preparation for the ITU World Age-Group Championships, the way that they modified their training in the month before the event suggested that this aim was not necessarily achieved. Sports-related stress accounted for most-42.0 ± 26.7%-of their total Life Stress over the preceding year (vs. 12.7 ± 18.6% for Relationship-, 31.3 ± 25.9% for Personal- and 14.0 ± 21.1% for Career-related Stress). It affected most athletes, and was overwhelmingly negative, when it related to failure to attain athletic goal(s), to injury and/or to illness.
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Affiliation(s)
- Veronica Vleck
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, 1499-002 Lisbon, Portugal
| | - Luís Miguel Massuça
- ICPOL, Instituto Superior de Ciências Policiais e Segurança Interna, 1300-663 Lisbon, Portugal;
- CIDEFES, Universidade Lusofóna, 1749-024 Lisbon, Portugal;
| | | | - João Henrique Falk Neto
- Athlete Health Lab., Faculty of Kinesiology, Sport and Recreation, University of Alberta, Edmonton, AB T6G 2R3, Canada;
| | - Claudio Quagliarotti
- Department of Movement, Human and Health Sciences, University of Rome ‘Foro Italico’, 00135 Rome, Italy; (C.Q.); (M.F.P.)
| | - Maria Francesca Piacentini
- Department of Movement, Human and Health Sciences, University of Rome ‘Foro Italico’, 00135 Rome, Italy; (C.Q.); (M.F.P.)
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Weich C, Barth V, Killer N, Vleck V, Erich J, Treiber T. Discovering the sluggishness of triathlon running - using the attractor method to quantify the impact of the bike-run transition. Front Sports Act Living 2022; 4:1065741. [PMID: 36589784 PMCID: PMC9802668 DOI: 10.3389/fspor.2022.1065741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Accepted: 11/22/2022] [Indexed: 12/23/2022] Open
Abstract
Running in a triathlon, a so-called brick run, is uniquely influenced by accumulated load from its preceding disciplines. Crucially, however, and irrespective of race type, the demands of a triathlon always exceed the sum of its parts. Triathletes of all levels commonly report subjectively perceived incoordination within the initial stages of the cycle run transition (T2). Although minimizing it, and its influence on running kinematics, can positively impact running and overall triathlon performance, the mechanisms behind the T2 effect remain unclear. In the present study, we assessed the influence of the pre-load exercise mode focusing on the biomechanical perspective. To analyze inertial sensor-based raw data from both legs, the so-called Attractor Method was applied. The latter represents a sensitive approach, allowing to quantify subtle changes of cyclic motions to uncover the transient effect, a potentially detrimental transient phase at the beginning of a run. The purpose was to analyze the impact of a pre-load on the biomechanics of a brick run during a simulated Olympic Distance triathlon (without the swimming section). Therefore, we assessed the influence of pre-load exercise mode on running pattern (δM) and precision (δD), and on the length of the transient effect (tT) within a 10 km field-based run in 22 well-trained triathletes. We found that δD, but not δM, differed significantly between an isolated run (IRun) and when it was preceded by a 40 km cycle (TRun) or an energetically matched run (RRun). The average distance ran until overcoming the transient phase (tT) was 679 m for TRun, 450 m for RRun, and 29 4 m for IRun. The results demonstrated that especially the first kilometer of a triathlon run is prone to an uncoordinated running sensation, which is also commonly reported by athletes. That is, i) the T2 effect appeared more linked to variability in running style than to running style per se ii) run tT distance was influenced by preceding exercise load mode, being greater for a TRun than for the RRun condition, and iii) the Attractor Method seemed to be a potentially promising method of sensitively monitoring T2 adaptation under ecologically valid conditions.
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Affiliation(s)
- Christian Weich
- Sports Science Department, University of Konstanz, Konstanz, Germany,Correspondence: Christian Weich
| | - Valentin Barth
- Physics Department, University of Konstanz, Konstanz, Germany
| | - Nikolai Killer
- Sports Science Department, University of Konstanz, Konstanz, Germany,Computer Science Department, University of Konstanz, Konstanz, Germany
| | - Veronica Vleck
- Interdisciplinary Centre for the Study of Human Performance (CIPER), Faculdade de Motricidade Humana, University of Lisbon, Cruz Quebrada-Dafundo, Portugal
| | - Julian Erich
- Sports Science Department, University of Konstanz, Konstanz, Germany
| | - Tobias Treiber
- Sports Science Department, University of Konstanz, Konstanz, Germany
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Does the Physiological Response of a Triathlete Change in the Use or Absence of Drafting? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19159366. [PMID: 35954720 PMCID: PMC9367959 DOI: 10.3390/ijerph19159366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Revised: 07/11/2022] [Accepted: 07/27/2022] [Indexed: 11/16/2022]
Abstract
Background: Currently, tactics play an important and decisive role in sprint distance triathlons. One of the most decisive tactical elements is drafting in the cycling sector, depending on whether or not it is allowed by the test regulations. The objective was to analyze the physiological responses in running, in relation to drafting in the cycling sector, according to level and sex. Methods: To do this, a total of n = 44 subjects were divided into two levels (elite: they got a podium in the national championship, 15.68 ± 0.82 years; amateurs: they compete at the regional level, 15.68 ± 1.62 and 37.9 ± 1.74 years), undergoing two training sessions of four cycling-running multitransitions with variability in the permissibility of drafting were analyzed. A descriptive analysis of the variables was carried out, together with an inferential analysis to know the relationships and associations between the dependent and independent variables. Results: The results showed significant differences in the parameters, as related to running technique, heart rate, speed, and displacement (both between levels and sex). Conclusions: This study concludes that drafting in the cycling sector generates decisive physiological responses for the running sector.
