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Stankiewicz B, Mieszkowski J, Kochanowicz A, Brzezińska P, Niespodziński B, Kowalik T, Waldziński T, Kowalski K, Borkowska A, Reczkowicz J, Daniłowicz-Szymanowicz L, Antosiewicz J. Effect of Single High-Dose Vitamin D 3 Supplementation on Post-Ultra Mountain Running Heart Damage and Iron Metabolism Changes: A Double-Blind Randomized Controlled Trial. Nutrients 2024; 16:2479. [PMID: 39125358 PMCID: PMC11313756 DOI: 10.3390/nu16152479] [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: 07/10/2024] [Revised: 07/24/2024] [Accepted: 07/26/2024] [Indexed: 08/12/2024] Open
Abstract
Exercise-induced inflammation can influence iron metabolism. Conversely, the effects of vitamin D3, which possesses anti-inflammatory properties, on ultramarathon-induced heart damage and changes in iron metabolism have not been investigated. Thirty-five healthy long-distance semi-amateur runners were divided into two groups: one group received 150,000 IU of vitamin D3 24 h prior to a race (n = 16), while the other group received a placebo (n = 19). Serum iron, hepcidin (HPC), ferritin (FER), erythroferrone (ERFE), erythropoietin (EPO), neopterin (NPT), and cardiac troponin T (cTnT) levels were assessed. A considerable effect of ultramarathon running on all examined biochemical markers was observed, with a significant rise in serum levels of ERFE, EPO, HPC, NPT, and cTnT detected immediately post-race, irrespective of the group factor. Vitamin D3 supplementation showed a notable interaction with the UM, specifically in EPO and cTnT, with no other additional changes in the other analysed markers. In addition to the correlation between baseline FER and post-run ERFE, HPC was modified by vitamin D. The ultramarathon significantly influenced the EPO/ERFE/HPC axis; however, a single substantial dose of vitamin D3 had an effect only on EPO, which was associated with the lower heart damage marker cTnT after the run.
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Affiliation(s)
- Błażej Stankiewicz
- Department of Theory and Methodology of Physical Education and Sport, Faculty of Health Sciences and Physical Education, Kazimierz Wielki University, 85-064 Bydgoszcz, Poland; (B.S.); (T.K.)
| | - Jan Mieszkowski
- Department of Gymnastics and Dance, Gdańsk University of Physical Education and Sport, 80-336 Gdańsk, Poland; (A.K.); (P.B.)
- Faculty of Physical Education and Sport, Charles University, 16-252 Prague, Czech Republic
| | - Andrzej Kochanowicz
- Department of Gymnastics and Dance, Gdańsk University of Physical Education and Sport, 80-336 Gdańsk, Poland; (A.K.); (P.B.)
| | - Paulina Brzezińska
- Department of Gymnastics and Dance, Gdańsk University of Physical Education and Sport, 80-336 Gdańsk, Poland; (A.K.); (P.B.)
| | - Bartłomiej Niespodziński
- Department of Biological Foundations of Physical Education, Faculty of Health Sciences and Physical Education, Kazimierz Wielki University, 85-064 Bydgoszcz, Poland;
| | - Tomasz Kowalik
- Department of Theory and Methodology of Physical Education and Sport, Faculty of Health Sciences and Physical Education, Kazimierz Wielki University, 85-064 Bydgoszcz, Poland; (B.S.); (T.K.)
| | - Tomasz Waldziński
- Faculty of Health Sciences, University of Lomza, 18-400 Łomża, Poland;
| | - Konrad Kowalski
- Department of Bioenergetics and Physiology of Exercise, Medical University of Gdańsk, 80-211 Gdańsk, Poland; (K.K.); (A.B.); (J.R.)
| | - Andżelika Borkowska
- Department of Bioenergetics and Physiology of Exercise, Medical University of Gdańsk, 80-211 Gdańsk, Poland; (K.K.); (A.B.); (J.R.)
| | - Joanna Reczkowicz
- Department of Bioenergetics and Physiology of Exercise, Medical University of Gdańsk, 80-211 Gdańsk, Poland; (K.K.); (A.B.); (J.R.)
| | | | - Jędrzej Antosiewicz
- Department of Bioenergetics and Physiology of Exercise, Medical University of Gdańsk, 80-211 Gdańsk, Poland; (K.K.); (A.B.); (J.R.)
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Grainger A, Comfort P, Twist C, Heffernan SM, Tarantino G. Real-World Fatigue Testing in Professional Rugby Union: A Systematic Review and Meta-analysis. Sports Med 2024; 54:855-874. [PMID: 38114782 DOI: 10.1007/s40279-023-01973-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/12/2023] [Indexed: 12/21/2023]
Abstract
BACKGROUND Professional rugby union is a high-intensity contact sport with position-specific high training and match volumes across a season that may lead to periods of fatigue if above a typically experienced threshold. This study assesses the influence of match play and/or training on fatigue levels in rugby union players. OBJECTIVE We aimed to perform a systematic review and meta-analysis of measures used to assess fatigue status in male professional rugby union players. METHODS Using electronic databases (PubMed, SPORTDiscus, Web of Science, Cochrane Library, EMBASE, and MEDLINE), a systematic review of fatigue testing in rugby union was conducted on (1) neuromuscular, (2) subjective self-report, (3) biochemical, and (4) heart rate-derived measures. RESULTS Thirty-seven articles were included in this systematic review, of which 14 were further included in a meta-analysis. The results of the meta-analysis revealed small, yet not significant, decreases in countermovement jump height immediately after (effect size [ES] = - 0.29; 95% confidence interval [CI] - 0.64 to 0.06), 24 h (ES = - 0.43; 95% CI - 3.99 to 3.21), and 48 h (ES = - 0.22; 95% CI - 0.47 to 0.02) after exposure to rugby union match play or training. Reported wellness (ES = - 0.33; 95% CI - 1.70 to 1.04) and tiredness (ES = - 0.14; 95% CI - 1.30 to 1.03) declined over a period of a few weeks (however, the results were not-statistically significant), meanwhile muscle soreness increased (ES = 0.91; 95% CI 0.06 to 1.75) within the 96 h after the exposure to rugby union match play or training. Finally, while cortisol levels (ES = 1.87; 95% CI - 1.54 to 5.29) increased, testosterone declined (ES = - 1.54; 95% CI - 7.16 to 4.08) within the 24 h after the exposure. However, these results were not statistically significant. CONCLUSIONS Subjective measures of muscle soreness can be used to assess fatigue after match play and training in rugby union players. Within-study and between-study variability for countermovement jump height, biochemical markers, and heart rate-derived measures means the utility (practical application) of these measures to assess fatigue in professional rugby union players after matches and training is unclear. CLINICAL TRIAL REGISTRATION PROSPERO ID: CRD42020216706.
