Search Results (557)

Compression pants, as functional sportswear providing external pressure, are widely used to enhance athletic performance and accelerate recovery. However, systematic investigations into their effectiveness during anaerobic exercise and the impact of different pressure levels on performance and post-exercise recovery remain limited. This randomized crossover controlled trial recruited 20 healthy male university students to compare the effects of four garment conditions: non-compressive pants (NCP), moderate-pressure compression pants (MCP), high-pressure compression pants (HCP), and ultra-high-pressure compression pants (UHCP). Anaerobic performance was assessed through vertical jump, agility tests, and the Wingate anaerobic test, with indicators including time at peak power (TPP), peak power (PP), average power (AP), minimum power (MP), power drop (PD), and total energy produced (TEP). Post-exercise blood lactate concentrations and heart rate responses were also monitored. The results showed that both HCP and UHCP significantly improved vertical jump height (p < 0.01), while MCP outperformed all other conditions in agility performance (p < 0.05). In the Wingate test, MCP achieved a shorter TPP compared to NCP (p < 0.05), with significantly higher AP, lower PD, and greater TEP than all other groups (p < 0.05), whereas HCP showed an advantage only in PP over NCP (p < 0.05). Post-exercise, all compression pant groups recorded significantly higher peak blood lactate (Lamax) levels than NCP (p < 0.05), with MCP showing the fastest lactate clearance rate. Heart rate analysis revealed that HCP and UHCP induced higher maximum heart rates (HR_max) (p < 0.05), while MCP exhibited superior heart rate recovery at 3, 5, and 10 min post-exercise (p< 0.05). These findings suggest that compression pants with different pressure levels yield distinct effects on anaerobic performance and physiological recovery. Moderate-pressure compression pants demonstrated the most balanced and beneficial outcomes across multiple performance and recovery metrics, providing practical implications for the individualized design and application of compression garments in athletic training and rehabilitation. Full article

Purpose: To investigate the impact of mental fatigue on the shooting accuracy and movement timing in the instep kick of Asian high-level soccer players. Methods: Eight male collegiate soccer players (age 22.00 ± 0.93 years) were tested before and after mental fatigue induction. Mental fatigue was induced via a 30 min Stroop task. The effectiveness of fatigue induction was assessed using heart rate variability (HRV), a visual analog scale (VAS), rating of perceived exertion (RPE), and the Athlete Burnout Questionnaire (ABQ). Shooting performance was evaluated before and after mental fatigue using the Loughborough Soccer Shooting Test (LSST) and by evaluating timing by means of high-speed imaging. Results: Following mental fatigue induction, HRV decreased. Subjects’ motivation (VAS) to exercise significantly decreased (p < 0.001), while VAS mental fatigue level (p < 0.001) and mental effort level (p < 0.002) significantly increased. Significant differences were observed after completing the Stroop task for ABQ Emotional/Physical Exhaustion (p < 0.007), Reduced Sense of Accomplishment (p < 0.007), Sport Devaluation (p < 0.006), and overall burnout level (p < 0.002). LSST showed that the subjects’ left foot test scores (−4.13, p < 0.013), right foot test scores (−3, p < 0.001), and total scores (−3.16, p < 0.001) significantly decreased. Although movement times increased slightly after fatigue, they did not reach statistical significance. Conclusions: Mental fatigue significantly impairs the shooting accuracy of collegiate soccer players, as evidenced by decreased LSST scores. However, it has no significant effect on event duration during shooting execution. Mental fatigue affected decision-making but not shooting movement timing. More cognitively challenging tasks are more affected by mental fatigue. Full article

