Beneficial Performance Effects of Training Load Intensification Can Be Abolished by Functional Overreaching: Lessons From a Water Polo Study in Female Athletes

ABSTRACT

Brisola, GMP, Dutra, YM, Murias, JM, and Zagatto, AM. Beneficial performance effects of training load intensification can be abolished by functional overreaching: Lessons from a water polo study in female athletes. J Strength Cond Res XX(X): 000-000, 2022-The purpose of this study was to compare the outcomes from 2 weeks of training load intensification strategy in female water polo players diagnosed with functional overreaching (F-OR) with no F-OR players (acute fatigue) on the performance outcomes and hormonal, immunological, and cardiac autonomic nervous system responses. Twenty-two female water polo players were allocated into control and intensification group during 7 weeks. The swimming performance, biochemical parameters, heart rate variability, profile of mood states, and upper respiratory tract infection symptoms were assessed twice before and twice after 2 weeks of intensification period. F-OR showed a worsening in total time of the repeated sprint ability (RSA) test compared with the control group and the acute fatigue group after intensification (p ≤ 0.035). Furthermore, after the tapering period, the F-OR group maintained worse total time of the RSA test than the acute fatigue group (p = 0.029). In addition, the acute fatigue group showed improvement in total time of the RSA test after intensification compared with the control group (p < 0.001). No significant interactions were found for the other parameters. Therefore, periods of intensification without the F-OR development can promote higher gains in the total time of the RSA test after intensification and tapering period.

Effects of Supplementary Strength Program on Generic and Specific Physical Fitness in Cadet Judo Athletes

ABSTRACT

Branco, BHM, Marcondes, VA, de Paula Ramos, S, Badilla, PV, and Andreato, LV. Effects of supplementary strength program on generic and specific physical fitness in cadet judo athletes. J Strength Cond Res 36(10): 2816-2823, 2022-This study aimed to investigate the effects of a supplementary strength program on general and specific physical fitness in under-18 judo athletes. In total, 21 athletes were randomized into 2 groups: experimental group (EG: aged = 15.5 ± 1.2 years; body mass = 71.3 ± 10.6 kg; practice time = 5.1 ± 1.2 years) and control group (aged = 16.6 ± 0.5 years; body mass = 71.7 ± 11.0 kg; practice time = 5.6 ± 0.8 years). Athletes were submitted to anthropometry, generic physical fitness tests (countermovement jump, one-repetition maximum in bench-press, row, and half-squat machine), and specific field tests (isometric and dynamic judogi chin-up and Special Judo Fitness Test [SJFT]). All measurements were presented at baseline, and 8 athletes per group completed pre-training and post-training assessments. Both groups performed the same judo training routine, and the EG also performed 3/weekly/sessions of strength training for 8 weeks. All measurements were conducted during the competitive season. There were no differences in body mass, height, and body fat percentage after the training period (p > 0.05). Improvements were observed in maximal strength for bench press (26.6%), row (17.7%), half-squat machine (29%), dynamic judogi chin-up (33%), and the following SJFT responses: block A (16.7%), block B (11.3%), sum of 3 blocks (8.3%), heart rate after 1 minute (-7.0%), and index (-12.5%), representing performance improvement for the EG. It was concluded that 8 weeks of strength training was positive for general and specific performance. Finally, this strength program may help coaches to develop strength without changes in body mass.

Markers of Low Energy Availability in Overreached Athletes: A Systematic Review and Meta-analysis

BACKGROUND

Overreaching is the transient reduction in performance that occurs following training overload and is driven by an imbalance between stress and recovery. Low energy availability (LEA) may drive underperformance by compounding training stress; however, this has yet to be investigated systematically.

OBJECTIVE

The aim of this study was to quantify changes in markers of LEA in athletes who demonstrated underperformance, and exercise performance in athletes with markers of LEA.

METHODS

Studies using a ≥ 2-week training block with maintained or increased training loads that measured exercise performance and markers of LEA were identified using a systematic search following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Changes from pre- to post-training were analyzed for (1) markers of LEA in underperforming athletes and (2) performance in athletes with ≥ 2 markers of LEA.

RESULTS

From 56 identified studies, 14 separate groups of athletes demonstrated underperformance, with 50% also displaying ≥ 2 markers of LEA post-training. Eleven groups demonstrated ≥ 2 markers of LEA independent of underperformance and 37 had no performance reduction or ≥ 2 markers of LEA. In underperforming athletes, fat mass (d =  - 0.29, 95% confidence interval [CI] - 0.54 to - 0.04; p = 0.02), resting metabolic rate (d =  - 0.63, 95% CI - 1.22 to - 0.05; p = 0.03), and leptin (d =  - 0.72, 95% CI - 1.08 to - 0.35; p < 0.0001) were decreased, whereas body mass (d =  - 0.04, 95% CI - 0.21 to 0.14; p = 0.70), cortisol (d =  - 0.06, 95% CI - 0.35 to 0.23; p = 0.68), insulin (d =  - 0.12, 95% CI - 0.43 to 0.19; p = 0.46), and testosterone (d =  - 0.31, 95% CI - 0.69 to 0.08; p = 0.12) were unaltered. In athletes with ≥ 2 LEA markers, performance was unaffected (d = 0.09, 95% CI - 0.30 to 0.49; p = 0.6), and the high heterogeneity in performance outcomes (I² = 84.86%) could not be explained by the performance tests used or the length of the training block.

CONCLUSION

Underperforming athletes may present with markers of LEA, but overreaching is also observed in the absence of LEA. The lack of a specific effect and high variability of outcomes with LEA on performance suggests that LEA is not obligatory for underperformance.