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Affiliation(s)
- Adam Grainger
- Kitman Labs, Dublin, Ireland.
- Institute of Sport and Health, University College Dublin, Dublin, Ireland.
| | - Paul Comfort
- University of Salford, Salford, Greater Manchester, UK
- Edith Cowan University, Joondalup, WA, Australia
| | - Craig Twist
- Research Institute of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK
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Borchers J, Merle CL, Schöneborn DD, Lyko LR, Thouet T, Wolfarth B, Kottmann T, Scheibenbogen C, Zimmer J, Diederich S, Bauer K, Sack U, Schmalz G, Ziebolz D, Wüstenfeld J. Salivary Diagnostic for Monitoring Strenuous Exercise-A Pilot Study in a Cohort of Male Ultramarathon Runners. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16110. [PMID: 36498185 PMCID: PMC9737684 DOI: 10.3390/ijerph192316110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Revised: 11/22/2022] [Accepted: 11/24/2022] [Indexed: 06/17/2023]
Abstract
Intense physical stress, such as that in ultramarathon running, affects the immune system. For monitoring in sports medicine, non-invasive methods, e.g., salivary analysis, are of interest. This pilot cohort study aimed to assess changes in salivary parameters in response to an ultramarathon. The results were compared to blood parameters. Male, healthy finishers (n = 9, mean age: 48 ± 8.8 years, mean height: 1.8 ± 0.1 m, mean weight: 72.5 ± 7.2 kg, mean BMI: 23.5 ± 1.9 kg/cm²) of a 160 km ultramarathon were included. Saliva and blood samples were collected at three time points: T1 (baseline), T2 (shortly after the ultramarathon) and T3 (after recovery). In saliva, cortisol, testosterone, IL-1β, IL-6, IL-8, IL-10, TNF-α, albumin, IgA, α-amylase, aMMP-8, and neopterin were assessed via ELISA. In blood, cortisol, testosterone, IL-1β, IL-6, IL-8, IL-10, TNF-α, blood cell counts, procalcitonin, CRP, osmolality, albumin, and α-amylase were analyzed. The statistical evaluation comprised longitudinal testing and cross-sectional testing between saliva and blood using ratios of T2 and T3 to baseline values. Various parameters in saliva and blood changed in response to the ultramarathon. Comparing blood and saliva, the longitudinal changes of testosterone (p = 0.02) and α-amylase (p = 0.03) differed significantly. Despite the limitations of the study, it underlines that saliva is an interesting option for comprehensive monitoring in sports medicine and necessitates further studies.
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Affiliation(s)
- Josephin Borchers
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany
| | - Cordula Leonie Merle
- Department of Prosthetic Dentistry, UKR University Hospital Regensburg, 93053 Regensburg, Germany
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany
| | | | - Lea Ronja Lyko
- Department of Sports Medicine, Charité University Medicine, 10115 Berlin, Germany
| | - Thomas Thouet
- Department of Sports Medicine, Charité University Medicine, 10115 Berlin, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Charité University Medicine, 10115 Berlin, Germany
- Department of Sports Medicine, Institute for Applied Scientific Training, 04109 Leipzig, Germany
- Institute of Sports Science, Humboldt University, 10115 Berlin, Germany
| | | | - Carmen Scheibenbogen
- Institute for Medical Immunology, Charité University Medicine, 13353 Berlin, Germany
| | - Jeannot Zimmer
- SYNLAB Medizinisches Versorgungszentrum Berlin GmbH, 10828 Berlin, Germany
| | | | - Katrin Bauer
- Institute of Clinical Immunology, Medical Faculty, University of Leipzig, 04103 Leipzig, Germany
| | - Ulrich Sack
- Institute of Clinical Immunology, Medical Faculty, University of Leipzig, 04103 Leipzig, Germany
| | - Gerhard Schmalz
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany
| | - Dirk Ziebolz
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany
| | - Jan Wüstenfeld
- Department of Sports Medicine, Charité University Medicine, 10115 Berlin, Germany
- Department of Sports Medicine, Institute for Applied Scientific Training, 04109 Leipzig, Germany
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Ovchinnikov AN, Paoli A, Seleznev VV, Deryugina AV. Measurement of Lipid Peroxidation Products and Creatine Kinase in Blood Plasma and Saliva of Athletes at Rest and following Exercise. J Clin Med 2022; 11:jcm11113098. [PMID: 35683484 PMCID: PMC9181342 DOI: 10.3390/jcm11113098] [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: 04/23/2022] [Revised: 05/22/2022] [Accepted: 05/24/2022] [Indexed: 11/26/2022] Open
Abstract
This study aimed to assess the agreement between quantitative measurements of plasmatic and salivary biomarkers capable of identifying oxidative stress and muscle damage in athletes at rest and following exercise. Thirty-nine high-level athletes participating in track and field (running), swimming or rowing were recruited and assigned to one of three groups depending on the sport. Each athlete group underwent its specific exercise. Blood and saliva samples were collected before and immediately after the exercise. Diene conjugates (DC), triene conjugates (TC), Schiff bases (SB), and creatine kinase (CK) were measured. Comparisons were made using Wilcoxon signed-rank test. Correlation analysis and Bland−Altman method were applied. DC levels were elevated in plasma (p < 0.01) and saliva (p < 0.01) in response to exercise in all three groups, as were the plasmatic (p < 0.01) and salivary (p < 0.01) TC and SB concentrations. CK activity was also significantly higher at postexercise compared to pre-exercise in both plasma (p < 0.01) and saliva (p < 0.01) in all groups. Strong positive correlation between salivary and plasmatic DC (p < 0.001), TC (p < 0.001), SB (p < 0.01), and CK (p < 0.001) was observed at rest and following exercise in each athlete group. The bias calculated for DC, TC, SB, and CK using the Bland−Altman statistics was not significant at both pre-exercise and postexercise in all three groups. The line of equality was within the confidence interval of the mean difference. All of the data points lay within the respective agreement limits. Salivary concentrations of DC, TC, SB, and CK are able to reliably reflect their plasma levels.