Background: Dietary advice for Paralympic athletes (PAs) with a spinal cord injury (PAs-SCI) requires particular attention and has been widely studied. However, currently, no particular attention has been addressed to nutritional guidelines for athletes with an amputation (PAs-AMP). This study aimed at filling up this gap, at least partially, and compared veteran PAs-SCI with PAs-AMP. Methods: A sample of 25 male PAs (12 with SCI and 13 with AMP), recruited during two training camps, was submitted to the following questionnaires: allergy questionnaire for athletes (AQUA), Nordic Musculoskeletal Questionnaire (NMQ), Starvation Symptom Inventory (SSI), neurogenic bowel dysfunction (NBD), orthorexia (ORTO-15/ORTO-7), alcohol use disorders identification test (AUDIT), and Mediterranean diet adherence (MDS). The PAs were also submitted to the following measurements: dietary Oxygen Radical Absorbance Capacity (ORAC) and intakes, body composition, handgrip strength (HGS), basal energy expenditure (BEE), peak oxygen uptake (VO_2peak), peak power, peak heart rate (HR), post-exercise ketosis, and antioxidant response after a cardiopulmonary exercise test (CPET) to voluntary fatigue. Results: Compared to PAs-AMP, PAs-SCI had higher NBD and lower VO_2peak (p < 0.05), peak power, peak HR, peak lactate, phase angle (PhA) of the dominant leg (p < 0.05), and ORTO15 (p < 0.05). The latter was related to NBD (r = −0.453), MDS (r = −0.638), and ORAC (r = −0.529), whereas ORTO7 correlated with PhA of the dominant leg (r = 0.485). Significant differences between PAs-AMP and PAs-SCI were not found in the antioxidant response, glucose, and ketone levels after CPET, nor in dietary intake, AUDIT, AQUA, NMQ, SSI, BEE, HGS, and FM%. Conclusions: The present study showed that PAs-SCI and PAs-AMP display similar characteristics in relation to lifestyle, energy intake, basal energy expenditure, and metabolic response to CPET. Based on both the similarities with PAs-SCI and the consequences of the limb deficiency impairment, PAs-AMP and PAs-SCI require personalized nutritional advice. Full article

The heart is innervated by the autonomic nervous system (ANS), which plays a role in regulating the heart rate. Cross-country mountain biking (MTBXC) is a sport with high physiological demands, where the autonomic nervous system plays a significant role. The main objective of this study was to analyze the asymmetry of heart rate in Colombian National Team mountain bikers, sub-23 category, during a 20 min cardiovascular autonomic profile test. Method: The cardiovascular autonomic profile was measured through heart rate variability during a 20 min test, divided into eight phases (supine, controlled ventilation at 10 cycles/min, controlled ventilation at 12 cycles/min, postural change, orthostasis, Ruffier test, 1 min recovery, and final recovery) in a group of n = 10 MTB cyclists from the National Sub-23 Team, including 5 males and 5 females. Results: The results for the male athletes were as follows: age: 19 ± 1 years; VO2max: 67.5 mL/kg/min; max power: 355 W; HRmax: 204 bpm. The results for the female athletes were as follows: age: 19 ± 1 years; VOmax: 58.5 mL/kg/min; max power: 265 W; HRmax: 194 bpm. Both genders showed the expected autonomic behavior in each phase. Asymmetrical propagation of heart rate was observed, with a greater deceleration pattern after postural changes and effort and a symmetrical acceleration pattern in these two phases. Discussion: Athletes exhibit increased vagal response compared to non-athletes. Mountain bikers show rapid heart rate reduction after exertion. Conclusion: This study demonstrates how mountain bikers exhibit increased heart rate deceleration following sympathetic stimuli. 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

