Monitoring Salivary Immunoglobulin A Responses to Official and Simulated Matches In Elite Young Soccer Players

Saliva as a diagnostic tool in soccer: a scoping review

Background

A high-performance sport like soccer requires training strategies that aim to reach peak performance at the right time for the desired competitions. Thus, the investigation of biochemical markers in saliva is a tool that is beginning to be used in athletes within the physical training process. There is still no evidence on universal saliva collection and analysis protocols in soccer. This review aims to map the use of saliva as a tool for analyzing athletic performance in soccer, from the biomarkers used to the validated protocols for these analyses.

Methods

A broad systematic literature search was carried out in the electronic databases Web of Science, Livivo, Scopus, PubMed, LILACS and gray literature (Google Scholar and ProQuest). Two reviewers selected the studies and extracted data on the type of salivary collection used, the salivary biomarker evaluated and monitored.

Results

Ninety-three articles were included. The most frequently analyzed salivary biomarkers were cortisol (n = 53), testosterone (n = 35), secretory immunoglobulin A (SIgA) (n = 33), salivary alpha amylase (n = 7), genetic polymorphisms (n = 4) and miRNAs (n = 2). The results of the studies indicated beneficial effects in monitoring salivary biomarkers in the assessment of sports performance, although most studies did not include a control group capable of comparison. Salivary collection and analysis protocols were varied and commonly not reported.

Conclusions

This scoping review provides a comprehensive overview of the current landscape of salivary biomarker research in soccer. The findings underscore the importance of these biomarkers in assessing athletes' physiological responses and overall well-being. Future research should focus on refining methodologies, exploring additional biomarkers, and investigating the practical implications of salivary biomarker monitoring in soccer and other sports.

Muscle Damage and Immune-Endocrine Responses in 20-km Walking Race

The objective of the study was to monitor exercise-induced muscle damage (EIMD), inflammatory responses (IL-6, TNFα, and IL-10), and immune-endocrine balance (testosterone, cortisol, and salivary SIgA) in official 20 km walking race competitions. Eight 20 km professional walking racers (n = 6 women), 27 ± 9 years, underwent blood and saliva sampling, evaluation of delayed-onset muscle soreness (DOMS), and squat (SJ) and countermovement (CMJ) jump tests 2 h before (Pre), immediately after (Post), and 24 and 48 h after the competition. The rate of perceived exertion (RPE) was recorded 20 minutes after the race ended. The race evoked high competitive load (948.3 ± 268.0 a.u.), increased creatine kinase levels at 24 h (p < 0.05), and DOMS at 48 h (p < 0.05), but no significant changes in SJ and CMJ after the race. No significant changes in cytokines were detected. No changes in salivary SIgA secretion rate and inflammatory cytokines were detected (p > 0.05). The race induced increased testosterone (p < 0.05), and cortisol (p < 0.01) levels immediately after the race. Despite the high competitive load, 20-km walking racer athletes presented mild EIMD without impairment in immune-endocrine markers.

Does elite European match-play affect salivary immunoglobulin-A and cortisol in soccer players? The influence of playing status and match outcome

Introduction: The aims of this study were to: a) investigate salivary immunoglobulin A (s-IgA) and cortisol (s-Cort) responses to nine competitive fixtures in starting and non- starting soccer players; and b) compare s-IgA and s-Cort responses of starters and non-starters considering match outcome. Methods: Saliva from 19 male outfield players from an elite soccer team (mean ± SD, age 26 ± 4 years; weight 80.5 ± 8.1 kg; height 1.83 ± 0.07 m; body-fat 10.8% ± 0.7%) was collected. Saliva samples were taken on the day before each match (MD-1), 60-min before kick-off (MDpre), 30-min post-match (MDpost), and 72-h post-match (MD+3). There were five wins, one draw and three losses. Results: The mean s-IgA value was found to be significantly lower at MD+3 compared to MDpre and MDpost. s-Cort was significantly higher at MDpost compared to MD-1 and MDpre. When compared to MDpre, a statistically significant decrease in s-Cort was observed at MD+3 compared to MDpost. Starters displayed higher s-Cort values across the nine matches. There was a significant group-by-time interaction for s-Cort. There was a significant increase in s-Cort levels at MDpost compared to MD-1 and from MDpre to MDpost in starting players. At MDpost, starters had significantly higher s-Cort values. s-IgA values of starting and non- starting players following successful and unsuccessful matches did not reveal a significant difference. However, similar analysis of s-Cort in successful matches showed a significant difference between starters and non-starters. s-IgA values at MD-1, MDpre, MDpost and MD+3 in starters and non-starters following successful and unsuccessful matches revealed significant differences at MDpre and MDpost in starters, respectively. Furthermore, s-Cort values at MD-1, MDpre, MDpost and MD+3 in starters and non-starters in successful and unsuccessful matches revealed significant differences at MD+3 in starting players. Discussion: The present study suggests that in elite level soccer players, both starting status and match outcome influence s-IgA and s-Cort responses, particularly starters. Specifically, s-IgA was lower for starters before and after the match following successful outcomes. Moreover, higher s-Cort values were found before the match while lower values occurred after the match for starters in successful matches.

