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Martínez-Noguera FJ, Cabizosu A, Alcaraz PE, Marín-Pagán C. Effects of pre-exercise glycerol supplementation on dehydration, metabolic, kinematic, and thermographic variables in international race walkers. J Int Soc Sports Nutr 2024; 21:2346563. [PMID: 38676933 PMCID: PMC11057399 DOI: 10.1080/15502783.2024.2346563] [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: 11/09/2023] [Accepted: 04/18/2024] [Indexed: 04/29/2024] Open
Abstract
BACKGROUND Due to the increase in global temperature, it is necessary to investigate solutions so that athletes competing in hot conditions can perform in optimal conditions avoiding loss of performance and health problems. Therefore, this study aims to evaluate the effect of pre-exercise glycerol supplementation during a rectangular test at ambient temperature mid (28.2ºC) on dehydration variables in international race walkers. METHODS Eight international male race walkers (age: 28.0 years (4.4); weight: 65.6 kg (6.6); height: 180.0 cm (5.0); fat mass: 6.72% (0.66); muscle mass: 33.3 kg (3.3); VO2MAX: 66.5 ml · kg-1·min-1 (1.9)) completed this randomized crossover design clinical trial. Subjects underwent two interventions: they consumed placebo (n = 8) and glycerol (n = 8) acutely, before a rectangular test where dehydration, RPE, metabolic, kinematic, and thermographic variables were analyzed before, during and after the test. RESULTS After the intervention, significant differences were found between groups in body mass in favor of the placebo (Placebo: -2.23 kg vs Glycerol: -2.48 kg; p = 0.033). For other variables, no significant differences were found. CONCLUSION Therefore, pre-exercise glycerol supplementation was not able to improve any dehydration, metabolic, kinematic, or thermographic variables during a rectangular test at temperature mid in international race walkers. Possibly, a higher environmental temperature could have generated a higher metabolic and thermoregulatory stress, generating differences between groups like other previous scientific evidence.
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Affiliation(s)
| | - Alessio Cabizosu
- THERMHESC Group, Chair of Ribera Hospital de Molina San Antonio Catholic University of Murcia (UCAM), Murcia, Spain
| | - Pedro E. Alcaraz
- Research Center for High Performance Sport Catholic University of Murcia, Murcia, Spain
| | - Cristian Marín-Pagán
- Research Center for High Performance Sport Catholic University of Murcia, Murcia, Spain
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Zanetti GDO, Pessoa PWM, Vieira TS, Garcia RDA, Santos Barbosa NH, Arantes RME, Kettelhut IDC, Navegantes LCC, Wanner SP, Soares DD, Gonçalves DAP. Long-term heat acclimation training in mice: Similar metabolic and running performance adaptations despite a lower absolute intensity than training at temperate conditions. J Therm Biol 2024; 119:103797. [PMID: 38340467 DOI: 10.1016/j.jtherbio.2024.103797] [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: 07/27/2023] [Revised: 12/06/2023] [Accepted: 01/12/2024] [Indexed: 02/12/2024]
Abstract
This study investigated the impact of long-term heat acclimation (HA) training on mouse thermoregulation, metabolism, and running performance in temperate (T) and hot (H) environments. Male Swiss mice were divided into 1) Sedentary (SED) mice kept in T (22 °C; SED/T), 2) Endurance Trained mice (ET, 1 h/day, 5 days/week, 8 weeks, 60 % of maximum speed) in T (ET/T), 3) SED kept in H (32 °C; SED/H), and 4) ET in H (ET/H). All groups performed incremental load tests (ILT) in both environments before (pre-ET) and after four and eight weeks of ET. In the pre-ET period, H impaired (∼30 %) performance variables (maximum speed and external work) and increased (1.3 °C) maximum abdominal body temperature compared with T. In T, after four weeks, although ET/H exercised at a lower (∼30 %) absolute intensity than ET/T, performance variables and aerobic power (peak oxygen uptake, VO2peak) were similarly increased in both ET groups compared with SED/T. After eight weeks, the external work was higher in both ET groups compared with SED/T. Only ET/T significantly increased VO2peak (∼11 %) relative to its pre-ET period. In H, only after eight weeks, both ET groups improved (∼19 %) maximum speed and reduced (∼46 %) post-ILT blood lactate concentrations compared with their respective pre-ET values. Liver glycogen content increased (34 %) in both ET groups and SED/H compared with SED/T. Thus, ET/H was performed at a lower absolute intensity but promoted similar effects to ET/T on metabolism, aerobic power, and running performance. Our findings open perspectives for applying HA training as part of a training program or orthopedic and metabolic rehabilitation programs in injured or even obese animals, reducing mechanical load with equivalent or higher physiological demand.
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Affiliation(s)
- Gustavo de Oliveira Zanetti
- Exercise Physiology Laboratory (LAFISE), School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
| | - Pedro William Martins Pessoa
- Exercise Physiology Laboratory (LAFISE), School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Tales Sambrano Vieira
- Exercise Physiology Laboratory (LAFISE), School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Rodrigo de Almeida Garcia
- Exercise Physiology Laboratory (LAFISE), School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Nicolas Henrique Santos Barbosa
- Exercise Physiology Laboratory (LAFISE), School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Rosa Maria Esteves Arantes
- Department of Pathology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Isis do Carmo Kettelhut
- Departments of Biochemistry & Immunology, University of São Paulo, Ribeirão Preto, SP, Brazil
| | | | - Samuel Penna Wanner
- Exercise Physiology Laboratory (LAFISE), School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Danusa Dias Soares
- Exercise Physiology Laboratory (LAFISE), School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Dawit Albieiro Pinheiro Gonçalves
- Exercise Physiology Laboratory (LAFISE), School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil; Section of Sports Physiology (SFE), Sports Training Center (CTE), Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
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Bennett S, Tiollier E, Guibert E, Morales-Artacho A, Lalire P, Owens DJ, Morton JP, Brocherie F, Louis J. Environmental heat stress offsets adaptation associated with carbohydrate periodization in trained male triathletes. Scand J Med Sci Sports 2023; 33:1677-1689. [PMID: 37322619 DOI: 10.1111/sms.14430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 06/01/2023] [Accepted: 06/02/2023] [Indexed: 06/17/2023]
Abstract
PURPOSE Carbohydrate (CHO) intake periodization via the sleep low train low (SL-TL) diet-exercise model increases fat oxidation during exercise and may enhance endurance-training adaptation and performance. Conversely, training under environmental heat stress increases CHO oxidation, but the potential of combined SL-TL and heat stress to enhance metabolic and performance outcomes is unknown. METHODS Twenty-three endurance-trained males were randomly assigned to either control (n = 7, CON), SL-TL (n = 8, SLTemp ) or SL-TL + heat stress (n = 8, SLHeat ) groups and prescribed identical 2-week cycling training interventions. CON and SLTemp completed all sessions at 20°C, but SLHeat at 35°C. All groups consumed matched CHO intake (6 g·kg-1 ·day-1 ) but timed differently to promote low CHO availability overnight and during morning exercise in both SL groups. Submaximal substrate utilization was assessed (at 20°C), and 30-min performance tests (at 20 and 35°C) were performed Pre-, Post-, and 1-week post-intervention (Post+1). RESULTS SLTemp improved fat oxidation rates at 60% MAP (~66% VO2peak ) at Post+1 compared with CON (p < 0.01). Compared with SLTemp , fat oxidation rates were significantly lower in SLHeat at Post (p = 0.02) and Post+1 (p < 0.05). Compared with CON, performance was improved at Post in SLTemp in temperate conditions. Performance was not different between any groups or time points in hot conditions. CONCLUSION SL-TL enhanced metabolic adaptation and performance compared with CON and combined SL-TL and heat stress. Additional environmental heat stress may impair positive adaptations associated with SL-TL.
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Affiliation(s)
- Samuel Bennett
- Research Institute for Sport and Exercise Science (RISES), Liverpool John Moores University, Liverpool, UK
- Laboratory Sport, Expertise and Performance (EA 7370), French Institute of Sport, Paris, France
| | - Eve Tiollier
- Laboratory Sport, Expertise and Performance (EA 7370), French Institute of Sport, Paris, France
| | - Elodie Guibert
- Laboratory Sport, Expertise and Performance (EA 7370), French Institute of Sport, Paris, France
| | - Antonio Morales-Artacho
- Laboratory Sport, Expertise and Performance (EA 7370), French Institute of Sport, Paris, France
| | - Paul Lalire
- French Triathlon Federation (FFTri), Saint-Denis, France
| | - Daniel J Owens
- Research Institute for Sport and Exercise Science (RISES), Liverpool John Moores University, Liverpool, UK
| | - James P Morton
- Research Institute for Sport and Exercise Science (RISES), Liverpool John Moores University, Liverpool, UK
| | - Franck Brocherie
- Laboratory Sport, Expertise and Performance (EA 7370), French Institute of Sport, Paris, France
| | - Julien Louis
- Research Institute for Sport and Exercise Science (RISES), Liverpool John Moores University, Liverpool, UK
- Laboratory Sport, Expertise and Performance (EA 7370), French Institute of Sport, Paris, France
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Brimicombe C, Lo CHB, Pappenberger F, Di Napoli C, Maciel P, Quintino T, Cornforth R, Cloke HL. Wet Bulb Globe Temperature: Indicating Extreme Heat Risk on a Global Grid. GEOHEALTH 2023; 7:e2022GH000701. [PMID: 36825116 PMCID: PMC9941479 DOI: 10.1029/2022gh000701] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Revised: 02/05/2023] [Accepted: 02/07/2023] [Indexed: 06/18/2023]
Abstract
The Wet Bulb Globe Temperature (WBGT) is an international standard heat index used by the health, industrial, sports, and climate sectors to assess thermal comfort during heat extremes. Observations of its components, the globe and the wet bulb temperature (WBT), are however sparse. Therefore WBGT is difficult to derive, making it common to rely on approximations, such as the ones developed by Liljegren et al. (2008, https://doi.org/10.1080/15459620802310770, W B G T L i l j e g r e n ) and by the American College of Sports Medicine ( W B G T A C S M 87 ). In this study, a global data set is created by implementing an updated WBGT method using ECMWF ERA5 gridded meteorological variables and is evaluated against existing WBGT methods. The new method, W B G T B r i m i c o m b e , uses globe temperature calculated using mean radiant temperature and is found to be accurate in comparison to W B G T L i l j e g r e n across three heatwave case studies. In addition, it is found that W B G T A C S M 87 is not an adequate approximation of WBGT. Our new method is a candidate for a global forecasting early warning system.
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Affiliation(s)
- Chloe Brimicombe
- Department of Geography and Environmental ScienceUniversity of ReadingReadingUK
- European Centre for Medium‐Range Weather Forecasts (ECMWF)ReadingUK
- Walker InstituteUniversity of ReadingReadingUK
| | | | | | - Claudia Di Napoli
- Department of Geography and Environmental ScienceUniversity of ReadingReadingUK
- School of Agriculture, Policy and DevelopmentUniversity of ReadingReadingUK
| | - Pedro Maciel
- European Centre for Medium‐Range Weather Forecasts (ECMWF)ReadingUK
| | - Tiago Quintino
- European Centre for Medium‐Range Weather Forecasts (ECMWF)ReadingUK
| | | | - Hannah L. Cloke
- Department of Geography and Environmental ScienceUniversity of ReadingReadingUK
- Department of MeteorologyUniversity of ReadingReadingUK
- Department of Earth SciencesUppsala UniversityUppsalaSweden
- Centre of Natural Hazards and Disaster ScienceCNDSUppsalaSweden
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Ashworth E, Cotter J, Kilding A. Post-exercise, passive heat acclimation with sauna or hot-water immersion provide comparable adaptations to performance in the heat in a military context. ERGONOMICS 2023; 66:49-60. [PMID: 35332846 DOI: 10.1080/00140139.2022.2058096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Accepted: 03/17/2022] [Indexed: 06/14/2023]
Abstract
To mitigate the effects of heat during operations in hot environments, military personnel will likely benefit from heat acclimation (HA) conducted prior to deployment. Using post-exercise, passive heating, 25 participants completed a 5 d HA regime in sauna (70 °C, 18% RH) or hot-water immersion (HWI) (40 °C) for ≤40 min, preceded and followed by a heat stress test (1-h walking at 5 km.h-1 in 33 °C, 77% RH in military uniform (20 kg) before an incremental ramp to exhaustion). Fifteen completed both regimes in a randomised, cross-over manner. While performance did not significantly improve (+14%, [-1, 29], p = .079), beneficial adaptations were observed for mean exercising core temperature (-0.2 °C, [-0.2, -0.2], p <.001), skin temperature (-0.2 °C, [-0.2, -0.2], p = 035) and heart rate (-8 bpm, [-6, -10], p<.001) in both conditions. Post-exercise, passive HA of either modality may benefit military units operating in the heat.Practitioner summary: Strategies are required to prevent health and performance impairments during military operations upon arrival in hot environments. Using a randomised, cross-over design, participants completed five-day passive, post-exercise heat acclimation using sauna or hot-water immersion. Both regimes elicited beneficial albeit modest heat adaptations.Abbreviations: HA: heat acclimation; HST: heat stress test; HWI: hot-water immersion; RH: relative humidity.
