Non-Invasive Cardiac Output Measurement Using Inert Gas Rebreathing Method during Cardiopulmonary Exercise Testing-A Systematic Review

BACKGROUND

The use of inert gas rebreathing for the non-invasive cardiac output measurement has produced measurements comparable to those obtained by various other methods. However, there are no guidelines for the inert gas rebreathing method during a cardiopulmonary exercise test (CPET). In addition, there is also a lack of specific standards for assessing the non-invasive measurement of cardiac output during CPET, both for healthy patients and those suffering from diseases and conditions.

AIM

This systematic review aims to describe the use of IGR for a non-invasive assessment of cardiac output during cardiopulmonary exercise testing and, based on the information extracted, to identify a proposed CPET report that includes an assessment of the cardiac output using the IGR method.

METHODS

This systematic review was conducted by PRISMA (Preferred Reporting Items for Systematic Reviews and Meta Analyses) guidelines. PubMed, Web of Science, Scopus, and Cochrane Library databases were searched from inception until 29 December 2022. The primary search returned 261 articles, of which 47 studies met the inclusion criteria for this review.

RESULTS AND CONCLUSIONS

This systematic review provides a comprehensive description of protocols, indications, technical details, and proposed reporting standards for a non-invasive cardiac output assessment using IGR during CPET. It highlights the need for standardized approaches to CPET and identifies gaps in the literature. The review critically analyzes the strengths and limitations of the studies included and offers recommendations for future research by proposing a combined report from CPET-IGR along with its clinical application.

Effect of brain endurance training on maximal oxygen uptake, time-to-exhaustion, and inhibitory control in runners

We aimed to analyze the effect of brain endurance training on maximum oxygen consumption (VO2máx ), time-to-exhaustion, and inhibitory control in amateur trained runners. We employed a mixed experimental design, with the group as the between-participant factor and time as the within-participant factor. 45 participants attended 36 training sessions over 12 weeks. The cognitive training group (CT) performed the Stroop word-color task [trials of each type (congruent, incongruent, and neutral) were randomly presented during each training session], the endurance training group (ET) participated in a running training program (intensity was 60%Δ of maximal aerobic velocity and performed on a motor-driven treadmill), and the brain endurance training group (BET) make cognitive and endurance training simultaneously over 12 weeks. The total time of each session (i.e., 20-40 min) was identical in the experimental groups. VO2máx , time-to-exhaustion, and inhibitory control tests were measured before (baseline) and after (post-experiment) the 12-week intervention. A significant effect of interaction (group × time) for VO2máx (p < 0.05) was found. A post-hoc test showed an increase in VO2máx from baseline to post-experiment only for ET (Δ% = 2.98) and BET (Δ% = 3.78) groups (p < 0.05). Also, the analyses showed a significant interaction (group × time) for time-to-exhaustion (p < 0.05), and a post-hoc test revealed an improvement in time-to-exhaustion for ET (Δ% = 8.81) and BET (Δ% = 11.01) (p < 0.05). No group × time interaction was found for accuracy and response time in the inhibitory control task (p > 0.05). The results conclude that BET was not superior to ET for improving VO2máx and time-to-exhaustion. Also, the findings conclude that BET improved inhibitory control similar to CT.

Head-to-head opponent mitigates mental fatigue effects during a 20-km time trial in well-trained cyclists

We aimed to analyze the effect of a head-to-head virtual race on 20-km time trial performance in well-trained mentally fatigued cyclists. A total of 24 male professional cyclists participated in the present study, which was conducted in a within-factors design [four experimental conditions × four times (throughout 20-km time trial cycling)]. An avatar representing the participant on the racecourse was visible during the time trials. Then, a second virtual avatar representing the opponent was projected onto the screen in the mental fatigue head-to-head and control head-to-head experimental conditions. Measurements [rating of perceived exertion, heart rate, and eye-tracking measures (i.e., pupil diameter)] were performed every 5-km throughout the 20-km time trial. As a result, impaired total time, power output, and cadence throughout the 20-km cycling time trial were found for mental fatigue compared to mental fatigue head-to-head, control head-to-head, and control conditions (p < 0.05). Also, impaired 20-km time trial performance (total time, power output, and cadence) was found for mental fatigue head-to-head compared to control head-to-head (p < 0.05). Moreover, lower RPE was found for the control and control head-to-head conditions than mental fatigue head-to-head and mental fatigue experimental conditions (p < 0.05). Higher pupil diameter was also found for mental fatigue head-to-head, control head-to-head, and control than the mental fatigue experimental condition (p < 0.05). In summary, the overall performance throughout the 20-km cycling time trial was improved by the presence of a virtual opponent for the mentally fatigued cyclists.

Quercetin in Sports and Exercise: A review

This paper systematically reviews the latest evidence regarding Quercetin's (Q) effect following exercise performance, aerobic and anaerobic exercise, muscle-damaging bouts and highlights blood biomarkers associated with muscle damage and recovery. Google Scholar, Web of Science, and MedLine (PubMed) searches were conducted through July-December 2021. Peer-reviewed studies that investigated Q as a single ingredient or in combination with other ingredients at dosages of 500 mg - 3000 mg, ranging from 15 min-to-1 h prior to exercise bout or chronic dose (7 days - 8 weeks) of consumption were included. A total of 34 studies met the inclusion criteria for the review. Key results include significant performance improvements in the following: VO2max (n = 2), time to exhaustion (n = 4 articles), fatigue decrement (n = 1 article), muscle damage (n = 3 articles), strength, torque velocity, and neuromuscular performance (n = 3 articles), redox potential (n = 1 article), repeated sprint performance and oxygen extraction (n = 1). Q also caused a change in systemic biomarkers: decrease in creatine kinase (n = 2), c-reactive protein (n = 4), lactate dehydrogenase (n = 4), inflammatory markers (n = 3), lipid peroxidation (n = 3) in aerobic and anaerobic performance. Varied findings exist regarding the efficacy of Q supplementation on exercise performance and recovery outcomes. The source of Q, training status of subjects, and exercise protocol performed may contribute to the effectiveness of Q as an antioxidant, anti-inflammatory, or ergogenic agent in exercise.

Aerobic adaptations following two iso-effort training programs: an intense continuous and a high-intensity interval

The intensity of the training stimulus and the effort exerted (regarded as an index of internal load) to complete an exercise session are driving forces for physiological processes and long-term training adaptations. This study compared the aerobic adaptations following two iso-effort, ratings of perceived exertion (RPE)-based training programs, an intense continuous (CON) and a high-intensity interval (INT). Young adults were assigned to a CON (n = 11) or an INT (n = 13) training group to perform 14 training sessions within 6 weeks. The INT group performed running bouts (9.3 ± 4.4 repetitions) at 90% of peak treadmill velocity (PTV) with bout duration equal to 1/4 of time to exhaustion at this speed (134.2 ± 27.9 s). The CONT group ran (1185.0 ± 487.6 s) at a speed corresponding to -2.5% of critical velocity (CV; 80.1% ± 3.0% of PTV). Training-sessions were executed until RPE attained 17 on the Borg scale. VO2max, PTV, CV, lactate threshold velocity (vLT), and running economy were assessed pre-, mid-, and post-training. Both CONT and INT methods increased (p < 0.05) VO2max (INT: 57.7 ± 8.1-61.41 ± 9.2; CONT: 58.1 ± 7.5-61.1 ± 6.3 mL kg-1 min-1), PTV (INT: 14.6 ± 1.8-15.7 ± 2.1; CONT: 15.0 ± 1.7-15.7 ± 1.8 km h-1), CV (INT: 11.8 ± 1.4-12.8 ± 1.8; CONT: 12.2 ± 1.6-12.9 ± 1.7 km h-1), and vLT (INT: 9.77 ± 1.1-10.8 ± 1.4; CONT: 10.4 ± 1.4-11.0 ± 1.8 km h-1) with no differences (p > 0.05) between them; running economy remained unchanged. The continuous training method, when matched for effort and executed at relatively high intensity at the upper boundaries of the heavy-intensity domain (∼80% of PTV), confers comparable aerobic adaptations to those attained after a high-intensity interval protocol following a short-term training period.

Short-Term Speed Variability as an Index of Pacing Stochasticity in Athletic Running Events

We aimed to compare differences in performance and pacing variability indices between 5000 m heats and finals during major championships in men and women. Data with 100 m time resolution were used to compare overall pacing variability (standard deviation of 100 m section times, SD; and coefficient of variation, CV%) and short-term pacing variability (root mean square of successive differences between 100 m section times, RMSSD). The changes in performance and pacing indices differed between races and competitions. For instance, the men's final in Beijing 2008 was quicker than the heat (p < 0.01) while the CV% was reduced (p = 0.03) and RMSSD increased (p < 0.01). For women, the heats and the final exhibited a similar mean time in London 2017 (p = 0.33) but with CV% (p < 0.001) and RMSSD (p < 0.001) showing opposite trends. Individual analyses of men's and women's champions revealed highly individual variability metrics. The use of RMSSD can complement overall variability indices for better characterization of pacing stochasticity.