Salivary immunity of elite collegiate American football players infected with SARS-CoV-2 normalizes following isolation

The impact of COVID-19 on systemic immunity in the general population has been well characterized, however the short-term effects of COVID-19 infection on innate salivary immunity in elite-level athletes are unknown. Therefore, this study aimed to determine whether elite college football athletes had altered salivary immunity following the CDC-recommended isolation post-SARS-CoV-2 infection. Salivary samples were obtained from fourteen elite football players who tested positive for SARS-CoV-2 (n = 14), immediately after CDC-recommended isolation (average days = 14 ± 2 days) and fifteen controls who remained uninfected with SARS-CoV-2. Biomarkers of innate salivary immunity (sIgA and alpha-amylase), antimicrobial proteins (AMPs, i.e., HNP1-3, lactoferrin, LL-37) and lung inflammation (SPA, SPLI, and Neutrophil Elastase-alpha-1-antitrypsin complex) were measured. Independent student t-tests were used to determine changes in biomarkers between groups. Although all AMP levels were within normal range, Human Neutrophil Defensin 1-3 concentrations and secretion rates were higher in SARS-CoV-2+ compared to SARS-CoV-2-. This suggests that the CDC-recommended isolation period is sufficient to ensure that athletes' salivary immunity is not compromised upon return to sports, and athletes post-COVID-19 infection do not appear to be at greater risk for secondary infection than those with no history of COVID-19.

Quantification of training load distribution in mixed martial arts athletes: A lack of periodisation and load management

The aim of this study was to quantify typical training load and periodisation practices of MMA athletes. MMA competitors (n = 14; age = 22.4 ± 4.4 years; body mass = 71.3 ± 7.7 kg; stature = 171 ±9.9 cm) were observed during training for 8 consecutive weeks without intervention. Seven athletes were training for competitive bouts whilst the remaining 7 were not. Daily training duration, intensity (RPE), load (sRPE and segRPE), fatigue (short questionnaire of fatigue) and body region soreness (CR10 scale) were recorded. Using Bayesian analyses (BF₁₀≥3), data demonstrate that training duration (weekly mean range = 3.9–5.3 hours), sRPE (weekly mean range = 1,287–1,791 AU), strain (weekly mean range = 1,143–1,819 AU), monotony (weekly mean range = 0.63–0.83 AU), fatigue (weekly mean range = 16–20 AU) and soreness did not change within or between weeks. Between weeks monotony (2.3 ± 0.7 AU) supported little variance in weekly training load. There were no differences in any variable between participants who competed and those who did not with the except of the final week before the bout, where an abrupt step taper occurred leading to no between group differences in fatigue. Training intensity distribution corresponding to high, moderate and low was 20, 33 and 47%, respectively. Striking drills accounted for the largest portion of weekly training time (20–32%), with MMA sparring the least (2–7%). Only striking sparring and wrestling sparring displayed statistical weekly differences in duration or load. Athletes reported MMA sparring and wrestling sparring as high intensity (RPE≥7), BJJ sparring, striking sparring and wrestling drills as moderate intensity (RPE 5–6), and striking drills and BJJ drills as low intensity (RPE≤4). We conclude that periodisation of training load was largely absent in this cohort of MMA athletes, as is the case within and between weekly microcycles.

Salivary IgA as a Potential Biomarker in the Evaluation of Respiratory Tract Infection Risk in Athletes

In recent years, there has been attention focused on the value of salivary IgA (sIgA) as a potential biomarker for the identification of athletes who may be at increased risk of developing respiratory tract infection (RTI). The utility of sIgA, in this context, is based on biological plausibility and several observational studies revealing an apparent association between sIgA and RTI susceptibility. The overall published evidence evaluating the value of sIgA in this context is however conflicting, and there is currently a lack of clear guidance as to whether this marker has a place in the health surveillance and care of athletes. In this review, we critically appraise the literature assessing the potential for sIgA to be used in this context, evaluating it against 4 key biomarker characteristics, including its (1) practicality, (2) reproducibility, (3) specificity/sensitivity, and (4) potential clinical impact and relevance. This process reveals that although there is an apparent association between respiratory illness and sIgA in many studies, with some promising results, overall there remains a paucity of evidence supporting its overall value in this context. Key deficiencies in the metrics employed to endorse a valid biomarker are apparent, including a lack of reproducibility and low specificity and sensitivity in the detection of RTI susceptibility. The review outlines these issues and makes future recommendations.

Stress, Professional Lifestyle, and Telomere Biology in Elite Athletes: A Growing Trend in Psychophysiology of Sport

Professional lifestyle and championship period often put a great deal of pressure on athletes, who usually experience highly stressful periods during training for competitions. Recently, biomarkers of cellular aging, telomere length (TL) and telomerase activity (TA), have been considered to investigate the effects of stress and lifestyle factors. Studies in non-athletic populations have shown that stress and poor lifestyle decrease TL and TA. On the other hand, it has been shown that in general, exercise increases TL and its activity, although the underlying mechanisms remained largely unexplored. TL and TA outcomes in elite athletes remain inconclusive and mainly affected by confounding factors, such as age. Elite athletes, therefore, might offer a unique target group for studying exercise-telomere hypothesis for further investigation of the roles of stressors on telomere-related biomarkers. In this perspective, we highlight the potentials for studying these psychophysiological markers in elite athletes in order to understand stress-aging relationship and potential underlying mechanisms. Moreover, we present important methodological aspects that could help in the development of future experimental designs.

Relationship between Perceived Training Load, Well-Being Indices, Recovery State and Physical Enjoyment during Judo-Specific Training

This study investigated the relationship between well-being indices and the session rating of perceived exertion (session-RPE), recovery (TQR), and physical enjoyment (PE) during intensified, tapering phases of judo training. Sixty-one judo athletes (37 males, ranges 14-17 years, 159-172 cm, 51-67 kg) were randomly assigned to three experimental (i.e., randori, uchi-komi, running) and control groups (regular training). Experimental groups trained four times per week for 4 weeks of intensified training followed by 12 days of tapering. Session-RPE, well-being indices (i.e., sleep, stress, fatigue, delayed onset of muscle soreness (DOMS), Hooper index (HI)), and TQR were measured every session, whereas PE was recorded after intensified, tapering periods. Recovery (TQR) was negatively correlated with sleep, stress, fatigue, DOMS, HI, session-RPE in intensified period and was negatively correlated with sleep, stress, fatigue, DOMS, HI in tapering. Session-RPE was positively correlated with sleep, fatigue, DOMS, HI in intensified period and positively correlated with fatigue, DOMS in tapering. PE was negatively correlated with stress in intensified training. Enjoyment could be partially predicted by sleep only in intensified periods. Session-RPE could be partially predicted by TQR, fatigue during intensified periods and by sleep, and HI during tapering. Sleep, recovery state, pre-fatigue states, and HI are signals contributing to the enjoyment and internal intensity variability during training. Coaches can use these simple tools to monitor judo training.

