1
|
DE Almeida-Neto PF, DA Costa RF, DE Macêdo Cesário T, Aidar FJ, DE Matos DG, Dantas PMS, Cabral BGAT. Fat-Free Mass Index for body composition analysis in pediatric sport: a cross-sectional study. J Sports Med Phys Fitness 2024; 64:160-166. [PMID: 37955930 DOI: 10.23736/s0022-4707.23.15377-1] [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: 11/14/2023]
Abstract
BACKGROUND Analyzing fat free mass (FFM) helps sport professionals during the prescription of sport training for children and adolescents in a sport initiation program. In this way, it is possible to determine fat mass (FM) (FFM subtracted from total body weight) and design interventions to increase FFM and reduce %F, making it possible to maximize performance in relation to the physical demands of sport. However, there is still no reliable anthropometric index to analyze FFM in this population. The aim the present study was to develop the Fat-Free Mass Index (FFMI) for pediatrics of both sexes. METHODS Cross-sectional study with a sample composed of 254 pediatrics (139 males [age: 13.0±2.3] and 115 females [age: 12.5±2.2]), from a sports initiation school. We divided the sample into the groups: 1) development (N.=169); and 2) cross-validation (N.=85). The body composition was analyzed by dual-energy X-ray absorptiometry (DXA), in addition we acquired anthropometric data (height, body weight and hip circumference) for the development of the FFMI - Pediatric (FFMIp). By means of linear regression we tested the predictive power of FFM using DXA as a reference method, then we developed FFMIp and tested its reliability and validity in relation to DXA. RESULTS FFMIp consisted of: -16.679 + (0.615 × body mass (kg)) - (2.601 × sex) + (0.618 × age(years)) - (0.332 × hip(cm)) + (0.278 × stature(cm)), where for sex 0 = male and 1 = female. For the FFM analysis, FFMIp showed no significant difference from DXA (P>0.05). It also showed significant accuracy (Cb>0.960), precision (ρ>0.990) and agreement (CCC>0.960) for both groups (development and cross-validation). CONCLUSIONS Pediatric FFMI proposed by this study proved to be valid for the analysis of fat-free mass in pediatric athletes of sports initiation of both sexes.
Collapse
Affiliation(s)
- Paulo F DE Almeida-Neto
- Department of Physical Education, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil -
- Health Sciences Center, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil -
| | - Roberto F DA Costa
- Department of Physical Education, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil
- Faculty of Health Sciences, Universidad Autónoma de Chile, Santiago, Chile
| | | | - Felipe J Aidar
- Department of Physical Education, Federal University of Sergipe (UFS), São Cristovão, Brazil
- Graduate Program in Master's Level at Department of Physical Education, Federal University of Sergipe (UFS), São Cristovão, Brazil
- Program of Physiological Science, Federal University of Sergipe (UFS), São Cristovão, Brazil
| | - Dihogo G DE Matos
- Cardiovascular and Physiology of Exercise Research Laboratory, Faculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, MB, Canada
| | - Paulo M S Dantas
- Department of Physical Education, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil
- Faculty of Health Sciences, Universidad Autónoma de Chile, Santiago, Chile
| | - Breno G A T Cabral
- Department of Physical Education, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil
- Faculty of Health Sciences, Universidad Autónoma de Chile, Santiago, Chile
| |
Collapse
|
2
|
Bagot S, Pélissier L, Pereira B, Chanséaume Bussiere E, Duclos M, Dulloo A, Miles-Chan J, Charlot K, Boirie Y, Thivel D, Isacco L. Weight regain, body composition, and metabolic responses to weight loss in weight cycling athletes: A systematic review and meta-analyses. Obes Rev 2024; 25:e13658. [PMID: 38096860 DOI: 10.1111/obr.13658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 10/05/2023] [Accepted: 10/07/2023] [Indexed: 01/11/2024]
Abstract
Depending on the nature of their sports, athletes may be engaged in successive weight loss (WL) and regain, conducing to "weight cycling." The aims of this paper were to systematically (and meta-analytically when possible) analyze the post-WL recovery of (i) body weight and (ii) fat mass; fat-free mass; and performance and metabolic responses in weight cycling athletes (18-55 years old, body mass index < 30 kg.m-2 ). MEDLINE, Embase, and SPORTDiscus databases were explored. The quality and risk of bias of the 74 included studies were assessed using the quality assessment tool for quantitative studies. Thirty-two studies were eligible for meta-analyses. Whatever the type of sports or methods used to lose weight, post-WL body weight does not seem affected compared with pre-WL. While similar results are observed for fat-free mass, strength sports athletes (also having longer WL and regain periods) do not seem to fully recover their initial fat mass (ES: -0.39, 95% CI: [-0.77; -0.00], p = 0.048, I2 = 0.0%). Although the methods used by athletes to achieve WL might prevent them from a potential post-WL fat overshooting, further studies are needed to better understand WL episodes consequences on athletes' performance as well as short- and long-term physical, metabolic, and mental health.
Collapse
Affiliation(s)
- Sarah Bagot
- EA 3533, Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), CRNH Auvergne, Clermont Auvergne University, Clermont-Ferrand, France
| | - Léna Pélissier
- EA 3533, Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), CRNH Auvergne, Clermont Auvergne University, Clermont-Ferrand, France
| | - Bruno Pereira
- Unit of Biostatistics (DRCI), University Hospital Centre Clermont-Ferrand, Clermont-Ferrand, France
| | | | - Martine Duclos
- Department of Sport Medicine and Functional Explorations, University Hospital Centre Clermont-Ferrand, Clermont-Ferrand, France
- Faculty of Medicine and Paramedical Professions, National Observatory on Physical Activity and Sedentariness (ONAPS), University of Clermont Auvergne, Clermont-Ferrand, France
- International Research Chair Health in Motion, Clermont Auvergne University Foundation, Clermont-Ferrand, France
| | - Abdul Dulloo
- Department of Medicine/Physiology, University of Fribourg, Fribourg, Switzerland
| | - Jennifer Miles-Chan
- Human Nutrition Unit, School of Biological Sciences, University of Auckland, Auckland, New Zealand
| | - Keyne Charlot
- Institut de recherche biomédicale des armées, Département Environnements Opérationnels, Unité de Physiologie des Exercices et Activités en Conditions Extrêmes, Bretigny-sur-Orge, France
- Exercise Biology Laboratory for Performance and Health (LBEPS), Paris-Saclay University, Evry, France
| | - Yves Boirie
- Department of Human Nutrition, University Hospital Centre Clermont-Ferrand, Clermont-Ferrand, France
| | - David Thivel
- EA 3533, Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), CRNH Auvergne, Clermont Auvergne University, Clermont-Ferrand, France
- Faculty of Medicine and Paramedical Professions, National Observatory on Physical Activity and Sedentariness (ONAPS), University of Clermont Auvergne, Clermont-Ferrand, France
- International Research Chair Health in Motion, Clermont Auvergne University Foundation, Clermont-Ferrand, France
| | - Laurie Isacco
- EA 3533, Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), CRNH Auvergne, Clermont Auvergne University, Clermont-Ferrand, France
| |
Collapse
|
3
|
Maksimovic N, Cvjeticanin O, Rossi C, Manojlovic M, Roklicer R, Bianco A, Carraro A, Sekulic D, Milovancev A, Trivic T, Drid P. Prevalence of metabolic syndrome and its association with rapid weight loss among former elite combat sports athletes in Serbia. BMC Public Health 2024; 24:245. [PMID: 38254092 PMCID: PMC10801998 DOI: 10.1186/s12889-024-17763-z] [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: 10/25/2023] [Accepted: 01/13/2024] [Indexed: 01/24/2024] Open
Abstract
BACKGROUND In terms of the potential influence of rapid weight loss (RWL) on the metabolic health of former combat sports athletes (CSA), the scientific literature is quite scarce. Therefore, the objective of the presented research was to determine the differences in metabolic syndrome (MetS) parameters and the prevalence of MetS between former athletes who performed RWL and athletes who did not. METHODS The sample of the presented study comprised 150 participants from Serbia, equally divided into two groups: 75 former athletes who had practiced combat sports and 75 ex-athletes of various other sports who did not practice RWL during their careers. The following parameters related to the MetS were evaluated: waist circumference, high-density lipoprotein cholesterol, systolic blood pressure, diastolic blood pressure, fasting glucose, and triglycerides. The oral glucose tolerance test (OGTT) was used to assess the participant's body response to sugar. RESULTS The RWL group had significantly higher both systolic (p < 0.001) and diastolic blood pressure (p < 0.001) compared to the group of athletes who did not practice weight reduction during their careers. Additionally, a tendency toward statistically significant differences between groups was recorded in the variable triglycerides (p = 0.069). Regarding OGTT, increased values of fasting blood glucose at the final measurement were revealed only in the RWL group (p = 0.003). The prevalence of MetS was substantially higher in CSA than in the control group (39.5% vs. 16.2%, respectively p = 0.002). CONCLUSIONS This study suggests that former elite CSA who used RWL during their sports career are susceptible to negative metabolic alterations at the end of their competitive period.
Collapse
Affiliation(s)
- Nemanja Maksimovic
- Sport and Exercise Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, Palermo, 90144, Italy
| | - Ognjen Cvjeticanin
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, 21000, Serbia
| | - Carlo Rossi
- Sport and Exercise Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, Palermo, 90144, Italy.
- Centro Medico Di Fisioterapia "Villa Sarina", Alcamo, 91011, Italy.
| | - Marko Manojlovic
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, 21000, Serbia
| | - Roberto Roklicer
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, 21000, Serbia
- Faculty of Education, Free University of Bozen-Bolzano, 39042, Brixen-Bressanone, BZ, Italy
| | - Antonino Bianco
- Sport and Exercise Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, Palermo, 90144, Italy
| | - Attilio Carraro
- Faculty of Education, Free University of Bozen-Bolzano, 39042, Brixen-Bressanone, BZ, Italy
| | - Damir Sekulic
- Faculty of Kinesiology, University of Split, Split, 21000, Croatia
| | - Aleksandra Milovancev
- Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
- Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Serbia
| | - Tatjana Trivic
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, 21000, Serbia
| | - Patrik Drid
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, 21000, Serbia
| |
Collapse
|
4
|
Evans C, Stull C, Sanders G, Ricci A, French D, Antonio J, Peacock CA. Weight cutting in female UFC fighters. J Int Soc Sports Nutr 2023; 20:2247384. [PMID: 37621001 PMCID: PMC10453969 DOI: 10.1080/15502783.2023.2247384] [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: 04/20/2023] [Accepted: 08/06/2023] [Indexed: 08/26/2023] Open
Abstract
BACKGROUND It is common practice for fight sport athletes to use a variety of weight manipulation strategies to compete in desired weight classes. Although numerous studies have highlighted rapid weight loss (RWL) strategies and the magnitude of weight loss, few have focused specifically on weight loss in female fighters. The purpose of this study was to provide descriptive information on professional UFC female fighters engaging in RWL in all women's UFC weight divisions: strawweight (52.2 kg): flyweight (56.7 kg); bantamweight (61.2 kg); featherweight (65.8 kg). METHODS All fighter's weights were obtained at five separate time points: 72 hrs. pre-weigh-in, 48 hrs. pre-weigh-in, 24hrs. pre-weigh-in, official weigh-in, and 24 hrs. post-weigh-in (competition weight). Mixed effects models and random effects analysis were used to assess changes in weight and differences between weight divisions. All statistics were analyzed, and significance was set at p ≤0.05. Significant changes in weight between all time points were reported. RESULTS No statistical differences between weight divisions were observed. Female fighters lost 4.5-6.6% of their weight prior to the official weigh-in. CONCLUSION Females engaged in RWL practices lose weight in a similar fashion irrespective of weight class.
Collapse
Affiliation(s)
- Cassandra Evans
- Nova Southeastern University, Department of Health and Human Performance, Fight Science Lab, Fort Lauderdale, FL, USA
| | | | - Gabriel Sanders
- Northern Kentucky University, Department of Kinesiology and Health, Highland Heights, KY, USA
| | - Anthony Ricci
- Nova Southeastern University, Department of Health and Human Performance, Fight Science Lab, Fort Lauderdale, FL, USA
| | - Duncan French
- UFC Performance Institute, Las Vegas, NV, USA
- Australia Catholic University, School of Health Sciences, Melbourne, Australia
- Edith Cowan University, School of Medical and Health Sciences, Perth, WA, Australia
| | - Jose Antonio
- Nova Southeastern University, Department of Health and Human Performance, Fight Science Lab, Fort Lauderdale, FL, USA
| | - Corey A. Peacock
- Nova Southeastern University, Department of Health and Human Performance, Fight Science Lab, Fort Lauderdale, FL, USA
| |
Collapse
|
5
|
Mathisen TF, Ackland T, Burke LM, Constantini N, Haudum J, Macnaughton LS, Meyer NL, Mountjoy M, Slater G, Sundgot-Borgen J. Best practice recommendations for body composition considerations in sport to reduce health and performance risks: a critical review, original survey and expert opinion by a subgroup of the IOC consensus on Relative Energy Deficiency in Sport (REDs). Br J Sports Med 2023; 57:1148-1158. [PMID: 37752006 DOI: 10.1136/bjsports-2023-106812] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/15/2023] [Indexed: 09/28/2023]
Abstract
BACKGROUND The assessment of body composition (BC) in sport raises concern for athlete health, especially where an overfocus on being lighter or leaner increases the risk of Relative Energy Deficiency in Sport (REDs) and disordered eating. METHODS We undertook a critical review of the effect of BC on performance (29 longitudinal, prospective or intervention studies) and explored current practice related to BC considerations via a follow-up to a 2013 internationally distributed survey. RESULTS The review found that a higher level of body fat was negatively associated with endurance performance, while a gain in muscle mass resulted in performance benefits across sports. BC did not contribute to early talent identification, and no unique cut-off to signify a performance advantage for BC was identified. BC appears to be one of an array of variables impacting performance, and its influence should not be overstated. The survey (125 practitioners, 61 sports and 26 countries) showed subtle changes in BC considerations over time, such as an increased role for sport dietitian/nutrition practitioners as BC measurers (2013: 54%, 2022: 78%); less emphasis on reporting of body fat percentage (2013: 68%, 2022: 46%) and reduced frequency of BC assessment if ≥every fourth week (2013: 18%, 2022: 5%). Respondents remained concerned about a problematic focus on BC (2013: 69%, 2022: 78%). To address these findings, we provide detailed recommendations for BC considerations, including an overview of preferable BC methodology. CONCLUSIONS The 'best practice' guidelines stress the importance of a multidisciplinary athlete health and performance team, and the treatment of BC data as confidential medical information. The guidelines provide a health focus around BC, aiming to reduce the associated burden of disordered eating, problematic low energy availability and REDs.