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Affiliation(s)
- Edward Ashworth
- Sports Performance Research Institute New Zealand (SPRINZ), Auckland University of Technology, Auckland, New Zealand
| | - James Cotter
- School of Physical Education, Sport and Exercise Sciences, University of Otago, Dunedin, New Zealand
| | - Andrew Kilding
- Sports Performance Research Institute New Zealand (SPRINZ), Auckland University of Technology, Auckland, New Zealand
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Feng Y, Fang G, Li M, Cui S, Geng X, Qu C, Zhao J. Hydration monitoring and rehydration guidance system for athletes based on urine color’s L*a*b* parameters. Front Bioeng Biotechnol 2022; 10:1043028. [DOI: 10.3389/fbioe.2022.1043028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Accepted: 10/10/2022] [Indexed: 11/13/2022] Open
Abstract
Maintaining proper hydration is essential for athletes to sustain optimal performance and preserve their physical health. Existing studies have confirmed that urine color is one of the effective indicators for the subjective evaluation of athletes’ hydration through the urine color chart. However, the use of urine color charts to evaluate hydration is easily affected by the test environment, urine container and subjective feeling. At present, there are few hydration monitoring instruments based on quantitative analysis of urine color. In recent years, the L*a*b* color model has been widely used in the objective quantitative analysis of color. The L* value represents the luminance change from black to white, the a* value represents the chromaticity change from green to red, and the b* value represents the chromaticity change from blue to yellow. Our previous research has confirmed that the urine color b ∗ value is an effective new indicator to evaluate the hydration of athletes. The research team developed a urine hydration monitoring and rehydration guidance system based on the urine color’s L*a*b* parameters via wireless network technology and digital image technology. The hardware structure of the system is composed of a cuvette, a standard light source, a camera, an image collector, a host system, and a touch screen system. The system software is composed of functional modules, such as user information, image acquisition, image processing, and image recognition. The system operation process includes starting the system, filling in basic information, putting the sample, testing the sample, local data review, local data upload, and cloud data review. The system exhibits stable performance, a friendly operation interface, and simple and fast testing. It can objectively and accurately evaluate the hydration of athletes and provide personalized rehydration guidance. The system offers a new method for solving practical problems in sports training, and it has broad application prospects.
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de Korte JQ, Veenstra BJ, van Rijswick M, Derksen EJK, Hopman MTE, Bongers CCWG, Eijsvogels TMH. A Heart Rate Based Algorithm to Estimate Core Temperature Responses in Elite Athletes Exercising in the Heat. Front Sports Act Living 2022; 4:882254. [PMID: 35813051 PMCID: PMC9256956 DOI: 10.3389/fspor.2022.882254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Accepted: 05/20/2022] [Indexed: 11/13/2022] Open
Abstract
Purpose Non-invasive non-obtrusive continuous and real-time monitoring of core temperature (Tc) may enhance pacing strategies, the efficacy of heat mitigation measures, and early identification of athletes at risk for heat-related disorders. The Estimated Core Temperature (ECTemp™) algorithm uses sequential heart rate (HR) values to predict Tc. We examined the validity of ECTemp™ among elite athletes exercising in the heat. Methods 101 elite athletes performed an exercise test in simulated hot and humid environmental conditions (ambient temperature: 31.6 ± 1.0°C, relative humidity: 74 ± 5%). Tc was continuously measured using a validated ingestible telemetric temperature capsule system. In addition, HR was continuously measured and used to compute the estimated core temperature (Tc-est) using the ECTemp™ algorithm. Results Athletes exercised for 44 ± 10 min and n = 5,025 readouts of Tc (range: 35.8-40.4°C), HR (range: 45-207 bpm), and Tc-est (range: 36.7-39.9°C) were collected. Tc-est demonstrated a small yet significant bias of 0.15 ± 0.29°C (p < 0.001) compared to Tc, with a limit of agreement of ±0.45°C and a root mean square error of 0.35 ± 0.18°C. Utilizing the ECTemp™ algorithm as a diagnostic test resulted in a fair to excellent sensitivity (73-96%) and specificity (72-93%) for Tc-est thresholds between 37.75 and 38.75°C, but a low to very-low sensitivity (50-0%) for Tc-est thresholds >39.0°C, due to a high prevalence of false-negative observations. Conclusion ECTemp™ provides a valuable and representative indication of thermal strain in the low- to mid-range of Tc values observed during exercise in the heat. It may, therefore, be a useful non-invasive and non-obtrusive tool to inform athletes and coaches about the estimated core temperature during controlled hyperthermia heat acclimation protocols. However, the ECTemp™ algorithm, in its current form, should not solely be used to identify athletes at risk for heat-related disorders due to low sensitivity and high false-negative rate in the upper end of the Tc spectrum.
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Affiliation(s)
- Johannus Q. de Korte
- Department of Physiology, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, Netherlands
| | - Bertil J. Veenstra
- Institute of Training Medicine & Training Physiology, TGTF, Royal Netherlands Army, Utrecht, Netherlands
| | - Mark van Rijswick
- Institute of Training Medicine & Training Physiology, TGTF, Royal Netherlands Army, Utrecht, Netherlands
| | - Eline J. K. Derksen
- Department of Physiology, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, Netherlands
| | - Maria T. E. Hopman
- Department of Physiology, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, Netherlands
| | - Coen C. W. G. Bongers
- Department of Physiology, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, Netherlands
| | - Thijs M. H. Eijsvogels
- Department of Physiology, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, Netherlands
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Fiedler J, Šmite Z, Suvi S, Timpmann S, Mooses M, Medijainen L, Unt E, Ööpik V. Impact of sodium citrate ingestion during recovery after strenuous exercise in the heat on heart rate variability: A randomized, crossover study. Physiol Rep 2022; 10:e15280. [PMID: 35510322 PMCID: PMC9069164 DOI: 10.14814/phy2.15280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Revised: 04/05/2022] [Accepted: 04/05/2022] [Indexed: 11/24/2022] Open
Abstract
Changes in hydration status influence plasma volume (PV) which is associated with post-exercise parasympathetic reactivation. The present study hypothesized that, after dehydrating cycling exercise in the heat (DE), stimulation of PV expansion with sodium citrate (CIT) supplementation would promote heart rate variability (HRV) recovery in endurance-trained men. Twelve participants lost 4% of body mass during DE. During subsequent 16-h recovery, participants consumed water ad libitum (CIT =5.5-L, PLC =5.1-L) and ate prescribed food supplemented with CIT or placebo in a randomized, double-blind, crossover manner. Relative changes in PV were assessed across DE and 16-h recovery. HRV was analyzed before and 16 h after DE in three conditions for altogether four 5-min periods: supine in a thermoneutral environment, supine in the heat (32°C, 46% relative humidity; 2 periods), and standing in the heat. A larger expansion of PV across 16-h recovery occurred in CIT compared to placebo trial (p < 0.0001). However, no between-trial differences appeared in HRV parameters (lnRMSSD, lnSDNN, lnLF/HF) in any 5-min period analyzed before or 16 h after DE (in all cases p > 0.05). Increases in HR (p < 0.001) and lnLF/HF (p = 0.005) and decreases in lnRMSSD (p < 0.001) and lnSDNN (p < 0.001) occurred following DE in both trials. Larger PV expansion induced by CIT supplementation after DE does not improve recovery of HRV at rest and has no influence on HRV responsiveness in endurance-trained men.
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Affiliation(s)
- Janis Fiedler
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany
| | - Zane Šmite
- Faculty of Biology, Department of Human and Animal Physiology, University of Latvia, Riga, Latvia
| | - Silva Suvi
- Institute of Sport Sciences and Physiotherapy, University of Tartu, Tartu, Estonia
| | - Saima Timpmann
- Institute of Sport Sciences and Physiotherapy, University of Tartu, Tartu, Estonia
| | - Martin Mooses
- Institute of Sport Sciences and Physiotherapy, University of Tartu, Tartu, Estonia
| | - Luule Medijainen
- Institute of Sport Sciences and Physiotherapy, University of Tartu, Tartu, Estonia
| | - Eve Unt
- Department of Sports, Medicine, and Rehabilitation, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.,Sports Medicine and Rehabilitation Clinic, Tartu University Hospital, Tartu, Estonia
| | - Vahur Ööpik
- Institute of Sport Sciences and Physiotherapy, University of Tartu, Tartu, Estonia
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Loureiro ACC, Nocrato GF, Correia ALL, de Matos RS, Filho JCCN, Daher EDF, Pinto FHM, de Oliveira AC, Ceccatto VM, Fortunato RS, de Carvalho DP. Serum and Urinary Neutrophil Gelatinase-Associated Lipocalin Are Not Associated With Serum Redox Parameters in Amateur Athletes After an Ultramarathon. Front Physiol 2022; 13:811514. [PMID: 35370771 PMCID: PMC8970054 DOI: 10.3389/fphys.2022.811514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 01/31/2022] [Indexed: 11/13/2022] Open
Abstract
Objective To evaluate the relationship between oxidative stress and NGAL levels in blood and urine of amateur athletes after participating in a 100 km ultramarathon. Methodology The sample was composed of seven athletes, submitted to anthropometric assessment, cardiopulmonary exercise test, collection of urine and blood, measurement of body weight. The rate of perceived exertion (RPE), competition duration, heart rate (HR), energy expenditure and oxygen consumption (V'O2") were also measured during the event. The energy consumption during the race was verified at its end. The analyses were based on the means (M) and respective standard deviations (SD), with statistical significance set at 5% (p < 0.05). Paired t-test was used for comparison between the periods before and after the competition, and Pearson's correlation coefficient was used to measure the linear correlation between quantitative variables. Results Body mass index (BMI) of the sample was 25.75 kg/m2 ± 3.20, body fat percentage 18.54% ± 4.35% and V'O2"max 48.87% ± 4.78. Glucose, cortisol, and neutrophil gelatinase-associated lipocalin (NGAL) (p < 0.01) as well as glutathione peroxidase (GPx) active were higher after the race when compared to basal values. Moreover, lactate, creatinine, microalbuminuria, and glomerular filtration rate (GFR) (p < 0.001) were also higher after the race. After the competition, there was a significant correlation only between serum NGAL and creatinine, which was classified as strong and positive (r: 0.77; p < 0.05). There was a significant reduction (p < 0.05) of body weight after the event (72.40 kg ± 9.78) compared to before it (73.98 kg ± 10.25). In addition, we found an increase of RPE (p < 0.001) after the race. The competition lasted 820.60 min (±117.00), with a 127.85 bpm (±12.02) HR, a 2209.72 kcal ± 951.97 energy consumption, 7837.16 kcal ± 195.71 energy expenditure, and 28.78 ml/kg/min-1 (±4.66) relative V'O2"max. Conclusion The lack of correlation between oxidative stress biomarkers and serum and urine NGAL suggests that NGAL is more sensitive to inflammatory processes than to ROS levels.
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Affiliation(s)
| | | | | | - Robson Salviano de Matos
- Department of Clinical Medicine at the Federal University of Ceará, Ceará Federal University, Fortaleza, Brazil
| | | | | | | | | | | | - Rodrigo Soares Fortunato
- Carlos Chagas Filho Biophysics Institute, Rio de Janeiro Federal University, Rio de Janeiro, Brazil
| | - Denise Pires de Carvalho
- Carlos Chagas Filho Biophysics Institute, Rio de Janeiro Federal University, Rio de Janeiro, Brazil
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Brownlow M, Mizzi JX. Epidemiology of exertional heat illness in Thoroughbred racehorses in temperate eastern Australia: The role of extrinsic (environmental) factors in disease causation. EQUINE VET EDUC 2022. [DOI: 10.1111/eve.13627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- M. Brownlow
- Racing Australia Sydney New South Wales Australia
| | - J. X. Mizzi
- Department of Regulation, Welfare and Biosecurity Policy The Hong Kong Jockey Club, Sha Tin Racecourse Hong Kong Sha Tin China
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Yamasaki L, Nomura S. Global warming and the Summer Olympic and Paralympic games: a perspective from the Tokyo 2020 Games. Environ Health Prev Med 2022; 27:7. [PMID: 35288491 PMCID: PMC9093616 DOI: 10.1265/ehpm.21-00024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
The Tokyo 2020 Olympic and Paralympic Games provided a significant opportunity to consider global warming as an issue to be seriously addressed to run the safe and fair games in the era of climate change. As the global temperature continuously rises and extreme hot-weather events increase in frequency and intensity, the future summer Olympic and Paralympic games will need to deal with the heat by applying thorough and appropriate countermeasures. In the recent decades, many mitigation measures to protect athletes from heat have been rapidly discussed by the sports community, including countermeasures to hold games at times and places with moderate temperature and climatic risk assessments with Wet Bulb Globe Temperature (WBGT) during the games. However, the excessive heat conditions in the Tokyo 2020 Games affected not only athletes, but also all people concerned the events. While deliberate considerations by organizers had been given to mitigate extraordinary heat, the evaluations of these measures and epidemiological analyses of risk factors of patients must be further enhanced to develop efficient measures for the future. Therefore, we discussed the underlying climate-related problems of the summer Olympic and Paralympic Games in view of what we had experienced in the Tokyo 2020 Games. Facing with emerging global warming, future intervention against heat in the summer Olympic and Paralympic games will need to integrate systematic disease surveillance and evaluation of intervention with an effective combination with the approaches previously conducted. The Tokyo 2020 Games is a wake-up call to accelerate the public health measures towards the creeping global warming.
