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Schöffl VR, Zimmermann P, Küpper T, Lutter C. Ski Mountaineering-Scientific Knowledge of This New Olympic Sport: A Narrative Review. Curr Sports Med Rep 2023; 22:61-66. [PMID: 36757125 DOI: 10.1249/jsr.0000000000001038] [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: 02/10/2023]
Abstract
ABSTRACT Ski mountaineering (skimo) has been accepted as a new sport for the 2026 Milan-Cortina Olympics. The equipment used in this competitive ski mountaineering varies from leisure ski mountaineering equipment mainly in one point: the minimal weight. At the elite athlete level, skimo demands both maximal endurance performance and a high-intensity anaerobic capacity for the sprint and vertical races. Race time significantly correlates to V˙O2max, body mass index and racing gear mass. Available literature only rarely comments on competitive skimo injuries. Injuries are not only due to falls in downhill skiing but also can result from external hazards, such as avalanches and cold. The high training load of athletes in combination with a low body weight, low body fat, and exposure to cold cause high rates of respiratory infections in athletes. The inclusion of skimo into the Olympic program is expected to result in certain changes, such as higher training loads for the athletes and increased scientific interest into training methods.
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Affiliation(s)
| | | | - Thomas Küpper
- Institute of Occupational & Social Medicine, RWTH Aachen Technical University, Aachen, FRG, GERMANY
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Zimmermann P, Eckstein ML, Moser O, Schöffl I, Zimmermann L, Schöffl V. Left Ventricular, Left Atrial and Right Ventricular Strain Modifications after Maximal Exercise in Elite Ski-Mountaineering Athletes: A Feasibility Speckle Tracking Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13153. [PMID: 36293734 PMCID: PMC9603167 DOI: 10.3390/ijerph192013153] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 10/03/2022] [Accepted: 10/10/2022] [Indexed: 06/16/2023]
Abstract
Eleven world elite ski-mountaineering (Ski-Mo) athletes were evaluated for pronounced echocardiographic physiological remodeling as the primary aim of our feasibility speckle tracking study. In this context, sports-related cardiac remodeling was analyzed by performing two-dimensional echocardiography, including speckle tracking analysis of the left atrium (LA), right ventricle (RV) and left ventricular (LV) global longitudinal strain (LV-GLS) at rest and post-peak performance. The feasibility echocardiographic speckle tracking analysis was performed on eleven elite Ski-Mo athletes, which were obtained in 2022 during the annual medical examination. The obtained data of the professional Ski-Mo athletes (11 athletes, age: 18-26 years) were compared for different echocardiographic parameters at rest and post-exercise. Significant differences were found for LV-GLS mean (p = 0.0036) and phasic LA conduit strain pattern at rest and post-exercise (p = 0.0033). Furthermore, negative correlation between LV mass and LV-GLS (p = 0.0195, r = -0.69) and LV mass Index and LV-GLS (p = 0.0253, r = -0.66) at rest were elucidated. This descriptive reporting provided, for the first time, a sport-specific dynamic remodeling of an entire elite national team of the Ski-Mo athlete's left heart and elucidated differences in the dynamic deformation pattern of the left heart.
