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Devantier-Thomas B, Deakin GB, Crowther F, Schumann M, Doma K. The repeated bout effect of traditional resistance training on cycling efficiency and performance. Eur J Appl Physiol 2024:10.1007/s00421-024-05422-5. [PMID: 38376510 DOI: 10.1007/s00421-024-05422-5] [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: 07/09/2023] [Accepted: 01/14/2024] [Indexed: 02/21/2024]
Abstract
PURPOSE This study examined the repeated bout effect of two resistance training bouts on cycling efficiency and performance. METHODS Ten male resistance-untrained cyclists (age 38 ± 13 years; height 180.4 ± 7.0 cm; weight 80.1 ± 10.1; kg; VO2max 51.0 ± 7.6 ml.kg-1.min-1) undertook two resistance training bouts at six-repetition maximum. Blood creatine kinase (CK), delayed-onset of muscle soreness (DOMS), counter-movement jump (CMJ), squat jump (SJ), submaximal cycling and time-trial performance were examined prior to (Tbase), 24 (T24) and 48 (T48) h post each resistance training bout. RESULTS There were significantly lower values for DOMS (p = 0.027) after Bout 2 than Bout 1. No differences were found between bouts for CK, CMJ, SJ and submaximal cycling performance. However, jump height (CMJ and SJ) submaximal cycling measures (ventilation and perceived exertion) were impaired at T24 and T48 compared to Tbase (p < 0.05). Net efficiency during submaximal cycling improved at Bout 2 (23.8 ± 1.2) than Bout 1 (24.3 ± 1.0%). There were no changes in cycling time-trial performance, although segmental differences in cadence were observed between bouts and time (i.e. Tbase vs T24 vs T48; p < 0.05). CONCLUSION Cyclists improved their cycling efficiency from Bout 1 to Bout 2 possibly due to the repeated bout effect. However, cyclists maintained their cycling completion times during exercise-induced muscle damage (EIMD) in both resistance training bouts, possibly by altering their cycling strategies. Thus, cyclists should consider EIMD symptomatology after resistance training bouts, particularly for cycling-specific technical sessions, regardless of the repeated bout effect.
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Affiliation(s)
- Baily Devantier-Thomas
- James Cook Drive, Rehab Sciences Building (DB-43), James Cook University, Townsville, QLD, 4811, Australia
| | - Glen B Deakin
- James Cook Drive, Rehab Sciences Building (DB-43), James Cook University, Townsville, QLD, 4811, Australia
| | - Fiona Crowther
- James Cook Drive, Rehab Sciences Building (DB-43), James Cook University, Townsville, QLD, 4811, Australia
| | - Moritz Schumann
- Department of Sports Medicine and Exercise Therapy, Chemnitz University of Technology, Chemnitz, Germany
| | - Kenji Doma
- James Cook Drive, Rehab Sciences Building (DB-43), James Cook University, Townsville, QLD, 4811, Australia.
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Devantier-Thomas B, Deakin GB, Crowther F, Schumann M, Doma K. The Impact of Exercise-Induced Muscle Damage on Various Cycling Performance Metrics: A Systematic Review and Meta-Analysis. J Strength Cond Res 2024:00124278-990000000-00393. [PMID: 38241464 DOI: 10.1519/jsc.0000000000004629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2024]
Abstract
ABSTRACT Devantier-Thomas, B, Deakin, GB, Crowther, F, Schumann, M, and Doma, K. The impact of exercise-induced muscle damage on various cycling performance metrics: a systematic review and meta-analysis. J Strength Cond Res 38(1): 196-212, 2024-This systematic review and meta-analysis examined the impact of exercise-induced muscle damage (EIMD) on cycling performance. The primary outcome measure was cycling performance, whereas secondary outcome measures included creatine kinase (CK), delayed-onset muscle soreness (DOMS), and muscular contractions. Data were extracted and quantified through forest plots to report on the standardized mean difference and p values. The meta-analysis showed no significant change in oxygen consumption at 24-48 hours (p > 0.05) after the muscle damage protocol, although ventilation and rating of perceived exertion significantly increased (p < 0.05) during submaximal cycling protocols. Peak power output during both sprint and incremental cycling performance was significantly reduced (p < 0.05), but time-trial and distance-trial performance showed no change (p > 0.05). Measures of CK and DOMS were significantly increased (p < 0.05), whereas muscular force was significantly reduced following the muscle-damaging protocols (p < 0.05), confirming that cycling performance was assessed during periods of EIMD. This systematic review showed that EIMD affected both maximal and submaximal cycling performance. Therefore, coaches should consider the effect of EIMD on cycling performance when implementing unaccustomed exercise into a cycling program. Careful consideration should be taken to ensure that additional training does not impair performance and endurance adaptation.