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Affiliation(s)
- Lisa Yamasaki
- Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo
| | - Shuhei Nomura
- Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo
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12
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Scanaliato JP, Wells ME, Dunn JC, Garcia EJ. Overview of Sport-Specific Injuries. Sports Med Arthrosc Rev 2021; 29:185-190. [PMID: 34730116 DOI: 10.1097/jsa.0000000000000312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Athletes are at risk for a variety of injuries not typically sustained in everyday life. The team physician must be capable of not only identifying and treating injuries as they occur, but he or she must be armed with the knowledge to minimize the risk of injuries before they occur. This review serves to provide an overview of the various sport-specific injuries typically encountered by team physicians. Injuries are grouped by body part and/or organ system, when possible. We do not aim to cover in detail the various treatments for these injuries; rather, we hope that this article provides a comprehensive overview of sport-specific injury, and demonstrate the well-roundedness in skills that must be possessed by team physicians.
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13
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Gee CM, Lacroix MA, Stellingwerff T, Gavel EH, Logan-Sprenger HM, West CR. Physiological Considerations to Support Podium Performance in Para-Athletes. FRONTIERS IN REHABILITATION SCIENCES 2021; 2:732342. [PMID: 36188768 PMCID: PMC9397986 DOI: 10.3389/fresc.2021.732342] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Accepted: 10/27/2021] [Indexed: 11/13/2022]
Abstract
The twenty-first century has seen an increase in para-sport participation and the number of research publications on para-sport and the para-athlete. Unfortunately, the majority of publications are case reports/case series or study single impairment types in isolation. Indeed, an overview of how each International Paralympic Committee classifiable impairment type impact athlete physiology, health, and performance has not been forthcoming in the literature. This can make it challenging for practitioners to appropriately support para-athletes and implement evidence-based research in their daily practice. Moreover, the lack of a cohesive publication that reviews all classifiable impairment types through a physiological lens can make it challenging for researchers new to the field to gain an understanding of unique physiological challenges facing para-athletes and to appreciate the nuances of how various impairment types differentially impact para-athlete physiology. As such, the purpose of this review is to (1) summarize how International Paralympic Committee classifiable impairments alter the normal physiological responses to exercise; (2) provide an overview of "quick win" physiological interventions targeted toward specific para-athlete populations; (3) discuss unique practical considerations for the para-sport practitioner; (4) discuss research gaps and highlight areas for future research and innovation, and (5) provide suggestions for knowledge translation and knowledge sharing strategies to advance the field of para-sport research and its application by para-sport practitioners.
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Affiliation(s)
| | | | - Trent Stellingwerff
- Athletics Canada, Ottawa, ON, Canada
- Canadian Sport Institute-Pacific, Victoria, BC, Canada
| | - Erica H. Gavel
- Canadian Sport Institute-Ontario, Toronto, ON, Canada
- Faculty of Health Science, Ontario Tech University, Oshawa, ON, Canada
| | - Heather M. Logan-Sprenger
- Canadian Sport Institute-Ontario, Toronto, ON, Canada
- Faculty of Health Science, Ontario Tech University, Oshawa, ON, Canada
| | - Christopher R. West
- Canadian Sport Institute-Pacific, Victoria, BC, Canada
- Faculty of Medicine, International Collaboration on Repair Discoveries, Vancouver, BC, Canada
- Department of Cellular and Physiological Sciences, University of British Columbia, Kelowna, BC, Canada
- Centre for Chronic Disease Prevention and Management, University of British Columbia, Kelowna, BC, Canada
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14
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Tustin A, Sayeed Y, Berenji M, Fagan K, McCarthy RB, Green-McKenzie J, McNicholas J, Onigbogi CB, Perkison WB, Butler JW. Prevention of Occupational Heat-Related Illnesses. J Occup Environ Med 2021; 63:e737-e744. [PMID: 34597285 DOI: 10.1097/jom.0000000000002351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
High ambient temperatures and strenuous physical activity put workers at risk for a variety of heat-related illnesses and injuries. Through primary prevention, secondary prevention, and treatment, OEM health providers can protect workers from the adverse effects of heat. This statement by the American College of Occupational and Environmental Medicine provides guidance for OEM providers who serve workers and employers in industries where heat exposure occurs.
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Affiliation(s)
- Aaron Tustin
- American College of Occupational and Environmental Medicine, Elk Grove, Illinois
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15
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Piil JF, Kingma B, Morris NB, Christiansen L, Ioannou LG, Flouris AD, Nybo L. Proposed framework for forecasting heat-effects on motor-cognitive performance in the Summer Olympics. Temperature (Austin) 2021; 8:262-283. [PMID: 34485620 PMCID: PMC8409751 DOI: 10.1080/23328940.2021.1957367] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Heat strain impairs performance across a broad spectrum of sport disciplines. The impeding effects of hyperthermia and dehydration are often ascribed to compromised cardiovascular and muscular functioning, but expert performance also depends on appropriately tuned sensory, motor and cognitive processes. Considering that hyperthermia has implications for central nervous system (CNS) function and fatigue, it is highly relevant to analyze how heat stress forecasted for the upcoming Olympics may influence athletes. This paper proposes and demonstrates the use of a framework combining expected weather conditions with a heat strain and motor-cognitive model to analyze the impact of heat and associated factors on discipline- and scenario-specific performances during the Tokyo 2021 games. We pinpoint that hyperthermia-induced central fatigue may affect prolonged performances and analyze how hyperthermia may impair complex motor-cognitive performance, especially when accompanied by either moderate dehydration or exposure to severe solar radiation. Interestingly, several short explosive performances may benefit from faster cross-bridge contraction velocities at higher muscle temperatures in sport disciplines with little or no negative heat-effect on CNS fatigue or motor-cognitive performance. In the analyses of scenarios and Olympic sport disciplines, we consider thermal impacts on “motor-cognitive factors” such as decision-making, maximal and fine motor-activation as well as the influence on central fatigue and pacing. From this platform, we also provide perspectives on how athletes and coaches can identify risks for their event and potentially mitigate negative motor-cognitive effects for and optimize performance in the environmental settings projected.
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Affiliation(s)
- Jacob Feder Piil
- Department of Nutrition, Exercise and Sports, Section for Integrative Physiology, University of Copenhagen, Copenhagen N, Copenhagen, Denmark
| | - Boris Kingma
- Department of Mechanical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.,TNO, the Netherlands Organization for Applied Scientific Research, Unit Defense, Safety & Security, Soesterberg, The Netherlands
| | - Nathan B Morris
- Department of Nutrition, Exercise and Sports, Section for Integrative Physiology, University of Copenhagen, Copenhagen N, Copenhagen, Denmark
| | - Lasse Christiansen
- Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Amager and Hvidovre, Hvidovre, Denmark
| | - Leonidas G Ioannou
- FAME Laboratory, School of Exercise Science, University of Thessaly, Thessaly, Greece
| | - Andreas D Flouris
- FAME Laboratory, School of Exercise Science, University of Thessaly, Thessaly, Greece
| | - Lars Nybo
- Department of Nutrition, Exercise and Sports, Section for Integrative Physiology, University of Copenhagen, Copenhagen N, Copenhagen, Denmark
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16
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de Korte JQ, Bongers CCWG, Hopman MTE, Eijsvogels TMH. Exercise Performance and Thermoregulatory Responses of Elite Athletes Exercising in the Heat: Outcomes of the Thermo Tokyo Study. Sports Med 2021; 51:2423-2436. [PMID: 34396493 PMCID: PMC8514392 DOI: 10.1007/s40279-021-01530-w] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/29/2021] [Indexed: 11/30/2022]
Abstract
Objective We examined the impact of simulated Tokyo 2020 environmental condition on exercise performance, thermoregulatory responses and thermal perception among Dutch elite athletes. Methods 105 elite athletes from different sport disciplines performed two exercise tests in simulated control (15.9 ± 1.2 °C, relative humidity (RH) 55 ± 6%) and Tokyo (31.6 ± 1.0 °C, RH 74 ± 5%) environmental conditions. Exercise tests consisted of a 20-min warm-up (70% HRmax), followed by an incremental phase until volitional exhaustion (5% workload increase every 3 min). Gastrointestinal temperature (Tgi), heart rate, exercise performance and thermal perception were measured. Results Time to exhaustion was 16 ± 8 min shorter in the Tokyo versus the control condition (− 26 ± 11%, whereas peak power output decreased with 0.5 ± 0.3 W/kg (16 ± 7%). Greater exercise-induced increases in Tgi (1.8 ± 0.6 °C vs. 1.5 ± 0.5 °C, p < 0.001) and higher peak Tgi (38.9 ± 0.6 °C vs. 38.7 ± 0.4 °C, p < 0.001) were found in the Tokyo versus control condition. Large interindividual variations in exercise-induced increase in Tgi (range 0.7–3.5 °C) and peak Tgi (range 37.6–40.4 °C) were found in the Tokyo condition, with greater Tgi responses in endurance versus mixed- and skill-trained athletes. Peak thermal sensation and thermal comfort scores deteriorated in the Tokyo condition, with aggravated responses for power versus endurance- and mixed-trained athletes. Conclusion Large performance losses and Tgi increases were found among elite athletes exercising in simulated Tokyo conditions, with a substantial interindividual variation and significantly different responses across sport disciplines. These findings highlight the importance of an individual approach to optimally prepare athletes for safe and maximal exercise performance during the Tokyo Olympics. Supplementary Information The online version contains supplementary material available at 10.1007/s40279-021-01530-w.
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Affiliation(s)
- Johannus Q de Korte
- Department of Physiology (392), Radboud University Medical Centre, Radboud Institute for Health Sciences, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands
| | - Coen C W G Bongers
- Department of Physiology (392), Radboud University Medical Centre, Radboud Institute for Health Sciences, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands
| | - Maria T E Hopman
- Department of Physiology (392), Radboud University Medical Centre, Radboud Institute for Health Sciences, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands
| | - Thijs M H Eijsvogels
- Department of Physiology (392), Radboud University Medical Centre, Radboud Institute for Health Sciences, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
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Gomes Moreira D, José Brito C, de Almeida Ferreira JJ, Bouzas Marins JC, López Díaz de Durana A, Couceiro Canalejo J, Butragueño Revenga J, Sillero-Quintana M. Lactate Concentration Is Related to Skin Temperature Variation After a Specific Incremental Judo Test. J Strength Cond Res 2021; 35:2213-2221. [PMID: 30844982 DOI: 10.1519/jsc.0000000000003095] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
ABSTRACT Gomes Moreira, D, José Brito, C, de Almeida Ferreira, JJ, Bouzas Marins, JC, López Díaz de Durana, A, Couceiro Canalejo, J, Butragueño Revenga, J, and Sillero-Quintana, M. Lactate concentration is related to skin temperature variation after a specific incremental judo test. J Strength Cond Res 35(8): 2213-2221, 2021-This study aimed to analyze the skin temperature (tsk) response in judokas after a specific incremental test and to determine whether anthropometric and physiological measures can be explained by the variation in mean tsk. A total of 23 male judo athletes (age: 20.1 ± 4.7 years; height: 173.1 ± 8.1 cm; and body mass: 71.7 ± 8.1 kg) performed a specific incremental judo test. Skin temperature evaluations were collected in 26 regions of interest (ROIs), and the mean tsk was calculated using an equation including 10 of them. The time points before the test (pre-test), immediately after (0 minutes), and after 5, 10, and 15 minutes of the test were established to measure the tsk, mean tsk, auricular temperature (tau), and blood lactate (LAC). The athletes completed a mean of 7.0 ± 1.0 stages of the test, 95% confidence interval (CI; 6.2-7.1). The V̇o2peak achieved was 48.7 ± 5.3 ml·kg-1·min-1, 95% CI (46.4-51.0). Compared with pre-test values, only the forehead significantly decreased 5 minutes after the test (p < 0.05). The posterior right arm and posterior left arm remained increased 10 minutes after the test (p < 0.05). After 15 minutes, 19 of the 26 ROIs analyzed were significantly decreased (p < 0.05). Among all tested models of linear regression, only 2 were significant, the difference of tsk 5 minutes compared with pre-test (F1, 21 = 16.49, p = 0.001) and the difference of tsk 10 minutes compared with pre-test, to predict LAC concentration at the end of the test (F1, 21 = 9.30, p = 0.006). We concluded that 5 minutes after the test, the judokas present a higher tau and a higher tsk in 7 ROIs, and the tsk decreases 15 minutes after the test in 19 of the considered ROIs. The variation of mean tsk 5 and 10 minutes after the test compared with pre-test values is associated with blood LAC at the end of the test.