Collapse
Affiliation(s)
| | - Timothy Ackland
- School of Human Sciences, The University of Western Australia, Perth, Western Australia, Australia
| | - Louise M Burke
- Faculty of Health Sciences, Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia
| | - Naama Constantini
- Sport Medicine, Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel
| | - Judith Haudum
- Department of Sport and Exercise Science, University of Salzburg, Hallein-Rif, Salzburg, Austria
| | | | - Nanna L Meyer
- Department of Human Physiology and Nutrition, University of Colorado Colorado Springs, Colorado Springs, Colorado, USA
| | - Margo Mountjoy
- Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada
- REDs Consensus Writing Group, International Olympic Committee, Lausanne, Switzerland
| | - Gary Slater
- School of Health, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
| | | |
Collapse
|
6
|
Trivic T, Roklicer R, Zenic N, Modric T, Milovancev A, Lukic-Sarkanovic M, Maksimovic N, Bianco A, Carraro A, Drid P. Rapid weight loss can increase the risk of acute kidney injury in wrestlers. BMJ Open Sport Exerc Med 2023; 9:e001617. [PMID: 37397266 PMCID: PMC10314685 DOI: 10.1136/bmjsem-2023-001617] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/19/2023] [Indexed: 07/04/2023] Open
Abstract
Objective Restrictive diets, forced starvation or voluntary weight loss are attracting more and more attention from scientists. Overall trends show that about 80% of combat sports athletes use specific methods of reducing body mass. Rapid weight loss could be a risk factor for kidney-related adverse outcomes. This study aimed to examine the impact of high-intensity specific training combined with rapid weight loss in the first and without rapid weight loss in the second phases on body composition and biochemical markers of kidney function. Methods The study was conducted on 12 male wrestlers. Kidney function markers were measured, including blood urea nitrogen, serum creatinine, uric acid and serum Cystatin-C. Alterations in analysed markers were noted in both phases of the research. Results According to the data, a significant increase was noted in blood urea nitrogen (p=0.002), uric acid (p=0.000) and serum creatinine (p=0.006) during the first phase in comparison with the second phase. The levels of serum Cystatin-C were slightly elevated after both phases compared with the initial measurement. Conclusion It is evident that high-intensity specific training combined with rapid weight loss significantly affects the increase in kidney function markers compared with identical training without rapid weight loss. The findings in this study suggest that rapid body mass reduction is associated with an increased risk of acute kidney injury in wrestlers.
Collapse
Affiliation(s)
- Tatjana Trivic
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | - Roberto Roklicer
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
- Faculty of Education, Free University of Bozen-Bolzano, Bolzano, Italy
| | - Natasa Zenic
- Faculty of Kinesiology, University of Split, Split, Croatia
| | - Toni Modric
- Faculty of Kinesiology, University of Split, Split, Croatia
| | - Aleksandra Milovancev
- Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
- Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Serbia
| | - Mirka Lukic-Sarkanovic
- Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
- Intensive Therapy and Pain Therapy, Clinical Center of Vojvodina, Novi Sad, Serbia
| | - Nemanja Maksimovic
- Sport and Exercise Sciences Research Unit, University of Palermo, Palermo, Italy
| | - Antonino Bianco
- Sport and Exercise Sciences Research Unit, University of Palermo, Palermo, Italy
| | - Attilio Carraro
- Faculty of Education, Free University of Bozen-Bolzano, Bolzano, Italy
| | - Patrik Drid
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| |
Collapse
|
7
|
Baceviciene M, Jankauskiene R, Rutkauskaite R. The Comparison of Disordered Eating, Body Image, Sociocultural and Coach-Related Pressures in Athletes across Age Groups and Groups of Different Weight Sensitivity in Sports. Nutrients 2023; 15:2724. [PMID: 37375628 DOI: 10.3390/nu15122724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 06/09/2023] [Accepted: 06/11/2023] [Indexed: 06/29/2023] Open
Abstract
The aim of the present study was to compare disordered eating (DE), body image, and sociocultural and coach-related pressures between athletes of different age groups (adolescents and adults) and between athletes participating in weight-sensitive (WS) and less WS groups. A total of 1003 athletes participated in this study. The age range of the sample was 15 to 44 years, and the mean age was 18.9 ± 5.8 years (51.3% were female). Athletes who voluntarily agreed to participate in the study were provided with the study measures on DE, body image and sociocultural attitudes towards appearance. Vomiting, laxative misuse and excessive exercise were more prevalent in adolescent female athletes than adults, while dietary restraint was more common in adult male athletes than adolescents. Adolescent female athletes experienced higher sociocultural (family, peers) and sport-related (coach) pressures and a less positive body image compared with adult female athletes. Adult male athletes experienced higher overweight preoccupation, more DE and unhealthy eating habits, and engaged in more frequent self-weighing behaviour compared with adolescent males. When the effect of weight sensitivity in sports was tested, a higher prevalence of DE and overweight preoccupation, more frequent self-weighing, and higher body-image-related pressure from coaches were observed in female athletes participating in aesthetic weight-sensitive (WS) sports as compared with those participating in less WS sports. No differences in positive body image were observed in female WS and less WS sports. Special DE prevention and positive body image promotion programs are necessary for female competitive athletes and parents of adolescent female athletes, especially those participating in aesthetic ones. For adult male athletes, special programs aiming to promote healthy eating should be implemented to prevent DE and body image concerns. Special education about DE prevention is compulsory for coaches who train female athletes.
Collapse
Affiliation(s)
- Migle Baceviciene
- Department of Physical and Social Education, Lithuanian Sports University, 44221 Kaunas, Lithuania
| | - Rasa Jankauskiene
- Institute of Sport Science and Innovations, Lithuanian Sports University, 44221 Kaunas, Lithuania
| | - Renata Rutkauskaite
- Department of Physical and Social Education, Lithuanian Sports University, 44221 Kaunas, Lithuania
| |
Collapse
|
8
|
Pélissier L, Ennequin G, Bagot S, Pereira B, Lachèze T, Duclos M, Thivel D, Miles-Chan J, Isacco L. Lightest weight-class athletes are at higher risk of weight regain: results from the French-Rapid Weight Loss Questionnaire. PHYSICIAN SPORTSMED 2023; 51:144-152. [PMID: 34875202 DOI: 10.1080/00913847.2021.2014285] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
CONTEXT Rapid weight loss (RWL) is a common precompetitive strategy used by athletes in weight-class sports and carries with it an increased risk to future cardiometabolic health. The Rapid Weight Loss Questionnaire (RWLQ) is a self-reported tool designed to identify and characterize such weight loss practices. OBJECTIVES After developing a reliable and reproducible French version of the RWLQ (RWLQ-FR), the present study aims to analyse RWL patterns among French weight-class athletes and to point out potential relationships between such practices and risk of subsequent weight gain. METHODS A test-retest analysis was performed in 54 athletes to test the questionnaire reproducibility before applying it in a cohort of 168 weight-cycling athletes (23.78 ± 9.25 y, 67.6 ± 12.6 kg, 81 males and 87 females, n = 24 strength sports and n = 144 various combat sports). RESULTS The test-retest showed good agreement of the RWLQ-FR (Rho = 0.794, [0.696-0.893]). Athletes reported losing an average of 4.1 ± 2.9% of their initial weight in 13.1 ± 9.6 days, with the main methods used being an increase in exercise, training in rubber or plastic suits, and gradual dieting. The average weight recovery in a week was 3.5 ± 2.8% and results showed that the athletes with the lower inter-season weight (weight outside of the training and competition season) regained the more weight (p = 0.025). The average RWLQ-FR score was 31.9 ± 17.3 and athletes who began to lose weight earlier in their competitive carrier had the higher scores (p = 0.032). CONCLUSION The present study demonstrates relationships between the pattern of RWL practices and potential increased risk of subsequent weight gain in weight-cycling athletes, and the need to better understand the long-term health-related risks.
Collapse
Affiliation(s)
- Léna Pélissier
- Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (Ame2p), Crnh Auvergne, Clermont Auvergne University, Clermont-Ferrand, France
| | - Gaël Ennequin
- Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (Ame2p), Crnh Auvergne, Clermont Auvergne University, Clermont-Ferrand, France
| | - Sarah Bagot
- Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (Ame2p), Crnh Auvergne, Clermont Auvergne University, Clermont-Ferrand, France
| | - Bruno Pereira
- Unit of Biostatistics (DRCI), Clermont-Ferrand University Hospital, Clermont-Ferrand, France
| | - Thomas Lachèze
- Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (Ame2p), Crnh Auvergne, Clermont Auvergne University, Clermont-Ferrand, France
| | - Martine Duclos
- Department of Sport Medicine and Functional Explorations, University Hospital (Chu) Clermont-Ferrand, Hospital G. Montpied, Clermont-Ferrand, France
| | - David Thivel
- Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (Ame2p), Crnh Auvergne, Clermont Auvergne University, Clermont-Ferrand, France
| | - Jennifer Miles-Chan
- Human Nutrition Unit, School of Biological Sciences, University of Auckland, Auckland, New Zealand
| | - Laurie Isacco
- Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (Ame2p), Crnh Auvergne, Clermont Auvergne University, Clermont-Ferrand, France
| |
Collapse
|
9
|
Milovančev A, Miljković T, Ilić A, Stojšić Milosavljević A, Petrović M, Roklicer R, Lakičević N, Trivić T, Drid P. Disrupting arrhythmia in a professional male wrestler athlete after rapid weight loss and high-intensity training-Case report. Front Cardiovasc Med 2023; 10:1091603. [PMID: 36760566 PMCID: PMC9905426 DOI: 10.3389/fcvm.2023.1091603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Accepted: 01/09/2023] [Indexed: 01/26/2023] Open
Abstract
Introduction Physiological heart adaptations may lead to increased susceptibility to arrhythmia in athletes. Furthermore, vigorous training and method like rapid weight loss (RWL) in combat sports could pose additional risks. This case represents how routine cardiovascular screening during high-risk methods like RWL and high-intensity training (HIT) reveal abrupt ventricular arrhythmias in a young athlete. Case report We report a case of a 20-year-old male wrestler athlete who developed disrupting arrhythmia during RWL and HIT. The study included: a medical exam, 12 lead electrocardiograms (ECG), transthoracic echocardiogram (ECHO), and 24 h of continuous ECG monitoring in baseline, phase one (P1), (in which the athlete had to simulate RWL through vigorous training and dietary intervention and HIT) and phase two (P2), (with the same HIT protocol performed without the RWL procedure). Baseline laboratory analyses were without abnormalities, ECG showed sinus rhythm with one premature atrial contraction (PAC) and ECHO showed signs of concentric remodeling with preserved systolic, diastolic function, and global longitudinal strain. After P1 RWL simulation, he lost 5.15% of body weight in 3 days, which resulted in lower blood glucose levels, higher urea, creatinine, creatine kinase (CK), CK-MB levels, and slightly increased levels of NT pro-BNP, ECG revealed sinus rhythm with one ventricular premature beat (VPB), 24-h continuous electrocardiogram (ECG) revealed frequent ventricular premature beats (PVB) 2,150/ 24 h, with two couplets, and 8 PAC. After an advised 4-week period of de-training continuous 24 h, ECG monitoring was improved with only occasional PVB. The 24 h continuous ECG monitoring was repeated after HIT and revealed even more frequent PVB, 5% of all beats for 24 h, 4,205 in total, and almost all VPB were in bigeminy and trigeminy. The athlete was advised against RWL and extremely vigorous exercise and for regular, frequent checkups with occasional ECG monitoring during and after exercise. Conclusion The short and long-term implication of abrupt ventricular arrhythmias provoked by intensive training and methods like RWL is unknown. We postulate that cardiovascular screening is necessitated, especially during high-risk methods like RWL and HIT, in helping us prevent adverse outcomes and come to individual-based clinical making decisions for each athlete.
Collapse
Affiliation(s)
- Aleksandra Milovančev
- Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia,Department of Cardiology, Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Serbia,*Correspondence: Aleksandra Milovančev ✉
| | - Tatjana Miljković
- Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia,Department of Cardiology, Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Serbia
| | - Aleksandra Ilić
- Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia,Department of Cardiology, Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Serbia
| | - Anastazija Stojšić Milosavljević
- Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia,Department of Cardiology, Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Serbia
| | - Milovan Petrović
- Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia,Department of Cardiology, Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Serbia,Milovan Petrović ✉
| | - Roberto Roklicer
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | - Nemanja Lakičević
- Sport and Exercise Sciences Research Unit, University of Palermo, Palermo, Italy
| | - Tatjana Trivić
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | - Patrik Drid
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| |
Collapse
|
10
|
Weight Loss and Competition Weight in Ultimate Fighting Championship (UFC) Athletes. J Funct Morphol Kinesiol 2022; 7:jfmk7040115. [PMID: 36547661 PMCID: PMC9782639 DOI: 10.3390/jfmk7040115] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 11/25/2022] [Accepted: 12/12/2022] [Indexed: 12/23/2022] Open
Abstract
Previous research has demonstrated that professional mixed martial arts (MMA) athletes employ a variety of weight manipulation strategies to compete at given weight classes. Although there is much literature demonstrating weight manipulation methods, minimal research exists analyzing how much weight MMA athletes lose prior to the official weigh-in. Moreover, there is minimal research examining how much weight professional MMA athletes gain between the official weigh-in and competition. Therefore, the purpose of the current study was to analyze weight loss/regain in professional MMA athletes. Data collected from 616 professional MMA athletes (31.1 ± 4.0 yrs.; 177.1 ± 4.7 cm) competing for the Ultimate Fighting Championship (UFC) between 2020 and 2022 were used for the study. The athlete's weight was obtained 72 h, 48 h, and 24 h prior to the official weigh-in, at the official weigh-in, and prior to competition. Random effects analysis was utilized to compare weight at a variety of time points between different weight classes. All statistics were analyzed, and significance was set at p ≤ 0.05. There is a significant (p ≤ 0.05) difference between weight classes and time points in professional MMA. MMA athletes decrease body weight significantly prior to the official weigh-in. MMA athletes increase body weight significantly between official weigh-in and competition. Based on these data, it appears that MMA athletes average a weight loss of nearly 7% within 72 h prior to the official weigh-in. The data also suggest that athletes gain nearly 10% of total weight between the official weigh-in and competition.