Background: Well-designed endurance training leads to improved cardiovascular fitness and sports performance in prolonged exercise tasks, with the adaptations depending on multiple factors, including the training modality and the population in question. It is still disputable how the type of training affects myocardial remodeling, and the information on myocardial remodeling by high-intensity interval training (HIIT) is particularly scarce. Methods: The current study investigated changes in cardiac structure after volume-progressive HIIT in running mode. As part of their conditioning program, amateur athletes (mean ± SD age of 18.2 ± 1.0 years) exclusively conducted HIIT in a volume-progressive fashion over 7 weeks (a total of 21 sessions). Peak oxygen uptake as well as 200 m and 2000 m running performance were measured, and transthoracic two-dimensional echocardiography was conducted before and after the intervention. Results: Training improved running performance, increased the peak oxygen uptake and left atrium diameter (from 32.0 ± 2.5 to 33.5 ± 2.3 mm; p = 0.01), and induced ~11% thickening of the left-ventricular posterior wall (7.5 ± 0.7 to 8.2 ± 0.4 mm; p = 0.01) and interventricular septum (7.6 ± 0.7 to 8.6 ± 0.9 mm; p = 0.02), but not the dilation of left-ventricular, right-ventricular, or right atrium chambers. Conclusions: HIIT of just 127 km of running per 8.5 h during 7 weeks was sufficient to improve aerobic capacity and running performance, and induce left-ventricular wall hypertrophy and left atrium dilation, in young healthy athletes. Full article

While the interest and participation in general endurance training and recreational sports competitions have continuously increased in recent decades, the number of recreational master-level endurance athletes has additionally multiplied. Athletes, active men and women older than 40 years of age, who participate in competitive athletics are usually referred to by the term master athletes (MAs). Previous research revealed the significant benefits of regular moderate physical activity, i.e., its positive influence on cardiovascular risk factors and cardiovascular health; however, recent data have raised concerns that long-term endurance exercise participation is associated with cardiac remodeling and potential adverse cardiovascular outcomes. Previous research also indicated potential structural, functional, and electrical remodeling in MAs due to prolonged and repeated exposure to high-intensity endurance exercise—a condition known as athlete’s heart. In this review, we focus on the association between extreme levels of endurance exercise and potential cardiovascular controversies, such as arrhythmogenesis due to new-onset atrial fibrillation, accelerated coronary artery atherosclerosis, and exercise-induced cardiac remodeling. Additionally, the exercise-dependent modulation of immunological response, such as proteomic response and cytokine alterations, is discussed. Furthermore, we discuss the impact of nutritional supplements in MAs and their potential benefits and harmful interactions. We aim to provide sports medicine practitioners with knowledge of these contemporary longevity controversies in sports cardiology and to highlight the importance of shared decision making in situations of clinical uncertainty. Full article

Background: Transthoracic echocardiography (TTE) is the primary imaging modality to assess cardiac morphology and function. In athletes, distinguishing physiological adaptations from pathological changes is essential. This study aimed to evaluate long-term cardiac structural and functional changes in professional soccer players. Methods: This retrospective study included 20 healthy male professional soccer players (mean age 21.2 ± 3.4 years) from the German first division, examined annually from 2016 to 2024 (mean follow-up 5.6 ± 2.0 years). TTE parameters associated with the “athlete’s heart” were assessed, including left ventricular end-diastolic diameter (LVEDD), interventricular septal thickness (IVSD), relative wall thickness (RWT), indexed LV mass (LVMi), and left atrial volume index (LAVi), along with 3D-derived LV and RV volumes. Advanced deformation imaging included global longitudinal strain (GLS), right ventricular strain (RVS), and left/right atrial reservoir strain (LASr and RASr, respectively). Baseline and final follow-up values were compared. Results: No significant changes were observed over time in conventional or advanced echocardiographic parameters (e.g., LVEDD: 54.5 ± 3.1 mm vs. 54.6 ± 3.9 mm; p = 0.868; GLS: −18.7% ± 2.2% vs. −18.4% ± 1.9%; p = 0.670). Ventricular volumes and strain values also remained stable throughout follow-up. Conclusions: Over a mean follow-up of more than five years, professional soccer players showed stable cardiac morphology and function without evidence of pathological remodeling. These findings support the concept that long-term high-level training in mixed-discipline sports leads to balanced, physiological cardiac adaptation. Full article