Acute effects of concurrent muscle power and sport-specific endurance exercises on markers of immunological stress response and measures of muscular fitness in highly trained youth male athletes

PURPOSE

To examine the acute effects of concurrent muscle power and sport-specific endurance exercises order on immunological stress responses, muscular-fitness, and rating-of-perceived-exertion (RPE) in highly trained youth male judo athletes.

METHODS

Twenty male participants randomly performed two concurrent training (CT) sessions; power-endurance and endurance-power. Measures of immune response (e.g., white blood cells), muscular-fitness (i.e., counter-movement-jump [CMJ]), RPE, blood-lactate, and -glucose were taken at different time-point (i.e., pre, mid, post, and post6h).

RESULTS

There were significant time*order interactions for white blood cells, lymphocytes, granulocytes, granulocyte-lymphocyte-ratio, and systemic-inflammation-index. Power-endurance resulted in significantly larger pre-to-post increases in white blood cells and lymphocytes while endurance-power resulted in significantly larger pre-to-post increases in the granulocyte-lymphocyte-ratio and systemic-inflammation-index. Likewise, significantly larger pre-to-post6h white blood cells and granulocytes increases were observed following power-endurance compared to endurance-power. Moreover, there was a significant time*order interaction for blood-glucose and -lactate. Following endurance-power, blood-lactate and -glucose increased from pre-to-mid but not from pre-to-post. Meanwhile, in power-endurance blood-lactate and -glucose increased from pre-to-post but not from pre-to-mid. A significant time*order interaction was observed for CMJ-force with larger pre-to-post decreases in endurance-power compared to power-endurance. Further, CMJ-power showed larger pre-to-mid performance decreases following power-endurance, compared to endurance-power. Regarding RPE, significant time*order interactions were noted with larger pre-to-mid values following endurance-power and larger pre-to-post values following power-endurance.

CONCLUSION

CT induced acute and delayed order-dependent immune cell count alterations in highly trained youth male judo athletes. In general, power-endurance induced higher acute and delayed immunological stress responses compared to endurance-power. CMJ-force and RPE fluctuated during both CT sessions but went back to baseline 6 h post-exercise.

Monitoring Heart Rate Variability and Perceived Well-Being in Brazilian Elite Beach Volleyball Players: A Single-Tournament Pilot Study

ABSTRACT

Nakamura, FY, Torres, VBC, da Silva, LS, Gantois, P, Andrade, AD, Ribeiro, ALB, Brasileiro-Santos, MdS, and Batista, GR. Monitoring heart rate variability and perceived well-being in Brazilian elite beach volleyball players: A single-tournament pilot study. J Strength Cond Res 36(6): 1708-1714, 2022-The aim of this study was to monitor the changes in heart rate variability (HRV) and perceptual well-being status after a beach volleyball (BV) tournament day in high-level U17 and senior players. Seventeen BV players (U17 [15-16 years]: n = 08; and senior [19-41 years]: n = 09) competing at national and/or international BV level participated in this study. Resting HRV and perceptual well-being measures were recorded across 4 moments: night 1 (prematches night), morning 1 (prematches morning), night 2 (postmatches night), and morning 2 (postmatches morning). Session rating of perceived exertion was assessed 10 minutes after each match, and accumulated match loads were used for analysis. Senior players presented higher values of natural logarithm of square root of the mean squared differences of successive RR intervals (lnRMSSD) at the 4 observation moments than U17 players (p = 0.006). Within-subjects analysis showed a larger mean difference regarding both lnRMSSD and natural logarithm SD of normal R-R intervals (lnSDNN) between night 1 vs. night 2 in U17 players (effect size = 1.11 and, 0.96, respectively) compared with senior (effect size = 0.40 and 0.32, respectively). Accumulated match loads were negatively correlated with percentage change in lnRMSSD (r = -0.54; p = 0.037). U17 players showed higher well-being variation than senior (group × time; p = 0.02). In conclusion, the lnRMSSD index was able to discriminate the U17 and senior BV players, and maintaining high vagally related HRV indices is an important response to BV training and competition.