Changes in Perceived Exertion, Well-Being, and Recovery During Specific Judo Training: Impact of Training Period and Exercise Modality

The present study investigated the effect of intense and tapering training periods using different exercise modalities (i.e., Randori – grip dispute practice without throwing technique, Uchi-komi – technique repetition training, and sprinting) on rating of perceived exertion (RPE), well-being indices, recovery state, and physical enjoyment in judo athletes. Sixty-one adolescent male and female judo athletes (age: 15 ± 1 years) were randomly assigned to one of three experimental or one control groups. Experimental groups (Randori, Uchi-komi, and running) trained four times per week for 4 weeks of intense training (in addition to their usual technical-tactical judo training; control group underwent only such a training) followed by 12 days of tapering. RPE, well-being indices [i.e., sleep, stress, fatigue, and delayed onset muscle soreness (DOMS)], total quality of recovery (TQR), and physical enjoyment were measured every session. RPE, sleep, stress, fatigue, DOMS, Hooper index (HI; sum of wellbeing indices), and TQR were lower in the tapering compared with the intensified training period (P < 0.001). Moreover, the running group showed better values for sleep (P < 0.001), stress (P < 0.001), fatigue (P = 0.006), DOMS (P < 0.001), and HI (P < 0.001) in comparison with the other training groups, indicating a more negative state of wellbeing. The Randori and Uchi-komi groups showed higher values for TQR and physical enjoyment (both P < 0.001) than the running group, whereas RPE was lower in the control compared with all training groups (P < 0.001). Coaches should use more specific training modalities (i.e., Randori and Uchi-komi) during intensified training and should monitor well-being indices, RPE, and TQR during training periods. Moreover, for all variables, 12 days tapering period are beneficial for improving wellbeing and recovery after 4 weeks of intense training.

Upper respiratory tract symptoms and salivary immunoglobulin A of elite female gymnasts: a full year longitudinal field study

The aim of this study was to determine the frequency of upper respiratory tract symptoms (URS) in elite female gymnasts during a training season. In addition, we aimed to observe the extent to which salivary immunoglobulin A (sIgA) is associated with URS in these athletes, including potential effects of the season and timing of sample collection. Over one year, 18 elite female gymnasts completed URS and fatigue questionnaires weekly and provided 1 mL of saliva after a minimum 36 h of rest (morning or afternoon) to measure relative sIgA concentration (= mean absolute sIgA value of the week divided by the mean absolute sIgA value of the weeks without URS). Mean weekly URS and mean relative sIgA values per gymnast correlated negatively (r = -0.606, P = 0.022). Most URS were noted in the most fatigued gymnasts (7.4 ± 10.1 vs. 2.5 ± 5.6 (P < 0.001) for ‘normal’ and 2.1 ± 3.7 (P = 0.001) for ‘better than normal’ rested). In spring, relative sIgA was higher compared to autumn (112 ± 55 vs. 89 ± 41%, P < 0.001) and winter (92 ± 35%, P = 0.001), while during summer, relative sIgA appeared higher compared to autumn (110 ± 55 vs. 89 ± 41%, P = 0.016). The interaction effect with timing of sample collection showed higher relative sIgA values in morning samples in spring and summer compared to afternoon samples, with the inverse observed in autumn and winter (F = 3.565, P = 0.014). During a gymnastics season, lower relative sIgA values were linked to higher susceptibility to URS in elite gymnasts. However, relative sIgA values were influenced by season and timing of sample collection and thus should be considered when interpreting sIgA data.

Monitoring Internal Training Load, Stress-Recovery Responses, and Immune-Endocrine Parameters in Brazilian Jiu-Jitsu Training

Campos, F, Molina Correa, JC, Canevari, VCM, Branco, BHM, Andreato, LV, and de Paula Ramos, S. Monitoring internal training load, stress-recovery responses, and immune-endocrine parameters in Brazilian jiu-jitsu training. J Strength Cond Res XX(X): 000-000, 2020-This study aimed to evaluate the relationship between training loads, stress, and immune-endocrine markers during a precompetitive period in Brazilian jiu-jitsu (BJJ) athletes. For this, 12 athletes were submitted to 1 physical and 1 technical-tactical training session per day, 5 days a week, for 7 weeks. The saliva sampling and physical tests (countermovement jump [CMJ] and squat jump [SJ]) were performed before starting the training period (pre) and at the fourth week (4-week) and eighth week (post). Session rating of perceived exertion (sRPE) and the Recovery-Stress Questionnaire-Sport (RESTQ) were applied, and the training load was calculated weekly. Repeated-measures analysis of variance and the Friedman test were used, with significance levels set at p < 0.05. Increased training loads were recorded by the sRPE method in technical-tactical training sessions (p < 0.05). Higher physical loads were reported by athletes during weeks 1-4, contributing to overall higher training load, monotony, and strain during this period (p < 0.05). Increased perception of stress, by the RESTQ, and cortisol were detected, whereas decreased salivary testosterone and salivary immunoglobulin A were observed at 4 weeks (p < 0.05). No significant differences were detected in CMJ and SJ tests, suggesting that training neither elicited significant fatigue and underperformance nor improved strength performance. However, decreasing physical training loads appeared to reduce symptoms of stress and improved recovery, favoring immune recovery and anabolic balance. Thus, the sRPE seems to be a reliable and simple method to monitor training loads in BJJ athletes because variation in values was related to the RESTQ and physiological responses to training loads.

Variation of Salivary IgA During Weight Loss Period Before a Competition Among University Judo Players

Background

This study aims to investigate the health condition of university judo athletes during a period of weight loss before a competition, using secretory immunoglobulin A (SIgA) in saliva.

Methods

The subjects were 30 university judo athletes, who were divided into three groups: control group (n = 10), under 5% weight loss group (n = 10), and over 5% weight loss group (n = 10). The items evaluated were body weight measurements, salivary SIgA level and its secretion rates, incidences of symptoms of upper respiratory tract infections, and mental state.

Results

The over 5% body weight loss group had significantly lower SIgA secretion rates on the first day and third day before the real competition compared to those of the control group. Furthermore, the over 5% body weight loss group had an increased number of symptoms of upper respiratory tract infections. Alterations in mental statuses were also seen, such as decreased vitality and increased fatigue on the day before the competition in the over 5% weight loss group.