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Affiliation(s)
- Aleksandr N. Ovchinnikov
- Department of Sports Medicine and Psychology, Lobachevsky University, 603022 Nizhny Novgorod, Russia
- Laboratory of Integral Human Health, Lobachevsky University, 603022 Nizhny Novgorod, Russia; (A.P.); (A.V.D.)
- Correspondence:
| | - Antonio Paoli
- Laboratory of Integral Human Health, Lobachevsky University, 603022 Nizhny Novgorod, Russia; (A.P.); (A.V.D.)
- Department of Biomedical Sciences, University of Padova, 35122 Padova, Italy
| | - Vladislav V. Seleznev
- Department of Theory and Methodology of Sport Training, Lobachevsky University, 603022 Nizhny Novgorod, Russia;
| | - Anna V. Deryugina
- Laboratory of Integral Human Health, Lobachevsky University, 603022 Nizhny Novgorod, Russia; (A.P.); (A.V.D.)
- Department of Physiology and Anatomy, Lobachevsky University, 603022 Nizhny Novgorod, Russia
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Dudko GA, Dikunec MA, Virjus ED, Krjuchkov AC. Alternative and promising targets of biochemical analysis in sport (review of literature). Klin Lab Diagn 2021; 66:655-660. [PMID: 34882349 DOI: 10.51620/0869-2084-2021-66-11-655-660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Current literature review provides an evaluation of advantages and limitations of biochemical control objects representing functional state of athletes as well as the outlook for using alternative targets regarding sports medicine. Traditionally, invasive procedures (venous blood collection, muscle biopsy) have been known as the gold standard for analyzing a wide range of biomarkers which could be employed as effective diagnostic tools to control the course of adaptation processes, monitor performance, overtraining and physical well-being of athletes, but these techniques are painful, time-consuming and place demands on storage and shipment. In this behalf finding an alternative objects for biochemical research that does not have disadvantages given above is the question of present interest. Saliva and dry blood spots (DBS) could serve as equally informative and promising targets for monitoring athletes' condition. The non-invasive nature of saliva collection allows to shorten sample collection time, reduce stress hormones levels and possible infection contamination. Moreover, collecting saliva process does not require special equipment and trained medical staff which is particularly important when athletes are at training camps. The DBS method has successfully proven itself with regard to neonatal screening and pharmacokinetics studies. Its key benefits are simplicity, small volume of bioliquid, enhanced stability of adsorbed biomarkers on the card surface, lack of special storage and transportation requirements and low costs for samples shipment to the laboratory. Taken together outlined advantages will provide the opportunity to increase the frequency of biomaterial collection to perform selective observation of training loads effects on various systems of athletes' body. The combination of DBS with immunochemical and mass-spectrometric approaches could serve as an efficient instrument to investigate the role of various biomarkers in monitoring the functional state of athletes. We searched for articles in MedLine database with the key words «dry blood spots», «saliva», «sports medicine», «sample collection», «sports biochemistry».
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Affiliation(s)
| | - M A Dikunec
- Federal science center for physical culture and sport
| | - E D Virjus
- The institute of general pathology and pathophysiology
| | - A C Krjuchkov
- Federal science center for physical culture and sport
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Rico-González M, Clemente FM, Oliveira R, Bustamante-Hernández N, Pino-Ortega J. Part I: Relationship among Training Load Management, Salivary Immunoglobulin A, and Upper Respiratory Tract Infection in Team Sport: A Systematic Review. Healthcare (Basel) 2021; 9:366. [PMID: 33805186 PMCID: PMC8064383 DOI: 10.3390/healthcare9040366] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Revised: 03/19/2021] [Accepted: 03/21/2021] [Indexed: 01/25/2023] Open
Abstract
Immunoglobulin A (IgA), which is the first line of defense against upper respiratory tract viruses, has been related with training load management. This article aimed to systematically identify and summarize (1) the studies that have found a relationship between training load and salivary IgA in team sports, and (2) the studies that have highlighted a relationship between IgA and upper respiratory tract infection (URTI) in team sports. A systematic review of relevant articles was carried out using two electronic databases (PubMed and WoK) until 3 October 2020. From a total of 174 studies initially found, 24 were included in the qualitative synthesis. This systematic review confirmed that lower values of IgA occurred after greater training load (intensity/volume) and congested periods. In this scenario, a low level of IgA was correlated with higher URTI, which makes training load management mandatory to healthcare avoiding immunosuppression. Therefore, physical fitness and conditioning coaches should carefully manage training load progression, avoiding high-intensity sessions in two consecutive days. In addition, they should not program high-intensity training sessions during at least the two days following competition.