Collapse
|
11
|
Neumann DL, Piatkowski TM, Moffitt RL, Minahan CL. The mental health of elite athletes in developing nations of the greater Oceania region. AUSTRALIAN PSYCHOLOGIST 2022. [DOI: 10.1080/00050067.2022.2130027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
- David L. Neumann
- School of Applied Psychology, Griffith University, Gold Coast, Australia
| | - Timothy M. Piatkowski
- School of Applied Psychology, Griffith University, Gold Coast, Australia
- College of Health & Human Sciences, Charles Darwin University, Darwin, Australia
| | | | - Clare L. Minahan
- School of Health Sciences & Social Work, Griffith University, Gold Coast, Australia
| |
Collapse
|
12
|
Lakicevic N, Matthews JJ, Artioli GG, Paoli A, Roklicer R, Trivic T, Bianco A, Drid P. Patterns of weight cycling in youth Olympic combat sports: a systematic review. J Eat Disord 2022; 10:75. [PMID: 35614520 PMCID: PMC9131524 DOI: 10.1186/s40337-022-00595-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 05/13/2022] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND Patterns of weight cycling in adult combat sports have been extensively studied, yet data on this matter in youth combat athletes is rather scarce. METHODS PubMed, EBSCOhost and Web of Science were used to retrieve relevant data. Eligible studies had to record the methods used to elicit rapid weight loss (RWL) and/or record the oscillations in bodyweight during the RWL phase. Only studies conducted in the context of an official competition were considered for inclusion in the present review. RESULTS RWL is highly prevalent in children and adolescent combat athletes, ranging from 25 to 94% depending on the type of combat sport, age and level of competition. These athletes regularly prompt RWL by increasing exercise frequency and intensity, decreasing fluid and food intake, training in impermeable suits and using sauna frequently. Overall, the magnitude of RWL was ranging from ~ 1% to 6.3 ± 3.7% with significant RWL variations within individual studies and individuals within those studies. CONCLUSION Acquired data indicated that RWL patterns in young combat athletes are similar to those found in their adult counterparts. Knowing that childhood and adolescence are critical periods for growth and development, RWL needs to be stringently regulated and ideally banned in this population.
Collapse
Affiliation(s)
- Nemanja Lakicevic
- Sport and Exercise Sciences Research Unit, University of Palermo, 90133, Palermo, Italy.
| | - Joseph J Matthews
- Research Centre for Life and Sport Sciences (CLaSS), School of Health and Life Sciences, Department of Sport and Exercise, Birmingham City University, Birmingham, UK
| | - Guilherme G Artioli
- Department of Life Sciences, Manchester Metropolitan University, Manchester, UK
| | - Antonio Paoli
- Department of Biomedical Sciences, University of Padova, 35122, Padua, Italy
| | - Roberto Roklicer
- Faculty of Sport and Physical Education, University of Novi Sad, 21000, Novi Sad, Serbia
| | - Tatjana Trivic
- Faculty of Sport and Physical Education, University of Novi Sad, 21000, Novi Sad, Serbia
| | - Antonino Bianco
- Sport and Exercise Sciences Research Unit, University of Palermo, 90133, Palermo, Italy
| | - Patrik Drid
- Faculty of Sport and Physical Education, University of Novi Sad, 21000, Novi Sad, Serbia
| |
Collapse
|
13
|
Effects of Weight Cutting on Exercise Performance in Combat Athletes: A Meta-Analysis. Int J Sports Physiol Perform 2022; 17:995-1010. [PMID: 35523423 DOI: 10.1123/ijspp.2021-0104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 01/10/2022] [Accepted: 02/28/2022] [Indexed: 11/18/2022]
Abstract
Weight cutting in combat sports is a prevalent practice whereby athletes voluntarily dehydrate themselves via various methods to induce rapid weight loss (RWL) to qualify for a lower weight category than that of their usual training body weight. The intention behind this practice is to regain the lost body mass and compete at a heavier mass than permitted by the designated weight category. The purpose of this study was to quantitatively synthesize the available evidence examining the effects of weight cutting on exercise performance in combat-sport athletes. Following a systematic search of the literature, meta-analyses were performed to compare maximal strength, maximal power, anaerobic capacity, and/or repeated high-intensity-effort performance before rapid weight loss (pre-RWL), immediately following RWL (post-RWL), and 3 to 36 hours after RWL following recovery and rapid weight gain (post-RWG). Overall, exercise performance was unchanged between pre-RWL and post-RWG (g = 0.22; 95% CI, -0.18 to 0.62). Between pre-RWL and post-RWL analyses revealed small reductions in maximal strength and repeated high-intensity-effort performance (g = -0.29; 95% CI, -0.54 to -0.03 and g = -0.37; 95% CI, -0.59 to -0.16, respectively; both P ≤ .03). Qualitative analysis indicates that maximal strength and power remained comparable between post-RWL and post-RWG. These data suggest that weight cutting in combat-sport athletes does not alter short-duration, repeated high-intensity-effort performance; however, there is evidence to suggest that select exercise performance outcomes may decline as a product of RWL. It remains unclear whether these are restored by RWG.
Collapse
|
14
|
Mauricio CDA, Merino P, Merlo R, Vargas JJN, Chávez JÁR, Pérez DV, Aedo-Muñoz EA, Slimani M, Brito CJ, Bragazzi NL, Miarka B. Rapid Weight Loss of Up to Five Percent of the Body Mass in Less Than 7 Days Does Not Affect Physical Performance in Official Olympic Combat Athletes With Weight Classes: A Systematic Review With Meta-Analysis. Front Physiol 2022; 13:830229. [PMID: 35492609 PMCID: PMC9039236 DOI: 10.3389/fphys.2022.830229] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Accepted: 02/18/2022] [Indexed: 11/16/2022] Open
Abstract
Given the relevance of the effects that weight loss can generate on the physical performance in athletes, this study performed a systematic review with meta-analysis of the published literature on rapid weight loss (RWL) and examined its impact on the physical performance in Official Olympic combat sports athletes. The “Preferred Reporting Items for Systematic Reviews and Meta-Analysis” (PRISMA) guidelines were followed to ensure an ethical and complete reporting of the findings. PubMed, SPORT Discus, and EBSCO were the electronic databases explored for article retrieval and selection. The following string was applied: “RWL” OR “weight loss” OR “weight reduction” AND “judo” OR “wrestling” or “taekwondo” or “boxing” AND “performance.” Based on the quality analysis, conducted according to the “Tool for the assessment of study quality and reporting in exercise training studies” (TESTEX), ten articles achieved a score >6 points. The meta-analysis showed a significant difference in pre- vs. post-weight loss (p = 0.003) and no effects in pre- vs. post-power and strength performance analysis (p > 0.05 for both results). Based on our systematic review and meta-analysis of the literature, RWL up to ≤5% of the body mass in less than 7 days does not influence performance outcomes in Official Olympic combat athletes with weight classes, considering the strength and power measures.
Collapse
Affiliation(s)
- Clóvis De Albuquerque Mauricio
- Department of Physical Education, Laboratory of Psychophysiology and Performance in Sports and Combats, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Pablo Merino
- Department of Physical Education, Laboratory of Psychophysiology and Performance in Sports and Combats, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.,Núcleo de Investigación en Ciencias de la Motricidad Humana, Universidad Adventista de Chile, Chillán, Chile
| | - Rodrigo Merlo
- Department of Physical Education, Laboratory of Psychophysiology and Performance in Sports and Combats, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - José Jairo Narrea Vargas
- Department of Physical Education, Laboratory of Psychophysiology and Performance in Sports and Combats, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.,Universidad Norbert Wiener, Lima, Peru
| | - Juan Ángel Rodríguez Chávez
- Department of Physical Education, Laboratory of Psychophysiology and Performance in Sports and Combats, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Diego Valenzuela Pérez
- Escuela de Kinesiología, Facultad de Salud, Magister en Ciencias la Actividad Física y Deportes Aplicadas al Entrenamiento Rehabilitación y Reintegro Deportivo, Universidad Santo Tomás, Saniago, Chile
| | - Esteban Ariel Aedo-Muñoz
- Escuela de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile, Santiago, Chile
| | - Maamer Slimani
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, Genoa, Italy
| | - Ciro José Brito
- Department of Physical Education, Federal University of Juiz de Fora, Governador Valadares, Brazil
| | - Nicola Luigi Bragazzi
- Laboratory for Industrial and Applied Mathematics, Department of Mathematics and Statistics, York University, Toronto, ON, Canada
| | - Bianca Miarka
- Department of Physical Education, Laboratory of Psychophysiology and Performance in Sports and Combats, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| |
Collapse
|
15
|
Baranauskas M, Kupčiūnaitė I, Stukas R. The Association between Rapid Weight Loss and Body Composition in Elite Combat Sports Athletes. Healthcare (Basel) 2022; 10:healthcare10040665. [PMID: 35455842 PMCID: PMC9031560 DOI: 10.3390/healthcare10040665] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 03/18/2022] [Accepted: 03/31/2022] [Indexed: 02/07/2023] Open
Abstract
Rapid Weight Loss (RWL) is a rapid reduction in weight over a short period of time seeking to attain the norm required for a competition in a particular weight category. RWL has a negative health impact on athletes including the significant muscle damage induced by RWL. This study aimed to identify the association between RWL and body composition among competitive combat athletes (n = 43) in Lithuania. Our focus was laid on the disclosure of their RWL practice by using a previously standardized RWL Questionnaire. The body composition of the athletes was measured by means of the standing-posture 8-12-electrode multi-frequency bioelectrical impedance analysis (BIA) and the electrical signals of 5, 50, 250, 550 and 1000 kHz. This non-experimental cross-sectional study resulted in preliminary findings on the prevalence and profile of RWL among combat athletes in Lithuania. 88% of the athletes surveyed in our study had lost weight in order to compete, with the average weight loss of 4.6 ± 2% of the habitual body mass. The athletes started to resort to weight cycling as early as 9 years old, with a mean age of 12.8 ± 2.1 years. The combination of practiced weight loss techniques such as skipping meals (adjusted Odd Ratio (AOR) 6.3; 95% CI: 1.3−31.8), restricting fluids (AOR 5.5; 95% CI: 1.0−31.8), increased exercise (AOR 3.6; 95% CI: 1.0−12.5), training with rubber/plastic suits (AOR 3.2; 95% CI: 0.9−11.3) predicted the risk of RWL aggressiveness. RWL magnitude potentially played an important role in maintaining the loss of muscle mass in athletes during the preparatory training phase (β −0.01 kg, p < 0.001). Therefore, an adequate regulatory programme should be integrated into the training plans of high-performance combat sports athletes to keep not only the athletes but also their coaches responsible for a proper weight control.
Collapse
Affiliation(s)
- Marius Baranauskas
- Faculty of Biomedical Sciences, Panevėžys University of Applied Sciences, 35200 Panevėžys, Lithuania;
- Correspondence:
| | - Ingrida Kupčiūnaitė
- Faculty of Biomedical Sciences, Panevėžys University of Applied Sciences, 35200 Panevėžys, Lithuania;
| | - Rimantas Stukas
- Department of Public Health, Institute of Health Sciences, Faculty of Medicine, Vilnius University, 01513 Vilnius, Lithuania;
| |
Collapse
|
16
|
Rapid Weight Loss Coupled with Sport-Specific Training Impairs Heart Rate Recovery in Greco-Roman Wrestlers. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12073286] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
Wrestling is a sport that can be classified with the use of alternating aerobic–anaerobic metabolism with moderate but high-impact energy expenditure. Heart rate recovery (HRR) is the difference between heart rate during exercise and a certain amount of time after the start of recovery. The goal of this study was to determine the difference in HRR between two phases: high-intensity sport-specific training (HISST) combined with rapid weight loss (RWL)—phase 1 (P1) and HISST only—phase 2 (P2). Ten national-level wrestlers were included in this study. All participants underwent HISST along with RWL procedures for P1. Seven days later, during P2, an identical training session was performed with no RWL included. We found a statistically significant difference in the values obtained after the first and second minutes of recovery in the second set for both cases (p = 0.034 and p = 0.037, respectively), with higher HR values recorded in P1. It can be concluded that there is undoubtedly a difference in HRR during training and RWL compared to HISST alone. Additionally, HISST along with RWL could compromise the aerobic component of recovery.