The Effect of Acute Pre-Workout Supplement Ingestion on Basketball-Specific Performance of Well-Trained Athletes

A pre-workout supplement's (PWS; 200 mg caffeine, 3.3 g creatine monohydrate, 3.2 g β-alanine, 6 g citrulline malate and 5 g branched chained amino acid (BCAA) per dose) acute effects on the alactic (jumping, sprinting, agility), lactic (Running-Based Anaerobic Sprint Test, RAST) and aerobic performance (Yo-Yo Intermittent Recovery Test Level 1, Yo-Yo IRL1 VO_2max) of well-trained basketball players was investigated in this double-blind placebo-controlled study. Thirty players (age 18-31 years, height 166-195 cm, weight 70.2-116.7 kg, body fat 10.6-26.4%) were allocated to pre-workout (PWS, n = 15) or placebo (PL, n = 15) groups. Half of the participants in each group performed the evaluations without PWS or PL, while the rest consumed PWS or PL 30 min before the assessments (1st trial) and vice versa (2nd trial). Significant improvements in counter-movement jump (CMJ) (PWS: 4.3 ± 2.1%; PL: 1.2 ± 1.0%), agility (PWS: -2.9 ± 1.8%; PL: 1.8 ± 1.7%), RAST average (PWS: 18.3 ± 9.1%; PL: -2.2 ± 2.0%), minimum power (PWS: 13.7 ± 8.9%; PL: -7.5 ± 5.9%), and fatigue index (PWS: -25.0 ± 0.9%; PL: -4.6 ± 0.6%) were observed in the PWS group vs. the PL group (p < 0.05). No differences were found regarding sprinting, aerobic performance, and blood lactate concentrations. Thus, although players' alactic and lactic anaerobic performance could be improved, peak power, sprinting and aerobic performance are not.

Sleep and chronotype influence aerobic performance in young soccer players

People can be classified into three chronotypes (CT): morning-type (M-type), Neither-type (N-type) and Evening-type (E-type). M-types perform better in the morning, E-types in the evening. It seems that bad sleep worsens physical performance. The impact of sleep and CT on specific sports and populations is unclear. Therefore, we wanted to assess agility, strength and endurance in young soccer players in relation to their sleep and chronotype. 58 players (13-19 years) were recruited. Sleep and CT were assessed by questionnaires. The physical trial was performed at 8:30 a.m. and 6:00 p.m., and included three tests to determine agility, strength and endurance. The sample was classified by CT as M-types (n = 11), N-types (n = 29) and E-types (n = 18). Furthermore, they were categorized as people with Good Sleep/Wake quality (GSW, n = 28) and people with Bad Sleep/Wake quality (BSW, n = 30). Comparing the three CTs in the aerobic test, M-types performed better in the morning (p = 0.01), while E-types in the evening (p < 0.001). GSW performed better than BSW (p = 0.019) in the aerobic test in the p.m. session. These results underline the difference in aerobic power between M-and E-types during the morning and evening session; moreover, they show a difference in p.m. aerobic performance according to sleep quality.

Effects of single session transcranial direct current stimulation on aerobic performance and one arm pull-down explosive force of professional rock climbers

Objective: To explore the effects of single-session transcranial direct current stimulation (tDCS) on aerobic performance and explosive force in the one-arm pull-down of long-term trained rock climbers. Method: Twenty athletes (twelve male and eight female) from the Rock Climbing Team of Hunan province (Hunan, China) were selected for a randomized double-blind crossover study. After baseline tests, All subjects visited laboratories twice to randomly receive either sham or a-tDCS at a current intensity of 2 mA for 20 min. The two visits were more than 72 h apart. Immediately after each stimulation, subjects completed a 9-min 3-level-load aerobic test and a one-arm pull-down test. Results: Differences in the heart rate immediately after 9-min incremental aerobic exercises revealed no statistical significance between each group (p > 0.05). However, the decrease in heart rate per unit time after exercise after real stimulation was significantly better than before stimulation (p < 0.05), and no statistical significance was observed between after sham stimulation and before stimulation (p > 0.05). One-arm pull-down explosive force on both sides after real stimulation was improved by a-tDCS compared with before stimulation, but with no significant difference (p > 0.05). Real stimulation was significantly improved, compared with sham stimulation on the right side (p < 0.05). Conclusion: Single-session tDCS could potentially benefit sports performance in professional athletes.

The Effects of Concurrent Training Combined with Low-Carbohydrate High-Fat Ketogenic Diet on Body Composition and Aerobic Performance: A Systematic Review and Meta-Analysis

(1) Background: Recently, studies have emerged to explore the effects of concurrent training (CT) with a low-carb, high-fat ketogenic diet (LCHF) on body composition and aerobic performance and observed its benefits. However, a large variance in the study design and observations is presented, which needs to be comprehensively assessed. We here thus completed a systematic review and meta-analysis to characterize the effects of the intervention combining CT and LCHF on body composition and aerobic capacity in people with training experience as compared to that combining CT and other dietary strategies. (2) Methods: A search strategy based on the PICOS principle was used to find literature in the databases of PubMed, Web of Science, EBSCO, Sport-discuss, and Medline. The quality and risk of bias in the studies were independently assessed by two researchers. (3) Result: Eight studies consisting of 170 participants were included in this work. The pooled results showed no significant effects of CT with LCHF on lean mass (SMD = -0.08, 95% CI -0.44 to 0.3, p = 0.69), body fat percentage (SMD = -0.29, 95% CI -0.66 to 0.08, p = 0.13), body mass (SMD = -0.21, 95% CI -0.53 to 0.11, p = 0.2), VO_2max (SMD = -0.01, 95% CI -0.4 to 0.37, p = 0.95), and time (or distance) to complete the aerobic tests (SMD = -0.02, 95% CI -0.41 to 0.37, p = 0.1). Subgroup analyses also showed that the training background of participants (i.e., recreationally trained participants or professionally trained participants) and intervention duration (e.g., > or ≤six weeks) did not significantly affect the results. (4) Conclusions: This systematic review and meta-analysis provide evidence that compared to other dietary strategies, using LCHF with CT cannot induce greater benefits for lean mass, body fat percentage, body mass, VO_2max, and aerobic performance in trained participants.

Prevalence and mechanisms of environmental hyperoxia-induced thermal tolerance in fishes

Recent evidence has suggested environmental hyperoxia (O₂ supersaturation) can boost cardiorespiratory performance in aquatic ectotherms, thereby increasing resilience to extreme heat waves associated with climate change. Here, using rainbow trout (Oncorhynchus mykiss) as a model species, we analysed whether improved cardiorespiratory performance can explain the increased thermal tolerance of fish in hyperoxia (200% air saturation). Moreover, we collated available literature data to assess the prevalence and magnitude of hyperoxia-induced thermal tolerance across fish species. During acute warming, O₂ consumption rate was substantially elevated under hyperoxia relative to normoxia beyond 23°C. This was partly driven by higher cardiac output resulting from improved cardiac contractility. Notably, hyperoxia mitigated the rise in plasma lactate at temperatures approaching upper limits and elevated the critical thermal maximum (+0.87°C). Together, these findings show, at least in rainbow trout, that hyperoxia-induced thermal tolerance results from expanded tissue O₂ supply capacity driven by enhanced cardiac performance. We show 50% of the fishes so far examined have increased critical thermal limits in hyperoxia (range: 0.4-1.8°C). This finding indicates environmental hyperoxia could improve the ability of a large number of fishes to cope with extreme acute warming, thereby increasing resilience to extreme heat wave events resulting from climate change.

Short-Term Effects of Low-Fat Chocolate Milk on Delayed Onset Muscle Soreness and Performance in Players on a Women's University Badminton Team

This study investigated the short-term effects of low-fat chocolate milk (LFCM) consumption on delayed onset muscle soreness (DOMS) and performance in female badminton players. Seven female badminton players (23 ± 1 years; height: 163.8 ± 4.1 cm; body mass: 58.7 ± 0.9 kg) were randomly assigned to 1 week of LFCM (500 mL) or placebo (water, 500 mL) consumption in a crossover design. Participants consumed LFCM or water immediately after each training session during the 1-week intervention. Performance variables (aerobic power, anaerobic power, agility, explosive power, and maximum handgrip strength) were assessed at two separate time points: pre and post-intervention (after 1 week). In addition, the Visual Analogue Scale (VAS) was used to assess DOMS before, immediately after, and at 24 and 48 h after each training session. There were significant time effects for aerobic power, upper body explosive power, minimum anaerobic power, and time to exhaustion (TTE), which significantly increased after LFCM consumption (p < 0.05). Moreover, relative and maximum lower body power significantly (p < 0.05) increased, while rating of perceived exertion (RPE) as well as DOMS in lower extremity muscles immediately after exercise significantly decreased after LFCM consumption compared to placebo (p < 0.05). There were no significant changes in maximum anaerobic power, agility, and maximum handgrip strength (p > 0.05). LFCM, as a post-exercise beverage, may help speed recovery in female badminton players leading to increased aerobic, anaerobic, and strength performance indices, increased TTE, and decreased muscle soreness and RPE.

d-Allulose Improves Endurance and Recovery from Exhaustion in Male C57BL/6J Mice

d-Allulose, a rare sugar, improves glucose metabolism and has been proposed as a candidate calorie restriction mimetic. This study aimed to investigate the effects of d-allulose on aerobic performance and recovery from exhaustion and compared them with the effects of exercise training. Male C57BL/6J mice were subjected to exercise and allowed to run freely on a wheel. Aerobic performance was evaluated using a treadmill. Glucose metabolism was analyzed by an intraperitoneal glucose tolerance test (ipGTT). Skeletal muscle intracellular signaling was analyzed by Western blotting. Four weeks of daily oral administration of 3% d-allulose increased running distance and shortened recovery time as assessed by an endurance test. d-Allulose administration also increased the maximal aerobic speed (MAS), which was observed following treatment for >3 or 7 days. The improved performance was associated with lower blood lactate levels and increased liver glycogen levels. Although d-allulose did not change the overall glucose levels as determined by ipGTT, it decreased plasma insulin levels, indicating enhanced insulin sensitivity. Finally, d-allulose enhanced the phosphorylation of AMP-activated protein kinase and acetyl-CoA carboxylase and the expression of peroxisome proliferator-activated receptor γ coactivator 1α. Our results indicate that d-allulose administration enhances endurance ability, reduces fatigue, and improves insulin sensitivity similarly to exercise training. d-Allulose administration may be a potential treatment option to alleviate obesity and enhance aerobic exercise performance.