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Affiliation(s)
- Markel Rico-González
- Department of Physical Education and Sport, University of the Basque Country (UPV-EHU), 01007 Vitoria-Gasteiz, Spain
- BIOVETMED & SPORTSCI Research Group, University of Murcia, 30720 San Javier, Spain;
| | - Filipe Manuel Clemente
- Escola Superior Desporto e Lazer, Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal;
- Instituto de Telecomunicações, Delegação da Covilhã, 1049-001 Lisboa, Portugal
| | - Rafael Oliveira
- Sports Science School of Rio Maior, Polytechnic Institute of Santarém, 2140-413 Rio Maior, Portugal;
- Research Centre in Sport Sciences, Health Sciences and Human Development, 5001-801 Vila Real, Portugal
- Life Quality Research Centre, 2140-413 Rio Maior, Portugal
| | - Naia Bustamante-Hernández
- Department of Dental Medicine, Faculty of Medicine and Dentistry, University of Valencia, 46010 Valencia, Spain;
| | - José Pino-Ortega
- BIOVETMED & SPORTSCI Research Group, University of Murcia, 30720 San Javier, Spain;
- Faculty of Sports Sciences, University of Murcia, 30720 San Javier, Spain
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Scheffer DDL, Latini A. Exercise-induced immune system response: Anti-inflammatory status on peripheral and central organs. Biochim Biophys Acta Mol Basis Dis 2020; 1866:165823. [PMID: 32360589 PMCID: PMC7188661 DOI: 10.1016/j.bbadis.2020.165823] [Citation(s) in RCA: 172] [Impact Index Per Article: 43.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2019] [Revised: 04/07/2020] [Accepted: 04/25/2020] [Indexed: 12/13/2022]
Abstract
A wide array of molecular pathways has been investigated during the past decade in order to understand the mechanisms by which the practice of physical exercise promotes neuroprotection and reduces the risk of developing communicable and non-communicable chronic diseases. While a single session of physical exercise may represent a challenge for cell homeostasis, repeated physical exercise sessions will improve immunosurveillance and immunocompetence. Additionally, immune cells from the central nervous system will acquire an anti-inflammatory phenotype, protecting central functions from age-induced cognitive decline. This review highlights the exercise-induced anti-inflammatory effect on the prevention or treatment of common chronic clinical and experimental settings. It also suggests the use of pterins in biological fluids as sensitive biomarkers to follow the anti-inflammatory effect of physical exercise.
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Affiliation(s)
- Débora da Luz Scheffer
- Laboratório de Bioenergética e Estresse Oxidativo, Departamento de Bioquímica, Centro de Ciências Biológicas, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
| | - Alexandra Latini
- Laboratório de Bioenergética e Estresse Oxidativo, Departamento de Bioquímica, Centro de Ciências Biológicas, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil
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Dubois R, Lyons M, Paillard T, Maurelli O, Prioux J. Influence of Weekly Workload on Physical, Biochemical and Psychological Characteristics in Professional Rugby Union Players Over a Competitive Season. J Strength Cond Res 2020; 34:527-545. [PMID: 30074967 DOI: 10.1519/jsc.0000000000002741] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Dubois, R, Lyons, M, Paillard, T, Maurelli, O, and Prioux, J. Influence of weekly workload on physical, biochemical and psychological characteristics in professional rugby union players over a competitive season. J Strength Cond Res 34(2): 527-545, 2020-This study aimed to (a) quantify the physical workload (P-WL) during training and games throughout the professional rugby season and (b) analyze the influence of the season period and weekly-WL, at short (acute) and moderate (chronic) terms, on physical, biochemical, and psychological responses during the season. Physiological (physical and biochemical) responses to P-WL were analyzed by examining changes in the individual Z score of the Yo-Yo intermittent recovery test (YYIRT), submaximal aerobic tests (5'/5'-test), strength tests, countermovement jump tests, blood sampling, and "recovery-stress" scores (RESTq) in 14 professional players (26.9 ± 1.9 years). Changes throughout the season were analyzed using a linear mixed model to identify changes in P-WL, whereas repeated-measures analysis of variance was used to analyze changes in physiological responses across the season. The relationship between P-WL and physiological responses was analyzed using Pearson's correlation coefficient (r). The results showed that the preseason period comprised the highest level of P-WL compared with all other blocks across the season (p < 0.001). The acute P-WL, acute competitive-WL, and number of impacts seemed to be the WL parameters, which most influenced the physiological responses (changes in testosterone [T], cortisol [C], T/C ratio, IGF-1/C ratio, strength, and RESTq index). The chronic P-WL, particularly conditioning-WL, induced positive changes in fitness characteristics (YYIRT and 5'/5'-test). Finally, this study provides information to players and coaches alike as to the influence of P-WL on as well as adaptations in physiological and psychological indices throughout a playing season. This information can greatly inform the training and preparation of future players in different levels.