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Affiliation(s)
- Baily Devantier-Thomas
- James Cook University, College of Healthcare Sciences, Sports and Exercise Science, Townsville, Australia; and
| | - Glen B Deakin
- James Cook University, College of Healthcare Sciences, Sports and Exercise Science, Townsville, Australia; and
| | - Fiona Crowther
- James Cook University, College of Healthcare Sciences, Sports and Exercise Science, Townsville, Australia; and
| | | | - Kenji Doma
- James Cook University, College of Healthcare Sciences, Sports and Exercise Science, Townsville, Australia; and
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Habechian FAP, Lozana AL, Cools AM, Camargo PR. Swimming Practice and Scapular Kinematics, Scapulothoracic Muscle Activity, and the Pressure-Pain Threshold in Young Swimmers. J Athl Train 2019; 53:1056-1062. [PMID: 30615492 DOI: 10.4085/1062-6050-100-17] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
CONTEXT Whereas alterations in scapular kinematics, scapulothoracic muscle activity, and pain sensitivity have been described in adult swimmers, no researchers have examined these outcomes in young swimmers. OBJECTIVES To compare scapular kinematics, scapulothoracic muscle activation, and the pressure-pain threshold (PPT) of the shoulder muscles among young nonpractitioners (those who were not involved in sports involving the upper limbs), amateur swimmers, and competitive swimmers. DESIGN Cross-sectional study. SETTING Laboratory. PATIENTS OR OTHER PARTICIPANTS A total of 90 individuals (age = 11.63 ± 0.61 years) in 3 groups: nonpractitioners, amateur swimmers, and competitive swimmers. INTERVENTION(S) Scapular kinematics and activity of the upper trapezius, lower trapezius, and serratus anterior (SA) were measured during upper extremity elevation in the scapular plane. The PPT was assessed in the upper trapezius, infraspinatus, supraspinatus, middle deltoid, and tibialis anterior. MAIN OUTCOME MEASURE(S) Scapular kinematics, scapulothoracic muscle activation, and PPT. We conducted a 2-way mixed-model analysis of variance and a 1-way analysis of variance for scapular rotation and PPT, respectively. A Kruskal-Wallis test was used to assess muscle activity. The α level was set at .05. RESULTS Competitive swimmers presented more internal rotation at 90° ( P = .03) and 120° ( P = .047) and more anterior tilt at 90° ( P = .03) than nonpractitioners. Amateur swimmers demonstrated more anterior tilt at 90° ( P = .004) and 120° ( P = .005) than nonpractitioners. Competitive swimmers had greater SA activation in the intervals from 60° to 90° ( P = .02) and 90° to 120° ( P = .01) than amateur swimmers. They also displayed more SA activation in the interval from 90° to 120° than nonpractitioners ( P = .04). No differences were found in any of the muscles for the PPT ( P > .05). CONCLUSIONS Young competitive swimmers presented alterations in scapular kinematics and scapulothoracic muscle activation during upper extremity elevation that may be due to sport practice. Mechanical pain sensitivity was not altered in young swimmers.