The Effects of Successive Soccer Matches on the Internal Match Load, Stress Tolerance, Salivary Cortisol and Jumping Performance in Youth Soccer Players

The study aim was to analyze the effects of successive matches on the internal match load, stress tolerance, salivary cortisol concentration and countermovement vertical jump height in twelve youth soccer players (16.6 ± 0.5 yr; 175 ± 8 cm; 65 ± 8 kg) who performed four official matches within a four day-period with a 24-h recovery interval between the matches. The internal match load, monotony index and competitive strain, as well as stress tolerance were examined. Saliva samples were collected and countermovement vertical jump height was assessed 60 min pre and 30 min post each match; delta of salivary cortisol and countermovement vertical jump height for each match were analyzed. Salivary cortisol was analyzed using an enzyme-linked immunosorbent assay. The results of ANOVA with repeated measures showed no differences between matches for the internal match load (p > 0.05). The scores of the monotony index and competitive strain were 4.3 (±2.3) and 8104 (±6795) arbitrary units, respectively. There was no difference for stress tolerance between matches (p > 0.05). Delta values of salivary cortisol were not different among the assessed matches (F_(3,33) = 1.397, p = 0.351, η²: 0.09); however, delta of countermovement vertical jump height decreased from match 1 to match 4 (F_(3,33) = 8.64, p < 0.001, η²: 0.44). The current findings suggest that participating in four successive matches, with 24-h of recovery in between, may not lead to changes in stress tolerance and salivary cortisol of youth players, but it may induce a decrease in players' jumping performance after the fourth match.

Overnight Immune Regulation and Subjective Measures of Sleep: A Three Night Observational Study in Adolescent Track and Field Athletes

To ensure health maintenance of young athletes, immunological stress due to physical exercise has to be balanced for performance development and health maintenance. Sleep is an important influencing factor for immune regulation because of its regenerating effect. In an attempt to assess overnight immune regulation, this observational study aimed to examine associations between changes in capillary immunological blood markers and measures of sleep in adolescent athletes. Over a period of three nights, 12 male (n = 6) and female (n = 6) adolescent track and field athletes aged 16.4 ± 1.1 years were monitored for their sleep behavior (e.g., sleep duration, sleep depth) and immune regulation by using subjective (e.g., sleep) and objective (capillary blood markers) measurement tools. Over the 4 day (three nights), athletes followed their daily routines (school, homework, free time activities, and training). Training was performed for different disciplines (sprint, hurdles, and long-jump) following their daily training routines. Training included dynamic core stability training, coordination training, speed training, resistance training, and endurance training. Capillary blood samples were taken 30-45 min after the last training session (10:00-12:00 a.m. or 5:00-6:00 p.m.) and every morning between 7:00 and 10:00 a.m. Changes in capillary blood markers from post-training to the next morning and morning-to-morning fluctuations in capillary blood markers were analyzed over a three-night period using a generalized estimating equations (GEE) statistical approach. Associations of overnight changes with measures of sleep were analyzed using GEE. We found significant decreases in white blood cell count (WBC), granulocytes (GRAN), granulocytes% (GRAN%), monocytes (MID), and granulocyte-lymphocyte-ratio. In contrast, lymphocytes% (LYM%) increased significantly and systemic inflammation index showed no difference from post-training to the next morning. Furthermore, there was a significant decrease in WBC and GRAN between morning 1 and morning 3. At morning 4, values returned to baseline (morning 1), irrespective if athletes performed a training session or rested on day 3. Furthermore, sleep duration was significantly and negatively associated with changes in WBC (βz = -0.491) and lymphocytes (βz = -0.451). Our results indicate that overnight sleep duration is an important parameter of immunological overnight regulation for adolescent athletes.