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Affiliation(s)
- Danilo Gomes Moreira
- Federal Institute for Education, Science and Technology of Minas Gerais, Campus Governador Valadares, Governador Valadares, Brazil
- Faculty of Physical Activity and Sport Science, Technical University of Madrid, Madrid, Spain
| | - Ciro José Brito
- Department of Physical Education, Federal University of Juiz de Fora, Governador Valadares, Brazil
| | | | - João Carlos Bouzas Marins
- Department of Physical Education, Human Performance Laboratory, Federal University of Viçosa, Viçosa, Brazil
| | | | - Jorge Couceiro Canalejo
- Faculty of Physical Activity and Sport Science, Technical University of Madrid, Madrid, Spain
| | | | - Manuel Sillero-Quintana
- Faculty of Physical Activity and Sport Science, Technical University of Madrid, Madrid, Spain
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18
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Benjamin CL, Sekiguchi Y, Morrissey MC, Butler CR, Filep EM, Stearns RL, Casa DJ. The effects of hydration status and ice-water dousing on physiological and performance indices during a simulated soccer match in the heat. J Sci Med Sport 2021; 24:723-728. [DOI: 10.1016/j.jsams.2021.05.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 04/30/2021] [Accepted: 05/17/2021] [Indexed: 12/27/2022]
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19
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Gee CM, Lacroix MA, Pethick WA, Côté P, Stellingwerff T, West CR. Cardiovascular responses to heat acclimatisation in athletes with spinal cord injury. J Sci Med Sport 2021; 24:756-762. [DOI: 10.1016/j.jsams.2021.01.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2020] [Revised: 12/07/2020] [Accepted: 01/19/2021] [Indexed: 10/22/2022]
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20
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Meylan CMP, Bowman K, Stellingwerff T, Pethick WA, Trewin J, Koehle MS. The Efficacy of Heat Acclimatization Pre-World Cup in Female Soccer Players. Front Sports Act Living 2021; 3:614370. [PMID: 34113844 PMCID: PMC8185056 DOI: 10.3389/fspor.2021.614370] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Accepted: 04/06/2021] [Indexed: 11/25/2022] Open
Abstract
The efficacy of a 14-day field-based heat acclimatization (HA) training camp in 16 international female soccer players was investigated over three phases: phase 1: 8 days moderate HA (22. 1°C); phase 2: 6 days high HA (34.5°C); and phase 3: 11 days of post-HA (18.2°C), with heart rate (HR), training load, core temp (Tc), and perceptual ratings recorded throughout. The changes from baseline (day−16) in (i) plasma volume (PV), (ii) HR during a submaximal running test (HRex) and HR recovery (HRR), and (iii) pre-to-post phase 2 (days 8–13) in a 4v4 small-sided soccer game (4V4SSG) performance were assessed. Due to high variability, PV non-significantly increased by 7.4% ± 3.6% [standardized effect (SE) = 0.63; p = 0.130] from the start of phase 1 to the end of phase 2. Resting Tc dropped significantly [p < 0.001 by −0.47 ± 0.29°C (SE = −2.45)], from day 1 to day 14. Submaximal running HRR increased over phase 2 (HRR; SE = 0.53) after having decreased significantly from baseline (p = 0.03). While not significant (p > 0.05), the greatest HR improvements from baseline were delayed, occurring 11 days into phase 3 (HRex, SE = −0.42; HRR, SE = 0.37). The 4v4SSG revealed a moderate reduction in HRex (SE = −0.32; p = 0.007) and a large increase in HRR (SE = 1.27; p < 0.001) from pre-to-post phase 2. Field-based HA can induce physiological changes beneficial to soccer performance in temperate and hot conditions in elite females, and the submaximal running test appears to show HRex responses induced by HA up to 2 weeks following heat exposure.
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Affiliation(s)
- César M P Meylan
- Physical Performance Department, Canada Soccer, Ottawa, ON, Canada.,Division of Sports Medicine and School of Kinesiology, University of British Columbia, Vancouver, BC, Canada.,Canadian Sport Institute Pacific, Victoria, BC, Canada
| | - Kimberly Bowman
- Division of Sports Medicine and School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
| | - Trent Stellingwerff
- Division of Sports Medicine and School of Kinesiology, University of British Columbia, Vancouver, BC, Canada.,Canadian Sport Institute Pacific, Victoria, BC, Canada
| | | | - Joshua Trewin
- Physical Performance Department, Canada Soccer, Ottawa, ON, Canada.,Sports Performance Research Institute New Zealand, Auckland University of Technology, Auckland, New Zealand
| | - Michael S Koehle
- Division of Sports Medicine and School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
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21
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Perceptual and Physiological Responses to Carbohydrate and Menthol Mouth-Swilling Solutions: A Repeated Measures Cross-Over Preliminary Trial. BEVERAGES 2021. [DOI: 10.3390/beverages7010009] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Carbohydrate and menthol mouth-swilling have been used to enhance exercise performance in the heat. However, these strategies differ in mechanism and subjective experience. Participants (n = 12) sat for 60 min in hot conditions (35 °C; 15 ± 2%) following a 15 min control period, during which the participants undertook three 15 min testing blocks. A randomised swill (carbohydrate; menthol; water) was administered per testing block (one swill every three minutes within each block). Heart rate, tympanic temperature, thermal comfort, thermal sensation and thirst were recorded every three minutes. Data were analysed by ANOVA, with carbohydrate intake controlled for via ANCOVA. Small elevations in heart rate were observed after carbohydrate (ES: 0.22 ± 90% CI: −0.09–0.52) and water swilling (0.26; −0.04–0.54). Menthol showed small improvements in thermal comfort relative to carbohydrate (−0.33; −0.63–0.03) and water (−0.40; from −0.70 to −0.10), and induced moderate reductions in thermal sensation (−0.71; from −1.01 to −0.40 and −0.66; from −0.97 to −0.35, respectively). Menthol reduced thirst by a small to moderate extent. These effects persisted when controlling for dietary carbohydrate intake. Carbohydrate and water may elevate heart rate, whereas menthol elicits small improvements in thermal comfort, moderately improves thermal sensation and may mitigate thirst; these effects persist when dietary carbohydrate intake is controlled for.
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22
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Naito T, Nakamura M, Muraishi K, Eda N, Ando K, Takemura A, Akazawa N, Hasegawa H, Takahashi H. In-play optimal cooling for outdoor match-play tennis in the heat. Eur J Sport Sci 2021; 22:326-335. [PMID: 33393422 DOI: 10.1080/17461391.2020.1870160] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The purpose of this study was to compare the efficacy of four cooling interventions used for reducing physiological and perceptual strain and improving exercise performance during outdoor match-play tennis in the heat. Eight competitive tennis players played four counter-balanced simulated outdoor matches in the heat (WBGT: 28.4-32.5°C) at 24- or 48-h intervals. Each match comprised 3 sets for which the "no-ad" rule was applied to limit duration variability. Players underwent the following cooling interventions: ad libitum fluid ingestion (CON), ad libitum fluid ingestion and ice vest (VEST), total ingestion of approximately 1000 g ice slurry and ice vest (Combined: BINE), or total ingestion of approximately 400 g ice slurry and ice vest (Low-combined: L-BINE). Gastrointestinal temperature was lower in the BINE and the L-BINE trials than in the CON trial at the set-break of set 1, and these differences in gastrointestinal temperature persisted throughout the remainder of the match (p < 0.05). The ratio of moderate-high intensity activity (≥10 km/h) in set 3 was significantly higher in the L-BINE trial than that in the BINE trial (p < 0.05). In the CON and BINE trials, high intensity activity was significantly lower in set 3 compared with set 1 and 2, respectively. Cooling by optimal ice slurry ingestion and ice vest may be a more effective strategy in mitigating the development of heat strain during outdoor match-play tennis in the heat.
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Affiliation(s)
- Takashi Naito
- Department of Sports Research, Japan Institute of Sports Sciences, Tokyo, Japan
| | - Mariko Nakamura
- Department of Sports Sciences, Japan Institute of Sports Sciences, Tokyo, Japan
| | - Koji Muraishi
- Japan Sport Council, Tokyo, Japan.,Graduate School of Community and Human Services, Rikkyo University, Saitama, Japan
| | - Nobuhiko Eda
- Department of Sports Research, Japan Institute of Sports Sciences, Tokyo, Japan
| | - Karina Ando
- Department of Sports Research, Japan Institute of Sports Sciences, Tokyo, Japan
| | - Ai Takemura
- Department of Sports Research, Japan Institute of Sports Sciences, Tokyo, Japan
| | - Nobuhiko Akazawa
- Department of Sports Research, Japan Institute of Sports Sciences, Tokyo, Japan
| | - Hiroshi Hasegawa
- Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
| | - Hideyuki Takahashi
- Department of Sports Research, Japan Institute of Sports Sciences, Tokyo, Japan.,Faculty of Health and Sport Sciences, University of Tsukuba, Ibaraki, Japan
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23
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Ashworth ET, Cotter JD, Kilding AE. Methods for improving thermal tolerance in military personnel prior to deployment. Mil Med Res 2020; 7:58. [PMID: 33248459 PMCID: PMC7700709 DOI: 10.1186/s40779-020-00287-z] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Accepted: 11/10/2020] [Indexed: 12/16/2022] Open
Abstract
Acute exposure to heat, such as that experienced by people arriving into a hotter or more humid environment, can compromise physical and cognitive performance as well as health. In military contexts heat stress is exacerbated by the combination of protective clothing, carried loads, and unique activity profiles, making them susceptible to heat illnesses. As the operational environment is dynamic and unpredictable, strategies to minimize the effects of heat should be planned and conducted prior to deployment. This review explores how heat acclimation (HA) prior to deployment may attenuate the effects of heat by initiating physiological and behavioural adaptations to more efficiently and effectively protect thermal homeostasis, thereby improving performance and reducing heat illness risk. HA usually requires access to heat chamber facilities and takes weeks to conduct, which can often make it impractical and infeasible, especially if there are other training requirements and expectations. Recent research in athletic populations has produced protocols that are more feasible and accessible by reducing the time taken to induce adaptations, as well as exploring new methods such as passive HA. These protocols use shorter HA periods or minimise additional training requirements respectively, while still invoking key physiological adaptations, such as lowered core temperature, reduced heart rate and increased sweat rate at a given intensity. For deployments of special units at short notice (< 1 day) it might be optimal to use heat re-acclimation to maintain an elevated baseline of heat tolerance for long periods in anticipation of such an event. Methods practical for military groups are yet to be fully understood, therefore further investigation into the effectiveness of HA methods is required to establish the most effective and feasible approach to implement them within military groups.
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Affiliation(s)
- Edward Tom Ashworth
- Sports Performance Research Institute New Zealand (SPRINZ), Auckland University of Technology, 17 Antares Place, Rosedale, Auckland, 0632 New Zealand
| | - James David Cotter
- School of Physical Education, Sport and Exercise Sciences, University of Otago, Dunedin, Otago 9016 New Zealand
| | - Andrew Edward Kilding
- Sports Performance Research Institute New Zealand (SPRINZ), Auckland University of Technology, 17 Antares Place, Rosedale, Auckland, 0632 New Zealand
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24
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Kirby NV, Lucas SJE, Armstrong OJ, Weaver SR, Lucas RAI. Intermittent post-exercise sauna bathing improves markers of exercise capacity in hot and temperate conditions in trained middle-distance runners. Eur J Appl Physiol 2020; 121:621-635. [PMID: 33211153 PMCID: PMC7862510 DOI: 10.1007/s00421-020-04541-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Accepted: 10/24/2020] [Indexed: 10/27/2022]
Abstract
PURPOSE This study investigated whether intermittent post-exercise sauna bathing across three-weeks endurance training improves exercise heat tolerance and exercise performance markers in temperate conditions, compared to endurance training alone. The subsidiary aim was to determine whether exercise-heat tolerance would further improve following 7-Weeks post-exercise sauna bathing. METHODS Twenty middle-distance runners (13 female; mean ± SD, age 20 ± 2 years, [Formula: see text]O2max 56.1 ± 8.7 ml kg-1 min-1) performed a running heat tolerance test (30-min, 9 km h-1/2% gradient, 40 °C/40%RH; HTT) and temperate (18 °C) exercise tests (maximal aerobic capacity [[Formula: see text]O2max], speed at 4 mmol L-1 blood lactate concentration ([La-]) before (Pre) and following three-weeks (3-Weeks) normal training (CON; n = 8) or normal training with 28 ± 2 min post-exercise sauna bathing (101-108 °C, 5-10%RH) 3 ± 1 times per week (SAUNA; n = 12). Changes from Pre to 3-Weeks were compared between-groups using an analysis of co-variance. Six SAUNA participants continued the intervention for 7 weeks, completing an additional HTT (7-Weeks; data compared using a one-way repeated-measures analysis of variance). RESULTS During the HTT, SAUNA reduced peak rectal temperature (Trec; - 0.2 °C), skin temperature (- 0.8 °C), and heart rate (- 11 beats min-1) more than CON at 3-Weeks compared to Pre (all p < 0.05). SAUNA also improved [Formula: see text]O2max (+ 0.27 L-1 min-1; p = 0.02) and speed at 4 mmol L-1 [La-] (+ 0.6 km h-1; p = 0.01) more than CON at 3-Weeks compared to Pre. Only peak Trec (- 0.1 °C; p = 0.03 decreased further from 3-Weeks to 7-Weeks in SAUNA (other physiological variables p > 0.05). CONCLUSIONS Three-weeks post-exercise sauna bathing is an effective and pragmatic method of heat acclimation, and an effective ergogenic aid. Extending the intervention to seven weeks only marginally improved Trec.