Conclusions

This study shows that over 5% body weight loss in judo athletes induces a decrease in the salivary SIgA secretion rate and causes health condition of the body and the mind to deteriorate.

Brazilian Jiu Jitsu Training for US Service Members and Veterans with Symptoms of PTSD

Introduction

The United States has been actively involved in major armed conflicts over the last 15 years. As a result, a significant proportion of active duty service personnel and returning veterans have endured combat, putting them at risk for developing post-traumatic stress disorder (PTSD), a disabling disorder that may occur after exposure to a traumatic event. Current therapies often require long-term, time-intensive and costly commitment from the patient and have variable degrees of success. There remains an ongoing need for better therapies, including complementary medicine approaches that can effectively reduce PTSD symptoms. While anecdotal evidence suggests that routine practice of Brazilian Jiu Jitsu (BJJ) can reduce symptoms of PTSD, there have been no formal studies to address this.

Materials and Methods

This study was approved by the University of South Florida Institutional Review Board (#PRO00019430). Male US active duty service members and veterans from the Tampa area participated in a 5-month (40 sessions) BJJ training program. Before beginning and again midway through and upon completion of training the participants completed several validated self-report measures that addressed symptoms of PTSD and other co-morbid conditions. Effect size and 95% confidence intervals were determined using a within-person single-group pretest–posttest design.

Results

Study participants demonstrated clinically meaningful improvements in their PTSD symptoms as well as decreased symptoms of major depressive disorder, generalized anxiety and decreased alcohol use; effect sizes varied from 0.80 to 1.85.

Conclusions

The results from this first-of-kind pilot study suggest that including BJJ as a complementary treatment to standard therapy for PTSD may be of value. It will be necessary to validate these promising results with a larger subject cohort and a more rigorous experimental design before routinely recommending this complementary therapy.

Upper Respiratory Tract Infection and Mucosal Immunity in Young Ice Hockey Players During the Pretournament Training Period

Orysiak, J, Witek, K, Malczewska-Lenczowska, J, Zembron-Lacny, A, Pokrywka, A, and Sitkowski, D. Upper respiratory tract infection and mucosal immunity in young ice hockey players during the pretournament training period. J Strength Cond Res 33(11): 3129-3135, 2019-The aim of this study was to determine the effects of 17 days of training during preparation for the Ice Hockey Under 18 World Championship of the Polish ice hockey national team on the mucosal immune function and monitor upper respiratory tract infection (URTI) incidence before, during, and after the competition. Twelve male ice hockey players (age, 17.7 ± 0.5 years) were recruited for this study. The first saliva and blood collection took place at the beginning of the training camp (without training at the training camp), the second one was collected on the 9th day of the training camp immediately after the intensification of training, and the third collection was performed on the 13th day of training (4 days before leaving for the World Championship) in the tapering phase. To assess the mucosal immune function, concentrations of secretory immunoglobulin A (sIgA), sIgA1, and sIgA2 were analyzed in saliva. Cortisol concentration and creatine kinase activity were determined in blood, as indicators of stress and muscle damage, respectively. The Wisconsin Upper Respiratory Symptom Survey-21 questionnaire was used to assess URTI symptoms. A significant increase in the sIgA1 and sIgA2 concentrations was observed in the third collection compared with the second time point (114.45 ± 33.00 vs. 77.49 ± 27.29 and 88.97 ± 25.33 vs. 71.65 ± 32.44 U, respectively). There were no statistically significant correlations between the URTI incidence and saliva variables. In conclusion, the tapering period positively affects the mucosal immune function, especially sIgA1 and sIgA2 concentrations, with no significant change in the frequency of URTI in young ice hockey players.

Salivary stress hormone response and performance in full competition after linear or undulating periodization training in elite powerlifters

BACKGROUND

The purposes of this study were to determine differences in training loads and stress hormones among national level powerlifting competitors and the effect on performance.

METHODS

Thirteen experienced male powerlifters provided detailed training logs during the 8 weeks prior to a national competition. Participants were divided into linear (LP, N.=6) and undulating periodization (UP, N.=7) training groups. Following weigh-ins and after successfully completing the competition, participants provided saliva samples.

RESULTS

LP resulted in lower levels of salivary cortisol (sC) (LP 4.27±0.71 nmols/L; UP 5.53±0.78 nmols/L) and higher testosterone-to-cortisol ratio (T:C) (LP 8.03±0.84 nmols/L; UP 5.23±1.41 nmols/L) compared to UP prior to competition. Following competition, both LP and UP groups had significant increases in salivary testosterone (sT) (LP 383.70±34.96 nmols/L; UP 376.62±38.17 nmols/L) and sC (LP 17.67±1.39 nmols/L; UP 18.17±1.46 nmols/L) and significant reductions in T:C (LP 8.03±0.80 to 6.67±0.83; UP 5.23±1.41 to 4.95±1.00). Finally, the UP group had a significantly higher Wilks coefficient following the competition compared to the LP group (LP 440.7±31.83 vs. UP 480.29±24.13).

CONCLUSIONS

It appears that the higher volume loads undertaken by UP have a larger perturbation on resting stress hormones; however, this does not seem to negatively influence powerlifting performance.

A Multifactorial Assessment of Elite Paratriathletes’ Response to 2 Weeks of Intensified Training

Purpose: In able-bodied athletes, several hormonal, immunological, and psychological parameters are commonly assessed in response to intensified training due to their potential relationship to acute fatigue and training/nontraining stress. This has yet to be studied in Paralympic athletes. Methods: A total of 10 elite paratriathletes were studied for 5 wk around a 14-d overseas training camp whereby training load was 137% of precamp levels. Athletes provided 6 saliva samples (1 precamp, 4 during camp, and 1 postcamp) for cortisol, testosterone, and secretory immunoglobulin A; weekly psychological questionnaires (Profile of Mood State [POMS] and Recovery-Stress Questionnaire for Athletes [RESTQ-Sport]); and daily resting heart rate and subjective wellness measures including sleep quality and quantity. Results: There was no significant change in salivary cortisol, testosterone, cortisol:testosterone ratio, or secretory immunoglobulin A during intensified training (P ≥ .090). Likewise, there was no meaningful change in resting heart rate or subjective wellness measures (P ≥ .079). Subjective sleep quality and quantity increased during intensified training (P ≤ .003). There was no significant effect on any POMS subscale other than lower anger (P = .049), whereas there was greater general recovery and lower sport and general stress from RESTQ-Sport (P ≤ .015). Conclusions: There was little to no change in parameters commonly associated with the fatigued state, which may relate to the training-camp setting minimizing external life stresses and the careful management of training loads from coaches. This is the first evidence of such responses in Paralympic athletes.