Fluid Restriction Dehydration Increase Core Temperature During Endurance Exercise Compared to Exercise Induced Dehydration

This study aimed to evaluate the difference in heart rate and core temperature during aerobic exercise between two forms of dehydration: exercise-induced (EI) and fluid restricted (FR). Twenty-two subjects (N = 22; 83.35 ± 13.92 kg) completed the current study, performing a familiarization session, a pre-experimental exercise session, and two exercise testing sessions. The EI exercise trial (81.52 ± 13.72 kg) was conducted after performing exercise in a hot environment to lose three to four percent of body weight and partial rehydration. The FR exercise trial (81.53 ± 14.14 kg) was completed after 12 hours of fluid restriction. During both exercise sessions, subjects pedaled against a set resistance of 130 watts for 30 minutes. The main effect of hydration on Tc was significant, F(1, 18) = 4.474, p = .049, η _p ² = .199 (Figure 2) with core temperature being greater during the FR trial compared to the EI trial (FR = 37.58 ± .06°C vs. EI = 37.31 ± .11°C). No significant interaction was found between hydration and time for HR, F(2, 42) = 0.120, p = .887, η _p ² = .006. The main effect of time on HR was significant, F(2, 42) = 119.664, p < .001, η _p ² = .851. Fluid restriction was associated with an increase in core temperature. An increased core temperature may negatively influence performance, and care should be taken to ensure proper hydration.

Age and Maturity Effects on Morphological and Physical Performance Measures of Adolescent Judo Athletes

Studies assessing age and maturation effects on morphological and physical performance measures of young judokas are scarce. This study aimed to assess the independent and combined effects of chronological age and biological maturation on anthropometry and physical performance of 67 judokas aged 11-14. Participants’ anthropometric profiles were assessed, and physical performance tests were completed. Multivariate analyses of variance revealed an independent effect of age (anthropometry: F = 1.871; p < 0.05; Pillai’s trace = 0.545; η²_p = 0.272; physical performance: F = 2.876; p < 0.01; Pillai’s trace = 0.509; η²_p = 0.254) and maturity (anthropometry: F = 10.085; p < 0.01; Pillai’s trace = 0.669; η²_p = 0.669; physical performance: F = 11.700; p < 0.01; Pillai’s trace = 0.581; η²_p = 0.581). There was no significant combined effect of age and maturity. The maturation effect remained significant when controlled for age (anthropometry: F = 4.097; p < 0.01; Pillai’s trace = 0.481; η²_p = 0.481; physical performance: F = 3.859; p < 0.01; Pillai’s trace = 0.0.318; η²_p = 0.318). Inadolescent judokas, the maturation effect on growth and physical performance seems to be more relevant than the age effect, leading to the need to control this effect in training routines and competitive events. As in studies with youth soccer players and other youth athletes, bio-banding can be a strategy for controlling maturation in combat sports.

Effect of Acute and Chronic Oral l-Carnitine Supplementation on Exercise Performance Based on the Exercise Intensity: A Systematic Review

l-Carnitine (l-C) and any of its forms (glycine-propionyl l-Carnitine (GPL-C) or l-Carnitine l-tartrate (l-CLT)) has been frequently recommended as a supplement to improve sports performance due to, among others, its role in fat metabolism and in maintaining the mitochondrial acetyl-CoA/CoA ratio. The main aim of the present systematic review was to determine the effects of oral l-C supplementation on moderate- (50-79% V˙O2 max) and high-intensity (≥80% V˙O2 max) exercise performance and to show the effective doses and ideal timing of its intake. A structured search was performed according to the PRISMA® statement and the PICOS guidelines in the Web of Science (WOS) and Scopus databases, including selected data obtained up to 24 October 2021. The search included studies where l-C or glycine-propionyl l-Carnitine (GPL-C) supplementation was compared with a placebo in an identical situation and tested its effects on high and/or low-moderate performance. The trials that used the supplementation of l-C together with additional supplements were eliminated. There were no applied filters on physical fitness level, race, or age of the participants. The methodological quality of studies was evaluated by the McMaster Critical Review Form. Of the 220 articles obtained, 11 were finally included in this systematic review. Six studies used l-C, while three studies used l-CLT, and two others combined the molecule propionyl l-Carnitine (PL-C) with GPL-C. Five studies analyzed chronic supplementation (4-24 weeks) and six studies used an acute administration (<7 days). The administration doses in this chronic supplementation varied from 1 to 3 g/day; in acute supplementation, oral l-C supplementation doses ranged from 3 to 4 g. On the one hand, the effects of oral l-C supplementation on high-intensity exercise performance variables were analyzed in nine studies. Four of them measured the effects of chronic supplementation (lower rating of perceived exertion (RPE) after 30 min at 80% V˙O2 max on cycle ergometer and higher work capacity in "all-out" tests, peak power in a Wingate test, and the number of repetitions and volume lifted in leg press exercises), and five studies analyzed the effects of acute supplementation (lower RPE after graded exercise test on the treadmill until exhaustion and higher peak and average power in the Wingate cycle ergometer test). On the other hand, the effects of l-C supplementation on moderate exercise performance variables were observed in six studies. Out of those, three measured the effect of an acute supplementation, and three described the effect of a chronic supplementation, but no significant improvements on performance were found. In summary, l-C supplementation with 3 to 4 g ingested between 60 and 90 min before testing or 2 to 2.72 g/day for 9 to 24 weeks improved high-intensity exercise performance. However, chronic or acute l-C or GPL-C supplementation did not present improvements on moderate exercise performance.

Effects of small-sided games and high-intensity interval training on physical performance in young female handball players

This study was designed to compare the effectiveness of small-sided handball games in combination with handball training (SSG group) versus high-intensity interval training in combination with handball training (HIIT group) on physical performance of young female handball players during pre-competitive period. Twenty-four young female handball players, who have a 6.17 ± 1.54 years training experience and competition in the national league participated in this study. SSG group (n = 12; age 16.06 ± 0.80 years, body mass 61.27 ± 3.68 kg, body height 1.64 ± 4.7 m, body mass index 22.7 kg/m2) while HIIT group (n = 12; 16.20 ± 1.28 years, body mass 62.46 ± 7.86 kg, body height 1.68 ± 6.8 m, body mass index 22 kg/m2). Both groups applied training programs twice-a-week for 8 weeks. Before and after the training programs physical performances were assessed: Countermovement jump (CMJ), Squat jump (SJ), Sprint on 0-10 m; Sprint on 0-20 m; Sprint on 0-30 m, Throwing medicine ball and total distance covered during the Yo-YoIRT1. After 8 weeks SSG and HIIT groups significantly improved CMJ, SJ, 0-20 m sprint, 0-30 m sprint, throwing medicine ball and Yo-YoIRT1 (p ≤ 0.05). However, significantly greater improvement was achieved in Yo-YoIRT1 (m) in HIIT group (28.40%) than SSG group (17.63%). These results indicate that SSG group and HIIT group equally improve of physical performances (jump, sprint and upper explosive strength) among young female handball players in pre-competitive period.

Distinct Mechanisms Underlie Developmental Plasticity and Adult Acclimation of Thermogenic Capacity in High-Altitude Deer Mice

Developmental plasticity can elicit phenotypic adjustments that help organisms cope with environmental change, but the relationship between developmental plasticity and plasticity in adult life (e.g., acclimation) remains unresolved. We sought to examine developmental plasticity and adult acclimation in response to hypoxia of aerobic capacity (V̇O_2max) for thermogenesis in deer mice (Peromyscus maniculatus) native to high altitude. Deer mice were bred in captivity and exposed to normoxia or one of four hypoxia treatments (12 kPa O₂) across life stages: adult hypoxia (6–8 weeks), post-natal hypoxia (birth to adulthood), life-long hypoxia (before conception to adulthood), and parental hypoxia (mice conceived and raised in normoxia, but parents previously exposed to hypoxia). Hypoxia during perinatal development increased V̇O_2max by a much greater magnitude than adult hypoxia. The amplified effect of developmental hypoxia resulted from physiological plasticity that did not occur with adult hypoxia – namely, increases in lung ventilation and volume. Evolved characteristics of deer mice enabled developmental plasticity, because white-footed mice (P. leucopus; a congener restricted to low altitudes) could not raise pups in hypoxia. Parental hypoxia had no persistent effects on V̇O_2max. Therefore, developmental plasticity can have much stronger phenotypic effects and can manifest from distinct physiological mechanisms from adult acclimation.