Collapse
|
17
|
Molnár S, Hunya Z, Gáspár K, Szerb I, Szabó N, Mensch K, Körösi É, Bacskai K, Sántha ÁK, Janka EA, Shadgan B. Moderate and Severe Injuries at Five International Olympic-Style Wrestling Tournaments during 2016-2019. J Sports Sci Med 2022; 21:74-81. [PMID: 35250336 DOI: 10.52082/jssm.2022.74] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Accepted: 12/13/2021] [Indexed: 11/24/2022]
Abstract
As a contact sport, wrestling may result in injuries. Based on the severity, they are classified as mild, moderate, severe and critical. All injuries occurring at international competitions are documented in a cloud-based surveillance system. The purpose of this study was to analyze the incidence and characteristics of moderate and severe (including critical) wrestling injuries that occurred during five international Olympic-style wrestling competitions in 2016-2019. Three Wrestling World Championships and two European Wrestling tournaments were organized by the Hungarian Wrestling Federation in 2016-2019. A total of 2483 wrestlers in three Olympic wrestling styles have competed in 3007 matches. Data from all injuries were recorded and analyzed to define rates, locations, types and severity, and to compare with previous reports. A total of 53 wrestlers sustained 55 injuries, which is equivalent to an overall injury incidence rate of 9.1‰ (9.1/1000 athletic exposures). Greco-Roman and Women Wrestling had the same injury incidence rate, while Freestyle had a lower one (9.5‰ versus 8.5‰). The injury proportion by regions and anatomic locations were on head and face 29.1%, spine and trunk 16.4 % and the upper-and-lower extremity injuries equally 27.3%. The most common types of injuries included ligament lesions, joint injuries, skin lacerations, and contusions. Five wrestlers (0.8‰) sustained strangulation or concussion. Wrestling injury rates during United World Wrestling competitions are not high, but when happen they can be serious. Despite relatively low incidence rate of injuries, there is a need for continuous education for medical teams, referees and coaches to avoid wrestling injuries.
Collapse
Affiliation(s)
- Szabolcs Molnár
- Department of Traumatology, Medical Centre Hungarian Defense Forces, Budapest, Hungary.,University of Physical Education, Budapest, Hungary.,Medical, Prevention & Anti-Doping Commission of The United World Wrestling; Corsier-sur-Vevey, Switzerland
| | - Zsolt Hunya
- Department of Orthopedics, University of Debrecen, Debrecen, Hungary
| | - Krisztián Gáspár
- Department of Dermatology, University of Debrecen, Debrecen, Hungary
| | - Imre Szerb
- Department of Traumatology, Semmelweis University, Budapest, Hungary.,Department of Orthopaedics of Uzsoki Hospital, Budapest, Hungary
| | - Noé Szabó
- Semmelweis University Medicine and Health Sciences, Budapest, Hungary
| | - Károly Mensch
- Department of Oral Diagnostics, Semmelweis University, Faculty of Dentistry, Budapest, Hungary
| | - Éva Körösi
- Dietitian and WADA coordinator of the Hungarian Wrestling Federation, Budapest, Hungary
| | | | - Ákos Kálmán Sántha
- University of Physical Education, Budapest, Hungary.,Professional Medical Services and Assistance Ltd., Budapest, Hungary
| | - Eszter Anna Janka
- Department of Dermatology, University of Debrecen, Debrecen, Hungary
| | - Babak Shadgan
- Medical, Prevention & Anti-Doping Commission of The United World Wrestling; Corsier-sur-Vevey, Switzerland.,Department of Orthopaedics, The University of British Columbia, Vancouver, Canada
| |
Collapse
|
18
|
Sarma MS, Ocobock CJ, Martin S, Rochelle S, Croom BP, Gettler LT. Sex differences and shifts in body composition, physical activity, and total energy expenditure across a 3-month expedition. Am J Hum Biol 2022; 34:e23634. [PMID: 34181295 PMCID: PMC8712621 DOI: 10.1002/ajhb.23634] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Revised: 06/16/2021] [Accepted: 06/17/2021] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVES An energetically demanding environment like a wilderness expedition can lead to potent stressors on human physiology and homeostatic balance causing shifts in energy expenditure and body composition. These shifts likely have consequences on overall health and performance and may potentially differ by sex. It is therefore critical to understand the potential differential body composition and energy expenditure changes in response to a novel and challenging environment in both males and female bodies. METHODS Data were collected from 75 healthy individuals (female = 41; ages 18-53) throughout a 3-month long expedition in the American Rockies. Body mass, body fat, and lean muscle mass were measured before, during, and after the course. Physical activity intensity and energy expenditure were also measured in a subset of participants using the wGT3X-BT Actigraph wrist monitor and an accompanying Bluetooth heart rate monitor. RESULTS Over the 3-month period, individuals initially experienced declines in body mass, body fat percentage, and lean muscle mass. Participants partially rebounded from these deficits to maintain overall body mass with a slight recomposition of body fat and lean muscle mass. Our data also demonstrated that sex moderated total energy expenditure, where females experienced a modest decline whereas males experienced an increase in energy expenditure from the beginning to the end of the course. CONCLUSIONS Understanding changes in energy storage in the body and variation in energy expenditure between sexes during a 3-month expedition has critical implications for maintaining health and performance in an energetically demanding environment where resources may be scarce.
Collapse
Affiliation(s)
- Mallika S. Sarma
- Human Spaceflight Lab, Johns Hopkins University School of Medicine, Baltimore, MD, 21205,Corresponding author’s information: Mallika S. Sarma, Ph.D., Postdoctoral Research Fellow, 710 Ross Research Building, Human Spaceflight Lab, Johns Hopkins University School of Medicine, Baltimore, MD, Phone: 248-930-2729,
| | - Cara J. Ocobock
- Department of Anthropology, University of Notre Dame, Notre Dame, IN 46556,The Eck Institute for Global health, University of Notre Dame, Notre Dame, IN 46556
| | - Sarah Martin
- NOLS Rocky Mountain, The National Outdoor Leadership School, Lander, WY, 82520
| | - Shannon Rochelle
- NOLS Rocky Mountain, The National Outdoor Leadership School, Lander, WY, 82520
| | | | - Lee T. Gettler
- Department of Anthropology, University of Notre Dame, Notre Dame, IN 46556,The Eck Institute for Global health, University of Notre Dame, Notre Dame, IN 46556
| |
Collapse
|
19
|
Ranisavljev M, Kuzmanovic J, Todorovic N, Roklicer R, Dokmanac M, Baic M, Stajer V, Ostojic SM, Drid P. Rapid Weight Loss Practices in Grapplers Competing in Combat Sports. Front Physiol 2022; 13:842992. [PMID: 35222096 PMCID: PMC8864148 DOI: 10.3389/fphys.2022.842992] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2021] [Accepted: 01/06/2022] [Indexed: 11/30/2022] Open
Abstract
Background Grappling is a wrestling style that combines different techniques such as freestyle wrestling, jiu-jitsu, judo, sambo, and others. As with other combat sports, it requires categorizing the athletes in weight classes, which leads to the use of certain methods to lose body weight in a short amount of time which poses a serious threat to athletes’ health and wellbeing. Therefore, the objective of this study was to investigate the most widespread rapid weight loss (RWL) methods and sources of influence used by grappling athletes. Methods A total of 145 athletes took part in the study by voluntarily filling out a questionnaire regarding their weight loss techniques and methods. They were divided into two groups, male (27.7 ± 5.2 years, 1.76 ± 0.13 m, and 82.1 ± 20 kg) and female (27.33 ± 6.3 years, 1.65 ± 0.08 m, and 64.3 ± 10.4 kg), for further statistical analysis. After calculating descriptive statistics for all the variables, a t-test was conducted for gender differences in weight loss and weight regain, and a chi-square test measured the diversity in techniques and source of influence. Results Out of 145 participants, 120 athletes (85.2%) reported engaging in rapid weight loss prior to weigh-in. Coaches (52.4 and 59%) and teammates (42.6 and 22.1%) seemed to be the most influential on their rapid weight-loss strategies, whereas physicians (17.1 and 17.9%) and parents (23.2 and 23.1%) were the least influential. A statistical difference between men and women (p = 0.05) was found when teammates were a source of influence (42.6 and 21.1%, respectively). Regarding the methods used, both groups practiced gradual dieting (85.4 and 79.5%) as the most prevalent, followed by increased exercise (79 and 66.6%) and sauna (78.7 and 66.6%). Moreover, men trained in plastic suits significantly more often than women (67.1 vs. 41%, p = 0.01). Conclusion Rapid weight loss is detrimental to athletes’ health and wellbeing. Hence, it is crucial to find and implement methods that will control and ultimately limit its use in combat sports. Physicians and nutritionists need to be closely linked with the staff, collaborate and supervise the weight cutting.
Collapse
Affiliation(s)
- Marijana Ranisavljev
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | - Jovan Kuzmanovic
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | - Nikola Todorovic
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | - Roberto Roklicer
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | | | - Mario Baic
- Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia
| | - Valdemar Stajer
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | - Sergej M. Ostojic
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | - Patrik Drid
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
- *Correspondence: Patrik Drid,
| |
Collapse
|
20
|
Alwan N, Moss SL, Davies IG, Elliott-Sale KJ, Enright K. Weight loss practices and eating behaviours among female physique athletes: Acquiring the optimal body composition for competition. PLoS One 2022; 17:e0262514. [PMID: 35030218 PMCID: PMC8759685 DOI: 10.1371/journal.pone.0262514] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Accepted: 12/28/2021] [Indexed: 11/24/2022] Open
Abstract
Little is known about weight loss practices and eating behaviours in female physique athletes. This study investigated the weight loss history, practices, and key influences during the pre-competition period in a large cohort of female physique athletes stratified by division and experience level. Eating attitudes and behaviours were assessed to identify whether athletes were at risk of developing an eating disorder. Using a cross-sectional research design, female physique athletes (n = 158) were recruited and completed an anonymous online self-reported survey consisting of two validated questionnaires: Rapid Weight Loss Questionnaire and Eating Attitudes Test-26. Irrespective of division or experience, female physique athletes used a combination of weight loss practices during the pre-competition phase. Gradual dieting (94%), food restriction (64%) and excessive exercise (84%), followed by body water manipulation via water loading (73%) were the most commonly used methods. Overall, 37% of female physique athletes were considered at risk of developing an eating disorder. Additionally, 42% of female physique athletes used two pathogenic weight control methods with 34% of Figure novice athletes indicating binge eating once a week or more. The coach (89%) and another athlete (73%) were identified as key influences on athletes' dieting practices and weight loss. The prevalence of athletes identified with disordered eating symptoms and engaging in pathogenic weight control methods is concerning. In future, female physique athletes should seek advice from registered nutritionists to optimise weight management practices and minimise the risk of developing an eating disorder.
Collapse
Affiliation(s)
- Nura Alwan
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
- Department of Sport and Health Sciences, Oxford Brookes University, Oxford, United Kingdom
| | - Samantha L. Moss
- Department of Sport and Exercise Sciences, University of Chester, Chester, United Kingdom
| | - Ian G. Davies
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
| | - Kirsty J. Elliott-Sale
- Musculoskeletal Physiology Research Group, Sport, Health and Performance Enhancement Research Centre, Nottingham Trent University, Nottingham, United Kingdom
| | - Kevin Enright
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
| |
Collapse
|
21
|
“Horrible—But Worth It”: Exploring Weight Cutting Practices, Eating Behaviors, and Experiences of Competitive Female Taekwon-Do Athletes. A Mixed Methods Study. JOURNAL OF CLINICAL SPORT PSYCHOLOGY 2022. [DOI: 10.1123/jcsp.2021-0103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
This mixed methods study aimed to investigate weight cutting practices of female taekwon-do athletes internationally and explore their experiences of “making weight.” A survey of weight loss practices and eating behaviors was completed by 103 taekwon-do athletes from 12 countries, which illustrated that 72.5% of athletes engage in both acute and chronic weight loss practices prior to competition and that there were higher levels of disordered eating within this athletic population than nonweight cutting athletes. Semistructured interviews were conducted with five international-level competitors; thematic analysis of the interviews identified that the women in general felt weight cutting was “horrible—but worth it” and the women believed that (a) weight cutting is unpleasant, difficult, and challenging; and (b) weight cutting provides a competitive advantage. The implications of this study are that weight cutting is widespread among high-level competitive female taekwon-do athletes and this is unlikely to change given the perceived advantages. Efforts are needed to make sure that the women are knowledgeable of the risks and are provided with safe and effective means of making weight.
Collapse
|
22
|
Lakicevic N, Mani D, Paoli A, Roklicer R, Bianco A, Drid P. Weight cycling in combat sports: revisiting 25 years of scientific evidence. BMC Sports Sci Med Rehabil 2021; 13:154. [PMID: 34906212 PMCID: PMC8670259 DOI: 10.1186/s13102-021-00381-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 12/01/2021] [Indexed: 11/10/2022]
Abstract
BACKGROUND As combat sports are classified by body mass, many athletes engage in rapid weight loss (RWL) prior to competition so they can gain an advantage over lighter opponents. Following the weigh-in, athletes engage in rapid weight gain (RWG), whereby some athletes have been able to compete up to three weight categories greater than the official division weighed in at. RESULTS Although the impact of weight cycling on performance remains equivocal, robust scientific evidence indicates serious acute and chronic negative consequences on physiological and health-related parameters. Still, weight cycling remains highly prevalent in combat sports, and interventions to limit or stop this cultural norm are recommended. CONCLUSIONS Weigh-ins for combat sports should be transitioned to take place closer to the start of competition. This reduced time and access to engage in RWG will cut down, if not completely prevent, weight cycling. These rule changes that aim to benefit athlete's health and promote fairness must be made at the international level, which will promote them at those levels below, as well, given qualification protocols.