Badminton is an intermittent sport with a diverse exercise profile that stresses both aerobic and anaerobic energy systems. The aim of this study was to compare the internal and external load profiles of multi-feeding (MF) drills and simulated match play (SMP) in elite junior badminton players, and to explore potential sex-based differences. Forty-two players (24 males (age 17.4 ± 2.6 years, training experience 9.9 ± 1.8 years) and 18 females (age 16.9 ± 2.9 years, training experience 9.4 ± 2.1 years)) completed MF and SM sessions while external load (e.g., relative distance, explosive distance, relative jumps) and internal load (heart rate [HR], session rating of perceived exertion [sRPE]) variables were recorded using inertial measurement units and HR monitors. Two-way ANOVA revealed that MF induced significantly greater external (p < 0.05) and internal (p < 0.001) loads compared to SM, with large effect sizes. Male players showed markedly higher jump frequency (1.60 n/min vs. 0.80 n/min) and maximum speed (19.80 km/h vs. 15.80 km/h), although HR and sRPE values were similar between sexes (p > 0.05), suggesting that female athletes may experience greater relative physiological load. These findings highlight the importance of using MF drills to target specific conditioning goals and reinforce the need for individualized training strategies considering sex differences. Full article

Background: ESC sports classification in 2020, based on cardiac morphological adaptations, may not fully reflect also the variations in functional parameters of athletes. This study aims to characterize CPET-derived physiological parameters in elite athletes according to the ESC classification and evaluate whether this morphological classification also corresponds to a functional categorization. Methods: Elite athletes underwent pre-participation screening before the 2023 European Games and 2024 Olympic Games. Athletes were classified into four categories (skill, power, mixed and endurance). CPET was performed on a cycle ergometer using a ramp protocol, with measurements of VO₂ max, heart rate, power output and ventilatory efficiency. Results: We enrolled 1033 athletes (46.8% females; mean 25.6 ± 5.2 years old) engaged in skill (14.1%), power (33.2%), mixed (33.3%) and endurance (19.4%) disciplines. O₂ pulse showed an incremental significant increase (p < 0.0001) among sport categories (skill 14.9 ± 3.8 mL/beat; power 17.5 ± 4.6 mL/beat, mixed 19 ± 4.3 mL/beat and endurance 22.7 ± 5.8 mL/beat). The lowest ${\dot{\mathrm{V}}\mathrm{O}}_2$max was observed in skill disciplines (36.3 ± 7.9 mL/min/kg) whilst endurance ones showed the highest values (52.4 ± 9.7 mL/min/kg) (p < 0.0001). ${\dot{\mathrm{V}}\mathrm{O}}_2$max was higher in power compared to mixed (42 ± 7.7 mL/min/kg vs. 40.5 ± 5.8 mL/min/kg, p = 0.005) disciplines with an overlapping amount between some mixed and power disciplines. No differences were found for VE max (p = 0.075). Conclusions: Our study provided values of CPET parameters in elite athletes. Significant differences in CPET parameters were observed among different sports disciplines, with endurance athletes showing the highest absolute and relative values in all parameters. An overlap amount was noted between mixed and power categories, especially for relative maximal oxygen consumption. Full article