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Affiliation(s)
- Fernanda A P Habechian
- Department of Physical Therapy, Universidade Federal de São Carlos, Brazil.,Departamento de Kinesiología, Universidad Católica del Maule, Talca, Chile
| | - Ana Letícia Lozana
- Department of Physical Therapy, Universidade Federal de São Carlos, Brazil
| | - Ann M Cools
- Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Belgium
| | - Paula R Camargo
- Department of Physical Therapy, Universidade Federal de São Carlos, Brazil
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Venhorst A, Micklewright DP, Noakes TD. The Psychophysiological Regulation of Pacing Behaviour and Performance Fatigability During Long-Distance Running with Locomotor Muscle Fatigue and Exercise-Induced Muscle Damage in Highly Trained Runners. SPORTS MEDICINE - OPEN 2018; 4:29. [PMID: 29987522 PMCID: PMC6037655 DOI: 10.1186/s40798-018-0143-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/04/2018] [Accepted: 06/15/2018] [Indexed: 01/28/2023]
Abstract
BACKGROUND Locomotor muscle fatigue (LMMF) and exercise-induced muscle damage (EIMD) are common conditions experienced during long-distance running due to the pooled effect of mechanical and metabolic strain on the locomotor muscles. However, little is known about the instant effects of combined LMMF and EIMD on pacing behaviour and performance during the decisive final stages of 'real-world' long-distance running events. METHODS Twenty-two highly trained runners (11 females) completed two maximal self-paced 20-km treadmill time trials in a counterbalanced crossover design: (A) in a tapered condition and (B) with LMMF and EIMD. Indicators of muscle damage, muscle metabolic strain, and endocrinological stress were assessed to investigate the physiological effects, and a three-dimensional framework of perceived fatigability was applied to investigate the perceptual effects of running with LMMF and EIMD on performance fatigability. RESULTS LMMF and EIMD caused restrictions in work capacity and medium increases in blood leucocyte and neutrophil count, interleukin-6, and cortisol concentrations, collectively constituting a physiological milieu likely not conducive to high performance. LMMF and EIMD further caused large increases in perceived physical strain and large decreases in valence as well as large increases and decreases in action crisis and flow state, respectively. CONCLUSIONS Under the constraint of amplified physical duress, findings are suggestive of heuristic and rational antecedents in the goal disengagement process. Dynamic changes in physiological and perceptual effects of LMMF and EIMD are hypothesised to underpin the observed alterations in pacing behaviour and performance fatigability during long-distance running. The applied three-dimensional framework provides a more comprehensive understanding of strain-perception-thinking-action coupling in centrally regulated and goal-directed exercise behaviour.
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Affiliation(s)
- Andreas Venhorst
- Department of Human Biology, Division of Exercise Science and Sports Medicine, University of Cape Town, Newlands, 7725 South Africa
| | - Dominic P. Micklewright
- School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, CO4 3SQ UK
| | - Timothy D. Noakes
- Department of Human Biology, Division of Exercise Science and Sports Medicine, University of Cape Town, Newlands, 7725 South Africa
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The effects of exercise-induced muscle damage on critical torque. Eur J Appl Physiol 2017; 117:2225-2236. [DOI: 10.1007/s00421-017-3710-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2017] [Accepted: 08/29/2017] [Indexed: 01/05/2023]
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Malone S, Doran D, Akubat I, Collins K. The Integration of Internal and External Training Load Metrics in Hurling. J Hum Kinet 2016; 53:211-221. [PMID: 28149425 PMCID: PMC5260590 DOI: 10.1515/hukin-2016-0024] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
