Search Results (2,125)

Background/Objectives: Studies have reported that female athletes often exhibit low levels of nutritional knowledge and inadequate dietary intake to meet their nutritional needs. The aim of this study was to evaluate the effect of a nutritional education intervention on nutrition knowledge, dietary intake, and body composition in female handball players (n = 45; age, 17.6 ± 2.1 years). Methods: A quasi-experimental intervention design was implemented, consisting of a 3-week educational program delivered through six in-person sessions led by a registered dietitian. Nutrition knowledge, dietary intake, adherence to the Mediterranean diet, and anthropometric and body composition measurements were assessed. Results: Nutrition knowledge levels were significantly higher both immediately post-intervention and three months later compared to baseline (p < 0.05, ES > 0.8). A total of 36 participants completed a 3-day dietary record at baseline and at follow-up. Initial assessments revealed insufficient energy (31 kcal/kg/day) and carbohydrate intake (3.0 g/kg/day) and a high intake of total fats (1.4 g/kg/day). During follow-up, a significant decrease in the consumption of foods rich in sugar was observed (p = 0.0272). A total of 82.2% of the players needed to improve their adherence to the Mediterranean diet. No significant changes were found in Mediterranean diet adherence or body composition following the intervention. Conclusions: The nutritional education intervention significantly improved athletes’ nutritional knowledge and significantly decreased their consumption of sugary foods; however, further studies are needed to evaluate its impact on dietary intake and body composition, considering the study’s limitations. Full article

During the coronavirus 2019 pandemic, sports activities were restricted, raising concerns about their impact on the physical condition of adolescent athletes, which remained largely unquantified. This study was designed with two primary objectives: first, to precisely quantify and elucidate the differences in the physical condition of adolescent athletes before and after activity restrictions due to the pandemic; and second, to innovatively develop and validate a non-contact medical checkup application. Medical checks were conducted on 563 athletes designated for sports enhancement. Participants were junior high school students aged 13 to 15, and the sample consisted of 315 boys and 248 girls. Furthermore, we developed a smartphone application and compared self-checks using the application with in-person checks by orthopedic surgeons to determine the challenges associated with self-checks. Statistical tests were conducted to determine whether there were statistically significant differences in range of motion and flexibility parameters before and after the pandemic. Additionally, items with discrepancies between values self-entered by athletes using the smartphone application and values measured by specialists were detected, and application updates were performed. Student’s t-test was used for continuous variables, whereas the chi-square test was used for other variables. Following the coronavirus 2019 pandemic, athletes were stiffer than during the pre-pandemic period in terms of hip and shoulder joint rotation range of motion and heel–buttock distance. The dominant hip external rotation decreased from 53.8° to 46.8° (p = 0.0062); the non-dominant hip external rotation decreased from 53.5° to 48.0° (p = 0.0252); the dominant shoulder internal rotation decreased from 62.5° to 54.7° (p = 0.0042); external rotation decreased from 97.6° to 93.5° (p = 0.0282), and the heel–buttock distance increased from 4.0 cm to 10.4 cm (p < 0.0001). The heel–buttock distance and straight leg raising angle measurements differed between the self-check and face-to-face check. Although there are items that cannot be accurately evaluated by self-check, physical condition can be improved with less contact by first conducting a face-to-face evaluation under appropriate guidance and then conducting a self-check. These findings successfully address our primary objectives. Specifically, we demonstrated a significant decline in the physical condition of adolescent athletes following pandemic-related activity restrictions, thereby quantifying their impact. Furthermore, our developed non-contact medical checkup application proved to be a viable tool for monitoring physical condition with reduced contact, although careful consideration of measurable parameters is crucial. This study provides critical insights into the long-term effects of activity restrictions on young athletes and offers a practical solution for health monitoring during infectious disease outbreaks, highlighting the potential for hybrid checkup approaches. Full article