Effect of Overload and Tapering on Individual Heart Rate Variability, Stress Tolerance, and Intermittent Running Performance in Soccer Players During a Preseason

Figueiredo, DH, Figueiredo, DH, Moreira, A, Gonçalves, HR, and Stanganelli, LCR. Effect of overload and tapering on individual heart rate variability, stress tolerance, and intermittent running performance in soccer players during a preseason. J Strength Cond Res 33(5): 1222-1231, 2019-This study evaluates the weekly natural log of the root-mean-square difference of successive R-R intervals (lnRMSSDmean), its coefficient of variation (lnRMSSDcv), training load (TL), stress tolerance (ST), and changes in intermittent running performance in response to a 2-week overload (OL) followed by a 1-week taper (TP) during a preseason. Additionally, we determined the relationships between these variables. Ultra-short lnRMSSD, psychometric responses, and ratings of perceived exertion were evaluated daily among 16 under-19 soccer players. At the end of each training phase, the athletes performed the Yo-Yo Intermittent Recovery test level 1 (Yo-Yo). Group analysis showed a decrease in lnRMSSDmean and ST, increases in lnRMSSDcv, and decreases in the Yo-Yo during OL, with a return to baseline levels and a trivial increase in the Yo-Yo during TP. Small to very large correlations were found between lnRMSSDmean and lnRMSSDcv values, with changes in Yo-Yo, TL, monotony, and strain during the preseason (r values ranging from -0.27 to 0.82). No correlation was found between lnRMSSD responses and ST. During OL, athletes with decreases in lnRMSSDmean and increases in lnRMSSDcv accumulated higher perceived TL, with higher monotony and overall stress, and presented a decrease in ST and intermittent running performance, interpreted as a negative adaptation in response to the maintenance of higher TL. During TP, these responses were reversed, leading to an increase in intermittent running performance. In addition, subjective measures of ST may be used to provide early indicators of training adaptation in soccer players.

Associations of Hormonal Biomarkers With Mental Health and Healthy Behaviors Among Mothers of Very-Low-Birthweight Infants

OBJECTIVES

To examine the concurrent use of self-report questionnaires and hormonal biomarkers, specifically levels of testosterone and cortisol, along with demographic variables and corrected age (CA) in the assessment of mental health and healthy behaviors among mothers of very-low-birthweight (VLBW, BW < 1,500 g) infants at five time points over 2 years post birth.

METHOD

Data on 40 mothers from a neonatal intensive care unit of a tertiary medical center in the southeast United States were collected from the medical record, standard questionnaires for the mother (depressive symptoms, perceived stress, anxiety, mental health status, parenting stress, and healthy lifestyle behaviors), and biochemical measurement of maternal testosterone and cortisol using enzyme immunoassay at birth, 40 weeks' postmenstrual age, and 6, 12, and 24 months CA.

RESULTS

Maternal self-report of mental health improved from birth to 6 or 12 months then worsened at 24 months. Mixed linear models showed that mothers with higher testosterone levels had more depressive symptoms and smoked more, whereas mothers with higher cortisol levels had healthier behaviors and exercised more. Testosterone levels were negatively correlated with cortisol levels. Marital status, education, and health insurance were the most predictive demographic variables for the levels of hormonal biomarkers, mental health, and healthy behaviors.

CONCLUSIONS

The use of self-report and biochemical measurement was effective in assessing maternal mental health and healthy behaviors over 2 years post birth, when mothers of VLBW infants tend to experience more mental health problems and parenting difficulties than mothers of normal-BW full-term infants.

Returners Exhibit Greater Jumping Performance Improvements During a Peaking Phase Compared With New Players on a Volleyball Team

PURPOSE

To determine if jumping-performance changes during a peaking phase differed among returners and new players on a female collegiate volleyball team and to determine which variables best explained the variation in performance changes.

METHODS

Fourteen volleyball players were divided into 2 groups-returners (n = 7) and new players (n = 7)-who completed a 5-wk peaking phase prior to conference championships. Players were tested at baseline before the preseason on measures of the vastus lateralis cross-sectional area using ultrasonography, estimated back-squat 1-repetition maximum, countermovement jump height (JH), and relative peak power on a force platform. Jumping performance, rating of perceived exertion training load, and sets played were recorded weekly during the peaking phase.

RESULTS

There were moderate to very large (P < .01, Glass Δ = 1.74) and trivial to very large (P = .07, Δ = 1.09) differences in JH and relative peak power changes in favor of returners over new players, respectively, during the peaking phase. Irrespective of group, 7 of 14 players achieved peak JH 2 wk after the initial overreach. The number of sets played (r = .78, P < .01) and the athlete's preseason relative 1-repetition maximum (r = .54, P = .05) were the strongest correlates of JH changes during the peaking phase.

CONCLUSIONS

Returners achieved greater improvements in jumping performance during the peaking phase compared with new players, which may be explained by the returners' greater relative maximal strength, time spent competing, and training experience. Thus, volleyball and strength coaches should consider these factors when prescribing training during a peaking phase to ensure their players are prepared for important competitions.