The current study aimed to assess the relationship between the hurling player's fitness profile and integrated training load (TL) metrics. Twenty-five hurling players performed treadmill testing for VO2max, the speed at blood lactate concentrations of 2 mmol•L-1 (vLT) and 4 mmol•L-1 (vOBLA) and the heart rate-blood lactate profile for calculation of individual training impulse (iTRIMP). The total distance (TD; m), high speed distance (HSD; m) and sprint distance (SD; m) covered were measured using GPS technology (4-Hz, VX Sport, Lower Hutt, New Zealand) which allowed for the measurement of the external TL. The external TL was divided by the internal TL to form integration ratios. Pearson correlation analyses allowed for the assessment of the relationships between fitness measures and the ratios to performance during simulated match play. External measures of the TL alone showed limited correlations with fitness measures. Integrated TL ratios showed significant relationships with fitness measures in players. TD:iTRIMP was correlated with aerobic fitness measures VO2max (r = 0.524; p = 0.006; 95% CI: 0.224 to 0.754; large) and vOBLA (r = 0.559; p = 0.003; 95% CI: 0.254 to 0.854; large). HSD:iTRIMP also correlated with aerobic markers for fitness vLT (r = 0.502; p = 0.009; 95% CI: 0.204 to 0.801; large); vOBLA (r = 0.407; p = 0.039; 95% CI: 0.024 to 0.644; moderate). Interestingly SD:iTRIMP also showed significant correlations with vLT (r = 0.611; p = 0.001; 95% CI: 0.324 to 0.754; large). The current study showed that TL ratios can provide practitioners with a measure of fitness as external performance alone showed limited relationships with aerobic fitness measures.
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Affiliation(s)
- Shane Malone
- Gaelic Sport Research Centre, Institute of Technology Tallaght Dublin, Tallaght, Dublin, Ireland
- Research Institute for Sport and Exercise Sciences, The Tom Reilly Building, Liverpool John Moores University, Henry Cotton Campus, Webster Street, Liverpool, UK
| | - Dominic Doran
- Research Institute for Sport and Exercise Sciences, The Tom Reilly Building, Liverpool John Moores University, Henry Cotton Campus, Webster Street, Liverpool, UK
| | - Ibrahim Akubat
- Department of Physical Education and Sports Studies, Newman University, Birmingham, UK
| | - Kieran Collins
- Gaelic Sport Research Centre, Institute of Technology Tallaght Dublin, Tallaght, Dublin, Ireland
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Caldwell JT, Wardlow GC, Branch PA, Ramos M, Black CD, Ade CJ. Effect of exercise-induced muscle damage on vascular function and skeletal muscle microvascular deoxygenation. Physiol Rep 2016; 4:4/22/e13032. [PMID: 27884955 PMCID: PMC5358004 DOI: 10.14814/phy2.13032] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2016] [Accepted: 10/20/2016] [Indexed: 11/24/2022] Open
Abstract
This paper investigated the effects of unaccustomed eccentric exercise‐induced muscle damage (EIMD) on macro‐ and microvascular function. We tested the hypotheses that resting local and systemic endothelial‐dependent flow‐mediated dilation (FMD) and microvascular reactivity would decrease, V˙O2max would be altered, and that during ramp exercise, peripheral O2 extraction, evaluated via near‐infrared‐derived spectroscopy (NIRS) derived deoxygenated hemoglobin + myoglobin ([HHb]), would be distorted following EIMD. In 13 participants, measurements were performed prior to (Pre) and 48 h after a bout of knee extensor eccentric exercise designed to elicit localized muscle damage (Post). Flow‐mediated dilation and postocclusive reactive hyperemic responses measured in the superficial femoral artery served as a measurement of local vascular function relative to the damaged tissue, while the brachial artery served as an index of nonlocal, systemic, vascular function. During ramp‐incremental exercise on a cycle ergometer, [HHb] and tissue saturation (TSI%) in the m. vastus lateralis were measured. Superficial femoral artery FMD significantly decreased following EIMD (pre 6.75 ± 3.89%; post 4.01 ± 2.90%; P < 0.05), while brachial artery FMD showed no change. The [HHb] and TSI% amplitudes were not different following EIMD ([HHb]: pre, 16.9 ± 4.7; post 17.7 ± 4.9; TSI%: pre, 71.0 ± 19.7; post 71.0 ± 19.7; all P > 0.05). At each progressive increase in workload (i.e., 0–100% peak), the [HHb] and TOI% responses were similar pre‐ and 48 h post‐EIMD (P > 0.05). Additionally, V˙O2max was similar at pre‐ (3.0 ± 0.67 L min−1) to 48 h post (2.96 ± 0.60 L min−1)‐EIMD (P > 0.05). Results suggest that moderate eccentric muscle damage leads to impaired local, but not systemic, macrovascular dysfunction.