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Affiliation(s)
- Paul Zimmermann
- Department of Cardiology, Klinikum Bamberg, 96049 Bamberg, Germany
- Interdisciplinary Center of Sportsmedicine Bamberg, Klinikum Bamberg, 96049 Bamberg, Germany
- Division of Exercise Physiology and Metabolism, BaySpo-Bayreuth Center of Sport Science, University of Bayreuth, 95440 Bayreuth, Germany
| | - Max L. Eckstein
- Division of Exercise Physiology and Metabolism, BaySpo-Bayreuth Center of Sport Science, University of Bayreuth, 95440 Bayreuth, Germany
| | - Othmar Moser
- Division of Exercise Physiology and Metabolism, BaySpo-Bayreuth Center of Sport Science, University of Bayreuth, 95440 Bayreuth, Germany
| | - Isabelle Schöffl
- Interdisciplinary Center of Sportsmedicine Bamberg, Klinikum Bamberg, 96049 Bamberg, Germany
- Department of Pediatric Cardiology, Friedrich-Alexander-University Erlangen-Nurnberg, 91054 Erlangen, Germany
- School of Clinical and Applied Sciences, Leeds Beckett University, Leeds LS1 3HE, UK
| | - Lukas Zimmermann
- Interdisciplinary Center of Sportsmedicine Bamberg, Klinikum Bamberg, 96049 Bamberg, Germany
| | - Volker Schöffl
- Interdisciplinary Center of Sportsmedicine Bamberg, Klinikum Bamberg, 96049 Bamberg, Germany
- School of Clinical and Applied Sciences, Leeds Beckett University, Leeds LS1 3HE, UK
- Department of Orthopedic and Trauma Surgery, Friedrich-Alexander-University Erlangen-Nurnberg, 91054 Erlangen, Germany
- Department of Orthopedic and Trauma Surgery, Klinikum Bamberg, 96049 Bamberg, Germany
- Section of Wilderness Medicine, Department of Emergency Medicine at the University of Colorado School of Medicine, Denver, CO 80045, USA
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Fullerton ZS, McNair BD, Marcello NA, Schmitt EE, Bruns DR. Exposure to High Altitude Promotes Loss of Muscle Mass That Is Not Rescued by Metformin. High Alt Med Biol 2022; 23:215-222. [PMID: 35653735 PMCID: PMC9526469 DOI: 10.1089/ham.2022.0015] [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: 01/31/2022] [Accepted: 04/22/2022] [Indexed: 11/12/2022] Open
Abstract
Fullerton, Zackery S., Benjamin D. McNair, Nicholas A. Marcello, Emily E. Schmitt, and Danielle R. Bruns. Exposure to high altitude promotes loss of muscle mass that is not rescued by metformin. High Alt Med Biol. 23:215-222, 2022. Background: Exposure to high altitude (HA) causes muscle atrophy. Few therapeutic interventions attenuate muscle atrophy; however, the diabetic drug, metformin (Met), has been suggested as a potential therapeutic to preserve muscle mass with aging and obesity-related atrophy. The purpose of the present study was to test the hypothesis that HA would induce muscle atrophy that could be attenuated by Met. Methods: C57Bl6 male and female mice were exposed to simulated HA (∼5,200 m) for 4 weeks, while control (Con) mice remained at resident altitude (∼2,180 m). Met was administered in drinking water at 200 mg/(kg·day). We assessed muscle mass, myocyte cell size, muscle and body composition, and expression of molecular mediators of atrophy. Results: Mice exposed to HA were leaner and had a smaller hind limb complex (HLC) mass than Con mice. Loss of HLC mass and myocyte size were not attenuated by Met. Molecular markers for muscle atrophy were activated at HA in a sex-dependent manner. While the atrophic regulator, atrogin, was unchanged at HA or with Met, myostatin expression was upregulated at HA. In female mice, Met further stimulated myostatin expression. Conclusions: Although HA exposure resulted in loss of muscle mass, particularly in male mice, Met did not attenuate muscle atrophy. Identification of other interventions to preserve muscle mass during ascent to HA is warranted.