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Dos Santos Andrade VF, Cabral LL, Da Silva CK, Villarejo Mayor JJ, Félix Rodacki AL, Lima-Silva AE, Pereira G. The completely recover of quadriceps muscle peripheral fatigue after running in Olympic but not in Sprint triathlon. Eur J Sport Sci 2022; 23:885-895. [PMID: 35502595 DOI: 10.1080/17461391.2022.2072772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
ABSTRACTThis study compared central and peripheral fatigue development between Sprint and Olympic distance triathlon. Fifteen male triathletes performed Sprint and Olympic triathlon simulations in a randomized and counterbalanced order. Central and peripheral fatigue was evaluated from changes in voluntary activation level (VAL) and twitch responses of quadriceps muscle (Qtw,pot), respectively. Qtw,pot reduced from baseline to post-swimming similarly between triathlon simulations (Sprint, -17±11%; Olympic, -13±9%). In post-cycling, Qtw,pot further declined to a similar extent between triathlon distances (Sprint, -31±15%; Olympic, -28±11%). In post-running, Qtw,pot was fully recovered in Olympic triathlon (-4±10%), whereas there was only a partial recovery of Qtw,pot in Sprint triathlon (-20±11%). VAL was not reduced in post-swimming, but reduction was similar between triathlon distances in post-cycling (Sprint, -10±9%; Olympic, -8±8%) and post-running (Sprint, -15±14%; Olympic, -16±8%). In Sprint triathlon, the swimming speed (1.07±0.13 m ·s-1) was above (p<.001) critical speed (1.01±0.14 m ·s-1), the cycling power (179.7±27.2W) was below the respiratory compensation point (216.3±27.8W, p<.001) and running speed (13.7±1.05km·h-1) similar to the respiratory compensation point (13.2±0.70 km·h-1, p=.124). In Olympic triathlon, swimming speed (1.03±0.13m·s-1) was similar to critical speed (p=.392), and both cycling power (165.3±27.3W) and running speed (12.6±1.05km·h-1) were below the respiratory compensation point (p≤.007). In conclusion, peripheral fatigue progressed until post-cycling regardless of triathlon distances. However, peripheral fatigue was fully recovered after running in Olympic but not in Sprint triathlon. The central fatigue started in post-cycling and progressed until post-running regardless of triathlon distances.
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Affiliation(s)
- Vinicius Ferreira Dos Santos Andrade
- Department of Physical Education, Federal University of Parana (UFPR), Curitiba, Parana, BRAZIL.,Physical Education and Sports Center, Federal University of Parana (UFPR), Curitiba, Parana, BRAZIL
| | - Luana Loss Cabral
- Department of Physical Education, Federal University of Parana (UFPR), Curitiba, Parana, BRAZIL
| | | | | | | | - Adriano E Lima-Silva
- Department of Physical Education, Federal University of Parana (UFPR), Curitiba, Parana, BRAZIL.,Human Performance Research Group, Technological Federal University of Parana (UTFPR), Curitiba, Parana, BRAZIL
| | - Gleber Pereira
- Department of Physical Education, Federal University of Parana (UFPR), Curitiba, Parana, BRAZIL
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Wiecha S, Price S, Cieśliński I, Kasiak PS, Tota Ł, Ambroży T, Śliż D. Transferability of Cardiopulmonary Parameters between Treadmill and Cycle Ergometer Testing in Male Triathletes-Prediction Formulae. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:1830. [PMID: 35162854 PMCID: PMC8834943 DOI: 10.3390/ijerph19031830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Revised: 01/28/2022] [Accepted: 01/30/2022] [Indexed: 11/21/2022]
Abstract
Cardiopulmonary exercise testing (CPET) on a treadmill (TE) or cycle ergometry (CE) is a common method in sports diagnostics to assess athletes' aerobic fitness and prescribe training. In a triathlon, the gold standard is performing both CE and TE CPET. The purpose of this research was to create models using CPET results from one modality to predict results for the other modality. A total of 152 male triathletes (age = 38.20 ± 9.53 year; BMI = 23.97 ± 2.10 kg·m-2) underwent CPET on TE and CE, preceded by body composition (BC) analysis. Speed, power, heart rate (HR), oxygen uptake (VO2), respiratory exchange ratio (RER), ventilation (VE), respiratory frequency (fR), blood lactate concentration (LA) (at the anaerobic threshold (AT)), respiratory compensation point (RCP), and maximum exertion were measured. Random forests (RF) were used to find the variables with the highest importance, which were selected for multiple linear regression (MLR) models. Based on R2 and RF variable selection, MLR equations in full, simplified, and the most simplified forms were created for VO2AT, HRAT, VO2RCP, HRRCP, VO2max, and HRmax for CE (R2 = 0.46-0.78) and TE (R2 = 0.59-0.80). By inputting only HR and power/speed into the RF, MLR models for practical HR calculation on TE and CE (both R2 = 0.41-0.75) were created. BC had a significant impact on the majority of CPET parameters. CPET parameters can be accurately predicted between CE and TE testing. Maximal parameters are more predictable than submaximal. Only HR and speed/power from one testing modality could be used to predict HR for another. Created equations, combined with BC analysis, could be used as a method of choice in comprehensive sports diagnostics.