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Affiliation(s)
- Jacob T Caldwell
- Department of Kinesiology, Kansas State University, Manhattan, Kansas .,Department of Health and Exercise Science, the University of Oklahoma, Norman, Oklahoma
| | - Garrett C Wardlow
- Department of Health and Exercise Science, the University of Oklahoma, Norman, Oklahoma
| | - Patrece A Branch
- Department of Health and Exercise Science, the University of Oklahoma, Norman, Oklahoma
| | - Macarena Ramos
- Department of Health and Exercise Science, the University of Oklahoma, Norman, Oklahoma
| | - Christopher D Black
- Department of Health and Exercise Science, the University of Oklahoma, Norman, Oklahoma
| | - Carl J Ade
- Department of Kinesiology, Kansas State University, Manhattan, Kansas
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Black CD, Tynes BK, Gonglach AR, Waddell DE. Local and Generalized Endogenous Pain Modulation in Healthy Men: Effects of Exercise and Exercise-Induced Muscle Damage. PAIN MEDICINE 2016; 17:2422-2433. [DOI: 10.1093/pm/pnw077] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Gavin JP, Myers S, Willems MET. The Accumulative Effect of Concentric-Biased and Eccentric-Biased Exercise on Cardiorespiratory and Metabolic Responses to Subsequent Low-Intensity Exercise: A Preliminary Study. J Hum Kinet 2015; 49:131-40. [PMID: 26839613 PMCID: PMC4723161 DOI: 10.1515/hukin-2015-0115] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/01/2015] [Indexed: 11/15/2022] Open
Abstract
The study investigated the accumulative effect of concentric-biased and eccentric-biased exercise on cardiorespiratory, metabolic and neuromuscular responses to low-intensity exercise performed hours later. Fourteen young men cycled at low-intensity (~60 rpm at 50% maximal oxygen uptake) for 10 min before, and 12 h after: concentric-biased, single-leg cycling exercise (CON) (performed ~19:30 h) and eccentric-biased, double-leg knee extension exercise (ECC) (~06:30 h the following morning). Respiratory measures were sampled breath-by-breath, with oxidation values derived from stoichiometry equations. Knee extensor neuromuscular function was assessed before and after CON and ECC. Cardiorespiratory responses during low-intensity cycling were unchanged by accumulative CON and ECC. The RER was lower during low-intensity exercise 12 h after CON and ECC (0.88 ± 0.08), when compared to baseline (0.92 ± 0.09; p = 0.02). Fat oxidation increased from baseline (0.24 ± 0.2 g·min(-1)) to 12 h after CON and ECC (0.39 ± 0.2 g·min(-1); p = 0.01). Carbohydrate oxidation decreased from baseline (1.59 ± 0.4 g·min(-1)) to 12 h after CON and ECC (1.36 ± 0.4 g·min(-1); p = 0.03). These were accompanied by knee extensor force loss (right leg: -11.6%, p < 0.001; left leg: -10.6%, p = 0.02) and muscle soreness (right leg: 2.5 ± 0.9, p < 0.0001; left leg: 2.3 ± 1.2, p < 0.01). Subsequent concentric-biased and eccentric-biased exercise led to increased fat oxidation and decreased carbohydrate oxidation, without impairing cardiorespiration, during low-intensity cycling. An accumulation of fatiguing and damaging exercise increases fat utilisation during low intensity exercise performed as little as 12 h later.