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Affiliation(s)
- Romain Dubois
- Aboratoire Mouvement, Balance, Performance and Health, EA 4445, Department STAPS, University of Pau and Pays de l'Adour, Tarbes, France.,SASP Club Atletic Briva Corresa Lemosin (CABC), France
| | - Mark Lyons
- Biomechanics Research Unit, Department of Physical Education and Sports Sciences, University of Limerick, Limerick, Ireland
| | - Thierry Paillard
- Aboratoire Mouvement, Balance, Performance and Health, EA 4445, Department STAPS, University of Pau and Pays de l'Adour, Tarbes, France
| | - Olivier Maurelli
- Exercise Physiology and Rehabilitation Laboratory (EA-3300: APERE), Picardie Jules Verne University, Amiens, France; and
| | - Jacques Prioux
- Movement, Sport and Health Laboratory (EA 1274), UFR APS, University of Rennes 2, Rennes, France
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Tiernan C, Lyons M, Comyns T, Nevill AM, Warrington G. Investigation of the Relationship Between Salivary Cortisol, Training Load, and Subjective Markers of Recovery in Elite Rugby Union Players. Int J Sports Physiol Perform 2020; 15:113-118. [PMID: 31034263 DOI: 10.1123/ijspp.2018-0945] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2018] [Accepted: 04/15/2019] [Indexed: 11/18/2022]
Abstract
PURPOSE Insufficient recovery can lead to a decrease in performance and increase the risk of injury and illness. The aim of this study was to evaluate salivary cortisol as a marker of recovery in elite rugby union players. METHOD Over a 10-wk preseason training period, 19 male elite rugby union players provided saliva swabs biweekly (Monday and Friday mornings). Subjective markers of recovery were collected every morning of each training day. Session rating of perceived exertion (sRPE) was taken after every training session, and training load was calculated (sRPE × session duration). RESULTS Multilevel analysis found no significant association between salivary cortisol and training load or subjective markers of recovery (all P > .05) over the training period. Compared with baseline (wk 1), Monday salivary cortisol significantly increased in wk 4 (14.94 [7.73] ng/mL; P = .04), wk 8 (16.39 [9.53] ng/mL; P = .01), and wk 9 (15.41 [9.82] ng/mL; P = .02), and Friday salivary cortisol significantly increased in wk 5 (14.81 [8.74] ng/mL; P = .04) and wk 10 (15.36 [11.30] ng/mL; P = .03). CONCLUSIONS The significant increase in salivary cortisol on certain Mondays may indicate that players did not physically recover from the previous week of training or match at the weekend. The increased Friday cortisol levels and subjective marker of perceived fatigue indicated increased physiological stress from that week's training. Regular monitoring of salivary cortisol combined with appropriate planning of training load may allow sufficient recovery to optimize training performance.
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Franco-Martínez L, Martínez-Subiela S, Cerón JJ, Tecles F, Eckersall PD, Oravcova K, Tvarijonaviciute A. Biomarkers of health and welfare: A One Health perspective from the laboratory side. Res Vet Sci 2019; 128:299-307. [PMID: 31869596 DOI: 10.1016/j.rvsc.2019.12.012] [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] [Received: 05/31/2019] [Revised: 11/22/2019] [Accepted: 12/10/2019] [Indexed: 10/25/2022]
Abstract
A biomarker is any measurement reflecting an interaction between a biological system and a potential hazard, which may be chemical, physical, or biological. The One World, One Health concept established that human and animal health and the environmental state are highly interconnected, sharing common aspects that can be applied globally in these three components. In this paper, we review how the concept of One Health can be applied to biomarkers of health and welfare, with a special focus on five points that can be applied to any biomarker when it is expected to be used to evaluate the human, animal or environmental health. Three of these points are: (1) the different biomarkers that can be used, (2) the different sample types where the biomarkers can be analysed, and (3) the main methods that can be used for their measurement. In addition, we will evaluate two key points needed for adequate use of a biomarker in any situation: (4) a proper analytical validation in the sample that it is going to be used, and (5) a correct selection of the biomarker. It is expected that this knowledge will help to have a broader idea about the use of biomarkers of health and welfare and also will contribute to a better and more accurate use of these biomarkers having in mind their One Health perspective.
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Affiliation(s)
- Lorena Franco-Martínez
- Interdisciplinary Laboratory of Clinical Analysis (Interlab-UMU), Veterinary School, Campus of Excellence Mare Nostrum, University of Murcia, Espinardo, 30100 Murcia, Spain.
| | - Silvia Martínez-Subiela
- Interdisciplinary Laboratory of Clinical Analysis (Interlab-UMU), Veterinary School, Campus of Excellence Mare Nostrum, University of Murcia, Espinardo, 30100 Murcia, Spain.
| | - José Joaquín Cerón
- Interdisciplinary Laboratory of Clinical Analysis (Interlab-UMU), Veterinary School, Campus of Excellence Mare Nostrum, University of Murcia, Espinardo, 30100 Murcia, Spain.
| | - Fernando Tecles
- Interdisciplinary Laboratory of Clinical Analysis (Interlab-UMU), Veterinary School, Campus of Excellence Mare Nostrum, University of Murcia, Espinardo, 30100 Murcia, Spain.
| | - Peter David Eckersall
- Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Bearsden Rd, Glasgow G61 1QH, UK.
| | - Katarina Oravcova
- Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Bearsden Rd, Glasgow G61 1QH, UK.
| | - Asta Tvarijonaviciute
- Interdisciplinary Laboratory of Clinical Analysis (Interlab-UMU), Veterinary School, Campus of Excellence Mare Nostrum, University of Murcia, Espinardo, 30100 Murcia, Spain.