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Sex differences in the physiological adaptations to heat acclimation: a state-of-the-art review. Eur J Appl Physiol 2020; 121:353-367. [PMID: 33205218 DOI: 10.1007/s00421-020-04550-y] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Accepted: 11/02/2020] [Indexed: 02/06/2023]
Abstract
Over the last few decades, females have significantly increased their participation in athletic competitions and occupations (e.g. military, firefighters) in hot and thermally challenging environments. Heat acclimation, which involves repeated passive or active heat exposures that lead to physiological adaptations, is a tool commonly used to optimize performance in the heat. However, the scientific community's understanding of adaptations to heat acclimation are largely based on male data, complicating the generalizability to female populations. Though limited, current evidence suggests that females may require a greater number of heat acclimation sessions or greater thermal stress to achieve the same magnitude of physiological adaptations as males. The underlying mechanisms explaining the temporal sex differences in the physiological adaptations to heat acclimation are currently unclear. Therefore, the aims of this state-of-the-art review are to: (i) present a brief yet comprehensive synthesis of the current female and sex difference literature, (ii) highlight sex-dependent (e.g. anthropometric, menstrual cycle) and sex-independent factors (e.g. environmental conditions, fitness) influencing the physiological and performance adaptations to heat acclimation, and (iii) address key avenues for future research.
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Grundstein A, Vanos J. There is no ‘Swiss Army Knife’ of thermal indices: the importance of considering ‘why?’ and ‘for whom?’ when modelling heat stress in sport. Br J Sports Med 2020; 55:822-824. [DOI: 10.1136/bjsports-2020-102920] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/29/2020] [Indexed: 11/04/2022]
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Benjamin CL, Hosokawa Y, Curtis RM, Schaefer DA, Bergin RT, Abegg MR, Casa DJ. Environmental Conditions, Preseason Fitness Levels, and Game Workload: Analysis of a Female NCAA DI National Championship Soccer Season. J Strength Cond Res 2020; 34:988-994. [PMID: 31996612 DOI: 10.1519/jsc.0000000000003535] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Benjamin, CL, Hosokawa, Y, Curtis, RM, Schaefer, DA, Bergin, RT, Abegg, MR, and Casa, DJ. Environmental conditions, preseason fitness levels, and game workload: Analysis of a female NCAA DI National Championship Soccer Season. J Strength Cond Res 34(4): 988-994, 2020-The purpose of this study was to determine the independent and combined moderating effect of aerobic fitness and environmental conditions on physical workloads during collegiate female soccer matches. Nineteen National Collegiate Athletic Association female soccer athletes were included in this study (mean ± SD: age, 20.6 ± 1.4 years; height, 169 ± 6.1 cm; body mass 64.7 ± 5.3 kg). Maximal oxygen consumption (V[Combining Dot Above]O2max) was estimated from the yo-yo intermittent recovery test before preseason training and wet-bulb globe temperature (WBGT) was recorded onsite for home matches and at the nearest weather station for away matches. Relative distance (TD), relative high-speed running distance (%HSD), and relative high metabolic load (%HML) performance were collected during each match using a global positioning system unit (Viper Pod; STATSports, Chicago, IL). Statistically significant differences were observed in TD between LOW WBGT and MOD WBGT (mean difference [MD] = 7.08 m·min; effect size [ES] = 0.54; p < 0.001), in %HSD between LOW WBGT and MOD WBGT (MD = 1.97%; ES = 0.64; p = 0.01) and between LOW WBGT and HIGH WBGT (MD = 2.71%; ES = 1.01; p < 0.001), and in %HML between LOW WBGT and MOD WBGT (MD = 1.24%; ES = 0.56; p < 0.001) and between LOW WBGT and HIGH WBGT (MD = 1.55%; ES = 0.78; p = 0.01). There was a significant interaction between WBGT and V[Combining Dot Above]O2max for %HSD (p = 0.03). These findings demonstrate that physical performance metrics were affected by increased WBGT. In addition, aerobic fitness seemed to moderate the effect of increasing WBGT on %HSD, meaning maximizing aerobic capacity is important for optimizing running performance in the heat. Coaches and sports medicine staff could alter training time and session length based on environmental conditions as well as potentially use aggressive cooling strategies to mitigate the imposed heat stress and decrements in physical performance.
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Affiliation(s)
- Courteney L Benjamin
- Strength and Conditioning, Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, Florida.,Department of Kinesiology, Korey Stringer Institute, University of Connecticut, Storrs, Connecticut
| | - Yuri Hosokawa
- Department of Kinesiology, Korey Stringer Institute, University of Connecticut, Storrs, Connecticut.,Faculty of Sport Sciences, Waseda University, Saitama, Japan; and
| | - Ryan M Curtis
- Department of Kinesiology, Korey Stringer Institute, University of Connecticut, Storrs, Connecticut
| | - Daniel A Schaefer
- Strength and Conditioning, Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, Florida
| | - Reiley T Bergin
- Strength and Conditioning, Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, Florida.,Department of Rehabilitation Sciences, Sports Medicine Research Institute, University of Kentucky, Lexington, Kentucky
| | - Marisa R Abegg
- Strength and Conditioning, Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, Florida
| | - Douglas J Casa
- Department of Kinesiology, Korey Stringer Institute, University of Connecticut, Storrs, Connecticut
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Garrett AT, Maxwell NS, Périard JD, Sunderland C. Editorial: Heat Acclimation for Special Populations. Front Physiol 2020; 11:895. [PMID: 32903516 PMCID: PMC7438765 DOI: 10.3389/fphys.2020.00895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 07/02/2020] [Indexed: 11/13/2022] Open
Affiliation(s)
- Andrew T Garrett
- Department of Sport, Health and Exercise Science, University of Hull, Hull, United Kingdom
| | - Neil S Maxwell
- School of Sport and Service Management, University of Brighton, Brighton, United Kingdom
| | - Julien D Périard
- University of Canberra Research Institute for Sport and Exercise (UCRISE), Canberra, ACT, Australia
| | - Caroline Sunderland
- School of Science and Technology, Nottingham Trent University, Nottingham, United Kingdom
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Hasegawa H, Makino H, Fukuhara K, Mikami Y, Kimura H, Adachi N. Thermoregulatory responses of lower limb amputees during exercise in a hot environment. J Therm Biol 2020; 91:102609. [PMID: 32716859 DOI: 10.1016/j.jtherbio.2020.102609] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 04/24/2020] [Accepted: 04/25/2020] [Indexed: 11/19/2022]
Abstract
Lower limb amputees (LLAs) have less skin surface required for sweating; thus, the ability to dissipate heat from the body may decrease and the risk of heat illness may increase during exercise in a hot environment. However, no study has compared the thermoregulatory responses during exercise between LLAs and able-body (AB) individuals with different body surface areas. This study aimed to compare the thermoregulatory responses of LLAs with those of AB individuals during exercise in a hot environment. Seven LLAs (LLA group) and 7 able-body individuals (AB group) participated in the study. A 60% peak power output of arm crank upper-body exercise was performed for 60 min in a hot environment (32 °C, 50% relative humidity). There was no difference in the increase in rectal temperature (LLA: 0.8 ± 0.2 °C, AB: 0.8 ± 0.2 °C) and mean skin temperature between the groups during the 60-min exercise. In the LLA group, the accumulated local sweat rate of the thigh during exercise was significantly higher on the non-cut side than on the cut side (64.6 ± 43.0 mg/h vs. 37.0 ± 27.2 mg/h, p < 0.05). The total sweat rate was significantly higher in the LLA group than in the AB group (1.18 ± 0.37 kg/h vs. 0.84 ± 0.10 kg/h, p < 0.05). Thermal sensation and comfort were lower in the LLA group than in the AB group. Different heat loss responses were observed in the AB and LLA groups during exercise in the heat. The LLA group compensates for sweating on the cut side due to an increase in sweat loss on the intact limb, thereby preserving appropriate thermoregulation during exercise.
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Affiliation(s)
- Hiroshi Hasegawa
- Graduate School of Integrated Arts and Sciences, Hiroshima University, Higashihiroshima, Japan.
| | - Hitoshi Makino
- Graduate School of Integrated Arts and Sciences, Hiroshima University, Higashihiroshima, Japan
| | - Koki Fukuhara
- Sports Medical Center, Hiroshima University Hospital, Hiroshima, Japan
| | - Yukio Mikami
- Department of Rehabilitation, Wakayama Medical University, Wakayama, Japan
| | - Hiroaki Kimura
- Department of Rehabilitation Medicine, Hiroshima University Hospital, Hiroshima, Japan
| | - Nobuo Adachi
- Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
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Kerr ZY, Register-Mihalik JK, Pryor RR, Hosokawa Y, Scarneo-Miller SE, Casa DJ. Compliance With the National Athletic Trainers' Association Inter-Association Task Force Preseason Heat-Acclimatization Guidelines in High School Football. J Athl Train 2019; 54:749-757. [PMID: 31343275 DOI: 10.4085/1062-6050-373-18] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
CONTEXT In 2009, the National Athletic Trainers' Association Inter-Association Task Force (NATA-IATF) released preseason heat-acclimatization guidelines for gradually acclimatizing high school (HS) athletes to the environment during the first 2 weeks of the preseason and reducing the risk of exertional heat illness. However, researchers who studied the 2011 preseason found a low level of overall compliance. OBJECTIVE To assess compliance with the NATA-IATF guidelines during the 2017 preseason and compare the findings with 2011 preseason data and between states mandating and not mandating the guidelines. DESIGN Cross-sectional study. SETTING Preseason HS football, 2017. PATIENTS OR OTHER PARTICIPANTS A total of 1023 athletic trainers working with HS football (14.2% response rate). MAIN OUTCOME MEASURE(S) Using a survey, we acquired information from athletic trainers on their HS football programs, including location and compliance with 17 NATA-IATF guidelines during the 2017 football preseason. The outcome measures were full compliance with all 17 NATA-IATF guidelines and compliance with ≥10 NATA-IATF guidelines. Prevalence ratios (PRs) with 95% confidence intervals (CIs) compared findings between (1) the 2017 and 2011 preseasons and (2) states whose HS athletic associations imposed a full or partial or no mandate to follow the NATA-IATF guidelines. RESULTS Overall, 3.9% reported full compliance with NATA-IATF guidelines; 73.9% complied with ≥10 guidelines. The proportion reporting full compliance was higher in 2017 than in 2011 but not statistically different (3.9% versus 2.5%; PR = 1.54; 95% CI = 0.96, 2.46). However, the proportion reporting compliance with ≥10 guidelines was higher in 2017 (73.9% versus 57.9%; PR = 1.28; 95% CI = 1.20, 1.36). The proportion of respondents reporting their HSs were fully compliant was highest among the with-mandate group (9.4%), followed by the partial-mandate group (4.6%) and the without-mandate group (0.6%). Group differences retained significance when we examined compliance with ≥10 guidelines. CONCLUSIONS Although full compliance with NATA-IATF guidelines remained low, many HS football programs complied with ≥10 guidelines.