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Affiliation(s)
- Szczepan Wiecha
- Department of Physical Education and Health, Faculty in Biala Podlaska, Jozef Pilsudski University of Physical Education in Warsaw, 21-500 Biala Podlaska, Poland; (S.W.); (I.C.)
| | - Szymon Price
- 3rd Department of Internal Medicine and Cardiology, Medical University of Warsaw, 02-091 Warsaw, Poland;
| | - Igor Cieśliński
- Department of Physical Education and Health, Faculty in Biala Podlaska, Jozef Pilsudski University of Physical Education in Warsaw, 21-500 Biala Podlaska, Poland; (S.W.); (I.C.)
| | - Przemysław Seweryn Kasiak
- Students’ Scientific Group of Lifestyle Medicine, 3rd Department of Internal Medicine and Cardiology, Medical University of Warsaw, 02-091 Warsaw, Poland;
| | - Łukasz Tota
- Department of Physiology and Biochemistry, Faculty of Physical Education and Sport, University of Physical Education in Krakow, 31-571 Krakow, Poland;
| | - Tadeusz Ambroży
- Institute of Sports Sciences, University of Physical Education in Krakow, 31-541 Kraków, Poland;
| | - Daniel Śliż
- 3rd Department of Internal Medicine and Cardiology, Medical University of Warsaw, 02-091 Warsaw, Poland;
- Public Health School Centrum Medyczne Kształcenia Podyplomowego (CMKP), 01-826 Warsaw, Poland
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The Training Characteristics of Recreational-Level Triathletes: Influence on Fatigue and Health. Sports (Basel) 2021; 9:sports9070094. [PMID: 34202010 PMCID: PMC8309729 DOI: 10.3390/sports9070094] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 06/10/2021] [Accepted: 06/18/2021] [Indexed: 12/12/2022] Open
Abstract
Little is known about how recreational triathletes prepare for an Olympic distance event. The aim of this study was to identify the training characteristics of recreational-level triathletes within the competition period and assess how their preparation for a triathlon influences their health and their levels of fatigue. During the 6 weeks prior to, and the 2 weeks after, an Olympic distance triathlon, nine recreational athletes (five males, four females) completed a daily training log. Participants answered the Daily Analysis of Life Demands Questionnaire (DALDA), the Training Distress Scale (TDS) and the Alberta Swim Fatigue and Health Questionnaire weekly. The Recovery-Stress Questionnaire (REST-Q) was completed at the beginning of the study, on the day before the competition, and at the end of week 8. Training loads were calculated using session-based rating of perceived exertion (sRPE). The data from every week of training was compared to week 1 to determine how athletes’ training and health changed throughout the study. No changes in training loads, duration or training intensity distribution were seen in the weeks leading up to the competition. Training duration was significantly reduced in week 6 (p = 0.041, d = 1.58, 95% CI = 6.9, 421.9), while the number of sessions was reduced in week 6 (Z = 2.32, p = 0.02, ES = 0.88) and week 7 (Z = 2.31, p = 0.02, ES = 0.87). Training was characterized by large weekly variations in training loads and a high training intensity. No significant changes were seen in the DALDA, TDS or REST-Q questionnaire scores throughout the 8 weeks. Despite large spikes in training load and a high overall training intensity, these recreational-level triathletes were able to maintain their health in the 6 weeks of training prior to an Olympic distance triathlon.
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