Relationship between Training Load Management and Immunoglobulin A to Avoid Immunosuppression after Soccer Training and Competition: A Theoretical Framework Based on COVID-19 for Athletes' Healthcare

Immunoglobulin A (IgA), which is the main effector against upper respiratory tract viruses such as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been related to training load management. The aim of this systematic review was to establish the relationship between training load and salivary IgA based on current evidence in order to avoid immunosuppression after exercise and players´ vulnerability to virus contagion. A systematic review of relevant articles was carried out using two electronic databases (PubMed and Web of Science) until 19 May 2021. From a total of 127 studies initially found, 23 were included in the qualitative synthesis. These studies were clustered depending on stress level. The salivary IgA was analysed considering soccer-specific treadmill exercise and repeated sprint drills (n = 5), matches (n = 7), and during certain periods during the season or pre-season (n = 11). Repeated sprint ability tests and treadmill exercises are suitable exercises for the first steps on return to play periods yet still maintain social distance. A rest or moderate training sessions (technical/tactical) are suggested after official matches to ensure 16-18 h to recover IgA levels, while periods with multiple matches per week with limited recovery time should be avoided. Weekly training load should assume a small increment (<10%) to ensure IgA immune responses, especially, during the post coronavirus disease 2019 (COVID-19) season.

Comparison of Official and Friendly Matches through Acceleration, Deceleration and Metabolic Power Measures: A Full-Season Study in Professional Soccer Players

Soccer is a popular team sport and highly demanding activity that requires high effort and long-term training plans. The goals of this study were to compare the accelerations, decelerations and metabolic power between official and friendly full matches, between the first and second halves of the matches, and between both halves of official and friendly matches. Twelve professional soccer players (age, 28.6 ± 2.7 years; height, 182.1 ± 8.6 cm; body mass, 75.3 ± 8.2 kg; BMI, 22.6 ± 0.7 kg/m²) participated in this study. A total of 33 official and 10 friendly matches were analyzed from the Iranian Premier League. All matches were monitored using GPSPORTS systems Pty Ltd. The following variables were selected: total duration of the matches, metabolic power, accelerations Zone1 (<2 m·s^-2) (AccZ1), accelerations Zone2 (2 to 4 m·s^-2) (AccZ2), accelerations Zone3 (>4 m·s^-2) (AccZ3), decelerations Zone1 (<-2 m·s^-2) (DecZ1), decelerations Zone2 (-2 to -4 m·s^-2) (DecZ2) and decelerations Zone3 (>-4 m·s^-2) (DecZ3). The major finding was shown in metabolic power, where higher values occurred in friendly matches (p < 0.05 with small effect size). Furthermore, total duration, AccZ3, DecZ1, DecZ2, and DecZ3 were revealed to be higher in official matches, while AccZ1 and AccZ2 were higher in friendly matches. The second half of the official matches revealed higher values for total duration compared to friendly matches (p < 0.05, moderate effect size). In conclusion, this study observed higher values of metabolic power in friendly matches compared to official matches. AccZ3, DecZ1, DecZ2, and DecZ3 were higher in official matches, while AccZ1 and AccZ2 were higher in friendly matches.

Part I: Relationship among Training Load Management, Salivary Immunoglobulin A, and Upper Respiratory Tract Infection in Team Sport: A Systematic Review

Immunoglobulin A (IgA), which is the first line of defense against upper respiratory tract viruses, has been related with training load management. This article aimed to systematically identify and summarize (1) the studies that have found a relationship between training load and salivary IgA in team sports, and (2) the studies that have highlighted a relationship between IgA and upper respiratory tract infection (URTI) in team sports. A systematic review of relevant articles was carried out using two electronic databases (PubMed and WoK) until 3 October 2020. From a total of 174 studies initially found, 24 were included in the qualitative synthesis. This systematic review confirmed that lower values of IgA occurred after greater training load (intensity/volume) and congested periods. In this scenario, a low level of IgA was correlated with higher URTI, which makes training load management mandatory to healthcare avoiding immunosuppression. Therefore, physical fitness and conditioning coaches should carefully manage training load progression, avoiding high-intensity sessions in two consecutive days. In addition, they should not program high-intensity training sessions during at least the two days following competition.

Load Measures in Training/Match Monitoring in Soccer: A Systematic Review

In soccer, the assessment of the load imposed by training and a match is recognized as a fundamental task at any competitive level. The objective of this study is to carry out a systematic review on internal and external load monitoring during training and/or a match, identifying the measures used. In addition, we wish to make recommendations that make it possible to standardize the classification and use of the different measures. The systematic review was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The search was conducted through the electronic database Web of Science, using the keywords "soccer" and "football", each one with the terms "internal load", "external load", and "workload". Of the 1223 studies initially identified, 82 were thoroughly analyzed and are part of this systematic review. Of these, 25 articles only report internal load data, 20 report only external load data, and 37 studies report both internal and external load measures. There is a huge number of load measures, which requires that soccer coaches select and focus their attention on the most useful and specific measures. Standardizing the classification of the different measures is vital in the organization of this task, as well as when it is intended to compare the results obtained in different investigations.