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Affiliation(s)
- Zachary Y Kerr
- Department of Exercise and Sport Science, University of North Carolina at Chapel Hill
| | | | - Riana R Pryor
- Center for Research and Education in Special Environments, Department of Exercise and Nutrition Sciences, University at Buffalo, SUNY
| | - Yuri Hosokawa
- Faculty of Sport Sciences, Waseda University, Tokorozawa City, Japan
| | | | - Douglas J Casa
- Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs
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Hosokawa Y, Casa DJ, Trtanj JM, Belval LN, Deuster PA, Giltz SM, Grundstein AJ, Hawkins MD, Huggins RA, Jacklitsch B, Jardine JF, Jones H, Kazman JB, Reynolds ME, Stearns RL, Vanos JK, Williams AL, Williams WJ. Activity modification in heat: critical assessment of guidelines across athletic, occupational, and military settings in the USA. INTERNATIONAL JOURNAL OF BIOMETEOROLOGY 2019; 63:405-427. [PMID: 30710251 PMCID: PMC10041407 DOI: 10.1007/s00484-019-01673-6] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Revised: 01/13/2019] [Accepted: 01/15/2019] [Indexed: 05/04/2023]
Abstract
Exertional heat illness (EHI) risk is a serious concern among athletes, laborers, and warfighters. US Governing organizations have established various activity modification guidelines (AMGs) and other risk mitigation plans to help ensure the health and safety of their workers. The extent of metabolic heat production and heat gain that ensue from their work are the core reasons for EHI in the aforementioned population. Therefore, the major focus of AMGs in all settings is to modulate the work intensity and duration with additional modification in adjustable extrinsic risk factors (e.g., clothing, equipment) and intrinsic risk factors (e.g., heat acclimatization, fitness, hydration status). Future studies should continue to integrate more physiological (e.g., valid body fluid balance, internal body temperature) and biometeorological factors (e.g., cumulative heat stress) to the existing heat risk assessment models to reduce the assumptions and limitations in them. Future interagency collaboration to advance heat mitigation plans among physically active population is desired to maximize the existing resources and data to facilitate advancement in AMGs for environmental heat.
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Affiliation(s)
- Yuri Hosokawa
- Korey Stringer Institute, University of Connecticut, Storrs, CT, USA.
- College of Sport and Health Science, Ritsumeikan University, Kusatsu, Shiga, Japan.
| | - Douglas J Casa
- Korey Stringer Institute, University of Connecticut, Storrs, CT, USA
| | - Juli M Trtanj
- National Oceanic and Atmospheric Administration, Washington DC, USA
| | - Luke N Belval
- Korey Stringer Institute, University of Connecticut, Storrs, CT, USA
| | - Patricia A Deuster
- Consortium for Health and Military Performance, Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA
| | - Sarah M Giltz
- National Oceanic and Atmospheric Administration, Washington DC, USA
- Louisiana Sea Grant, Louisiana State University, Baton Rouge, LA, USA
| | | | | | - Robert A Huggins
- Korey Stringer Institute, University of Connecticut, Storrs, CT, USA
| | - Brenda Jacklitsch
- National Institute for Occupational Safety and Health, Cincinnati, OH, USA
| | - John F Jardine
- Korey Stringer Institute, University of Connecticut, Storrs, CT, USA
| | - Hunter Jones
- National Oceanic and Atmospheric Administration, Washington DC, USA
- University Corporation for Atmospheric Research, Boulder, CO, USA
| | - Josh B Kazman
- Consortium for Health and Military Performance, Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA
| | - Mark E Reynolds
- U.S. Army Public Health Center, Aberdeen Proving Ground, Aberdeen, MD, USA
| | - Rebecca L Stearns
- Korey Stringer Institute, University of Connecticut, Storrs, CT, USA
| | - Jennifer K Vanos
- Scripps Institution of Oceanography Department, University of California San Diego, La Jolla, CA, USA
| | - Alan L Williams
- Walter Reed National Military Medical Center, Bethesda, MD, USA
| | - W Jon Williams
- National Institute for Occupational Safety and Health, Cincinnati, OH, USA
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WEBBER BRYANTJ, UPTEGRAFT COLBYC, NYE NATHANIELS, O’Connor FG. Association of Sickle Cell Trait and Hemoglobin S Percentage with Physical Fitness. Med Sci Sports Exerc 2018; 50:2488-2493. [DOI: 10.1249/mss.0000000000001720] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Selected In-Season Nutritional Strategies to Enhance Recovery for Team Sport Athletes: A Practical Overview. Sports Med 2018; 47:2201-2218. [PMID: 28702900 PMCID: PMC5633631 DOI: 10.1007/s40279-017-0759-2] [Citation(s) in RCA: 72] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Team sport athletes face a variety of nutritional challenges related to recovery during the competitive season. The purpose of this article is to review nutrition strategies related to muscle regeneration, glycogen restoration, fatigue, physical and immune health, and preparation for subsequent training bouts and competitions. Given the limited opportunities to recover between training bouts and games throughout the competitive season, athletes must be deliberate in their recovery strategy. Foundational components of recovery related to protein, carbohydrates, and fluid have been extensively reviewed and accepted. Micronutrients and supplements that may be efficacious for promoting recovery include vitamin D, omega-3 polyunsaturated fatty acids, creatine, collagen/vitamin C, and antioxidants. Curcumin and bromelain may also provide a recovery benefit during the competitive season but future research is warranted prior to incorporating supplemental dosages into the athlete's diet. Air travel poses nutritional challenges related to nutrient timing and quality. Incorporating strategies to consume efficacious micronutrients and ingredients is necessary to support athlete recovery in season.
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Pethick WA, Murray HJ, McFadyen P, Brodie R, Gaul CA, Stellingwerff T. Effects of hydration status during heat acclimation on plasma volume and performance. Scand J Med Sci Sports 2018; 29:189-199. [PMID: 30317666 DOI: 10.1111/sms.13319] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2018] [Accepted: 10/04/2018] [Indexed: 10/28/2022]
Abstract
The impact of hydration status was investigated during a 5-day heat acclimation (HA) training protocol vs mild/cool control conditions on plasma volume (PV) and performance (20 km time-trial [TT]). Sub-elite athletes were allocated to one of two heat training groups (90 min/day): (a) dehydrated to ~2% body weight (BW) loss in heat (35°C; DEH; n = 14); (b) euhydrated heat (35°C; EUH; n = 10), where training was isothermally clamped to 38.5°C core temperature (Tc ). A euhydrated mild control group (22°C; CON; n = 9) was later added, with training clamped to the same relative heart rate (~75% HRmax ) as elicited during DEH and EUH; thus all groups experienced the same internal training stress (%HRmax ). Five-day total thermal load was 30% greater (P < 0.001) in DEH and EUH vs CON. There were significant differences in the average percentage of maximal work rate (%Wmax ) across all groups (DEH: 24 ± 6%; EUH: 34 ± 9%; CON: 48 ± 8%Wmax ) during training required to elicit the same %HRmax (77 ± 4% HRmax ). There were no significant differences pre-to post-HA between groups for PV (DEH: +1.7 ± 10.1%; EUH: +4.8 ± 10.2%; CON: +5.2 ± 4.0%), but there was a significant pooled group PV increase, as well as a 97% likely pooled improvement in TT performance (DEH: -1.8 ± 2.8%; EUH: -1.9 ± 2.1%, CON; -1.8 ± 2.8%; P = 0.136). Due to a lack of between-group differences for PV and TT, but pooled group increases in PV and 97% likely group increase in TT performance, over 5 days of intense training at the same average relative cardiac load suggests that overall training stress may also impact significant adaptations beyond heat and hydration stress.
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Affiliation(s)
- Wendy A Pethick
- Canadian Sport Institute Pacific, Victoria, British Columbia, Canada
| | - Holly J Murray
- Canadian Sport Institute Pacific, Victoria, British Columbia, Canada.,School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, British Columbia, Canada
| | - Paula McFadyen
- Canadian Sport Institute Pacific, Victoria, British Columbia, Canada
| | - Ryan Brodie
- Canadian Sport Institute Pacific, Victoria, British Columbia, Canada
| | - Catherine A Gaul
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, British Columbia, Canada
| | - Trent Stellingwerff
- Canadian Sport Institute Pacific, Victoria, British Columbia, Canada.,School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, British Columbia, Canada
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Honjo T, Seo Y, Yamasaki Y, Tsunematsu N, Yokoyama H, Yamato H, Mikami T. Thermal comfort along the marathon course of the 2020 Tokyo Olympics. INTERNATIONAL JOURNAL OF BIOMETEOROLOGY 2018; 62:1407-1419. [PMID: 29667034 DOI: 10.1007/s00484-018-1539-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/09/2017] [Revised: 03/18/2018] [Accepted: 04/03/2018] [Indexed: 06/08/2023]
Abstract
The Olympic Games will be held in Tokyo in 2020 and the period will be the hottest period of the year in Japan. Marathon is a sport with a large heat load, and it is said that the risk of heat stroke rises more than other sports activities. The thermal environment of the 2020 Tokyo Olympic marathon course is analyzed by using wet-bulb globe temperature (WBGT) and Universal Thermal Climate Index (UTCI) map of the center area of Tokyo. The change due to the place, the effect of the shadow of the building, and the position on the course was analyzed from the distribution of WBGT and UTCI in the short-term analysis of sunny day from August 2 to August 6, 2014. To make the distribution map, we calculated distributions of sky view factor and mean radiant temperature of the 10 km × 7.5 km analyzed area in the center of Tokyo. Distributions of air temperature and humidity are calculated from Metropolitan Environmental Temperature and Rainfall Observation System data, which is a high-resolution measurement network. It was possible to incorporate the local variation of temperature and humidity of the analyzed area. In the result, the WBGT is about 1 °C lower and the UTCI is about 4-8 °C lower in the shadow of buildings from 9:00 to 10:00 than in the sunny side. As a cooling method, making a shadow is a relatively effective method. The variation along the course considering the distribution of meteorological data within the area is about 0.5 °C WBGT and 1 °C UTCI range. If we allow the error of this range, one-point meteorological data can be applied for the estimation along the course. Passing the right side (left side in the case of return) of the course could keep the accumulated value slightly lower along the course in the morning because the marathon course roughly runs from west to east and buildings' shadow is on the relatively right side (south side). But practically, the effect of changing the position on the course was small. The long-term analysis on the degree of risk for each hour was also carried out by using one-point data of the first 10 days of August from 2007 to 2016. The risk increased rapidly after 8:00. It will be safer if the marathon race is finished before 9:00 or if the race is held after 19:00.
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Affiliation(s)
- Tsuyoshi Honjo
- Graduate School of Horticulture, Chiba University, 648, Matsudo, Matsudo-shi, Chiba, Japan.
| | - Yuhwan Seo
- Graduate School of Horticulture, Chiba University, 648, Matsudo, Matsudo-shi, Chiba, Japan
| | - Yudai Yamasaki
- Graduate School of Horticulture, Chiba University, 648, Matsudo, Matsudo-shi, Chiba, Japan
| | - Nobumitsu Tsunematsu
- Tokyo Metropolitan Research Institute for Environmental Protection, 1-7-5, Shinsuna, Koto-ku, Tokyo, Japan
| | - Hitoshi Yokoyama
- National Research Institute for Earth Science and Disaster Prevention, 3-1, Tennodai, Tsukuba-shi, Ibaraki-ken, Japan
| | - Hiroaki Yamato
- Nagano Environmental Conservation Research Institute, 2054-120 Kitago, Nagano-shi, Nagano, Japan
| | - Takehiko Mikami
- Department Geography, Tokyo Metropolitan University, 1-1 Minami-Osawa, Hachioji-shi, Tokyo, Japan
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Burtscher M, Gatterer H, Burtscher J, Mairbäurl H. Extreme Terrestrial Environments: Life in Thermal Stress and Hypoxia. A Narrative Review. Front Physiol 2018; 9:572. [PMID: 29867589 PMCID: PMC5964295 DOI: 10.3389/fphys.2018.00572] [Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Accepted: 04/30/2018] [Indexed: 12/22/2022] Open
Abstract
Living, working and exercising in extreme terrestrial environments are challenging tasks even for healthy humans of the modern new age. The issue is not just survival in remote environments but rather the achievement of optimal performance in everyday life, occupation, and sports. Various adaptive biological processes can take place to cope with the specific stressors of extreme terrestrial environments like cold, heat, and hypoxia (high altitude). This review provides an overview of the physiological and morphological aspects of adaptive responses in these environmental stressors at the level of organs, tissues, and cells. Furthermore, adjustments existing in native people living in such extreme conditions on the earth as well as acute adaptive responses in newcomers are discussed. These insights into general adaptability of humans are complemented by outcomes of specific acclimatization/acclimation studies adding important information how to cope appropriately with extreme environmental temperatures and hypoxia.