Background and Objectives: Hyperthermia significantly limits endurance performance in hot environments. To enhance heat loss and optimize athletic performance, pre-cooling interventions can be employed to accelerate body cooling. Therefore, the aim of this study was to evaluate the effects of an internal pre-cooling intervention combined with external pre-cooling or hydrogen-rich water on endurance performance in the heat. Materials and Methods: In a double-blind crossover with counterbalanced trials, all participants underwent a shuttle run test after 30 min under the following conditions: (1) hydrogen-rich cold water ingestion (HRCW); (2) cold water ingestion and external pre-cooling (IEPC); and (3) cold-water ingestion (control). Maximal aerobic speed (MAS), number of shuttle run repetitions, dehydration, temperature, heart rate (HR), rate of perceived exertion (RPE), blood lactate, and feeling scale (FS) were measured during the 20 m shuttle run test. Results: Our results revealed a significant variation in dehydration, MAS, number of shuttle run repetitions, blood lactate, RPE, and FS (p = [0.001–0.036]); additionally, a significant group × time interaction was found for body temperature (p = 0.021). Post hoc tests revealed a significant change for MAS (HRCW: p < 0.001), number of shuttle run repetitions (HRCW: p < 0.001), dehydration (HRCW: p= 0.009; IEPC: p = 0.008), blood lactate (HRCW: p < 0.001; IEPC: p < 0.001), RPE (HRCW: p = 0.05; IEPC: p = 0.004), and FS (HRCW: p = 0.05; IEPC: p = 0.004), as well as a significant decrease in body temperature (IEPC: p < 0.001; HRCW: p = 0.028) compared to the control condition after the test. However, no significant differences were reported in HR among the different conditions. Conclusions: In conclusion, findings from this study suggest that ingesting hydrogen-rich cold water effectively mitigates the effects of heat stress, thereby improving endurance performance, enhancing mood, and reducing ratings of perceived exertion. Full article

The physiological capabilities of horses begin to decline after they reach 15 years of age. However, some exceptionally talented horses can continue their sports careers beyond this age, raising concerns about their welfare. This study investigated animal welfare by observing resting heart rate (HR) and heart rate variability (HRV) metrics in geriatric horses participating in similar training or physical activities compared to younger adult horses over 30 min periods. Forty-six horses of varying ages and activity levels were divided into four groups, including horses under 15 years practising structured training for dressage (AL-1; N = 13) and school riding (AL-2; N = 13) and horses aged between 15 and 20 years participating in AL-1 (N = 10) and AL-2 (N = 10). In adult horses, the HR decreased in those performing AL-1, which was observed alongside an increased RR interval compared to those participating in AL-2 (p < 0.05 for both). Meanwhile, HRV increased in adult horses (measured by pNN50) but decreased in geriatric horses (measured by SDANN, SDNNI, DC, and SD2) participating in AL-1 when compared to their counterparts in AL-2 (p < 0.05 for all). Adult horses exhibited better autonomic regulation while engaged in structured dressage training than geriatric horses. These findings underscore the necessity for the careful management of physical activities to ensure the well-being of all horses, particularly older ones. Full article

The heart rate variability (HRV), influenced by female sex hormone fluctuations, is an indicator of athletes’ adaptation. This case study explores HRV responses over 18 months across a natural menstrual cycle (MC) and during oral contraceptive (OC) use in two Olympic female swimmers. HRV measurements—including mean heart rate (HR); root mean square of successive differences (RMSSD); and frequency-domain indices—were collected at rest in supine (SU) and standing (ST) positions across two competitive seasons. Nocturnal HR and RMSSD were assessed using the Ōura^® ring. MC and OC phases were identified through specific tracking, and training load was controlled. In both athletes, resting HR was lower during bleeding phases, increasing from menstruation to the luteal phase (MC) and from withdrawal to active pill phases (OC). In the ST position, RMSSD was higher but decreased throughout the phases. Nocturnal measurements confirmed these trends. Overall, findings suggest a phase-related parasympathetic overactivity shift. This study provides novel insights into HRV responses across hormonal cycles in elite female athletes, which present unique characteristics. Such monitoring tools may support a data-informed approach to guide and periodize training more effectively. Full article