Under the Hood: Skeletal Muscle Determinants of Endurance Performance

In the past decades, researchers have extensively studied (elite) athletes' physiological responses to understand how to maximize their endurance performance. In endurance sports, whole-body measurements such as the maximal oxygen consumption, lactate threshold, and efficiency/economy play a key role in performance. Although these determinants are known to interact, it has also been demonstrated that athletes rarely excel in all three. The leading question is how athletes reach exceptional values in one or all of these determinants to optimize their endurance performance, and how such performance can be explained by (combinations of) underlying physiological determinants. In this review, we advance on Joyner and Coyle's conceptual framework of endurance performance, by integrating a meta-analysis of the interrelationships, and corresponding effect sizes between endurance performance and its key physiological determinants at the macroscopic (whole-body) and the microscopic level (muscle tissue, i.e., muscle fiber oxidative capacity, oxygen supply, muscle fiber size, and fiber type). Moreover, we discuss how these physiological determinants can be improved by training and what potential physiological challenges endurance athletes may face when trying to maximize their performance. This review highlights that integrative assessment of skeletal muscle determinants points toward efficient type-I fibers with a high mitochondrial oxidative capacity and strongly encourages well-adjusted capillarization and myoglobin concentrations to accommodate the required oxygen flux during endurance performance, especially in large muscle fibers. Optimisation of endurance performance requires careful design of training interventions that fine tune modulation of exercise intensity, frequency and duration, and particularly periodisation with respect to the skeletal muscle determinants.

HR Max Prediction Based on Age, Body Composition, Fitness Level, Testing Modality and Sex in Physically Active Population

Maximal heart rate (HRmax) is associated mostly with age, but age alone explains the variance in HRmax to a limited degree and may not be adequate to predict HRmax in certain groups. The present study was carried out on 3374 healthy Caucasian, Polish men and women, clients of a sports clinic, mostly sportspeople, with a mean age of 36.57 years, body mass 74.54 kg, maximum oxygen uptake (VO₂max, ml^∗kg^–1∗min^–1) 50.07. Cardiopulmonary exercise tests (CPET) were carried out on treadmills or cycle ergometers to evaluate HRmax and VO₂max. Linear, multiple linear, stepwise, Ridge and LASSO regression modeling were applied to establish the relationship between HRmax, age, fitness level, VO₂max, body mass, age, testing modality and body mass index (BMI). Mean HRmax predictions calculated with 5 previously published formulae were evaluated in subgroups created according to all variables. HRmax was univariately explained by a 202.5–0.53^∗age formula (R² = 19.18). The weak relationship may be explained by the similar age with small standard deviation (SD). Multiple linear regression, stepwise and LASSO yielded an R² of 0.224, while Ridge yielded R² 0.20. Previously published formulae were less precise in the more outlying groups of the studied population, overestimating HRmax in older age groups and underestimating in younger. The 202.5–0.53^∗age formula developed in the present study was the best in the studied population, yielding lowest mean errors in most groups, suggesting it could be used in more active individuals. Tanaka’s formula offers the second best overall prediction, while the 220-age formula yields remarkably high mean errors of up to 9 bpm. In conclusion, adding the studied variables in multiple regression models improves the accuracy of prediction only slightly over age alone and is unlikely to be useful in clinical practice.

Implication of Blood Rheology and Pulmonary Hemodynamics on Exercise-Induced Hypoxemia at Sea Level and Altitude in Athletes

This study aimed to investigate the changes in blood viscosity, pulmonary hemodynamics, nitric oxide (NO) production, and maximal oxygen uptake (V˙O2max) during a maximal incremental test conducted in normoxia and during exposure to moderate altitude (2,400 m) in athletes exhibiting exercise-induced hypoxemia at sea level (EIH). Nine endurance athletes with EIH and eight without EIH (NEIH) performed a maximal incremental test under three conditions: sea level, 1 day after arrival in hypoxia, and 5 days after arrival in hypoxia (H5) at 2,400 m. Gas exchange and oxygen peripheral saturation (SpO2) were continuously monitored. Cardiac output, pulmonary arterial pressure, and total pulmonary vascular resistance were assessed by echocardiography. Venous blood was sampled before and 3 min after exercise cessation to analyze blood viscosity and NO end-products. At sea level, athletes with EIH exhibited an increase in blood viscosity and NO levels during exercise while NEIH athletes showed no change. Pulmonary hemodynamics and aerobic performance were not different between the two groups. No between-group differences in blood viscosity, pulmonary hemodynamics, and V˙O2max were found at 1 day after arrival in hypoxia. At H5, lower total pulmonary vascular resistance and greater NO concentration were reported in response to exercise in EIH compared with NEIH athletes. EIH athletes had greater cardiac output and lower SpO2 at maximal exercise in H5, but no between-group differences occurred regarding blood viscosity and V˙O2max. The pulmonary vascular response observed at H5 in EIH athletes may be involved in the greater cardiac output of EIH group and counterbalanced the drop in SpO2 in order to achieve similar V˙O2max than NEIH athletes.

Effects of Acute Low-Frequency Pulsed Electromagnetic Field Therapy on Aerobic Performance during a Preseason Training Camp: A Pilot Study

Bio-electromagnetic-energy-regulation (BEMER) therapy is a technology using a low-frequency pulsed electromagnetic field (PEMF) in a biorhythmic format. BEMER has been shown to optimize recovery and decrease fatigue by increasing blood flow in microvessels. Our aim was to determine its effects during preseason training in endurance athletes. A total of 14 male cross-country runners (19.07 ± 0.92 y.o.) were placed in either the intervention (PEMF; n = 8) or control (CON; n = 6) group using a covariate-based, constrained randomization. Participants completed six running sessions at altitudes ranging from 881.83 (±135.98 m) to 1027.0 (±223.44 m) above sea level. PEMF group used BEMER therapy before and after each training session, totaling 12 times. There were no significant changes in absolute or relative VO2Peak, ventilation or maximum respiration rate for either the PEMF or CON group (p > 0.05). There was a significant effect of time for absolute and relative ventilatory threshold (VT), and maximum heart rate, heart rate at VT and respiration rate at VT. This study was the first of its kind to study PEMF technology in combination with elevated preseason training. Results indicate some evidence for the use of PEMF therapy during short-term training camps to improve VT.

Effects of Adding Small Combat Games to Regular Taekwondo Training on Physiological and Performance Outcomes in Male Young Athletes

This study investigated the effect of area sizes (4 × 4, 6 × 6, and 8 × 8 m) and effort-pause ratios (free combat vs. 1:2) variation on the physiological and perceptive responses during taekwondo combats (Study 1). In a second study, the effects on physical performance of 8 weeks of small combat-based training added to regular taekwondo training were investigated (Study 2). In random order, 32 male taekwondo athletes performed six (i.e., two effort-to-pause ratios × three area sizes conditions) different 2-min taekwondo combats (Study 1). Thereafter (Study 2), they were randomly assigned to three experimental groups (4 × 4, 6 × 6, and 8 × 8 m) and an active control group (CG). Regarding Study 1, blood lactate concentration [La] before and after each combat, mean heart rate (HRmean) during each combat, and rating of perceived exertion (CR-10) immediately after each combat were assessed. Regarding Study 2, progressive specific taekwondo (PSTT) to estimate maximum oxygen consumption (VO2max), taekwondo-specific agility, and countermovement jump (CMJ) tests were administered before and after 8 weeks of training. Study 1 results showed that 4 × 4 m elicited lower HRmean values compared with 6 × 6 m (d = -0.42 [small], p = 0.030) and free combat induced higher values compared with the 1:2 ratio (d = 1.71 [large], p < 0.001). For [La]post, 4 × 4 m area size induced higher values than 6 × 6 m (d = 0.99 [moderate], p < 0.001) and 8 × 8 m (d = 0.89 [moderate], p < 0.001) and free combat induced higher values than 1:2 ratio (d = 0.69 [moderate], p < 0.001). Higher CR-10 scores were registered after free combat compared with 1:2 ratio (d = 0.44 [small], p = 0.007). For Study 2, VO2max increased after training [F (1, 56) =30.532, p < 0.001; post-hoc: d = 1.27 [large], p < 0.001] with higher values for 4 × 4 m compared with CG (d = 1.15 [moderate], p = 0.009). Agility performance improved after training [F (1, 56) = 4.419, p = 0.04; post-hoc: d = -0.46 [small], p = 0.04] and 4 × 4 m induced lower values in comparison with 6 × 6 m (d = -1.56 [large], p = 0.001) and CG (d = -0.77 [moderate], p = 0.049). No training type influenced CMJ performance. Smaller area size elicited contrasting results in terms of metabolic demand compared with larger sizes (i.e., lower HRmean but higher [La] and CR-10), whereas free combat induced variables' consistently higher values compared with imposed 1:2 ratio (Study 1). Taekwondo training is effective to improve VO2max and agility (Study 2), but small combat training modality should be investigated further.

Pro-Oxidant/Antioxidant Balance during a Prolonged Exposure to Moderate Altitude in Athletes Exhibiting Exercise-Induced Hypoxemia at Sea-Level

This study examined to what extent athletes exhibiting exercise-induced hypoxemia (EIH) possess an altered redox status at rest, in response to exercise at sea level (SL) and during moderate altitude exposure. EIH was defined as a fall in arterial O₂ saturation of at least 4% during exercise. Nine endurance athletes with EIH and ten without (NEIH) performed a maximal incremental test under three conditions: SL, one (H1) and five (H2) days after arrival to 2400 m. Gas exchange and peripheral capillary oxygen saturation (SpO₂) were continuously monitored. Blood was sampled before exercise and after exercise cessation. Advanced oxidation protein products (AOPP), catalase, ferric-reducing antioxidant power, glutathione peroxidase, superoxide dismutase (SOD) and nitric oxide metabolites (NOx) were measured in plasma by spectrophotometry. EIH athletes had higher AOPP and NOx concentrations at pre- and post-exercise stages compared to NEIH at SL, H2 but not at H1. Only the EIH group experienced increased SOD activity between pre- and post-exercise exercise at SL and H2 but not at H1. EIH athletes had exacerbated oxidative stress compared to the NEIH athletes at SL and H2. These differences were blunted at H1. Oxidative stress did not alter the EIH groups’ aerobic performance and could lead to higher minute ventilation at H2. These results suggest that higher oxidative stress response EIH athletes could be involved in improved aerobic muscle functionality and a greater ventilatory acclimatization during prolonged hypoxia.