Collapse
Affiliation(s)
- Nemanja Lakicevic
- Sport and Exercise Sciences Research Unit, University of Palermo, 90133, Palermo, Italy.
| | - Diba Mani
- Department of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, 32611, USA
| | - Antonio Paoli
- Department of Biomedical Sciences, University of Padova, 35122, Padua, Italy
| | - Roberto Roklicer
- Faculty of Sport and Physical Education, University of Novi Sad, 21000, Novi Sad, Serbia
| | - Antonino Bianco
- Sport and Exercise Sciences Research Unit, University of Palermo, 90133, Palermo, Italy
| | - Patrik Drid
- Faculty of Sport and Physical Education, University of Novi Sad, 21000, Novi Sad, Serbia
| |
Collapse
|
23
|
Principles of Rapid Weight Loss in Female Sambo Athletes. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182111356. [PMID: 34769872 PMCID: PMC8583233 DOI: 10.3390/ijerph182111356] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Revised: 10/22/2021] [Accepted: 10/27/2021] [Indexed: 11/17/2022]
Abstract
In combat sports, competitors are separated into weight divisions, to create equality between the athletes. Consequently, rapid weight loss (RWL) is a common practice in combat sports. Although the methods used to induce RWL are similar among athletes, currently, there are limited data concerning the RWL methodologies used by sambo athletes. Therefore, this study aimed at determining RWL procedures among female sambo athletes. Participants in the study were top-level athletes competing at the World Sambo Championship held in Novi Sad. A total sample of 47 female sambo athletes, of whom 24 were seniors (27.3 ± 4 year/age, 1.61 ± 0.09 m/height, 61.8 ± 8.87 kg/weight) and 23 juniors (18.7 ± 0.8 year/age, 1.66 ± 0.07 m/height, 63.7 ± 12.1 kg/weight), were examined in the study. To determine RWL methods, data were collected through a standardized questionnaire. As a result, 88.7% of the female sambo athletes declared that they intentionally cut their weight before the competition. The most commonly used methods were gradual dieting, followed by sauna, fluid restriction, and skipping meals. The most considerable influence on the RWL strategies of athletes came from coaches and personal trainers, while physicians and dietitians were far less influential. The results obtained from this representative sample highlight the most common practices concerning weight cutting prior to competition among females. Therefore, there is a need to inform and educate both athletes and coaches about the potentially harmful effects of RWL in combat sports.
Collapse
|
24
|
Picha KJ, Welch Bacon CE, Normore C, Snyder Valier AR. Social Determinants of Health: Considerations for Athletic Health Care. J Athl Train 2021; 57:521-531. [PMID: 34478525 DOI: 10.4085/1062-6050-0010.21] [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: 11/09/2022]
Abstract
Health disparities are prevalent issues in the United States and a frequent topic of conversation in the public health realm. Causes of health disparities include social inequities and social determinants of health. Although social determinants of health have been suggested to contribute more to individual and population health than the health care provided, this concept in athletic health care has received little attention. Therefore, the purpose of this article is to describe social determinants of health, present examples of social determinants, and discuss awareness of actionable steps for the athletic training profession to be more culturally proficient. By increasing awareness of and acknowledging social determinants of health, athletic trainers will be positioned to improve patient outcomes more readily and contribute to ongoing conversations at the policy level of health care.
Collapse
Affiliation(s)
- Kelsey J Picha
- *Department of Interdisciplinary Health Sciences, A.T. Still University, Mesa, AZ
| | - Cailee E Welch Bacon
- *Department of Interdisciplinary Health Sciences, A.T. Still University, Mesa, AZ.,‡ Athletic Training Programs, A.T. Still University, Mesa, AZ.,§ School of Osteopathic Medicine Arizona, A.T. Still University, Mesa, AZ
| | | | - Alison R Snyder Valier
- *Department of Interdisciplinary Health Sciences, A.T. Still University, Mesa, AZ.,‡ Athletic Training Programs, A.T. Still University, Mesa, AZ.,§ School of Osteopathic Medicine Arizona, A.T. Still University, Mesa, AZ.,¶ Department of Research Support, A.T. Still University, Mesa, AZ
| |
Collapse
|
25
|
Abstract
OBJECTIVES The purpose of this study was to reveal the relationship between rapid weight loss and injury patterns during the training of elite wrestlers, expected to represent South Korea. METHODS Since 2019, data for elite wrestlers have been collected prospectively by the Korean Training Center. The data were stratified by sex, wrestling style, weight class, injury location, injuries during the weight-loss period, and weight loss method. The χ2 test was used to compare groups. The risk of injury was indicated by the Poisson rate with a 95% confidence interval (95% CI). RESULTS There were 120 male Greco-Roman, 120 male freestyle, and 100 female freestyle wrestling. The mean weight loss among wrestlers was 5.52 (±1.44) kg, and the mean duration of weight loss was 7.96 (±3.31) days. In general, all wrestlers used similar weight loss methods. We recorded 914 injuries in 340 athletes. Wrestlers had significantly higher injury rates during weight loss periods than during other periods of training (23.18 VS 11.93; p < 0.001). Most injuries occurred in the lower extremities (38.0%), followed by the upper extremities (25.9%), trunk (24.8%), and the head and neck area (11.3%). The injury severity was significantly influenced by sex, wrestling style, and weight class. CONCLUSION Rapid weight loss is related to the incidence of sports injuries in wrestlers. Most injuries occur during rapid weight loss periods in South Korean elite wrestlers. Moreover, the injury site and injury severity depend on sex, wrestling style, and weight class.
Collapse
Affiliation(s)
- June Chul Kim
- Department of Counseling, Health, and Kinesiology, College of Education and Human Development, Texas A&M University-San Antonio, San Antonio, Texas, USA
| | - Ki Jun Park
- Department of Special Education, Dankook University, Gyeonggi-do Yongin-si, Suji-gu, Jukjeon-ro, South Korea
| |
Collapse
|
26
|
Stukenborg MJ, Deschamps BA, Jayne JM, Karl JP, McGraw SM, DiChiara AJ, Cole RE. Exceeding body composition standards is associated with a more negative body image and increased weight cycling in active duty U.S. soldiers. Eat Behav 2021; 42:101532. [PMID: 34120036 DOI: 10.1016/j.eatbeh.2021.101532] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Revised: 05/13/2021] [Accepted: 05/19/2021] [Indexed: 10/21/2022]
Abstract
Negative body image is more often identified in individuals with overweight or obesity. More than 65% of U.S. soldiers have a body mass index (BMI) that classifies them with overweight or obesity. Additionally, all soldiers must meet body composition and physical fitness standards which may increase the risk of negative body image. This cross-sectional study aimed to identify associations between compliance with body composition standards, body image, and weight cycling through surveying 969 active-duty soldiers (86% male, 24.0 ± 5.5 years of age, BMI 26.0 ± 3.6 kg/m2). Compliance with body composition standards was measured by whether a soldier had ever taken and failed the circumference-based body fat assessment. Weight cycling was self-reported as ≥3 weight fluctuations of ≥5% of body weight during their military career. Multivariate linear and logistic regression models were used to examine the relationship between compliance with body composition standards, body image, weight cycling, and sociodemographic characteristics while controlling for BMI. Failing the circumference-based body fat assessment was associated with increased concern with conforming to military image. Negative body image was associated with higher odds of weight cycling. Further examination is warranted to understand the effects of body composition standards on soldiers' body image and weight cycling.
Collapse
Affiliation(s)
- Maria J Stukenborg
- 1-2 Stryker Brigade Combat Team, Bldg. P3741 Railroad Ave, Tacoma, WA 98433, USA; Madigan Army Medical Center, Nutrition Care Division, 9040 Jackson Ave, Tacoma, WA 98431, USA.
| | - Bethany A Deschamps
- Madigan Army Medical Center, Nutrition Care Division, 9040 Jackson Ave, Tacoma, WA 98431, USA.
| | - Julianna M Jayne
- US Army Research Institute of Environmental Medicine, Military Nutrition Division, 10 General Greene Ave, Building 42, Natick, MA 01760, USA.
| | - J Philip Karl
- US Army Research Institute of Environmental Medicine, Military Nutrition Division, 10 General Greene Ave, Building 42, Natick, MA 01760, USA.
| | - Susan M McGraw
- US Army Research Institute of Environmental Medicine, Military Nutrition Division, 10 General Greene Ave, Building 42, Natick, MA 01760, USA.
| | - Adam J DiChiara
- Combat Capabilities Development Command Soldier Center, Natick, MA 01760, USA.
| | - Renee E Cole
- Medical Center of Excellence, U.S. Military-Baylor University Graduate Program in Nutrition, 3599 Winfield-Scott Rd, Building 2841, Fort Sam Houston, TX 78234, USA.
| |
Collapse
|
27
|
Rapid Weight Loss Practices in Elite Kickboxers. Int J Sport Nutr Exerc Metab 2021; 29:583-588. [PMID: 31034256 DOI: 10.1123/ijsnem.2018-0400] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2018] [Revised: 02/13/2019] [Accepted: 03/06/2019] [Indexed: 11/18/2022]
Abstract
The aim of this observational cross-sectional survey was to determine the prevalence of rapid weight loss (RWL) in elite kickboxers. Kickboxers (61 males; age = 24.2 ± 4.6 years, weight = 73.9 ± 12.8 kg, and height = 179.2 ± 7.9 cm) from eight European countries completed a Rapid Weight Loss Questionnaire regarding prevalence, magnitude, and methods of RWL. All athletes (100%) were practicing RWL before the competition with a Rapid Weight Loss Questionnaire score of 52.4 ±12.9. Most kickboxers 'usually lose between 2% and 5% of their body mass, whereas ∼30% lose between 6% and 8%. However, it is alarming that almost 30% reported cutting 10% of body weight or more sometime during their kickboxing career. Almost half of the athletes always practice gradual dieting (45.9%) and increased exercising (44.3%) to reduce body mass. Kickboxers usually reduce weight three to four times during a year, usually 7-15 days before a competition. More than a third (34.4%) started with RWL practice under the age of 17. There was no significant difference between weight divisions in weight management behaviors (p = .5, F = 0.6; η2 = .0) and no relation between the main characteristics of elite kickboxing athletes and the total RWL score. In conclusion, RWL practices in kickboxing athletes are somewhat specific and different when compared with other combat sports, which can be explained by greater number of weight classes and specific weigh-in protocol.
Collapse
|
28
|
Devrim-Lanpir A, Badem EA, Işık H, Çakar AN, Kabak B, Akınoğlu B, Kocahan T, Hasanoğlu A, Rosemann T, Knechtle B. Which Body Density Equations Calculate Body Fat Percentage Better in Olympic Wrestlers?-Comparison Study with Air Displacement Plethysmography. Life (Basel) 2021; 11:life11070707. [PMID: 34357079 PMCID: PMC8306702 DOI: 10.3390/life11070707] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 07/16/2021] [Accepted: 07/17/2021] [Indexed: 11/17/2022] Open
Abstract
Although skinfold-derived equations seem to be practical for field application in estimating body fat percentage (BF%) and minimum body mass in Olympic wrestlers, prediction equations applied first need to be cross-validated in Olympic wrestlers to define the best prediction equation. This study aimed to evaluate the most accurate field method to predict BF% in Olympic wrestlers compared to BF% estimated by air displacement plethysmography (ADP). Sixty-one male (body mass 72.4 ± 13.5 kg; height 170.3 ± 7.0 cm; body mass index (BMI) 24.9 ± 3.5 kg.m−2; BF% 8.5 ± 4.9%) and twenty-five female wrestlers (body mass 60.3 ± 9.9 kg; height 161.3 ± 7.1 cm; BMI 23.1 ± 2.5 kg.m−2; BF% 18.7 ± 4.7%) undertook body composition assessments including ADP and nine-site skinfold measurements. Correlations, bias, limits of agreement, and standardized differences between alterations in BF% measured by ADP and other prediction equations were evaluated to validate measures, and multiple regression analyses to develop an Olympic wrestlers-specific prediction formula. The Stewart and Hannan equation for male wrestlers and the Durnin and Womersley equation for female wrestlers provided the most accurate BF% compared to the measured BF% by ADP, with the lowest bias and presented no significant differences between the measured and predicted BF%. A new prediction equation was developed using only abdominal skinfold and sex as variables, predicting 83.2% of the variance. The findings suggest the use of the new wrestler-specific prediction equation proposed in the study as a valid and accurate alternative to ADP to quantify BF% among Olympic wrestlers.
Collapse
Affiliation(s)
- Aslı Devrim-Lanpir
- Department of Nutrition and Dietetics, Istanbul Medeniyet University, Istanbul 34862, Turkey;
| | - Ebru Arslanoğlu Badem
- Department of Health Services, Sports General Directorship, Center of Athlete Training and Health Research, The Ministry of Youth and Sports, Ankara 06820, Turkey; (E.A.B.); (A.N.Ç.); (B.K.); (B.A.); (T.K.); (A.H.)
| | - Hatice Işık
- Department of Statistics, Hacettepe University, Ankara 06100, Turkey;
| | - Aslıhan Nefes Çakar
- Department of Health Services, Sports General Directorship, Center of Athlete Training and Health Research, The Ministry of Youth and Sports, Ankara 06820, Turkey; (E.A.B.); (A.N.Ç.); (B.K.); (B.A.); (T.K.); (A.H.)
| | - Banu Kabak
- Department of Health Services, Sports General Directorship, Center of Athlete Training and Health Research, The Ministry of Youth and Sports, Ankara 06820, Turkey; (E.A.B.); (A.N.Ç.); (B.K.); (B.A.); (T.K.); (A.H.)
| | - Bihter Akınoğlu
- Department of Health Services, Sports General Directorship, Center of Athlete Training and Health Research, The Ministry of Youth and Sports, Ankara 06820, Turkey; (E.A.B.); (A.N.Ç.); (B.K.); (B.A.); (T.K.); (A.H.)
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Yıldırım Beyazıt University, Ankara 06830, Turkey
| | - Tuğba Kocahan
- Department of Health Services, Sports General Directorship, Center of Athlete Training and Health Research, The Ministry of Youth and Sports, Ankara 06820, Turkey; (E.A.B.); (A.N.Ç.); (B.K.); (B.A.); (T.K.); (A.H.)