Intensified Training Period Increases Salivary IgA Responses But Does Not Affect the Severity of Upper Respiratory Tract Infection Symptoms in Prepuberal Rhythmic Gymnasts

This study examined the effect of a 4-week intensified training (IT) period, followed by a 2-week tapering period (TP), on salivary immunoglobulin A (SIgA), salivary cortisol, and the severity of upper respiratory tract infection symptoms in 23 rhythmic gymnasts [12.1 (2.6) y; 143.9 (13.7) cm; 37.2 (9.4) kg]. Saliva sampling was conducted at pre- and post-IT, and post-TP (analyzed using enzyme-linked immunosorbent assay). The Wisconsin Upper Respiratory Symptom Survey (WURSS-21) questionnaire was completed daily to analyze the severity of upper respiratory tract infection symptoms. The session rating of the perceived exertion was used to determine the internal training load and the acute:chronic workload ratio. A higher SIgA concentration [SIgA_abs (μg/mL); F = 7.6; P = .001] for post-IT [234 (104)] versus pre-IT [173 (91)], and post-TP [182 (70)], and a higher SIgA secretion rate [SIgA_rate (μg/min); F = 3.4; P = .04] for post-IT [69 (28)] versus pre-IT [55 (27)], and post-TP [58 (22)] were observed. No significant change was observed for cortisol (F = 0.81; P = .45) or for the severity of upper respiratory tract infection symptoms (χ² = 2.81; P = .24). Internal training load was higher during IT (vs TP; effect size = 2.37). The acute:chronic workload for the IT weeks varied from 1.2 (0.3) to 1.4 (0.3). These results suggest that a 4-week IT may temporarily augment the oral mucosal immunity, and an acute:chronic workload of 1.2-1.4 seems to be a safe approach to periodized training loads in youth rhythmic gymnasts.

Physiological and performance changes in national and international judo athletes during block periodization training

Block periodization (BP) has been proposed as an alternative approach for application in the context of high-level sports. Despite its growing acceptance, there is no empirical evidence of BP adoption in high-level judo athletes. Therefore, this study aimed to compare the maximal strength, muscle power, judo-specific performances, and hormonal concentration changes of state/national level (NG) and international level (IG) judo athletes subjected to BP. Twenty-one elite judo athletes (international level = 10; 21.7±1.9 years, 167.2±7.6 cm, 67.6±9.4 kg, 15.7±1.9 years of practice; national level = 11; 21.9±3.0 years, 167.5±9.1 cm, 71.8±16.5, 15.9±3.0 years of practice) were subjected to 13-week BP training (5-week accumulation phase [ACP], 5-week transmutation phase [TP], and 3-week realization phase [RP]). The judo-specific performance (SJFT) increased as there was observed a decrease in the SJFT index (final heart rate [HR] (bpm) + HR1 min after the test divided by the number of throws) for both NG (effect size [ES] = 0.83) and IG (ES = 0.53) from ACP to TP (p < 0.05). The row exercise maximal strength decreased (p < 0.05; ES = 1.35) after the ACP but returned to the baseline level after the TP, for the whole group (ES = 1.39). The athletes did seem to cope appropriately with the demands of BP, as besides increases in SJFT performance no significant changes were observed for cortisol and testosterone concentrations. This is the first study to demonstrate that judo athletes from different competitive levels subjected to BP improved SJFT, likely due to an appropriate balance between training loads and recovery. Thus, the BP approach may be a useful alternative periodization strategy for high-level judo athletes.

The effect of Chlorella pyrenoidosa supplementation on immune responses to 2 days of intensified training

Purpose

Periods of intensified training are associated with immune disturbances, The aim was to investigate the effects of supplementation with Chlorella pyrenoidosa (Chlorella) on secretory IgA (sIgA) responses to 2 days intensified training.

Methods

Twenty-six subjects (age 29.1 ± 8.7 years; VO_2max 53.7 ± 11.7 ml kg min⁻¹) provided resting saliva samples for determination of sIgA, at baseline (week-0) and following 4, 5, and 6 weeks (weeks-4, -5, -6) of daily supplementation with 6 g/day Chlorella (n = 13) or placebo (PLA, n = 13). During week-4 a 2-day intensified training period was undertaken [morning and afternoon sessions each day, respectively: VO_2max test; high-intensity interval training (HIIT, 3 × 30 s Wingate sprints); 90 min at ~60% VO_2max; 3 × 30 s HIIT].

Results

Chlorella increased resting sIgA secretion rate (trial × time, P = 0.016: no change with PLA but increases with Chlorella at week-4, week-5 and week-6, P = 0.020, <0.001, and 0.016). PLA vs Chlorella: week-0 = 54 ± 33 vs 57 ± 37 µg/min; week-4 = 54 ± 35 vs 83 ± 57 µg/min; week-5 = 63 ± 46 vs 98 ± 47 µg/min; week-6 = 58 ± 35 vs 85 ± 59 µg/min. Minimal acute changes in sIgA were seen in response to individual exercise bouts, but it was higher at some times in the Chlorella group (for bouts 2 and 3).

Conclusion

Supplementation with Chlorella has beneficial effects on resting sIgA, which might be beneficial during periods of intensified training.

Electronic supplementary material

The online version of this article (doi:10.1007/s00394-017-1525-9) contains supplementary material, which is available to authorized users.

The Mucosal Immune Function Is Not Compromised during a Period of High-Intensity Interval Training. Is It Time to Reconsider an Old Assumption?

Purpose: The aim of the study was to evaluate the mucosal immune function and circadian variation of salivary cortisol, Immunoglobin-A (sIgA) secretion rate and mood during a period of high-intensity interval training (HIIT) compared to long-slow distance training (LSD). Methods: Recreational male runners (n = 28) completed nine sessions of either HIIT or LSD within 3 weeks. The HIIT involved 4 × 4 min of running at 90-95% of maximum heart rate interspersed with 3 min of active recovery while the LSD comprised of continuous running at 70-75% of maximum heart rate for 60-80 min. The psycho-immunological stress-response was investigated with a full daily profile of salivary cortisol and immunoglobin-A (sIgA) secretion rate along with the mood state on a baseline day, the first and last day of training and at follow-up 4 days after the last day of training. Before and after the training period, each athlete's running performance and peak oxygen uptake (V^·O_2peak) was determined with an incremental exercise test. Results: The HIIT resulted in a longer time-to-exhaustion (P = 0.02) and increased V^·O_2peak compared to LSD (P = 0.01). The circadian variation of sIgA secretion rate showed highest values in the morning immediately after waking up followed by a decrease throughout the day in both groups (P < 0.05). With HIIT, the wake-up response of sIgA secretion rate was higher on the last day of training (P < 0.01) as well as the area under the curve (AUC_G) higher on the first and last day of training and follow-up compared to the LSD (P = 0.01). Also the AUC_G for the sIgA secretion rate correlated with the increase in V^·O_2peak and running performance. The AUC_G for cortisol remained unaffected on the first and last day of training but increased on the follow-up day with both, HIIT and LSD (P < 0.01). Conclusion: The increased sIgA secretion rate with the HIIT indicates no compromised mucosal immune function compared to LSD and shows the functional adaptation of the mucosal immune system in response to the increased stress and training load of nine sessions of HIIT.