Background: Estimating race times for open-water swimming based on pool swimming times could be useful for talent identification and training optimisation. We aimed to compare the swimming speeds of the world’s top and other swimmers in the 2023 Aquatics Championship men’s 10 km OWS race. Methods: Sixty-five swimmers were divided into four groups: G1 (1st–10th positions), G2 (11st–30th positions), G3 (31st–47th positions), and G4 (48th–65th positions). Swimming speed, stroke frequency (SF), and stroke length (SL) for each lap (laps 1–6) were recorded. Critical speed (CS) was calculated from each participant’s personal best times in the 400, 800, and 1500 m freestyle events in the pool. Swimming speed against CS was calculated (%CS). Results: The top performance group (G1) maintained their swimming speed from beginning (lap 1, 1.53 m/s) to end (lap 6, 1.50 m/s), at 92.7 ± 1.9% of CS, characterised by longer SL (1.26 m) and lower SF (72.86 rpm). G3 and G4 were unable to maintain their swimming speed, which decreased from G3: 97.64 ± 1.62% and G4: 96.10 ± 1.96% of CS at lap 1 to G3: 88.39 ± 3.78% and G4: 85.13 ± 5.04% at lap 6. This reduction in swimming speed is consistent with the increased reliance on anaerobic metabolism reported in previous studies under similar conditions. Conclusions: Race pacing for maintaining speeds of 92%CS throughout the race could be an important resilient index in open-water swimming. %CS might be a useful index for estimating the athletic performance level in open-water swimming. Full article

Participation in organized sport is widely encouraged for youth development, yet positive outcomes are not guaranteed. Parents play a pivotal role in shaping young athletes’ experiences, requiring emotional support, interpersonal skills, and self-regulation. This study examines the meanings parents attribute to their children’s sports participation and how young athletes construct their experiences under parental and coaching influences. An interpretive phenomenological methodology involved semi-structured interviews with coaches, focus groups with parents, and open-ended questionnaires to young athletes. Seventeen players (M = 11.2 years, SD = 0.59), nineteen parents (M = 47.6 years, SD = 3.61), and two coaches from the same football club volunteered to participate in the study. Participants were selected through purposive sampling to ensure a homogeneous experience. The findings reveal that parental involvement balances support and pressure, while trust-building between parents and coaches significantly impacts the athletes’ experiences. The evolving role of technology and the importance of social dynamics within teams also emerged as critical factors. Intrinsic motivation, fostering emotional bonding through the sport, and adopting a developmental rather than purely competitive framework were emphasized factors identified as supporting positive youth sport experiences. These findings offer insights into how interconnected relationships among parents, coaches, and athletes influence children’s sports engagement and development. Full article

Though previous studies have demonstrated the protective benefits of sports participation against illicit drug use for a general population, how these findings apply to LGBTQ youth remains unknown. This study specifically looks at the relationship between sports participation and prescription drug misuse among sexual and gender minority youth. Using secondary data from the 2019 YRBS, we analyze associations among sports participation, sexual orientation, gender identity, and prescription drug misuse among a representative sample of U.S. high school students in Florida. Our results show that sexual and gender minority youth are at increased risk for prescription drug misuse compared to their heterosexual and cisgender peers. Moreover, sports participation is associated with higher rates of prescription drug misuse among all students, and the nuances of these trends are discussed with particular attention paid to sexual and gender minority youth. These results challenge conventional wisdom about sports participation. Without the addition of new demographic survey questions and LGBTQ youth participation in the YRBS, common myths about sports might have persisted. Our findings point to the meaningful presence of LGBTQ youth in sports, call for research and programming on LGBTQ athletes’ unique needs regarding substance misuse risk, and encourage LGBTQ-inclusive policies and practices within schools and sports programs in particular. Full article

Background: Anterior cruciate ligament reconstruction (ACLr) often leads to asymmetries between limbs, with variable return-to-performance rates in athletes. The single-leg countermovement jump (SLCMJ) is commonly used to assess postoperative knee function. However, limited research has explored deficits specifically during the unweighting phase of the jump. Methods: This study assessed 53 recreational athletes (11 females, 42 males) between 6 and 9 months post-ACLr using a dual force plate system (1000 Hz). Each participant performed three maximal-effort SLCMJs per limb. Outcome measures included jump height, negative peak velocity, minimum force, and center of mass (COM) displacement. Paired t-tests and Wilcoxon tests were used to compare the ACLr limb with the contralateral limb. Results: Compared to the healthy limb, the ACLr limb showed significantly lower negative peak velocity (−0.80 ± 0.40 m/s vs. −0.94 ± 0.40 m/s, p < 0.001), higher minimum force (36.75 ± 17.88 kg vs. 32.05 ± 17.25 kg, p < 0.001), and reduced COM displacement (−17.62 ± 6.25 cm vs. −19.73 ± 5.34 cm, p = 0.014). Eccentric phase duration did not differ significantly. Conclusions: Athletes post-ACLr demonstrate altered neuromuscular control during the early SLCMJ phase. These findings highlight the importance of rehabilitation strategies targeting eccentric strength and symmetry restoration. Full article