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Affiliation(s)
- Martin Burtscher
- Department of Sport Science, University of Innsbruck, Innsbruck, Austria.,Austrian Society for Alpine and Mountain Medicine, Innsbruck, Austria
| | - Hannes Gatterer
- Department of Sport Science, University of Innsbruck, Innsbruck, Austria.,Institute of Mountain Emergency Medicine, EURAC Research, Bolzano, Italy
| | - Johannes Burtscher
- Laboratory of Molecular and Chemical Biology of Neurodegeneration, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Heimo Mairbäurl
- Medical Clinic VII, Sports Medicine, University Hospital Heidelberg, Heidelberg, Germany.,German Center for Lung Research (DZL/TLRC-H), Heidelberg, Germany
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Best R, Payton S, Spears I, Riera F, Berger N. Topical and Ingested Cooling Methodologies for Endurance Exercise Performance in the Heat. Sports (Basel) 2018; 6:sports6010011. [PMID: 29910315 PMCID: PMC5969198 DOI: 10.3390/sports6010011] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Revised: 01/30/2018] [Accepted: 01/31/2018] [Indexed: 01/14/2023] Open
Abstract
This systematic review and meta-analysis aimed to assess studies which have investigated cooling methodologies, their timing and effects, on endurance exercise performance in trained athletes (Category 3; VO2max ≥ 55 mL·kg·min−1) in hot environmental conditions (≥28 °C). Meta-analyses were performed to quantify the effects of timings and methods of application, with a narrative review of the evidence also provided. A computer-assisted database search was performed for articles investigating the effects of cooling on endurance performance and accompanying physiological and perceptual responses. A total of 4129 results were screened by title, abstract, and full text, resulting in 10 articles being included for subsequent analyses. A total of 101 participants and 310 observations from 10 studies measuring the effects of differing cooling strategies on endurance exercise performance and accompanying physiological and perceptual responses were included. With respect to time trial performance, cooling was shown to result in small beneficial effects when applied before and throughout the exercise bout (Effect Size: −0.44; −0.69 to −0.18), especially when ingested (−0.39; −0.60 to −0.18). Current evidence suggests that whilst other strategies ameliorate physiological or perceptual responses throughout endurance exercise in hot conditions, ingesting cooling aids before and during exercise provides a small benefit, which is of practical significance to athletes’ time trial performance.
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Affiliation(s)
- Russ Best
- School of Social Sciences, Humanities & Law, Teesside University, Middlesbrough TS1 3BX, UK.
- Centre for Sports Science and Human Performance, Waikato Institute of Technology, Hamilton 3288, New Zealand.
| | | | - Iain Spears
- Pro-Football Support Ltd., Huddersfield HD7 5BQ, UK.
| | - Florence Riera
- Laboratoire ACTES⁻EA 3596, Université des Antilles et de la Guyane, 97157 Pointe à Pitre, France.
- Laboratoire LEPSA⁻EA 4604, Université de Perpignan, 66120 Font Romeu, France.
| | - Nicolas Berger
- School of Social Sciences, Humanities & Law, Teesside University, Middlesbrough TS1 3BX, UK.
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Grundstein AJ, Hosokawa Y, Casa DJ. Fatal Exertional Heat Stroke and American Football Players: The Need for Regional Heat-Safety Guidelines. J Athl Train 2018; 53:43-50. [PMID: 29332471 DOI: 10.4085/1062-6050-445-16] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
CONTEXT Weather-based activity modification in athletics is an important way to minimize heat illnesses. However, many commonly used heat-safety guidelines include a uniform set of heat-stress thresholds that do not account for geographic differences in acclimatization. OBJECTIVE To determine if heat-related fatalities among American football players occurred on days with unusually stressful weather conditions based on the local climate and to assess the need for regional heat-safety guidelines. DESIGN Cross-sectional study. SETTING Data from incidents of fatal exertional heat stroke (EHS) in American football players were obtained from the National Center for Catastrophic Sport Injury Research and the Korey Stringer Institute. PATIENTS OR OTHER PARTICIPANTS Sixty-one American football players at all levels of competition with fatal EHSs from 1980 to 2014. MAIN OUTCOME MEASURE(S) We used the wet bulb globe temperature (WBGT) and a z-score WBGT standardized to local climate conditions from 1991 to 2010 to assess the absolute and relative magnitudes of heat stress, respectively. RESULTS We observed a poleward decrease in exposure WBGTs during fatal EHSs. In milder climates, 80% of cases occurred at above-average WBGTs, and 50% occurred at WBGTs greater than 1 standard deviation from the long-term mean; however, in hotter climates, half of the cases occurred at near average or below average WBGTs. CONCLUSIONS The combination of lower exposure WBGTs and frequent extreme climatic values in milder climates during fatal EHSs indicates the need for regional activity-modification guidelines with lower, climatically appropriate weather-based thresholds. Established activity-modification guidelines, such as those from the American College of Sports Medicine, work well in the hotter climates, such as the southern United States, where hot and humid weather conditions are common.
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Affiliation(s)
| | - Yuri Hosokawa
- Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs
| | - Douglas J Casa
- Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs
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Impact of Hot Environment on Fluid and Electrolyte Imbalance, Renal Damage, Hemolysis, and Immune Activation Postmarathon. OXIDATIVE MEDICINE AND CELLULAR LONGEVITY 2017; 2017:9824192. [PMID: 29430287 PMCID: PMC5753004 DOI: 10.1155/2017/9824192] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/02/2017] [Revised: 08/09/2017] [Accepted: 10/26/2017] [Indexed: 01/24/2023]
Abstract
Previous studies have demonstrated the physiological changes induced by exercise exposure in hot environments. We investigated the hematological and oxidative changes and tissue damage induced by marathon race in different thermal conditions. Twenty-six male runners completed the São Paulo International Marathon both in hot environment (HE) and in temperate environment (TE). Blood and urine samples were collected 1 day before, immediately after, 1 day after, and 3 days after the marathon to analyze the hematological parameters, electrolytes, markers of tissue damage, and oxidative status. In both environments, the marathon race promotes fluid and electrolyte imbalance, hemolysis, oxidative stress, immune activation, and tissue damage. The marathon runner's performance was approximately 13.5% lower in HE compared to TE; however, in HE, our results demonstrated more pronounced fluid and electrolyte imbalance, renal damage, hemolysis, and immune activation. Moreover, oxidative stress induced by marathon in HE is presumed to be related to protein/purine oxidation instead of other oxidative sources. Fluid and electrolyte imbalance and protein/purine oxidation may be important factors responsible for hemolysis, renal damage, immune activation, and impaired performance after long-term exercise in HE. Nonetheless, we suggested that the impairment on performance in HE was not associated to the muscle damage and lipoperoxidation.
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40
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Heart rate variability and plasma nephrines in the evaluation of heat acclimatisation status. Eur J Appl Physiol 2017; 118:165-174. [PMID: 29127509 PMCID: PMC5754393 DOI: 10.1007/s00421-017-3758-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2017] [Accepted: 10/31/2017] [Indexed: 11/03/2022]
Abstract
Purpose Heat adaptation (HA) is critical to performance and health in a hot environment. Transition from short-term heat acclimatisation (STHA) to long-term heat acclimatisation (LTHA) is characterised by decreased autonomic disturbance and increased protection from thermal injury. A standard heat tolerance test (HTT) is recommended for validating exercise performance status, but any role in distinguishing STHA from LTHA is unreported. The aims of this study were to (1) define performance status by serial HTT during structured natural HA, (2) evaluate surrogate markers of autonomic activation, including heart rate variability (HRV), in relation to HA status. Methods Participants (n = 13) were assessed by HTT (60-min block-stepping, 50% VO2peak) during STHA (Day 2, 6 and 9) and LTHA (Day 23). Core temperature (Tc) and heart rate (HR) were measured every 5 min. Sampling for HRV indices (RMSSD, LF:HF) and sympathoadrenal blood measures (cortisol, nephrines) was undertaken before and after (POST) each HTT. Results Significant (P < 0.05) interactions existed for Tc, logLF:HF, cortisol and nephrines (two-way ANOVA; HTT by Day). Relative to LTHA, POST results differed significantly for Tc (Day 2, 6 and 9), HR (Day 2), logRMSSD (Day 2 and Day 6), logLF:HF (Day 2 and Day 6), cortisol (Day 2) and nephrines (Day 2 and Day 9). POST differences in HRV (Day 6 vs. 23) were + 9.9% (logRMSSD) and − 18.6% (logLF:HF). Conclusions Early reductions in HR and cortisol characterised STHA, whereas LTHA showed diminished excitability by Tc, HRV and nephrine measures. Measurement of HRV may have potential to aid real-time assessment of readiness for activity in the heat. Electronic supplementary material The online version of this article (10.1007/s00421-017-3758-y) contains supplementary material, which is available to authorized users.
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41
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Pethick WA, Stellingwerff T, Lacroix MA, Bergstrom C, Meylan CM. The effect of a team sport-specific heat acclimation protocol on plasma volume in elite female soccer players. SCI MED FOOTBALL 2017. [DOI: 10.1080/24733938.2017.1384559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
| | | | | | - Carl Bergstrom
- Vancouver Whitecaps Football Club, Vancouver, BC, Canada
| | - César M. Meylan
- Canadian Sport Institute Pacific, Richmond, BC, Canada
- Canadian Soccer Association, Ottawa, ON, Canada
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42
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Kakamu T, Wada K, Smith DR, Endo S, Fukushima T. Preventing heat illness in the anticipated hot climate of the Tokyo 2020 Summer Olympic Games. Environ Health Prev Med 2017; 22:68. [PMID: 29165162 PMCID: PMC5664809 DOI: 10.1186/s12199-017-0675-y] [Citation(s) in RCA: 58] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2017] [Accepted: 09/12/2017] [Indexed: 11/26/2022] Open
Abstract
Amid the effects of global warming, Tokyo has become an increasingly hot city, especially during the summertime. To prepare for the upcoming 2020 Summer Olympics and Paralympics in Tokyo, all participants, including the athletes, staff, and spectators, will need to familiarize themselves with Tokyo’s hot and humid summer conditions. This paper uses the wet-bulb globe temperature (WBGT) index, which estimates the risk of heat illness, to compare climate conditions of sports events in Tokyo with the conditions of the past three Summer Olympics (held in Rio de Janeiro, London, and Beijing) and to subsequently detail the need for establishing appropriate countermeasures. We compared WBGT results from the past three Summer Olympics with the same time periods in Tokyo during 2016. There was almost no time zone where a low risk of heat illness could be expected during the time frame of the upcoming 2020 Tokyo Olympics. We also found that Tokyo had a higher WBGT than any of those previous host cities and is poorly suited for outdoor sporting events. Combined efforts by the official organizers, government, various related organizations, and the participants will be necessary to deal with these challenging conditions and to allow athletes to perform their best, as well as to prevent heat illnesses among staff and spectators. The sporting committees, as well as the Olympic organizing committee, should consider WBGT measurements in determining the venues and timing of the events to better avoid heat illness and facilitate maximum athletic performance.
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Affiliation(s)
- Takeyasu Kakamu
- Department of Hygiene and Preventive Medicine, School of Medicine, Fukushima Medical University, Hikarigaoka 1, Fukushima, 960-1295, Japan.
| | - Koji Wada
- Bureau of International Health Cooperation, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655, Japan
| | - Derek R Smith
- College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Australia
| | - Shota Endo
- Department of Hygiene and Preventive Medicine, School of Medicine, Fukushima Medical University, Hikarigaoka 1, Fukushima, 960-1295, Japan
| | - Tetsuhito Fukushima
- Department of Hygiene and Preventive Medicine, School of Medicine, Fukushima Medical University, Hikarigaoka 1, Fukushima, 960-1295, Japan
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43
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Roh HT, So WY, Cho SY, Suh SH. Effects of Fluid Ingestion on Brain-Derived Neurotrophic Factor and Cognition During Exercise in the Heat. J Hum Kinet 2017; 58:73-86. [PMID: 28828079 PMCID: PMC5548156 DOI: 10.1515/hukin-2017-0074] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
We investigated the effects of fluid ingestion during exercise in different environments on the serum brain-derived neurotrophic factor and cognition among athletes. Ten collegiate male athletes (soccer, n = 5; rugby, n = 5) were enrolled, and they completed running tests in the following four conditions (60 min each): 1) thermoneutral temperature at 18°C (group 18); 2) high ambient temperature at 32°C without fluid ingestion (group 32); 3) high ambient temperature at 32°C with water ingestion (group 32+W); and 4) high ambient temperature at 32°C with sports drink ingestion (group 32+S). Serum brain-derived neurotrophic factor levels significantly increased in group 18 immediately after exercise when compared with those at rest and were significantly higher than those in group 32 immediately and 60 min after exercise (p < 0.05). In the Stroop Color and Word Test, significantly increased Word, Color, and Color-Word scores were observed in group 18 immediately after exercise compared to those at rest (p < 0.05). However, the Color-Word score appeared to be significantly lower in group 32 immediately after exercise compared to the other groups (p < 0.05) and at 60 min post-exercise compared to group 18 (p < 0.05). We found that the exercise performed in a thermoneutral environment improved cognitive function, but the exercise performed in a hot environment did not. The differences according to the exercise environment would be largely affected by brain-derived neurotrophic factor, and fluid ingestion regardless of the type of drink (water or sports beverage) was assumed to have contributed to the improvement in cognitive function caused by exercising in a hot environment.