Salivary steroids hormones, well-being, and physical performance during an intensification training period followed by a tapering period in youth rhythmic gymnasts

This study examined the effect of an intensification period (IT; 4weeks; after a habitual training period; HT) followed by a tapering period (TP; 2weeks) on salivary hormones (testosterone - T and cortisol - C), well-being (WB), and physical performance in 23 rhythmic gymnasts (RG; Under-11 group [G1], Under-13 group [G2], and >13 group [G3]). The session-rating of perceived exertion was used to quantify the daily internal training load (ITL). The WB questionnaire was completed daily. Physical performance tests and saliva sampling were carried out at the beginning of the IT (T1), after IT (T2), and after TP (T3). A higher ITL was observed for IT compared to HT (2310±327 vs 2940±334, 2449±237 vs 3902±273, 2278±436 vs 3954±866 arbitrary units [UA], for G1, G2, and G3, respectively) and TP (vs 1781±260, 2305±298, 2415±522AU). No significant change was detected for T concentration (206±39, 221±35, 216±51 ρmol/L, for T1, T2, and T3, respectively [whole group]; p=0.16), C concentration (5.7±1.0, 5.8±0.8, 5.0±0.7nmol/L; p=0.07), and WB (19±3, 19±2, 19±2; p=0.44). A significant lower WB score was observed for the G3. Physical performance increased for sit-ups from T2 to T3 (ES=0.80), and T1 to T3 (ES=0.78) and for push-ups (T2-T3; ES=0.61; T1-T3; ES=0.55). In summary, a period of IT followed by TP, seems to be a useful approach to improve physical performance of youth RG, while maintaining the perception of WB and the hormonal milieu.

Monitoring internal training load and salivary immune-endocrine responses during an annual judo training periodization

The objective of this study was to examine the internal training load (TL), IgA, and salivary steroid hormone responses in elite youth judo athletes during an entire annual training periodization. Ten male judo athletes (18±2 years, 72.3±12.3 kg, and 175±6 cm) competing at a state/national level were examined for the TL and salivary imune-endocrine responses variations over an annual judo season, divided in three macrocyles composed by distinct periods denominated preparatory period (PP), competitive period (CP) and transition period (TP). At the end of PP and CP, saliva samples were collected to determine cortisol, testosterone and IgA concentrations. Throughout PP and CP the session-rating of perceived exertion and the total duration of each session were monitored, allowing the internal TL and weekly training strain (TS) calculation. During all macrocycles, significant decreases in TL and TS were observed during CP compared with PP (P<0.05), although no significant differences were observed for immune-endocrine concentrations between PP and CP (P>0.05). Specific variations were observed comparing periods with similar characteristics throughout the macrocycles as higher TL and TS (PP1 to PP2 and PP3, P<0.05), increased testosterone (CP1 to CP3, P=0.024) and decreased testosterone-cortisol ratio (PP1 to PP2, P=0.005). The present findings suggest that the internal TL variations over an annual multipeak traditional periodization did not influence the resting mucosal immune-endocrinal responses in young judo athletes.

Rapid weight loss in the context of Ramadan observance: recommendations for judokas

Judo is a weight-classified combat sport, and many athletes seek to compete at the lightest possible weight category to gain an advantage from competing against shorter/smaller, and supposedly weaker opponents. To achieve a desired weight, most judokas opt for rapid weight loss techniques. Short-duration maximal efforts are not greatly affected by “making weight”, but prolonged and/or repeated exercise is significantly impaired. Negative effects on mood, ratings of perceived exertion, and cognitive function are also reported. Moreover, rapid weight loss reduces maximal cardiac output and glycogen stores, and impairs thermo-regulation. Limited empirical data suggest that Ramadan reduces judokas’ performance, and this is likely to be exacerbated by attempts at rapid weight loss. Weight reduction during Ramadan tends to be counterproductive, and judokas who aim for a lower weight category are advised to attempt any desired reduction of body mass during the weeks leading up to Ramadan, rather than during the holy month.

Physical and Physiological Characteristics of Judo Athletes: An Update

Judo competition is characterized structurally by weight category, which raises the importance of physiological control training in judo. The aim of the present review was to examine scientific papers on the physiological profile of the judokas, maintenance or loss of weight, framing issues, such as anthropometric parameters (body fat percentage), heart rate responses to training and combat, maximal oxygen uptake, hematological, biological and hormones indicators. The values shown in this review should be used as a reference for the evaluation of physical fitness and the effectiveness of training programs. Hence, this information is expected to contribute to the development of optimal training interventions aiming to achieve maximum athletic performance and to maintain the health of judokas.

Perceived training intensity and performance changes quantification in judo

The objective of this study was to determine the methods of quantification for training and performance, which would be the most appropriate for modeling the responses to long-term training in cadet and junior judo athletes. For this, 10 young male judo athletes (15.9 ± 1.3 years, 64.9 ± 10.3 kg, and 170.8 ± 5.4 cm) competing at a regional/state level volunteered to take part in this study. Data were collected during a 2-year training period (i.e., 702 days) from January 2011 to December 2012. Their mean training volume was 6.52 ± 0.43 hours per week during the preparatory periods and 4.75 ± 0.49 hours per week during the competitive periods. They followed a training program prescribed by the same coach. The training load (TL) was quantified through the session rating of perceived exertion (RPE) and expressed in arbitrary unit (a.u.). Performance was quantified from 5 parameters and divided into 2 categories: performance in competition and performance in training. The evaluation of performance in competition was based on the number of points per level. Performance in training was assessed through 4 different tests. A physical test battery consisting of a standing long jump, 2 judo-specific tests that were the maximal number of dynamic chin-up holding the judogi, and the Special Judo Fitness Test was used. System modeling for describing training adaptations consisted of mathematically relating the TL of the training sessions (system input) to the change in performance (system output). The quality of the fit between TL and performance was similar, whether the TL was computed directly from RPE (R = 0.55 ± 0.18) or from the session RPE (R = 0.56 ± 0.18) and was significant in 8 athletes over 10, excluding the standing jump from the computation of the TL, leading to a simplest method. Thus, this study represents a first attempt to model TL effects on judo-specific performance and has shown that the best relationships between amounts of training and changes in performance were obtained when training amounts were quantified simply from RPE.