Osteochondritis Dissecans (OCD) is a joint condition characterized by damage to the surface of the joint and the underlying subchondral bone, leading to early-onset osteoarthritis. It predominantly affects the knee, elbow, and ankle, with higher prevalence in juveniles actively participating in sports, which complicates the condition due to slow healing processes and prolonged restrictions on physical activities. This review aims to summarize current knowledge on OCD in athletes, with emphasis on sport-specific risk factors, diagnosis, and treatment, to support clinical decision-making and future research. We conducted searches in the PubMed and Embase databases, covering the period from 2014 to 2024. The keywords used in the search covered most common sports in combination with term osteochondritis dissecans. This review examines the impacts of various sports on the development of OCD, analyzing prevalence and risk factors, with a focus on sports-specific risks across athletic disciplines like football, basketball, baseball, and gymnastics. The significance of early detection, intervention, and sport-specific conditioning is underscored to prevent the condition and manage it effectively. Moreover, the review highlights the positive prognosis for athletes, particularly adolescents, recovering from OCD, with a high rate of return to sport. Understanding the sports-specific risks, ensuring early intervention, and adopting a cautious, stepwise return to sport are critical for managing OCD effectively, thereby safeguarding the health and careers of athletes. Full article

Multisensory integration is crucial for effective cognitive functioning, especially in complex tasks such as those requiring rapid audiovisual information processing. High-level martial arts routine athletes, trained in integrating visual and auditory cues for performance, may exhibit superior abilities in cross-audiovisual integration. This study aimed to explore whether these athletes demonstrate an expert advantage effect in audiovisual integration, particularly focusing on whether this advantage is due to enhanced automatic auditory processing. A total of 165 participants (81 male, 84 female) were included in three experiments. Experiment 1 (n = 63) used a cross-audiovisual Rapid Serial Visual Presentation (RSVP) paradigm to compare the martial arts routine athlete group (n = 31) with a control group (n = 33) in tasks requiring target stimulus identification under audiovisual congruent and incongruent conditions. Experiment 2 (n = 52) manipulated the synchronicity of auditory stimuli to differentiate between audiovisual integration and auditory alerting effects. Experiment 3 (n = 50) combined surprise and post-surprise tests to investigate the role of automatic auditory processing in this expert advantage. Experiment 1 revealed that martial arts routine athletes outperformed the control group, especially in semantically incongruent conditions, with significantly higher accuracy at both lag3 (p < 0.001, 95% CI = [0.165, 0.275]) and lag8 (p < 0.001, 95% CI = [0.242, 0.435]). Experiment 2 found no significant difference between groups in response to the manipulation of auditory stimulus synchronicity, ruling out an alerting effect. In Experiment 3, martial arts routine athletes demonstrated better performance in reporting unexpected auditory stimuli during the surprise test, indicating enhanced automatic processing capacity. Additionally, a significant improvement in working memory re-selection was observed in the martial arts routine group. The expert advantage effect observed in martial arts routine athletes is attributable to enhanced cross-audiovisual integration, independent of an auditory alerting mechanism. Long-term training improves the efficiency of working memory re-selection and the ability to inhibit conflicting information, suggesting that the expanded capacity for automatic auditory processing underpins their multisensory integration advantage. Full article

Background: Sports performance indicators are mainly based on male athletes, highlighting the importance of portraying the female reality, particularly in rural contexts. This study aims to characterize sports performance indicators (body composition and physical fitness) of young Portuguese female athletes. Methods: A cross-sectional study was conducted with 124 girls (13.66 ± 1.93 years) participating in federated team sports in a rural region of Portugal. Body composition was assessed using bioelectrical impedance, and physical fitness was evaluated through vertical jump tests (countermovement jump and squat jump), sprint (20 m), agility (T-test), handgrip strength, and cardiovascular endurance (Yo-Yo IR1). Results: Volleyball players are taller; football and basketball players are heavier; football and volleyball players have more fat-free mass than handball players (p < 0.05). Body mass index and % body fat did not differ between sports (p > 0.05). Volleyball players performed better in the countermovement jump (F = 4.146, p = 0.008) and squat jump (F = 7.686, p < 0.001) when compared to basketball, football, and handball players. No differences were observed in the speed or cardiorespiratory endurance tests (p > 0.05). Conclusions: The results revealed that, despite some specific differences between sports, most physical fitness indicators did not differ significantly between sports after controlling for age, menarche, and training experience. These findings suggest that shared contextual limitations in rural regions may take precedence over sport-specific adaptations in the early stages of sports participation. Full article