Positional Match Running Performance and Performance Profiles of Elite Female Field Hockey

PURPOSE

To determine if there is a link between the demands of competitive game activity and performance profiles of elite female field hockey players.

METHODS

Global positioning systems (GPS) were used to quantify running performance of elite female field hockey players (N = 20) during 26 competitive games. Performance profiles were assessed at 2 time points (preseason and midseason) for 2 competitive seasons. A battery of anthropometric and performance field-based tests (30-15 intermittent fitness test, incremental run test, 10-30-m speed test, T test, and vertical jump test) were used to determine the performance profiles of the players.

RESULTS

Players covered a mean total distance of 5384 (835) m, of which 19% was spent at high intensities (zone 5: 796 [221] m; zone 6: 274 [105] m). Forwards covered the lowest mean total distance (estimated marginal means 4586 m; 95% confidence interval, 4275-4897), whereas work rate was higher in forwards compared with midfielders (P = .006, d = 0.43) and central defenders (P = .001, d = 1.41). Players showed an improvement in body composition and anaerobic performance from preseason to midseason. Aerobic performance capacity (maximal oxygen uptake and speed at the 4-mM lactate threshold) was positively correlated with high-intensity activities.

CONCLUSIONS

There is a clear relationship between running performance and aerobic performance profiles in elite female hockey players. These results highlight the importance of a well-developed aerobic performance capacity in order to maintain a high performance level during hockey games.

If Motivation Was a Key Factor in Aerobic Performance in Tropical Climate?

This mini review examines the impact of tropical climate (TC) on motivational factors during aerobic performance and proposes the tracks of an integrative theoretical model to better understand the direct and indirect motivational mechanisms that can operate on athletic performances. TC is detrimental for aerobic performance and, although it clearly induces physiological constraints, these do not seem to be the only factors that explain the performance decline. Indeed, TC performance researchers have developed a theory of anticipation, which suggests that the brain commands a reduction in effort to protect the body from probable harm and heatstroke risk. The objective of this mini review is thus to examine the possibility that motivation may be a key factor in TC performance. The main psychological impacts of TC on aerobic performance are reviewed and an integrative theoretical model is presented that may help to better understand the mechanisms of motivation.

Aerobic but not thermoregulatory gains following a 10-day moderate-intensity training protocol are fitness level dependent: A cross-adaptation perspective

Moderate‐intensity exercise sessions are incorporated into heat‐acclimation and hypoxic‐training protocols to improve performance in hot and hypoxic environments, respectively. Consequently, a training effect might contribute to aerobic performance gains, at least in less fit participants. To explore the interaction between fitness level and a training stimulus commonly applied during acclimation protocols, we recruited 10 young males of a higher (more fit‐MF, peak aerobic power [VO_2peak]: 57.9 [6.2] ml·kg⁻¹·min⁻¹) and 10 of a lower (less fit‐LF, VO_2peak: 41.7 [5.0] ml·kg⁻¹·min⁻¹) fitness level. They underwent 10 daily exercise sessions (60 min@50% peak power output [W_peak]) in thermoneutral conditions. The participants performed exercise testing on a cycle ergometer before and after the training period in normoxic (NOR), hypoxic (13.5% F_iO₂; HYP), and hot (35°C, 50% RH; HE) conditions in a randomized and counterbalanced order. Each test consisted of two stages; a steady‐state exercise (30 min@40% NOR W_peak to evaluate thermoregulatory function) followed by incremental exercise to exhaustion. VO_2peak increased by 9.2 (8.5)% (p = .024) and 10.2 (15.4)% (p = .037) only in the LF group in NOR and HE, respectively. W_peak increases were correlated with baseline values in NOR (r = −.58, p = .010) and HYP (r = −.52, p = .018). MF individuals improved gross mechanical efficiency in HYP. Peak sweat rate increased in both groups in HE, whereas MF participants activated the forehead sweating response at lower rectal temperatures post‐training. In conclusion, an increase in VO_2peak but not mechanical efficiency seems probable in LF males after a 10‐day moderate‐exercise training protocol.

Effects of Moderate Combined Resistance- and Aerobic-Exercise for 12 Weeks on Body Composition, Cardiometabolic Risk Factors, Blood Pressure, Arterial Stiffness, and Physical Functions, among Obese Older Men: A Pilot Study

We demonstrated the hypothesis that combined exercise improves body composition, cardiometabolic risk factors, blood pressure (BP), arterial stiffness, and physical functions, in obese older men. Older men (n = 20) were randomly assigned to combined exercise training (EXP; n = 10) or control groups (CON; n = 10). The combined exercise was comprised of elastic-band resistance training and walking/running on a treadmill and bicycle at 60–70% of maximal heart rate for 3 days/weeks. EXP showed significant decreases in body weight, body mass index, and %body fat (p < 0.05). The exercise program significantly reduced BP, mean arterial pressure, pulse pressure, and brachial-ankle pulse wave velocity. Furthermore, while the plasma levels of low-density lipoprotein cholesterol and epinephrine were significantly reduced in EXP, VO₂ peak and grip strength were significantly enhanced (p < 0.05). In conclusion, it is indicated that 12-week regular combined exercise improves body composition, cardiometabolic risk factors, hemodynamics, and physical performance in obese older men.

Enhanced Cycling Time-Trial Performance During Multiday Exercise With Higher-Pressure Compression Garment Wear

PURPOSE

Compression garments are widely used as a tool to accelerate recovery from intense exercise and have also gained traction as a performance aid, particularly during periods of limited recovery. This study tested the hypothesis that increased pressure levels applied via high-pressure compression garments would enhance "multiday" exercise performance.

METHODS

A single-blind crossover design, incorporating 3 experimental conditions-loose-fitting gym attire (CON), low-compression (LC), and high-compression (HC) garments-was adopted. A total of 10 trained male cyclists reported to the laboratory on 6 occasions, collated into 3 blocks of 2 consecutive visits. Each "block" consisted of 3 parts, an initial high-intensity protocol, a 24-hour period of controlled rest while wearing the applied condition/garment (CON, LC, and HC), and a subsequent 8-km cycling time trial, while wearing the respective garment. Subjective discomfort questionnaires and blood pressure were assessed prior to each exercise bout. Power output, oxygen consumption, and heart rate were continuously measured throughout exercise, with plasma lactate, creatine kinase, and myoglobin concentrations assessed at baseline and the end of exercise, as well as 30 and 60 minutes postexercise.

RESULTS

Time-trial performance was significantly improved during HC compared with both CON and LC (HC = 277 [83], CON = 266 [89], and LC = 265 [77] W; P < .05). In addition, plasma lactate was significantly lower at 30 and 60 minutes postexercise on day 1 in HC compared with CON. No significant differences were observed for oxygen consumption, heart rate, creatine kinase, or subjective markers of discomfort.

CONCLUSION

The pressure levels exerted via lower-limb compression garments influence their effectiveness for cycling performance, particularly in the face of limited recovery.

Physiological and Race Pace Characteristics of Medium and Low-Level Athens Marathon Runners

This study examined physiological and race pace characteristics of medium- (finish time < 240 min) and low-level (finish time > 240 min) recreational runners who participated in a challenging marathon route with rolling hills, the Athens Authentic Marathon. Fifteen athletes (age: 42 ± 7 years) performed an incremental test, three to nine days before the 2018 Athens Marathon, to determine maximal oxygen uptake (VO2 max), maximal aerobic velocity (MAV), energy cost of running (ECr) and lactate threshold velocity (vLTh), and were analyzed for their pacing during the race. Moderate- (n = 8) compared with low-level (n = 7) runners had higher (p < 0.05) VO2 max (55.6 ± 3.6 vs. 48.9 ± 4.8 mL·kg-1·min-1), MAV (16.5 ± 0.7 vs. 14.4 ± 1.2 km·h-1) and vLTh (11.6 ± 0.8 vs. 9.2 ± 0.7 km·h-1) and lower ECr at 10 km/h (1.137 ± 0.096 vs. 1.232 ± 0.068 kcal·kg-1·km-1). Medium-level runners ran the marathon at a higher percentage of vLTh (105.1 ± 4.7 vs. 93.8 ± 6.2%) and VO2 max (79.7 ± 7.7 vs. 68.8 ± 5.7%). Low-level runners ran at a lower percentage (p < 0.05) of their vLTh in the 21.1-30 km (total ascent/decent: 122 m/5 m) and the 30-42.195 km (total ascent/decent: 32 m/155 m) splits. Moderate-level runners are less affected in their pacing than low-level runners during a marathon route with rolling hills. This could be due to superior physiological characteristics such as VO2 max, ECr, vLTh and fractional utilization of VO2 max. A marathon race pace strategy should be selected individually according to each athlete's level.