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11
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Pterins as Diagnostic Markers of Mechanical and Impact-Induced Trauma: A Systematic Review. J Clin Med 2019; 8:jcm8091383. [PMID: 31484468 PMCID: PMC6780259 DOI: 10.3390/jcm8091383] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2019] [Revised: 08/21/2019] [Accepted: 08/27/2019] [Indexed: 12/18/2022] Open
Abstract
We performed a systematic review of the literature to evaluate pterins as biomarkers of mechanical and impact-induced trauma. MEDLINE and Scopus were searched in March 2019. We included in vivo human studies that measured a pterin in response to mechanical or impact-induced trauma with no underlying prior disease or complication. We included 40 studies with a total of 3829 subjects. Seventy-seven percent of studies measured a significant increase in a pterin, primarily neopterin or total neopterin (neopterin + 7,8-dihydroneopterin). Fifty-one percent of studies measured an increase within 24 h of trauma, while 46% measured increases beyond 48 h. Pterins also showed promise as predictors of post-trauma complications such as sepsis, multi-organ failure and mortality. Exercise-induced trauma and traumatic brain injury caused an immediate increase in neopterin or total neopterin, while patients of multiple trauma had elevated pterin levels that remained above baseline for several days. Pterin concentration changes in response to surgery were variable with patients undergoing cardiac surgery having immediate and sustained pterin increases, while gastrectomy, liver resection or hysterectomy showed no change. This review provides systematic evidence that pterins, in particular neopterin and total neopterin, increase in response to multiple forms of mechanical or impact-induced trauma.
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12
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Troester JC, Duffield R. Monitoring residual 36 h post-match neuromuscular fatigue in rugby union; a role for postural control? Eur J Sport Sci 2019; 19:1312-1319. [PMID: 31032738 DOI: 10.1080/17461391.2019.1606941] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
The present study investigated single-leg balance and landing measures, respectively, at the beginning of a weekly micro-cycle 36 h after a match compared to 48 h rest without any match load. Twenty-seven professional rugby union players performed balance and landing tests on a 1000 Hz force plate across three in-season micro-cycles either with or without match loads in the prior 36 h. Participants were further sub-divided into higher and lower match load groups to investigate changes in balance and landing variables. Differences between rested and 36 h post-match single-leg balance sway velocity were trivial in all cases, except for the higher-load group on the dominant leg, which were possibly impaired 36 h post-match (ES ± 90% CL = 0.68 ± 0.66). Differences between rested and 36 h post-match single-leg landing measures of relative impulse on the non-dominant leg were possibly lower (0.36 ± 0.34), with possible impairment observed on both legs in the higher load group 36 h post-match (0.39 ± 0.33; 0.49 ± 0.42). Differences in landing measures of peak force and time to stabilisation were mainly trivial (ES < 0.20). Postural control measures at 36 h post-match are comparable to a rested state; though impairment of sway velocity on the dominant leg and landing impulse may indicate residual neuromuscular fatigue resulting from increased match exposure.
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Affiliation(s)
- Jordan C Troester
- Sport and Exercise Discipline Group, University of Technology Sydney , Moore Park , Australia.,High Performance Department, NSW Waratahs Rugby , Sydney , Australia
| | - Rob Duffield
- Sport and Exercise Discipline Group, University of Technology Sydney , Moore Park , Australia
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13
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Somerville V, Gill ND, Ross A, Braakhuis A. Upper respiratory illness in different tiers of rugby union. SPORT SCIENCES FOR HEALTH 2018. [DOI: 10.1007/s11332-018-0512-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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14
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Grainger A, McMahon JJ, Comfort P. Assessing the frequency and magnitude of match impacts accrued during an elite rugby union playing season. INT J PERF ANAL SPOR 2018. [DOI: 10.1080/24748668.2018.1496392] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Adam Grainger
- Institute of Sport and Health, Univeristy College Dublin, Dublin, Ireland
| | - John James McMahon
- School of Health Sciences, University of Salford, Greater Manchester, England
| | - Paul Comfort
- School of Health Sciences, University of Salford, Greater Manchester, England
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15
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Neopterin, Inflammation, and Oxidative Stress: What Could We Be Missing? Antioxidants (Basel) 2018; 7:antiox7070080. [PMID: 29949851 PMCID: PMC6071275 DOI: 10.3390/antiox7070080] [Citation(s) in RCA: 51] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2018] [Revised: 06/18/2018] [Accepted: 06/22/2018] [Indexed: 01/17/2023] Open
Abstract
Neopterin has been extensively used as a clinical marker of immune activation during inflammation in a wide range of conditions and stresses. However, the analysis of neopterin alone neglects the cellular reactions that generate it in response to interferon-γ. Neopterin is the oxidation product of 7,8-dihydroneopterin, which is a potent antioxidant generated by interferon-γ-activated macrophages. 7,8-Dihydroneopterin can protect macrophage cells from a range of oxidants through a scavenging reaction that generates either neopterin or dihydroxanthopterin, depending on the oxidant. Therefore, plasma and urinary neopterin levels are dependent on both macrophage activation to generate 7,8-dihydroneopterin and subsequent oxidation to neopterin. This relationship is clearly shown in studies of exercise and impact-induced injury during intense contact sport. Here, we argue that neopterin and total neopterin, which is the combined value of 7,8-dihydroneopterin and neopterin, could provide a more comprehensive analysis of clinical inflammation than neopterin alone.
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16
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Lindsay A, Costello JT. Realising the Potential of Urine and Saliva as Diagnostic Tools in Sport and Exercise Medicine. Sports Med 2018; 47:11-31. [PMID: 27294353 DOI: 10.1007/s40279-016-0558-1] [Citation(s) in RCA: 41] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Accurate monitoring of homeostatic perturbations following various psychophysiological stressors is essential in sports and exercise medicine. Various biomarkers are routinely used as monitoring tools in both clinical and elite sport settings. Blood collection and muscle biopsies, both invasive in nature, are considered the gold standard for the analysis of these biomarkers in exercise science. Exploring non-invasive methods of collecting and analysing biomarkers that are capable of providing accurate information regarding exercise-induced physiological and psychological stress is of obvious practical importance. This review describes the potential benefits, and the limitations, of using saliva and urine to ascertain biomarkers capable of identifying important stressors that are routinely encountered before, during, or after intense or unaccustomed exercise, competition, over-training, and inappropriate recovery. In particular, we focus on urinary and saliva biomarkers that have previously been used to monitor muscle damage, inflammation, cardiovascular stress, oxidative stress, hydration status, and brain distress. Evidence is provided from a range of empirical studies suggesting that urine and saliva are both capable of identifying various stressors. Although additional research regarding the efficacy of using urine and/or saliva to indicate the severity of exercise-induced psychophysiological stress is required, it is likely that these non-invasive biomarkers will represent "the future" in sports and exercise medicine.