Rugby Union is a high-impact sport with considerable injury risk, especially in emerging rugby settings where structured physical preparation may be limited. This study aimed to assess the epidemiological profile and injury incidence among Rugby Union players in Brazil, providing insights to inform strength and conditioning strategies. A cross-sectional observational study was conducted between October 2023 and February 2024 using a digital questionnaire that captured demographic data, sports participation history, and detailed information about injuries sustained in 2022 and 2023. A total of 236 players participated (58.9% male; mean age = 29.4 ± 7.5 years), with males averaging 29.6 ± 7.7 years and females 29.1 ± 7.5 years. Overall, 183 injuries were reported. Most injuries occurred during matches (73.3%) and were contact-related (82.1%), with the shoulder/clavicle and knee being the most affected regions. Ligament injuries (27.3%), dislocations (15.3%), and fractures (16.4%) were the most prevalent types. Female players had a distinct injury pattern, with a greater proportion of non-contact mechanisms. Significant associations were found between injury occurrence and sex (p = 0.012), playing modality (p < 0.001), injury type (p = 0.013), and recovery time (p = 0.006). These findings highlight the urgent need for tailored strength and conditioning interventions focused on injury prevention and athletic preparedness. Such programs should address sport-specific demands, promote neuromuscular resilience, and be accessible across competitive levels to improve performance and minimize injury-related setbacks. Full article

Background: Brazilian Jiu-Jitsu (BJJ) is a physically demanding sport associated with a notable risk of musculoskeletal injuries. Understanding injury patterns, rehabilitation approaches, and psychological readiness to return to sport (RTS) is essential for prevention and management strategies. This study aimed to investigate injury characteristics among Italian BJJ athletes, assess their rehabilitation processes and psychological recovery, and identify key risk factors such as belt level, body mass index (BMI), and training load. Methods: A cross-sectional survey was conducted among members of the Italian BJJ community, including amateur and competitive athletes. A total of 360 participants completed a 36-item online questionnaire. Data collected included injury history, rehabilitation strategies, RTS timelines, and responses to the Injury-Psychological Readiness to Return to Sport (I-PRRS) scale. A Random Forest machine learning algorithm was used to identify and rank potential injury risk factors. Results: Of the 360 respondents, 331 (92%) reported at least one injury, predominantly occurring during training sessions. The knee was the most frequently injured joint, and the action “attempting to pass guard” was the most reported mechanism. Most athletes (65%) returned to training within one month. BMI and age emerged as the most significant predictors of injury risk. Psychological readiness scores indicated moderate confidence, with the lowest levels associated with playing without pain. Conclusions: Injuries in BJJ are common, particularly affecting the knee. Psychological readiness, especially confidence in training without pain, plays a critical role in RTS outcomes. Machine learning models may aid in identifying individual risk factors and guiding injury prevention strategies. Full article

Purpose: Integrated neuromuscular training (INT) is a multidimensional training method that integrates strength, balance, core stability, flexibility, and motor skill development. The aim of this study was to systematically evaluate the effects of INT on various physical performance indicators in athletes to provide evidence supporting the application of INT in training practices. Method: A systematic search was conducted in accordance with PRISMA guidelines across nine databases—including PubMed, Web of Science, EMBASE, Scopus, Cochrane Library, Ovid MEDLINE, WILEY, and Springer Nature Link—from inception to 26 March 2025 to identify randomized controlled trials (RCTs) examining the effects of INT on athletic performance. Result: A total of 19 randomized controlled trials were included, comprising 783 participants aged 11–25 years. The meta-analysis results indicated that INT significantly improved jump performance (SMD = 0.26, 95% CI [0.15, 0.37], p < 0.001, I² = 75%), sprint performance (SMD = −0.76, 95% CI [−0.93, −0.58], p < 0.001, I² = 76%), balance performance (SMD = 0.23, 95% CI [0.14, 0.31], p < 0.001, I² = 78%), and agility performance (SMD = −0.72, 95% CI [−1.23, −0.21], p < 0.05, I² = 74%). Sensitivity analyses revealed no substantial changes in jump, sprint, agility, or balance performance outcomes. Conclusions: INT was found to significantly improve sprint, jump, balance, and agility performance in athletes. Analysis of the included training protocols suggested that improvements in each performance indicator required emphasis on specific training components. Moreover, greater improvements in sprint and balance performance were observed in female athletes compared to their male counterparts. Subgroup analysis revealed significant differences in training effects across populations, with female athletes showing superior improvements in sprint and balance performance following INT interventions. Additionally, interventions lasting fewer than eight weeks, with training sessions shorter than 30 min and frequencies of more than three times per week, were associated with more pronounced effects. Full article