The effects of physical activity on skeletal muscle mass and cardiac function are well-documented, but there is limited information on the relationship between the two. Furthermore, differentiating between the ‘athlete’s heart’ and pathological cardiac conditions often presents challenges. We aimed to analyze resting echocardiographic parameters in elite water polo athletes, considering sex, anthropometrics, and body composition. We examined 161 youth and adult athletes (age: 19.7 ± 5.6 years, male: 50.9%). Data analysis was performed with R software (version 4.2), using multivariate linear regression models. Confounders besides the main predictor were sex, age, and height. Male players had higher weight (87.55 ± 12.83 vs. 69.77 ± 9.8 kg), height (188.59 ± 6.82 vs. 173.47 ± 6.76 cm), skeletal muscle mass (SMM, 43.87 ± 5.50 vs. 30.38 ± 3.95 kg), and fat-free mass (FFM, 76.60 ± 9.23 vs. 54.52 ± 6.68 kg) and lower percentage of body fat values (12.14 ± 4.00.vs 21.51 ± 4.76%) compared to the female players. Youth players had lower height (178.51 ± 9.53 vs. 186.74 ± 9.27 kg) and weight (74.34 ± 12.12. vs. 88.23 ± 14.66 kg) compared to adults. Left ventricular end-diastolic and end-systolic diameters correlated positively with SMM (Est: 0.38, StE: 0.08, p < 0.001 and Est: 0.42, StE: 0.11, p < 0.001) and FFM (Est: 0.25, StE: 0.05, p < 0.001 and Est: 0.25, StE: 0.06, p < 0.001). Right ventricular end-diastolic diameter correlated positively with SMM (Est: 0.18, StE: 0.08, p < 0.05) and FFM (Est: 0.12, StE: 0.05, p < 0.05). Interventricular septal wall thickness showed positive correlation with SMM (Est: 0.16, StE: 0.04, p < 0.001) and FFM (Est: 0.10, StE: 0.02, p < 0.001). Left ventricular posterior wall thickness correlated with SMM, with a stronger correlation in females (Est: 0.17, StE: 0.05, p < 0.001) than in males (Est:0.7, StE: 0.04, p < 0.05). The close relationship between body composition and cardiac dimensions provides an opportunity for professionals to distinguish between athlete’s heart and pathological conditions. Full article

Objectives: The ability to efficiently regulate body temperature is crucial during endurance activities such as trail running, especially during competitive events in hot conditions. Over the past decade, passive hyperthermia exposure has grown significantly in popularity as a means of improving acclimatization and performance in hot environments. The present study aims to compare the physiological changes that occur in a group of professional athletes due to passive sauna exposure (80–90 °C) and their own response to maximal aerobic performance. Methods: Twelve professional trail runners (eight men and four women) were tested in three conditions: (i) baseline; (ii) before; and (iii) after (a) passive dry sauna exposure and (b) a maximal endurance test. In both cases, physiological parameters such as heart rate, tympanic temperature, arterial and muscle oxygen saturation, and blood concentrations of glucose, total cholesterol, high-density lipoprotein (HDL) and hemoglobin were measured. Results: Sauna exposure produced similar trends in cardiovascular and metabolic responses to those occurring during exercise, but at a much lower physiological level. Glucose and HDL levels were both significantly elevated (or tended to be so) after sauna and exercise (p < 0.03 and p < 0.01, respectively). Athletes who mobilized the sum of substrates (glucose and HDL) performed the exercise test faster (r = −0.76; p < 0.004). The response of arterial oxygen saturation (decreased) was similar during sauna and exercise, but opposite at the muscular level (increased during sauna and decreased during exercise). Additionally, inter-individual variability in responses was noted for most of the other parameters, suggesting the existence of ‘responders’ and ‘non-responders’ to thermal stimuli. Conclusions: The physiological responses of trained endurance athletes are moderately impacted by passive sauna use. However, individual changes could be correlated with endurance performance and optimizing individualization. Heat stimuli promote different physiological responses in terms of cardiac function, oxygen kinetics and substrate mobilization, albeit to a lesser extent than exercise. Greater substrate mobilization during maximal endurance exercise was found to be correlated with better performance. Further studies are needed to explore the concepts of metabolic flexibility, as described here, and how heat exposure may improve systemic health and performance. Full article