The Performance Effect of Scheduled Carbohydrate and Caffeine Intake during Simulated Team Sport Match-Play

The aim of the current investigation was to identify the effects of scheduled carbohydrate (CHO) and caffeine (CAF) supplementation on simulated team sport match-play performance. Ten male hurling players completed three hurling match-play simulation protocols (HSP) performed 7 days apart in a double-blind, randomized design. Supplementation included CHO, CHO + CAF, and placebo (PLA). In a randomized order, participants ingested either a 6% CHO solution, a PLA solution of similar taste, or a combined intake of 6% CHO solution + 200 mg CAF capsule. At specific time points (Pre-0 min; half time (HT)-30 min; full time (FT)-60 min), participants completed a repeated sprint protocol (RAST; 12 × 20 m). Physiological [% maximal oxygen uptake (%VO_2max), % mean oxygen uptake (%VO_2mean), % maximal heart rate (%HR_max), % mean heart rate (%HR_mean), respiratory exchange ratio (RER), and blood lactate (BLa)] and performance [(best sprint time (RSA_best), mean sprint time (RSA_mean), and rate of perceived exertion (RPE)] variables were monitored throughout each simulation. Non-significant differences were observed between supplement trials (CHO, CHO + CAF, and PLA) for BLa (η² = 0.001, small), %VO_2max (η² = 0.001, small), %VO_2mean (η² = 0.004, small), %HR_max (η² = 0.007, small), %HR_mean (η² = 0.018, small), RER (η² = 0.007, small), RPE (η² = 0.007, small), and RSA_best (η² = 0.050, small). RSA_mean performance significantly improved in CHO + CAF trials compared to PLA, with sprint times significantly improved from Pre to FT also (η² = 0.135, medium). A significant difference was observed in BLa between time points (Pre, HT, and FT) (η² = 0.884, large) in % HRmax (η² = 0.202, medium), %HR_mean (η² = 0.477, large), and RER (η² = 0.554, large) across halves and in RPE across time points (η² = 0.670, large). Our data provide novel data regarding the effects of CHO and CAF supplementation on team sport performance, with co-ingestion of CHO + CAF reducing the decrement in repeated sprint performance compared to PLA.

Twelve Weeks of Combined Resistance and Aerobic Exercise Improves Cardiometabolic Biomarkers and Enhances Red Blood Cell Hemorheological Function in Obese Older Men: A Randomized Controlled Trial

The present study examined the effect of a 12-week combined resistance and aerobic exercise training program on cardiometabolic biomarkers and red blood cell (RBC) hemorheological function in 20 obese older men (mean age: 68.8 ± 0.9 years). Subjects were randomly divided into two groups (exercise intervention [EXP; n = 10] and control [CON; n = 10]). The EXP subjects performed resistance and aerobic exercise training program three times per week for 12 weeks, and the CON subjects maintained their regular lifestyle during the intervention period. Body composition was estimated using bioelectrical impedance analysis equipment. Cardiometabolic biomarkers (glucose, insulin, homeostasis model assessment-estimated insulin resistance (HOMA-IR), HOMA β-cell function, and leptin) and RBC hemorheological parameters (RBC deformability and aggregation) were analyzed. Percent body fat decreased significantly in the EXP group during the intervention period but increased significantly in the CON group. Insulin increased significantly in the CON group over the 12-week period and both insulin and HOMA-IR were significantly higher in the CON group than in the EXP group at post-test. RBC deformability (RBC EI_3Pa) and aggregation (RBC AI_3Pa) improved significantly only in the EXP group. The present study suggests that combined exercise training can be useful for improving cardiometabolic biomarkers and RBC hemorheological parameters in obese older men and may help prevent metabolic syndrome and cardiovascular diseases.

Physiological Responses and Swimming Technique During Upper Limb Critical Stroke Rate Training in Competitive Swimmers

The aim of this study was to examine how arm stroke swimming with critical stroke rate (CSR) control would influence physiological responses and stroke variables in an effort to identify a new swimming training method. Seven well-trained male competitive swimmers (19.9 ± 1.4 years of age) performed maximal 200 and 400 m front crawl swims to determine the CSR and critical swimming velocity (CV), respectively. Thereafter, they were instructed to perform tests with 4 × 400 m swimming bouts at the CSR and CV. The swimming time (CSR test: 278.96 ± 2.70 to 280.87 ± 2.57 s, CV test: 276.17 ± 3.36 to 277.06 ± 3.64 s), heart rate, and rated perceived exertion did not differ significantly between tests for all bouts. Blood lactate concentration after the fourth bout was significantly lower in the CSR test than in the CV test (3.16 ± 1.43 vs. 3.77 ± 1.52 mmol/l, p < 0.05). The stroke rate and stroke length remained stable across bouts in the CSR test, whereas the stroke rate increased with decreased stroke length across bouts in the CV test (p < 0.05). There were significant differences in the stroke rate (39.27 ± 1.22 vs. 41.47 ± 1.22 cycles/min, p < 0.05) and stroke length (2.20 ± 0.07 vs. 2.10 ± 0.04 m/stroke, p < 0.05) between the CSR and CV tests in the fourth bout. These results indicate that the CSR could provide the optimal intensity for improving aerobic capacity during arm stroke swimming, and it may also help stabilize stroke technique.

Muscle and cerebral oxygenation during exercise in athletes with exercise-induced hypoxemia: A comparison between sea level and acute moderate hypoxia

The objective of the present study was to evaluate the influence of exercise-induced hypoxemia (EIH) on muscle and cerebral oxygenation responses during maximal exercise in normoxia and in acute moderate hypoxia (fraction of inspired oxygen: 15.3%, 2400 m). EIH was defined as a drop in hemoglobin saturation of at least 4% for at least three consecutive minutes during maximal exercise at sea level. Twenty-five athletes performed incremental treadmill tests to assess maximal oxygen consumption (VO_2max) in normoxia and in hypoxia. Oxygenation of the vastus lateralis muscle and the left prefrontal cortex of the brain was monitored using near-infrared spectroscopy. During the normoxic test, 15 athletes exhibited EIH; they displayed a larger change in muscle levels of oxyhemoglobin (ΔO₂Hb) (p = 0.04) and a greater change in cerebral levels of deoxyhemoglobin (ΔHHb) (p = 0.02) than athletes without EIH (NEIH group). During the hypoxic test, muscle ΔO₂Hb was lower in the EIH group than in the NEIH group (p = 0.03). At VO_2max, hypoxia was associated with a smaller cerebral ΔO₂Hb in both groups, and a greater cerebral ΔHHb compared to normoxia in the NEIH group only (p = 0.02). No intergroup differences in changes in muscle oxygenation were observed. The severity of O₂ arterial desaturation was negatively correlated with changes in total muscle hemoglobin in normoxia (r = -0.48, p = 0.01), and positively correlated with the cerebral ΔHHb in normoxia (r = 0.45, p = 0.02). The occurrence of EIH at sea level was associated with specific muscle and cerebral oxygenation responses to exercise under both normoxia and moderate hypoxia.

Effects of the Menstrual Cycle on Running Economy: Oxygen Cost Versus Caloric Cost

Purpose: This study investigated the effects of the menstrual cycle on running economy (RE). Method: Eleven eumenorrheic female athletes (mean age: 21.18 ± 3.65 years, height: 170.2 ± 6.6 cm, VO₂max: 49.25 ± 9.15 mL·kg^-1·min^-1, and menstrual cycle: 29.8 ± 0.98 days) were tested for anthropometric variables, physiological responses (oxygen consumption [VO₂], blood lactate [LA], heart rate [HR], and respiratory exchange ratio [RER]) at rest and while running. The RE was measured at speeds of 75%, 85%, and 95% of the lactate threshold at 3.5 mmol·L^-1 during the follicular (FP) and luteal phases (LP) of the menstrual cycle. The RE was evaluated as oxygen consumption (mL·kg·min^-1 [O_{2C_}min], mL·kg^-1·km^-1 [O_{2C_}km]) and caloric unit cost (kcal·kg^-1·km^-1 [E_C]) during both phases. Results: There were no significant differences in body composition or resting physiological measurements between the LP and FP (p > .05). Physiological responses measured during RE tests were similar in both phases (p > .05). The RE measured as O_{2C_}min, O_{2C_}km, and E_C was significantly lower during the LP than during the FP (p < .05). The RE defined as O_{2C_} min significantly increased with speed (p < .05), but RE defined as O_{2C_}km and E_C was unaffected by speed increment (p > .05). Conclusions: The RE is better in the LP than the FP and is independent of running speed when RE is evaluated as O_{2C_}km and E_C. The menstrual cycle had no effect on body composition and physiological variables measured at rest.

Impact of data averaging strategies on V̇O2max assessment: Mathematical modeling and reliability

BACKGROUND

No consensus exists on how to average data to optimize V ˙ O_2max assessment. Although the V ˙ O_2max value is reduced with larger averaging blocks, no mathematical procedure is available to account for the effect of the length of the averaging block on V ˙ O_2max. AIMS: To determine the effect that the number of breaths or seconds included in the averaging block has on the V ˙ O_2max value and its reproducibility and to develop correction equations to standardize V ˙ O_2max values obtained with different averaging strategies.

METHODS

Eighty-four subjects performed duplicate incremental tests to exhaustion (IE) in the cycle ergometer and/or treadmill using two metabolic carts (Vyntus and Vmax N29). Rolling breath averages and fixed time averages were calculated from breath-by-breath data from 6 to 60 breaths or seconds.