Background: Adequate nutrition is fundamental to the health and performance of young athletes. However, many fail to meet nutritional recommendations. Nutrition education programmes are promising, cost-effective strategies for improving dietary habits. However, research gaps persist, coupled with notable variability amongst the intervention programmes targeting youth athletes. The aim of this study was to assess the nutritional knowledge of Portuguese youth athletes and to evaluate the effectiveness of a nutrition education programme in improving football players’ understanding of a healthy diet. Methods: Participants were recruited from a local football club through public announcement. Male youth football players aged 13 to 18 years, training at least 3 times per week and competing regularly over the past six months, were eligible. The baseline assessment included anthropometric measurements, an assessment of the adherence to the Mediterranean diet using the KIDMED questionnaire, and an assessment of general and sports nutrition knowledge via a structured questionnaire. Following the intervention—comprising three face-to-face educational sessions and two digital infographics—the KIDMED and nutrition knowledge questionnaires were re-administered. Results: A sample of 38 male footballers were eligible for this study. Most participants exhibited a healthy body weight, with a corresponding adequate body composition. The mean KIDMED score indicated moderate adherence to the Mediterranean diet with no statistically significant difference between the baseline and post-intervention (6.79 ± 1.52 versus 6.97 ± 2.01, p > 0.05). There was a significant enhancement in overall nutrition knowledge, accompanied by notable improvements in the comprehension of macro- and micronutrient sources and sports nutrition principles. Conclusions: This pilot programme proved effective in enhancing young football players’ knowledge of nutrient sources and sports nutrition. Full article

Background: Repeated high-intensity intervals under normoxic (NOR) and hypoxic (HYP) conditions is a training strategy used by athletes. Although different protocols have been used, the effect of longer recovery between repetitions is unclear. In addition, information on the effect of repeated high-intensity intervals on HYP in women is scarce. Aims: To analyse the differences between sexes and between conditions (NOR and HYP) in Repeated Wingate (RW) performance and neuromuscular fatigue in triathletes. Methods: A total of 12 triathletes (men: n = 7, 23.00 ± 4.04 years; women: n = 5, 20.40 ± 3.91) participated in this randomised, blinded, crossover study. In two separate sessions over seven days, participants performed 3 × 30” all out with 7′ of recovery in randomised NOR (fraction of inspired oxygen: ≈20%; ≈300 m altitude) and HYP (fraction of inspired oxygen: ≈15.5%; ≈2500 m altitude) conditions. Before and after RW, vertical jump tests were performed to assess neuromuscular fatigue. Oxygen saturation, power, perceived exertion, muscle soreness and heart rate parameters were assessed. Results: Significant differences were reported between sexes in the parameters of vertical jump, oxygen saturation, RW performance and heart rate (p < 0.05). However, between conditions (NOR and HYP), only differences in oxygen saturation were reported (p < 0.05). No significant differences were reported between conditions (NOR and HYP) in RW performance, neuromuscular fatigue, muscle soreness and perception of exertion. Conclusions: A 3 × 30” RW protocol with 7′ recovery in HYP could have no negative consequences on performance, neuromuscular fatigue and perception of exertion in triathletes compared to NOR, independently of sex. Full article

Flexibility plays an important role in both daily life and performance in various sports. This study evaluated the intrasession and the intersession reliability of flexibility measurements, examining the effects of sport, age, and sex. The sample included 80 wrestling athletes (40 boys: 20 children/20 adolescents; 40 girls: 20 children/20 adolescents), 80 taekwondo athletes (40 boys: 20 children/20 adolescents; 40 girls: 20 children/20 adolescents), and 80 non-athletes (40 boys: 20 children/20 adolescents; 40 girls: 20 children/20 adolescents). The participants performed two assessment sessions, which included two tests (back scratch/sit and reach). The results showed high intrasession and intersession reliability for boys and girls among wrestling and taekwondo athletes (children: ICC = 0.988–0.998, SEM% = 2.31–7.44; adolescents: ICC = 0.993–0.999, SEM% = 1.13–5.19). Additionally, the results demonstrated good/high intrasession and intersession reliability for boys and girls among non-athletes (children: ICC = 0.992–0.997, SEM% = 3.40–9.98; adolescents: ICC = 0.996–0.998, SEM% = 2.81–8.94). The SEM% values were slightly higher in non-athletes vs. athletes (wrestling, taekwondo), as well as in children vs. adolescents, indicating that athletes and adolescents present better reliability than non-athletes and children, respectively. No differences in reliability were observed between boys and girls. In conclusion, the sit and reach and the back scratch are reliable tests in assessing flexibility during the developmental ages. It seems that age and engagement in sports affect the reliability of measurements. Full article