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Affiliation(s)
- Zackery S. Fullerton
- Division of Kinesiology and Health, University of Wyoming, Laramie, Wyoming, USA
| | - Benjamin D. McNair
- Division of Kinesiology and Health, University of Wyoming, Laramie, Wyoming, USA
| | - Nicholas A. Marcello
- Division of Kinesiology and Health, University of Wyoming, Laramie, Wyoming, USA
| | - Emily E. Schmitt
- Division of Kinesiology and Health, University of Wyoming, Laramie, Wyoming, USA
- Wyoming WWAMI Medical Education, Laramie, Wyoming, USA
| | - Danielle R. Bruns
- Division of Kinesiology and Health, University of Wyoming, Laramie, Wyoming, USA
- Wyoming WWAMI Medical Education, Laramie, Wyoming, USA
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Lasshofer M, Seifert J, Wörndle AM, Stöggl T. Heel riser height and slope gradient influence the kinematics and kinetics of ski mountaineering—A laboratory study. Front Sports Act Living 2022; 4:886025. [PMID: 36060627 PMCID: PMC9433713 DOI: 10.3389/fspor.2022.886025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Accepted: 07/29/2022] [Indexed: 11/13/2022] Open
Abstract
In ski mountaineering, equipment and its interaction with the exercising human plays an important role. The binding, as the crucial connection between boot and ski, must ensure safe fixation during downhill skiing and a free moving heel when walking uphill. Uphill, the binding offers the possibility to adopt the height of the heel (riser height) to personal preferences and the steepness of the ascent. This possible adjustment and its influence on various biomechanical parameters are the focus of this work. For this study, 19 male leisure ski mountaineers were tested on a treadmill, ascending at a fixed submaximal speed (3.9 ± 0.4 km·h−1) at 8, 16, and 24% gradient and with three heel riser heights, low (0 cm), medium (3.0 cm) and high (5.3 cm). The applied biomechanical measurement systems included a 3D motion capture system in sagittal plane, pressure insoles, a with strain gauges instrumented pole, spirometry and a comfort scale. Step length and step frequency were influenced by the riser height and the gradient (p ≤ 0.001). The high riser height decreased the step length by 5% compared to the low riser height over all tested gradients, while steps were 9.2% longer at the 24% gradient compared to the 8% gradient over all three riser heights. The high riser height revealed a force impulse of the pole 13% lower than using the low riser height (p < 0.001). Additionally, the high riser height reduced the range of motion of the knee joint and the ankle joint compared to the low riser height (p < 0.001). Therefore, advantageous settings can be derived, with the low riser height creating proper range of motion for ankle, knee and hip joint and higher propulsion via the pole at 8%, while higher riser heights like the medium setting do so at steeper gradients. These findings are in line with the conducted comfort scale. We would not recommend the highest riser height for the analyzed gradients in this study, but it might be an appropriate choice for higher gradients.
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Affiliation(s)
- Michael Lasshofer
- Department of Sport and Exercise Science, University of Salzburg, Hallein, Austria
- *Correspondence: Michael Lasshofer
| | - John Seifert
- Department of Sport and Exercise Science, University of Salzburg, Hallein, Austria
- Department of Health & Human Development, Montana State University, Bozeman, MT, United States
| | - Anna-Maria Wörndle
- Department of Sport and Exercise Science, University of Salzburg, Hallein, Austria
| | - Thomas Stöggl
- Department of Sport and Exercise Science, University of Salzburg, Hallein, Austria
- Red Bull Athlete Performance Center, Salzburg, Austria
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Bortolan L, Savoldelli A, Pellegrini B, Modena R, Sacchi M, Holmberg HC, Supej M. Ski Mountaineering: Perspectives on a Novel Sport to Be Introduced at the 2026 Winter Olympic Games. Front Physiol 2021; 12:737249. [PMID: 34744777 PMCID: PMC8566874 DOI: 10.3389/fphys.2021.737249] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Accepted: 09/20/2021] [Indexed: 11/13/2022] Open
Abstract
Ski mountaineering is a rapidly growing winter sport that involves alternately climbing and descending slopes and various racing formats that differ in length and total vertical gain, as well as their distribution of downhill and uphill sections. In recent years, both participation in and media coverage of this sport have increased dramatically, contributing, at least in part, to its inclusion in the 2026 Winter Olympics in Milano-Cortina. Here, our aim has been to briefly describe the major characteristics of ski mountaineering, its physiological and biomechanical demands, equipment, and training/testing, as well as to provide some future perspectives. Despite its popularity, research on this discipline is scarce, but some general characteristics are already emerging. Pronounced aerobic capacity is an important requirement for success, as demonstrated by positive correlations between racing time and maximal oxygen uptake and oxygen uptake at the second ventilatory threshold. Moreover, due to the considerable mechanical work against gravity on demanding uphill terrain, the combined weight of the athlete and equipment is inversely correlated with performance, prompting the development of both lighter and better equipment in recent decades. In ski mountaineering, velocity uphill is achieved primarily by more frequent (rather than longer) strides due primarily to high resistive forces. The use of wearable technologies, designed specifically for analysis in the field (including at elevated altitudes and cold temperatures) and more extensive collaboration between researchers, industrial actors, and coaches/athletes, could further improve the development of this sport.