RESULTS

V ˙ O_2max decayed from 6 to 60 breath averages by 10% in low fit ( V ˙ O_2max  < 40 mL kg^-1  min^-1 ) and 6.7% in trained subjects. The V ˙ O_2max averaged from a similar number of breaths or seconds was highly concordant (CCC > 0.97). There was a linear-log relationship between the number of breaths or seconds in the averaging block and V ˙ O_2max (R²  > 0.99, P < 0.001), and specific equations were developed to standardize V ˙ O_2max values to a fixed number of breaths or seconds. Reproducibility was higher in trained than low-fit subjects and not influenced by the averaging strategy, exercise mode, maximal respiratory rate, or IE protocol.

CONCLUSIONS

The V ˙ O_2max decreases following a linear-log function with the number of breaths or seconds included in the averaging block and can be corrected with specific equations as those developed here.

Maximum Oxygen Uptake of Male Soccer Players According to their Competitive Level, Playing Position and Age Group: Implication from a Network Meta-Analysis

The aim of the present meta-analysis was to compare the maximum oxygen uptake (VO2max) characteristics of male soccer players relative to their competitive level, playing position and age group and the interaction between them. The meta-analysis was based on 16 studies, employing 2385 soccer players aged 10-39 years. Higher-level soccer players showed greater (ES = 0.58 [95% CI 0.08-1.08], SE = 0.25, var = 0.06, z = 2.29, p = 0.022) VO2max performance with respect to their lower level counterparts. Furthermore, lower VO2max values in goalkeepers than defenders (ES = 1.31 (SE 0.46) [95% CI 0.41-2.21], var = 0.21, z = 2.84, p = 0.004) and midfielders (ES = 1.37 (SE 0.41) [95% CI 0.58 to 2.17], var = 0.16, z = 3.40, p = 0.001) were found. Thus, VO2max increased significantly with age (all, p < 0.01): Under 10 versus Under 11 years, Under 11 versus Under 12 years, Under 12 versus Under 13 years, Under 13 versus Under 14 years, Under 14 versus Under 15 years and Under 16-18 versus Under 20-23 years. VO2max performance is the most powerful discriminator between higher and lower-level soccer players. These findings indicate also the need for sports scientists and conditioning professionals to take the VO2max performance of soccer players into account when designing individualized position specific training programs.

The Effect of Mental Fatigue on Cognitive and Aerobic Performance in Adolescent Active Endurance Athletes: Insights from a Randomized Counterbalanced, Cross-Over Trial

The aim of this randomized counterbalanced, 2 × 2 cross-over study was to investigate the effects of mental fatigue on cognitive and aerobic performance in adolescent active endurance athletes. Ten active male endurance athletes (age = 16 ± 1.05 years, height = 1.62 ± 0.04 m, body mass = 55.5 ± 4.2 kg) were familiarized to all experimental procedures on day 1. On days 2 and 3, participants provided a rating of mental fatigue before and after completing a 30 min Stroop test that measures selective attention capacity and skills and their processing speed ability (mentally fatigued condition), or a 30 min control condition in a randomized counterbalanced order. They then performed d2 test and a 20 m multistage fitness test (MSFT), which was used to measure selective and sustained attention and visual scanning speed (i.e., concentration performance (CP) and total number of errors (E)) and aerobic fitness (i.e., maximum oxygen uptake (VO₂max) and velocity at which VO₂max occurs (vVO₂max)), respectively. Rating of perceived exertion (RPE) was assessed after a MSFT. Subjective ratings of mental fatigue were higher after the Stroop task (p < 0.001). CP (p = 0.0.1), E (p < 0.001), vVO₂max (p = 0.020), and estimated VO₂max (p = 0.021) values were negatively affected by mental fatigue. RPE were significantly higher in the mentally fatigued than in the control conditions (p = 0.02) post-MSFT. Mental fatigue impairs aerobic and cognitive performance in active male endurance athletes.

Reliability of Submaximal Yo-Yo Tests in 9- to 16-Year-Old Untrained Schoolchildren

PURPOSE

To examine the reliability of age-adapted submaximal Yo-Yo (Yo-Yo_submax) intermittent tests in untrained schoolchildren aged 9-16 years (n = 139; 72 boys and 67 girls) and within children with high and low percentage of body fat (%BF).

METHODS

Yo-Yo intermittent recovery level 1 children's (YYIR1C), Yo-Yo intermittent endurance level 1 (YYIE1), and Yo-Yo intermittent endurance level 2 (YYIE2) tests were performed 7 days apart by 9- to 11-, 12- to 13-, and 14- to 16-year-old children, respectively. Reliability was tested for Yo-Yo_submax heart rate (HR_submax), peak HR, and maximal distance.

RESULTS

HR_submax typical errors of measurement (TEM) in YYIR1C, YYIE1, and YYIE2 were 2.2% (1.7%-2.9%), 2.4% (1.9%-3.3%), 1.9% (1.6%-2.5%) and 2.4% (1.9%-3.3%), 2.4% (1.9%-3.2%), 1.9% (1.5%-2.4%) for girls and boys, respectively. HR_submax intraclass correlation coefficient values were good to excellent (.62-.87) in all age groups and in schoolchildren of different %BF. TEM for HR_submax ranged from 2.1% to 2.3% in high and low %BF groups. Maximal distance intraclass correlation coefficients were excellent and TEM values ranged from 11% to 12% in both %BF groups. HR_submax was moderately to largely associated (r = -.46 to -.64; P < .002) with Yo-Yo maximal distance across the age groups.

CONCLUSION

Yo-Yo_submax tests are a reliable tool providing useful and sustainable aerobic performance testing in physical education, irrespective of individual %BF.

Preparation for Endurance Competitions at Altitude: Physiological, Psychological, Dietary and Coaching Aspects. A Narrative Review

It was the Summer Olympic Games 1968 held in Mexico City (2,300 m) that required scientists and coaches to cope with the expected decline of performance in endurance athletes and to establish optimal preparation programs for competing at altitude. From that period until now many different recommendations for altitude acclimatization in advance of an altitude competition were proposed, ranging from several hours to several weeks. Those recommendations are mostly based on the separate consideration of the physiology of acclimatization, psychological issues, performance changes, logistical or individual aspects, but there is no review considering all these aspects in their entirety. Therefore, the present work primarily focusses on the period of altitude sojourn prior to the competition at altitude based on physiological and psychological aspects complemented by nutritional and sports practical considerations.

Effects of 3 Weeks of Oral Low-Dose Cobalt on Hemoglobin Mass and Aerobic Performance

Introduction: Cobalt ions (Co²⁺) stabilize HIFα and increase endogenous erythropoietin (EPO) production creating the possibility that Co²⁺ supplements (CoSupp) may be used as performance enhancing substances. The aim of this study was to determine the effects of a small oral dosage of CoSupp on hemoglobin mass (Hbmass) and performance with the objective of providing the basis for establishing upper threshold limits of urine [Co²⁺] to detect CoSupp misuse in sport.

Methods: Twenty-four male subjects participated in a double-blind placebo-controlled study. Sixteen received an oral dose of 5 mg of ionized Co²⁺ per day for 3 weeks, and eight served as controls. Blood and urine samples were taken before the study, during the study and up to 3 weeks after CoSupp. Hbmass was determined by the CO-rebreathing method at regular time intervals, and VO_2max was determined before and after the CoSupp administration period.

Results: In the Co²⁺ group, Hbmass increased by 2.0 ± 2.1% (p < 0.001) while all the other analyzed hematological parameters did not show significant interactions of time and treatment. Hemoglobin concentration ([Hb]) and hematocrit (Hct) tended to increase (p = 0.16, p = 0.1) and also [EPO] showed a similar trend (baseline: 9.5 ± 3.0, after 2 weeks: 12.4 ± 5.2 mU/ml). While mean VO_2max did not change, there was a trend for a positive relationship between changes in Hbmass and changes in VO_2max immediately after CoSupp (r = 0.40, p = 0.11). Urine [Co²⁺] increased from 0.4 ± 0.3 to 471.4 ± 384.1 ng/ml (p < 0.01) and remained significantly elevated until 2 weeks after cessation.

Conclusion: An oral Co²⁺ dosage of 5 mg/day for 3 weeks effectively increases Hbmass with a tendency to increase hemoglobin concentration ([Hb]) and hematocrit (Hct). Because urine Co²⁺ concentration remains increased for 2 weeks after cessation, upper limit threshold values for monitoring CoSupp can be established.

Measurement of a True [Formula: see text]O2max during a Ramp Incremental Test Is Not Confirmed by a Verification Phase

The accuracy of an exhaustive ramp incremental (RI) test to determine maximal oxygen uptake ([Formula: see text]O_2max) was recently questioned and the utilization of a verification phase proposed as a gold standard. This study compared the oxygen uptake ([Formula: see text]O₂) during a RI test to that obtained during a verification phase aimed to confirm attainment of [Formula: see text]O_2max. Sixty-one healthy males [31 older (O) 65 ± 5 yrs; 30 younger (Y) 25 ± 4 yrs] performed a RI test (15-20 W/min for O and 25 W/min for Y). At the end of the RI test, a 5-min recovery period was followed by a verification phase of constant load cycling to fatigue at either 85% (n = 16) or 105% (n = 45) of the peak power output obtained from the RI test. The highest [Formula: see text]O₂ after the RI test (39.8 ± 11.5 mL·kg^-1·min^-1) and the verification phase (40.1 ± 11.2 mL·kg^-1·min^-1) were not different (p = 0.33) and they were highly correlated (r = 0.99; p < 0.01). This response was not affected by age or intensity of the verification phase. The Bland-Altman analysis revealed a very small absolute bias (-0.25 mL·kg^-1·min^-1, not different from 0) and a precision of ±1.56 mL·kg^-1·min^-1 between measures. This study indicated that a verification phase does not highlight an under-estimation of [Formula: see text]O_2max derived from a RI test, in a large and heterogeneous group of healthy younger and older men naïve to laboratory testing procedures. Moreover, only minor within-individual differences were observed between the maximal [Formula: see text]O₂ elicited during the RI and the verification phase. Thus a verification phase does not add any validation of the determination of a [Formula: see text]O_2max. Therefore, the recommendation that a verification phase should become a gold standard procedure, although initially appealing, is not supported by the experimental data.