- Department of Sports Medicine, Gulhane Faculty of Medicine, University of Health Sciences, Ankara 06010, Turkey
| | - Adnan Hasanoğlu
- Department of Health Services, Sports General Directorship, Center of Athlete Training and Health Research, The Ministry of Youth and Sports, Ankara 06820, Turkey; (E.A.B.); (A.N.Ç.); (B.K.); (B.A.); (T.K.); (A.H.)
| | - Thomas Rosemann
- Institute of Primary Care, University Hospital Zurich, 8091 Zurich, Switzerland;
| | - Beat Knechtle
- Institute of Primary Care, University Hospital Zurich, 8091 Zurich, Switzerland;
- Correspondence: ; Tel.: +41-(0)71-226-93-00
| |
Collapse
|
29
|
de Souza AMA, Ecelbarger CM, Sandberg K. Caloric Restriction and Cardiovascular Health: the Good, the Bad, and the Renin-Angiotensin System. Physiology (Bethesda) 2021; 36:220-234. [PMID: 34159807 DOI: 10.1152/physiol.00002.2021] [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: 12/26/2022] Open
Abstract
Much excitement exists over the cardioprotective and life-extending effects of caloric restriction (CR). This review integrates population studies with experimental animal research to address the positive and negative impact of mild and severe CR on cardiovascular physiology and pathophysiology, with a particular focus on the renin-angiotensin system (RAS). We also highlight the gaps in knowledge and areas ripe for future physiological research.
Collapse
Affiliation(s)
- Aline M A de Souza
- Division of Nephrology and Hypertension, Department of Medicine, Georgetown University, Washington, District of Columbia
| | - Carolyn M Ecelbarger
- Division of Nephrology and Hypertension, Department of Medicine, Georgetown University, Washington, District of Columbia
| | - Kathryn Sandberg
- Division of Nephrology and Hypertension, Department of Medicine, Georgetown University, Washington, District of Columbia
| |
Collapse
|
30
|
Coleman JL, Carrigan CT, Margolis LM. Body composition changes in physically active individuals consuming ketogenic diets: a systematic review. J Int Soc Sports Nutr 2021; 18:41. [PMID: 34090453 PMCID: PMC8180141 DOI: 10.1186/s12970-021-00440-6] [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] [Received: 02/10/2021] [Accepted: 05/11/2021] [Indexed: 12/28/2022] Open
Abstract
Background To achieve ideal strength/power to mass ratio, athletes may attempt to lower body mass through reductions in fat mass (FM), while maintaining or increasing fat-free mass (FFM) by manipulating their training regimens and diets. Emerging evidence suggests that consumption of high-fat, ketogenic diets (KD) may be advantageous for reducing body mass and FM, while retaining FFM. Methods A systematic review of the literature was conducted using PubMed and Cochrane Library databases to compare the effects of KD versus control diets (CON) on body mass and composition in physically active populations. Randomized and non-randomized studies were included if participants were healthy (free of chronic disease), physically active men or women age ≥ 18 years consuming KD (< 50 g carbohydrate/d or serum or whole blood β-hydroxybutyrate (βhb) > 0.5 mmol/L) for ≥14 days. Results Thirteen studies (9 parallel and 4 crossover/longitudinal) that met the inclusion criteria were identified. Aggregated results from the 13 identified studies show body mass decreased 2.7 kg in KD and increased 0.3 kg in CON. FM decreased by 2.3 kg in KD and 0.3 kg in CON. FFM decreased by 0.3 kg in KD and increased 0.7 kg in CON. Estimated energy balance based on changes in body composition was − 339 kcal/d in KD and 5 kcal/d in CON. Risk of bias identified some concern of bias primarily due to studies which allowed participants to self-select diet intervention groups, as well as inability to blind participants to the study intervention, and/or longitudinal study design. Conclusion KD can promote mobilization of fat stores to reduce FM while retaining FFM. However, there is variance in results of FFM across studies and some risk-of-bias in the current literature that is discussed in this systematic review. Supplementary Information The online version contains supplementary material available at 10.1186/s12970-021-00440-6.
Collapse
Affiliation(s)
- Julie L Coleman
- U.S. Army Research Institute of Environmental Medicine, 10 General Greene Ave, Building 42, Natick, MA, 01760, USA.,Oak Ridge Institute of Science and Education, Belcamp, MD, USA
| | - Christopher T Carrigan
- U.S. Army Research Institute of Environmental Medicine, 10 General Greene Ave, Building 42, Natick, MA, 01760, USA
| | - Lee M Margolis
- U.S. Army Research Institute of Environmental Medicine, 10 General Greene Ave, Building 42, Natick, MA, 01760, USA.
| |
Collapse
|
31
|
Lakicevic N, Paoli A, Roklicer R, Trivic T, Korovljev D, Ostojic SM, Proia P, Bianco A, Drid P. Effects of Rapid Weight Loss on Kidney Function in Combat Sport Athletes. MEDICINA (KAUNAS, LITHUANIA) 2021; 57:551. [PMID: 34072641 PMCID: PMC8229569 DOI: 10.3390/medicina57060551] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Revised: 05/24/2021] [Accepted: 05/24/2021] [Indexed: 11/16/2022]
Abstract
Even though scientific literature shows numerous heath complications and performance decrements associated with rapid weight loss (RWL), its prevalence remains exceedingly high across various combat sports. The aim of this study was to thoroughly search the existing literature to explore the influence of RWL on kidney function in Olympic and non-Olympic combat sport athletes. PubMed and Web of Science were searched for the relevant studies. Only original articles published from 2005 onwards, written in English, that included healthy males and females who prompted ~5% weight loss within a week or less, were included in the study. Retrieved studies showed that creatinine, blood urea nitrogen and urine specific gravity values were significantly increased after RWL in the majority of the included studies. This observation indicates that RWL caused dehydration and subsequent acute kidney damage despite various degrees of weight lost during the RWL phase, which can lead to adverse events in other body systems. Alternative methods of weight reduction that prioritize athletes' health should be considered.
Collapse
Affiliation(s)
- Nemanja Lakicevic
- Sport and Exercise Sciences Research Unit, University of Palermo, 90133 Palermo, Italy;
| | - Antonio Paoli
- Department of Biomedical Sciences, University of Padova, 35122 Padova, Italy;
| | - Roberto Roklicer
- Faculty of Sport and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia; (R.R.); (T.T.); (D.K.); (S.M.O.); (P.P.); (P.D.)
| | - Tatjana Trivic
- Faculty of Sport and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia; (R.R.); (T.T.); (D.K.); (S.M.O.); (P.P.); (P.D.)
| | - Darinka Korovljev
- Faculty of Sport and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia; (R.R.); (T.T.); (D.K.); (S.M.O.); (P.P.); (P.D.)
| | - Sergej M. Ostojic
- Faculty of Sport and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia; (R.R.); (T.T.); (D.K.); (S.M.O.); (P.P.); (P.D.)
| | - Patrizia Proia
- Faculty of Sport and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia; (R.R.); (T.T.); (D.K.); (S.M.O.); (P.P.); (P.D.)
| | - Antonino Bianco
- Sport and Exercise Sciences Research Unit, University of Palermo, 90133 Palermo, Italy;
| | - Patrik Drid
- Faculty of Sport and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia; (R.R.); (T.T.); (D.K.); (S.M.O.); (P.P.); (P.D.)
| |
Collapse
|
32
|
Patterns of rapid weight loss in elite sambo athletes. BMC Sports Sci Med Rehabil 2021; 13:39. [PMID: 33853685 PMCID: PMC8045259 DOI: 10.1186/s13102-021-00267-3] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2020] [Accepted: 04/05/2021] [Indexed: 11/21/2022]
Abstract
Background Rapid weight loss (RWL) is commonly practiced in combat sports. Both magnitude and methods used to induce RWL are largely similar among combat sports, but currently, there is no data on RWL methodology used by sambo athletes. Therefore, the aim of this study was to determine RWL procedures sambo athletes apply to lose weight rapidly. Methods The sample consisted of 199 participants, of which 132 males and 67 females who participated in the World Sambo Championship 2020 held in Novi Sad, Serbia. Each participant received RWL questionnaire that was available in multiple languages, and every participant was instructed how to fill it out. Results Almost 87% of sambo participants declared to have intentionally cut their weight prior to the competition, whereby 5.27 kg (SD: ±7.57) was lost. Gradual dieting, sauna use and skipping meals were the most dominant methods used to reduce weight prior to competition while more extreme methods of RWL such as the use of laxatives, diuretics, diet pills and vomiting were also implemented but by much smaller fragment of the participants involved. Conclusions Findings from our study largely match with previously conducted RWL studies in terms of prevalence, magnitude and methods used by combat sport athletes, especially in judo and wrestling. Knowing the hazardous consequences of RWL, alternative methods of sustainable weight loss should be considered.
Collapse
|
33
|
Castor-Praga C, Lopez-Walle JM, Sanchez-Lopez J. Multilevel Evaluation of Rapid Weight Loss in Wrestling and Taekwondo. FRONTIERS IN SOCIOLOGY 2021; 6:637671. [PMID: 33898554 PMCID: PMC8062768 DOI: 10.3389/fsoc.2021.637671] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Accepted: 03/15/2021] [Indexed: 06/12/2023]
Abstract
The practice of strategies for rapid weight loss (RWL) involve diverse factors, such as individual expectations, social interactions, structural elements, etc., conforming to a "culture" of RWL, which must be evaluated and understood in a broad sense. Based on the need of a comprehensive evaluation of the use of RWL in practitioners of combat sports, an ad hoc questionnaire designed for this study, which includes the types and detailed descriptions of RWL strategies, that athletes currently use, the prevalence and frequency of use, the physiological and psychological consequences, the perception of the effect of RWL on their own performance and finally, the individuals who influence the adoption of this practice. One hundred and sixty combat athletes from wrestling and taekwondo disciplines, from Mexico, filled out this questionnaire. Data collected for their statistical analyses. Results revealed a RWL strategies prevalence of 96% across the participants. Our results revealed that 57% of those athletes using RWL lose more than 5% of their body mass. Across the athletes, the most commonly used RWL strategies and with higher intensity were increased exercise and training with plastic or thick clothes. The greater the relative weight loss, the greater the presence of physiological symptoms in athletes, such as rapid breathing and blood pressure. Athletes also mentioned mood states such as tiredness, sadness, confusion, fatigue and vigor, these last two positive and negative mood states are associated with the relative weight loss, respectively. Finally, the people who most influenced the adoption of RWL strategies were the coaches, parents and nutritionists. In conclusion, the questionnaire prepared for this study allowed us to obtain valuable information about the several factors, and their interactions, involved in the practice of RWL in combat athletes. This type of practice could increase health risks and decrease their performance. Therefore, here we state the importance of a comprehensive evaluation of RWL strategies that allows the development of psycho-educational and social-based interventions and programs for the promotion of proper weight maintenance, and prevention against RWL strategies, involving the individuals who influence the adoption of these practices and supporting it with the help of communication technologies.
Collapse
Affiliation(s)
- Cecilia Castor-Praga
- Facultad de Organización Deportiva, Universidad Autónoma de Nuevo León, San Nicolás de los Garza, Mexico
| | - Jeanette M. Lopez-Walle
- Facultad de Organización Deportiva, Universidad Autónoma de Nuevo León, San Nicolás de los Garza, Mexico
| | - Javier Sanchez-Lopez
- Centro de Investigación en Ciencias Cognitivas, Universidad Autónoma del Estado de Morelos, Cuernavaca, Mexico
| |
Collapse
|
34
|
Risk of Low Energy Availability among Female and Male Elite Runners Competing at the 26th European Cross-Country Championships. Nutrients 2021; 13:nu13030873. [PMID: 33800051 PMCID: PMC8000897 DOI: 10.3390/nu13030873] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 02/18/2021] [Accepted: 03/03/2021] [Indexed: 02/08/2023] Open
Abstract
Low energy availability (LEA) causes impaired physiological functioning. Cross-country running is a weight-sensitive sport, making athletes more prone to LEA. We aimed to estimate the prevalence of elite European cross-country athletes at risk of LEA using the LEA in Females Questionnaire (LEAF-Q) and to analyze demographic and physical characteristics that are associated with LEA. Athletes ≥ 18 years competing at the 26th European Cross-Country Championships (n = 602) were invited to complete a questionnaire (sociodemographic, training, anthropometric characteristics, and LEAF-Q). A total of 207 valid surveys were collected (83 females, 22.1 (4.0) years, and 124 males, 22.3 (4.1) years), and 16 surveys were excluded. A high prevalence of athletes at risk of LEA (64.3%) was observed, being higher in females than in males (79.5 and 54.0% respectively, p < 0.001). More than half of athletes (54.1%, n = 112) reported bowel movements once a week or more rarely, while 33 female athletes (41.3%) did not report normal menstruation. Overall, cross-country athletes are at high risk of LEA. Moreover, a high prevalence of gastrointestinal and menstrual impairments was reported. Hence, athletes should be followed by multidisciplinary teams to inform, prevent, and treat LEA and its effects.
Collapse
|
35
|
Hasegawa K, Yamaguchi Y, Tanaka M. Differential roles of VPS and RAAS in water homeostasis and a risk for kidney dysfunction in rats undergoing rapid fasting/dehydration with regular exercise. Physiol Rep 2021; 9:e14670. [PMID: 33400404 PMCID: PMC7785051 DOI: 10.14814/phy2.14670] [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: 08/04/2020] [Revised: 10/23/2020] [Accepted: 11/10/2020] [Indexed: 11/24/2022] Open
Abstract
Purpose We examined the effects of rapid restriction of food and fluid intake on the pathways of water homeostasis, the vasopressinergic system (VPS), and the renin–angiotensin–aldosterone system (RAAS), in rats with or without regular exercise. Methods Sprague Dawley rats were divided into the following groups: no intervention, rapid restriction, regular exercise, and rapid restriction combined with regular exercise. Rats in the exercise group performed climbing exercise for 4 weeks. All rats consumed food ad libitum, and those in the rapid restriction group fasted for the last 3 days with no water on the last 1 day. Results Despite no significant differences in body weight among the groups, the kidney weight was decreased when rapid restriction and regular exercise were combined. Rapid restriction reduced the urine volume and increased the urine osmolality, whereas regular exercise did not. Rapid restriction but not regular exercise increased the levels of circulating aldosterone and the renal expression levels of the ion channel SGK‐1 compared to those without rapid restriction, indicating the stimulation of RAAS. Conversely, VPS showed no significant response to these interventions. Moreover, rapid restriction combined with regular exercise induced the renal expression levels of proinflammatory cytokines and increased the active forms of apoptotic effector caspase‐3 compared with the no intervention group. Conclusions Functional significance may differ between VPS and RAAS in water homeostasis in response to rapid restriction. Moreover, the combination of rapid restriction and regular exercise has potentially deleterious effects on the kidney.