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Affiliation(s)
- Angus Lindsay
- Program in Physical Therapy and Rehabilitation Sciences, School of Medicine, University of Minnesota, 420 Delaware Street SE, Minneapolis, MN, 55455, USA.
| | - Joseph T Costello
- Extreme Environments Laboratory, Department of Sport and Exercise Science, University of Portsmouth, Spinnaker Building, Cambridge Road, Portsmouth, PO1 2ER, UK
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17
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Lindsay A, Lewis JG, Gill N, Draper N, Gieseg SP. No relationship exists between urinary NT-proBNP and GPS technology in professional rugby union. J Sci Med Sport 2017; 20:790-794. [PMID: 28169150 DOI: 10.1016/j.jsams.2016.11.017] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2016] [Revised: 11/23/2016] [Accepted: 11/27/2016] [Indexed: 11/25/2022]
Abstract
OBJECTIVES We investigated the level of cardiovascular stress associated with professional rugby union and whether these changes could be explained through external workload systems like GPS and video analysis. DESIGN Urine samples (14 in game one and 13 in game two) were collected from professional rugby players before, immediately post- and 36h post-play in two consecutive games. METHODS Urine was analysed for NT-proBNP by ELISA. Comparison with GPS (player-load and distance covered at specific speed bands) and video analysis (total impacts) were conducted. RESULTS There was a significant increase in urinary NT-proBNP during game one (31.6±5.4 to 53.5±10.8pg/mL) and game two (35.4±3.9 to 49.8±11.7pg/mL) that did not correlate with the number of impacts, total distance covered, distance covered at pre-determined speed bands or player-load. Concentrations returned to pre-game concentrations 36h post-game whilst a large inter-individual variation in NT-proBNP was observed among players (p<0.001). CONCLUSIONS Professional rugby union causes a transient increase in cardiovascular stress that seems to be independent of the external workload characteristics of a player.
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Affiliation(s)
- Angus Lindsay
- Free Radical Biochemistry Laboratory, School of Biological Sciences, University of Canterbury, New Zealand; Department of Rehabilitation Medicine, University of Minnesota, USA.
| | - John G Lewis
- Steroid and Immunobiochemistry Laboratory, Canterbury Health Laboratories, New Zealand
| | - Nicholas Gill
- New Zealand Rugby Union, New Zealand; Sports Performance Research Institute New Zealand, School of Sport and Recreation, Auckland University of Technology, New Zealand
| | - Nick Draper
- College of Life and Natural Sciences, University of Derby, United Kingdom
| | - Steven P Gieseg
- Free Radical Biochemistry Laboratory, School of Biological Sciences, University of Canterbury, New Zealand; Department of Radiology, University of Otago, New Zealand
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18
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Lindsay A, Carr S, Cross S, Petersen C, Lewis JG, Gieseg SP. The physiological response to cold-water immersion following a mixed martial arts training session. Appl Physiol Nutr Metab 2017; 42:529-536. [PMID: 28177718 DOI: 10.1139/apnm-2016-0582] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Combative sport is one of the most physically intense forms of exercise, yet the effect of recovery interventions has been largely unexplored. We investigated the effect of cold-water immersion on structural, inflammatory, and physiological stress biomarkers following a mixed martial arts (MMA) contest preparation training session in comparison with passive recovery. Semiprofessional MMA competitors (n = 15) were randomly assigned to a cold-water immersion (15 min at 10 °C) or passive recovery protocol (ambient air) completed immediately following a contest preparation training session. Markers of muscle damage (urinary myoglobin), inflammation/oxidative stress (urinary neopterin + total neopterin (neopterin + 7,8-dihydroneopterin)), and hypothalamic-pituitary axis (HPA) activation (saliva cortisol) were determined before, immediately after, and 1, 2, and 24 h postsession. Ratings of perceived soreness and fatigue, counter movement jump, and gastrointestinal temperature were also measured. Concentrations of all biomarkers increased significantly (p < 0.05) postsession. Cold water immersion attenuated increases in urinary neopterin (p < 0.05, d = 0.58), total neopterin (p < 0.05, d = 0.89), and saliva cortisol after 2 h (p < 0.05, d = 0.68) and urinary neopterin again at 24 h (p < 0.01, d = 0.57) in comparison with passive recovery. Perceived soreness, fatigue, and gastrointestinal temperatures were also lower for the cold-water immersion group at several time points postsession whilst counter movement jump did not differ. Combative sport athletes who are subjected to impact-induced stress may benefit from immediate cold-water immersion as a simple recovery intervention that reduces delayed onset muscle soreness as well as macrophage and HPA activation whilst not impairing functional performance.