High postural costs and anaerobic metabolism during swimming support the hypothesis of a U-shaped metabolism-speed curve in fishes

Swimming performance is considered a key trait determining the ability of fish to survive. Hydrodynamic theory predicts that the energetic costs required for fishes to swim should vary with speed according to a U-shaped curve, with an expected energetic minimum at intermediate cruising speeds and increasing expenditure at low and high speeds. However, to date no complete datasets have shown an energetic minimum for swimming fish at intermediate speeds rather than low speeds. To address this knowledge gap, we used a negatively buoyant fish, the clearnose skate Raja eglanteria, and took two approaches: a classic critical swimming speed protocol and a single-speed exercise and recovery procedure. We found an anaerobic component at each velocity tested. The two approaches showed U-shaped, though significantly different, speed-metabolic relationships. These results suggest that (i) postural costs, especially at low speeds, may result in J- or U-shaped metabolism-speed curves; (ii) anaerobic metabolism is involved at all swimming speeds in the clearnose skate; and (iii) critical swimming protocols might misrepresent the true costs of locomotion across speeds, at least in negatively buoyant fish.

Influence of Dietary Acid Load on Exercise Performance

Diet composition can affect systemic pH and acid-base regulation, which may in turn influence exercise performance. An acidic environment in the muscle impairs performance and contributes to fatigue; therefore, current trends in sports nutrition place importance on maximizing the alkalinity of the body with ergogenic aids and dietary strategies. This review examines the evidence on the effects of dietary manipulations on acid load and exercise performance. Ten studies that investigated the effect of high versus low dietary acid loads on athletic performance generally identified that low dietary acid loads increased plasma pH, but did not consistently improve exercise performance at maximal or submaximal exercise intensities. In addition, the few studies conducted have several limitations including lack of female subjects and use of exercise tests exclusive to cycling or treadmill running. Although the research does not strongly support a performance benefit from low dietary acid loads, a more alkaline dietary pattern may be beneficial for overall health, as dietary induced acidosis has been associated with greater risk of cardiovascular disease and bone disease. The review includes dietary recommendations for athletes to reduce dietary acid load while still meeting sports nutrition recommendations.

Effect of the Game Design, the Goal Type and the Number of Players on Intensity of Play in Small-Sided Soccer Games in Youth Elite Players

The aim of this study was to compare the effects of game design modification, the type of the goal and the number of players on the intensity of play in small-sided soccer games (SSGs) in youth elite players. Twenty young soccer players (age 13.7 ± 0.5 years, body mass 57.4 ± 7.8 kg, body height 1.67 ± 7.8 m, maximal heart rate 201.1 ± 8.2 beats/min) performed three types of SSGs (possession play (PP) vs. regular goals (RG) vs. small goals (SG)) in both four-a-side and six-a-side formats. The heart rate responses were recorded and analysed as an indicator of the intensity of play. The four-a-side format obtained higher intensity of play than six-a-side for PP (p<0.05), but not for SG and RG. SG showed higher intensity of play than RG for four-a-side (p<0.001), but not for six-a-side. PP registered higher intensity of play than RG (p<0.05), but not than SG in four-a-side, whereas in six-a-side no differences were found between the three formats. In conclusion, the modification of variables such as the number of players, the game design and the type of the goal influences the intensity of play in small-sided soccer games in youth players.

Changes in Endurance Performance in Young Athletes During Two Training Seasons

The aim of the study was to assess changes in endurance performance in young runners (females and males) during two training seasons. It involved 19 male and 16 female athletes aged 15-17 specializing in track-and-field middle and long distances runs. The following parameters were measured three times during the training season: maximal oxygen uptake, running economy, and the level of the second ventilatory threshold. Training volume and intensity during each season were analyzed within an 8-week period prior to the exercise tests. The volume and intensity of training at various stages of preparation in both seasons were similar. During the first year of observation, significant improvements in relative volume of maximal oxygen uptake were reported both in female and male athletes. During the second training season, it was found that running economy improved both in women and men, with no changes in maximal oxygen uptake. The same (in terms of volume and intensity) endurance training carried out with young runners during two consecutive training seasons can result in different training effects.

Short-term periodized aerobic training does not attenuate strength capacity or jump performance in recreational endurance athletes

The purpose of this study was to investigate the effects of three different distributions of aerobic training on the isokinetic strength and vertical jump performance [SJ, CMJ and Abalakov (ABA)] in thirty middle-aged endurance athletes (38.7 ± 9.8 yrs; 174.7 ± 6.5 cm; 72.0 ± 9.8 kg). Three zones of training were required to quantify volume of training: Zone 1, low-intensity-training < VT1; Zone 2, threshold-training, between VT1 and VT2; and Zone 3, high-intensity-training > VT2. The INC group (n = 10) began training in the Zone 1 and then gradually built up training in Zone 2 and Zone 3, thereby increasing the intensity of aerobic activity over the 4-week training period. The CON group (n = 10) performed the same activity every week in Zones 1, 2 and 3. The FRE group followed a free distribution of endurance training loads (n = 10). The results showed significant decreases in peak torque knee extension 30° (p < 0.05) in CON group and significant decreases (p < 0.05) in ABA in FRE group. Results provide a physiological basis to support several performance studies that consistently indicate 5 d·wk(-1) endurance training does not impair strength development over the short term. In conclusion, variations in volume and intensity in training groups did not interfere with isokinetic strength and vertical jump performance.

Measurement of cardiorespiratory fitness in children from two commonly used field tests after accounting for body fatness and maturity

Body fat and maturation both influence cardiorespiratory fitness, however few studies have taken these variables into account when using field tests to predict children’s fitness levels. The purpose of this study was to determine the relationship between two field tests of cardiorespiratory fitness (20 m Maximal Multistage Shuttle Run [20-MST], 550 m distance run [550-m]) and direct measurement of VO2_max after adjustment for body fatness and maturity levels. Fifty-three participants (25 boys, 28 girls, age 10.6 ± 1.2 y, mean ± SD) had their body fat levels estimated using bioelectrical impedance (16.6% ± 6.0% and 20.0% ± 5.8% for boys and girls, respectively). Participants performed in random order, the 20-MST and 550-m run followed by a progressive treadmill test to exhaustion during which gas exchange measures were taken. Pearson correlation coefficient analysis revealed that the participants’ performance in the 20-MST and 550-m run were highly correlated to VO2_max obtained during the treadmill test to exhaustion (r = 0.70 and 0.59 for 20-MST and 550-m run, respectively). Adjusting for body fatness and maturity levels in a multivariate regression analysis increased the associations between the field tests and VO2_max (r = 0.73 for 20-MST and 0.65 for 550-m). We may conclude that both the 20-MST and the 550-m distance run are valid field tests of cardiorespiratory fitness in New Zealand 8–13 year old children and incorporating body fatness and maturity levels explains an additional 5–7% of the variance.

A pilot study on the effects of magnesium supplementation with high and low habitual dietary magnesium intake on resting and recovery from aerobic and resistance exercise and systolic blood pressure

The effects of magnesium supplementation on blood pressure (BP) have been studied for over 25 years and results have been inconsistent. Blood pressure reductions in randomized studies have varied from 12 mmHg reductions to no reduction. The objective of this pilot intervention was to investigate the effect of magnesium supplementation on systolic blood pressure whilst resting and during recovery from aerobic and resistance exercise and on performance. A further objective was to see whether the effect of a high vs low habitual dietary magnesium intake affected these results. Sixteen male volunteers were randomly assigned to either a 300 mg·d(-1) magnesium oxide supplementation (MO) or a control group (CG) for 14 days. Resting blood pressure (BP) and heart rate (HR) were measured before subjects performed a maximal 30 minute cycle, immediately followed by three x 5 second isometric bench press, both at baseline and after the intervention. Blood pressure and heart rate were recorded immediately post exercise and after five minutes recovery. A 3 day food diary was recorded for all subjects to measure dietary magnesium intake. At the end of the intervention, the supplemented group, had a reduction in mean resting systolic BP by 8.9 mmHg (115.125 ± 9.46 mmHg, p = 0.01) and post exercise by 13 mmHg (122.625 ± 9. 88 mmHg, p = 0.01). Recovery BP was 11.9 mmHg lower in the intervention group compared to control (p = 0.006) and HR decreased by 7 beats per minute in the experimental group (69.0 ± 11.6 bpm, p = 0. 02). Performance indicators did not change within and between the groups. Habitual dietary magnesium intake affected both resting and post exercise systolic BP and the subsequent effect of the magnesium supplementation. These results have an implication in a health setting and for health and exercise but not performance. Key pointsMagnesium supplementation will have an effect on resting and recovery systolic blood pressure with aerobic exercise.Magnesium supplementation will have an effect on resting and recovery systolic blood pressure with resistance exercise.Magnesium supplementation did not have an effect on performance indicators.A low habitual dietary magnesium intake will negatively affect blood pressure.A high habitual dietary magnesium intake will impact on the effect of magnesium supplementation.