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Affiliation(s)
- James Peter Gavin
- Department of Sport and Exercise Sciences, University of Chichester, United Kingdom; Department of Sport and Physical Activity, Bournemouth University, United Kingdom
| | - Stephen Myers
- Department of Sport and Exercise Sciences, University of Chichester, United Kingdom
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Black CD, Gonglach AR, Hight RE, Renfroe JB. Time-course of recovery of peak oxygen uptake after exercise-induced muscle damage. Respir Physiol Neurobiol 2015; 216:70-7. [PMID: 26102253 DOI: 10.1016/j.resp.2015.06.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2015] [Revised: 06/10/2015] [Accepted: 06/19/2015] [Indexed: 11/26/2022]
Abstract
V̇O2 peak has been shown to be reduced 48 h following exercise-induced muscle damage (EIMD), but it is unclear how long this reduction may persist. In this study eight endurance trained participants (21.5 ± 1.1 years old) performed a maximal exercise tests over 10-days followings EIMD. Cardiorespiratory variables were collected via open-circuit spirometry and soreness, maximal strength (MVC), motor-unit recruitment, and contractile properties were assessed prior to each test. MVC was reduced for up to 4-days (p ≤ 0.05) and soreness was evident for 10-days in the quadriceps (p < 0.05). V̇O2peak was reduced 7.4% 2-days post EIMD (55.5 ± 6.0 vs. 51.3 ± 5.8; p = 0.006) and remained reduced in 6 of 8 participants at 10-days post (p = 0.005). No relationship was found between changes in MVC, soreness, motor-unit recruitment, and contractile properties and changes in V̇O2peak (p > 0.05). EIMD resulted in small, but prolonged reductions in V̇O2peak. Our findings suggest mechanisms aside from force loss and soreness are primarily responsible for the reductions in V̇O2peak after EIMD.
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Affiliation(s)
- Christopher D Black
- Department of Health and Exercise Science, University of Oklahoma, Norman, OK USA; Department of Health, Exercise Science, and Recreation Management, University of Mississippi, Oxford, MS, USA.
| | - Alexander R Gonglach
- Department of Health and Exercise Science, University of Oklahoma, Norman, OK USA
| | - Robert E Hight
- Department of Health and Exercise Science, University of Oklahoma, Norman, OK USA
| | - Jessica B Renfroe
- Department of Health and Exercise Science, University of Oklahoma, Norman, OK USA
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Abstract
Purpose:This study aimed to assess the relationships of fitness in soccer players with a novel integration of internal and external training load (TL).Design:Ten amateur soccer players performed a lactate threshold (LT) test followed by a soccer simulation (Ball-Sport Endurance and Sprint Test [BEAST90mod]).Methods:The results from the LT test were used to determine velocity at lactate threshold (vLT), velocity at onset of blood lactate accumulation (vOBLA), maximal oxygen uptake (VO2max), and the heart rate–blood lactate profile for calculation of internal TL (individualized training impulse, or iTRIMP). The total distance (TD) and high intensity distance (HID) covered during the BEAST90mod were measured using GPS technology that allowed measurement of performance and external TL. The internal TL was divided by the external TL to form TD:iTRIMP and HID:iTRIMP ratios. Correlation analyses assessed the relationships between fitness measures and the ratios to performance in the BEAST90mod.Results:vLT, vOBLA, and VO2max showed no significant relationship to TD or HID. HID:iTRIMP significantly correlated with vOBLA (r = .65, P = .04; large), and TD:iTRIMP showed a significant correlation with vLT (r = .69, P = .03; large).Conclusions:The results suggest that the integrated use of ratios may help in the assessment of fitness, as performance alone showed no significant relationships with fitness.
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