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Affiliation(s)
- Lorenzo Bortolan
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.,CeRiSM, Sport Mountain and Health Research Centre, University of Verona, Rovereto, Italy
| | - Aldo Savoldelli
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.,CeRiSM, Sport Mountain and Health Research Centre, University of Verona, Rovereto, Italy
| | - Barbara Pellegrini
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.,CeRiSM, Sport Mountain and Health Research Centre, University of Verona, Rovereto, Italy
| | - Roberto Modena
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.,CeRiSM, Sport Mountain and Health Research Centre, University of Verona, Rovereto, Italy
| | | | | | - Matej Supej
- Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia
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Lasshofer M, Seifert J, Wörndle AM, Stöggl T. Physiological Responses and Predictors of Performance in a Simulated Competitive Ski Mountaineering Race. JOURNAL OF SPORTS SCIENCE AND MEDICINE 2021; 20:250-257. [PMID: 34211317 DOI: 10.52082/jssm.2021.250] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Accepted: 02/22/2021] [Indexed: 11/24/2022]
Abstract
Competitive ski mountaineering (SKIMO) has achieved great popularity within the past years. However, knowledge about the predictors of performance and physiological response to SKIMO racing is limited. Therefore, 21 male SKIMO athletes split into two performance groups (elite: VO2max 71.2 ± 6.8 ml· min-1· kg-1 vs. sub-elite: 62.5 ± 4.7 ml· min-1· kg-1) were tested and analysed during a vertical SKIMO race simulation (523 m elevation gain) and in a laboratory SKIMO specific ramp test. In both cases, oxygen consumption (VO2), heart rate (HR), blood lactate and cycle characteristics were measured. During the race simulation, the elite athletes were approximately 5 min faster compared with the sub-elite (27:15 ± 1:16 min; 32:31 ± 2:13 min; p < 0.001). VO2 was higher for elite athletes during the race simulation (p = 0.046) and in the laboratory test at ventilatory threshold 2 (p = 0.005) and at maximum VO2 (p = 0.003). Laboratory maximum power output is displayed as treadmill speed and was higher for elite than sub-elite athletes (7.4 ± 0.3 km h-1; 6.6 ± 0.3 km h-1; p < 0.001). Lactate values were higher in the laboratory maximum ramp test than in the race simulation (p < 0.001). Pearson's correlation coefficient between race time and performance parameters was highest for velocity and VO2 related parameters during the laboratory test (r > 0.6). Elite athletes showed their superiority in the race simulation as well as during the maximum ramp test. While HR analysis revealed a similar strain to both cohorts in both tests, the superiority can be explainable by higher VO2 and power output. To further push the performance of SKIMO athletes, the development of named factors like power output at maximum and ventilatory threshold 2 seems crucial.
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Affiliation(s)
- Michael Lasshofer
- Department of Sport and Exercise Science, University of Salzburg, Hallein/Rif, Austria
| | - John Seifert
- Department of Sport and Exercise Science, University of Salzburg, Hallein/Rif, Austria.,Department of Health & Human Development, Montana State University, Bozeman, MT, USA
| | - Anna-Maria Wörndle
- Department of Sport and Exercise Science, University of Salzburg, Hallein/Rif, Austria
| | - Thomas Stöggl
- Department of Sport and Exercise Science, University of Salzburg, Hallein/Rif, Austria.,Red Bull Athlete Performance Center, Salzburg, Austria
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