Effects of acute postexercise chocolate milk consumption during intensive judo training on the recovery of salivary hormones, salivary SIgA, mood state, muscle soreness, and judo-related performance

This study examined the effects of postexercise chocolate milk (CM) or water (W) consumption during 5 days of intensive judo training with concomitant weight loss on salivary cortisol and testosterone, salivary secretory immunoglobulin A (SIgA), delayed-onset muscle soreness (DOMS), and judo-related performance. Twelve trained male judo athletes engaged in 5 days of intensive judo training followed by a simulated judo competition, on 2 separate training weeks 14 days apart. The athletes consumed 1000 mL of W (week 1) or CM (week 2) immediately post-training. During both weeks, athletes were instructed to “make weight” for the upcoming competition. Performance in timed push-ups and the Special Judo Fitness Test improved by 14.6% and 6.8%, respectively, at the end of the training week with CM consumption (both p < 0.001). Decreased salivary cortisol (p < 0.01) and a trend for an increased salivary testosterone/cortisol ratio (p = 0.07) were also observed midweek in the CM condition. Saliva flow rate was higher during the week with CM intake compared with W intake (p < 0.001). DOMS (p < 0.001) and mood disturbance (p < 0.0001) increased after the first day of training in the W condition but not in the CM condition. Salivary testosterone and SIgA responses were similar between treatments (p > 0.05). Body mass decreased by 1.9% in the W condition and by 1.1% in the CM condition, with no significant difference between treatments. This study indicates that postexercise CM consumption during short-term intensive judo training enhances aspects of recovery without affecting intentional weight loss.

Mucosal immunity and upper respiratory tract symptoms in recreational endurance runners

The present study investigated the effects of a 12-week endurance-training intervention on salivary proteins and upper respiratory tract symptoms (URS) in 25 young men. Saliva samples of 25 recreational male endurance runners (age 34.6 years, body mass index = 23.8 kg·m(-2), peak aerobic capacity = 47.2 mL·kg(-1)·min(-1)) were collected before (PRE) and after (POST) the training intervention, in a fasting state, as well as both before and after a maximal incremental treadmill run. The training consisted of both continuous and interval training sessions, 4-6 times per week based on the polarized training approach. Participants filled in Wisconsin Upper Respiratory Symptom Survey-21 and were retrospectively divided into 2 groups according to whether they reported URS (URS group, n = 13) or not (HEALTHY group, n = 12). Basal salivary immunoglobulin A (sa-sIgA) levels were significantly higher (+70%, p < 0.05) in the HEALTHY group both at PRE and POST whereas no significant differences were observed in salivary immunoglobulin M, salivary immunoglobulin G, lysozyme, or salivary α-amylase activity (sAA). Sa-sIgA concentration at PRE significantly correlated with the number of sick-days (R = -0.755, p < 0.001) in all subjects. The incremental treadmill run acutely increased sAA significantly (p < 0.05) at PRE (200%) and POST (166%) in the HEALTHY group but not in the URS group. This study demonstrated that subjects, who experienced URS during the 12 weeks of progressive endurance training intervention, had significantly lower basal sa-sIgA levels both before and after the experimental endurance training period. In addition to sa-sIgA, acute sAA response to exercise might be a possible determinant of susceptibility to URS in endurance runners.

Monitoring the athlete training response: subjective self-reported measures trump commonly used objective measures: a systematic review

Background

Monitoring athlete well-being is essential to guide training and to detect any progression towards negative health outcomes and associated poor performance. Objective (performance, physiological, biochemical) and subjective measures are all options for athlete monitoring.

Objective

We systematically reviewed objective and subjective measures of athlete well-being. Objective measures, including those taken at rest (eg, blood markers, heart rate) and during exercise (eg, oxygen consumption, heart rate response), were compared against subjective measures (eg, mood, perceived stress). All measures were also evaluated for their response to acute and chronic training load.

Methods

The databases Academic search complete, MEDLINE, PsycINFO, SPORTDiscus and PubMed were searched in May 2014. Fifty-six original studies reported concurrent subjective and objective measures of athlete well-being. The quality and strength of findings of each study were evaluated to determine overall levels of evidence.

Results

Subjective and objective measures of athlete well-being generally did not correlate. Subjective measures reflected acute and chronic training loads with superior sensitivity and consistency than objective measures. Subjective well-being was typically impaired with an acute increase in training load, and also with chronic training, while an acute decrease in training load improved subjective well-being.

Summary

This review provides further support for practitioners to use subjective measures to monitor changes in athlete well-being in response to training. Subjective measures may stand alone, or be incorporated into a mixed methods approach to athlete monitoring, as is current practice in many sport settings.

Markers of biological stress and mucosal immunity during a week leading to competition in adolescent swimmers

In this study we examined changes in the salivary concentrations of immunoglobulin A (sIgA), cortisol (sC), testosterone (sT), and testosterone-to-cortisol ratio (T/C) in 21 competitive swimmers, 11–15 years old, during a week leading to competition as compared to a control (noncompetition) week. No day-to-day changes or significant differences between weeks were observed for sIgA (47.9 ± 4.4 versus 54.9 ± 5.2 μg/mL for control versus competition week, resp.), sC (2.7 ± 0.2 versus 2.5 ± 0.2 ng/mL for control versus competition week, resp.), and T/C ratio (83.4 ± 7.0 versus 77.9 ± 7.7 for control versus competition week, resp.). In contrast, sT was significantly lower during the week of competition (154.5 ± 11.3 pg/mL) as compared to the control week (181.3 ± 11.5 pg/mL) suggesting that the swimmers were in a catabolic state, although this did not have a negative effect on their performance. In conclusion, salivary cortisol did not change between the two weeks, and thus competition stress was relatively low, and mucosal immunity was unaffected in these young athletes prior to competition.