Collapse
Affiliation(s)
- KazuyA Hasegawa
- Faculty of Nutritional Sciences, Morioka University, Takizawa city, Japan
| | - Yuya Yamaguchi
- Department of Physiology, Faculty of Medicine, Toho University, Japan
| | - Masashi Tanaka
- Department of Physical Therapy, Health Science University, Minamitsuru-gun, Japan
| |
Collapse
|
36
|
White T, Kirk C. Pre-competition body mass loss characteristics of Brazilian jiu-jitsu competitors in the United Kingdom. Nutr Health 2021; 27:387-394. [PMID: 33402045 DOI: 10.1177/0260106020983800] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Brazilian jiu-jitsu (BJJ) is a grappling-based combat sport in which competitors engage in pre-competition acute 'weight' loss (AWL) and rapid 'weight' loss (RWL) to achieve the body mass (BM) required for their desired division. AWL/RWL practices of UK BJJ competitors have not previously been reported. AIM Our aim in this study was to determine the prevalence, magnitude and stakeholder influences of AWL and RWL amongst BJJ participants in the United Kingdom (UK). A secondary aim was to explore whether there is any influence of time spent in the sport or competition frequency on AWL/RWL practices. METHODS In this study we used the rapid weight loss questionnaire (RWLQ) adapted for BJJ to determine the prevalence and magnitude of AWL/RWL in UK BJJ, the prevalence of methods used and the key stakeholder influences on these practices. As a secondary investigation we aimed to determine whether there was any effect of age starting BJJ on AWL/RWL. RESULTS Of 115 completed responses, 59% stated they performed AWL/RWL before competition. Mean BM loss for this competition was 1.9 ± 3.8 kg (2.3 ± 4.6%), with 34% of participants starting BM loss 3-7 days prior and 16% starting 0-2 days prior. Methods used tend to be achieving calorie deficit via exercise and diet rather than hypohydration, with little advice from formally qualified personnel. Participants who perform AWL/RWL started training (BF10 = 199, d = .72) and competing (BF10 = 107, d = .68) in BJJ younger than those who do not perform AWL/RWL. CONCLUSIONS AWL/RWL is prevalent in UK BJJ, but not at the magnitude of other combat sports or countries. Though negative effects of extreme hypohydration are unlikely, there may be a higher chance of eating disorders in BJJ, particularly due to the young age of AWL/RWL commencement.
Collapse
Affiliation(s)
- Tyler White
- 2939University of Derby, College of Science and Engineering, UK
| | - Christopher Kirk
- 2939University of Derby, College of Science and Engineering, UK
- Liverpool John Moores University, Research Institute for Sport and Exercise Sciences, UK
| |
Collapse
|
37
|
Cannataro R, Cione E, Gallelli L, Marzullo N, Bonilla DA. Acute Effects of Supervised Making Weight on Health Markers, Hormones and Body Composition in Muay Thai Fighters. Sports (Basel) 2020; 8:sports8100137. [PMID: 33081214 PMCID: PMC7602705 DOI: 10.3390/sports8100137] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Revised: 10/10/2020] [Accepted: 10/14/2020] [Indexed: 02/05/2023] Open
Abstract
Making weight is a practice often used in combat sports. This consists of a rapid weight loss (RWL) and a subsequent rapid weight gain (RWG) in the days preceding competition. However, this practice is often carried out based on anecdotal information provided by ex-athletes or non-professionals, which has led to several adverse events. This study aimed to assess the acute effects of a supervised nutritional period of RWL/RWG on health markers, hormone concentrations, and body composition. We performed a single-arm repeated-measures (baseline, after RWL and after RWG) clinical trial with twenty-one (8F:16M) Italian Muay Thai fighters. Body mass was significantly lower after the RWL (-4.1%) while there was a significantly higher glucose availability after RWL and RWG. Blood urea nitrogen, lipid profile, and creatinine were within the normal range after RWL/RWG. Testosterone decrease significantly after RWL and RWG in the men group. Male fighters had a significant reduction in thyroid-stimulating hormone concentration after the RWL and RWG intervention, but no change was found in women at pre-competition. Bioelectrical parameters were almost fully restored after RWG. An evidence-based and individualized nutrition methodology reduces the adverse events after an RWL and RWG practice, although the impact on the hormonal profile is inevitable.
Collapse
Affiliation(s)
- Roberto Cannataro
- Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, 87036 Rende, Italy;
- Correspondence:
| | - Erika Cione
- Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, 87036 Rende, Italy;
| | - Luca Gallelli
- Clinical Pharmacology and Pharmacovigilance Operative Unit, Department of Health Science, University of Magna Graecia, Mater Domini Hospital Catanzaro, 88100 Catanzaro, Italy;
| | | | - Diego A. Bonilla
- Research Division, DBSS International SAS, Bogotá 110861, Colombia;
- kDNA Genomics®, University of the Basque Country UPV/EHU, 20018 San Sebastián, Spain
- Research Group in Biochemistry and Molecular Biology, Universidad Distrital Francisco José de Caldas, Bogotá 110311, Colombia
- Research Group in Physical Activity, Sports and Health Sciences (GICAFS), Universidad de Córdoba, Montería 230002, Colombia
| |
Collapse
|
38
|
Comparison of hot water immersion at self-adjusted maximum tolerable temperature, with or without the addition of salt, for rapid weight loss in mixed martial arts athletes. Biol Sport 2020; 38:89-96. [PMID: 33795918 PMCID: PMC7996375 DOI: 10.5114/biolsport.2020.96947] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Revised: 06/26/2020] [Accepted: 06/30/2020] [Indexed: 11/18/2022] Open
Abstract
Hot water immersion is used by athletes in weight category sports to produce rapid weight loss (RWL) by means of passive fluid loss, and often is performed with the addition of Epsom salts (magnesium sulphate). This study investigated the magnitude of body mass losses during hot water immersion with or without the addition of salt, with the temperature commencing at 37.8°C and being self-adjusted by participants to their maximum tolerable temperature. In a crossover design, eight male MMA athletes (29.4 ± 5.3 y; 1.83 ± 0.05 m; 85.0 ± 4.9 kg) performed a 20 min whole-body immersion followed by a 40 min wrap in a warm room, twice in sequence per visit. During one visit, only fresh water was used (FWB), and in the other visit, magnesium sulphate (1.6% wt/vol) was added to the bath (SWB). Prior to each visit, 24 h of carbohydrate, fibre and fluid restriction was undertaken. Water temperatures at the end of the first and second baths were ~39.0°C and ~39.5°C, respectively. Body mass losses induced by the hot bath protocols were 1.71 ± 0.70 kg and 1.66 ± 0.78 kg for FWB and SWB, respectively (P = 0.867 between trials, d = 0.07), and equivalent to ~2.0% body mass. Body mass lost during the entire RWL protocol was 4.5 ± 0.7%. Under the conditions employed, the magnitude of body mass lost in SWB was similar to FWB. Augmenting passive fluid loss during hot water immersion with the addition of salt may require a higher salt concentration than that presently utilised.
Collapse
|
39
|
Kondo E, Nishimaki M, Yamashita D, Nakajima K. The link between the range of rapid weight loss and physical conditions of elite wrestlers during competition under the morning weigh-in rule. J Sports Med Phys Fitness 2020; 61:117-123. [PMID: 32720786 DOI: 10.23736/s0022-4707.20.11221-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Amateur wrestlers have often undergone rapid weight loss (RWL) to win their matches. On January 1, 2018, the rule of weigh-in was changed and weight category increased. The study aimed to determine the prevalence of wrestlers undergoing RWL under the new rule of morning weigh-in before the tournament and examine the relationship between the range of RWL and physical conditions. METHODS Male (N.=204) and female (N.=50) wrestlers participating in the National Wrestling Championship completed a questionnaire about weight reduction methods and their physical condition. RESULTS Among 159 participants exceeding their weight class one-week before competition, 36% of males and 44% of females exceeded their weight class by 0.0-4.9% (requiring small RWL); 30% of males and 6% of females exceeded by 5.0-10.0% (requiring large RWL), but neither males nor females were over 10.0% above required weight. In males, there was a moderate negative correlation between excess rates of body mass one-week before competition and their physical condition (r=-0.330 to -0.467, P<0.05) on the first day of the competition; however, no significant correlation was found in the females. Comparing physical condition according to the range of RWL, there were significantly lower scores in the large RWL group (≥4.9%) than the small RWL group (<4.9%) in males. CONCLUSIONS We found that RWL≤5% is most appropriate to ensure better physical condition of wrestlers on competition day.
Collapse
Affiliation(s)
- Emi Kondo
- Sports Medical Center, Japan Institute of Sports Sciences, Tokyo, Japan -
| | - Mio Nishimaki
- Department of Sports Sciences, Japan Institute of Sports Sciences, Tokyo, Japan
| | - Daichi Yamashita
- Department of Sports Sciences, Japan Institute of Sports Sciences, Tokyo, Japan
| | - Kohei Nakajima
- Sports Medical Center, Japan Institute of Sports Sciences, Tokyo, Japan
| |
Collapse
|
40
|
Lee JS, Cho SS, Kim KW. Weight control practices, beliefs, self-efficacy, and eating behaviors in college weight class athletes. Nutr Res Pract 2020; 14:45-54. [PMID: 32042373 PMCID: PMC6997141 DOI: 10.4162/nrp.2020.14.1.45] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2019] [Revised: 09/06/2019] [Accepted: 10/14/2019] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND/OBJECTIVES This study aimed to examine differences in weight control practices, beliefs, self-efficacy, and eating behaviors of weight class athletes according to weight control level. SUBJECTS/METHODS Subjects were weight class athletes from colleges in Gyeong-gi Province. Subjects (n = 182) responded to a questionnaire assessing study variables by self-report, and data on 151 athletes were used for statistical analysis. Subjects were categorized into High vs. Normal Weight Loss (HWL, NWL) groups depending on weight control level. Data were analyzed using t-test, ANCOVA, χ2-test, and multiple logistic regressions. RESULTS Seventy-three percent of subjects were in the HWL group. The two groups showed significant differences in weight control practices such as frequency (P < 0.01), duration and magnitude of weight loss, methods, and satisfaction with weight control (P < 0.001). Multiple logistic regression showed that self-efficacy (OR: 0.846, 95% CI: 0.730, 0.980), eating behaviors during training period (OR: 1.285, 95% CI: 1.112, 1.485), and eating behaviors during the weight control period (OR: 0.731, 95% CI: 0.620, 0.863) were associated with weight control level. Compared to NWL athletes, HWL athletes agreed more strongly on the disadvantages of rapid weight loss (P < 0.05 - P < 0.01), perceived less confidence in controlling overeating after matches (P < 0.001), and making weight within their weight class (P < 0.05). HWL athletes showed more inappropriate eating behaviors than NWL athletes, especially during the weight control period (P < 0.05 - P < 0.001). CONCLUSIONS Self-efficacy was lower and eating behaviors during pre-competition period were more inadequate in HWL athletes. Education programs should include strategies to help athletes apply appropriate methods for weight control, increase self-efficacy, and adopt desirable eating behaviors.
Collapse
Affiliation(s)
- Ji Seon Lee
- Department of Food and Nutrition, Seoul Women's University, 621 Hwarangro, Nowon-Gu, Seoul 01797, Korea
| | - Seong Suk Cho
- National Training Center of Korea Olympic Committee, Seoul 01794, Korea
| | - Kyung Won Kim
- Department of Food and Nutrition, Seoul Women's University, 621 Hwarangro, Nowon-Gu, Seoul 01797, Korea
| |
Collapse
|
41
|
Connor J, Shelley A, Egan B. Comparison of hot water immersion at 37.8°C with or without salt for rapid weight loss in mixed martial arts athletes. J Sports Sci 2020; 38:607-611. [PMID: 31997718 DOI: 10.1080/02640414.2020.1721231] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Hot water immersion, known as a hot bath, is used by MMA athletes to produce rapid weight loss (RWL) by means of passive fluid loss. This study investigated the magnitude of body mass losses using a standardized hot bath protocol with or without the addition of salt. In a crossover design, eleven male MMA athletes (28.5 ± 4.6 y; 1.83 ± 0.07 m; 82.5 ± 9.1 kg) performed a 20-min immersion at 37.8°C followed by a 40-min wrap in a warm room. This bath and wrap was performed twice per visit. During one visit, only fresh water was used (FWB), and in the other visit, magnesium sulphate (1.6% wt/vol) was added to the bath (SWB). Prior to each visit, 24 h of carbohydrate, fibre, and fluid restriction was undertaken as part of the RWL protocol. Body mass losses induced by the hot bath protocols were 1.63 ± 0.75 kg and 1.60 ± 0.80 kg for FWB and SWB, respectively, and equivalent to ~2.1% body mass. Under the conditions employed, the magnitude of body mass loss in SWB was similar to FWB. However, further research should explore bathing in a temperature that is consistent with that habitually used by fighters, and/or higher concentrations of salt.