Match and Training High Intensity Activity-Demands Profile During a Competitive Mesocycle in Youth Elite Soccer Players

The monitoring of the high intensity activity-demands profile during official matches (OMs) and training sessions (TSs) provides a deeper understanding of the relationship between training and competition loads as well as players’ fitness characteristics. The aims of this study were to: 1) describe the training and match high intensity activity-demands profile in U-19 soccer players; 2) compare the profile depending on the type of session (OM or TS) throughout match-weeks; and 3) differentiate between profiles depending on the match location (home or away). Twenty-five U-19 Spanish soccer players were monitored during TSs and OMs for a one-month competitive period using a WIMU PRO^TM wearable inertial device. The variables of the study were: high speed running distance (HSRD), total sprints (SPs), maximum speed (MS) and player load (PL). OMs required higher demands than TSs in HSRD (460.99 ± 206.18 vs. 315.45 ± 180.12 m; p < 0.01; d = 0.75), SPs (10.86 ± 6.64 vs. 7.23 ± 4.82; p < 0.01; d = 0.69), MS (29.99 ± 2.54 vs. 28.50 ± 2.4 km/h; p < 0.01; d = 0.59) and PL (103.08 ± 24.15 vs. 83.18 ± 17.96 a.u.; p < 0.01; d = 0.94). The interaction between the type of session and mean week’s demands presented differences with medium effect size in MS (p < 0.01; ω_p² = 0.06) and small effect size in HSRD (p = 0.04; ω_p² = 0.03), and SP (p = 0.05; ω_p² = 0.03), but there were no differences in PL (p = 0.18; ω_p² = 0). Finally, no differences were found in the match location comparison (p > 0.33; d = 0.22–0.33). Therefore, the profiles presented could be useful for future scientific purposes and serve as valid information for coaches trying to optimize performance.

Match Running Performance in Young Soccer Players: A Systematic Review

BACKGROUND

To date, athletic performance has been extensively assessed in youth soccer players through laboratory and field testing. Only recently has running performance via time-motion analysis been assessed during match play. Match running data are often useful in a practical context to aid game understanding and decision making regarding training content and prescriptions. A plethora of previous reviews have collated and appraised the literature on time-motion analysis in professional senior players, but none have solely examined youth players.

OBJECTIVE

The aim of the present systematic review was to provide a critical appraisal and summary of the original research articles that have evaluated match running performance in young male soccer players.

METHODS

Following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement, literature searches were performed in four databases: PubMed, ISI Web of Science, SPORTDiscus and SciELO. We used the following descriptors: soccer, football, young, youth, junior, physical performance, running performance, match running performance, movement patterns, time-motion analysis, distances covered, activity profile, work rate, match analysis, and match performance. Articles were included only if they were original articles written in the English language, studied populations of male children and/or adolescents (aged ≤ 20 years), were published/ahead of print on or before 31 December 2017 and showed at least one outcome measure regarding match running performance, such as total distance covered, peak game speed or indicators of activities performed at established speed thresholds.

RESULTS

A total of 5801 records were found. After duplicates were removed and exclusion and inclusion criteria applied, 50 articles were included (n = 2615 participants). Their outcome measures were extracted and findings were synthesized. The majority of the reviewed papers covered the European continent (62%) and used global positioning systems (GPS) (64%). Measurement error of the tools used to obtain position data and running metrics was systematically overlooked among the studies. The main aims of studies were to examine differences across playing positions (20%), age groups (26%) and match halves (36%). Consistent findings pointed to the existence of positional role and age effects on match running output (using fixed running speed thresholds), but there was no clear consensus about reductions in activity over the course of match play. Congested schedules negatively affected players' running performance. While over 32% of all studies assessed the relationships between match running performance and physical capacity, biochemical markers and body composition, ~ 70% of these did not account for playing position.