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Affiliation(s)
- Hee-Tae Roh
- Department of Physical Education, College of Arts and Physical Education, Dong-A University, Busan, Republic of Korea
| | - Wi-Young So
- Sports and Health Care Major,College of Humanities and Arts, Korea, National University of Transportation, Chungju-si, Republic of Korea
| | - Su-Youn Cho
- Department of Physical Education, Yonsei University, Seoul, Republic of Korea
| | - Sang-Hoon Suh
- Department of Physical Education, Yonsei University, Seoul, Republic of Korea
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44
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Hodgson LE, Walter E, Venn RM, Galloway R, Pitsiladis Y, Sardat F, Forni LG. Acute kidney injury associated with endurance events-is it a cause for concern? A systematic review. BMJ Open Sport Exerc Med 2017; 3:e000093. [PMID: 29259804 PMCID: PMC5731225 DOI: 10.1136/bmjsem-2015-000093] [Citation(s) in RCA: 46] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2015] [Revised: 03/23/2016] [Accepted: 03/26/2016] [Indexed: 01/05/2023] Open
Abstract
INTRODUCTION A growing body of evidence suggests even small rises in serum creatinine (SCr) are of considerable clinical relevance. Given that participants in endurance events are exposed to potential (repeated) renal insults, a systematic review was undertaken to collate current evidence for acute kidney injury (AKI), complicating such events. METHODS A systematic review of studies and case reports meeting inclusion criteria on Medline and EMBASE (inception to October 2015). Included: studies with markers of renal function before and after endurance or ultraendurance events; case reports of severe AKI. Two reviewers assessed risk of bias using the Newcastle-Ottawa scale. RESULTS Eleven case report publications (n=27 individuals) of severe AKI, were retrieved, with risk factors including systemic illness or nephrotoxic medications usually identified. From 30 studies of endurance and ultraendurance events, mean rise in SCr was 29 (±12.3) µmol/L after marathon or ultramarathon (17 studies, n=568 participants) events. Where follow-up tests were conducted, SCr returned to baseline within 48 hours. Rises in biomarkers suggest potential parenchymal insult, rather than simply muscle breakdown. However, evidence of long-term deleterious effects is lacking. CONCLUSIONS Raised levels of SCr are reported immediately after endurance events. It is not clear whether this is either clinically significant, or if repeated participation predisposes to long-term sequelae. The aetiology of severe exercise-associated AKI is usually multifactorial, with risk factors generally identified in the rare cases reported. On-site biochemistry, urine analysis and biomarkers of AKI may help identify collapsed runners who are at significant short-term risk and allow suitable follow-up.
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Affiliation(s)
- LE Hodgson
- Department of Anaesthesia, Western Sussex Hospitals NHS Foundation Trust, West Sussex, UK
| | - E Walter
- Department of Emergency Medicine, Royal Sussex County Hospital, East Sussex, UK
| | - RM Venn
- Department of Anaesthesia, Western Sussex Hospitals NHS Foundation Trust, West Sussex, UK
| | - R Galloway
- Faculty of Health and Medical Sciences, University of Surrey, Surrey, UK
| | - Y Pitsiladis
- Department of Emergency Medicine, Royal Sussex County Hospital, East Sussex, UK
| | - F Sardat
- Department of Intensive Care, Surrey Peri-operative Anaesthesia Critical care collaborative Research group (SPACeR), Royal Surrey County Hospital, Surrey, UK
| | - LG Forni
- Department of Emergency Medicine, Royal Sussex County Hospital, East Sussex, UK
- The centre for sport and exercise science and medicine (SESAME), Sport and Service Management, Eastbourne, UK
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45
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Charlot K, Faure C, Antoine-Jonville S. Influence of Hot and Cold Environments on the Regulation of Energy Balance Following a Single Exercise Session: A Mini-Review. Nutrients 2017; 9:nu9060592. [PMID: 28604591 PMCID: PMC5490571 DOI: 10.3390/nu9060592] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2017] [Revised: 05/31/2017] [Accepted: 06/01/2017] [Indexed: 01/12/2023] Open
Abstract
Understanding the regulation of human food intake in response to an acute exercise session is of importance for interventions with athletes and soldiers, as well as overweight individuals. However, the influence of hot and cold environments on this crucial function for the regulation of body mass and motor performance has not been summarized. The purpose of this review was to exhaustively search the literature on the effect of ambient temperature during an exercise session on the subsequent subjective feeling of appetite, energy intake (EI) and its regulation. In the absence of stress due to environmental temperature, exercise-induced energy expenditure is not compensated by EI during an ad libitum meal following the session, probably due to decreased acylated ghrelin and increased peptide tyrosine tyrosine (PYY), glucagon-like peptide 1 (GLP-1), and pancreatic polypeptide (PP) levels. No systematic analysis has been yet made for major alterations of relative EI in cold and hot environments. However, observed eating behaviors are altered (proportion of solid/liquid food, carbohydrate/fat) and physiological regulation appears also to be altered. Anorexigenic signals, particularly PYY, appear to further increase in hot environments than in those that are thermoneutral. Ghrelin and leptin may be involved in the observed increase in EI after exercise in the cold, in parallel with increased energy expenditure. The potential influence of ambient thermal environment on eating behaviors after an exercise session should not be neglected.
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Affiliation(s)
- Keyne Charlot
- Département Environnements Opérationnels, Institut de Recherche Biomédicale des Armées, 1 place Général Valérie André, BP 73, 91223 Brétigny-sur-Orge, France.
| | - Cécile Faure
- Laboratoire des Adaptations au Climat Tropical, Exercice et Santé, EA3596, Université des Antilles, Pointe-à-Pitre, BP 250, 97157 Pointe-à-Pitre CEDEX, Guadeloupe, France.
| | - Sophie Antoine-Jonville
- Laboratoire des Adaptations au Climat Tropical, Exercice et Santé, EA3596, Université des Antilles, Pointe-à-Pitre, BP 250, 97157 Pointe-à-Pitre CEDEX, Guadeloupe, France.
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46
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Davis JK, Baker LB, Barnes K, Ungaro C, Stofan J. Thermoregulation, Fluid Balance, and Sweat Losses in American Football Players. Sports Med 2016; 46:1391-405. [DOI: 10.1007/s40279-016-0527-8] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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47
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Brocherie F, Millet GP. Is the Wet-Bulb Globe Temperature (WBGT) Index Relevant for Exercise in the Heat? Sports Med 2016; 45:1619-21. [PMID: 26359067 DOI: 10.1007/s40279-015-0386-8] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Franck Brocherie
- Department of Physiology, Faculty of Biology and Medicine, ISSUL, Institute of Sport Sciences, University of Lausanne, Building Geopolis, Campus Dorigny, 1015, Lausanne, Switzerland.
| | - Grégoire P Millet
- Department of Physiology, Faculty of Biology and Medicine, ISSUL, Institute of Sport Sciences, University of Lausanne, Building Geopolis, Campus Dorigny, 1015, Lausanne, Switzerland
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48
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Périard JD, Jay O, Alonso JM, Coutts AJ, Flouris AD, González-Alonso J, Hausswirth C, Lee JKW, Nassis GP, Nybo L, Pluim BM, Roelands B, Sawka MN, Wingo J, Racinais S. Author's Reply to Brocherie and Millet: 'Is the Wet-Bulb Globe Temperature (WGBT) Index Relevant for Exercise in the Heat?'. Sports Med 2016; 45:1623-4. [PMID: 26392123 DOI: 10.1007/s40279-015-0392-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- Julien D Périard
- Athlete Health and Performance Research Centre, Aspetar Orthopaedic and Sports Medicine Hospital, P.O. Box No. 29222, Doha, Qatar.
| | - Ollie Jay
- Discipline of Exercise and Sport Science, Faculty of Health Sciences, University of Sydney, Lidcombe, NSW, Australia
| | - Juan-Manuel Alonso
- Sports Medicine Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.,Medical and Anti-doping Commission, International Association of Athletics Federations (IAAF), Montecarlo, Monaco
| | - Aaron J Coutts
- Sport and Exercise Discipline Group, University of Technology Sydney (UTS), Sydney, NSW, Australia
| | - Andreas D Flouris
- FAME Laboratory, Department of Physical Education and Sport Science, University of Thessaly, Trikala, Greece
| | - José González-Alonso
- Department of Life Sciences, Centre for Sports Medicine and Human Performance, College of Health and Life Sciences, Brunel University London, Uxbridge, UK
| | - Christophe Hausswirth
- Laboratory of Sport, Expertise and Performance, Research Department, French National Institute of Sport (INSEP), Paris, France
| | - Jason K W Lee
- DSO National Laboratories, Defence Medical and Environmental Research Institute, Singapore, Singapore.,Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - George P Nassis
- National Sports Medicine Programme, Excellence in Football Project, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - Lars Nybo
- Department of Nutrition Exercise and Sport, Section of Human Physiology, University of Copenhagen, Copenhagen, Denmark
| | - Babette M Pluim
- Medical Department, Royal Netherlands Lawn Tennis Association (KNLTB), Amersfoort, The Netherlands
| | - Bart Roelands
- Department of Human Physiology, Vrije Universiteit Brussel, Brussels, Belgium
| | - Michael N Sawka
- School of Applied Physiology, College of Science, Georgia Institute of Technology, Atlanta, GA, USA
| | - Jonathan Wingo
- Department of Kinesiology, University of Alabama, Tuscaloosa, AL, USA
| | - Sébastien Racinais
- Athlete Health and Performance Research Centre, Aspetar Orthopaedic and Sports Medicine Hospital, P.O. Box No. 29222, Doha, Qatar
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49
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Price MJ. Preparation of Paralympic Athletes; Environmental Concerns and Heat Acclimation. Front Physiol 2016; 6:415. [PMID: 26834641 PMCID: PMC4712300 DOI: 10.3389/fphys.2015.00415] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2015] [Accepted: 12/17/2015] [Indexed: 11/13/2022] Open
Affiliation(s)
- Mike J Price
- Faculty of Health and Life Sciences, School of Life Sciences, Applied Biology and Exercise Science Research Centre, Coventry University Coventry, UK
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50
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Souza-Silva AA, Moreira E, de Melo-Marins D, Schöler CM, de Bittencourt PIH, Laitano O. High intensity interval training in the heat enhances exercise-induced lipid peroxidation, but prevents protein oxidation in physically active men. Temperature (Austin) 2015; 3:167-75. [PMID: 27227083 PMCID: PMC4861192 DOI: 10.1080/23328940.2015.1132101] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2015] [Revised: 12/09/2015] [Accepted: 12/10/2015] [Indexed: 11/05/2022] Open
Abstract
Aim. The purpose of this study was to determine the response of circulating markers of lipid and protein oxidation following an incremental test to exhaustion before and after 4 weeks of high-intensity interval training performed in the heat. Methods. To address this question, 16 physically active men (age = 23 ± 2 years; body mass = 73 ± 12 kg; height = 173 ± 6 cm; % body fat = 12.5 ± 6 %; body mass index = 24 ± 4 kg/m2) were allocated into 2 groups: control group (n = 8) performing high-intensity interval training at 22°C, 55% relative humidity and heat group (n = 8) training under 35°C, 55% relative humidity. Both groups performed high-intensity interval training 3 times per week for 4 consecutive weeks, accumulating a total of 12 training sessions. Before and after the completion of 4 weeks of high-intensity interval training, participants performed an incremental cycling test until exhaustion under temperate environment (22°C, 55% relative humidity) where blood samples were collected after the test for determination of exercise-induced changes in oxidative damage biomarkers (thiobarbituric acid reactive species and protein carbonyls). Results. When high-intensity interval training was performed under control conditions, there was an increase in protein carbonyls (p < 0.05) following the incremental test to exhaustion with no changes in thiobarbituric acid reactive species. Conversely, high-intensity interval training performed in high environmental temperature enhanced the incremental exercise-induced increases in thiobarbituric acid reactive species (p < 0.05) with no changes in protein carbonyls. Conclusion. In conclusion, 4 weeks of high-intensity interval training performed in the heat enhances exercise-induced lipid peroxidation, but prevents protein oxidation following a maximal incremental exercise in healthy active men.
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Affiliation(s)
- Ana Angélica Souza-Silva
- College of Physical Education, Federal University of Vale do São Francisco , Petrolina/PE, Brazil
| | - Eduardo Moreira
- College of Physical Education, Federal University of Vale do São Francisco , Petrolina/PE, Brazil
| | - Denise de Melo-Marins
- College of Physical Education, Federal University of Vale do São Francisco , Petrolina/PE, Brazil
| | - Cinthia M Schöler
- Department of Physiology, Federal University of Rio Grande do Sul , Porto Alegre/RS, Brazil
| | | | - Orlando Laitano
- College of Physical Education, Federal University of Vale do São Francisco , Petrolina/PE, Brazil
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