Collapse
Affiliation(s)
- John Connor
- School of Health and Human Performance, Dublin City University, Dublin, Ireland
| | - Adam Shelley
- School of Health and Human Performance, Dublin City University, Dublin, Ireland
| | - Brendan Egan
- School of Health and Human Performance, Dublin City University, Dublin, Ireland.,Florida Institute for Human and Machine Cognition, Pensacola, FL, USA
| |
Collapse
|
42
|
Nolan D, Lynch AE, Egan B. Self-Reported Prevalence, Magnitude, and Methods of Rapid Weight Loss in Male and Female Competitive Powerlifters. J Strength Cond Res 2020; 36:405-410. [DOI: 10.1519/jsc.0000000000003488] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
|
43
|
Rapid Weight Loss in Competitive Judo and Taekwondo Athletes: Attitudes and Practices of Coaches and Trainers. Int J Sport Nutr Exerc Metab 2019; 29:532-538. [PMID: 30975001 DOI: 10.1123/ijsnem.2018-0367] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2018] [Revised: 02/06/2019] [Accepted: 02/25/2019] [Indexed: 11/18/2022]
Abstract
Fasting, skipping meals, and dehydration are common methods of rapid weight loss used prior to competition in weight category sports. This study examines coaches' attitudes, perceptions, and practices regarding rapid weight loss among judo and taekwondo athletes. A convenience sample of experienced coaches and trainers (n = 68) completed structured questionnaires. Participants in this study were 33.8 ± 9.3 years old; 57 were males and 11 were females; and 59% were certified coaches, with 71% reporting over 20 years of involvement in sports and 68% having more than 10 years of teaching experience. The majority (90%) reported that they usually supervised athletes through the weight loss process. Interventions for weight loss began at 12.7 ± 1.9 years of age, with a recommended precompetition weight loss duration of 16.2 ± 8.2 days and an average reduction of 1.5 ± 0.7 kg. The majority of the responders (92%) recommended that their athletes practice gradual weight loss methods using a combination of dehydration or increased physical activity (80.3%), sweat suits (50.8%), restricted fluid intake (39.3%), training in heated rooms (27%), and sauna (26.2%). Recommendations of spitting (27.8%) or using laxatives, diuretics, diet pills, or vomiting (21.3%) were also reported. Coaches and trainers often encouraged athletes to cut weight before competition. The methods recommended are potentially harmful with severe health risks, including compromised nutritional status and diminished athletic performance. This is of particular concern in young athletes who are still growing and developing physically. Enhancing knowledge and awareness for coaches, athletes, and parents regarding potential dangers, along with improved nutrition education, is critical for reducing the magnitude and misuse of rapid weight loss methods.
Collapse
|
44
|
Gibson OR, James CA, Mee JA, Willmott AG, Turner G, Hayes M, Maxwell NS. Heat alleviation strategies for athletic performance: A review and practitioner guidelines. Temperature (Austin) 2019; 7:3-36. [PMID: 32166103 PMCID: PMC7053966 DOI: 10.1080/23328940.2019.1666624] [Citation(s) in RCA: 56] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2019] [Revised: 09/06/2019] [Accepted: 09/08/2019] [Indexed: 12/19/2022] Open
Abstract
International competition inevitably presents logistical challenges for athletes. Events such as the Tokyo 2020 Olympic Games require further consideration given historical climate data suggest athletes will experience significant heat stress. Given the expected climate, athletes face major challenges to health and performance. With this in mind, heat alleviation strategies should be a fundamental consideration. This review provides a focused perspective of the relevant literature describing how practitioners can structure male and female athlete preparations for performance in hot, humid conditions. Whilst scientific literature commonly describes experimental work, with a primary focus on maximizing magnitudes of adaptive responses, this may sacrifice ecological validity, particularly for athletes whom must balance logistical considerations aligned with integrating environmental preparation around training, tapering and travel plans. Additionally, opportunities for sophisticated interventions may not be possible in the constrained environment of the athlete village or event arenas. This review therefore takes knowledge gained from robust experimental work, interprets it and provides direction on how practitioners/coaches can optimize their athletes' heat alleviation strategies. This review identifies two distinct heat alleviation themes that should be considered to form an individualized strategy for the athlete to enhance thermoregulatory/performance physiology. First, chronic heat alleviation techniques are outlined, these describe interventions such as heat acclimation, which are implemented pre, during and post-training to prepare for the increased heat stress. Second, acute heat alleviation techniques that are implemented immediately prior to, and sometimes during the event are discussed. Abbreviations: CWI: Cold water immersion; HA: Heat acclimation; HR: Heart rate; HSP: Heat shock protein; HWI: Hot water immersion; LTHA: Long-term heat acclimation; MTHA: Medium-term heat acclimation; ODHA: Once-daily heat acclimation; RH: Relative humidity; RPE: Rating of perceived exertion; STHA: Short-term heat acclimation; TCORE: Core temperature; TDHA: Twice-daily heat acclimation; TS: Thermal sensation; TSKIN: Skin temperature; V̇O2max: Maximal oxygen uptake; WGBT: Wet bulb globe temperature.
Collapse
Affiliation(s)
- Oliver R. Gibson
- Centre for Human Performance, Exercise and Rehabilitation (CHPER), Division of Sport, Health and Exercise Sciences, Brunel University London, Uxbridge, UK
| | - Carl A. James
- Institut Sukan Negara (National Sports Institute), Kuala Lumpur, Malaysia
| | - Jessica A. Mee
- School of Sport and Exercise Sciences, University of Worcester, Worcester, UK
| | - Ashley G.B. Willmott
- Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UK
| | - Gareth Turner
- Bisham Abbey National High-Performance Centre, English Institute of Sport, EIS Performance Centre, Marlow, UK
| | - Mark Hayes
- Environmental Extremes Laboratory, School of Sport and Service Management, University of Brighton, Eastbourne, UK
| | - Neil S. Maxwell
- Environmental Extremes Laboratory, School of Sport and Service Management, University of Brighton, Eastbourne, UK
| |
Collapse
|
45
|
Silva AM, Nunes CL, Matias CN, Rocha PM, Minderico CS, Heymsfield SB, Lukaski H, Sardinha LB. Usefulness of raw bioelectrical impedance parameters in tracking fluid shifts in judo athletes. Eur J Sport Sci 2019; 20:734-743. [PMID: 31524089 DOI: 10.1080/17461391.2019.1668481] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Analiza M. Silva
- Exercise and Health Laboratory, CIPER, Faculdade Motricidade Humana, Universidade Lisboa, Cruz-Quebrada, Portugal
| | - Catarina L. Nunes
- Exercise and Health Laboratory, CIPER, Faculdade Motricidade Humana, Universidade Lisboa, Cruz-Quebrada, Portugal
| | - Catarina N. Matias
- Exercise and Health Laboratory, CIPER, Faculdade Motricidade Humana, Universidade Lisboa, Cruz-Quebrada, Portugal
| | - Paulo M. Rocha
- Exercise and Health Laboratory, CIPER, Faculdade Motricidade Humana, Universidade Lisboa, Cruz-Quebrada, Portugal
| | - Cláudia S. Minderico
- Exercise and Health Laboratory, CIPER, Faculdade Motricidade Humana, Universidade Lisboa, Cruz-Quebrada, Portugal
| | | | - Henry Lukaski
- Department of Kinesiology and Public Health Education, Hyslop Sports Center, University of North Dakota, Grand Forks, ND, USA
| | - Luís B. Sardinha
- Exercise and Health Laboratory, CIPER, Faculdade Motricidade Humana, Universidade Lisboa, Cruz-Quebrada, Portugal
| |
Collapse
|
46
|
Connor J, Egan B. Prevalence, Magnitude and Methods of Rapid Weight Loss Reported by Male Mixed Martial Arts Athletes in Ireland. Sports (Basel) 2019; 7:sports7090206. [PMID: 31505745 PMCID: PMC6783947 DOI: 10.3390/sports7090206] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2019] [Revised: 07/31/2019] [Accepted: 09/03/2019] [Indexed: 11/25/2022] Open
Abstract
Rapid weight loss (RWL) is frequently practiced in weight category sports, including Mixed Martial Arts (MMA). The aim of the present study was to describe self-reported methods of RWL in a sample of competitive MMA athletes comprising of both amateur and professional fighters. The previously-validated Rapid Weight Loss Questionnaire, with the addition of questions on water loading and hot salt baths, was completed anonymously online by athletes (n = 30; all male, n = 15/15 professional/amateur) from MMA clubs around Dublin, Ireland. All but one (97%) of the athletes surveyed lost weight in order to compete, with the average weight loss being 7.9% ± 3.1% of habitual body mass. The RWL score (mean ± SD) for this sample was 37.9 ± 9.6, and a tendency for higher [6.0 (95%CI; −1.1, 13.1) (p = 0.093; d = 0.64)] RWL scores for professional (40.8 ± 8.9) compared to amateur (34.8 ± 9.6) athletes was observed. Frequencies of “always” or “sometimes” were reported as 90% for water loading, 76% for hot salt baths and 55% for 24 h of fasting. Fellow fighters (41%) and coaches/mentors (38%) were “very influential” on RWL practices of these athletes, with doctors (67%), dietitians (41%), and physical trainers (37%) said to be “not influential”. RWL is highly prevalent in MMA across both amateur and professional athletes, and RWL scores are higher than other combat sports. Water loading and hot salt baths are amongst the most commonly used methods of RWL despite little research on these methods for body mass reduction or effects on performance in weight category sports.
Collapse
Affiliation(s)
- John Connor
- School of Health and Human Performance, Dublin City University, Dublin D09 V209, Ireland
| | - Brendan Egan
- School of Health and Human Performance, Dublin City University, Dublin D09 V209, Ireland.
- National Institute for Cellular Biotechnology, Dublin City University, Dublin D09 V209, Ireland.
| |
Collapse
|
47
|
Santos-Junior RB, Utter AC, McAnulty SR, Bittencourt Bernardi BR, Buzzachera CF, Franchini E, Souza-Junior TP. Weight loss behaviors in Brazilian mixed martial arts athletes. SPORT SCIENCES FOR HEALTH 2019. [DOI: 10.1007/s11332-019-00581-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
48
|
Helvaci O, Korucu B, Arinsoy T. Another Victim of Rapid Weight Loss? Kidney Int Rep 2019; 4:633. [PMID: 30993242 PMCID: PMC6451078 DOI: 10.1016/j.ekir.2019.01.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Accepted: 01/14/2019] [Indexed: 11/16/2022] Open
Affiliation(s)
- Ozant Helvaci
- Gazi Universitesi Tip Fakultesi, Nephrology, Ankara, Turkey
| | - Berfu Korucu
- Gazi Universitesi Tip Fakultesi, Nephrology, Ankara, Turkey
| | - Turgay Arinsoy
- Gazi Universitesi Tip Fakultesi, Nephrology, Ankara, Turkey
| |
Collapse
|
49
|
Rhi S, Lee J, Lee Y, Kim K. Changes of body composition, physical fitness, and blood variables according to the short-term weight reduction in college ssireum athletes. J Exerc Rehabil 2019; 15:74-77. [PMID: 30899740 PMCID: PMC6416499 DOI: 10.12965/jer.1836526.263] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2018] [Accepted: 12/20/2018] [Indexed: 11/23/2022] Open
Abstract
The purpose of the study was to investigate the influence of short-term weight loss on body shape, physical fitness, and blood variables in college ssireum (one of the Korean traditional martial art) athletes. Six college ssireum athletes participated as subjects. The weight loss program includes 50% of limited diet, 5.5 hr of physical and skill training. Body composition such as weight, body fat, muscle mass, and body mass index (BMI) was determined. Fitness test such as shuttle run, sit-up, trunk extension test, grip test, sitting reach test, and side step test was measured. Blood variables such as total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein, glucose, reactive oxygen species (ROS), malondialdehyde (MDA), and superoxide dismutase (SOD) were checked before and after the short-term weight reduction. The results revealed significant decrease in body composition such as weight, body fat, muscle mass, and BMI. Fitness test also showed significant decrease in sit-up, trunk extension test, and grip test. The results demonstrated positive significant change in side step test, shuttle run, and sitting reach test. The results of blood variables showed significant decrease in total cholesterol, LDL, glucose and SOD. In contrast, MDA revealed significant increase and no significant change was found in ROS. Finally, it is assumed that a proposal of weight loss without decrease of muscle mass, muscle force, and muscle endurance is necessary because of the negative effects on muscle force and muscle endurance which should be used during actual games.
Collapse
Affiliation(s)
- Soungyob Rhi
- Department of Health and Exercise Science, Seoul National University, Seoul, Korea
| | - Jangwon Lee
- Department of Sport Leisure Studies, Jungwon University, Goesan, Korea
| | - Younggi Lee
- Department of Sport Leisure Studies, Jungwon University, Goesan, Korea
| | - Keunsu Kim
- Department of Aerospace Physical Education, Airforce Academy, Cheongju, Korea
| |
Collapse
|
50
|
Scarneo SE, Kerr ZY, Kroshus E, Register-Mihalik JK, Hosokawa Y, Stearns RL, DiStefano LJ, Casa DJ. The Socioecological Framework: A Multifaceted Approach to Preventing Sport-Related Deaths in High School Sports. J Athl Train 2019; 54:356-360. [PMID: 30870600 DOI: 10.4085/1062-6050-173-18] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The socioecological framework is a multilevel conceptualization of health that includes intrapersonal, interpersonal, organizational, environmental, and public policy factors. The socioecological framework emphasizes multiple levels of influence and supports the idea that behaviors both affect and are affected by various contexts. At present, the sports medicine community's understanding and application of the socioecological framework are limited. In this article, we use the socioecological framework to describe potential avenues for interventions to reduce sport-related deaths among adolescent participants.
Collapse
Affiliation(s)
- Samantha E Scarneo
- Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs
| | - Zachary Y Kerr
- Department of Exercise and Sport Science, University of North Carolina at Chapel Hill
| | - Emily Kroshus
- University of Washington, Department of Pediatrics, Seattle.,Seattle Children's Research Institute, Center for Child Health, Behavior and Development, WA
| | | | - Yuri Hosokawa
- College of Sport and Health Science, Ritsumeikan University, Shiga, Japan
| | - Rebecca L Stearns
- Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs
| | | | - Douglas J Casa
- Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs
| |
Collapse
|