CONCLUSIONS

This review collated scientific evidence that can aid soccer conditioning professionals in understanding external match loads across youth categories. Coaches working with youth development programs should consider that data derived from a given population may not be relevant for other populations, since game rules, match format and configuration are essentially unstandardized among studies for age-matched players. Despite limited evidence, periodization training emphasizing technical-tactical content can improve match running performance. Occurrence of acute and residual impairments in the running performance of young soccer players is common. Prescription of postmatch recovery strategies, such as cold water immersion and spa treatment, can potentially help reduce these declines, although additional research is warranted. This review also highlighted areas requiring further investigation, such as the possible influence of environmental and contextual constraints and a more integrative approach combining tactical and technical data.

Team Dynamics, Running, and Skill-Related Performances of Brazilian U11 to Professional Soccer Players During Official Matches

Palucci Vieira, LH, Aquino, R, Moura, FA, Barros, RMLd, Arpini, VM, Oliveira, LdP, Bedo, BLdS, and Pereira Santiago, PR. Team dynamics, running, and skill-related performances of Brazilian U11 to professional soccer players during official matches. J Strength Cond Res 33(8): 2202-2216, 2019-Analyses of movements during soccer competition have been used previously to help develop conditioning programs. However, this has not been extensively studied in youth populations. Therefore, the purposes of this study were to examine (1) dynamics of collective tactical movements, (2) running, and (3) skill-related performances during soccer matches disputed by children to senior players. A total of 120 Brazilian players in the age groups U11, U13, U15, U17, U20, and professional (PRO) were monitored during official competition matches (N = 12). Using semiautomatic video-based tracking (30 Hz), match running variables including total distance traveled, average speed, maximum sprint speed, and high-intensity activities were evaluated. Tactical metrics were computed as team surface area, spread, and median frequency. Through notational analysis, technical skills such as involvements with the ball, passes, ball touches, duels, and goal attempts were also recorded. One-way analysis of variance and magnitude-based inferences were used to detect differences between ages. Although the average speed, team surface area, and spread tended to present stabilized increases from the U15 (e.g., U15 > U13 > U11), maximal sprinting speed (PRO > U17 > U15, U13, U11) and percentage at very high-intensity activities (U20 > PRO, U17 > U15 > U13 > U11) demonstrated continuous gains. Median frequencies were higher in the younger groups (U13, U15, U17 > U20, PRO), although the percentage of successful passes was higher in the older groups (PRO > U17, U15 > U13, U11). We concluded that Brazilian U11 to PRO players present different performance profiles for running, collective movement dynamics, and technical skills, and that the rate of development regarding these components varies. Coaches should be aware of these differences to select and adapt training content for each age group.

Standardized Assessment of Resistance Training-Induced Subjective Symptoms and Objective Signs of Immunological Stress Responses in Young Athletes

From a health and performance-related perspective, it is crucial to evaluate subjective symptoms and objective signs of acute training-induced immunological responses in young athletes. The limited number of available studies focused on immunological adaptations following aerobic training. Hardly any studies have been conducted on resistance-training induced stress responses. Therefore, the aim of this observational study was to investigate subjective symptoms and objective signs of immunological stress responses following resistance training in young athletes. Fourteen (7 females and 7 males) track and field athletes with a mean age of 16.4 years and without any symptoms of upper or lower respiratory tract infections participated in this study. Over a period of 7 days, subjective symptoms using the Acute Recovery and Stress Scale (ARSS) and objective signs of immunological responses using capillary blood markers were taken each morning and after the last training session. Differences between morning and evening sessions and associations between subjective and objective parameters were analyzed using generalized estimating equations (GEE). In post hoc analyses, daily change-scores of the ARSS dimensions were compared between participants and revealed specific changes in objective capillary blood samples. In the GEE models, recovery (ARSS) was characterized by a significant decrease while stress (ARSS) showed a significant increase between morning and evening-training sessions. A concomitant increase in white blood cell count (WBC), granulocytes (GRAN) and percentage shares of granulocytes (GRAN_%) was found between morning and evening sessions. Of note, percentage shares of lymphocytes (LYM_%) showed a significant decrease. Furthermore, using multivariate regression analyses, we identified that recovery was significantly associated with LYM_%, while stress was significantly associated with WBC and GRAN_%. Post hoc analyses revealed significantly larger increases in participants’ stress dimensions who showed increases in GRAN_%. For recovery, significantly larger decreases were found in participants with decreases in LYM_% during recovery. More specifically, daily change-scores of the recovery and stress dimensions of the ARSS were associated with specific changes in objective immunological markers (GRAN_%, LYM_%) between morning and evening-training sessions. Our results indicate that changes of subjective symptoms of recovery and stress dimensions using the ARSS were associated with specific changes in objectively measured immunological markers.