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Affiliation(s)
- Angus Lindsay
- a Program in Physical Therapy, Department of Rehabilitation Medicine, University of Minnesota, Minneapolis, MN, USA
| | - Sam Carr
- b Free Radical Biochemistry Laboratory, School of Biological Sciences, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - Sean Cross
- b Free Radical Biochemistry Laboratory, School of Biological Sciences, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - Carl Petersen
- c School of Health Sciences, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - John G Lewis
- d Steroid and Immunobiochemistry Laboratory, Canterbury Health Laboratories, P.O. Box 151, Christchurch, New Zealand
| | - Steven P Gieseg
- b Free Radical Biochemistry Laboratory, School of Biological Sciences, University of Canterbury, Private Bag 4800, Christchurch, New Zealand.,e Department of Radiology, University of Otago, Christchurch, New Zealand
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D'Ercole S, Tieri M, Martinelli D, Tripodi D. The effect of swimming on oral health status: competitive versus non-competitive athletes. J Appl Oral Sci 2016; 24:107-13. [PMID: 27119757 PMCID: PMC4836916 DOI: 10.1590/1678-775720150324] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2015] [Accepted: 01/19/2016] [Indexed: 11/21/2022] Open
Abstract
Young swimmers are particularly susceptible to the onset of oral diseases.
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Affiliation(s)
- Simonetta D'Ercole
- Department of Medical, Oral, and Biotechnological Sciences, University "G. D'Annunzio", Chieti, Italy
| | - Marco Tieri
- Department of Medical, Oral, and Biotechnological Sciences, University "G. D'Annunzio", Chieti, Italy
| | - Diego Martinelli
- Department of Medical, Oral, and Biotechnological Sciences, University "G. D'Annunzio", Chieti, Italy
| | - Domenico Tripodi
- Department of Medical, Oral, and Biotechnological Sciences, University "G. D'Annunzio", Chieti, Italy
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20
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Lindsay A, Carr S, Draper N, Gieseg SP. Urinary myoglobin quantification by high-performance liquid chromatography: An alternative measurement for exercise-induced muscle damage. Anal Biochem 2015; 491:37-42. [DOI: 10.1016/j.ab.2015.09.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2015] [Revised: 09/01/2015] [Accepted: 09/01/2015] [Indexed: 11/28/2022]
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21
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Lindsay A, Lewis J, Gill N, Gieseg SP, Draper N. Immunity, inflammatory and psychophysiological stress response during a competition of professional rugby union. Pteridines 2015. [DOI: 10.1515/pterid-2015-0012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Neopterin, cortisol and immunoglobulin A were measured to determine what effect a professional rugby competition has on the immunity, inflammatory and psychophysiological stress response. Urine and saliva were collected from 37 professional players at regular intervals throughout a 20 week professional competition. Total neopterin, cortisol and secretory immunoglobulin A were analysed using enzyme linked immunosorbant assay (ELISA) and high performance liquid chromatography (HPLC). All markers did not change significantly when analysed as a group during the course of the season compared to baseline (p>0.05), although long-distance travel had a minor effect on cortisol and secretory immunoglobulin A concentrations (p<0.05). More importantly, a large inter-individual variation for all markers was observed (p<0.001). These results indicate this competition of professional rugby does not cause significant changes in psychophysiological stress. Some players however, may become more susceptible to fatigue and infection during the course of a season as a result of suppressed immunity and sustained activation of the inflammatory response.
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Affiliation(s)
- Angus Lindsay
- Free Radical Biochemistry Laboratory, School of Biological Sciences, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - John Lewis
- Steroid and Immunobiochemistry Laboratory, Canterbury Health Laboratories, Christchurch, New Zealand
| | | | - Steven P. Gieseg
- Free Radical Biochemistry Laboratory, School of Biological Sciences, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - Nick Draper
- College of Life and Natural Sciences, University of Derby, Kedleston Road, Derby, UK
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Lindsay A, Carr S, Othman MI, Marks E, Davies S, Petersen C, Draper N, Gieseg SP. The physiological and mononuclear cell activation response to cryotherapy following a mixed martial arts contest: a pilot study. Pteridines 2015. [DOI: 10.1515/pterid-2015-0010] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Cold water immersion is thought to reduce the inflammatory response to injury. Using cultured mononuclear cells and human subjects in a mixed martial arts (MMA) contest, we examined the effect of cryotherapy on 7,8-dihydroneopterin and neopterin generation. Urine was collected from 10 elite male mixed martial artists before, immediately post and 1, 2, 24 and 48 h following a contest. Myoglobin was analysed by reverse-phase high performance liquid chromatography, and urinary neopterin and total neopterin (neopterin+7,8-dihydroneopterin) were measured by strong cation exchange high-performance liquid chromatography. Cold water immersion and passive recovery were compared using changes in these markers, while cryotherapy tested total neopterin production in γ-interferon and phorbol myristate acetate (PMA)-stimulated blood-derived mononuclear cells (monocytes/T cells). Myoglobin significantly increased (p<0.05) at 1 h post-contest, neopterin significantly increased at 1 and 24 h (p<0.05), total neopterin significantly increased (p<0.05) at 1 h post for the passive group only, and significant individual variation was observed for all markers (p<0.01). Cold water immersion attenuated total neopterin production (p<0.05), while cryotherapy significantly reduced total neopterin production in PMA-stimulated mononuclear cells (p<0.01). Cryotherapy attenuates the post-exercise inflammatory response following an MMA contest. The evidence also suggests that the mechanisms responsible for this may be related to direct immune cell suppression.
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Affiliation(s)
- Angus Lindsay
- Free Radical Biochemistry Laboratory, School of Biological Sciences, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - Sam Carr
- Free Radical Biochemistry Laboratory, School of Biological Sciences, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | | | - Edward Marks
- Free Radical Biochemistry Laboratory, School of Biological Sciences, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - Sian Davies
- Free Radical Biochemistry Laboratory, School of Biological Sciences, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - Carl Petersen
- School of Sport and Physical Education, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - Nick Draper
- College of Life and Natural Sciences, University of Derby, Kedleston Road, Derby, UK
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